COVID-19  –  responses and actions.  April 2020.

Fatema Miah:

On the 18th,  Global confirmed cases of COVID-19,  reaching to some two  and half millions  and    there are some  155.000 deaths (JHU). In UK confirmed cases COVID-19, exceeded 100.000 and  deaths rate reaching to 15.000 (DHSC).  And reported that Government launched on the 17th, UK coronavirus vaccine taskforce led by Downing Street’s chief scientific adviser. On the 16th it was reported, downing St lauched investigation on the disproportionate high rate ethnic minority COVID -19 cases and high percentages of deaths in UK.  UK needs to prepare for further waves of coronavirus, leading physician tells MPs.  Roche develops new coronavirus antibody test with aim to launch in UK next month.
There reported on the 18th Doctors and nurses told to reuse protective gowns as hospitals come close to running out of supplies. Also reported  that there is  “no evidence” people who recover from COVID-19 develop an immunity to the virus, the WHO warns.  People with strong  imune do shake off the issues like other viruses, and good valance dietary helps strengthening the imune system. Early release scheme that was recommended in UK, earlier  last week,  to help prisons deal with coronavirus, it  suspended later in the week after offenders freed by mistake.
Academics now shedding light on Mental health and addressing  psychosocial support are  important parts of emergency planning and response measures in outbreak. The positive messages promoting community responsibility, can reduce the anxiety arising from loss of control. Targeted messages for those experiencing mental health problems can also be offered as   Mental health and psychosocial aspects of the outbreak.  The world health organisation isn’t solely responsible for the actions dealing with COVID-19, the governments of different states are taking actions according to their understanding of the pandemic. The  governments of  countries introduced new fiscal measures such as cutting interest rates,  providing subsidies to employers, to help reduce the financial strain caused by the outbreak.  Public volunteering support system, (charity) been set in places in supporting the communities.
Information  sharing between countries is also important with immediate notification of new cases to all member states through the focal points for the international health regulations. There is also a need for sharing of materials, including guidance, standard operating procedures, scientific outputs, and research protocols. Now, let’s look at what we just described in the context of China’s experience. Early in January 2020, with the city of Wuhan as the epicentre of the outbreak, focus was on containment measures. At that time, China rapidly set up a national multispectral response coordinated at highest level. Cases rapidly increased, efforts on containing and mitigating the outbreak were done through extraordinary response measures, including extreme social distancing measures such as quarantining cities and cluster containment in other provinces. National measures were put in place to limit population movement, such as controlling of transportation hubs and school closures. At the time of recording, the number of cases has started to decrease and stabilise in China. The focus now is on ensuring social economic recovery while maintaining and strengthening response activities and tailor those to each specific area. In addition, a comprehensive research programme was put in place to inform both national and international response efforts.
Responses have been described as  perhaps most ambitious, agile, and aggressive disease containment effort in history in a report of a recent joint WHO and China mission on coronavirus. China’s interventions, however, may not be replicable in other settings, in particular the resources for such interventions may be difficult to find where public health and health infrastructure is much more limited. In more fragile settings, the burden of disease may be high as both surveillance and response capacity is limited and populations may be more vulnerable to severe disease. The global coordination and communication at all levels is essential in this situation.   International coordination is crucial and there is an important role for the World Health Organisation, the United Nations, and other international organisations.
Information sharing between countries is also important with immediate notification of new cases to all member states through the focal points for the international health regulations. Also  sharing of materials,  including guidance, standard operating procedures, scientific outputs, and research  protocols is needed.  Early in January 2020, with the city of Wuhan as the epicentre of the outbreak, focus was on containment measures. At that time, China rapidly set up a national multispectral  response coordinated at highest level.
The World Health Organisation advocate the use of the SBAR structured referral tool, which is Situation, Background, Assessment, and Recommendation.  Firstly, you should describe the situation you’re in. You should identify who you are and where you’re calling from. You should identify the patient and the relevant identifiers, including their date of birth and where they are in the hospital. You should say, “I need you– I’m in a situation; I need you to come and help with this patient”. From a background point of view, you should start by giving a short summary of why the patient is in hospital for, as an example, they  were admitted two days ago with a community-acquired pneumonia.
At this point, you should also explain the patient’s past medical history, and if you can, give some information about their relevant functional status. And that’s particularly important in critical care referrals, when we’re thinking about the appropriateness of escalation of care. From an assessment point of view, you want to give the patient’s observations, so their respiratory, their blood pressure, their saturations, and their level of consciousness, along with any other relevant observations, including BMs. And you might want to say any treatment that you’ve introduced at that point, so “I’ve placed the patient on 15 litres of oxygen.” Or if you’ve clearly identified what the issue is, say that. Say, I think the problem is acute pulmonary edoema.
Best thing to do is to continue maintaining social distancing in helping ourselves in the Coronaviruses, COVID-19 crises. UK death toll confirmed exceeded 14, 500. And rounded to  155.000 globally. May God bless be on us! Ameen!