CDC’s Recommendations for Healthcare Providers on corona virus

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How the corona virus caught

An outbreak of pneumonia of unknown etiology in Wuhan City was initially reported to WHO on December 31, 2019. Chinese health authorities have confirmed more than 40 infections with a novel coronavirus as the cause of the outbreak. Reportedly, most patients had epidemiological links to a large seafood and animal market. The market was closed on January 1, 2020.

Currently, Chinese health authorities report no community spread of this virus, and no transmission among healthcare personnel caring for outbreak patients. No additional cases of infection with 2019-nCoV have been identified in China since January 3, 2020.

On January 13, 2020 public health officials in Thailand confirmed detection of a human infection with 2019-nCoV in a traveler from Wuhan, China. This was the first confirmed case of 2019-nCoV documented outside China. On January 17, 2020 a second case was confirmed in Thailand, also in a returned traveler from Wuhan City. On January 15, 2020 health officials in Japan confirmed 2019-nCoV infection in a returned traveler from Wuhan City. These persons had onset dates after January 3, 2020. These cases did not report visiting the large seafood and animal market to which many cases in China have been linked.

On January 11, 2020, CDC updated the level 1 travel health notice (“practice usual precautions”) for Wuhan City, Hubei Province, China with additional information (originally issued on January 6, 2020):

CDC’s Recommendations for Healthcare Providers

Limited information is available to characterize the spectrum of clinical illness associated with 2019-nCoV. No vaccine or specific treatment for 2019-nCoV infection is available; care is supportive.

The CDC clinical criteria for a 2019-nCoV patient under investigation (PUI) have been developed based on what is known about MERS-CoV and SARS-CoV and are subject to change as additional information becomes available.

Healthcare providers should obtain a detailed travel history for patients being evaluated with fever and acute respiratory illness. CDC guidance for evaluating and reporting a PUI for MERS-CoV remains unchanged.

Criteria to Guide Evaluation of Patients Under Investigation (PUI) for 2019-nCoV

Patients in the United States who meet the following criteria should be evaluated as a PUI in association with the outbreak of 2019-nCoV in Wuhan City, China.

1) Fever1 AND symptoms of lower respiratory illness (e.g., cough, shortness of breath)

–and in the last 14 days before symptom onset,

History of travel from Wuhan City, China

-or-

Close contact2 with a person who is under investigation for 2019-nCOV while that person was ill.

2) Fever1 OR symptoms of lower respiratory illness (e.g., cough, shortness of breath)

–and in the last 14 days before symptom onset,

Close contact2 with an ill laboratory-confirmed 2019-nCoV patient.

The above criteria are also available at https://www.cdc.gov/coronavirus/2019-nCoV/clinical-criteria.html.  The criteria are intended to serve as guidance for evaluation. Patients should be evaluated and discussed with public health departments on a case-by-case basis if their clinical presentation or exposure history is equivocal (e.g., uncertain travel or exposure).

The Centers for Disease Control and Prevention (CDC) affiliated with U.S. Department of Health & Human Services protects people’s health and safety by preventing and controlling diseases and injuries; enhances health decisions by providing credible information on critical health issues; and promotes healthy living through strong partnerships with local, national and international organizations.

CDC.gov (https://www.cdc.gov/index.htm) is your online source for credible health information and is the official Web site of the Centers for Disease Control and Prevention (CDC). CDC also guards against international disease transmission, with personnel stationed in more than 25 foreign countries.

 

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