Coronavirus 2019 n-CoV (Wuhan)

(Last Updated On: 6 March 2020)

Definition:

• 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

Epidemiological data:

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
China	79.251	2842
South Korea	3150	16
Italy	1128	29
Iran	593	43
Japan	241	5
Singapore	102	0
France	100	2
Hong Kong	94	2
Germany	79	0
USA	68	1
Kuwait	45	0
Spain	45	0
Thailand	42	0
Bahrain	41	0
Taiwan	39	1
Malaysia	25	0
UK	23	0
United Arab Emirates	21	0
Switzerland	18	0
Canada	16	0
Viet Nam	16	0
Iraq	13	0
Total		2941

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.

And

-Having travelled or stayed in an area with active transmission – within 14 days of the start date of clinical signs.

Yes

(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:

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.

Person co-exposed:

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,
• Blouses
• On Blouses,
• Charlottes,
• 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.

General advice:

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