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Update 37 (15Th of September 2020)

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Update 37 (15Th of September 2020) Update 37 (15th of September 2020) Information about Infection disease COVID-19 (novel coronavirus) Force Health Protection Branch FHPB (former DHSC) NATO MILMED COE in Munich 15th of September 2020 email: [email protected] In December 2019, a novel coronavirus emerged in Wuhan City, China. Since then the virus spread to 65 countries including Europe and America. Since then the virus showed evidence for human-to-human transmission as well as evidence of asymptomatic transmission. At 30th January 2020 WHO declared a Public Health Emergency of International Concern. The disease was formally named COVID-19 on 11th of February. The virus itself has been named SARS-CoV-2. On 11th of March 2020 WHO characterized the disease as a pandemic. HIGHLIGHTS/NEWS GLOBALLY • Almost 308,000 people were newly infected with the virus within 24 29 286 445 hours - more than ever before in one day. The biggest increases were in confirmed cases 19 894 800 recovered India, the USA and Brazil. 929 123 deaths • GPMB: According to the report of the Global Preparedness Monitoring Board, the world is doing too little to prepare for the next pandemic after EU/EEA and the UK Corona. This will "definitely" come and be even more dangerous. If the 4 444 634 confirmed cases correct conclusions are not drawn from the fight against the corona 2 426 750 recovered pandemic, "then the next pandemic will be even more devastating". 220 636 deaths • EU: The applications of the European corona apps are to be made USA → compatible. The EU Commission announced in Brussels that the test (new cases/day 34 999) phase of a corresponding interface started on Monday. The official apps 6 513 710 from Germany, the Czech Republic, Denmark, Ireland, Italy and Latvia confirmed cases can now communicate with each other using a server located in 2 472 123 recovered 193 944 deaths Luxembourg in order to warn users across borders. Brazil ⭧ • WHO: Across 17 districts in Banadir, Somalia over 3,000 health care (new cases/day 27 562) workers conducted a 5-day campaign targeting the vaccination of 4 345 610 400.000 children under the age of five against measles and polio as well confirmed cases as offering vitamin A and deworming tablets. In addition, health care 3 770 138 recovered workers shared information with families on how to prevent the future 132 006 deaths India → spread of COVID-19. (new cases/day 91 688) • WHO: The first meeting of the International Health Regulations (IHR 2005) Review Committee on the functioning of the IHR during the 4 930 236 confirmed cases COVID-19 pandemic was held this week. The committee will review the 3 859 399 recovered functioning of the IHR during the COVID-19 response. 80 776 deaths • WHO: has published interim guidance for countries who are considering Russia → (new cases/day 5 301) the integration of rapid immunoassays into COVID-19 outbreak management programs and has also revised guidance on diagnostic 1 069 873 confirmed cases testing for SARS-CoV-2 which provides more background information 881 693 recovered on clinical diagnostic algorithms and new findings from the literature and 18 723 deaths best practices. Spain ⭧ (new cases/day 9 740) 593 730 confirmed cases 150 376 recovered 29 848 deaths Page 1 of 33 Please click on the headlines to jump into the document Table of Contents HIGHLIGHTS/NEWS ................................................................................................................................................................ 1 Map of countries with reported COVID-19 cases (last 7 days) ................................................................................................ 3 Worldwide Situation .............................................................................................................................................................. 4 Global Situation ......................................................................................................................................................................... 4 Situation in Europe ................................................................................................................................................................... 14 Subject in Focus ................................................................................................................................................................... 21 Risk of COVID-19 infections in rooms – Study on room air purifiers ........................................................................................ 21 Conflict and Health .............................................................................................................................................................. 24 COVID-19 Crisis in Afghanistan ................................................................................................................................................ 24 MilMed CoE VTC COVID-19 response ................................................................................................................................... 27 Topic ......................................................................................................................................................................................... 27 National overview on current COVID-19 situation ................................................................................................................... 27 Recommendations ............................................................................................................................................................... 28 Recommendation for international business travellers ........................................................................................................... 28 Risk Assessment ................................................................................................................................................................... 32 Global ....................................................................................................................................................................................... 32 Europe ...................................................................................................................................................................................... 32 References: .......................................................................................................................................................................... 32 Disclaimer: ........................................................................................................................................................................... 33 Back to Top Page 2 of 33 Map of countries with reported COVID-19 cases (last 7 days) Worldwide Situation Global Situation COVID-19 and the younger ones A recent publication from the USA describes the course of COVID-19 in 3222 young, adult patients (age 18-34 years old) in April, May and June of this year. 1030 US hospitals were included and a total of 8 million patient admissions were evaluated. The study population ultimately comprised the named 3222 non-pregnant young adults from 419 US clinics. The average age was 28.3 years. Patients: Approx. 58% were male, 57% were black or Hispanic. About 35% were obese, 25% pathologically obese, 18.2% had diabetes, and 16% had hypertension. Results: 21% became intensive care, 10% had to be ventilated mechanically and ultimately 2.7% died (which corresponds to about twice as high a mortality as heart attacks in this age group). The average length of stay on the ITS was 4 days. Those who survived inpatient treatment were transferred to a post-acute treatment facility. The statistical probability of having to be ventilated or even to die increased - as in the end also with older patients - due to pathological obesity and high blood pressure, especially in men - belonging to a certain origin was not of significant importance. 41% of the deceased or ventilated patients were pathologically obese. Diabetes was associated with the risks, but not statistically significant. Patients with multiple risk factors (morbid obesity, high blood pressure and diabetes) had similar risks for the serious course as the older age group (35-64 years). Back to Table of Contents Back to Top Page 4 of 33 The shift from older adults to younger adults can be seen in almost all countries. For example see the current age distribution of COVID-19 cases in Belgium (left) and France (right) in the pictures below: In Germany, according to the Robert Koch Institute, more than 90,300 people up to 34 years of age have contracted the corona virus. After all, they make up a third of the infections recorded. However, they die far less often from the consequences. So far, two deaths among under 20-year-olds have been reported nationwide, both of whom had previous illnesses. A further 34 deaths are known in the age range of 20 to 39 year olds. It is estimated that a 25-year-old has a 250 times lower risk of dying from COVID-19 than an infected 85-year-old. But death does not mean risk. The recent study from the USA shows that younger people can also get seriously ill with COVID-19 - the US data also match the first surveys from Germany. Back to Table of Contents Back to Top Page 5 of 33 In a study by the AOK (one of the biggest German health insurance companys) with a total of more than 10,000 COVID-19 patients who had to be treated in hospital, only about 3% were between 18 and 29 years old. But at least 6.3%
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