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Re: [ozbug] nCoV – points of interest for clinicians

Home Forums Infexion Connexion Fwd: Re: [ozbug] nCoV – points of interest for clinicians Re: [ozbug] nCoV – points of interest for clinicians

#76208
Michael Wishart
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Author:
Michael Wishart

Email:
Michael.Wishart@svha.org.au

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State:
NSW

And quite a useful map which is updated in close to real time as reports are confirmed.

https://gisanddata.maps.arcgis.com/apps/opsdashboard/index.html#/bda7594740fd40299423467b48e9ecf6

Cheers
Michael Wishart
ACIPCList Moderator

Michael Wishart | Infection Control Coordinator, CICP-E

St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032

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Forwarded from OzBug with thanks.

Michael Wishart
ACIPCList Moderator

A few clinical points have emerged from various briefings that might be of interest to ID physicians assessing returned travellers from China. (Correct as of last night, obviously the situation is changing rapidly)

* Fever reported in almost all cases (in the cases where this is reported), even those with relatively mild clinical presentations (this may reflect a selection bias in who gets tested)
* Other symptoms in varying proportions include cough, fatigue, productive cough, chest discomfort, dyspnoea, sore throat, headache
* Almost all cases so far have had a travel history to Wuhan city, and most cases have been linked to two districts within Wuhan (Jianghan and Huangpi). Two cases in Guangzhao had contact with confirmed cases.
* Incubation period – average 7 days, most cases 4-10 days, longest compatible with data 14 days
* Chinese authorities are maintaining surveillance on over 800 contacts, many in-country public health interventions (public messaging, transport screening, ban on non-essential public gatherings, disinfection).
* Significant numbers of “suspected” cases in other countries under investigation.
* The influenza season is in underway in China (mostly A/H3 and B/Vic) – influenza activity seems higher so far than in the last 3 seasons.

Smart Traveller was updated last night with a warning about nCoV today, and there is a Dept of Health website:https://www.health.gov.au/news/novel-coronavirus

WHO resources: https://www.who.int/health-topics/coronavirus

* Case definition likely to be updated.
* Home care guidelines may be useful

Happy Chinese New Year – gong hei fat choy!


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Allen Cheng, MB BS, FRACP, MPH, MBiostat, PhD
Director
Infection Prevention and Healthcare Epidemiology Unit, Alfred Health
Professor of Infectious Diseases Epidemiology
School of Public Health and Preventive Medicine, Monash University
Infectious Diseases Physician
Department of Infectious Diseases, The Alfred and Central Clinical School, Monash University

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