Adopting important preparedness, readiness, response actions for COVID-19

PHOTO: Ogden City

• Debate Rages On Why Sub Saharan Africans May Have Special Protection Against Coronavirus
• Academy of Science Says Containment Of Pandemic In Country Is Possible
• Churches undertake radical modifications throughout Holy Communion To Prevent Transmission But Measures Fail Recommended Strategies

As a part of efforts to include the dreaded Coronavirus (COVID-19), which has continued to unfold all around the world together with Nigeria, the World Health Organisation (WHO) has launched two new technical steering paperwork: Critical preparedness, readiness and response actions for COVID-19 and Risk Communication and Community Engagement (RCCE) Action Plan Guidance.

According to WHO, “all countries should increase their level of preparedness, alert and response to identify, manage and care for new cases of COVID-19. Countries should prepare to respond to different public health scenarios, recognizing that there is no one-size-fits-all approach to managing cases and outbreaks of COVID-19. Each country should assess its risk and rapidly implement the necessary measures at the appropriate scale to reduce both COVID-19 transmission and economic, public and social impacts.”

Meanwhile, indications are rife that kids and other people from tropical Africa might have particular safety towards the dreaded coronavirus (COVID-19). While a current research has backed up the claims that the virus is much less extreme in kids and is much less prone to kill them in comparison with adults, there’s not but any scientific proof supporting the latter postulation.

However, the talk is fuelled by the truth that the primary Nigerian affected person was cured of virus lower than 5 days in contrast with Italian index case nonetheless battling with the illness 17 days after.

It might be recalled that the index case in Nigeria, a 44 Italian man, that examined constructive to the virus on February 27 was simply cured of the virus whereas the second confirmed case within the nation, a 40-year-old Nigeria who examined constructive on March 8, 2020 was discharged since March 13. Why?

Director General of the Nigeria Centre for Disease Control (NCDC), Dr. Chikwe Ihekweazu, advised The Guardian: “The index case is clinically steady on the designated therapy facility for COVID-19, the Infectious Disease Hospital (IDH) Yaba, Lagos. An further pattern has been collected for retesting.

“The second confirmed case who was a contact of the index case, has examined unfavorable twice consecutively, has cleared the virus and was discharged to go residence on March 13, 2020.

“All other contacts of the index case completed their follow up period on Friday 13th of March 2020 and have been allowed to re-integrate into the society and resume their normal lives.”

The epidemiologist, nevertheless, insisted that there isn’t any scientific proof that black individuals have any benefit.

Ihekweazu mentioned: “For now we cannot explain what happened. It does not mean that Africans or blacks have special protection against the virus. You cannot determine that with just one case. We need more cases and evidence to determine that. But what is available shows that the virus have affected both whites and blacks all over the world.”

The Guardian reliably gathered that previously two days alone, two African-American NBA basketball gamers have examined constructive for coronavirus, and a number of other circumstances have turned up amongst native populations in each African and Caribbean nations, puncturing any principle that black individuals are proof against the illness. Yet the memes persist.

Meanwhile, as outbreaks of COVID-19 illness attributable to the novel extreme acute respiratory syndrome coronavirus 2 (SARS-CoV-2) proceed worldwide, there’s reassuring proof that kids have fewer signs and fewer extreme illness. That is among the many insights offered by an knowledgeable assessment, printed yesterday, in The Pediatric Infectious Disease Journal, the official journal of The European Society for Paediatric Infectious Diseases.

According to the assessment by Petra Zimmerman of the University of Fribourg, Switzerland and Nigel Curtis of The University of Melbourne, Australia, like earlier epidemic coronaviruses, “SARS-CoV-2 seems to cause fewer symptoms and less severe disease in children compared with adults”. They summarise accessible proof on coronavirus infections in kids, together with COVID-19.

“There is some suggestion that children are just as likely as adults to become infected with the virus but are less likely to be unwell or develop severe symptoms,” Drs. Zimmerman and Curtis write. “However, the importance of children in transmitting the virus remains uncertain.”

Meanwhile, the Nigerian Academy of Science (NAS) has mentioned that it’s doable to include the dreaded COVID-19 pandemic in Nigeria.

President, NAS, Prof. Ok. Mosto Onuoha, yesterday, counseled the short prognosis of the imported case in Nigeria, and the next response by the federal government establishments liable for coping with such issues.

Onuoha mentioned in pursuit of her mission to assist clear up nationwide issues by the instrumentality of science, the NAS has made some observations.

He mentioned with a fatality charge of under-four per cent (in China with the best variety of circumstances), and on condition that that was the primary nation with an outbreak of an unknown illness, it may be deduced that the illness spreads readily however just isn’t as deadly as it’s infectious.

The NAS President mentioned identified management measures are efficient. He mentioned with the strict management measures which have been instituted in China, the variety of new circumstances exterior China now exceeds these inside that nation and a few nations, instance Nepal and Sri Lanka, with imported circumstances of COVID-19, haven’t reported any new case, for over 4 weeks.

Onuoha mentioned these present that it’s doable to arrest the unfold of the illness if the correct steps are taken and the identified measures already in place, viz. common and correct washing of arms, screening on the ports of entry, quarantine/isolation, contact tracing, public enlightenment, use of private protecting gear, and equipping and coaching of well being staff are efficient in containing the unfold of the virus – these needs to be strengthened in Nigeria.

Meanwhile, scientists say individuals with hypertension and diabetes might be at larger threat of extreme or deadly coronavirus signs due to how their medicines work.

Drugs referred to as ACE inhibitors and angiotensin receptor blockers might change the form of somebody’s cells in a approach that makes it simpler for the coronavirus to contaminate them and trigger a extra extreme sickness.

The most prescribed variations of those in England are Ramipril, Losartan, Lisinopril and Candesartan.

They are given to deal with diabetes or hypertension and round 10 per cent of individuals within the UK – some 6.6 million – are estimated to take them commonly.

A paper printed in prestigious British medical journal The Lancet Respiratory Medicine studied how the coronavirus latches on to individuals’s cells to contaminate them.

But a physician has warned that sufferers who take the medicines should not cease doing so – they need to communicate to their physician if they’ve issues.

Scientists say the analysis doesn’t show a hyperlink between the drugs and extreme COVID-19, however {that a} potential connection needs to be studied extra carefully.

Other threat elements for extreme or lethal coronavirus an infection embody age – over-80s are most certainly to die – and coronary heart illness. People with weak immune methods, reminiscent of most cancers sufferers, or these with long-term lung situations are additionally at larger threat however are on no account assured to get severely sick.

Onuorah, nevertheless, mentioned Nigerians ought to guard towards panic. “With outbreaks of new, or relatively unknown diseases, it is important to guard against the spread of rumours and scientifically unfounded stories, including those of cures and of preventive measures. Some of these include the claim that chloroquine is a drug of choice for treating COVID-19, and the use of alcoholic drinks to wash hands to prevent the infection,” Onuoha mentioned.

He mentioned beneficial efficient measures are the common washing of arms with cleaning soap and water (using sanitizers being solely another the place this isn’t available) and maintaining a secure distance from somebody coughing or sneezing (face masks are extra successfully utilized by the one who is sick and never the wholesome). Onuoha mentioned with the unfold of the illness to 113 nations, it’s crucial that screening at our ports of entry should be stringent and extra complete.

While commending the federal government on the steps taken thus far to include the unfold of the illness to and inside Nigeria, Onuoha urged for transparency, strengthening of evidence-informed containment measures, and the necessity to interact native consultants in making certain that Nigeria is spared the socio-economic disruption that an uncontrolled outbreak may unleash on our nation.

He mentioned the Academy would additionally like most people to know that the containment of COVID-19 would require the cooperation of everybody with the federal government authorities in any respect ranges (Federal, State, and LGAs).

Onuoha mentioned people have a most necessary position to play by complying with official pointers and directives put in place by the federal government to manage the illness and such cooperation will facilitate efficient surveillance, in addition to early detection and therapy of circumstances.

Meanwhile, Minister of Health, Osagie Emmanuel Ehanire, advised journalists that the Federal Government is upgrading services particularly within the emergency wards and isolation centres within the instructing hospitals positioned in Lagos, Kano, Port Harcourt, Ogun, and Enugu as a result of they’re the key ports of entry for worldwide passengers.

Ehanire mentioned he has met with Chief Executives of all of the instructing hospitals within the nation and they’re making ready for a worst-case situation the place even tents might be offered in these areas to carter for over movement of sufferers.

Ihekweazu mentioned what the NCDC encourages now could be social distancing and optimum hygiene.

Also, some church buildings have adopted radical modifications particularly throughout Holy Communion to forestall transmission though the measures fail beneficial methods.

The management of the Church of Nigeria Anglican Communion has discouraged handshakes throughout companies and using few cups to serve the Holy Communion wine to a whole bunch of individuals.

The measures took impact yesterday, Sunday in some church buildings. At St Paul’s Anglican Church Oke-Afa, Isolo, Lagos, the Vicar introduced towards handshakes and in contrast to the earlier Sunday’s, the Holy Communion wine was served with smaller however re-useable cups.

Also, the NCDC has insisted that there isn’t any remedy for COVID-19. Ihekweazu criticized remedy claims for coronavirus. “How can people claim to have cure for a disease they have not seen before? This virus was just identified this year. How can people say they had discovered a cure in 2015?”

Indeed, misinformation about COVID-19 is spreading on-line, together with many pretend cures or therapies for the illness. At least seven firms have been warned by the United States Food and Drug Administration (FDA) for fraudulent merchandise to deal with COVID-19. The merchandise cited in these warning letters embody teas, important oils, tinctures, and colloidal silver.

As nervousness over the potential unfold of the novel coronavirus has elevated, so have the pretend therapies and cures for COVID-19, the illness the virus causes.

This prompted FDA and Federal Trade Commission (FTC) to ship warning letters this week to seven firms for promoting “fraudulent COVID-19 products” that declare to forestall or deal with the illness.

The merchandise cited in these warning letters embody teas, important oils, tinctures, and colloidal silver. The FDA said, “There are currently no vaccines or drugs approved to treat or prevent COVID-19.”

The FDA approval course of requires firms to indicate that their merchandise not solely work the best way they are saying they do, but additionally that they’re secure. This entails backing up their claims with well-designed scientific research.

None of the businesses warned by the FDA have gone by this course of.

Meanwhile, regardless of the admission by the British National Health Service (NHS) that they don’t have sufficient ventilators to deal with coronavirus, Ehanire advised The Guardian yesterday: “We have ventilators in practically all hospitals. But solely few coronavirus circumstances want ventilators principally the 2 circumstances handled in Nigeria didn’t want one.

“No one anyplace is aware of whether or not ventilators are ‘enough’ since you can not understand how an outbreak runs.

“We have prepared so flexibly as to move ventilators to where they are needed fast.”

According to the World Health Organization (WHO), the course of 15 p.c of coronavirus-infected sufferers is so extreme that an extra provide of oxygen is important.

A former NHS official mentioned it’s ‘unforgivable’ that not sufficient can be found and the UK faces an enormous problem getting extra.

Engineers have already been requested to attract up plans to rapidly produce extra ventilators within the nation, amid issues that important care services will come underneath intense strain because the COVID-19 disaster intensifies. Negotiations are additionally going down with personal well being corporations about entry to their hospital beds.

Health Secretary Matt Hancock mentioned the factor the NHS “needs more than anything else” is ventilators – which he admitted are “complicated’ to create – and the government has been buying as many as possible, while producing more too. He said he could not make guarantees that everyone who requires a ventilator will get one, saying: “We don’t make guarantees in healthcare.”

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