返回

Aggiornamenti Coronavirus : situazione e raccomandazioni

Aggiornamenti Coronavirus : situazione e raccomandazioni


Situation

Chinese health authorities are reporting over 800 cases of a serious respiratory illness throughout China, caused by the newly identified Coronavirus. The main clusters are still in the original city of Wuhan and other locations in Hubei province.  Additional isolated cases have been identified in several other countries; all having traveled from Wuhan. In China, the illness has now appeared in multiple provinces.

 

Developments

Isolated cases have been identified in Japan, Thailand, Nepal and Korea and Taiwan, the U.S., Singapore and Australia. 

Chinese authorities have imposed a quarantine on the city of Wuhan and travel restrictions on nearby cities.  Flights and rail travel have been restricted or canceled to and from these locations.  Authorities are canceling or limiting large public functions in Beijing and other cities related to Chinese New Year celebrations.

 

There is now evidence the virus can be transmitted from human-to-human, mainly through respiratory droplets.  No health workers have become ill.  There is a rapid diagnostic test that can quickly confirm or rule out the Coronavirus as the cause of the symptoms.

 

Clinical information

The main symptoms of the disease include fever, cough and, in the most severe cases, shortness of breath.  The case fatality rate is low, approximately 3-4%; severe illness develops in about 1/3 of cases, mainly in elderly persons and those with co-morbid conditions. The majority of confirmed cases have not been life-threatening. So far, the degree of infectivity and incubation period for the virus is unknown.  Likewise, it is not known how long a patient who has been infected will remain contagious.

There is no specific treatment for the illness aside from supportive care.  All patients will be placed in protective isolation for the duration of treatment.

 

Travel Situation

  • International airports throughout Asia and progressively in the U.S., Europe and other locations with flights from China are deploying screening of passengers arriving from Wuhan area and in some cases from China. Infrared temperature sensors are used to detect fever.
  • Passengers should expect to be detained if they have concerning symptoms or fever, especially with a history of travel to China or contact with others with travel to an affected area.
  • Several cities in Hubei province are under complete quarantine with complete ban on passage in or out by any means
  • All non-essential travel to Hubei province should be deferred.
  • While there is no official restriction on travel to China, travelers should reconsider the necessity of such travel in light of expected further tightening of border controls locally as well as upon return to your home country. Additionally, it is anticipated there will be progressive cancellation of flights to affected areas and difficulty booking seats.
  • If you display symptoms of viral illness while in China, expect to be detained and possibly quarantined until you have tested negative for Coronavirus.

 

Recommendations

  • Please refer to the above recommendations related to travel involving China,
  • Avoid visiting wet markets, live poultry markets or farms and ensure all animal products are well cooked.
  • Patients with symptoms of cough, shortness of breath and/or fever, especially with a history of travel to Hubei Province are advised to seek immediate medical attention.
  • Use stringent hygiene practices:
  • Wash hands regularly and liberally using alcohol based disinfectant lotions.
  • Clean surfaces regularly.
  • In China, avoid crowded places and events.
  • Avoid proximity to others who are coughing or have a fever.
  • If you have symptoms (coughing or sneezing), put on a surgical mask to avoid contaminating other people and stringently cover your face when coughing.  Report any such symptoms to your manager at work before reporting for duty.
  • Consult your workplace manager regarding any additional measures advised by your employer.
  • Health care facilities are to take isolation precautions on any patients with the above symptoms and who have traveled from the source of the outbreak in China.
  • Be prepared to be screened by remote temperature sensors in airports, especially where flights are arriving from Wuhan and other points in China

 

Reference: https://www.who.int/csr/don/en