Periodontal)status.)Tibetan.)Community)periodontal)index.) Loss)of)attachment.)

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Background: An institutional quarantine facility in India reported 5 cases in 9 days. The latter 2 cases incited a suspicion of internal outbreak as they were residing in a different room than the index cases and onset of symptoms was after the expiry of quarantine period. Subsequently, 75 more cases tested positive from this facility.Methods: A retrospective-prospective study was conducted. Data regarding the travel history, health-events thereafter, daily activities, layout of the facility and standard procedures followed in the facility was collected. The epidemiological pattern of presentation and evolution of cases was studied.Results: The outbreak pattern and investigation revealed a common bathroom as the cause of intra-floor spread. Inter-floor spread was also observed and 93.75% cases were detected from rooms using their floor bathrooms located vertically below one another and interconnected by plumbing systems. SAR for room contacts of index cases was 90% and SAR was 82.14% for bathroom contacts of index cases. The positivity rate amongst individuals assigned bathroom number 1 on the floors vertically located below the top floor was 64.10%.Conclusions: The investigation and results show local spread of SARS-CoV-2 through usage of common bathroom facility. An interesting trend of inter-floor spread with concentration of cases only in the rooms dedicated to vertically located bathrooms was found which indicates spread through waste-water plumbing system, a phenomenon previously observed in SARS-CoV in 2003. Single floor quarantine facilities are recommended with lesser dependency on common bathrooms.

Aim: The present study is conducted to explore the knowledge, attitude towards impact of periodontal diseases on cardiac health among general practitioners.Material and Methods: The present study is a Cross-sectional questionnaire descriptive study. The present study was conducted in a city in Chhattisgarh state among the general dental and medical practitioners running their private clinic. Dental and medical practitioners present on day of survey in the clinic and given their written informed consent were interviewed by the single investigator.Results: To the questions regarding impact of periodontal diseases on cardiac health, 23 (56%) of dental practitioners agree with this fact while for 21 (55%) of medical practitioners says that there is no impact. Majority of study subjects 71 (90%) agree with the statement that patients diagnosed with cardiovascular disease are more likely to have periodontal disease. Forty-two (53%) of study participants agree with the fact that controlling periodontal diseases is important for managing cardiovascular disease.Conclusions: It has been concluded that both dental and medical practitioners had moderate knowledge and fair attitude towards the impact towards impact of periodontal diseases on cardiac health.

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