What to know as CDC prepares for ‘likely’ spread of coronavirus in the US
Feb 22, 2020
USA TODAY – Health experts sounded the alarm Friday over the worldwide threat of the coronavirus, with officials warning of its “likely” community spread in the United States and the World Health Organization cautioning that “the window of opportunity is narrowing” for containing the outbreak worldwide.
The COVID-19 coronavirus, which erupted in China in December, has killed at least 2,360 people and sickened at least 77,900 worldwide, the majority of cases in mainland China.
Dr. Nancy Messonnier, director of the CDC’s National Center for Immunization and Respiratory Diseases, told reporters Friday that U.S. health officials are preparing for the coronavirus to become a pandemic:
“We’re not seeing community spread here in the United States, yet, but it’s very possible, even likely, that it may eventually happen.
“Our goal continues to be slowing the introduction of the virus into the U.S. This buys us more time to prepare communities for more cases and possibly sustained spread.”
She said the CDC is working with state and local health departments “to ready our public health workforce to respond to local cases.” These measures include collaboration with supply chain partners, hospitals, pharmacies and manufacturers to determine what medical supplies are needed.
She said the “day may come” here where we have to shut down schools and businesses like China has done.
Meanwhile in Geneva, the director-general of the World Health Organization, alarmed by the recent spread of the coronavirus from Iran, warned Friday that while the chance to contain the virus globally still exists, “the window of opportunity is narrowing.”
Military Health System prepares to support interagency coronavirus response
Feb 2020, Military Health System Communications Office
The novel coronavirus (2019-nCoV) now affects more than 28 countries, with more than 28,000 cases worldwide.
The Military Health System and Defense Health Agency remain prepared to support combatant commanders to protect our service members, other Department of Defense personnel, and their families in the United States and around the globe.
U.S. Army Col. (Dr.) Jennifer Kishimori, director, Chemical, Biological, Radiological, and Nuclear Medical Countermeasures Policy, Office of the Assistant Secretary of Defense for Health Affairs, recently briefed a U.S. Government interagency panel and health industry stakeholders on MHS actions and responsibilities.
Foremost, Kishimori explained the DoD follows the guidance of the Centers for Disease Control and Prevention as the U.S. government medical lead.
“DoD is in support of the interagency for preparedness and response efforts against the novel coronavirus outbreak. This is a new virus. Information is emerging and changing daily. Our Military Health System, which comprises the medical assets within the DoD, works to keep pace with CDC and interagency guidance in this fluid situation.”
Earlier, Acting Under Secretary of Defense for Personnel and Readiness Matthew P. Donovan released a guidance letter for force health protection specifically relating to the novel coronavirus.
In it, Donovan stated that DoD will follow CDC guidance and provide specific instructions for DoD personnel and military health care professionals. While DoD personnel are not specifically at risk of exposure to the 2019-nCoV, the fact that DoD personnel and their families travel internationally and throughout the U.S. means they should take additional precautions to avoid risk.
Kishimori further explained DoD, through DHA, is distributing CDC-based guidance to health care providers and military families at all military treatment facilities:
“Though our executing organizations such as the Defense Health Agency, we are working to communicate current CDC guidance for public health, hospital preparedness, patient evaluation, infection control, laboratory testing and health risk communication, in coordination with the Joint Staff.”
Specifically, DHA’s Medical Affairs directorate released information for health care providers to ensure any patient with a risk of infection receives the proper care and testing and that public health authorities are notified of all cases.
Kishimori outlined MHS’ unique capabilities to monitor and respond to 2019-nCoV for both surveillance and research and development.
The Center for Laboratory Medicine Services and the Executive Secretariat, DoD Laboratory Network synchronizes laboratory capability across the MHS and works with interagency partners to ensure supported network laboratories have the necessary detection and characterization capabilities in place to support 2019-nCoV-related activities across the globe.
DHA Armed Forces Health Surveillance Division and Global Emerging Infections Surveillance monitor daily the status of the outbreak.
Naval Medical Research Unit-2 in Phnom Penh, Cambodia, continues increased surveillance for the coronavirus at the China border.
The Armed Forces Research Institute of Medical Sciences in Thailand is also in a forward position to identify and characterize virus isolates.
The MHS also has a robust research capability with specific expertise in coronaviruses. Kishimori explained that the DoD has scientists and clinicians with experience in rapidly executing pre-clinical studies and virus vaccine clinical trials with infectious disease clinicians through DoD laboratories.
The CDC recommends simple measures to protect yourself from illness:
- Avoid close contact with sick people.
- While sick, limit contact with others as much as possible.
- Stay home if you are sick.
- Cover your nose and mouth when you cough or sneeze. Avoid touching your eyes, nose and mouth. Germs spread this way.
- Clean and disinfect surfaces and objects that may be contaminated with germs.
- 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 rub with at least 60 percent alcohol.
“Force Health Protection is our top priority in Health Affairs and the Department of Defense. The MHS continues to coordinate with DoD partners and the interagency to optimize preparedness and response efforts against the nCoV.”