Important advisory for Corona Virus by doctors and Government bodies you must know?

Coronavirus is a broad family of viruses that are actually named after their microscopic appearance a corona looks like a crown. They're you know again dozens of these there's a few of them that are known to infect humans that largely cause relatively mild upper respiratory disease or common cold and then more recently. Coronaviruses can cause severe lower respiratory tract disease or pneumonia.

Important advisory for Corona Virus by doctors and Government bodies you must know?


So the first of these that we became acquainted with you might remember our readers might remember SARS. They also came out of China back in 2003. More recently we've had MERS which is known as the Mid East respiratory syndrome virus which is coming out of the Arabian Peninsula. So now this is the third kind of Novel Coronavirus that we're having experience with that can cause severe lower respiratory tract disease. Please follow the government rules and regulations in this pandemic crisis and must read this informative article of Important advisory for Corona Virus by doctors and Government bodies you must know?

Structural Diagram



Structural Diagram


How it spread


These typically spread from person to person, via large droplets respiratory droplets. So when somebody coughs or sneeze, it can be transmissible. The way correct many of these coronaviruses have a natural reservoir in animals, and so we know that in certain instances they've been able to infect camels or cats or bats. The correct descriptions of this coronavirus coming out of from China up to a food market. Where they had live-in animals that they would sell so the hypothesis is that there may be an animal reservoir that has now transferred into humans. Some specialist Doctors who're is an expert on global health security has confirmed this issue in his report.

I think right now the risk in China and in most countries outside of China is very low. The outbreak really seems to be concentrated in the city of Wuhan which is in kind of central-eastern China. We should probably be much more worried about influenza and respiratory diseases. American Doctors know caused significant morbidity and mortality every year so on an average year near about 30,000 Americans died due to influenza, so they had one detected case of this new coronavirus in the world. So I think it's appropriate for folks to the temper they're alarmed but the reason to be aware that we are vulnerable to emerging infections anywhere in the world.

With modern transportation, you can be anywhere in the globe in 24 hours and so you know that this virus can also travel with the patient. The good thing is it highlights that Doctors become much better at detecting these types of events our surveillance is much better than it was even in 2003 with SARS and I think the fact that just a couple of weeks into the outbreak. We have a much better idea of what the pathogen systems already in place that are doing surveillance detection and tracking. So I think we're well ahead of where we have been with previous outbreaks but again this is, unfortunately. Something that's going to continue to happen new and emerging diseases is not going to stop anytime soon with Nebraska medicine have any roles in the biocontainment unit.

In responding to this particularly if it continues to grow Angela why don't you take that a sour director of the biocontainment Union sure so yes we definitely in the Nebraska biocontainment unit follow this and any other outbreak going in a world very closely and I do feel like that in our role as a biocontainment unit? You know as one of the leaders in the United States, bio contains men that we should not only be monitoring this closely but also serving as an example. For others as far as doing appropriate travel screening here at Nebraska medicine making sure that when people come to our emergency department or our clinics that we're asking that question have you traveled somewhere outside the United States not necessarily.


Just for this virus that we're discussing, but for other pathogens as well there are other Albirex going on. In the world as well but yes and the biocontainment unit I do feel like that we should serve in that leadership role. To provide that guidance for others in their infection control management. These type of pathogens as compared to stars can you expand on that a little bit and talk about what the global response.

It looks like in terms of containing this type of outbreak and treating it if that's something that's sure. I think overall this response has been much quicker and much more open and transparent than what happened in 2003 was SARS. So SARS was going on and there were cases that were popping up on hospitals and transmission was occurring for months. But before anybody really became aware of it outside of you know the local endemic region. Then it took quite a while to identify what the virus was and to implement appropriate travel screening and precautions by that time.


W.H.O view


W.H.O view


You know the virus that escaped from Hong Kong, Singapore and Vietnam ended up in Canada, and so you really had a worldwide outbreak at that point hopefully. So far we've seemed to have done a much better job of identifying cases and implementing the appropriate public health measures to prevent spread. You know as I mentioned the Chinese government has actually been very transparent and open about sharing the status of the outbreak and identified with notified partners as well as with the World Health Organization(W.H.O). W.H.O is apparently meeting to discuss whether this should be declared a public health emergency of international consequence. You know I think at this point most experts predict that it will not happen that the W.H.O will be satisfied with the status of response right now. The fact that this appears to be you know so far relatively confined except for you know a few cases that have kind of gotten out on airplanes. And so I think overall it does demonstrate that the world has made significant progress and combating these types of emerging disease threats.

So every country is very proactive for travelers from Wuhan China are actually being funneled into all country airports. Now where they are being screened for any kind of respiratory or febrile illness, if they were discovered they would be observed carefully in quarantine. Similarly, they're being given information that if they arrive here and then become all that they said seeking medical attention and obviously alert medical personnel that they've been potentially exposed in Wuhan so we're very much ahead of the ball game as opposed to where we were years ago and are being very proactive with this here at Nebraska medicine as dr. Hewlett mentioned we clearly have already put in travel screening for people coming into our clinics and emergency department.  The biocontainment unit on alert if needed them yeah so clearly the coronaviruses are a large family of viruses. That cause everything from the common cold which is what you're referring to more severe lower respiratory tract disease. This is what these newer novel coronaviruses are sometimes associated with we're particularly concerned with these novel coronaviruses and other coronaviruses sometimes in very immune suppressed hosts. 


Traveler guideline


Traveler guideline

Sometimes they can cause more severe disease even the more common coronaviruses in our bone marrow transplant patients. Somebody who is immune-suppressed or the very young or the very old. So you know we do have a wealth of experience with coronaviruses in general. Learning more about this new one as days go by is ready. I mean with someone with a very severe case of this particular strain of the coronavirus potentially coming to the biocontainment unit. Travel screening is done by all country governments and makes a personal history who is presented to the emergency department or to the clinics that had an appropriate travel history and also appropriate symptoms. Then we would consider bringing them into the biocontainment unit mainly for diagnosis and then appropriate monitoring. If there were a patient that was infected with this illness in any country region as well that with it we could care for them in the unit also.

We do stand ready for this any other passenger I knew that you don't wanna be alarm is because the flu is a larger threat for people in all countries but if people have travel plans to go to some of these locations where the disease is the detective, I mean what are the symptoms or what should people be aware of so the CDC has issued. A fairly low-level alert for people traveling to that specific part of China that they should be careful avoids sick people you know just some common sense sort of precautions again the coronaviruses. Generally, it causes a kind of febrile flu-like illness. So it could be easily confused with you know much more common viruses that we're seeing and as dr. Lawler mentioned that it's important for our readers to keep this in perspective that you know we currently have a widely circulating virus influenza that causes anywhere from 25,000 to 50,000 deaths per year in any country.

Ebola and SARS are familiar with Corona Virus


Ebola and SARS are familiar with Corona Virus

Every year and doctors need to be making sure that taking appropriate precautions to prevent the spread of those viruses. While being on the lookout for this novel coronavirus at the same time currently working with the CDC and W.H.O and monitoring of preparing for the coronavirus. Does the global center for health security to play a role sure so the global center for health security is involved in long-standing programs to help and train. First responders and other healthcare workers in appropriate infection prevention control. Health Organisation works very closely with biocontainment unit colleagues and also with folks at the University. At the hospital who are part of the Ebola treatment and education center which is the main resource for training hospitals across the nation inappropriate infection prevention and control research program. So you know all of those efforts together really over the years have done a significant amount to increase preparedness in hospitals to manage these types of highly dangerous pathogens. That's another advantage that health organization has over 2003 is that after an ebola and with the advent of new tech and other efforts we've done a much better job of preparing hospitals to manage this virus.

Patients with potentially highly infectious diseases and that's a real resource that the doctors think could be relied on and will significantly improve the ability to manage. You know an outbreak beyond one or two patients if that's what occurs where patients have such high levels of infection through travel as compared to not seeing that as much in western Africa with Ebola. Well in China is a very common travel destination both for you and everyone know for business travelers as well as for people going on vacation, and so we don't see quite as much travel to those areas affected by Ebola or Corona. The Democratic Republic of Congo namely currently as we do to China which is a very common travel destination so that is when you know one difference about Ebola versus this outbreak is that you know. There are a lot more travelers returning to their country and to other places from China than from the affected area in the Congo the other thing I would point out is that the lethality of these diseases differ very markedly with Ebola being associated with a much higher rate of fatality than the coronavirus infection.

Indian Government concerns



Indian Government concerns


Currently, Doctors have a handful of deaths due to coronavirus in China. It appears to be less transmissible unless severe perhaps than SARS or even MERS. So we have that to our advantage as well we're experiencing correct and that's why doctors think that it's so important for people to keep those things in perspective. That doctor dealing with very minimal risk right now from this coronavirus where they deal with a much higher level of risk from very common viruses that we are used to encountering each and every year won't have anything else.

As per the Indian Central Government's Ministry of AYUSH circulated a notice or an advisory to protect from coronavirus in India, the ministry said that corona can be avoided with serious consequences if it is timely defended. The Indian medical Scientific Advisory Board of the Homeopathy has considered homeopathy 'arsenic album-30' as an effective if a patient can take an empty stomach for 3 days to prevent the spread of the coronavirus infection.

Important note: So far no country has confirmed the success of making coronavirus vaccine, scientists believe it may take more than 6 months.

Some Important Advice and information:       


  • Maintain personal and social hygiene for good health. 
  •  Wash your in carefully after finishing any which is done with the help of hand with soap or antiseptic gel and water for at least 30 seconds.
  • Drink ayurvedic remedies of Shadang Pania ( ingredients are Musta, Parpat, Uhir, Chandan, Udichiya, and Nagar) mix with water and boil it (10 grams powder in 1 liter) till to reduced to half. Store it in a safe bottle and drink in some interval of time when you are thirsty.
  • Make a habit to avoid touching your sensitive part like eyes, nose, and mouth with non-washed hands.
  • Maintain distance with people who are sick.
  • Take rest in the house when you feel ill.
  • During coughing or sneezing try to cover your mouth and nose and quickly wash your hands.    Clean the place, objects, and surfaces which is regularly used by you.
  • Use an N95 mask during traveling or working in public places.
  • If you are a corona viral infection patient, immediately wear a mask and contact your nearest hospital to take doctor prescribed medicine.

CNN NEWS18 report on latest coronavirus in youtube:



Some Help Line Numbers during an emergency:


NOVEL CORONA VIRUS

·         Emergency Helpline Number (corona-virus)   : +91-11-23978046
·         Emergency Helpline Email ID (corona-virus)  : ncov2019[at]gmail[dot]com
·         Latest Travel advisory for travelers who want to visit China : (Click here)
·      Indian Discharge policy for the suspect or confirmed novel Coronavirus patient(2019-nCoV)  : ( Click here)
·       Guidelines on Clinical management of severe acute respiratory illness (SARI) in suspect/confirmed novel Coronavirus (nCoV) cases ( Click here)
·         Guidance on Surveillance for human infection with 2019-nCoV: ( Click here)
·         Guidelines for Infection Prevention and Control in Healthcare Facilities( Click here)
·         Guidance for sample Collection, Packaging and Transportation for Novel Coronavirus:( Click here)
·         The Twitter link: 
·         The PIB releases link: PIB                                 
·         The Facebook link: 
·         YouTube channel link:                                                          
·         WHO Link: 
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