The World Health Organisation (WHO) says that except
in cases of hemorrhagic fevers such as Ebola, Marburg and cholera, dead
bodies are generally not infectious.
WHO said this in its interim guidance on ‘Infection Prevention and
Control for safe management of a dead body in the context of COVID-19’.
It said that only the lungs of patients with pandemic influenza, if handled improperly during an autopsy, could be infectious.
“Otherwise, cadavers do not transmit disease. It is a common myth
that persons who have died of a communicable disease should be cremated,
but this is not true. Cremation is a matter of cultural choice and
available resources,” it said.
WHO added that to date, there was no evidence of persons having
become infected from exposure to the bodies of persons who died from
COVID-19.
It said that people may die of COVID-19 in the health care
facilities, home or in other locations, adding that the safety and
well-being of everyone who tends to bodies should be the first priority.
“Before attending to a body, people should ensure that the necessary
hand hygiene and personal protective equipment (PPE) supplies are
available.
The dignity of the dead, their cultural and religious traditions, and
their families should be respected and protected throughout. Hasty
disposal of a dead from COVID-19 should be avoided,” it said.
WHO further added that personnel who interact with the body (health
care or mortuary staff, or the burial team) should ensure they apply
standard precautions.
It said that the precaution should include hand hygiene before and
after interaction with the body, and the environment; and use
appropriate Personal Protective Equipment according to the level of
interaction with the body.
“Ensure that any body fluids leaking from orifices are contained;
keep both the movement and handling of the body to a minimum. Wrap body
in cloth and transfer it as soon as possible to the mortuary area; there
is no need to disinfect the body before transfer to the mortuary area,”
it said.
It added that children, adults over 60 years, and immunosuppressive persons should not directly interact with the body.
“Give the family clear instructions not to touch or kiss the body.
“Although burials should take place in a timely manner, in accordance
with local practices, funeral ceremonies not involving the burial
should be postponed, as much as possible, until the end of the pandemic.
“If a ceremony is held, the number of participants should be limited.
Participants should observe physical distancing at all times, plus
respiratory etiquette and hand hygiene,” it said.
WHO said that the interim guidance was for all health care facilities
and mortuaries, religious and public health authorities, and families,
who tend to the bodies of persons who have died of suspected or
confirmed COVID-19 patients.
It added that the recommendations would be subject to revision as new evidence becomes available.
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