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 - HONG KONG BUZZ
Disaster Preparedness Training-
Severe Respiratory Disease associated
    with a Novel Infectious Agent

                                   Updated at 10:00
                                     on 7 Feb 2020
Disaster Preparedness Training-Severe Respiratory Disease associated with a Novel Infectious Agent - Updated at 10:00 on 7 Feb 2020 - HONG KONG BUZZ
• 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:
Disaster Preparedness Training-Severe Respiratory Disease associated with a Novel Infectious Agent - Updated at 10:00 on 7 Feb 2020 - HONG KONG BUZZ
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.
Disaster Preparedness Training-Severe Respiratory Disease associated with a Novel Infectious Agent - Updated at 10:00 on 7 Feb 2020 - HONG KONG BUZZ
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
Disaster Preparedness Training-Severe Respiratory Disease associated with a Novel Infectious Agent - Updated at 10:00 on 7 Feb 2020 - HONG KONG BUZZ
•   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
Disaster Preparedness Training-Severe Respiratory Disease associated with a Novel Infectious Agent - Updated at 10:00 on 7 Feb 2020 - HONG KONG BUZZ
• 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
Disaster Preparedness Training-Severe Respiratory Disease associated with a Novel Infectious Agent - Updated at 10:00 on 7 Feb 2020 - HONG KONG BUZZ
• Symptoms: Respiratory
  symptoms, fever, malaise,
  dry cough and shortness of
  breath

• In serious condition,
  infection may be
  complicated by pneumonia
  or even death
Disaster Preparedness Training-Severe Respiratory Disease associated with a Novel Infectious Agent - Updated at 10:00 on 7 Feb 2020 - HONG KONG BUZZ
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
Disaster Preparedness Training-Severe Respiratory Disease associated with a Novel Infectious Agent - Updated at 10:00 on 7 Feb 2020 - HONG KONG BUZZ
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
Disaster Preparedness Training-Severe Respiratory Disease associated with a Novel Infectious Agent - Updated at 10:00 on 7 Feb 2020 - HONG KONG BUZZ
(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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