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Growing numbers of SARS-CoV-2 cases coupled with limited understanding of transmissibility and virulence, have challenged the current workflow and clinical care pathways for the dysphagia provider. At the same time, the need for non-COVID-19-related dysphagia care persists. Increased awareness of asymptomatic virus carriers and variable expression of the disease have also focused attention to appropriate patient care in the context of protection for the healthcare workforce. The objective of this review was to create a clinical algorithm and reference for dysphagia clinicians across clinical settings to minimize spread of COVID-19 cases while providing optimal care to patients suffering from swallowing disorders. Every practitioner and healthcare system will likely have different constraints or preferences leading to the utilization of one technique over another. Knowledge about this pandemic increases every day, but the algorithms provided here will help in considering the best options for proceeding with safe and effective dysphagia care in this new era.

Presents several correspondence on health care in Great Britain. Contamination of urine and fecal specimens by using unsterile containers; Efficacy of glucagon as treatment of hypoglycemia; Number of deaths caused by tobacco smoking.

A letter to the editor is presented in response to an article by Peto et al. in the May 23, 1992 issue that was concerned with research on mortality from smoking in developed countries.