Growing Concern Around the Corona Outbreak

No, it’s not the bad beer that is raising concerns among scientists all over the world. It’s a worse kind of corona outbreak.

The year 2020 starts with bad news for the world. In China, a new deadly virus outbreak is raging for weeks maybe months now and the death toll is rising among the infected people.

Hundreds have now died from the novel coronavirus (SARS-CoV-2), which first appeared in the Chinese city of Wuhan in December 2019. Tens of thousands of cases have been confirmed in China, and experts say they expect the numbers to rise further.

Although the vast majority of cases have been in China, the virus, which can cause pneumonia, is worrying about global health authorities. Dozens of cases have been confirmed in 24 countries, and two deaths have been recorded outside of China (in Japan and the Philippines). Most of those affected by the corona outbreak early on had traveled from Wuhan, the epicenter of the outbreak. This is only the fifth time that the World Health Organization has declared a public health emergency of international concern.

A public health emergency of international concern is declared by the WHO in cases of “an extraordinary event” which constitutes “public health risk to other States through the international spread of disease” and potentially requires a coordinated international response”.  This definition implies a situation that is “serious, unusual or unexpected; carries implications for public health beyond the affected State’s national border, and may require immediate international action”.

What is a coronavirus?

Coronaviruses consist of a core of genetic material, enclosed within an envelope of protein spikes, which resembles a crown (or, in Latin, corona). They are a large group of viruses that cause respiratory diseases and, sometimes gastrointestinal symptoms. 

Diseases can range from the common cold to pneumonia, which can be fatal. In most people symptoms are mild, but some types can cause severe disease.

These include severe acute respiratory syndrome (SARS), first discovered in China in 2003, or Middle East respiratory syndrome (MERS), which originated in Saudi Arabia in 2012. MERS caused more than 2,400 cases and 850 deaths, and more than 800 people were killed by SARS. It has been estimated that 20 percent of patients infected with the novel coronavirus have severe symptoms. People who have other health problems (such as asthma, diabetes and cardiovascular disease) are particularly vulnerable.

How deadly is COVID-19?

People have died from the corona outbreak already. At this point, this represents about 2.9 percent of the cases that turn out to be deadly. By comparison, around 25 percent of MERS cases resulted in the death of the patient.

However, at this stage, it is still too early to determine how deadly the virus is: thousands of patients are being tested, with more and more being in a serious condition, and it is not yet known how these cases will evolve.

Where does the virus come from?

The first cases of the novel Coronavirus occurred in a group of people with pneumonia, linked to seafood and live animal markets in Wuhan, where many fish, reptiles, bats and other live and dead animals were traded. The disease then spread from those who were sick, to family members and healthcare workers.

Coronaviruses circulate in a range of animals and can sometimes make the jump from animals to humans, via a process known as a “spillover”, which can occur due to a mutation in the virus, or increased contact between animals and humans.

It is not yet known how novel coronavirus was first transmitted to humans: in the case of MERS, it is known that people caught the virus via direct or indirect contact with infected camels, and SARS originated in civet cats. 

Is the virus transmitted from person to person?

The transmission of the virus from person to person has occurred mainly in the city of Wuhan, the epicenter of the outbreak, but also in other parts of China and outside the country.

The exact way that the disease is transmitted is yet to be determined but, in general, respiratory diseases are spread via drops of fluids when someone coughs or sneezes, or by touching a surface infected with the virus.

According to Chinese scientists, people who get the virus are contagious even before they show symptoms. The incubation period – the period from when the infection occurs until symptoms develop – is between 1 and 14 days.

How fast is the virus spreading?

A large number of new cases are being reported on a daily basis, but this is not surprising, as more and more controls are being put in place to detect and confirm infections.

However, the international spread of the virus has been slower than initially feared, because at this point in time we’re not seeing a dramatic increase in transmission outside China.

Nevertheless, no specific treatments existed for patients, beyond “standard antivirals” used for previous coronavirus outbreaks, such as during the SARS epidemic in 2003. Vaccines and new drugs will take a long time and require a huge investment in the range of hundreds of millions of dollars until ready.

What can I do to protect myself?

WHO is recommending several precautionary and hygienic measures. For example:

•    Avoid direct contact with people suffering from acute respiratory infections,
•    Wash your hands frequently, especially after direct contact with sick people or their surroundings,
•    Avoid direct contact with farm animals or wild animals, living or dead,
•    People with symptoms of a severe respiratory infection should try to keep their distance from other people and cover their nose and mouth when sneezing or coughing.

Detailed information on the Corona outbreak, including daily situation reports, can be found on the WHO website. It also helps to keep yourself healthy in these trying times, to lower your chances of complications.

Let’s wait and see what other surprises 2020 holds for us.

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