1st uneven pandemic in history that could be controlled

Corona Medtalks around the globe 11^th March

Dr KK Aggarwal
President CMAAO, HCFI and Past National President IMA

WHO: It would be the “first pandemic in history that could be controlled.”   It is an “uneven epidemic at the global level” because 93 percent of cases are from four countries. WHO guidelines define a pandemic as a worldwide spread of a new disease. He said there are still things countries can do to slow down the virus and prevent infections. We are not at the mercy of this virus. Countries should continue finding and testing cases, isolating patients and following their contacts to stop the disease from spreading globally, he said.

Some Patients Could Show COVID-19 Symptoms After Quarantine

Although a 14-day quarantine after exposure to SARS COV-2 is "well supported" by evidence, some infected individuals will not become symptomatic until after that period, according to authors of a recent analysis published in Annals of Internal Medicine.

Most will develop symptoms by day 12 of the infection, which is within the 14-day period of active monitoring currently recommended by the Centers for Disease Control and Prevention. However, an estimated 101 out of 10,000 cases could become symptomatic after the end of that 14-day monitoring period.

The analysis, based on 181 confirmed cases of coronavirus disease 2019 (COVID-19) saw incubation period of 5.1 days. Symptoms developed within 11.5 days for 97.5% of patients in the study.

British Health Minister Gets COVID 19

Nadine Dorries, the British health minister, confirmed reports late on Tuesday that she had tested positive for the coronavirus. She had attended a reception at Prime Minister Boris Johnson’s official residence two days earlier.

60+ precautions

Of the 70,000 cases WHO scientists looked at, only about 2% were in people younger than 19. The odds of developing COVID-19 increase with age, starting at age 60. It’s especially lethal for people over 80. 

Starting at age 60, there is an increasing risk of disease and the risk increases with age.

1.     People with diabetes, heart disease, lung disease and other serious underlying conditions are more likely to develop “serious outcomes, including death,”

2.      CDC is recommending people with underlying conditions or who are over 60 to stock up on medications, household items and groceries to stay at home “for a period of time,”

3.      The U.S. government recommended travelers with underlying health conditions avoid taking any cruises anywhere in the world.

4.     We also recommend people at higher risk avoid non-essential travel, such as long plane trips.

5.      People at higher risk avoid crowds, touching “high-touch” surfaces in public areas and close contact with people who are sick.

6.      In South Korea, no one under the age of 30 has died and in Japan, no one under 50 has died

British announces COVID 19 a notifiable disease

Ms. Dorries started feeling ill on Friday as she was signing a statutory instrument that declared coronavirus to be a “notifiable disease,” a step that allowed British companies to obtain insurance coverage.

 Grand Princess

In US where at least 21 people aboard the Grand Princess have tested positive for the virus, everyone who was aboard the ship — about 2,400 passengers and 1,100 crew members — is being quarantined for at least 14 days.

Hospitals should bar social visitors

And should even take steps to keep some employees away, to slow the spread of the new coronavirus.

Round the globe

• untry

Confirmed Cases and Deaths by Country, Territory, or Conveyance

The coronavirus COVID-19 is affecting 119 countries and territories around the world and 1 international conveyance (the Diamond Princess cruise ship harbored in Yokohama, Japan). The day is reset after midnight GMT+0.

Search:

Country, Other	Total Cases	New Cases	Total Deaths	New Deaths	Total Recovered	Active Cases	Serious, Critical	Tot Cases/ 1M pop
China	80,778	+24	3,158	+22	61,481	16,139	4,794	56.1
Italy	10,149	+977	631	+168	1,004	8,514	877	167.9
Iran	8,042	+881	291	+54	2,731	5,020		95.7
S. Korea	7,755	+277	60	+7	288	7,407	54	151.3
France	1,784	+372	33	+3	12	1,739	86	27.3
Spain	1,695	+464	36	+6	135	1,524	101	36.3
Germany	1,565	+341	2		18	1,545	9	18.7
USA	975	+271	30	+4	15	930	8	2.9
Diamond Princess	696		7		325	364	32
Japan	587	+57	10	+1	102	475	31	4.6
Switzerland	497	+123	3	+1	3	491		57.4
Norway	400	+173			1	399		73.8
UK	383	+62	6	+1	18	359		5.6
Netherlands	382	+61	4			378	1	22.3
Sweden	355	+95			1	354	2	35.2
Belgium	267	+28			1	266	2	23.0
Denmark	262	+172			1	261		45.2
Austria	182	+51			4	178	1	20.2
Singapore	166	+6			93	73	10	28.4
Malaysia	129	+12			87	42	2	4.0
Hong Kong	121	+5	3		59	59	6	16.1
Australia	116	+23	3		22	91	1	4.5
Bahrain	110	+1			30	80	1	64.6
Canada	94	+17	1		8	85	1	2.5
Greece	89	+5				89	1	8.5
Iceland	81	+16			1	80
Israel	75	+25			4	71	1	8.7
UAE	74	+15			12	62	2	7.5
Iraq	71		7		15	49		1.8
Kuwait	69	+4			1	68	3	16.2
Czechia	63	+25				63		5.9
San Marino	62	+11	2			60	5
India	62	+15			4	58
Egypt	59		1		26	32		0.6
Thailand	53	+3	1		33	19	1	0.8
Lebanon	52	+11	1	+1	1	50	3	7.6
Taiwan	47	+2	1		17	29		2.0
Portugal	41	+2				41	1	4.0
Finland	40	+7			1	39		7.2
Brazil	34	+9				34	1	0.2
Ireland	34	+10				34		6.9
Vietnam	34	+3			16	18		0.3
Slovenia	34	+9				34		16.4
Philippines	33	+9	1		2	30	1	0.3
Romania	29	+12			5	24		1.5
Palestine	29	+4				29		5.7
Indonesia	27	+8			2	25		0.1
Qatar	24	+6				24		8.3
Georgia	23	+8				23	1	5.8
Poland	22	+5				22	2	0.6
Algeria	20					20		0.5
Russia	20				3	17		0.1
Saudi Arabia	20				1	19		0.6
Argentina	19	+2	1			18	1	0.4
Pakistan	19	+3			2	17		0.1
Oman	18				9	9		3.5
Chile	17	+4				17		0.9
Croatia	15	+2				15		3.7
Ecuador	15					15	1	0.9
Estonia	13	+3				13		9.8
Costa Rica	13	+4				13	1	2.6
Hungary	12	+3				12		1.2
Azerbaijan	11	+2				11		1.1
Peru	11	+2				11		0.3
Macao	10				10	0
Albania	10	+4				10		3.5
Belarus	9	+3			3	6		1.0
Panama	8	+8	1	+1		7		1.9
Latvia	8	+2			1	7		4.2
Luxembourg	7	+2				7
North Macedonia	7	+2				7		3.4
Mexico	7				4	3	1	0.1
Slovakia	7					7		1.3
South Africa	7					7		0.1
Tunisia	6	+1				6		0.5
Brunei	6	+5				6
Bulgaria	6	+2				6		0.9
Maldives	6					6
Afghanistan	5	+1				5		0.1
Dominican Republic	5					5		0.5
New Zealand	5					5		1.0
Bosnia and Herzegovina	5					5		1.5
French Guiana	5					5
Malta	5	+1				5
Paraguay	5	+4				5	1	0.7
Serbia	5	+3				5		0.6
Senegal	4				1	3		0.2
Morocco	3	+1	1	+1		2	1	0.1
Cambodia	3	+1			1	2		0.2
Lithuania	3	+2				3		1.1
Bangladesh	3					3
Colombia	3					3		0.1
Martinique	3	+1				3
Moldova	3	+2				3		0.7
Nigeria	2					2
Bolivia	2	+2				2		0.2
Burkina Faso	2	+1				2		0.1
Cameroon	2					2		0.1
Channel Islands	2	+1				2
Cyprus	2					2		1.7
Faeroe Islands	2					2
Saint Martin	2					2
Andorra	1					1
Armenia	1					1		0.3
Jordan	1					1		0.1
Monaco	1					1
Nepal	1				1	0
Sri Lanka	1				1	0
Ukraine	1					1
Bhutan	1					1
DRC	1	+1				1
Gibraltar	1				1	0
Vatican City	1					1
Jamaica	1	+1				1		0.3
Liechtenstein	1					1
Mongolia	1	+1				1		0.3
St. Barth	1					1
Togo	1					1		0.1
Turkey	1	+1				1
Total:	119,176	4,795	4,295	270	66,617	48,264	6,047	15.3

Highlighted in green

= all cases have recovered from the infection

Highlighted in grey

= all cases have had an outcome (there are no active cases)

The "New" columns for China display the previous day changes (as China reports after the day is over). For all other countries, the "New" columns display the changes for the current day while still in progress.

March 10 (GMT):

• 24 new cases, 22 new deaths (all in Hubei) and 1,578 new discharges occurred in China on March 10, as reported by the National Health Commission (NHC) of China [source]
•  UK Health minister Nadine Dorries tests positive to coronavirus [source]
• 2 new cases in Argentina (Buenos Aires): both imported [source]
• 1 new case in Martinique: a 51-year-old woman from the commune of Trinité [source]
• 2 new cases in Bulgaria: a 66-year-old woman and a 77-year-old man in Sofia, who worked for Ilientsi, now hospitalized at the metropolitan Pirogov Hospital [source]
• 17 new cases in Canada, bringing the total to 94: 39 cases in B.C., 36 cases in Ontario, 14 in Alberta, and 4 in Quebec. Air Canada suspended all flights to and from Italy. New cases include:
  - 7 new cases in B.C. [source]
  - 7 new cases in Alberta, all involving people who were travelling in either France, the Netherlands, Egypt, Iran, Taiwan, Germany, Malaysia, Trinidad and Tobago, Panama, Philippines and the United States [source] [source]
• 2 new cases in Lithuania [source]
•  1^st case in Turkey: a male Turkish citizen with recent travel history to Europe, now in isolation with mild semptoms [source]
• United States new cases include:
  - 5 new cases, including 1 death in South Dakota (Pennington County): a man in his 60s and with underlying health problems [source]
  - 3 new cases in  Tennessee: 2 in Middle Tennessee, 1 in Sullivan County (East Tennessee)  [source]
  - 2 new cases in Louisiana, all in the New Orleans area [source]
  - 3 cases in Texas in the Dallas-Fort Worth area, all in same family: a man in his 30s, his wife, and their 3-year-old child (one of the family’s 4 children) [source]
  - 1 new case in Oregon [source]
  - 74 new cases and 2 new deaths in Washington state
  - 8 new cases in Illinois [source]
  - 51 new cases in Massachusetts [source]
  - 5 new cases in Iowa [source]
  - 1 new case in Minnesota (Anoka County) [source]
  - 1 new case in Virginia (Loudoun County) [source]
  - 1 new death in Washington (King County): a resident of the Life Care Center [source]
  - 6 new cases in California (Santa Clara County) [source]
  - 1 new case in Maryland (Prince George’s County) [source]
  - 1 new case in Florida (Volusia County) [source]
  - 2 new cases in Kentucky [source]
  - 1 in Oklahoma: a woman in her 20's in Tulsa [source]
•  341 new cases in Germany [source]
• 51 new cases in Austria [source]
• 20 new cases in Australia [source]
• 372 new cases and 3 new deaths in France. "We are at the very beginning of the epidemic", announces Emmanuel Macron. All matches in the French Ligue 1 and Ligue 2 football championships will be held behind closed doors until April 15 [source] [source]
•  977 new cases and 168 new deaths in Italy*, bringing total cases to over 10,000 [source]
  * The data are partial because some labs in the most affected regions have yet to communicate the results
• 11 new cases in the Republic of San Marino [source]
• 1^st case in Jamaica: a woman who had returned from the UK on March 4 [source]
• 3 new cases in Vietnam
• 1^st case in the Democratic Republic of Congo: a foreign national who had visited Belgium. The person was apparently in good health but was screened upon entering the country [source]
•  1^st death in New Jersey (United States): a man in his 60s [source]
• Graphs:
  - Comparing case progression from day 1 in Hubei, Italy, Germany and France
  - Daily totals in Germany and Italy
• 1 new case in Paraguay: an 83-year-old man who entered the country from Argentina [source]
• 172 new cases in Denmark [source]
• 2 new cases in Luxembourg [source]
• United States: 4,856 coronavirus tests have been run in public health labs, said CDC Director Dr. Robert Redfield. “We've got a new reporting system that has CDC, public health labs. We're going to get direct dumps from LabCorp and Quest so people are going to see all the tests done, where they are done. We will have a surveillance system that does that” Redfield said [source]
• 1 new case in Tunisia [source], while one of the current cases left, on Monday evening, the Tunisian territory in direction of the city of Strasbourg in France, thus causing a state of panic at the Tunis-Carthage airport [source]
• First case in Jersey, second in the Channel Islands [source]
•  464 new cases and 6 new deaths in Spain. Government prohibits direct flights from Italy to Spain. Congress suspends parliamentary activity one week [source] [source]
• 4 new cases in Chile [full list]
• 95 new cases in Sweden [source]. First patient in intensive care reported [source]
• 4 new cases in Costa Rica, including 2 children [source]
• 4 new cases in Poland [source] including the General commander of the Polish army [source]
• Portugal: 100,000 inhabitants placed in lockdown in Lousada and Felgueiras, an hour and a half by car from Vigo in northern Portugal [source]
• 4 new deaths in South Korea, including a woman in her 50s without underlying conditions [source]
• 1 new case in Croatia: a young man who had been on a ski trip to Austria [source]
• 1 new case in Afghanistan (northern Samangan province)
• 2 new cases in Moldova: two Moldovans, a man and a woman, returning from Italy [source]
• 1 new case in Brazil: a 60-year-old man in the Metropolitan Region of Porto Alegre. He developed symptoms on Feb 29, after a trip to Milan, Italy between Feb 16 and 23. The patient arrived at the care unit with the mask, with cough and fever [source]
• 1 new case in Malta: the 16-year-old daughter of the man who tested positive for the coronavirus yesterday after returning from Trentino Alto Adige (northern Italy). The daughter had not gone to school since returning [source]
•  Testing positive after being declared clear of the infection: a 31-year-old evacuee from the Diamond Princess cruise ship was first infected on Feb 18 while aboard, but later appeared to have recovered and tested negative on March 4 and 6 in Japan before returning to Hong Kong on March 7. On March 9, she was found to be still infected. Disease expert Dr Joseph Tsang Kay-yan said several reasons such as sampling error and “insufficiently sensitive” tests could have accounted for the woman’s “false negative” results in Japan. “Perhaps the swab was not done properly, or an antibody blood test was not done.” In any case she would have to be tested for a particular type of antibody 21 days after the diagnosis, before results can be conclusive that she was clear of the virus. He believes the woman was not reinfected as her antibodies upon recovering would give her immunity for a period of time [source]
• 2 new cases in Hong Kong
• 1 new case in Cambodia (third in the country): a 65-year-old British woman has tested positive for COVID-19 in Kampong Cham province [source]
• 8 new cases in Romania, all in Bucharest: 3 are related to the case of Gerota, 1 is contact of the first infected in Bucharest, 4 are citizens who have traveled to Israel, Germany and the United Kingdom [source]
• 12 new cases in Malaysia, bringing the total to 129 [source]
• 2 new cases in Peru: two brothers, aged 21 and 15, who have recently returned from a trip to Europe [source]
•  1 new death in the UK: an 89-year old patient at the Watford General Hospital (West Hertfordshire) with underlying health conditions [source]
•  First death in Morocco: an 89-year old woman in Casablanca [source]
• 61 new cases in the Netherlands [source]
• 23 new cases in the Czech Republic [source]
• 9 new cases in Slovenia [source]
• 3 new cases in Belarus [source]
• 2 new cases in Azerbaijan [source]
•  881 new cases and 54 new deaths in Iran [source]
• 25 new cases in Israel [source]
• 4 new cases in Albania [source]
• 11 new cases in Iceland [source]
• 2 new cases in Portugal [source]
• 8 new cases in Indonesia [source]
• 5 new cases in Brazil [source]
• 28 new cases in Belgium [source]
• 1 new death in Switzerland (third in the country): an 80-year-old man in Ticino with other pathologies [source]
• 15 new cases in the UAE: 3 Italians, 2 Emiratis, 2 Sri Lankan, 2 Brits, 2 Indians, 1 from Germany, 1 from South Africa, 1 from Tanzania, and 1 from Iran [source]
• 3 new cases in Estonia including two adult Tallinners from northern Italy and France [source]
• 2 new cases in North Macedonia [source]
• 1 new case in Poland. All mass events canceled. Poland's president will not hold big election rallies due to coronavirus [source]
•  1^st death in Lebanon: a patient who had returned from Egypt. Also reporting 11 new cases [source]
• 5 new cases in Greece, four of which were in contact with the group of pilgrims from the Peloponnese who had traveled to Israel. 700 schools in the prefectures of Ilia and Achaia in Peloponnese and the island of Zakynthos are closed [source]
• The Czech Republic closes all schools and events with more than 100 participants. The measure is valid until further notice [source]
• 2 new cases in Latvia who returned on March 7 from the Italian mountain resort Cervinia [source]
• 5 new cases in Finland [source]
• 9 new cases in India. Meanwhile, an Indian Air Force aircraft airlifted 58 Indians from Iran to Ghaziabad (about 30 km from Delhi) as the central government started evacuating hundreds of citizens stuck in the country [source]
• 4 new cases in Kuwait: 1 has recently traveled to Iran, 1 is an Egyptian national, contact of a previous case with travel history to Azerbaijan, 2 are Kuwaiti males who recently arrived from Egypt [source]
• 1 new case in Morocco: a French tourist currently hospitalized in Marrakech [source]
• 9 new cases in the Philippines, bringing the total to 33. Previous report was corrected by DOH [source] Only 2,000 test kits available (earlier this week, down from 4,500 previously) for a population of 109 million people [source]
• 1 new case in Northern Cyprus: a 65-year-old German woman on holiday, part of a group of 30 people from Balingen, Germany who was staying at a hotel in Famagusta. Statistics for Northern Cyprus (which is only recognized by Turkey) are not included in the reports by the internationally-recognized Greek Cypriot government in the island’s south [source] [source]
• 3 new cases in Thailand, all linked to Italy. A couple: the 46-year-old wife returned from Italy on Feb 28 and did not feel well. Her 47-year-old husband fell sick on Saturday with a high fever and body ache. The other case is a 41-year-old woman who was in close contact with a previously confirmed case who returned from Italy [source]
• 2 new cases in Finland:  both had traveled to northern Italy, with one of the patients having symptoms already during the return flight from Italy [source]
• 2 new cases in Serbia: two young women in Belgrade who have been in contact with an infected person (who is now abroad) [source]
• 1^st case in Panama [source]
•  1^st case in Mongolia: a French national who traveled to Mongolia from France through Moscow. The government has identified 42 people the patient has met with and another 120 individuals who had close contact with the person [source]
• 35 new cases and 1 new death in South Korea [source]
• 19 new cases, 17 new deaths (all in Hubei) and 1,297 new discharges occurred in China on March 9, as reported by the National Health Commission (NHC) of China. [source]

Seventeen more medical conferences have been canceled or postponed as COVID-19 continues to cause chaos globally in arenas including the conference circuit.

1.     American Academy of Allergy, Asthma & Immunology (AAAAI) in Philadelphia. It had been scheduled for March 13-16.

2.     American Association for Geriatric Psychiatry (AAGP) in San Antonio, Texas. It had been scheduled for March 13-16.

3.     Anxiety and Depression Association of America (ADAA) in San Antonio, Texas. It had been scheduled for March 19-22.

4.     American Academy of Dermatology (AAD) in Denver. It had been scheduled for March 20-24.

5.     American Academy of Orthopedic Surgeons (AAOS) in Orlando. It had been scheduled for March 24-28.

6.     National Kidney Foundation (NKF) in New Orleans has converted to a "live-virtual meeting." It is scheduled for March 25-29.

7.     Society for Healthcare Epidemiology of America (SHEA) in Atlanta. It had been scheduled for March 26-30.

8.     American College of Cardiology (ACC) in Chicago. It had been scheduled for March 28-30. The group is planning to provide "essential ACC.20/WCC education and science directly to our members" through virtual means.

9.     Endocrine Society (ENDO) in San Francisco. It had been scheduled for March 28-31.

10.  Society of Gynecologic Oncology (SGO) in Toronto. It had been scheduled for March 28-31. SGO is "exploring alternatives for delivering the science and education."

11.  European Heart Rhythm Association (EHRA) in Vienna. It had been scheduled for March 29-31.

12.  British Society of Rheumatology (BSR) in Glasgow. It had been scheduled for April 20-22.

13.  American College of Physicians Internal Medicine (ACP IM) in Los Angeles. It had been scheduled for April 23-25.

14.  Journées Francophones d'Hépato-gastroentérologie et d'Oncologie Digestive (JFHOD) in Paris. It had been scheduled for March 26-29, now rescheduled for June 25-28.

15.  European Psychiatric Association (EPA) in Madrid. It had been scheduled for March 28-30, now rescheduled for July 4-7.

16.  Royal College of Physicians (RCP) in Birmingham, England. It had been scheduled for April 23-24. It has been rescheduled for January 7-8, 2021.

17.  American Association for Cancer Research (AACR) in San Diego. It has been scheduled for April 24-29. The rescheduled dates will be announced soon, according to the society.