Disaster Preparedness Training-Severe Respiratory Disease associated with a Novel Infectious Agent - Updated at 10:00 on 7 Feb 2020 - HONG KONG BUZZ
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Disaster Preparedness Training- Severe Respiratory Disease associated with a Novel Infectious Agent Updated at 10:00 on 7 Feb 2020
• The Hong Kong Red Cross ("HKRC") was established About Hong Kong Red Cross in 1950 • The International Red Cross and Red Crescent Movement (International Red Cross) comprises 192 National Red Cross and Red Crescent Societies worldwide; More than 100 million people have joined as members and volunteers around the world • As part of the International Red Cross Movement, we dedicate ourselves to:
The Hong Kong Red Cross adheres to the fundamental principles of the International Red Cross and Red Crescent Movement, including Humanity, Impartiality, Neutrality, Independence, Voluntary Service, Unity and Universality In our service provisions, • Primary consideration is humanitarian principle – strive to prevent and alleviate people’s suffering; • Follow the principle of impartiality- do not discriminate based on nationality, race, religion, class or political views but based on needs only with priority given to those most needed; • In all circumstance adheres to the principle of neutrality, we do not take sides in hostilities or engage at any time in controversies of a political, racial, religious or ideological nature, in order to gain trusts and acceptance from all parties, in order to continuous services to people to those in needs. Hong Kong Red Cross has been committed to providing disaster preparedness education to the public and organizing regular trainings with various themes regularly to response on the social needs in the hope of enhancing response capacity to crises and emergencies and thus reducing casualties in case of disasters.
Novel coronavirus (2019-nCoV) • Also known as "Severe Respiratory Disease associated with a Novel Infectious Agent“ • Coronaviruses (CoV) are a large family of viruses that cause illness ranging from the common cold to more severe diseases such as Middle East Respiratory Syndrome (MERS-CoV) and Severe Acute Respiratory Syndrome (SARS-CoV) • 2019 novel coronavirus (2019nCoV) is a new strain that has not been previously identified in humans before the outbreak occurred in Wuhan, Hubei Province since December 2019
• Many of the patients reportedly had some link to a large seafood and animal market meaning it is transmitted among animals and between animals and people. • A growing number of patients reportedly have not had exposure to animal markets, confirming the transmission from person to person is occurring • At this time, it is unclear how easily or sustainably this virus is spreading between people
• The transmission is through contacting the respiratory droplets of infected person and Fecal-oral route • Incubation period can be as long as 14 days • No vaccine at the moment • Only supportive treatment could be given
• Symptoms: Respiratory symptoms, fever, malaise, dry cough and shortness of breath • In serious condition, infection may be complicated by pneumonia or even death
Latest Situation of Severe Respiratory Disease associated with a Novel Infectious Agent • Since 31 December 2019 (as of 6 February 2020, 12:00 noon), the Centre for Health Protection (CHP) of the Department of Health has received reports of a total of 1100 cases fulfilling the reporting criteria of Severe Respiratory Disease associated with a Novel Infectious Agent, including 22 confirmed cases of novel coronavirus (including 1 fatal case) and 920 cases which were ruled out as novel coronavirus infection. The remaining 158 cases were still hospitalised for investigation. Separately, the CHP has received notification of the 23rd and 24 th confirmed case after 6 February 2020, 12:00 noon. • Currently, the MacLehose Holiday Village and the Lei Yue Mun Park and Holiday Village have turned into quarantine centres. As at 12 noon, February 1, nearly 60 accommodation units have been occupied. In light of the needs, the Po Leung Kuk Jockey Club Pak Tam Chung Holiday Camp will also be operated as a quarantine centre soon. Some 90 units are provided in the three quarantine centres. Source: HKSAR Press Release and Centre for Health Protectionhttps://www.chp.gov.hk/files/pdf/enhanced_sur_pneumonia_wuhan_eng.pdf
Novel Coronavirus Infection Local Situation Interactive Map Dashboard Screen cap at 1055 on 7 Feb 2020 For most updated situation: dashboard.geodata.gov.hk/nia/en.html
(as of February 6, 2020, 23:59) • According to the latest update by Centre for Health Protection, Number of 2019-nCoV cases in Mainland China: 31,161 cases including 4,821 cases in serious condition and 636 death cases. • Number of 2019-nCoV cases in other countries/areas: at least 267 cases Source: HKSAR Press Release and Centre for Health Protection https://www.chp.gov.hk/files/pdf/statistics_of_the_cases_novel_coronavirus_infec tion_en.pdf
Infection Prevention
Chain of Infection Four crucial factors for the spread of communicable diseases: 1. Infective Agent 2. Source of Infection 3. Mode of Transmission 4. Host 12
1. Infective Agent An infective agent is a micro-organism that will cause an infection. An infective agent Includes: Bacteria Fungi Viruses Parasite 13 13
2. Source of Infection A reservoir where infective agents can live, parasitise and breed Includes: • Infected human, e.g. patients, carriers and people with latent infections • Livestock • Insects • Soil 14
3. Mode of Transmission Refers to the method of transfer by which the infective agent moves or is carried from one place to another, eg: • Contact • Respiratory Droplet • Air-borne • Food or water borne • Vector-borne (e.g. mosquito) • Blood or body fluid • Mother-to-child transmission 15 15
4. Host • Host refer to the susceptible population with weakened body immunity • Some people are more prone to. For instance, young children, elders and patients with chronic diseases 16
If suspected infection, should be isolated for 14 days
Cover your nose and mouth when sneezing or coughing
Personal Hygiene Wash your hand frequently
Personal Hygiene Surgical Mask • Wearing mask is one of the measures to prevent respiratory tract infections • It can help to prevent infections transmitted by respiratory droplets • During the outbreak, wear a surgical mask when staying in crowded places • Wear surgical mask when feeling unwell 22
Personal Hygiene Surgical Mask • Outer – fluid-repelling layer • Middle – as a barrier to germs • Inner – moisture-absorbing 23
Personal Hygiene Points to note on wearing a surgical mask • Perform hand hygiene before putting on a surgical mask • Avoid touching the surgical mask after wearing. • Do not share the mask • Mask should not be reused • Perform hand hygiene after taking off a surgical mask • Do not use the mask in reverse • Discard the used mask in a lidded rubbish bin 24
Proper use of mask When used properly, surgical masks can prevent infections transmitted by respiratory droplets: the side with folds facing downwards of the surgical mask should face outwards the metallic strip uppermost (nose bridge)
1. The side with folds facing 2. Position the elastic bands 3. Extend the surgical mask to downwards of the surgical around both ears to fix the fully cover mouth, nose and mask should face outwards mask on face chin with the metallic strip uppermost and hold ear-loops 4-5. Mould the metallic strip over nose bridge and the surgical 6. Done mask should fit snugly over the face
Personal Hygiene • Do not touch your nose, mouth or eyes before hand washing • Cover your mouth and nose when sneezing or coughing • Perform hand hygiene frequently, especially after touching public installations; or when hands are contaminated by respiratory secretion
Personal Hygiene • Avoid touching animals (including game), poultry/birds or their droppings • Avoid crowded places • Avoid making close contact with patients, especially those with symptoms of acute respiratory infections • Avoid affected area • After returning to HK, consult a doctor promptly if having respiratory symptoms, inform the doctor of recent travel history and wear a surgical mask to help prevent spread of the disease
Environmental Hygiene
Environmental Hygiene Clean and disinfect frequently touched surfaces at least daily by 1:99 diluted household bleach for non-metallic surface, wait until dry and rinse with water, or use 70% alcohol for metallic surface If places are contaminated by respiratory secretions, vomitus or excreta, use disposable towels to wipe them away. Then disinfect the surface and the neighboring area by 1:49 diluted household bleach, or use 70% alcohol for metallic surface Ratio Use Characteristic Disinfect surfaces or articles contaminated with blood • Organic material weakens the spillage effect • Metal Corrosion Disinfect surfaces or articles • Change the diluted bleach to contaminated with vomitus, ensure its effectiveness excreta, secretions or blood • a toxic gas is produced when bleach is mixed with acidic General household cleaning detergents
Environmental Hygiene Keep windows open or switch on exhaust fans to maintain good indoor ventilation Avoid visiting wet markets, live poultry markets or farms Wrap up rubbish properly before putting it in a bin with a well-fitting lid. Empty the bin once a day. Wash hands after handling refuse Carpets should be kept clean by daily vacuum cleaning and regular washing.
Food Hygiene Do not consume game meat or patronize food premises where game meat is served Avoiding consuming raw or undercooked animal products, including milk, eggs and meat Avoiding consuming foods which may be contaminated by animal secretions, excretions (such as urine) or contaminated products, unless they have been properly cooked, washed or peeled
Food Hygiene • Choose (Choose safe raw materials) • Clean (Keep hands and utensils clean) • Separate (Separate raw and cooked food) • Cook (Cook thoroughly) • Safe Temperature (Keep food at safe temperature- at or below 4℃ or at or above 60℃ to avoid the growth of pathogenic bacteria.) 36
Healthy Living Build up good body immunity; against infection • Avoiding smoking and reduce drinking • Regular exercise • Having a proper diet • Adequate rest 37
Humanity in Action! What could we do? 1. Share the prevention 2. Share the protective information to those equipment to the needy people with low groups if capable Feature story: circulation
"The largest challenge is not the virus but the fear of the local citizens toward the virus." Dr. YEUNG Pui-shan Public Health Doctor Participated in countering Ebola outbreak in West Africa in 2014 http://paper.wenweipo.com/2014/08/27/HK1408270036.htm
"The fear and discrimination of viruses affect basic medical services." Dr. Eliza Cheung Clinical psychologist Participated in countering Ebola outbreak in West Africa in 2014
Smallpox is the only infectious disease to have ever been eradicated. Dr. Larry Brilliant, an epidemic expert who have been involved in countering smallpox virus, thinks personal perspective on understanding the risks and threats of epidemic is the key of the global public health. https://www.thestandnews.com/society/%E9%9D%A2%E5%B0%8D%E4%B8%96%E7%B4%80%E7%96%AB%E7%97%87- %E6%88%91%E5%80%91%E6%9C%89%E5%8B%9D%E7%AE%97%E5%97%8E/
"Outbreaks are inevitable. Epidemics are optional. When everyone is involved, humans have an opportunity to prevent from severely terrible disasters." Dr. Larry Brilliant
An effective disaster prevention is to support each other during difficult time and care for the needs of people around
Reference • https://www.who.int/zh/news-room/q-a- detail/q-a-coronaviruses • https://www.cdc.gov/coronavirus/2019- ncov/index.html • https://www.cdc.gov/coronavirus/index.ht ml • https://www.chp.gov.hk/tc/healthtopics/co ntent/24/102466.html
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