- Coronaviruses are viruses that can cause respiratory infections in humans and animals.
Some coronaviruses lead to mild respiratory tract infections with symptoms such as a cold (cooling) but some coronaviruses can cause severe respiratory symptoms with risk of death.
- Notably the current 2019 n-CoV
The current Coronavirus outbreak (2019-nCoV) is believed to have started in the Chinese city of Wuhan, at the city's fish and seafood market – Zoonose at the beginning of the outbreak
Then human-to-human by air), touching or with objects having been in contact with the mouth, nose or eyes of an infected person. Incubation – 2 to 14 Days
Number of coronavirus contaminations and deaths (last updated: February 29, 2020 at 9:00 p.m.
|Country||Number of people infected||Number of deaths|
|United Arab Emirates||21||0|
As of February 29, 2020 at 9 p.m.: 85,994 cases notify is 2,941 Deaths
These definitions are likely to change depending on the information available:
1- Suspicious case:
(a) Anyone with:
-Clinical signs of low acute respiratory infection of any severity with a fever or fever, with no other identified etiology that can fully explain symptomatology.
-Having travelled or stayed in an area with active transmission – within 14 days of the start date of clinical signs.
(a) Anyone with an acute respiratory infection of any severity within 14 days of one of the following exposures:
– Close contact1 of a confirmed case of Covid-19, while Covid-19 was symptomatic;
– Any person co-exposed, defined as having been subjected to the same exposure risks (i.e. a stay/trip to an area whose transmission is active) as a confirmed case.
– Anyone who has worked or stayed in a hospital where a case of Covid-19 infection has been confirmed.
2- Confirmed cases:
A suspicious case with a sample indicating the presence of Covid-19.
Close contact is a person who shared the same place of life as the case when the person had symptoms.
Example: family, same room, or having had direct face-to-face contact in less than a metre of the case at the time of a cough, sneeze or during a discussion, neighbour of class or office, neighbor of the case, in a public transport.
A co-exposed person is defined as having been subjected to the same exposure risks (i.e., a stay/travel in an area where transmission is active) as the confirmed case.
Local transmission: China, South Korea, Singapore, Japan, Iran, Italy (Lombardie, Veneto).
Setting up the Surveillance and Alert Device:
- Availability for each health structure of the Means of Protection: (of course in quantity and sufficient stock)
- Surgical masks,
- FFP2 masks,
- On Blouses,
- Protective goggles.
- Ensure the availability of the Collection Kits and their transport environments identical to those of the Influenza at the level of the 3 EPH of the Wilaya,
Setting up the Surveillance and Alert Device:
- To comply with the following measures in front of any patient who meets the definition of a possible case:
- Hospitalize the patient in accordance with the usual rules of protection,
- Take the naso pharyngé sample in accordance with the No. 03 card on the methods of collection of severe influenza cases,
- Immediately notify the case to the Directorate General of Prevention and inSP.
- Educate the Heads of Border Health Control Posts (CSFs):
- To activate the monitoring device by setting up thermal imaging cameras for Passengers from China, South Korea, Singapore, Japan, Iran, Italy,
- To proceed with the isolation and hospitalization of any passenger who meets the definition of a suspected case,
- To inform passengers from China, South Korea, Singapore, Japan, Iran, Italy, to consult urgently in case of an evocative clinical picture,
- Organize awareness sessions (individual hygiene measures) for travelers departing to China, South Korea, Singapore, Japan, Iran, Italy .
1- At the entry points:
– to raise the level of alert and health watch to the level of all ports of entry, air, naval and land, especially services in countries where transmission is active,
– to strengthen these entry points into human and material resources.
2- At the level of health facilities:
– to ensure the wide dissemination and follow-up of ministerial notes,
– to designate H24 teams in each establishment dedicated to the management of suspected cases (lists, addresses and telephone numbers of reference health workers),
– to prepare and test the circuit of the suspect case from its arrival to the isolation box,
– to prohibit access to the isolation box to anyone outside the dedicated teams.
– to provide for the availability of personal protection and hydro-alcoholic solution – t
o ensure compliance with general hygiene conditions
Good advice – Prevention:
Good personal hygiene practice, such as regular hand washing,
Avoid contact with animals, especially poultry and their feces
– as well as contact with people with respiratory symptoms
– and eat only eggs and meat when cooked through.
For people with symptoms of acute respiratory infection, it is imperative to follow the hygiene rules applicable in case of coughing: it is mainly a matter of keeping away from others, covering your mouth or nose with a tissue or his clothes when coughing or sneezing and washing your hands.
Do not touch the eyes, nose and mouth with unwashed hands.
Protective masks can be useful to prevent disease, in a high-risk area wear a mask. Masks with an N95 classification are to be preferred or FFP2
Presented by: Dr Nabil BOULAGHMEN
Medical Epidemiologist SEMEP EPSP Laghouat