Novel Coronavirus Update- January 27, 2020
The Centers for Disease Control and Prevention (CDC) is closely monitoring an outbreak caused by a novel (new) coronavirus in Wuhan, Hubei Province, China. Chinese health officials have reported over a thousand infections with the new coronavirus (2019 novel coronavirus or 2019-nCoV). Some news sources are reporting almost 3,000 infections. 81 deaths have been reported due to this infection. A number of countries, including the United States, have been actively screening incoming travelers from Wuhan and infections with the novel coronavirus have been confirmed in 13 countries. The United States has announced several confirmed cases in Arizona, California, Illinois, and Washington state. A suspected patient that arrived at RDU airport on Friday evening has been ruled out for the coronavirus.
Coronaviruses are a large family of viruses, some causing illness in people and others that circulate among animals, including camels, cats and bats. Rarely, animal coronaviruses can evolve and infect people and then spread between people such as has been seen with MERS and SARS.
While CDC considers this is a serious public health concern, based on current information, the immediate health risk from 2019-nCoV to the general American public is considered low at this time. Nevertheless, CDC is taking proactive preparedness precautions.
The CDC recommends that health care providers should obtain a detailed travel history for patients being evaluated with fever and acute respiratory illness. Patients in the United States who meet specific criteria should be evaluated as a PUI (person under investigation) in association with the outbreak of 2019-nCoV in Wuhan City, China.
Chinese officials report that sustained person-to-person spread in the community is occurring in China. Person-to-person spread in the United States has not yet been detected, but it is likely to occur to some extent. CDC currently recommends a cautious approach to patients under investigation for 2019 Novel Coronavirus. Such patients should be asked to wear a surgical mask as soon as they are identified and be evaluated in a private room with the door closed, ideally an airborne infection isolation room if available. Healthcare personnel entering the room should use standard precautions, contact precautions, airborne precautions, and use eye protection (e.g., goggles or a face shield).
Granville Health System has taken a proactive response to this emerging pathogen. Processes are being created to screen all patients presenting to all registration desks in the Emergency Room, front admissions office, physician practices, and direct admits to inpatient areas for travel to areas abroad or contact with anyone, especially those displaying symptoms, that has traveled abroad in the last 14 days.
Any patient presenting with a fever, cough and lower respiratory congestion will be asked to wear a surgical mask upon intake to the facility or physician practice. The clinical staff is to be made aware of any positive screening of the patient, and the patient is to be placed into immediate airborne isolation until ruled out for exposure to the novel coronavirus. Any suspected case will be reported immediately to GHS Administration, the Infection Prevention nurse, and the local health department.
Further updates will be provided as the situation evolves.
Visit cdc.gov for the latest information.
