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
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