COVID-19 situation: 1 May 2020

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Pandemic Threats and Health Emergencies

COVID-19 situation: 1 May 2020

Welcome to this special issue of the newsletter where we highlight latest research and policy news and literature on COVID-19 situation

Please send your feedback, articles and reports, or questions you would like to share to Dr. Chadia Wannous via email  cwannous@yahoo.com  

Wishing you useful reading!
Chadia

COVID-19 Outbreak Situation 

 
Situation updates:

WHO situation report-101 by 30 April 2020

  • WHO reminds health authorities to take specific steps to protect health care workers and communities during essential immunization activities during the COVID-19 pandemic.
  • WHO AMRO/PAHO Director, Dr Carissa F. Etienne, has urged for vaccination programs to continue during the COVID-19 pandemic: “If we fall behind on routine immunizations, particularly for children, we risk outbreaks, thus overwhelming hospitals and clinics with preventable diseases in addition to COVID-19.” Her full statement is available here.
  • WHO/EURO Director, Dr Hans Henri P. Kluge, called for transparent knowledge-sharing, tailored support on the ground, and steadfast solidarity. His statement is available here.
  • WHO SEARO organized a meeting yesterday with vaccine manufacturers and national regulatory authorities to discuss future COVID-19 vaccine manufacturing in the Region. An article on this is available here.•
  • WHO endeavours to ensure that all Member States have timely and accurate testing capacity for COVID-19. In the ‘Subject in Focus’ below, we describe some of the mechanisms WHO uses to support Member States.

 
Situation in Numbers
Total (new) cases in last 24 hours

  • 3090445 confirmed (71839) 217769 deaths (9797)
  • European Region 1434649 confirmed (27824)135961 deaths (6650)
  • on of the Americas 1246190 confirmed (33102) 65228 deaths (2824)
  • Eastern Mediterranean Region 182417 confirmed (5489) 7447 deaths (143)
  • Pacific Region 147743 confirmed (1294) 6094 deaths (57
  • East Asia Region 54021 confirmed (2670) 2088 deaths (87)
  • African Region 24713 confirmed (1460) 938 deaths (36)

 
WHO Risk Assessment
Global Level    Very High
https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200430-sitrep-101-covid-19.pdf  
 
Dashboard https://experience.arcgis.com/experience/685d0ace521648f8a5beeeee1b9125cd
 
Links to the COVID-19 dashboards for most up-to-date figures:
WHO COVID-19 situation dashboard
WHO COVID-19 alerts in African Region
WHO COVID-19 readiness dashboard in African Region
WHO COVID-19 situation dashboard in European Region
WHO COVID-19 weekly surveillance dashboard in European Region
WHO COVID-19 situation dashboard in the Eastern Mediterranean Region
PAHO COVID-19 alerts in the Region of the Americas
 
All information about COVID- 19 can be found here:https://www.who.int/emergencies/diseases/novel-coronavirus-2019
 
Latest updates - Live press conference (Geneva)
https://www.who.int/emergencies/diseases/novel-coronavirus-2019
===================

Situation update for the EU/EEA and the UK as of 30 April 2020
As of 30 April 2020, 1 112 667 cases have been reported in the EU/EEA and the UK: Spain (212 917), Italy (203 591), United Kingdom (165 221), Germany (159 119), France (128 442), Belgium (47 859), Netherlands (38 802), Portugal (24 505), Sweden (20 302), Ireland (20 253), Austria (15 364), Poland (12 640), Romania (11 978), Denmark (9 008), Norway (7 667), Czechia (7 579), Finland (4 906), Luxembourg (3 769), Hungary (2 775), Greece (2 576), Croatia (2 062), Iceland (1 797), Estonia (1 666), Bulgaria (1 447), Slovenia (1 418), Slovakia (1 391), Lithuania (1 375), Latvia (849), Cyprus (843), Malta (463) and Liechtenstein (83).
As of 30 April 2020, 129 150 deaths have been reported in the EU/EEA and the UK: Italy (27 682), United Kingdom (26 097), Spain (24 275), France (24 087), Belgium (7 501), Germany (6 288), Netherlands (4 711), Sweden (2 462), Ireland (1 190), Portugal (973), Romania (675), Poland (624), Austria (580), Denmark (443), Hungary (312), Czechia (227), Finland (206), Norway (202), Greece (139), Luxembourg (89), Slovenia (89), Croatia (67), Bulgaria (64), Estonia (50), Lithuania (45), Slovakia (22), Cyprus (20), Latvia (15), Iceland (10), Malta (4) and Liechtenstein (1).
https://www.ecdc.europa.eu/en/cases-2019-ncov-eueea
 
Situation dashboard: latest available data
https://qap.ecdc.europa.eu/public/extensions/COVID-19/COVID-19.html
 
=====================
How high will it go? As Covid-19 death toll in U.S. blows past 60,000, there are no easy answers

https://www.statnews.com/2020/04/30/coronavirus-death-projections-compare-causes-of-death

========================
Control Measures

World health experts will meet Thursday to assess COVID-19 pandemic
https://news.un.org/en/story/2020/04/1062882

Presidential Powers and Response to COVID-19
https://jamanetwork.com/journals/jama/fullarticle/2763423
 
Selected Countries Measures
 
Limiting the spread of COVID-19 in Africa: one size mitigation strategies do not fit all countries
https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(20)30212-6/fulltext
 

UK eyes slowly scaling back COVID-19 steps; other nations report containing virus
The UK will release a plan to begin loosening restrictions next week.
More »
 

Federal COVID-19 physical distancing measures expire, more states reopen
The opening of states is now in the hands of governors.
More »

‘It doesn’t stay where you started’: Reopening some states heightens the risk of coronavirus surges in others
https://www.statnews.com/2020/04/30/reopening-some-states-heightens-risk-others
 

More European hot spots lay out steps to ease COVID-19 restrictions
Pandemic activity is heating up in Russia, Latin America, and India and its neighbors.
More »
 
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Scientific publications and reports and news

Air, Surface Environmental, and Personal Protective Equipment Contamination by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) From a Symptomatic Patient
https://jamanetwork.com/journals/jama/fullarticle/2762692

Managing COVID-19 in Low- and Middle-Income Countries
https://jamanetwork.com/journals/jama/fullarticle/2763372

Strengthening Preparedness for COVID-19 in Cities and Urban Settings
https://www.who.int/publications-detail/strengthening-preparedness-for-covid-19-in-cities-and-urban-settings
 
The experiences of health-care providers during the COVID-19 crisis in China: a qualitative study
https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(20)30204-7/fulltext
 
Use of the Demographic and Health Survey framework as a population surveillance strategy for COVID-19
https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(20)30213-8/fulltext
 
Focusing on health-care providers' experiences in the COVID-19 crisis
https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(20)30214-X/fulltext
 
Ethnicity and COVID-19: an urgent public health research priority
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30922-3/fulltext
 
Medical students for health-care staff shortages during the COVID-19 pandemic
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30923-5/fulltext
 
Hospital-based use of thromboprophylaxis in patients with COVID-19
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30926-0/fulltext
 
Neurosurgery in an infant with COVID-19
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30927-2/fulltext
 
COVID-19: a need for real-time monitoring of weekly excess deaths
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30933-8/fulltext
 
The key role of palliative care in response to the COVID-19 tsunami of suffering
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30964-8/fulltext
 
First experience of COVID-19 screening of health-care workers in England
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30970-3/fulltext
 
We Could Be Vastly Overestimating the Death Rate for COVID-19 – Here’s Why
Insufficient COVID-19 testing means only a proportion of global cases are being counted in official statistics, potentially making the virus seem deadlier than it is.

READ MORE »

Preparedness for effective response – considerations for epidemic preparedness
Preparedness for Effective Response (PER) is a cyclical approach designed to empower National Societies to become more creative and innovative in their disaster management actions and contribute to the coordination of national and global response systems.
https://media.ifrc.org/ifrc/wp-content/uploads/sites/5/2020/02/PER-epi-considerations_EN_20032020.pdf
 
WHO convenes manufacturers, regulatory authorities meet on COVID-19 vaccines - 29 April 2020
https://www.who.int/southeastasia/news/detail/29-04-2020-who-convenes-manufacturers-regulatory-authorities-meet-on-covid-19-vaccines

WHO’s members owe it more than $470 million
‘It’s very difficult for WHO to hold countries accountable.’ Two countries account for over half the unpaid membership dues at the World Health Organisation: on 31 March, the United States owed $196 million, while China’s outstanding bill stood at $57 million. They’re not alone: 151 members collectively owed $473 million in unpaid dues – about 20 percent of the WHO’s annual budget – and a quarter of it was more than a year late. But the size of the US and Chinese debts highlight the WHO’s reliance on its largest members.
https://www.thenewhumanitarian.org/maps-and-graphics/2020/04/30/millions-unpaid-WHO-members-dues-usa-china
 

The state of vaccine safety science: systematic reviews of the evidence
PDF
 

Early dynamics of transmission and control of COVID-19: a mathematical modelling study
PDF
 

Clinical features and obstetric and neonatal outcomes of pregnant patients with COVID-19 in Wuhan, China: a retrospective, single-centre, descriptive study
PDF
 

Will financial innovation transform pandemic response?
PDF
 

SARS-CoV-2: a time for clear and immediate action
PDF
 

Taking the right measures to control COVID-19
PDF

The value of early transmission dynamic studies in emerging infectious diseases

https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(20)30161-4/fulltext

Management of pregnant women infected with COVID-19
https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(20)30191-2/fulltext
 

SARS-CoV-2: virus dynamics and host response
PDF
 

COVID-19: endgames
PDF

Gilead’s remdesivir has seen success against the coronavirus. Now the company has to make enough to supply the world
https://www.statnews.com/2020/04/30/gileads-remdesivir-has-seen-success-against-the-coronavirus-now-the-company-has-to-make-enough-to-supply-the-world
 

Studies find men more prone to COVID-19 death
A study involving patients in China found a 2.4-times-higher death rate in men than in women.
More »
 

Study: Contact tracing slowed COVID-19 spread in China
Researchers study 391 patients and 1,286 close contacts to gauge the impact of control efforts.
More »

Convalescent Plasma to Treat COVID-19Possibilities and Challenges
https://jamanetwork.com/journals/jama/fullarticle/2763982

Treatment of 5 Critically Ill Patients With COVID-19 With Convalescent Plasma
preliminary findings raise the possibility that convalescent plasma transfusion may be helpful in the treatment of critically ill patients with COVID-19 and ARDS, but this approach requires evaluation in randomized clinical trials.
https://jamanetwork.com/journals/jama/fullarticle/2763983

Recommended PPE may not protect emergency department workers
A simulation showed contamination of healthcare workers' skin, hair, and shoes after performing endotracheal intubation, despite wearing recommended personal protective equipment (PPE), according to a research letter published yesterday in JAMA.
Apr 27 JAMA research letter and editorial

They survived the coronavirus. Then they tested positive again. Why?
https://www.latimes.com/world-nation/story/2020-03-13/china-japan-korea-coronavirus-reinfection-test-positive
------------------------
Consequences of the Outbreak on society and Economy

Suicides of two health care workers hint at the Covid-19 mental health crisis to come
The U.S. entered a grim new chapter in the coronavirus saga with the recent deaths by suicide of two health care workers on the frontlines of the fight against Covid-19 in New York City: emergency medical technician John Mondello and emergency physician Lorna Breen.
https://www.statnews.com/2020/04/30/suicides-two-health-care-workers-hint-at-covid-19-mental-health-crisis-to-come

Sexism on the Covid-19 frontline: 'PPE is made for a 6ft 3in rugby player'
Health professionals, experts and unions say poorly fitting equipment is risking lives of female workers
https://www.theguardian.com/world/2020/apr/24/sexism-on-the-covid-19-frontline-ppe-is-made-for-a-6ft-3in-rugby-player
 
How will the COVID-19 crisis affect existing gender divides in Europe?
In the context of the coronavirus disease 2019 (COVID-19) pandemic, women are risking to pay a higher price for the crisis than men. This can be in the form of a massive physical and mental workload during the crisis, that can lead to career disruptions both in the short and the long run, and in extreme cases even of physical sufferings.
https://publications.jrc.ec.europa.eu/repository/bitstream/JRC120525/covid_gender_effects_f.pdf

COVID-19: A double burden for women in conflict areas, on the frontline
https://www.un.org/africarenewal/web-features/coronavirus/covid-19-double-burden-women-conflict-areas-frontline
 
Migrants and the COVID-19 pandemic: An initial analysis
This paper analyzes the specific ways migrants have been affected by the coronavirus disease 2019 (COVID) pandemic and presents a diversity of measures adopted in migrants’ host and home countries to prevent, mitigate and address its negative impacts. By doing so, it aims to provide insights for more inclusive and effective  COVID-19 policies and operations.
https://publications.iom.int/system/files/pdf/mrs-60.pdf
 
Global call to action for inclusion of migrants and refugees in the COVID-19 response
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30971-5/fulltext

Around the world, migrants and refugees are stranded between closed borders
According to the Pew Research Center, 91% of the global population is currently living in places where restrictions have been imposed on who can enter the country, and 39% lives in countries where borders are completely closed to foreigners. That means limited access for those fleeing from conflict, persecution, or disaster. On average, 37,000 people are forced to flee each day.
https://www.devex.com/news/around-the-world-migrants-and-refugees-are-stranded-between-closed-borders-97089
 
The United Nations Network on Migration released practical recommendations with guidance for States and stakeholders on preventing and responding to COVID-19 in the context of immigration detention.

Will COVID-19 Lead to Half a Billion More People Living in Poverty in Developing Countries?
The economic fallout from the coronavirus pandemic could have devastating impacts on developing countries and could cause global poverty to increase for the first time since 1990.

READ MORE »

New York City data show pandemic hits poor harder
COVID-19 infected and killed more people in poor, ethnically diverse areas than in affluent, less diverse ones.
More »
 
1.6 billion people working in the informal economy are at risk of losing their livelihood due to the pandemic, the International Labour Organization has warned.
[The Guardian]

The 90% economy that lockdowns will leave behind
It will not just be smaller, it will feel strange
https://www.economist.com/briefing/2020/04/30/the-90-economy-that-lockdowns-will-leave-behind
 
Initial impacts of global risk mitigation measures taken during the combatting of the COVID-19 pandemic
This paper presents an analysis of risk mitigation measures taken by countries around the world facing the current coronavirus disease 2019 (COVID-19) outbreak. This overview gathers lessons learnt, providing an update on the current knowledge for authorities, sectors and first responders on the effectiveness of said measures, and may allow enhanced prevention, preparedness and response for future outbreaks.
https://www.sciencedirect.com/science/article/pii/S0925753520301703

Coronavirus lockdown casts harsh light on our data and privacy online
A third of all nations lack laws to protect their citizen’s online data and privacy, despite an 11 per cent uptick in the global adoption of data protection and privacy legislation since 2015, the United Nations’ trade, investment and development body (UNCTAD) said on Wednesday.
https://news.un.org/en/story/2020/04/1062872
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Risk communication
 
Updated WHO Myth buster
https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public/myth-busters
 
WHO WhatsApp health alert launches in Arabic, French and Spanish
https://www.who.int/news-room/feature-stories/detail/who-health-alert-brings-covid-19-facts-to-billions-via-whatsapp
 
WHO hand hygiene campaign day - 5 May
WHO’s Hand Hygiene Day is fast approaching on 5 May. In light of COVID-19, advocating for support to build infrastructures and promoting proper infection, prevention and control measures has never been more important.
https://www.who.int/infection-prevention/campaigns/clean-hands/5may2020/en/
 
COVID-19 in Africa: watch a joint media briefing with WHO and WEF - 30 April 2020
https://www.pscp.tv/WHOAFRO/1zqKVllonMYJB
 
Press conference on COVID-19 in the WHO European Region - 30 April 2020
https://www.youtube.com/watch
 
---------------------------------
WHO Technical guidance
https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance
 
New
Safe Ramadan practices in the context of the COVID-19: interim guidance, 15 April 2020
https://apps.who.int/iris/handle/10665/331767

Addressing Human Rights as Key to the COVID-19 Response
https://www.who.int/publications-detail/addressing-human-rights-as-key-to-the-covid-19-response
 
WHO Water, sanitation, hygiene, and waste management for the COVID-19 virus Interim guidance 23 April 2020
https://apps.who.int/iris/bitstream/handle/10665/331846/WHO-2019-nCoV-IPC_WASH-2020.3-eng.pdf
 
WHO Guiding principles for immunization activities during the COVID-19 pandemic. Interim guidance 26 March 2020
https://apps.who.int/iris/bitstream/handle/10665/331590/WHO-2019-nCoV-immunization_services-2020.1-eng.pdf
 
Guidance on routine immunization services during COVID-19 pandemic in the WHO European Region (2020)
http://www.euro.who.int/en/health-topics/communicable-diseases/rotavirus/publications/2020/guidance-on-routine-immunization-services-during-covid-19-pandemic-in-the-who-european-region-2020
 
=====================
The CDC published new guidance on COVID-19
https://www.cdc.gov/coronavirus/2019-ncov/whats-new-all.html
 
========================
 
Resources
 
Lancet Coronavirus Resource Centre
This resource brings together new 2019 novel coronavirus (2019-nCoV) content from across The Lancet journals as it is published. All content listed on this page is free to access.

https://www.thelancet.com/coronavirus
 
Elsevier’s free health and medical research on novel coronavirus (2019-nCoV)
https://www.elsevier.com/connect/coronavirus-information-center
 

CIDRAP COVID-19 Resource Center
CIDRAP has created a one-stop comprehensive compilation of the most current, authorititive information available on the novel coronavirus. Visit the Resource Center often, as the outbreak is constantly evolving

Supporting coronavirus research with FREE access to over 17,000 Global Health records 
CABI’s Global Health – the go-to bibliographic database for the study and practice of national, regional and international public health – has made relevant content available for free to support the international effort to fight the outbreak of novel coronavirus (2019-nCoV). You can access the free open access content by following this link:
www.cabdirect.org/globalhealth
==============

Training courses:
WHO training
https://openwho.org/courses
 
PAHO / WHO provides virtual courses on COVID-19 in Portuguese for health professionals -https://www.paho.org/bra/index.php?option=com_content&view=article&id=6160:opas-oms-disponibiliza-cursos-virtuais-sobre-covid-19-em-portugues-para-profissionais-de-saude&Itemid=875
 

ECDC COVID-19 Micro learning 
https://eva.ecdc.europa.eu/mod/forum/discuss.php
 
New  "Mother-infant health in the context of COVID-19" has just been published. 
This Micro-learning has been developed in a collaboration of ECDC with Italian National Institute of Health - Istituto Superiore di Sanità, Italy. 
Go to the course 

============================

 

Research and Development

Global research on coronavirus disease (COVID-19)

Database of publications on coronavirus disease (COVID-19)
https://www.who.int/emergencies/diseases/novel-coronavirus-2019/global-research-on-novel-coronavirus-2019-ncov

R&D Blueprint and COVID-19
https://www.who.int/teams/blueprint/covid-19

Draft landscape of COVID 19 candidate vaccines
https://www.who.int/who-documents-detail/draft-landscape-of-covid-19-candidate-vaccines

Informal consultation on the role of therapeutics in COVID-19 prophylaxis and post-exposure prophylaxis - 16 April 2020
https://www.who.int/who-documents-detail/informal-consultation-on-the-role-of-therapeutics-in-covid-19-prophylaxis-and-post-exposure-prophylaxis---16-april-2020
=============================

COVID-19 Call to Action: Short – Term Assignments with the WHO Global Outbreak Alert and Response Network (GOARN)
Your expertise is needed to address COVID-19

The One Health Commission (OHC), the One Health European Joint Programme (OHEJP), and other groups are partnering with the World Health Organization’s Global Outbreak Alert and Response Network (GOARN) to share this call. The GOARN, a collaboration of over 200 institutions and networks that identifies experts willing and able to assist during an outbreak or pandemic, is seeking experts with a minimum of 5-yrs experience in relevant disciplines to help build capacity for the global COVID-19 pandemic response. https://conta.cc/2VPQ0xk
================================
 
Help Fight Coronavirus- Donate Now
Everyone can now support directly the response coordinated by WHO. People and organizations who want to help fight the pandemic and support WHO and partners can now donate through the COVID-Solidarity Response Fund for WHO at www.COVID19ResponseFund.org.
 
 

 

 

Knowledge Sharing

Thank you for reading. If you have thoughts, feedback, story ideas, or questions you would like to share or interested in partnering with us on a special event coverage, please send a note to Chadia Wannous via emailcwannous@yahoo.com  

 

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