Review and Analysis of Covid-19 Epidemiology and Clinical Implications

  • things (or more) you learned after reading the file about COVID 19 epidemiology

After reading the resource file on COVID-19 epidemiology and clinical implications, there are number of things have been learnt. First, I learnt that the novel coronavirus conventionally named severe acute respiratory syndrome Coronavirus 2 is a family of viruses that cause Corona Virus Disease (COVID-19). I also learnt that the first death resulting from the disease was reported on 11th January 2020 in Wuhan, China. The 61 year-old male had frequented the Wuhan Market. Another take way point from the file is that Covid-19 spreads through droplet transmission which is passed through sneezing, speech, or sneezing on another person. The virus is then taken in the body through an orifice such as the month, eyes, or nose. Health data estimates that the virus can travel up to about one meter. I also learnt that, 80% of those infected with Covid-19 suffer mild illnesses. Approximately 14% of those infected may suffer from severe diseases requiring hospitalization while 5% of those infected may f all critically ill.

Another important thing learnt from the COVID-19 file is that the U.S., just like other parts of the world, is already past the containment stage where health strategies are put in place to prevent the infectious disease from spreading beyond a small group of people. Additionally, o learnt that ‘flattening the curve’, a phrase describing the objective of minimizing the number of people falling sick at any given time, has become the top priority in most countries. According to the world health Organization (WHO), this strategy is particularly very useful in countries with poorly developed healthcare systems and infrastructure. . Interestingly, the U.S. falls in this category. I also learnt that the reproductive number (R0) for Covid-19 ranges from 1.4 to 4.08, though the number is generally thought to be about 2.2. Reproductive number denotes the number of people that a single person is likely to infect.

From the file, I was able to understand that stopping the exponential growth for Covid-19 requires reducing the number of people exposed and decreasing the probability of spreading the infection. I also leant that the key concerns arising as the fight against the Covid-19 overloaded healthcare systems, lack of Protective Personal Equipment (PPE) and inadequate healthcare workforce. Lastly, it came to my attention that countries that act fact on decreasing transmission can reduce the number of deaths resulting from Covid-19 by a factor of 10.

  • hings (or more) you will be able to use right away

Further to the things I learnt from reading the file on COVID-19, I was able to get some things that I will able to use fight away. First, I will start focusing on decreasing the probability of infection (P) by covering nose and mouth when coughing or sneezing, and washing hands frequently. Secondly, I will start taking measures to reduce the number of people exposed (E) by maintain social distance and avoiding crowded places. At the same time, I am planning to start assessing patients for respiratory infections as a way of detecting Covid-19 early before it is transmitted to other people. Further, I will start initiating strategies that limit patient entry points to the hospitals.

As a way of protecting my patients, those who indicate respiratory symptoms, masks will be provided immediately. Additionally, I plan on advocating for adherence to standard transmission precautions. Particularly, all patients will be stressed on the importance of maintain good health hygiene such as washing hands regularly, or using alcohol based sanitizers. As a healthcare worker, I will make putting on PPE at all times will be a priority. Where possible, telehealth appointments with patients will be provided as a way of avoiding overcrowding healthcare facility. To enhance the fight against COVID-19, extra precautions will be undertaken when performing aerosol-generating procedures. For instance, during vent-care, a N 95 mask will be worn. Lastly, interaction with pets will be minimized, with close contact such as touching being avoided.

  • hings (or more) you want to learn more about after reading the COVID-19 file

The file on COVID-19 elicited some key concerns that I would like to explore more. For instance, I would want to learn more on the measures that were used to contain measles which seemed to have a very high reproduction number of 12 to 18 as compared to Covid-19’s 2.2 Secondly, I would like to explore on whether there is any empirical evidence suggesting that the virus can be transmitted to or from animals such as dogs and cats? Another pertinent question that comes to mind after reading the file is; with the strained healthcare systems in the U.S., what are some of the ways of enhancing capacity especially through safe sharing of facilities? I would also want to learn more on how the public can improvise ways of reducing infection amid the current challenges? For example, using scuffs and bandanas as masks

Another issue that I need to explore after reading the COVID-19 file is concerns some of the community outreach programs that can effectively educate the public on standard precautionary measures. Similarly, learning the strategies that countries such as South Korea have implemented effectively so as to reduce infection transmission rates is a great learning point that I would want to explore more. I will also explore on whether healthcare systems can integrate more digital ways of administering care, especially to mild illnesses? For instance, can prescriptions be administered online and medication delivered to their homes?

Another issue that I would like to explore concerns the measures that can the government put in place to support the vulnerable in the society during this infectious period? As a way of enhancing healthcare capacity during the Covid-19 pandemic, is calling in retired healthcare to assist in healthcare facilities workers a viable option? Lastly, it is my desire to learn more on the measures can be put in place to enhance rapid triage of symptoms considering that the list of symptoms of Covid-19 growing every now and then.