Coronavirus, Speranza signs the monitoring decree: three warning indicators for Phase 2

Fundamental for monitoring the epidemic are also the degree of reactivity is “keeping the health system to ensure the identification and management of contacts, monitoring of quarantined, an adequate and timely execution of the swabs for the diagnostic assessment of cases “.

Weekly risk calculation An updated risk classification for each Region must take place at least weekly. The Ministry of Health, through a special control room, which will involve the Regions and the Higher Institute of Health, collects the information necessary for the classification of the risk and carries out a weekly classification of the risk level of an uncontrolled and unmanageable transmission of the viruses in the Regions.

In the current state of the epidemic, the decree reads, “the consolidation of a new phase, characterized by initiatives of loosening the lockdown and by their progressive extension, it can only take place where one is insured close monitoring the progress of the transmission of the virus on the national territory “.

Among the prerequisites indicated there is also “the connection between primary care and that in regime of recovery, as well as the constant and timely feeding of information flows necessary, to be achieved through the insertion of data in information systems “.

Searching and managing contacts, to be conducted effectively, “must foresee an adequate number of human resources, such as health and public health workers, to be involved according to local needs. On the basis of ECDC estimates, in order to guarantee this essential activity in an optimal way, they should be made available in the various local branches not less than one person for every 10,000 inhabitants“.

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Alert on a disease that could affect children infected with the virus

The British health authorities have launched in recent days an alert concerning young children. An increasing number of them are indeed showing symptoms resembling Kawasaki disease, a vascular syndrome, and the cause of which remains unknown. An alert which has since been confirmed by hospitals in France, as well as in Italy, Spain, Switzerland, Belgium and the United States.

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Questioned on Franceinfo then in the National Assembly, the Minister of Health assured Wednesday April 29 to take these cases “Very seriously”. In France, there are about twenty children, from 2 to 18 years old, affected for three weeks in Parisian hospitals, as well as some others in other hospitals, according to information given to AFP by Damien Bonnet, head of service at the Center for Rare Diseases and Congenital Heart Defects at Necker Hospital.

► What is this disease?

This pathology is manifested by fever, digestive symptoms and fairly general inflammation of the vessels, which can cause inflammation of the heart muscle itself, resulting in heart failure.

“This inflammation of the blood vessels affects the endothelial cells, which line the interior of the vessels, said Professor Jérôme Larghero, director of the Meary Center for Cellular and Gene Therapy at the AP-HP at Saint-Louis Hospital. It probably promotes the formation of blood clots, which would explain the appearance of pulmonary embolism.

Admittedly, it resembles Kawasaki disease (named after the Japanese doctor who described it in 1967). But the latter “Is primarily a disease of the small child, rather less than 2 years old, even if there are up to 4 or 5 years. There, all ages seem to be affected “, Damien Bonnet added to the AFP. Data which supports the hypothesis of another disease, similar, but distinct.

► How is it treated?

Kawasaki disease, which is very rare in normal circumstances, is treatable in the hospital. And so far, none of the reported cases appear to have progressed to death. “Most of these children need help with medication to support the functioning of the heart.. Almost all of them then evolve favorably, even if they have been in intensive care ”, insists Professor Damien Bonnet.

More specifically, they are given several medications. Generally, aspirin is prescribed to prevent blood clots, as well as immunoglobulins (antibodies).

► Is it due to the Covid-19 coronavirus?

Some of the children with this unknown inflammation have tested positive, others have not. “All paediatricians and resuscitators in Europe are working together to see whether or not there is a need to make a link with the Covid-19, which I do not know yet when I speak to you”, Olivier Véran said on Wednesday, April 29 at the National Assembly.

The exact link with the Covid-19 remains to be specified. “ We do not yet understand why this influx of young patients is delayed compared to that of the epidemic in Ile-de-France, estimated in turn Professor Pierre-Louis Léger, head of pediatric resuscitation at Trousseau Hospital (AP-HP) on BFM-TV. We do not assert that there is a causality between Covid-19 infection and these clinical pictures. But one hypothesis would make it a secondary disease of Covid-19, like a delayed inflammatory phenomenon. “

A supposition reinforced by temporal conjunction of the two phenomena, as Pr Damien Bonnet emphasizes again : “We are in the days of the Covid-19 epidemic, and we see an infrequent disease becoming more frequent. That questions us. “

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wastewater monitoring would be a good early warning tool

Since the appearance of Covid-19 in China, Italy, the Netherlands, France or Australia, several scientific studies have observed the presence of viruses in wastewater: in plain text, in the stools of contaminated people. This observation raises two questions: is this wastewater infectious? And can their monitoring have an epidemiological interest?

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Is wastewater dangerous?

On the first point, work is underway with the Biomedical Research Institute of the Armed Forces (IRBA) to try to find out if these waters present a danger, says Vincent Maréchal, virologist at Sorbonne-University and researcher at Inserm. But no immediate link can be made between these traces and possible contamination.

“The presence of whole genome or single fragments of the Sars-Cov-2 genome in the stool does not necessarily mean that it is infectious virus, nor that it is transmissible by this route, details Vincent Maréchal. We know that the virus is incapable of reproducing itself and of giving hundreds of viral particles (or virions) in nature, outside the cells of a human host. “

Can they help measure the epidemic?

Regarding the epidemiological value of wastewater, research is beginning to provide answers. At the end of March, Willemijn Lodder and Ana Maria de Roda Husman, researchers at the Center for Infectious Disease Control in Amsterdam (Netherlands), showed the presence of genetic material of the virus in wastewater, especially in Amsterdam (1) . In France, in collaboration with the research and development laboratory of the municipal management Eau de Paris, Vincent Maréchal is also interested in wastewater.

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“The idea is to follow the evolution of the virus in the waste water taken from the treatment plants”, explains the virologist. Samples collected between March 5 and April 7 were thus analyzed each day by means of the virus screening test (measurement of viral load by the so-called PCR technique). Their results published last week online (but not yet in a scientific journal) show that “The increase in genome fragments in wastewater follows the increase in the number of Covid + patients admitted to hospitals or dead”.

In the short term, Vincent Maréchal advocates for the “Creation of a national Sentinel network for monitoring wastewater, which could help anticipate the second wave”. Given the large number of cases with little or no symptoms, the presence of the virus could thus be detected before the first confirmed clinical cases, in areas where the epidemic has subsided, or in areas not yet affected. “This would save time, a key element in this epidemic”, insists the virologist.

Has this type of monitoring ever been used?

Such an environmental surveillance system has already been used for other viruses. For example, in a study published in 2018, Israeli researchers showed that the detection of the polio virus (viral disease often transmitted via contaminated water and which can cause paralysis) in wastewater in Israel in 2013 had allowed relaunch a vaccination campaign and avoid any case of paralyzed children.

For the Sars-Cov-2, studies in several countries are still preliminary. But some scientists are enthusiastic. This method “Can be used as an early warning tool” against the pandemic, says for example Warish Ahmed, a researcher at the Australian Public Research Agency CSIRO (the equivalent of the CNRS), which detected the virus in Queensland wastewater.

Being simple, fast, inexpensive, this technique is a good potential tool to transmit to the countries of the South, especially those who think they do not have a case at home and who do not have the means to test asymptomatic people in the hospital. “, again indicates Vincent Maréchal. He is now seeking to implement this method urgently, particularly in Africa, with the help of WHO.

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part of the country on alert for thunderstorms, number 1722 activated

“Tonight, risk of thunderstorms in places, mainly in the western half of the country,” writes the IRM, which places Hainaut, Brussels, Walloon Brabant and the north of the country in yellow warning tonight. “The cloudiness will gradually increase from the southwest and a few showers will mainly affect the center and west of the country. These showers may locally be stormy and quite intense. It will be cloudy on Saturday with showers already in the morning. In the afternoon, more thinnings will develop, but the risk of showers (possibly thunderstorms) will persist, “writes the MRI.

“The maximums will be between 14 and 20 degrees. The wind will be light from variable direction. On the coast, the wind will be moderate from north to northeast in the afternoon. The night of Saturday to Sunday, the last showers will leave our country by the east. The weather will then become calm and dry again. In the second part of the night, low clouds, mist or fog will form, especially over the south. The minima will range between 7 and 11 degrees under a light wind from the north or from a variable direction. “

The number 1722 activated

In the regions having it, the 1722 will redirect to the electronic counter of the fire department during the measurement period due to the Covid-19.

“If your fire department has an electronic form, you should use this form when you need the non-emergency help of firefighters. If your fire department has an electronic form (in the non-emergency section of the www.112.be, Editor’s note), but you do not have Internet access or the electronic counter does not work for technical reasons, you can exceptionally call 112 to obtain help from the firefighters in the event of a storm or flood . “

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They send fake emails notifying a job inspection to auto shops

Madrid

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The confinement decreed to avoid many more contagions of coronavirus has Internet consumption skyrocketed. An extreme that is being exploited by cybercrime for the commission of multiple scams, both for anyone who spends time on the networks, or even in companies.

This time it was the Ministry of Labor and Social Economy who alerts about the circulation of false emails that, on behalf of the Labor and Social Security Inspection, notify an alleged investigation of the business, which could also affect companies in the after-sales sector, such as have also alerted employers how Fevauto or the Gremi de Talleres de Barcelona.

Specifically, so they pick it up from the Ministry, alerting, above all, this group:

«The State Agency for Labor and Social Security Inspection has learned of the sending of emails to companies in which a false investigation of the Labor and Social Security Inspection is notified, and requests that it be done click Click on a link to view the false complaint filed and access more details.

Said email has not been forwarded by the Labor and Social Security Inspection, so its content may be malicious.

PLEASE REFRAIN FROM ACCESSING SUCH LINK

Please spread this message among the members of your organization. “

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Moscow warns of impending avalanche of sick people to collapse hospitals

The Russian President, Vladimir Putin, which initially assured the public that the fight against COVID-19 It was a piece of cake and that the virus will be defeated as were the Central Asian hordes of Pechenegs and Polovtsi who decimated the Russians between the 11th and 13th centuries, yesterday took distances regarding the possibility that Russia will soon overcome the pandemic.

“The situation is unfortunately not improving,” Putin launched yesterday in the course of a new videoconference broadcast on television channels from his residence on the outskirts of Moscow in Novo-Ogariovo, where he has already been two weeks confined and forcing the few it receives to take the COVID-19 test. His previous video conference took place last Wednesday, and nothing has been heard from him since, except for what his spokesman, Dmitri Peskov, said on Saturday about his “excellent health.”

In his telematic appearance on Monday with members of the Government, the top Russian leader acknowledged that «the number of patients increases and more and more they present a serious picture ».

In his opinion, “the situation changes almost daily,” suggesting that the worsening numbers of new cases in the past few days is somewhat unexpected, noting that “the next few weeks will be largely decisive.” In such a situation, Putin continued, “we must consider all the scenarios of how the situation can evolve, even the most complex and extraordinary.”

He warned of the fact that “the peak of the disease has not yet been reached, not even in Moscow” and came to the Ministry of Defense for a Army deployment, if necessary, whose forces, he pointed out, “can and must be used.” What he did not explain is with what specific tasks, although experts already point to the need to set up field hospitals.

On the other hand, the Department of Health of the Moscow City Hall has alerted today about the possibility that a imminent avalanche of sick by coronavirus collapse hospitals. According to the municipal authorities, the doctors work to the limit and in the next two or three weeks there may be a shortage of beds in the health centers of the capital. The statement ensures that more and more clinics are being enabled to receive coronavirus patients, but it may not be enough if the pandemic worsens.

With 2,774 new cases of coronaviruses detected in the last 24 hours, which represents an increase compared to the previous day of 216 infections, the total number of infected in all of Russia stands at 21,102 people, 170 deceased and 1,694 recovered. For its part, Moscow registers 1,489 new infections, 134 more than on Monday, and 95 deaths, 13 more than in the previous part. The total of infected in the Russian capital thus rises to 13,002.

Russian Foreign Minister Sergey Lavrov, for his part, called today “to avoid any attempt to politicize the issue of the coronavirus, something that is seen not only in relation to the WHO, but also in the accusations to which some countries ”, referring to China, which Moscow considers its“ strategic ally ”.

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Moscow warns of impending avalanche of sick people to collapse hospitals

The Russian President, Vladimir Putin, which initially assured the public that the fight against COVID-19 It was a piece of cake and that the virus will be defeated as were the Central Asian hordes of Pechenegs and Polovtsi who decimated the Russians between the 11th and 13th centuries, yesterday took distances regarding the possibility that Russia will soon overcome the pandemic.

“The situation is unfortunately not improving,” Putin launched yesterday in the course of a new videoconference broadcast on television channels from his residence on the outskirts of Moscow in Novo-Ogariovo, where he has already been two weeks confined and forcing the few it receives to take the COVID-19 test. His previous video conference took place last Wednesday, and nothing has been heard from him since, except for what his spokesman, Dmitri Peskov, said on Saturday about his “excellent health.”

In his telematic appearance on Monday with members of the Government, the top Russian leader acknowledged that «the number of patients increases and more and more they present a serious picture ».

In his opinion, “the situation changes almost daily,” suggesting that the worsening numbers of new cases in the past few days is somewhat unexpected, noting that “the next few weeks will be largely decisive.” In such a situation, Putin continued, “we must consider all the scenarios of how the situation can evolve, even the most complex and extraordinary.”

He warned of the fact that “the peak of the disease has not yet been reached, not even in Moscow” and came to the Ministry of Defense for a Army deployment, if necessary, whose forces, he pointed out, “can and must be used.” What he did not explain is with what specific tasks, although experts already point to the need to set up field hospitals.

On the other hand, the Department of Health of the Moscow City Hall has alerted today about the possibility that a imminent avalanche of sick by coronavirus collapse hospitals. According to the municipal authorities, the doctors work to the limit and in the next two or three weeks there may be a shortage of beds in the health centers of the capital. The statement ensures that more and more clinics are being enabled to receive coronavirus patients, but it may not be enough if the pandemic worsens.

With 2,774 new cases of coronaviruses detected in the last 24 hours, which represents an increase compared to the previous day of 216 infections, the total number of infected in all of Russia stands at 21,102 people, 170 deceased and 1,694 recovered. For its part, Moscow registers 1,489 new infections, 134 more than on Monday, and 95 deaths, 13 more than in the previous part. The total of infected in the Russian capital thus rises to 13,002.

Russian Foreign Minister Sergey Lavrov, for his part, called today “to avoid any attempt to politicize the issue of the coronavirus, something that is seen not only in relation to the WHO, but also in the accusations to which some countries ”, referring to China, which Moscow considers its“ strategic ally ”.

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The risk of relaxing confinement too soon

Madrid

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Researchers of the University of Hong Kong they base their conclusions on data from the spread of the new coronavirus in mainland China.

Their data indicates that drastic control measures which were taken in China they appear to have slowed the first wave of the pandemic in areas outside the Hubei region, the epicenter of the disease.

Even so, “surveillance of the transmission of COVID-19 and its severity is necessary to protect yourself from a second wave of infections», Stresses the study.

The work suggests that in regions outside of Hubei, the epicenter of the pandemic, the rate of reproduction of the coronavirus fell substantially. after the confinement decreed on January 23 and it has been kept below the limit of a new infected for each sick individual.

The coronavirus reproduction ratio fell substantially after the confinement decreed on January 23 and has remained below the limit of one new infected for each sick individual.

The mathematical model they are working with, however, indicates that relaxing the measurements too soon would take to exceed that limit again, which would speed up contagion.

“While these control measures appear to have reduced the number of infections to very low levels, no group immunity against COVID-19, cases may pick up as companies, industries and schools gradually resume their activity, “says Joseph T Wu, of the University of Hong Kong

“Although control policies, such as social distance and behavioral changes, are likely to remain for some time, the best strategy seems to be to search for activates a balance between the reactivation of economic activities and keep the reproduction ratio below one », he adds.

That “balance” of measures should be maintained “until an effective vaccine is generally available,” according to the researcher.

A balance should be struck between reviving economic activities and keeping the reproduction ratio below one.

The figures handled by this group of scientists suggest that the death rate from COVID-19 has so far been substantially higher in the province of Hubei (5.91%) than in the rest of China (0.98%).

The researchers point out that there is a correlation between mortality ratio, GDP per capita and available hospital beds in a region, and suggest that the differences recorded in China may be due to the different degrees of preparedness of the health system.

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there are no food supplements to prevent or cure coronavirus

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In full pandemic for coronavirus, consumer authorities have detected the existence of sellers of Food Complements who try to take advantage of the situation and attribute to their products properties to prevent, treat or cure COVID-19.

The information to which the Spanish Agency for Food Safety and Nutrition (AESAN) has had access, through various EU member states, warns that these sellers try to increase their benefits through nutritional and health claims, unauthorized and prohibited by promoting and selling food supplements.

AESAN reminds consumers that food supplements are foods intended to complement the normal diet. These products cannot attribute properties of preventing, treating or curing a disease human, nor refer at all to these properties.

In consecuense, there are no food supplements to prevent, treat or cure coronavirus infection and, therefore, there can be no product on the market with such claims.

AESAN reminds that food supplements, in order to be marketed in Spain, must be notified. Check here the food supplement base.

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