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Preparing for the future
in the Covid 19 era
Dr Yasmin Mohamed Gani
ID Physician
Hospital Sungai Buloh
Situasi semasa COVID
What Is covid 19
• SARS-CoV-2 is a new virus.
• The first cases were identified in people
with pneumonia in Wuhan, China, in late
December 2019.
• Easily spreads from person to person
• Causes mainly URTI/pneumonia , and
also can cause “thrombo-embolic
disease”and other manisfestations
How does it spread
• It spreads through droplets created when we talk,
cough, sing, sneeze or eat
• These droplets enter the nose, eyes or mouth or
when the infected droplets are inhaled.
• In indoor spaces with inadequate ventilation,
COVID-19 has spread to people who were more
than 2 metres or 6 feet away.
• Touching contaminated objects puts the droplets
onto your hands. If you touch your face the droplets
can enter your nose / eyes / mouth.
• Infected people with minimal or no symptoms can
also spread COVID-19.
Symptoms of COVID 19
• 50-60% are asymptomatic
• Fever
• Cough
• Sore throat
• Fatigue
• Shortness of breath
• Symptoms start about one day after
exposure, but can be as long as 14 days.
Most people develop symptoms within 5-6
days.
*Highly Infectious 1-2 days before the symptoms
onset and 1-2 days after
Diagnosis and Treatment of COVID 19
• RTPCR is the gold standard diagnosis – usually done via NP swab( other
metods are being studied
PLUS
• Clinical symptoms/ Epidemiology risk factors
• Treatment mainly supportive
• Pneumonia treatment should be in hospitals
Incubation period=14days
Who is at risk of getting COVID
• Those who have had contact with positive case
• Those who have had history of travel last 14 days to area with high covid
transmission
• Those who live in crowded living condition
• Those who are attending regular healthcare : like dialysis/ hospital daycare services
• Frontliners
• Recently admitted to hospital for medical problems
Sesiapa pun boleh dapat covid
Who is likely to get severe disease
• Older age group >50 years old
• People with underlying medical condition like diabetes, hypertension
• People who have ESRF
Consideration for schools
• Promoting behaviors that reduce COVID-19’s spread
• Maintaining healthy environments
• Maintaining healthy operations
• Preparing for when someone gets sick
Keeping schools safe
• A trio of new studies demonstrate low risk of COVID-19 infection and spread in
schools, including limited in-school COVID-19 transmission in North Carolina
• Mainly community acquired infection
• This prospective study shows that transmission of SARS-CoV-2 from children
under 14 years of age was minimal in primary schools in Oslo and Viken, the two
Norwegian counties
• Our cohort study demonstrated that enforcing SARS-CoV-2 mitigation policies
such as masking, physical distancing, and hand hygiene, resulted in minimal clusters
of SARS-CoV-2 infection and low rates of secondary transmission in schools, and
did not cause a larger community infection burden,"
Adhere to SOP in the new NORM
Say YES to health and life!

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Preparing for the future in the COVID-19 era

  • 1. Preparing for the future in the Covid 19 era Dr Yasmin Mohamed Gani ID Physician Hospital Sungai Buloh
  • 3. What Is covid 19 • SARS-CoV-2 is a new virus. • The first cases were identified in people with pneumonia in Wuhan, China, in late December 2019. • Easily spreads from person to person • Causes mainly URTI/pneumonia , and also can cause “thrombo-embolic disease”and other manisfestations
  • 4. How does it spread • It spreads through droplets created when we talk, cough, sing, sneeze or eat • These droplets enter the nose, eyes or mouth or when the infected droplets are inhaled. • In indoor spaces with inadequate ventilation, COVID-19 has spread to people who were more than 2 metres or 6 feet away. • Touching contaminated objects puts the droplets onto your hands. If you touch your face the droplets can enter your nose / eyes / mouth. • Infected people with minimal or no symptoms can also spread COVID-19.
  • 5. Symptoms of COVID 19 • 50-60% are asymptomatic • Fever • Cough • Sore throat • Fatigue • Shortness of breath • Symptoms start about one day after exposure, but can be as long as 14 days. Most people develop symptoms within 5-6 days. *Highly Infectious 1-2 days before the symptoms onset and 1-2 days after
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  • 7. Diagnosis and Treatment of COVID 19 • RTPCR is the gold standard diagnosis – usually done via NP swab( other metods are being studied PLUS • Clinical symptoms/ Epidemiology risk factors • Treatment mainly supportive • Pneumonia treatment should be in hospitals Incubation period=14days
  • 8. Who is at risk of getting COVID • Those who have had contact with positive case • Those who have had history of travel last 14 days to area with high covid transmission • Those who live in crowded living condition • Those who are attending regular healthcare : like dialysis/ hospital daycare services • Frontliners • Recently admitted to hospital for medical problems Sesiapa pun boleh dapat covid
  • 9. Who is likely to get severe disease • Older age group >50 years old • People with underlying medical condition like diabetes, hypertension • People who have ESRF
  • 10. Consideration for schools • Promoting behaviors that reduce COVID-19’s spread • Maintaining healthy environments • Maintaining healthy operations • Preparing for when someone gets sick
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  • 13. • A trio of new studies demonstrate low risk of COVID-19 infection and spread in schools, including limited in-school COVID-19 transmission in North Carolina • Mainly community acquired infection • This prospective study shows that transmission of SARS-CoV-2 from children under 14 years of age was minimal in primary schools in Oslo and Viken, the two Norwegian counties • Our cohort study demonstrated that enforcing SARS-CoV-2 mitigation policies such as masking, physical distancing, and hand hygiene, resulted in minimal clusters of SARS-CoV-2 infection and low rates of secondary transmission in schools, and did not cause a larger community infection burden,"
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  • 18. Adhere to SOP in the new NORM Say YES to health and life!