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

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  • #76204
    Michael Wishart
    Participant

    Author:
    Michael Wishart

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    State:
    NSW

    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!


    You received this message because you are subscribed to the Google Groups “Ozbug” group.


    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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    #76208
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Position:

    Organisation:

    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

    T +61 7 3326 3068 | F +61 7 3607 2226

    E michael.wishart@svha.org.au |

    W https://www.svphn.org.au

    Get Outlook for Android

    ________________________________

    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!


    You received this message because you are subscribed to the Google Groups “Ozbug” group.


    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

    ______________________________________________________________________
    This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.

    ______________________________________________________________________
    This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.
    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

    The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

    Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

    Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au

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    ______________________________________________________________________
    This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.

    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

    The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

    Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

    Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au

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