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Coronavirus Public Health Alert

Coronavirus 2019-nCoV 

Background 
Coronavirus 2019-nCoV is novel (new) coronavirus (named “2019-nCoV”) that was first detected in Wuhan City, Hubei Province, China and which continues to expand. Chinese health officials have reported thousands of infections with 2019-nCoV in China, with the virus reportedly spreading from person-to-person in many parts of that country. 

Coronaviruses are a large family of viruses that are common in many different species of animals, including camels, cattle, cats, and bats. Rarely, animal coronaviruses can infect people and then spread between people such as with MERS and SARS. 

Symptoms 
Patients with confirmed 2019-nCoV infection have reportedly had mild to severe respiratory illness with symptoms of: 

  • fever 
  • cough 
  • shortness of breath 

CDC believes at this time that symptoms of 2019-nCoV may appear in as few as 2 days or as long as 14 after exposure. This is based on what has been seen previously as the incubation period of MERS viruses. 

Transmission 
Transmission is thought to be via respiratory droplets produced when an infected person coughs or sneezes, similar to how influenza and other respiratory pathogens spread. 

Everyday preventive actions are recommended to help prevent the spread of respiratory viruses, including: 

  • Wash your hands often with soap and water for at least 20 seconds. If soap and water are not available, use an alcohol-based hand sanitizer. 
  • Avoid touching your eyes, nose, and mouth with unwashed hands. 
  • Avoid close contact with people who are sick. 
  • Stay home when you are sick. 
  • Cover your cough or sneeze with a tissue, then throw the tissue in the trash. 
  • Clean and disinfect frequently touched objects and surfaces. 

Treatment 
There is no specific antiviral treatment recommended for 2019-nCoV infection. People infected with 2019-nCoV should receive supportive care to help relieve symptoms. For severe cases, treatment should include care to support vital organ functions. 

U.S. health officials are closely monitoring for any cases in the United States as the coronavirus spreads through China. Of 114 patients tested only 6 have come back positive. As of January 31, 2020, there were 6 cases found in the United States: one each in Arizona and Washington state, and two in California and Illinois.

Why am I hearing about COVID-19 in the news?
While most strains of the coronavirus cause a mild respiratory infection, there is a small subset of the virus that may cause more virulent infections, which have a higher mortality rate. In 2003, an outbreak of the coronavirus strain SARS-CoV caused more than 8000 infections worldwide and led to 774 deaths from SARS ( Severe Acute Respiratory Syndrome) In 2012 another virulent strain of Coronavirus was identified. This outbreak was named MERS-CoV which caused hundreds of deaths and began in Saudia Arabia. This next strain of Coronavirus began in late 2019 in Wuhan, China. This was a new strain of Coronavirus that researchers have never seen before. This strain is similar to the virulent strains that caused SARS and MERS outbreaks.

As of Feb 14 th , 2020 there have been 15 confirmed cases of COVID-19 in the U.S., and 600 under federal quarantine and testing for the virus. Find out where the virus has been confirmed, as well as learn about any new cases on the CDC website

Authors:
Anthony R. Ruvo, MD, FACEP
Edward Orlando, MD
Rupal Bhingradia, MD FAAFP
Jessica Levatino, MD
© 2020 Excel Urgent Care and Affiliates

Excel Urgent Care & Affiliates

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Excel Urgent Care & Affiliates provide walk-in urgent medical care to ares in New York, New Jersey and Connecticut.

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