it affects not only the lungs, but the whole body

The first 10 days after the onset of symptoms of the disease, the 38-year-old American was feeling quite well. He was not at risk; he had no chronic diseases.

– The man was examined, the disease was mild. The patient had a slight cough. Therefore, he was sent home for treatment, ”says the head of the Department of Vascular Surgery at Westchester Medical Center Sean Wengerter.

And then the incredible happened.

One morning, a man woke up with icy and numb legs. The body was constrained by terrible weakness; there was not even the strength to get out of bed.

The examination showed that the patient had aortic occlusion – a large blood clot formed in the main artery at the place where the artery diverged in two directions – to the right and left leg. Because of this clot, blood enriched with oxygen did not enter the iliac arteries.

“This is extremely dangerous.” From this can die from 20% to 50% of patients, – notes Vangerter. – But such things are not typical for 38-year-olds.

An emergency operation to remove a blood clot could save the patient’s life. But doctors working with patients with COVID-19 are everywhere faced with rather strange and frightening phenomena in infected patients. For example, the formation of blood clots (actually blood clots) of various sizes throughout the body, renal failure, inflammation of the heart muscle and malfunctions of the immune system.

“Coronavirus occurs in each patient in its own way,” notes Scott Brackenridge, associate professor of emergency surgery at the College of Medicine at the University of Florida. – In some cases, the patient has a problem with breathing, in others, the internal organs begin to fail. In children, the immune system as a whole begins to rebel.

Coronavirus is not just a respiratory diseasePhoto: Ivan MAKEEV

MYSTERIOUS STROKES

A new type of coronavirus is considered to be a respiratory virus, although it is already becoming obvious – the infection affects the entire human body. The most common symptoms are fever, pneumonia, and acute respiratory distress syndrome.

In this case, the virus attacks some organs directly. First of all, the mucous membrane of blood vessels, which entails unnatural coagulation of blood.

– COVID-19 provokes a local inflammatory reaction that leads to the formation of blood clots, – explains Wengerter. – This is due to the direct effect of the virus on the arteries.

A number of doctors recorded strokes in young patients with coronavirus, as well as the formation of blood clots in the lungs. Blood clots were found even in the smallest vessels.

“Since each organ feeds on blood vessels, and the virus attacks them first and foremost, we end up with damage to internal organs,” adds Dr. Scott Brackenridge.

Another serious symptom that is observed in some patients who become ill with the new coronavirus is the “co-fingers.” The infected toes swell, becoming red or purple. It is possible that the reason for this is blockage of blood vessels. But doctors say that usually this does not have serious consequences.

Kawasaki Syndrome

One of the most alarming reactions to COVID-19 is observed in children. It has already been named as a children’s multisystem inflammatory syndrome. In newYork Doctors have identified more than 100 cases.

This syndrome is characterized by a rather long fever, inflammatory process, malfunction of one or more internal organs, as well as the general condition, which is usually observed with shock. Pediatricians also compare these symptoms with the syndrome. Kawasaki.

Kawasaki syndrome is a rare disease that affects children aged 3 to 10 years. It is characterized by damage to the medium and small arteries, thrombosis, the formation of aneurysms and rupture of the vascular wall. Cases of infection are rare. However, recently, doctors have noted an increase in the number of patients with this syndrome.

Both childhood multisystem inflammatory syndrome and Kawasaki syndrome lead to an overly aggressive immune system response to coronavirus. This may be accompanied by inflammation of the blood vessels and heart muscle.

KILLER CELLS

However, scientists note that coronavirus is not able to cause a strong immune response, but, on the contrary, suppress the entire immune system. And this can allow the infection to freely attack the internal organs.

Partly this theory was confirmed by Chinese experts, led by Dr. Zhang Zhang. Scientists analyzed samples of immune cells taken from the lungs of 9 patients infected with coronavirus. The results of the study showed an abnormally high level of leukocytes – macrophages and neutrophils responsible for the destruction of harmful pathogen – in severe patients. At the same time, these patients had a rather low level of CD8 T cells, which are called killer cells. They are responsible for killing virus-infected cells.

But doctors are reassuring, noting that they have drugs that can thin the blood, and also help the work of white blood cells that resist infection.

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Sergey Mardan: In the USA, the clinic would simply go broke if the ventilator apparatus exploded and people died

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Five skin problems that may be a symptom of coronavirus | NEWS.am Medicine

Coronavirus infection can be manifested not only by coughing, fever and shortness of breath, but also by dermatological symptoms, and scientists are not the first to talk about this.

Recently, the US Centers for Disease Control and Prevention (CDC) has expanded the “official” list of symptoms of coronavirus, including skin problems. The scientists called the variety of symptoms a sign that the new coronavirus has wide variability, unpredictability in its ability to affect individual patients.

“If any of the following 5 warning signs appears on your skin, it could mean that you are in danger,” said Dr. Ebbing Lautenbach of the Perelman School of Medicine at the University of Pennsylvania.

Together with colleagues, the scientist identified a number of deratological signs of possible infection:

  • tingling sensation throughout the body,
  • red rash, spots that resemble hives,
  • a burning sensation of the skin, flaming areas on it,
  • increased skin sensitivity
  • itching

According to scientists, patients with coronavirus infection who experienced skin problems were described as unusual – discomfort was extremely strong, painful. For example, their skin sensitivity was so aggravated that the pain arose due to contacts with the most harmless things, for example, when covering a sheet. Also, the patients experienced symptoms similar to electric shock, burns.

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They claim that Kim Jong Un is in “serious danger” after a surgery

The leader of North Korea,Kim Jong Un, I would be in“grave danger”after undergoing surgery, according to US intelligence sources quoted on Tuesday by CNN television.

In this sense, the South Korean newspaper ‘Daily NK’, specialized in North Korean affairs, has pointed out that Kim was under treatment after having undergone acardiovascular operation on April 12.

“Kim had suffered from inflammation of the blood vessels that affected the heart since last August, but her condition worsened after she recently made several trips to Mount Paektu,” this newspaper quoted one of its sources as saying.

The intervention of Kim, he added, has also been possible due to the causes derived from hisbad eating and health habitsas well as for a“work overload”.

For their part, the authorities ofSouth KoreaThey have preferred to wait for now and have not commented on it.

The last time Kim made a public appearance was April 11. Four days later there was speculation about his health after he was not present at the most important holiday in the country, that of April 15, when the anniversary of the birth of North Korea’s founding father, Kim Il Sung, is commemorated. , his grandfather.

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Coronavirus: what are the implications for cancer patients?

Grandstand. With the coronavirus, we are living much more than a health crisis. It is also a test of resistance for our health systems, even for the countries considered as “best ranked” by the various evaluation institutes or bodies. The indicators used, such as economic performance criteria, minimization of the cost of production, satisfaction of a standard of equity specific to each company, now appear to be poorly calibrated and insufficient in the face of such an epidemic crisis. As this pandemic progresses, we understand less the absence of indicators relating to the conditions of practice of those who provide care and to their dedication.

The fight against Covid-19 goes beyond a fight against the epidemic. It is also a struggle to maintain care for other chronic or acute pathologies that have not disappeared during this epidemic period. No one can also conceal the social and economic consequences, possible obstacles to access to care for all. An estimated 3.5 million French people are affected by cancer in France and 382,000 new annual cases in 2018, i.e. around 1,450 new cases diagnosed every day of the week. The Minister of Solidarity and Health regretted that cancer screenings were no longer carried out, “Calling the French” to return to their doctor for these diagnostic procedures. This announcement is important but may not be sufficient or essential to avoid the potential serious consequences of delayed or unannounced diagnoses, treatments degraded by necessity, renunciations of care or the interruption of inclusions in therapeutic trials.

A national strategy to be implemented

It would now be necessary to quickly implement a coordinated national strategy with a coherent territorial variation adapted to the local epidemiological and health situation, even when efforts are made to limit the spread of the virus by containment and barrier measures. The paradox of our society overdone with inflationary regulations and saturated with organizations of all kinds, but which ultimately finds it very difficult to organize or impose cooperation in this unprecedented context. Yet we have entered a period when things that once seemed impossible are inevitable.

Read also “My confinement started in January, when the pain put me in bed”

Since the epidemic crisis and the post-containment period are expected to last several months, the fear of the medical community with which I associate and of the nursing staff of my establishment specialized in the fight against cancer is that we are faced with a first “wave” of more serious cases than before linked to deferred care. After this period of crisis, the duration of which no one can seriously determine, health facilities that have been under tension for many years may find it difficult, especially if they have been considered as “Covid-19 hospitals”, to be absorbed into reasonable times the care of patients awaiting treatment as well as the flow of patients with newly diagnosed cancer reintegrating a course of care. It will most certainly take months to restore optimal organization. In addition, even if the epidemic crisis ends, the deterioration of the economy could accentuate inequalities with all its consequences on access to healthcare, particularly in the case of cancer.

Towards an increase in mortality?

For breast cancer, the most frequent cancer in women, whose annual number of new cases is estimated at 54,000 in France, the surgical management of patients with favorable prognostic criteria has been postponed, in accordance with the opinion of the High Council of Public Health available from mid-March and on the recommendations of learned societies. Even if these are remarkable recommendations which are unanimous during this period, it should not be forgotten that these are expert agreements for degraded care which should not last, at the risk a loss of luck for patients with even cancer said to have a good prognosis. Other examples could be taken, such as pancreatic cancer, the incidence of which has more than doubled over the past twenty years and whose unfavorable prognosis means that any delay in diagnosis by limiting access to radiology services, that any delay in surgical management due to the absence of an available operating theater or access to post-operative resuscitation could inevitably lead to an increase in mortality.

The Lombardy region of Italy, very affected as everyone knows by the pandemic, has managed to organize itself to maintain adequate care for cancer patients during this epidemic plague. Several platforms (HUB centers) have been set up, dedicated solely to the treatment of cancer patients (including the European Institute of Oncology and the National Cancer Institute in Milan). They receive newly diagnosed surgical candidates from area hospitals more dedicated to treating Covid-19 patients. These Covid-19-free cancer hospitals can continue to care for cancer patients even if they are small cancers with good prognosis.

This attention-grabbing pandemic should not make us lose our minds. After having wagered on economic performance for years, we suddenly moved on to the almost exclusive total fight against the Covid-19. It must be remembered that there is a middle way in everything that avoids extreme attitudes while preserving the future.


Emmanuel Barranger Surgeon oncologist, director general of the Center for the fight against cancer Antoine Lacassagne, Nice (Fédération Unicancer)

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“It breaks our hearts”

Erin was born with a heart defect. Today, she has Covid-19, which causes her serious breathing problems. Her mom Emma Bates shared a poignant photo of her daughter who has been on a ventilator since Friday.

The six-month-old baby is hospitalized at Alder Hey Children’s Hospital in Liverpool, UK. “It breaks my heart to tell you that Erin has tested positive for the coronavirus,” his mom wrote on the social network. “Last night, she had trouble breathing. We risk losing it again. ”

Only one of Erin’s parents is allowed to stay with her in the hospital. So Emma, ​​29, watches over her. Her father, Wayne, is in quarantine because he had symptoms of Covid-19.

“If I start to experience symptoms too, I will be taken to another hospital and Erin will be alone here,” said the mother. “She needs her mom and dad.”

Both parents are nevertheless convinced that their little girl will overcome the disease: “She has already been so strong in the past, we think that she will still be today”.

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Resuscitation drugs: “We fear a shortage of stocks”

Damien Roux, university professor and hospital practitioner of intensive resuscitation medicine, works in the medical and surgical resuscitation department of Louis-Mourier Hospital (AP-HP), located in Colombes, in the Hauts-de-Seine. As of last weekend, this doctor was responsible for reflecting – in collaboration with other colleagues from the Public Assistance taking care of Covid-19 patients – on the means of optimizing the use of drugs in the services of resuscitation, due to the ever increasing number of serious patients. “The aim was to anticipate the overconsumption of certain drugs in the same way that we have been trying to increase the number of nurses for the past month»He explains. Except that a week later, the fear of an imminent shortage of certain molecules became a reality in Ile-de-France. “Despite our prospects and our vigilance on the issue, it is clear that suppliers and manufacturers are no longer able to monitor the consumption of drugs or certain medical devices in our hospitals.He warns.

AP-HP Director General Martin Hirsch acknowledged at a press conference on Friday that “stocks are very short on certain drugs.“This Saturday evening, it’s Edouard Philippe who admits the existence of”supply tensions here and there” “We regulate them by ensuring the circulation of these products throughout the territory, because there are stocks. We guarantee it by making sure to encourage increased domestic and global productionAdded the Prime Minister. Update with Professor Roux.

What is the situation of Louis-Mourier resuscitation service today?

We fear the beginning of a stock shortage for the end of the weekend. We have visibility over two days. That is to say, we are not sure that our internal pharmacy will be able to supply us with all of the drugs necessary for optimal patient management. There is great concern because it is very likely that the AP-HP central pharmacy, despite all its efforts, may not be able to meet the demands of all hospitals and that we will end up with shortages during the restocking. This shortage situation is new but ultimately quite logical. Instead of having a variety of patients who require very different treatments, resuscitation services are currently finding themselves with a majority of Covid + patients who need the same molecules. It is this quantity of identical patients, hitherto unknown in our units, which causes the drug shortage.

Which families of molecules are likely to be lacking?

There is a strong tension on hypnotics. These are the molecules we use to keep patients in sleep in intensive care. The equation is therefore simple: if we run out of stocks, we will no longer be able to take care of new patients. It’s a real danger. We also fear a rapid shortage of curares, which allow the patient, once asleep, to prevent him from moving and therefore consume less oxygen. Curares are necessary because they allow these patients with acute respiratory distress syndrome (ARDS) to be completely ventilated by the ventilator. The last other concern concerns antibiotics. As we speak, I do not believe that an AP-HP hospital is lacking. But there is a risk of overconsumption in the days and weeks to come, because these serious patients in intensive care are at high risk of nosocomial infection. As you can see, the supply of these three groups of molecules is essential to save lives.

Your working group’s mission was to think of new protocols to save your stocks. A summary of your recommendations is currently being sent to all AP-HP hospitals. What does it contain?

At this stage, we propose an optimization of the sedation protocols in order to limit any use which is not absolutely necessary. A close relationship between the pharmacy and the resuscitation service is also necessary in order to anticipate any shortage of a molecule to refer to another close molecule. We also underlined the interest of associating other molecules making it possible to reduce the quantity of usual molecules to be administered. More specifically for sedation, one of the recommendations would also be to use the usual method of anesthesia in the operating room. It is a procedure that uses halogenated gases to put people to sleep and that we never use in most resuscitation services. This technique would also limit the use of curares.

At Louis-Mourier Hospital, where are you with your stock of syringe pumps, which allow the infusion of treatments? Some hospital structures already seem to be lacking…

We did the drawer bottoms and requisitioned all the units a little to find as many as possible. But indeed, faced with the impressive influx of resuscitation patients, we had to resolve to work with fewer electric syringe pumps per patient. For the moment, it does not degrade the quality of care but it causes discomfort in work for nurses who must regularly move this type of equipment from one room to another. Unless suppliers, especially Chinese, can quickly send us a large quantity of electric syringe pumps, we will have to modify the way we administer treatments to patients using less precise techniques.


Anaïs Moran

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Fernndez Vara presided over the tribute to Dr. Val-Carreres in Olivenza

The Olivenza Bull Fair has paid homage to Dr. Carlos Val-Carreres, for his professional and human career and for his dedication and delivery to bullfighting, in which thePresident of the Board of Extremadura, Guillermo Fernndez Vara, and the mayor of Olivenza, Manuel Gonzlez Andrade along with many familiar faces of the bullfighting world.

The bullfighter,Roberto Domnguez, personal friend of the honoreeHe has been in charge of presenting it and making a profile of someone “with a great sense of humor, intelligent and committed to his profession”. Domnguez has remembered the years in which he began his friendship with Doctor Val-Carreres, there in the early 1990s and has declared his utmost admiration for him.

The Union of Bullfighters and the Union of Banderilleros and picadores have joined this well-deserved tribute, giving the doctor two plates as a souvenir.

Dr. Val-Carreres is one of the greatest experts in bullfighting surgery in Spain, considered by many as the ‘number 1’. Carlos Val-Carreres has had great bullfighting figures in his hands that have suffered very serious catches, such as Juan Jos Padilla, who suffered a grenade that left him with no vision in his eye, or El Juli, to whom a grenade dissected part of the musculature and the femoral veins. Both, along with El Tato and Antonio Barrera have not wanted to miss this much-deserved tribute to a sage, Dr. Val-Carreres.

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The tooth hurts, deputy sheriff of insurance pains – NBC 7 San Diego

Gerry Bedard had nothing to fear but the fear of getting a root canal. Encinitas’ retired sheriff’s deputy had purchased dental insurance from a third-party insurance provider.

But when it came time to schedule surgery in February last year through Delta Dental, Bedard experienced a new type of pain. The company claimed that its plan does not cover root canals.

“Most dental companies cover 50 percent of a root canal. It’s pretty typical, ”Bedard told NBC 7 Responds. “It’s still a lot of money, but at least it covers 50 percent.”

The pain was too difficult for Bedard to handle, so he continued the procedure.

Weeks later, Bedard claims to have received another surprise in the mail.

“When we got the bill, he said the insurance would only pay $ 109,” said Bedard.

This meant that the pair was out of nearly $ 1,300.

Bedard called Delta Dental and said that he was eventually told that his dental insurance plan was for a child, not an adult.

The problem was Bedard and his wife had no children, let alone children.

“My wife and I are over 60,” said Bedard. “We don’t have children, we haven’t registered children, but somehow we bought a plan just for children.”

After months back and forth, Bedard decided to call NBC 7 Responds to clarify things.

“At this point we were completely in a dead end. We had nowhere to go and we would have been out $ 1300 dollars, “Bedard told NBC 7.

NBC 7 replied to Delta Dental. A few weeks later Bedard received some much-needed news.

“They would refund us the full amount of the root canal which was over $ 1,200,” Bedard said. “I don’t like injustice. And justice is something I fought to be a retired deputy sheriff. Injustice really keeps me going. But NBC 7 Responds made a difference. ”

Delta Dental did not respond to a request for comment.

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New Rangers corners with 3B Frazier, Bird Competing at 1B – NBC 5 Dallas-Fort Worth

Todd Frazier and Greg Bird are at opposite corners for the Texas Rangers and at different stages of their career.

Frazier clearly wasn’t the best third base choice for the Rangers, considering their well publicized search for the best free agent Anthony Rendon this season. But the former two-time All-Star can provide some veteran stability after six different players started on the hot corner for Texas last season after Adrian Beltre retired.

“I’m just trying to be who I am, and I’m trying to maintain that position,” said 34-year-old Frazier, with his fifth team and going into his tenth season in the league. “So for me, play with the defense I know, focus on guiding the boys and the rest will take care of themselves.”

27-year-old Bird signed a non-roster deal before spring training, giving him the opportunity to compete to become the first Ranger baseman after suffering from a string of injuries over the past five years with the New York Yankees.

“He’s an awesome, awesome guy,” said Ranger manager Chris Woodward. “His approach to the pot does not swing the balls, which is good for me. But even when he is hit, he does a lot of damage. And talking to him, that mentality obviously corresponds to the performance on the field.”

Teammates during the second half of the 2017 season with the New York Yankees, Frazier and Bird now have lockers next to each other in the Rangers spring training clubhouse in Surprise, Arizona.

Frazier has spent the past two seasons with the New York Mets. Bird only played 82 games for the Yankees in 2018 after ankle surgery, so he was limited to 10 games early last season before being sidelined by a plantar laceration in his left foot.

The Rangers knew that it would not be easy to replace Beltre. The four-time All-Star and five-time Gold Glove winner with 3,166 career hits retired after the 2018 season instead of playing in his 40s.

Asdrubal Cabrera, a former two-time short-stop All-Star, was signed last season and moved to third base. He filled that place until it was released shortly after the commercial deadline, so he played mostly second base for the rest of the season for the Washington Nationals World Series champion.

After Rendon left the Nationals and opted for a seven-year deal with the Los Angeles Angels in the early stages of free agency, the Rangers were consistently cited as possible landing points for Nolan Arenado from Colorado or Kris Bryant from the Chicago Cubs when it appeared that one of those three All-Star bases could be exchanged.

Frazier signed a $ 3.5 million deal with the Rangers in mid-January for this season that includes a club 2021 option with a $ 1.5 million buyout.

“Todd, he’s been around for a while and brings a lot of energy, a lot of passion to the game,” said Woodward. “It represents a lot of what we preach internally, just his attitude. … He wants to win. He wants to take him every day to the clubhouse. He is relentless.”

His right arm became a free agent in November when he turned down a final assignment for Triple-A, and was somewhat surprised by an offer from the Rangers.

But Texas had five different players starting at first base last season. Ronald Guzman, a young left-handed who is a strong defender, had the most starts with 72, but only hit .134 against left-handed players. General Manager Jon Daniels said Bird was signed up to compete for the job, not just to be part of a platoon situation.

Bird had played a few games in the Dominican Republic this winter, in what he called a normal offseason.

After 11 home games in 46 games for the Yankees when he made his big league debut in 2015, Bird lost all of 2016 following surgery to repair a torn lip in his right shoulder before his foot was injured in the past three seasons.

“One thing that teaches you is patience. Definitely something I’ve had more than one check after each time strangely,” said Bird. “It drives you crazy while you try, to be honest … you learn patience, you learn to work with what you have, you learn a few days that will not be what you want, but you have to deal with that. And, you know, keep smiling and goes on. ”

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The latest spread of COVID-19 is ‘worrying’

Indications that COVID-19 could pass from person to person without symptoms were described as “worrying” by experts on Monday.

Italy has experienced a surge in cases of the new coronavirus.

Several Venetian and Lombard communities were in “blockade” as the authorities tried to limit the spread of the virus. The Venice carnival was interrupted.

Elsewhere, the health authorities of South Korea and Iran were trying to contain the outbreaks of the virus.

Dr Simon Clarke, associate professor of cell microbiology at the University of Reading, said: “Over the weekend we saw new cases of coronavirus infection in Asia and now in Europe.

“Worryingly, it appears that the virus can pass from person to person without symptoms, making it extremely difficult [to] track, regardless of what health authorities do.

“While it remains the case that most people who get infected will exhibit mild or completely absent symptoms, such uncontrollable spread would pose a serious risk to vulnerable individuals.”

He was commenting, along with other experts, through the Science Media Center.



Health authorities need to prepare for impact

The teacher. Devi Sridhar, director of the Global Health Governance Program at the medical faculty of the University of Edinburgh, said that “the window of opportunity to contain the epidemic is closing rapidly”.

He warned that there has been “a profound change in the direction that COVID-19 has been taking in the past 48 hours” and that “what is happening in Italy, South Korea and Iran could happen anywhere in the world”.

The professor. Sridhar Health told the Science Media Center (SMC) that health systems should “prepare for the impact that the increase in COVID-19 patients will have on ICU services and ensure that systems are in place to maintain services for the other range of health challenges for their populations. “

Passenger test of cruise ships positive

The latest warnings came when four cruise ship passengers flew to the UK on Saturday and tested positive for COVID-19.

It brought the total number of cases in the UK to 13, the SSN said.

The four, who caught the virus on the Diamond Princess ship, docked in Japan, were between 30 British returnees and two Irish citizens who were taken to Wirral’s Arrowe Park hospital to begin a 14-day isolation period.

Patients with confirmed infection were transferred from Arrowe Park to specialized NHS infection centers, confirmed prof. Chris Whitty, English Chief Medical Officer, on the weekend.

Two patients were reportedly in the Royal Hallamshire in Sheffield, one in the Royal in Liverpool and a quarter was transferred to the Royal Victoria Infirmary in Newcastle.

Professor Keith Neal, an emeritus professor of infectious disease epidemiology at the University of Nottingham, explained to SMC: “The UK authorities have brought passengers home because they would have continued to risk staying on board the ship. These people infected will be kept in isolation and will not pose any risk to the British public. “

Dr Nathalie MacDermott, an academic clinical professor at King’s College London, said: “It is not surprising that some British passengers repatriated from the Diamond Princess cruise ship have tested positive for SARS-COV2. It was evident during the past the week that the ship’s quarantine failed, as there was an increasing number of COVID-19 identified on board every day, which is why the UK government reasonably requested an additional 14-day quarantine period for repatriated passengers “.

Janelle Holmes, CEO of the WSral University Teaching Hospital NHS Foundation Trust, praised the staff for facing “exceptional circumstances in evolution”. He said: “We have always had a plan for this eventuality – and this has been successfully accomplished.

“I want to repeat and reassure that we are continuing to work with national PHE experts [Public Health England] at all times and are on site, together with local infection control experts and other healthcare professionals. “

Home test kits

The NHS has announced that it has launched the pilots of the home test kits for coronavirus. Evidence would mean that NHS staff could visit people in their homes, making patient travel unnecessary.

Professor Keith Willett, NHS strategic director of accidents for coronavirus, said: “We have started piloting home tests for coronavirus in London, which will be carried out by NHS staff, such as nurses or paramedics, allowing people to to stay at home instead of having to travel, which is safer for you and your family and limits the spread of the infection.

“Anyone concerned about signs and symptoms should continue to use NHS 111 as their first point of contact – they will tell you exactly what you need to do and, if necessary, the right place to be tested.”

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