CORONAVIRUS (2019-NCOV)

FACTS VS RUMORS
Kay Ramos Jimeno RND MD
 CORONAVIRUS(2019-NCOV) FAQS

• What
• When
• Where
• Who
• How
• Current Situation
• Rumors vs Truths
 CORONAVIRUS
• Large family of viruses both in animals and humans
• Common cold to a more severe type of disease
• Crown like spikes on their surface
• First identified in the mid-1960s
• Seven types that can infect humans: 229E, NL63, OC43, HKU1,
MERSCov, SARS-Cov, 2019-nCOv
• common mild cold
- Adults (2-5 infections yearly)
- Children (6-10 colds yearly)
WHAT IS CORONAVIRUS (2019-NCOV)

• New strain

• Genetically related to SARS (China ;2003; 8,090 probable

cases;774 deaths) and MERS Coronaviruses (Saudi Arabia; 2012;
2206 cases; 787 deaths)

Sources:
1. https://www.cdc.gov/sars/about/fs-sars.html
2. M.S. Nassar, M.A. Bakhrebah, S.A. Meo, M.S. Alsuabeyl, W.A. Zaher
Middle East Respiratory Syndrome Coronavirus (MERS-CoV) infection:
epidemiology, pathogenesis and clinical characteristics
WHEN AND WHERE DID THE
CORONAVIRUS (2019-NCOV) START?
• Unknown cause of pneumonia cases with the shared history of
exposure to Huanan Seafood market across patients
• An epidemiological alert was released by the local health authority on
Dec. 31, 2019 in Wuhan China
• Shut down of market in Jan 1, 2020
WHEN AND WHERE DID THE CORONAVIRUS (2019-
NCOV) START?

Source: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30183-5/fulltext
 WHERE DID THE
CORONAVIRUS
(2019-NCOV)
ORIGINATE?

Source:
https://www.thelancet.com/infographics/coronavirus
HOW IS THE CORONAVIRUS (2019-NCOV)
TRANSMITTED?
• Yet to be determined
• Person to person (about 6 feet)
• via respiratory droplets produced when an infected person coughs or sneezes
• droplets can land in the mouths or noses of people who are nearby or possibly be
inhaled into the lungs.
• currently unclear if a person can get 2019-nCoV by touching a surface or object that
has the virus on it and then touching their own mouth, nose, or possibly their eyes.
HOW IS THE CORONAVIRUS (2019-NCOV)
TRANSMITTED?
• most contagious when they are most symptomatic (the sickest).
• With 2019-nCoV, however, there have been reports of spread from an
infected patient with no symptoms to a close contact.
WHO CAN CATCH CORONAVIRUS (2019-NCOV)?

• People living or travelling in an area where the

2019-nCOv is circulating may be at risk of infection
WHO CAN CATCH CORONAVIRUS (2019-NCOV)?

• Health workers caring for persons who are sick with 2019-
nCOv
WHO IS AT RISK FOR DEVELOPING A MORE SEVERE
ILLNESS FROM CORONAVIRUS (2019-NCOV)

• Older people
• People with pre existing medical conditions (diabetes and heart
diseases)
HOW DOES DISEASE PRESENT?

• Mild to severe
• Cough
• Fever
• Shortness of breath
• Kidney failure
• Death
HOW DOES THE DISEASE PRESENT?
HOW IS IT DIAGNOSED?

• Colds by coronaviruses cannot be distinguished clinically from other colds

• Laboratory diagnosis – antibody titers in paired sera
• Nucleic hybridization tests (including PCR) are now being introduced
HOW IS IT TREATED?

• No specific antiviral treatment recommended

• Supportive care to help relieve symptoms
• For severe cases, treatment include care to support vital organ functions
HOW DO WE PREVENT?

• Limited geographic
spread
• Standard hygiene
measures
How do we
prevent?
• How do we
prevent?
 CURRENT
SITUATION
Source: https://www.ecdc.europa.eu/en/geographical-distribution-2019-ncov-cases
 CURRENT
SITUATION
Source: https://www.ecdc.europa.eu/en/geographical-distribution-2019-ncov-
cases
CURRENT
SITUATION

Source: https://www.ecdc.europa.eu/en/geographical-distribution-2019-ncov-
cases
Source:
https://www.ec
dc.europa.eu/
en/geographic
al-distribution-
2019-ncov-
cases
PHILIPPINES CURRENT
SITUATION

Cases with positive results: 2

Cases with negative results: 30
Cases with Pending results: 48

* Increase in number of PUIs is

due to the strengthened
surveillance system and contact
tracing of the Epidemiology
Bureau
CURRENT SITUATION: PHILIPPINES
CURRENT SITUATION: DOH IN ACTION

• Expansion of category coverage to the whole of China, following the recent

imposition of travel ban to travelers from Mainland China, including Hongkong and
Macau
• Interagency Task Force for the Management of Emerging Infectious Diseases with
other agencies and keypersons are to discuss developments and next steps on the
management of 2019 –nCov ARD
• PUIs are currently admitted and isolated. Stricter infection control measures are
being implemented in hospitals with PUIs and DOH in coordination with Bureau of
Quarantine is conducting contact tracing
Source: https://twitter.com/psmidorg/status/1223507603994529793/photo/1
CURRENT SITUATION: DOH IN ACTION

• DOH updates webpage continuously. Please visit

https://www.doh.gov.ph/2019-nCOv
• DOH hospitals are equipped and are following strict infection protocols to
manage PUIs and DOH to augment necessary logistics to health facilities
 CURRENT SITUATION: ENDERUN COLLEGES

• Circulation Letter for 2019-Ncov

CoronaVirus Awareness and Precautionary
Measures
( January 28, 2019)
• Awareness Posters
• Personal Protective Equipment (alcohol,
facemasks)
RUMORS AND TRUTH
2019-NCOV
RUMOR #1: CHINA HAS
CONCEALED THE INFORMATION
TO THE WHO.
TRUTH: CHINA HAS BEEN PRAISED BY THE
WHO FOR ITS TRANSPARENCY AND QUICK
RESPONSE

https://www.who.int/news-room/detail/30-01-2020-statement-on-the-second-meeting-of-the-

international-health-regulations-(2005)-emergency-committee-regarding-the-outbreak-of-novel-

coronavirus-(2019-ncov)
TRUTH: CHINA HAS BEEN PRAISED BY THE
WHO FOR ITS TRANSPARENCY AND QUICK
RESPONSE
RUMOR #2: IT’S A CHINESE
VIRUS.
TRUTH: IT’S NOT A CHINESE VIRUS, BUT A VIRUS
THAT STARTED IN WUHAN, CHINA AND WAS
TRACED TO BE FROM BATS (LIKE MERS-COV AND
SARS-COV).
RUMOR #3: IT IS A DEADLY VIRUS. IF YOU GET
INFECTED BY THE VIRUS, YOU WILL CERTAINLY
DIE.
TRUTH: THE REPORTED CASE
FATALITY RATE RANGE FROM 2-
3%.
WHERE IS 2019-
NCOV RELATIVE
TO THE OTHER
VIRUSES?
TRUTH: MANY PATIENTS
RECOVER ALSO.
RUMOR #4: EVERYONE IS AT RISK IN
CONTRACTING THE VIRUS AND DEVELOPING
SERIOUS INFECTION.
TRUTH:
EVERYONE IS AT
RISK IN
CONTRACTING
THE INFECTION,
BUT NOT
EVERYONE IS AT
RISK IN
DEVELOPING
SERIOUS
INFECTION.
RUMOR #5: EVERYONE
SHOULD WEAR MASK.
TRUTH: WEARING OF MASK IS NOT
RECOMMENDED FOR THE GENERAL
PUBLIC.
THANKS FOR LISTENING!
REFERENCES:

• https://twitter.com/psmidorg?lang=en
• https://www.ecdc.europa.eu/en/geographical-distribution-2019-ncov-cases
• thelancet.com/coronavirus?dgcid=kr_pop-up_tlcoronavirus20
• https://www.thelancet.com/infographics/coronavirus
• https://www.ncbi.nlm.nih.gov/pubmed/30070331
SPECIAL THANKS TO :

• Dr. Joyce Linay-Porto