Global & Disaster Medicine

Archive for March, 2020

Alternative Care Sites in Italy


EPI UPDATES from Johns Hopkins Center for Health Security: March 13, 2020

The WHO COVID-19 Situation Report shows a total of 125,048 confirmed cases (4,613 deaths) worldwide.

There have been 6,729 new cases in the past 24 hours.

French Polynesia, Turkey, Honduras, and Cote d’Ivoire have all reported their first COVID-19 cases in the last day.

The Johns Hopkins Center for Systems Science and Engineering (CSSE) dashboard is reporting 137,066 cases and 3,337 total deaths as of noon today.

Iran’s Ministry of Health reported 1,289 new cases of COVID-19 and 85 new deaths, bringing the total there to 11,364 cases and 514 deaths.

The Italian Ministry of Health reported a total of 12,839 cases and 1,016 deaths.

The Singapore Ministry of Health reported 200 total cases, of which 103 are currently hospitalized and 11 are in critical condition.

Spain reported a total of 4,209 cases and 120 deaths.

The US CDC reported a total of 1,215 cases and 36 deaths across 42 states and Washington, DC. Of those cases, 125 are travel-related, 102 are close contacts of known cases, and 988 are still under investigation.

COVID-19 and Italy, 3/11/20

Italy’s Ministry of Health has reported a total of 10,590 cases, including 827 deaths nationwide.

The Italian government also announced additional social distancing measures, including the closure of non-essential businesses nationwide. Only stores that “sell basic necessities” (e.g., food and gasoline) will remain open; other stores must close.

Restaurants and bars will be closed, but food delivery services will remain active. Essential services such as laundry and funerary will remain available, but other businesses in the service sector such as hairdressers and barbers will be closed. Banks, post offices, and government offices will remain open as will industries necessary to maintain the national supply chain.

The government is encouraging those who can work from home to do so….”

Johns Hopkins Center for Health Security.

See the source image

WHO SitRep, 3/11/20 fore COVID 19


total and new cases in last 24 hours

Globally  118 322 confirmed (4623 new)       4292 deaths (280 new)

China 80 955 confirmed (31 new)    3162 deaths (22 new)

Outside of China 37 367 confirmed (4592 new)    1130 deaths (258 new)      113 countries/territories/                areas (4 new)


China Very High

Regional Level Very High

Global Level Very High


Coronavirus outbreak: U.S. House Homeland Subcommittee hearing on federal response

New Rochelle & Cuomo

The World Health Organization has declared COVID-19 a global pandemic

WHO Director-General’s opening remarks at the media briefing on COVID-19 – 11 March 2020

11 March 2020

Good afternoon.

In the past two weeks, the number of cases of COVID-19 outside China has increased 13-fold, and the number of affected countries has tripled.

There are now more than 118,000 cases in 114 countries, and 4,291 people have lost their lives.

Thousands more are fighting for their lives in hospitals.

In the days and weeks ahead, we expect to see the number of cases, the number of deaths, and the number of affected countries climb even higher.

WHO has been assessing this outbreak around the clock and we are deeply concerned both by the alarming levels of spread and severity, and by the alarming levels of inaction.

We have therefore made the assessment that COVID-19 can be characterized as a pandemic.

Pandemic is not a word to use lightly or carelessly. It is a word that, if misused, can cause unreasonable fear, or unjustified acceptance that the fight is over, leading to unnecessary suffering and death.

Describing the situation as a pandemic does not change WHO’s assessment of the threat posed by this virus. It doesn’t change what WHO is doing, and it doesn’t change what countries should do.

We have never before seen a pandemic sparked by a coronavirus. This is the first pandemic caused by a coronavirus.

And we have never before seen a pandemic that can be controlled, at the same time.

WHO has been in full response mode since we were notified of the first cases.

And we have called every day for countries to take urgent and aggressive action.

We have rung the alarm bell loud and clear.


As I said on Monday, just looking at the number of cases and the number of countries affected does not tell the full story.

Of the 118,000 cases reported globally in 114 countries, more than 90 percent of cases are in just four countries, and two of those – China and the Republic of Korea – have significantly declining epidemics.

81 countries have not reported any cases, and 57 countries have reported 10 cases or less.

We cannot say this loudly enough, or clearly enough, or often enough: all countries can still change the course of this pandemic.

If countries detect, test, treat, isolate, trace, and mobilize their people in the response, those with a handful of cases can prevent those cases becoming clusters, and those clusters becoming community transmission.

Even those countries with community transmission or large clusters can turn the tide on this virus.

Several countries have demonstrated that this virus can be suppressed and controlled.

The challenge for many countries who are now dealing with large clusters or community transmission is not whether they can do the same – it’s whether they will.

Some countries are struggling with a lack of capacity.

Some countries are struggling with a lack of resources.

Some countries are struggling with a lack of resolve.

We are grateful for the measures being taken in Iran, Italy and the Republic of Korea to slow the virus and control their epidemics.

We know that these measures are taking a heavy toll on societies and economies, just as they did in China.

All countries must strike a fine balance between protecting health, minimizing economic and social disruption, and respecting human rights.

WHO’s mandate is public health. But we’re working with many partners across all sectors to mitigate the social and economic consequences of this pandemic.

This is not just a public health crisis, it is a crisis that will touch every sector – so every sector and every individual must be involved in the fight.

I have said from the beginning that countries must take a whole-of-government, whole-of-society approach, built around a comprehensive strategy to prevent infections, save lives and minimize impact.

Let me summarize it in four key areas.

First, prepare and be ready.

Second, detect, protect and treat.

Third, reduce transmission.

Fourth, innovate and learn.

I remind all countries that we are calling on you to activate and scale up your emergency response mechanisms;

Communicate with your people about the risks and how they can protect themselves – this is everybody’s business;

Find, isolate, test and treat every case and trace every contact;

Ready your hospitals;

Protect and train your health workers.

And let’s all look out for each other, because we need each other.


There’s been so much attention on one word.

Let me give you some other words that matter much more, and that are much more actionable.



Public health.

Political leadership.

And most of all, people.

We’re in this together, to do the right things with calm and protect the citizens of the world. It’s doable.

I thank you.

How Coronavirus Hijacks Your Cells



The latest from the NY Times: Here’s what you need to know about COVID-19

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