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COVID-19
Know the Coronaviruses, It’s not only
WEBINAR TOPIC
ISHITA MEHTA
— Business Development Executive,
XLPAT Labs
MODERATOR
01.
ABOUT COVID-19
Biology of the COVID-19, virulence,
diagnosis and treatment
PREVENTION MEASURES
How can one stay unaffected from
the current and future outbreaks
STATS ABOUT COVID-19
Patterns of this infection
worldwide
CONCLUSION
03.
02.
04.
KEY TAKEAWAYS
KEYNOTE SPEAKERS
Pranav Sharma
Head – Business Development
XLPAT Labs – TT Consultants
GOURAV DHIMAN
Manager– Business
Development,
XLPAT Labs – TT Consultants
DR. SHABBIR
SYED ABDUL
Associate Professor, MD, MSc, PhD
Taipei Medical University
Taipei City, Taiwan
CoVs are divided into
four genera: α-, β-, γ-,
and δ-coronavirus.
WHAT ARE
CORONAVIRUSES
Reference: David J Cennimo et al., Coronavirus Disease 2019
(COVID-19).
SARS-CoV-2 (COVID-19) is the seventh member of the
family of coronaviruses that infects humans.
SARS-CoV-2 (COVID-19) likely originated in bats, based on
the similarity of its genetic sequence to that of other
coronaviruses. The intermediate animal host of SARS-CoV-
2 between a probable bat reservoir and humans is still
unknown.
WHAT ARE
CORONAVIRUSES
INFECTION
PATTERN
All you need to know!
01.
Human coronavirus (CoV) infections have traditionally
caused a low percentage of annual respiratory
infections.
Severe acute respiratory syndrome CoV (SARS-CoV)
and Middle East respiratory syndrome CoV (MERS-
CoV), have emerged and cause severe human
diseases
INFECTION
PATTERN
TRANSMISSION
Entry into Host Cell
02.
TRANSMISSION
Entry into Host Cell - Explained
Reference: Muhammad Adnan Shereen, Suliman Khan, Abeer Kazmi, Nadia Bashir, Rabeea Siddique. COVID-19 infection:
origin, transmission, and characteristics of human coronaviruses. Journal of Advanced Research.
CLINICAL
FEATURES
Indications
03.
The spectrum of clinical presentations
of COVID-19 have been reported
ranging from asymptomatic infection
to severe respiratory failure
CLINICAL FEATURES - Indications
CASESINFECTION
A large case study indicated that
the case-fatality rate was elevated
among those patients with
coexisting medical conditions
HIGH FEVER
TIREDNESS &
MYALGIA
DYSPNEA - DIFFICULTY
BREATHING
DRY COUGH
The body temperature can
exceed 37.3 Celsius degrees
The body feels completely
tired, without energy
Breathing actually feels
more difficult
Constant coughing without
expelling any mucus
CLINICAL FEATURES – Main Symptoms
CLINICAL
FEATURES
Immunology
04.
Changes of several cytokines (plasma IL1B, IL1RA, IL7,
IL8, IL9, IL10, basic FGF, GCSF, GMCSF, IFNγ, IP10, MCP1,
MIP1A, MIP1B, PDGF, TNFα, and VEGF) in serum in the
COVID-19 patients
Initiation of the immune response result in the
production of chemokines and cytokines, which damage
normal host lung.
CLINICAL FEATURES
Immunology
CLINICAL
FEATURES
Diagnosis
05.
RT-PCR is routinely used to detect causative viruses from
respiratory secretions
CLINICAL
FEATURES
Diagnosis
CLINICAL
FEATURES
Treatment
06.
The main treatment of COVID-19 is symptomatic treatment.
The antiviral drugs, including oseltamivir, ribavirin, ganciclovir,
lopinavir, and ritonavir have been used for treatment.
Remdesivir was reported in the treatment of a patient with
COVID-19 in the United States and got an effective result.
CLINICAL FEATURES
Treatment
Current evidence in patients with SARS and MERS suggests that
receiving corticosteroids (immunosuppressant) did not have a
survival benefit, but rather delayed viral clearance
Therefore, routine corticosteroids (immunosuppressant) should be
avoided unless they are indicated for other reason.
CLINICAL FEATURES
Treatment
THERE IS NO
VACCINE AND
SPECIFIC
TREATMENT FOR
COVID-19
At the moment
The best strategy to deal with
SARS-CoV-2 epidemic includes
controlling the sources of infection,
protecting the susceptible people,
and cutting off the transmission.
At the moment
VIRULENCE OF
COVID-19
AND
TAIWAN’S RESPONSE
Viral Strain -
Route of Infection -
Dose of Virus -
Fatality -
FACTORS INFLUENCING VIRULENCE
HOST FACTORSVIRAL FACTORS
- Species
- Age
- Susceptibility
Why outbreaks like
coronavirus
spread exponentially,
and how to “flatten the curve”
This so-called exponential curve has experts worried. If the number of cases were to continue
to double every three days, there would be about a hundred million cases in the United
States by May.
NORMAL
SCENARIOS
FORCED
QUARANTINE
Quarantines are effective because
they limit the number of people
exposed to a disease.
This scenario shows what happens
if a quarantine is established quickly
after the first few cases are
discovered.
QUARANTINES
SOCIAL
DISTANCING
MORE
SOCIAL
DISTANCING
1. Border Control, Travel Restrictions and Case Finding Dec 31
2. Taiwan CDC notified if passenger from Wuhan has fever and/or URTI Jan 5
3. Entry permits canceled for 459 tourists from Wuhan set to arrive later in January
22
4. Foreign nationals with travel to China, Hong Kong, or Macau in the past 14-days are
banned Feb 7
5. Foreigners must see an immigration officer and cannot use e-Gate (quick entry)
Feb 7
6. Couple fined NT$300,000 (USD $10,000) for breaking 14-day home quarantine rule
Feb 7
7. 128 passengers on SuperStar Aquarius cruise ship tested within one day and all
were negative for the coronavirus Feb 8
8. Foreigners on cruise ship MS Westerdam are not allowed to enter or transfer in
Taiwan Feb 13
9. Japan and South Korea: Level 2 travel alert Feb 22
10. Italy and Iran: Level 1 travel alert Feb 23
11. Healthcare professionals banned from overseas travel Feb 23
Actions taken by Taiwanese Government
1. Government allocates masks to retailers and sets price limit of 50 masks at NT$300
(USD $10) Jan 22
2. Testing of COVID-19 to take place at Taiwan CDC or eight designated hospitals Jan
24
3. Export ban on disposable surgical masks until Feb 23 Jan 24
4. Outbound travelers can only take up to 250 masks Jan 24
5. Mask prices drop to NT$6 a piece (USD $0.20)
6. Government announced the spread of fake news on epidemic can be fined up to
NT$3 million (USD $100,000)
7. Ministry of Education guidelines for suspension of classes due to confirmed
coronavirus cases
8. Ministry of Labor to provide financial assistance to workers furloughed due to
COVID-19 and receive up to NT$18,960 a month (USD $630) in subsidies.
Actions taken by Taiwanese Government
BUSINESS
IMPACT
How work culture and businesses have
been affected
07.
Covid-19 has turned
around the way of doing
business
BUSINESS IMPACT
BUSINESS IMPACT ON THE RISE
• Global shares take a hit
• A global slowdown
• A pandemic-driven
recession
• Small and mid-size
companies more acutely
• Shutdown –
Factories/Manufacturing
Remote working is set to
gain pace and will see
popularity in the times to
come.
Conference will be replaced by
teleconferences.
Virtual rooms will form the new age
seminars.
REMOTE WORKING ON THE RISE
BUSINESS ETHICS
Priority
• Integrity with the team
• Empathy towards everyone
• Strong Leadership
• Honesty & Trust
Social distancing and Isolation are
the new work ethics.
• Business travel will be impacted globally
• Many of the IMP conferences have been already called off
• Relatively slow deal-making environment for the first half of the year.
COVID-19
Fallout of
Licensing Departments
• Cloud Meet = Personal Meet
• Online Deal = In-person Deal
• Local partners - Development
CHANGE
in Mindset is required
• Financial Burden
• Pressure building from Investors
• Patent Sell off
• Intels, Googles, Apples will be the potential buyers
SMALL &
MID SIZE
Companies…
Spike in Business:
The cloud industry will witness more innovations.
E-commerce is already on the rise these days however new
innovations are expected in these areas.
Drone delivery wars between Amazon and Walmart is a testimony
to the same
SOCIAL
DISTANCING
is here to stay for a little longer
WHAT’S IN STORE
FOR FUTURE?
How the things will take place exactly towards the
end of all this is still yet to unfold.
REFERENCES
• Chris Tikellis and M. C. Thomas. Angiotensin-Converting Enzyme 2 (ACE2) Is a Key
Modulator of the Renin Angiotensin System in Health and Disease. International Journal
of Peptides. Volume 2012, Article ID 256294, 8 pages.
• Muhammad Adnan Shereen, Suliman Khan, Abeer Kazmi, Nadia Bashir, Rabeea Siddique.
COVID-19 infection: origin, transmission, and characteristics of human coronaviruses.
Journal of Advanced Research.
• Feng He, Yu Deng, Weina Li. Coronavirus Disease 2019 (COVID-19): What we know?. J
Med Virol.
• Junwen Luan, Yue Lu, Xiaolu Jin , Leiliang Zhang. Spike protein recognition of mammalian
ACE2 predicts the host range and an optimized ACE2 for SARS-CoV-2 infection.
Biochemical and Biophysical Research Communications.
• Hossam M. Ashour, Walid F. Elkhatib, Md. Masudur Rahman and Hatem A. Elshabrawy.
Insights into the Recent 2019 Novel Coronavirus (SARS-CoV-2) in Light of Past Human
Coronavirus Outbreaks. Pathogens 2020, 9, 186
REFERENCES
• Alimuddin Zumla, Jasper F. W. Chan, Esam I. Azhar, David S. C. Hui and Kwok-Yung Yuen.
Coronaviruses - drug discovery and therapeutic options. Reviews.
• Didier Raoult, Alimuddin Zumla, Franco Locatelli, Giuseppe Ippolito and Guido Kroemer.
Coronavirus infections: Epidemiological, clinical and immunological features and
hypotheses. Cell Stress.
THANKS!
Do you have any
questions?
contact@xlpat.com
1-(202)-370-6471
www.xlpat.com

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WHAT ARE CORONA VIRUSES

  • 1. COVID-19 Know the Coronaviruses, It’s not only WEBINAR TOPIC
  • 2. ISHITA MEHTA — Business Development Executive, XLPAT Labs MODERATOR
  • 3. 01. ABOUT COVID-19 Biology of the COVID-19, virulence, diagnosis and treatment PREVENTION MEASURES How can one stay unaffected from the current and future outbreaks STATS ABOUT COVID-19 Patterns of this infection worldwide CONCLUSION 03. 02. 04. KEY TAKEAWAYS
  • 4. KEYNOTE SPEAKERS Pranav Sharma Head – Business Development XLPAT Labs – TT Consultants GOURAV DHIMAN Manager– Business Development, XLPAT Labs – TT Consultants DR. SHABBIR SYED ABDUL Associate Professor, MD, MSc, PhD Taipei Medical University Taipei City, Taiwan
  • 5. CoVs are divided into four genera: α-, β-, γ-, and δ-coronavirus. WHAT ARE CORONAVIRUSES Reference: David J Cennimo et al., Coronavirus Disease 2019 (COVID-19).
  • 6. SARS-CoV-2 (COVID-19) is the seventh member of the family of coronaviruses that infects humans. SARS-CoV-2 (COVID-19) likely originated in bats, based on the similarity of its genetic sequence to that of other coronaviruses. The intermediate animal host of SARS-CoV- 2 between a probable bat reservoir and humans is still unknown. WHAT ARE CORONAVIRUSES
  • 8. Human coronavirus (CoV) infections have traditionally caused a low percentage of annual respiratory infections. Severe acute respiratory syndrome CoV (SARS-CoV) and Middle East respiratory syndrome CoV (MERS- CoV), have emerged and cause severe human diseases INFECTION PATTERN
  • 10. TRANSMISSION Entry into Host Cell - Explained Reference: Muhammad Adnan Shereen, Suliman Khan, Abeer Kazmi, Nadia Bashir, Rabeea Siddique. COVID-19 infection: origin, transmission, and characteristics of human coronaviruses. Journal of Advanced Research.
  • 12. The spectrum of clinical presentations of COVID-19 have been reported ranging from asymptomatic infection to severe respiratory failure CLINICAL FEATURES - Indications CASESINFECTION A large case study indicated that the case-fatality rate was elevated among those patients with coexisting medical conditions
  • 13. HIGH FEVER TIREDNESS & MYALGIA DYSPNEA - DIFFICULTY BREATHING DRY COUGH The body temperature can exceed 37.3 Celsius degrees The body feels completely tired, without energy Breathing actually feels more difficult Constant coughing without expelling any mucus CLINICAL FEATURES – Main Symptoms
  • 15. Changes of several cytokines (plasma IL1B, IL1RA, IL7, IL8, IL9, IL10, basic FGF, GCSF, GMCSF, IFNγ, IP10, MCP1, MIP1A, MIP1B, PDGF, TNFα, and VEGF) in serum in the COVID-19 patients Initiation of the immune response result in the production of chemokines and cytokines, which damage normal host lung. CLINICAL FEATURES Immunology
  • 17. RT-PCR is routinely used to detect causative viruses from respiratory secretions CLINICAL FEATURES Diagnosis
  • 19. The main treatment of COVID-19 is symptomatic treatment. The antiviral drugs, including oseltamivir, ribavirin, ganciclovir, lopinavir, and ritonavir have been used for treatment. Remdesivir was reported in the treatment of a patient with COVID-19 in the United States and got an effective result. CLINICAL FEATURES Treatment
  • 20. Current evidence in patients with SARS and MERS suggests that receiving corticosteroids (immunosuppressant) did not have a survival benefit, but rather delayed viral clearance Therefore, routine corticosteroids (immunosuppressant) should be avoided unless they are indicated for other reason. CLINICAL FEATURES Treatment
  • 21. THERE IS NO VACCINE AND SPECIFIC TREATMENT FOR COVID-19 At the moment
  • 22. The best strategy to deal with SARS-CoV-2 epidemic includes controlling the sources of infection, protecting the susceptible people, and cutting off the transmission. At the moment
  • 24. Viral Strain - Route of Infection - Dose of Virus - Fatality - FACTORS INFLUENCING VIRULENCE HOST FACTORSVIRAL FACTORS - Species - Age - Susceptibility
  • 25. Why outbreaks like coronavirus spread exponentially, and how to “flatten the curve”
  • 26. This so-called exponential curve has experts worried. If the number of cases were to continue to double every three days, there would be about a hundred million cases in the United States by May.
  • 28.
  • 30. Quarantines are effective because they limit the number of people exposed to a disease. This scenario shows what happens if a quarantine is established quickly after the first few cases are discovered. QUARANTINES
  • 31.
  • 32.
  • 34.
  • 36.
  • 37.
  • 38. 1. Border Control, Travel Restrictions and Case Finding Dec 31 2. Taiwan CDC notified if passenger from Wuhan has fever and/or URTI Jan 5 3. Entry permits canceled for 459 tourists from Wuhan set to arrive later in January 22 4. Foreign nationals with travel to China, Hong Kong, or Macau in the past 14-days are banned Feb 7 5. Foreigners must see an immigration officer and cannot use e-Gate (quick entry) Feb 7 6. Couple fined NT$300,000 (USD $10,000) for breaking 14-day home quarantine rule Feb 7 7. 128 passengers on SuperStar Aquarius cruise ship tested within one day and all were negative for the coronavirus Feb 8 8. Foreigners on cruise ship MS Westerdam are not allowed to enter or transfer in Taiwan Feb 13 9. Japan and South Korea: Level 2 travel alert Feb 22 10. Italy and Iran: Level 1 travel alert Feb 23 11. Healthcare professionals banned from overseas travel Feb 23 Actions taken by Taiwanese Government
  • 39. 1. Government allocates masks to retailers and sets price limit of 50 masks at NT$300 (USD $10) Jan 22 2. Testing of COVID-19 to take place at Taiwan CDC or eight designated hospitals Jan 24 3. Export ban on disposable surgical masks until Feb 23 Jan 24 4. Outbound travelers can only take up to 250 masks Jan 24 5. Mask prices drop to NT$6 a piece (USD $0.20) 6. Government announced the spread of fake news on epidemic can be fined up to NT$3 million (USD $100,000) 7. Ministry of Education guidelines for suspension of classes due to confirmed coronavirus cases 8. Ministry of Labor to provide financial assistance to workers furloughed due to COVID-19 and receive up to NT$18,960 a month (USD $630) in subsidies. Actions taken by Taiwanese Government
  • 40. BUSINESS IMPACT How work culture and businesses have been affected 07.
  • 41. Covid-19 has turned around the way of doing business BUSINESS IMPACT
  • 42. BUSINESS IMPACT ON THE RISE • Global shares take a hit • A global slowdown • A pandemic-driven recession • Small and mid-size companies more acutely • Shutdown – Factories/Manufacturing
  • 43. Remote working is set to gain pace and will see popularity in the times to come. Conference will be replaced by teleconferences. Virtual rooms will form the new age seminars. REMOTE WORKING ON THE RISE
  • 44. BUSINESS ETHICS Priority • Integrity with the team • Empathy towards everyone • Strong Leadership • Honesty & Trust Social distancing and Isolation are the new work ethics.
  • 45. • Business travel will be impacted globally • Many of the IMP conferences have been already called off • Relatively slow deal-making environment for the first half of the year. COVID-19 Fallout of Licensing Departments
  • 46. • Cloud Meet = Personal Meet • Online Deal = In-person Deal • Local partners - Development CHANGE in Mindset is required
  • 47. • Financial Burden • Pressure building from Investors • Patent Sell off • Intels, Googles, Apples will be the potential buyers SMALL & MID SIZE Companies…
  • 48. Spike in Business: The cloud industry will witness more innovations. E-commerce is already on the rise these days however new innovations are expected in these areas. Drone delivery wars between Amazon and Walmart is a testimony to the same SOCIAL DISTANCING is here to stay for a little longer
  • 49. WHAT’S IN STORE FOR FUTURE? How the things will take place exactly towards the end of all this is still yet to unfold.
  • 50. REFERENCES • Chris Tikellis and M. C. Thomas. Angiotensin-Converting Enzyme 2 (ACE2) Is a Key Modulator of the Renin Angiotensin System in Health and Disease. International Journal of Peptides. Volume 2012, Article ID 256294, 8 pages. • Muhammad Adnan Shereen, Suliman Khan, Abeer Kazmi, Nadia Bashir, Rabeea Siddique. COVID-19 infection: origin, transmission, and characteristics of human coronaviruses. Journal of Advanced Research. • Feng He, Yu Deng, Weina Li. Coronavirus Disease 2019 (COVID-19): What we know?. J Med Virol. • Junwen Luan, Yue Lu, Xiaolu Jin , Leiliang Zhang. Spike protein recognition of mammalian ACE2 predicts the host range and an optimized ACE2 for SARS-CoV-2 infection. Biochemical and Biophysical Research Communications. • Hossam M. Ashour, Walid F. Elkhatib, Md. Masudur Rahman and Hatem A. Elshabrawy. Insights into the Recent 2019 Novel Coronavirus (SARS-CoV-2) in Light of Past Human Coronavirus Outbreaks. Pathogens 2020, 9, 186
  • 51. REFERENCES • Alimuddin Zumla, Jasper F. W. Chan, Esam I. Azhar, David S. C. Hui and Kwok-Yung Yuen. Coronaviruses - drug discovery and therapeutic options. Reviews. • Didier Raoult, Alimuddin Zumla, Franco Locatelli, Giuseppe Ippolito and Guido Kroemer. Coronavirus infections: Epidemiological, clinical and immunological features and hypotheses. Cell Stress.
  • 52. THANKS! Do you have any questions? contact@xlpat.com 1-(202)-370-6471 www.xlpat.com