Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
Print this page Email this page Users Online: 115

  Table of Contents  
SHORT COMMUNICATION
Year : 2020  |  Volume : 13  |  Issue : 6  |  Page : 598-600  

Recommendations for affected and unaffected nations amid the successful containment of coronavirus disease-2019 outbreak in China


1 Member of the Medical Education Unit and Institute Research Council and Department of Community Medicine, Shri Sathya Sai Medical College and Research Institute, Sri Balaji Vidyapeeth – Deemed to be University, Ammapettai, Nellikuppam, Chengalpet District, Tamil Nadu, India
2 Department of Community Medicine, Shri Sathya Sai Medical College and Research Institute, Sri Balaji Vidyapeeth – Deemed to be University, Ammapettai, Nellikuppam, Chengalpet District, Tamil Nadu, India

Date of Submission11-Apr-2020
Date of Decision14-Apr-2020
Date of Acceptance23-Jun-2020
Date of Web Publication6-Nov-2020

Correspondence Address:
Saurabh RamBihariLal Shrivastava
Professor, Department of Community Medicine, Shri Sathya Sai Medical College and Research Institute, Sri Balaji Vidyapeeth (SBV) – Deemed to be University, Tiruporur - Guduvancherry Main Road, Ammapettai, Nellikuppam, Chengalpaet District - 603108, Tamil Nadu
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/mjdrdypu.mjdrdypu_173_20

Rights and Permissions
  Abstract 


As the ongoing coronavirus disease-2019 (COVID-19) pandemic continues to expand with each day, a total of 1,511,252 cases have been detected worldwide, of which 83,305 cases (5.4%) have been reported outside the China. However, the biggest change in the recent trends of the disease has been a significant decline in the incidence of coronavirus cases in China and a simultaneous rise in the cases reported from the other affected nations. Despite the success, it has been advocated that China should continue with the emergency management protocols based on the results of risk assessment in different parts of the nation. Further, it is quite obvious that we cannot succeed and sustain the gains accomplished, if we do not receive the support and involvement of the community. In conclusion, the success obtained in the containment of COVID-19 outbreak in China is an encouraging sign in the battle against the disease. However, it is the responsibility of both the affected and unaffected nations to continue to practice nonpharmacological measures and actively engage the members of the community in the containment of the infection.

Keywords: China, coronavirus disease-2019 outbreak, global, World Health Organization


How to cite this article:
Shrivastava SR, Shrivastava PS. Recommendations for affected and unaffected nations amid the successful containment of coronavirus disease-2019 outbreak in China. Med J DY Patil Vidyapeeth 2020;13:598-600

How to cite this URL:
Shrivastava SR, Shrivastava PS. Recommendations for affected and unaffected nations amid the successful containment of coronavirus disease-2019 outbreak in China. Med J DY Patil Vidyapeeth [serial online] 2020 [cited 2020 Dec 3];13:598-600. Available from: https://www.mjdrdypv.org/text.asp?2020/13/6/598/300126




  Introduction Top


As the ongoing coronavirus disease-2019 (COVID-19) pandemic continues to expand with each day, a total of 1,511,252 cases have been detected worldwide, of which 83,305 cases (5.4%) have been reported outside the China.[1],[2] The epidemiological distribution suggests that since the start of the disease in China, it has been detected in 211 more nations and territories across the world.[1] In terms of transmission of the disease in the nation, many nations have already reported community-based transmission, while many have reported local transmission and are at the risk of onset of wide-scale community transmission on any day.[1] It is worth noting that the novel viral infection has been responsible for the death of 92,798 individuals, suggesting that the disease has a very high case-fatality rate (6.1%), in comparison with the earlier viruses from the coronavirus family.[1],[2],[3]

Coronavirus disease-2019 status in China

However, the biggest change in the recent trends of the disease has been a significant decline in the incidence of coronavirus cases in China and a simultaneous rise in the cases reported from the other affected nations.[1] Considering the earlier trends of the disease, for more than a month since the start of the outbreak, China alone accounted for 99% of the global cases. However, now, the scenario has completely reversed and the present trends clearly indicate that China has succeeded in not only reducing the caseload but also interrupting the chain of transmission.[2],[3] This has been obviously due to the combined and dedicated efforts of all the stakeholders, but it is worth remembering that nothing can be taken for granted, as the disease might show a resurgence.[4]

Coronavirus disease-2019-affected and -unaffected nations

With regard to the epidemiological distribution of the COVID-19 infection in various settings, the entire world has been divided into the nations/areas/territories that have reported the cases of COVID-19 infection within their jurisdictions and those that have not. All the nations or territories that have reported COVID-19 cases are called as the affected nations and should be on the look out to improve their preparedness activities and public health response activities to be ready for a large-scale community transmission. Those nations that have not reported COVID-19 cases till date are the unaffected nations or areas.

Specific recommendations for nations who have successfully flattened the disease curve

Despite the success, it has been advocated that nations such as China, South Korea, and Singapore should continue with the emergency management protocols based on the results of risk assessment in different parts of the nation and should strictly monitor the existing restrictions (on movement, public gatherings, school reopening, etc.) which are being lifted gradually.[4] At the same time, the activities pertaining to contact tracing, infection prevention and control, prioritization of research (to aid in the treatment and containment), and sharing of disease-related estimates in a real-time basis have to happen in a sustained manner.[4],[5] In addition, these nations should ensure that the imposed lockdown should be lifted gradually from their settings, provided all other aspects of the infection prevention and control are well strengthened, and that members of the community are ready to extend their complete support to the public health authorities.

Recommendations for the unaffected nations

The nations or areas in which COVID-19 cases have not been detected till date should not be complacent about their outbreak readiness activities, as no nation or community is immune to the infection. In fact, the public health authorities of the unaffected nations should consider this as a golden opportunity for improving their preparedness activities and be ready with the emergency response plan, once the outbreak of the disease emerges in their settings. These unaffected nations should strengthen the surveillance activities at all the points of entries and advise all the residents of the nation to avoid unnecessary travel to the affected nations.[6]

General and specific recommendations for the affected nations

A set of recommendations has been laid down for the affected nations, and it has been envisaged that these nations should activate the response action plan, involve all the concerned sectors, strengthen surveillance activities–prompt testing–isolation and contact tracing, and increase the awareness level of the community about the disease and their role in the containment of the infection.[3],[4],[5] As the disease is highly contagious and spreading to a number of nations with each day, it is important to ensure that all the uninfected nations should improve their level of preparedness with regard to all the essential aspects of the disease control, strengthen international health regulations, and assess the knowledge of the general population about the infection and based on that deliver the right message to clear the prevailing myths and misconceptions.[2],[3],[4]

However, it is quite obvious that we cannot succeed and sustain the gains accomplished, if we do not receive the support and involvement of the community.[5] The general population has to understand that it is a new virus, but there is nothing to be afraid and the disease can be effectively contained by adhering to social distancing and following the standard infection prevention and control measures.[4],[5] Further, the members of the community have to update themselves about the symptoms of the disease and should have a high health-seeking behavior and report immediately to healthcare facility, if they become symptomatic.[2],[3],[4]


  Conclusion Top


The success obtained in the containment of COVID-19 outbreak in China is an encouraging sign in the battle against the disease. However, it is the responsibility of both the affected and unaffected nations to continue to practice nonpharmacological measures and actively engage the members of the community in the containment of the infection.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
World Health Organization. Coronavirus Disease 2019 (COVID-19) Situation Report – 81. World Health Organization; 2020. Available from: https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200410-sitrep-81-covid-19.pdf?sfvrsn=ca96eb84_2. [Last accessed on 2020 Apr 11].  Back to cited text no. 1
    
2.
Cohen J, Kupferschmidt K. Strategies shift as coronavirus pandemic looms. Science 2020;367:962-3.  Back to cited text no. 2
    
3.
Lee A. Wuhan novel coronavirus (COVID-19): Why global control is challenging? Public Health 2020;179:A1-2.  Back to cited text no. 3
    
4.
World Health Organization. Report of the WHO-China Joint Mission on Coronavirus Disease 2019 (COVID-19). Geneva: WHO Press; 2020. p. 18-23.  Back to cited text no. 4
    
5.
World Health Organization. 2019 Novel Coronavirus (2019-nCoV): Strategic Preparedness and Response Plan. Geneva: WHO Press; 2020. p. 1-20.  Back to cited text no. 5
    
6.
Shrivastava SR, Shrivastava PS. Minimizing the risk of international spread of coronavirus disease 2019 (COVID-19) outbreak by targeting travelers. J Acute Dis 2020;9:47-8.  Back to cited text no. 6
  [Full text]  




 

Top
   
 
  Search
 
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
    Access Statistics
    Email Alert *
    Add to My List *
* Registration required (free)  

 
  In this article
   Abstract
  Introduction
  Conclusion
   References

 Article Access Statistics
    Viewed173    
    Printed0    
    Emailed0    
    PDF Downloaded25    
    Comments [Add]    

Recommend this journal