Coronavirus Disease COVID- 19 Update dated 03/06/2020

With a lot of rumors and false information spreading, we at RMG, want to keep you updated with important updates and facts from legitimate and dependable sources.

RMG provides IV infusions that help promote and strengthen your immune system to help fight off bacteria and viruses. These IVs may be used as preventative measures on top of precautions such as those mentioned in the ‘Prevention’ section of this summary.

Information summarized from WHO, CDC, CNN, New York Times

Figures of mortality and those affected from COVID-19 are fluid and constantly changing.

• There are 205 cases of the novel coronavirus in the United States, according to the US Centers for Disease Control and Prevention, as well as state and local governments.

• Earlier this week, California reported its first death from coronavirus.

• LA County has a total of 11 cases of COVID19. The four most recent cases are four patients who recently traveled to Northern Italy and are being isolated. Their close contacts are also being quarantined.

• Washington state health officials announced at a news conference today that they now have 70 confirmed coronavirus cases.

• 2 new novel cases of COVID19 were verified by the CDC in Harris County, Texas.

• The French Health Ministry has confirmed that seven patients have died from coronavirus in France.

• Italy’s Civil Protection Agency has announced that 41 additional people have died in the last 24 hours, bringing the total number of fatalities to 148.

Recommendations

Community-based interventions such as school dismissals, event cancellations, social distancing, and creating employee plans to work remotely can help slow the spread of COVID-19.

If you are feeling ill, please stay home.
• Avoid handshakes.
• Avoid close contact with people who are sick.
• Avoid touching your eyes, nose, and mouth.
• Cover your cough or sneeze with a tissue, then throw the tissue in the trash.
• Clean and disinfect frequently touched objects and surfaces using a regular household cleaning spray or wipe.
• Follow CDC’s recommendations for using a facemask.

– CDC does not recommend that people who are well wear a facemask to protect themselves from respiratory diseases, including COVID-19.

– Facemasks should be used by people who show symptoms of COVID-19 to help prevent the spread of the disease to others. The use of facemasks is also crucial for health workers and people who are taking care of someone in close settings (at home or in a health care facility).

Wash your hands often with soap and water for at least 20 seconds, especially after going to the bathroom; before eating; and after blowing your nose, coughing, or sneezing.

– If soap and water are not readily available, use an alcohol-based hand sanitizer with at least 60% alcohol. Always wash hands with soap and water if hands are visibly dirty.

The federal agency released a five-page list of chemicals and products Thursday that it says are strong enough to ward off “harder-to-kill” viruses than SARS-CoV-2. Here are some of the registered disinfectants on the EPA’s list:

– Clorox Multi-Surface Cleaner + Bleach

– Clorox Disinfecting Wipes

– Clorox Commercial Solutions

– Lysol brand Heavy-Duty Cleaner Disinfectant Concentrate

– Lysol Disinfectant Max Cover Mist

– Lysol brand Clean & Fresh Multi-Surface Cleaner

– Purell Professional Surface Disinfectant Wipes

– Sani-Prime Germicidal Spray

– You can read the full list of disinfectants here: https://www.epa.gov/sites

Clinical Presentation:


There are a limited number of reports that describe the clinical presentation of patients with confirmed 2019-nCoV infection, and most are limited to hospitalized patients with pneumonia.

• Data for human infection with other coronaviruses (e.g. MERS-CoV, SARS-CoV) suggest that the incubation period may range from 2-14 days.

• Frequently reported signs and symptoms include:
– Fever
– Cough
– Muscle pain
– Fatigue
– Shortness of breath at illness onset
– Sore throat
– Headache

Less commonly reported symptoms to include:
– Sputum production
– Coughing up blood
– Diarrhea

Approximately one-third to one-half of reported patients had underlying medical comorbidities, including diabetes, hypertension, and cardiovascular disease.

Prevention:

The best way to prevent illness is to avoid being exposed to this virus. However, as a reminder, CDC always recommends everyday preventive actions to help prevent the spread of respiratory diseases, including:

• Avoid close contact with people who are sick.

• Avoid touching your eyes, nose, and mouth.

• Stay home when you are sick.

• Cover your cough or sneeze with a tissue, then throw the tissue in the trash.

• Clean and disinfect frequently touched objects and surfaces using a regular household cleaning spray or wipe.

• Follow CDC’s recommendations for using a facemask.

o CDC does not recommend that people who are well wear a facemask to protect themselves from respiratory diseases, including COVID-19.

o Facemasks should be used by people who show symptoms of COVID-19 to help prevent the spread of the disease to others. The use of facemasks is also crucial for health workers and people who are taking care of someone in close settings (at home or in a health care facility).

• Wash your hands often with soap and water for at least 20 seconds, especially after going to the bathroom; before eating; and after blowing your nose, coughing, or sneezing.

– If soap and water are not readily available, use an alcohol-based hand sanitizer with at least 60% alcohol. Always wash hands with soap and water if hands are visibly dirty.

Treatment:


There are currently no antiviral drugs licensed by the U.S. Food and Drug Administration (FDA) to treat patients with 2019-nCoV infection. No specific treatment for 2019-nCoV infection is currently available. Clinical management includes prompt implementation of recommended infection prevention and control measures and supportive management of complications, including advanced organ support if indicated. corticosteroids should be avoided unless indicated for other reasons (for example, chronic obstructive pulmonary disease exacerbation or septic shock per Surviving Sepsis Guidelines, because of the potential for prolonging viral replication as observed in MERS-CoV patients.

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