Subject: WHO warns hospitals re novel SARS-like China coronavirus

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WHO warning hospitals worldwide of poss spreading of novel SARS-like China coronavirus. Chinese New Year approaching. Links to clinical guidance via email.

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Coronaviruses (CoV) are a large family of viruses that cause illness ranging from the common cold to more severe diseases such as Middle East Respiratory Syndrome (MERS-CoV) and Severe Acute Respiratory Syndrome (SARS-CoV). A novel coronavirus is a new strain that has not been previously identified in humans.

WUHAN CHINA NOVEL CORONAVIRUS

On 31 December 2019, WHO was informed of a cluster of cases of pneumonia of unknown cause detected in Wuhan City, Hubei Province of China. Since that date, at least 41 new cases have been identified, as well as one death. Chinese investigators conducted gene sequencing of the virus and have ruled out SARS-CoV, MERS-CoV, influenza, avian influenza, adenovirus and other common respiratory pathogens (i.e. a possible new type of coronavirus).

Although the virus was initially thought to be transmitted by animals, the WHO says there is now evidence of human-to-human transmission.

On 13 Jan, the Thai Health Ministry in Bangkok reported that a 61-year-old Chinese woman who had traveled from Wuhan has been been quarantined with the mystery strain, the first time it has been detected outside China.

CHINESE NEW YEAR

A major concern for public health officials worldwide is the upcoming Chinese New Year celebrations, during which the largest annual human migration takes place as Chinese people head home to celebrate the Lunar New Year Spring Festival with their families.

The first day of Chinese New Year starts with the new moon, which for 2020 falls on 25 January.

While the legal holiday lasts 7 days (from the Lunar New Year's Eve to the sixth day of the first lunar month), many companies and public institutions enjoy a longer holiday up to 10 days or more. It is also a public holiday in countries such as Brunei, Indonesia, Malaysia, North Korea, Singapore, South Korea, and Vietnam.

During last year's celebrations, it is estimated that 2.2 BILLION trips were made by automobile, 400 MILLION by rail, and 73 MILLION by air to and from points around the globe.

WHO GUIDANCE FOR HOSPITALS

Dr. Maria Van Kerkhove, acting head of WHO’s emerging diseases unit, told a Geneva news briefing earlier today that the agency had given guidance to hospitals worldwide about infection control in case of spread, including by a “super-spreading” event in a health care setting. “This is something on our radar, it is possible, we need to prepare ourselves,” she said.

[ As this virus is so new, some of the guidance below appears to be re-purposed from past related outbreaks. ] 

Case Definitions


Laboratory Guidance (PDF)


Clinical Management for Suspected Novel Coronavirus


Infection Prevention and Control (PDF)


Risk Communications


Readiness Checklist


Disease Commodity Package


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