Updates : COVID 19

India

healthysoch

New Delhi, March 17, 2010 :

Dr KK Aggarwal

President CMAAO, HCFI and Past National President iMA

States: 14,

Total cases 11 4 (MOH), 129 World Meters

Serious: Zero, Death: 2, Community spread: zero; Super spreader: Zero; Men more than women.

ICMR: Testing across 52 labs (ICMR-National Institute of Virology, Pune is the apex laboratory for reconfirmation of any positive samples); additionally, 57 other labs to help sample collection

Countries 162 , Continents all except Antarctica

Cases 175982 Cases (5% extra if CT diagnosis is taken)

Deaths 6717

Recovered: 77871

Currently infected:91394

Mild: 85416 (93%)

Serious 5978 (7%)

Likely deaths (6717 + 5978 x 15 = 888 ) = 7613

Likely deaths in Italy: > 2060

Deaths in over 46 Countries

More than 50% cases outside China

COVID Sutras

Public health emergency of international concern declared within a month after the first reported cases, as a result of the signs of human-to-human transmission outside China (30^th January) .

Global risk raised to the highest level of alert (28^th February)

10^th March: A near uneven controllable pandemic

Disease: Coronavirus disease or COVID-19

Virus: SARS-CoV-2 virus (names used when communicating with the public “the virus responsible for COVID-19” or “the COVID-19 virus”)

Symptoms: fever, tiredness, and dry cough (most common); only cough (pollution), cough and cold (allergy), fever with sore throat in children (streptococcal), fever above 100.4 with cough and cold
(flu), fever with cough and breathlessness (corona like illness), cough > 2 weeks rule out TB

No fever no flu no corona; No breathlessness no seriousness, no breathlessness no oxygen requirement no seriousness

Corona Namaste better than elbow touch

Hygiene: Maintain social distance 1 meter from a person with cough and cold; wash hands (Remember the mnemonic SUMAN K – seedha ulta mutthi anghuta nakhun kalai) with soap and water or 70% alcohol sanitizer, disinfect surfaces, use surgical masks, if infected (symptoms especially coughing or looking after someone who may have COVID-19.

All doctors: to carry SPO2 monitor to detect early serious cases

Suspect a corona case: Fever or signs/symptoms of lower respiratory illness (cough or shortness of breath) AND any person, including health care workers who has had close contact with a lab confirmed COVID-19 patient within 14 days of symptom onset.

Fever and signs/symptoms of a lower respiratory illness (cough or shortness of breath) requiring hospitalization AND a history of travel from affected COVID 19 countries within 14 days of symptom onset
Fever with severe acute lower respiratory illness (SARI, pneumonia, ARDS) requiring hospitalization and without alternative explanatory diagnosis (e.g., influenza) AND no source of exposure has been identified.
A suspect case for whom testing for 2019-nCoV is inconclusive or for whom testing was positive on a pan-coronavirus assay

What to do:

If you have fever with dry cough with or without breathlessness self- isolate (quarantine yourself at home), wear surgical mask, do frequent hand wash and call your doctor.

Isolate all infected patients. They need to wear surgical mask.

Isolate (quarantine) at home all close contacts, call them twice daily, counsel them, no testing if no symptoms, test if symptoms develop.

Avoid cohort (clusters) of asymptomatic close contacts without masks (Diamond Princess: 696 in cohort ended with 23% getting the infection and 7 deaths, 32 still serious)

Treatment: Avoid self-medication; start Tamiflu when symptoms appear and stop if COVID 19 is negative.

CDC: Any American can be tested, no restrictions, subject to doctor’s orders

It’s not flu: It’s a lung disease, not a stuffy nose disease. Clinically all have fever, 75% have cough; 50% weakness; 50% breathlessness with low total white count and deranged liver enzymes; runny nose only shows up in 4% cases; 20% need ICU care and 15% of them are fatal. Treatment is symptomatic though anti-viral (remdesivir) and anti-HIV drugs (lopinavir/ritonavir) have shown some efficacy.

Avoid mass gatherings: > 1000 people, in smaller gathering first ask “I hope no one is here with fever and cough, if kindly leave or wear surgical mask”

Travel

Indian citizens are advised to refrain from travel to China, Iran, Republic of Korea, Italy & Japan and advised to avoid non-essential travel to other COVID-19 affected countries.
All international passengers entering into India are required to furnish duly filled self-declaration form (including personal particulars i.e. phone no. and address in India) to Health Officials and Immigration officials and undergo Universal Health Screening at the designated health counters at all points of entry.

Dos: hand washing, avoid sick people, avoid touching eyes, nose and mouth with unwashed hands, cover nose and mouth with tissue when coughing or sneezing.

Don’ts: Avoid close contact if cough and fever, do not touch eyes, nose and mouth, avoid spitting in public