An infection with a novel coronavirus has been reported from China. As on 11th January, 2020, 41 confirmed cases have been reported so far, of which one has died. Only travel related cases have been reported (one each) in Thailand and Japan. The clinical signs and symptoms are mainly fever with a few patients having difficulty in breathing.
The mode of transmission is unclear as of now. However, so far there is little evidence of significant human-to-human transmission.
Although as per World Health Organization’s risk assessment the risk for global spread has been stated as low, as a matter of abundant precaution, the travellers to China are advised the following:
- Travellers to China should follow simple public health measures at all times as under:
- Observe good personal hygiene
- Practice frequent hand washing with soap
- Follow respiratory etiquettes – cover your mouth when coughing or sneezing
- Avoid close contact with people who are unwell or showing symptoms of illness, such as cough, runny nose etc.
- Avoid contact with live animals and consumption of raw/undercooked meats
- Avoid travel to farms, live animal markets or where animals are slaughtered
- Wear a mask if you have respiratory symptoms such as cough or runny nose
- All travellers to China (in particular Wuhan city) to monitor their health closely.
- If you feel sick and have fever and cough:
- Cover your mouth while coughing or sneezing
- Don’t plan travels if sick
- Seek medical attention promptly
- If you feel sick on flight, while traveling back to India:
- Inform the airlines crew about illness
- Seek mask from the airlines crew
- Avoid close contact with family members or fellow travellers
- Follow the directions of airline crew while disembarking
- If you feel sick on flight or at the time of disembarkation:
- Report to airport health authorities/immigration
- Follow the direction of the airport health officer
- If you feel sick with in a span of one month after return from China:
- Report the illness to the nearest health facility and also inform the treating doctor regarding your travel history
Dr. Harsh Vardhan, Union Minister of Health and Family Welfare has been closely monitoring the situation after the reports of 41 confirmed cases of novel Corona virus (nCoV) including one death from Wuhan, China on 5th January, 2020. According to WHO, the situation is still evolving and preliminary investigations suggest link to the sea food market. Coronaviruses are large family of viruses, which cause illnesses to people and also circulate in animals including camels, cats and bats. Rarely, animal coronaviruses can also evolve and infect people.
Ms Preeti Sudan, Secretary (HFW), Government of India is regularly reviewing the public health preparedness in the country since the news broke out. As directed by the Health Ministry, meetings of the Joint Monitoring Group (JMG) were convened under the Chairmanship of Director General of Health Services (DGHS) on 8thand 15th January, 2020 with representations from various stakeholders (health and non-health sectors) and WHO.
Secretary, (HFW) stated that “the public health preparedness is being reviewed on day-to-day basis and the core capacities to timely detect and manage importation of the nCoV into the country are being strengthened further”. She mentioned that the situation is being monitored in consultation with WHO and keeping in view the limited human to human transmission the risk at global level is perceived to be low.
However, as a matter of abundant precaution the Ministry of Health has instructed screening of international travellers from China at designated airports namely, Delhi, Mumbai and Kolkata through thermal scanners. In coordination with Ministry of Civil Aviation, in-flight announcements are also being made. A travel advisory has also been issued to the passengers travelling to and from China on the issue. A copy of the same is also available on the Health Ministry website.
The Health Ministry has issued necessary directions to all concerned on laboratory diagnosis, surveillance, infection prevention and control (IPC) and risk communication. Integrated Disease Surveillance Program (IDSP) is geared up for community surveillance and contact tracing. The NIV Pune, ICMR Laboratory is coordinating the testing of samples for nCoV in the country. The hospital preparedness with regard to management and infection prevention control facilities has been also reviewed during high level meetings and advisories, and IPC Guidelines have been shared with the States. Adequate stocks of logistics including PPE is available. State governments have also been advised on the necessary precaution to be taken up on the issue. Ministry of Health is also in touch with Ministry of External Affairs, and the immigration officers at the said airports have been sensitized.