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Monday, March 25, 2013

France is preparing for a possible new infections coronavirus


25/03/2013

In a notice available on its website , the High Council of Public Health (HCSP) published recommendations for the management of infections due to the new coronavirus. "the event of the occurrence of an event in France can not be departed, the Directorate General of Health asked the HCSP an opinion on what to do against this virus, " says the HCSP.
The opinion was prepared from a work of the Coordination of epidemic risk and biological (COREB) and the Society of Infectious Pathology of French, who had already initiated discussions with the French Society of Hospital Hygiene, the Company French Microbiology, in close relationship with the National Reference influenzae virus and the Institute of Health Surveillance. Y are specified: the definition of suspected and confirmed cases, the conditions for achieving microbiological confirmation and treatment. The same is detailed organization of care in hospital to ensure "control the risk of infection during care" .

Nearest SARS

The opinion is based on the current state of knowledge on the epidemiology, clinical presentation and transmission of this new virus.However, "knowledge about the new viruses evolve very quickly" and HCSP "will most likely need to refresh these recommendations" , warns the notice.
HCoV-EMC (Human coronavirus - Erasmus Medical Center) or NCoV (Novel Coronavirus) is an RNA virus of the family Coronaviridae, like beta-coronavirus "close to the SARS coronavirus causing the epidemic of 2003» confirms the HCSP. It is therefore very different respiratory coronavirus known endemic in humans and "is not detected in routine laboratory of virology by multiplex PCR kits" .
Human transmission has been confirmed as possible via observation of a family cluster in Britain. However, by analogy with SARS, "a transmission by air and by contact should be considered," says the HCSP.
The virus is the cause of severe pneumonia cases associated in 5 cases with acute renal failure. One case was intrafamilial "pauci-symptomatic" , says the HCSP, which "suggests that cases were undiagnosed" .Indeed, of the 15 cases with 9 deaths occurred between September 2012 and March 2013 in Saudi Arabia, Qatar, Jordan and Britain, two cases corresponded to intra-family transmission - all the others had traveled or resided in the Arabian Peninsula.

Suspected, potential and confirmed

A possible case is any person who traveled or resided in countries affected by the event and the neighboring countries (Saudi Arabia, Bahrain, UAE, Iraq, Iran, Israel, Jordan, Kuwait, Lebanon, Oman, Qatar, Syria Territories oPt, Yemen) who, during the 10 days after his return, presented clinical and / or radiological evidence of acute respiratory distress (ARDS) or infection of the lung parenchyma (including fever ≥ 38 ° C and coughing) without other etiology could explain the pathology.
All about the same contact (family caregivers) a possible case or confirmed, having presented an acute respiratory infection, regardless of its severity, within 10 days after contact with if possible / confirmed while it is still symptomatic.
A confirmed case is a possible case with respiratory samples indicating the presence of new coronavirus.

Reporting

If the patient contacts the health system (doctor, center 15), "it should not immediately orient towards the sectors of home emergencies, but to organize his direct care" with isolation measures and protective environment to avoid contact with other patients, pending the filing of the case by InVS.
All suspected cases must be reported without delay to the Regional Health Agency (ARS) where it has been identified via the platform for collecting reports and InVS by email ( alerte@invs.sante.fr ) or Phone: 08.20.42.67.15. Cases classified as "possible" or "confirmed" by InVS in connection with the clinician should be hospitalized and monitored.
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