|LETTER TO THE EDITOR
|Year : 2020 | Volume
| Issue : 2 | Page : 185-186
Novel Coronavirus: Concern over health-care professionals
Department of Community Medicine, Shrisathyasai Medical College and Research Institute, Kancheepuram, Tamil Nadu, India
|Date of Submission||05-Feb-2020|
|Date of Decision||08-Feb-2020|
|Date of Acceptance||13-Feb-2020|
|Date of Web Publication||28-Feb-2020|
Department of Community Medicine, Shrisathyasai Medical College and Research Institute, Kancheepuram, Tamil Nadu
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Banu N. Novel Coronavirus: Concern over health-care professionals. Med J DY Patil Vidyapeeth 2020;13:185-6
Since December 2019, an increasing number of pneumonia cases of unknown cause were reported in Wuhan, Hubei, China, with clinical presentations greatly resembling viral flu followed by pneumonia. Further, laboratory analysis from lower respiratory tract samples indicated a novel coronavirus (nCoV), which was named 2019-nCoV.
More than 70,000 confirmed cases, including health-care providers, have been identified in Wuhan, and several exported cases have been confirmed in other provinces in China and in Thailand, Japan, South Korea, USA and other countries.,,,
Even though health-care providers dealing with the patients were following the guidelines provided by the Centers for Disease Control and Prevention during outbreaks by the WHO, with appropriate mask (N95), disposable gowns, gloves and practicing proper sanitary practice; so far, 16 health-care professionals have been affected by 2019-nCoV. The previous outbreaks by similar coronaviruses such as SARS-CoV and MERS-CoV were associated with nosocomial transmission in hospitals, occurring, at least in part, from the use of aerosol-generating procedures in patients with respiratory disease. Especially, nosocomial super-spreader events appear to have driven large outbreaks within and between health-care settings. Similarly, the introduction of a single patient with MERS-CoV from Saudi Arabia into the South Korean health-care system resulted in 186 MERS cases, thus substantiating that such transmission is a serious risk with other similar newly emerging respiratory coronaviruses.
There is at most a need to find various other routes of transmission and possibility of super-spreader in hospitals and various health-care facilities, especially during outbreaks to safeguard both patients and health workers. Apart from general measures taken by a health-care worker, a special precaution to be taken by wearing well-fitted FFP3 respirator, tight-fitting eye protection, gloves, and long-sleeved impermeable protective gowns when performing aerosol-generating procedures, such as tracheal intubation, bronchoalveolar lavage, other diagnostic airway procedures, and manual ventilation for further transmission by airborne spread. Healthcare personnel should self-monitor themselves for any respiratory symptoms or fever for at least 14 days following exposure to a case and report sick if symptomatic to prevent nosocomial infection.
Further, more epidemiological studies need to be done to assess risk factors during outbreaks such as stress due to long working hours, lack of sleep, and inadequate food intact, which altogether make them more vulnerable to tackle the global shortfall of health-care professionals.
Financial support and sponsorship
Conflicts of interest
There are no conflicts of interest.
| References|| |
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