Latest Information On the Wuhan's Corona Virus Infection

New cases of infection with a novel strain of coronavirus, which emerged in the Chinese city of Wuhan, are being reported daily around the world.

In China, at least 563 people have died, the government said on Wednesday. At least 28,000 people have been infected across the country's mainland.

The virus has killed two people outside of mainland China, one in Hong Kong and another in the Philippines.

At least 25 countries have confirmed cases.

Countries around the world have rushed to evacuate their citizens from Hubei and Wuhan, while many have also imposed extraordinary travel restrictions on travelers to and from China.

The head of the World Health Organization (WHO) has called for greater solidarity among the international community, and criticized governments for being "well behind" in sharing data on virus cases.

Scores of cases have also been confirmed in several countries in the Asia-Pacific region as well as Europe, North America and the Middle East.

Here are the countries and territories that have so far confirmed cases of the new coronavirus:

Australia - 14

Australia has confirmed 14 cases of the virus as of February 5, including three people who have already been discharged from hospital. Most of the patients arrived in the country from Wuhan or Hubei province.

Belgium - 1

Belgium said on February 4 that one of nine repatriated Belgians from Wuhan has tested positive for the coronavirus.

Cambodia - 1

Cambodia confirmed its first case of coronavirus on January 27.

Minister of Health Mam Bunheng said the patient was a 60-year-old Chinese national in the coastal city of Sihanoukville.

Canada - 4

Canada has confirmed four cases of the coronavirus as of February 5. 

China - 20,438

As of February 5, the number of people infected was confirmed at 24,324 in mainland China, most of them in and around Wuhan.

At least 490 people have died, nearly all of them in Hubei Province, but officials have confirmed a number of deaths elsewhere, including in the capital, Beijing

The city of Macau, a gambling hub hugely popular with mainland tourists, has confirmed 10 cases.

Hong Kong reported its first death from the disease on February 4 of a man who had travelled from Wuhan. At least 21 people, including the deceased man, were confirmed to have been infected.

Finland - 1 

A Chinese tourist who was admitted to hospital for tests was confirmed on January 29 as having been infected with the coronavirus.

The patient is said to be a 32-year-old woman from Wuhan.

France - 6

There are six confirmed cases of the coronavirus in France, the first European country to be affected. The most recent was a doctor who contracted the virus after treating patients. 

France's health minister has said it is likely that there will be more cases and that authorities are surveying everyone the patients have come into contact with since arriving in France.

Germany - 12

Germany has registered 12 confirmed cases of the coronavirus, with a majority of the patients in the southern state of Bavaria.

India - 3

On February 3, a third positive case of the coronavirus was reported in India's southern state of Kerala, the country's health ministry said.

All three are students who returned from Wuhan, according to local media. 

Italy - 2 

Doctors confirmed on January 30 that two Chinese tourists had tested positive for the coronavirus in Italy.

The tourists, reportedly a husband and wife, were being held in isolation in the Spallanzani Infectious Diseases Institute in Rome.

Japan - 33

On February 5, 10 new cases were confirmed in Japan, raising the country's total to 33.

Malaysia - 12

Malaysia on February 5 said two of its nationals who were flown back from Wuhan tested positive for the coronavirus, bringing the total number of confirmed cases in the country to 12.

Singapore - 28

Singapore on February 5 announced four more cases, including in a six-month-old baby, taking its tally to 28. 

Both parents of the infant, a Singaporean citizen, have also been infected, the health ministry said. 

Several of the cases in Singapore have involved human-to-human transmission.

South Korea - 19

On February 5, South Korea raised its total number of infections to 19.

The latest cases involved two men who had tested positive for the virus after attending a business conference in Singapore

Nepal - 1

Nepal said on January 24 that a 32-year-old man arriving from Wuhan had tested positive for coronavirus.

The patient, who was initially quarantined, recovered and was discharged. The government said surveillance has been increased at the airport "and suspicious patients entering Nepal are being monitored".

The Philippines - 3

Philippine health officials confirmed a third case of coronavirus on February 5, including the first death from coronavirus outside China, which was announced on February 2.

Russia - 2

Russia reported its first two cases of coronavirus on January 31.

Deputy Prime Minister Tatiana Golikova said the infected patients were Chinese nationals who had now been isolated in the Zabaikalsky region, which borders China, and in the Tyumen region, bordering Kazakhstan.

Spain - 1

Spain reported its first case on January 31 in a man on the island of La Gomera in the Canary Islands. He was one of five people isolated after coming into contact with an infected German man.

Sri Lanka - 1

Sri Lanka confirmed its first case of coronavirus on January 27.

The patient was identified as a 43-year-old Chinese woman from Hubei Province who had arrived in Sri Lanka as a tourist. She was admitted to the Infectious Diseases Hospital.

Sweden - 1

On January 31, Sweden's Public Health Agency said a woman had tested positive for coronavirus and was being kept isolated at a hospital in southern Sweden.

The woman had visited the Wuhan area in China and began coughing after she arrived in Sweden. She contacted a hospital in southern Sweden, where she is being treated. She is not gravely ill, the agency said.

Taiwan - 11

Taiwan has confirmed 11 cases, including two Chinese women in their 70s who arrived in the country as part of a tour group.

Thailand - 25

Thailand confirmed six new cases on February 4, four of them Thai nationals and two Chinese, bringing the total number of coronavirus patients in the country to 25.

United Arab Emirates - 5

The UAE confirmed its fifth case on February 1 in a Chinese national who came from Wuhan. UAE authorities previously said at least four Chinese nationals from one family had been confirmed to have coronavirus.

They were the first cases reported in the Middle East.

United Kingdom - 2

The UK confirmed its first two cases of coronavirus on January 31 in two patients from the same family in England. 

"The patients are receiving specialist NHS care, and we are using tried and tested infection control procedures to prevent further spread of the virus," said Chris Whitty, England's chief medical officer.

United States - 12

The US confirmed 12 cases of the virus on February 5. There are six in California, two in Illinois, one each in Arizona, Massachusetts, Wisconsin and Washington state.

Vietnam - 10

A 30-year-old Vietnamese man, who returned from Wuhan, and one more unidentified person tested positive for coronavirus on February 4, bringing the number of infected people to 10.

More About The Corona Virus Infection

Toronto Health Authorities have declared the  first official case of corona virus infection in Canada.

There are now nearly 2000 (TWO THOUSAND) cases confirmed World-wide

56 Million (FIFTY SIX MILLION) People in China are under QUARANTINE. 

President Jing says that China faces a GRAVE SITUATION as the virus transmission is accelerating

Russia has put plans in motion to EVACUATE all Russian Nationals in China back to Russia

Australia and Malaysia have joined the list of Nations harbouring the corona virus, in addition to France, Pakistan, Singapore, the US, Nepal. The number of Countries is increasing by the day.

The US and France have chattered planes to EVACUATE DIPLOMATS in containment zones.

The Director of CDC in the US says she expects cases of human to human transmission in the US

Wuhan(the home of the corona virus)  is building a second Emergency Hospital with 1300 beds

3 Medical Doctors in Beijing who visited Wuhan are confirmed to have the virus

Beijing has sent Medical Doctors and other para-Medical Professionals to Wuhan and other cities to help the overwhelmed Hospitals

It is being rumoured that China has brought its Military Medicals to take over all Hospitals in Wuhan

Wuhan, the city of 11 Million People, would soon be under COMPLETE LOCKDOWN. Private vehicles have been banned from entering into Wuhan since Sunday. Travel into and out of Wuhan has been SHUT DOWN.

Some form of travel restrictions is now in place in 18 other Cities in China

It is being said that China, the US and other Countries where the corona virus has been wrecking havoc on human lives are being economical with the truth about the virus.

It is claimed that Beijing became aware of the virus in mid December 2019 but did not notify the WHO until the 31st of December 2019

These are the elements that make this corona virus so dangerous

1.    the virus is new and so people have not developed antibodies to resist it.

There is no natural immunity to it, accounting for why it is spreading so fast amongst the human population

2.    the virus is said to be a cross-species jump - DNA sequencing shows that it began as a virus in bats and crossed over to snakes and then made the jump to humans

3.    it has a transmisivity rate of between 1.5 to 2.4

4.    It is LETHAL

Early data has shown that a little over 3% of those who contract it will succumb to it

5.    the LATENCY WINDOW (PERIOD) of the virus is between 9 to 14 days

This means, when someone contracts this virus they won't feel any symptoms, they won't feel sick from between 9 to 14 days after contracting it BUT during that period of time, they are INFECTING OTHERS.

6.    the virus can be transmitted through the eyes as well as the mouth and the nose

7.    the virus is NON-ENVLOPED so it can live for up to 5 days on the surface of the orifices

ADVICE

1.    NO TRAVEL during this period if you can help it

2.    Avoid crowded places

3.    Protect your eyes - wear GOGGLES

4.    Always wash your hands with soap and water

5.    Use Hand Sanitizer

6.    Cover your mouth with handkerchief when sneezing or coughing

7.    If you feel anyhow that you don't understand, go to the Hospital

8.    All Medical Personnel are advised to be on red alert and to exercise a high sense of suspicion.

9.    They are to always wear their PPE when attending to Patients who complain of Malaise, Fever of unknown origin, excessive sneezing, cough, upper respiratory tract infections, diarrhoea, and vomiting

Culled

JerrytheFirst @toptipsabthealth

Physician Well-being: A Critical Missing Link in Medical Education

Physician Well-being: A Critical Missing Link in Medical Education

By Edward M. Ellison, MD

At the Southern California Permanente Medical Group (SCPMG), the physician-led care delivery system that partners exclusively with Kaiser Foundation Health Plan and Hospitals in Southern California, we are committed to helping solve physician burnout and see this as a critical aspect of transforming health care in America.

Practicing medicine today is far more demanding and multifaceted than when I began my practice in 1984 as a family physician at Kaiser Permanente. 

Medicine has made remarkable progress in technology and outcomes, but advances have come with a price for physicians.

Doctors are experiencing greater stress due to a myriad of causes: Long hours, loss of autonomy, complex and often inefficient systems, and additional time-intensive responsibilities such as maintaining electronic medical records, diagnostic coding, regulatory compliance and administrative duties.

This stress is compounded by personal attributes of self-sacrifice, hyper-accountability, perfectionism, challenges with boundary setting, and equating asking for help as weakness. 

Altogether, this too often leads to poor work-life integration and burnout for physicians.

In their noble calling to take the best possible care of their patients, many physicians put their own well-being at risk.

Physician Burnout on the Rise

Physician burnout in the U.S. is rising at an alarming rate. A survey by the Mayo Clinic revealed that from 2011 to 2014, physicians experiencing at least one symptom of burnout rose from 46% to 54% – a much greater level than in other professions. Of those surveyed, 39% experienced depression, increasing the risk of suicide.  

At SCPMG, I have made physician wellness a key focus of our vision to help transform health and health care in America.

I began by asking our physicians how they viewed our culture of health. The initial results were not encouraging.

This led to my appointing a Physician Chief Wellness Officer. In four short years,

Dr. Dawn Clark has helped lead the creation of a robust physician wellness program that provides support, knowledge and tools to help physicians better manage their busy lives and embrace their own health and resilience.

Second Victim Syndrome (the burden providers feel after an adverse patient outcome) and peer-to-peer support groups have been formed and provide emotional support to colleagues.     

 However, this is just one part of the equation. Leaders in health care must take ownership for the creation of a wellness culture that supports physician health along with the design of efficient systems and workflows that maximize a physician's unique contributions to patient care.

Bureaucracy and inefficiency in care delivery systems must be addressed. 

Some of the systemic changes we’ve made since our program began include workflow redesigns that off-load clerical work from physicians, help physicians manage email volume through support staff, and train doctors on using our electronic medical records system with greater ease and efficiency.

We also have worked to increase availability of alternate and flexible schedules to better meet the needs of physician work-life integration. 

As a result of this work, a recent survey of our physician colleagues indicates significant improvements in how doctors view our wellness culture since the initial survey three years ago. Physician ratings of key workplace “culture of health” measures improved by a range of 11-23 percent. Although we are making progress, there is more work to be done.

For Many, Burnout Begins in Medical School

Part of the solution to achieving greater physician wellness and resilience lies in influencing the medical culture in America further upstream – in medical school. 

For physicians, asking for help when we are stressed is counter to what we have been taught, consciously or otherwise: That to be a good physician, we must be superhuman, self-sacrificing care providers, able to work long hours while putting our patients’ needs before our own.

A study published in Academic Medicine in 2014 concluded that students entering medical school have better mental health indicators than age-similar college graduates in the general population.

However, by graduation, the mental health, resilience, and optimism of medical students have declined.

Anyone who has attended medical school understands some of the contributing factors: Long hours spent studying volumes of information; the unrealistic pressure to be perfect; the emotional impact of dealing with death and dying; a fear to admit that one may need help with mental health issues; inadequate boundary setting; and feelings of isolation.

Recognizing and addressing causes of burnout can potentially alleviate depression and prevent suicide, not only in medical school but throughout one’s career.

To do so will require providing students with emotional resilience tools that they can use throughout medical school and beyond, making it safe to talk about their struggles and ensuring that effective mental health resources are available when needed.

A Different Kind of Medical School

Kaiser Permanente is planning a national school of medicine in Pasadena, California with a curriculum that will incorporate new ways of training doctors.

It is our intention to establish a learning environment and curriculum that supports, teaches and models well-being and resilience – skills and techniques that students can employ throughout their careers as physicians.

Our physician-led school will embrace a holistic approach not only toward curriculum development and mentoring, but in helping students achieve resilience and a healthy lifestyle in body, mind and spirit.

We have designed the new facility to include space for socialization, a rooftop meditation area, a yoga garden and a fitness center, so the school will be a convenient place to practice what we teach.

A demonstration kitchen on campus will be a place for students to learn about nutrition, and how to prepare their own healthy meals.

The curriculum will emphasize the importance of sleep and encourage students to find a personal exercise regimen to promote fitness and reduce stress. They will learn that it's okay to ask for help and be connected to mental health resources. 

Connecting students to their purpose will also be key.

As a school that reflects Kaiser Permanente’s values of diversity, inclusion, health equity and community health, our students will be connected to the meaning of what they do through aligned curriculum and experience, engaging with patients and the communities we serve. 

We will teach students change management and how to work effectively within systems of care -- to be both leader and effective team member -- so as physicians they can be agents of change in improving the care delivery systems in which they practice.

Most importantly, our intent is to create a culture that declares that physician wellness matters. In fact, physician wellness is essential if we are to have healthy patients and an effective health care system in America.

Burnout and poor physician wellness can negatively affect quality of care, patient satisfaction, medical errors and malpractice risk, as well as turnover of staff and early physician retirement. 

We need strong and resilient physicians to lead the needed transformation of health and health care in our country.

Finding Solutions

This past April, The Kaiser Permanente School of Medicine invited medical students, medical educators and leaders from across the country to brainstorm about how to shift the paradigm of medical education towards supporting and sustaining greater levels of well-being and resilience for students.

The convening began with a tour and dinner at the Association of American Medical Colleges (AAMC). 

Several members of the AAMC attended and participated in the conference, including the president and CEO of the AAMC, Darrell G. Kirch, MD.

I was honored to give the keynote address and participate in the ensuing discussions. I began my talk by asking the audience a somber question: “How many of you were aware of a fellow student committing suicide in medical school?” Sadly, about half the room, including me, raised our hands.

The mood became more optimistic throughout our conference as we brainstormed a list of root causes and declared a commitment to find solutions for mitigating burnout in medical school and beyond. 

We ended the day with a sense of hope and renewed purpose, and yet we were aware that this is just the beginning.

I invite all who see themselves as stakeholders in creating both the culture and structure that fosters greater physician resilience and well-being to join our continuing conversation to solve for physician burnout in our country.

Dr. Ed Ellison believes Permanente Medicine and Kaiser Permanente’s coordinated, integrated model of high-quality, affordable care provides an answer to health, health care and physician wellness in America. In his effort to achieve wellness, Dr. Ellison enjoys time with family, favors a plant-based diet, tries to get enough sleep, and always takes the stairs.

Source:         Linkedin