As a vet, I wanted to sift through all the information and give a rational and informed view on what we should be doing as vets in our practices. Some of this advice is suitable for any business though. The talk along with a discussion on telemedicine will be available on The Webinar Vet site

1. Coronavirus:
What We Need
to Know
With Anthony Chadwick
10th March 2020
The Webinar Vet

2. Agenda
• Coronavirus history and clinical signs
• Situation abroad
• Situation in UK
• Are Pets involved?
• What will the future hold?
• What happens to veterinary practice if there is a big outbreak?

3. Disclaimer:
This is a fast moving situation.
Information has been put together by
consulting trusted sources.
This information is given as a guide.

4. COVID-19
• December 31st China alerts WHO of several cases
of unusual pneumonia in Wuhan, a port city of 11m
people in Hubei province
• January 7th recognised as 2019 nCoV
• January 9th first death

5. 31ST DEC
China alerted WHO to
several cases of unusual
pneumonia in Wuhan
Coronavirus Timeline
7TH JAN
Officials announced they
identified a new virus, according
to the WHO. The novel virus
was named 2019-nCoV
11TH JAN
China announces
first death from the
virus
23RD JAN
City of Wuhan is
placed under
quarantine
9TH FEB
Death toll in China
surpassed that of the
2002-03 SARS epidemic,
with 811 deaths recorded
and 37,198 infections
22ND FEB
Italy reported its first two
deaths, while Iran confirmed
a fifth death among 10 new
infections.
26TH FEB
The global death toll neared
2,800 with a total of about
80,000 confirmed infection
cases reported globally
3RD MARCH
Italy announced the
death toll in the
country reached 77,
equalling the total
deaths in Iran, which
stand at 77.
7TH MARCH
The coronavirus had
killed nearly 3,500
people and infected
another 102,000
people across more
than 90 countries.
8TH MARCH
In Italy, the government
imposed a strict quarantine in
the state of Lombardy and 14
other areas in the north,
affecting a total of 16 million
people.

6. COVID-19
• RNA virus
• Common cold
• MARS
• SARS
• FIP
• Canine coronavirus

7. Coronaviruses
• Coronavirus virions are spherical to
pleomorphic enveloped particles
• The envelope is studded with projecting
glycoproteins, and surrounds a core
consisting of matrix protein enclosed
within which is a single strand of
positive-sense RNA

9. Can Coronavirus
Mutate?
• 2 strains
• L emerged later spreads quickly 70% cases
• S milder and less infectious
• Zoonotic spread

10. Clinical
Signs
• Fever
• Dyspnoea
• Liver and kidney failure
• Severe cough
• Pneumonia
• Spread via droplets in cough
• NHS England classify as level
4 incident

11. The Situation Abroad
Locations with
Confirmed
COVID-19
Cases
Global Map

12. • 3rd March WHO 3.4%
• S Korea 0.6%
• USA 5%
• Older people much more
susceptible with the young spared
• Over 80s - 15%
• Under 40s - 0.2%
• Male - 4.7% smoking factor
• Female - 2.8%
• 80% of cases are mild
Key Statistics
Total Number of Cases in Iran

13. Pre-Existing Conditions
• CV disease 13.2%
• Diabetes 9.2%
• Hypertension 8.4%
• Chronic respiratory 8%
• Cancer 7.6%
• None 0.9%

14. How Infectious is it?
• Reproductive number 2.28
• Flu between 1-2

15. The Situation
in Italy
• Feb 21st 6 infections
• February 27th 650 infections 17 deaths
• March 3rd 77 deaths
• Italy now in lockdown

16. The Situation in the UK

17. How is the UK
Approaching
the Disease?
• Containment
• Delay
• Research
• Mitigation

18. NHS Advice
• Ring 111
• Get tested
• Seek medical advice for treatment
• Self isolate

19. How can you help prevent the spread?
• Regular hand washing (soap is
better than sanitisers)
• Less physical contact
• Regular cleaning of communal
spaces
NHS Advice

20. What will the
future hold?
Pressure
on NHS
Closure of schools
and offices
Restaurants,
cinemas closing
Food and supply
shortages

21. Can Pets Catch
Coronavirus?
• Pomeranian in Hong Kong
• Pets in houses with infected people
should be tested by APHA

22. What Could
Happen in
Veterinary
Practice?
• Fewer pets being brought to
practice
• Staff illness - self isolation
• Clients ill and can’t come to practice
• Shortage of drugs etc
• Deliveries curtailed
• Practice closed for deep cleans etc

23. • Hold a meeting ASAP to inform
team of steps you are taking
• Do this before disaster strikes!
• Now cleaning processes
stepped up
• Arrange delivery service
• Use telemedicine
Suggested
Actions

24. Do not be
afraid!
Do not
worry!

25. Further Advice
Number of coronavirus (COVID-19) cases and risk in the UK:
https://www.gov.uk/guidance/coronavirus-covid-19-information-for-the-public#risk-
level
UK moving towards second phase of coronavirus strategy:
•https://www.nursingtimes.net/news/coronavirus/uk-moving-towards-second-
phase-of-coronavirus-strategy-05-03-2020/
WHO coronavirus advice for the public:
https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-
public
Coronavirus – Practical Advice from SPVS:
https://spvs.org.uk/coronavirus/
Coronavirus disease (Covid-19) – updates for the veterinary profession
https://www.bva.co.uk/news-and-blog/news-article/coronavirus-disease-covid-19-
updates-for-the-veterinary-profession/

26. Introducing...