1) France is following an approach similar to Italy rather than Asian countries that have been more successful through widespread testing, contact tracing, quarantines, and isolation.
2) The number of new confirmed cases in France continues to rise with over 3,900 new cases reported. The health system is still able to absorb patients but may be overwhelmed for a long period of time like in Italy.
3) Globally there are over 63,000 new cases reported with the equivalent of 15 large outbreaks like Wuhan currently occurring worldwide, particularly in Europe, the US, and Spain. The US is on track to surpass China's total case count within days.
Resilience strategy in emergency medicine during the Covid-19 pandemic in ParisOceane MINKA
This study describe the organizational impact of the Covid-19 pandemic in Emergency Medicine. Published in JEUREA : https://doi.org/10.1016/j.jeurea.2021.04.001
Advertising in the time of a plague - Part 1 (ENG)DDB Warszawa
Communication Strategies in the face of the coronavirus pandemic
The pandemic is a time of dynamic changes and constant challenges for the brands, that is why we publish strategic reports as a part of the “Advertising in the time of plague” series. Their aim is to help calibrate communication and actions during this difficult time.
The first report is called “Communication strategies in the face of the coronavirus pandemic”. Published soon after restrictions were introduced, it advises how to communicate during this time. The second one, “100 predictions. What the future holds” seeks to answer the questions of what is ahead of us and how we can get ready for this frequently mentioned “New Normal”.
A critical bottleneck during the COVID-19 pandemic is for governments to ensure that healthcare systems are able to cope with new cases of infection cases. Critical bottlenecks include CCB-ICU, ventilators, and ECMO. The consensus would be to contain and slow down the community spread. Local governments worldwide are implementing policies to break the chain of infection by curfews and lockdown, closure of malls, schools, offices, etc. These slides also discuss the significant socio-economic impact on various sectors globally.
Past and future of eradication and elimination of different diseases. How to plan for elimination and eradication. What are the diseases can be eliminated? OPV to IPV shift!
Resilience strategy in emergency medicine during the Covid-19 pandemic in ParisOceane MINKA
This study describe the organizational impact of the Covid-19 pandemic in Emergency Medicine. Published in JEUREA : https://doi.org/10.1016/j.jeurea.2021.04.001
Advertising in the time of a plague - Part 1 (ENG)DDB Warszawa
Communication Strategies in the face of the coronavirus pandemic
The pandemic is a time of dynamic changes and constant challenges for the brands, that is why we publish strategic reports as a part of the “Advertising in the time of plague” series. Their aim is to help calibrate communication and actions during this difficult time.
The first report is called “Communication strategies in the face of the coronavirus pandemic”. Published soon after restrictions were introduced, it advises how to communicate during this time. The second one, “100 predictions. What the future holds” seeks to answer the questions of what is ahead of us and how we can get ready for this frequently mentioned “New Normal”.
A critical bottleneck during the COVID-19 pandemic is for governments to ensure that healthcare systems are able to cope with new cases of infection cases. Critical bottlenecks include CCB-ICU, ventilators, and ECMO. The consensus would be to contain and slow down the community spread. Local governments worldwide are implementing policies to break the chain of infection by curfews and lockdown, closure of malls, schools, offices, etc. These slides also discuss the significant socio-economic impact on various sectors globally.
Past and future of eradication and elimination of different diseases. How to plan for elimination and eradication. What are the diseases can be eliminated? OPV to IPV shift!
18 jun20 ILC Global Alliance webinar presentationILC- UK
With the ILC Global Alliance marking its 30th anniversary this year, members came together to share their perspectives on the impact of COVID-19 on long-term care.
While the coronavirus has indiscriminately hit most countries of the world, its impact has been disproportionately felt by the most vulnerable in society, including those receiving long-term care. In Europe alone, it is estimated that up to half of the total number of coronavirus deaths have occurred in long-term care facilities. In order to ensure that our older population is sufficiently protected while still receiving the care they need, will countries have to urgently rethink and adjust how long-term care is provided?
Covid-19 Pandemic, where are we now? Latest update on Covid-19 Second Wave 20...Shivam Parmar
Disclaimer -
The Content belongs to WHO (World Health Organisation). Sharing here is just to spread awareness about Covid-19.
https://www.who.int/docs/default-source/coronaviruse/risk-comms-updates/update51_pandemic_overview_where_are_we_now.pdf?sfvrsn=709278aa_5
Resilience strategy in emergency medicine during the Covid-19 pandemic in ParisDrMINKAHillary
Objectives
SARS-Cov-2 is a respiratory virus of the coronavirus family. It is responsible for viral pneumonia. The Covid-19 pandemic started in China in December 2019 before spreading to the rest of the world. Managing this pandemic has significantly changed the way our emergency services work. The main objective of this study was to describe the organizational impact of the Covid-19 pandemic in Emergency Medicine.
Methods
Descriptive observational study of the “adaptation strategy” of two Parisian emergency services, during the first wave of the Covid-19 pandemic from March 01, 2020 until the end of lockdown on May 11, 2020.
Results
As the infectious reason is the main reason for consultation during a pandemic, prevention measures have been reinforced. In order to limit the risk of viral transmission, a segmentation of the emergency services and the entire hospital was carried out. So we were able to distinguish between Red zones (High viral density) and Green zones (Low viral density). The hospital's infectious medicine and resuscitation capacity has been increased to manage the massive influx of patients consulting the emergency room.
Conclusion
Our resilience strategy reinforced by the implementation of the containment system has made it possible to overcome this pandemic. It would be appropriate to assess the impact of this strategy on the occurrence of nosocomial infections later.
Madhav Marathe and Anil Vullikanti will present a tutorial on computational epidemiology, along with Thomas L. Phillips Professor of Engineering Naren Ramakrishnan, at the 20th ACM SIGKDD Conference on Knowledge Discovery and Data Mining on August 24th, 2014 in New York City.
In this tutorial, the researchers will approach epidemics based on diffusion processes on complex networks, which are able to capture more realistic problems. They will provide a state of the art overview of computational epidemiology, a multi-disciplinary research area that overlaps different areas in computer science, including data mining, machine learning, high performance computing and theoretical computer science, as well as mathematics, economics and statistics.
Lessons from Ebola: Preventing the Next Epidemic Abioye Peju
These slides are a summary of 10 lessons learnt from PH557x; an online course offered by HarvardX. Interested in the public health/global health response to the Ebola Epidemic of 2014-2016? You should totally check these slides out.
Innovative twinning programme in prison settingVih.org
Access to HIV prevention and care in prisons of Cote d'Ivoire. ESTHER intiative in MACA prison.
Une présentation d'Arnaud Laurent, à l'occasion de la conférence internationale sur le sida de Vienne 2010.
Conference Paper "Post-marketing surveillance of rotavirus (RV) vaccine safety, diarrheal disease and Rv strains in Venezuela" WHO, Geneva December 2006
Control and Eradication of Animal diseases.pptxBhoj Raj Singh
The presentation details different methods and terminologies used in disease management. It briefs about different types of disease control programs run at global, regional, and national levels. It also tells about the success and failure of different disease control programs. The presentation also briefed about methods of disease control.
Presentation by Stéphane Heymans, Doctors of the World, on the occasion of the EESC hearing on Better Roma inclusion through civil society initiatives: focus on health and anti-discrimination (Brussels, 12 May 2014)
18 jun20 ILC Global Alliance webinar presentationILC- UK
With the ILC Global Alliance marking its 30th anniversary this year, members came together to share their perspectives on the impact of COVID-19 on long-term care.
While the coronavirus has indiscriminately hit most countries of the world, its impact has been disproportionately felt by the most vulnerable in society, including those receiving long-term care. In Europe alone, it is estimated that up to half of the total number of coronavirus deaths have occurred in long-term care facilities. In order to ensure that our older population is sufficiently protected while still receiving the care they need, will countries have to urgently rethink and adjust how long-term care is provided?
Covid-19 Pandemic, where are we now? Latest update on Covid-19 Second Wave 20...Shivam Parmar
Disclaimer -
The Content belongs to WHO (World Health Organisation). Sharing here is just to spread awareness about Covid-19.
https://www.who.int/docs/default-source/coronaviruse/risk-comms-updates/update51_pandemic_overview_where_are_we_now.pdf?sfvrsn=709278aa_5
Resilience strategy in emergency medicine during the Covid-19 pandemic in ParisDrMINKAHillary
Objectives
SARS-Cov-2 is a respiratory virus of the coronavirus family. It is responsible for viral pneumonia. The Covid-19 pandemic started in China in December 2019 before spreading to the rest of the world. Managing this pandemic has significantly changed the way our emergency services work. The main objective of this study was to describe the organizational impact of the Covid-19 pandemic in Emergency Medicine.
Methods
Descriptive observational study of the “adaptation strategy” of two Parisian emergency services, during the first wave of the Covid-19 pandemic from March 01, 2020 until the end of lockdown on May 11, 2020.
Results
As the infectious reason is the main reason for consultation during a pandemic, prevention measures have been reinforced. In order to limit the risk of viral transmission, a segmentation of the emergency services and the entire hospital was carried out. So we were able to distinguish between Red zones (High viral density) and Green zones (Low viral density). The hospital's infectious medicine and resuscitation capacity has been increased to manage the massive influx of patients consulting the emergency room.
Conclusion
Our resilience strategy reinforced by the implementation of the containment system has made it possible to overcome this pandemic. It would be appropriate to assess the impact of this strategy on the occurrence of nosocomial infections later.
Madhav Marathe and Anil Vullikanti will present a tutorial on computational epidemiology, along with Thomas L. Phillips Professor of Engineering Naren Ramakrishnan, at the 20th ACM SIGKDD Conference on Knowledge Discovery and Data Mining on August 24th, 2014 in New York City.
In this tutorial, the researchers will approach epidemics based on diffusion processes on complex networks, which are able to capture more realistic problems. They will provide a state of the art overview of computational epidemiology, a multi-disciplinary research area that overlaps different areas in computer science, including data mining, machine learning, high performance computing and theoretical computer science, as well as mathematics, economics and statistics.
Lessons from Ebola: Preventing the Next Epidemic Abioye Peju
These slides are a summary of 10 lessons learnt from PH557x; an online course offered by HarvardX. Interested in the public health/global health response to the Ebola Epidemic of 2014-2016? You should totally check these slides out.
Innovative twinning programme in prison settingVih.org
Access to HIV prevention and care in prisons of Cote d'Ivoire. ESTHER intiative in MACA prison.
Une présentation d'Arnaud Laurent, à l'occasion de la conférence internationale sur le sida de Vienne 2010.
Conference Paper "Post-marketing surveillance of rotavirus (RV) vaccine safety, diarrheal disease and Rv strains in Venezuela" WHO, Geneva December 2006
Control and Eradication of Animal diseases.pptxBhoj Raj Singh
The presentation details different methods and terminologies used in disease management. It briefs about different types of disease control programs run at global, regional, and national levels. It also tells about the success and failure of different disease control programs. The presentation also briefed about methods of disease control.
Presentation by Stéphane Heymans, Doctors of the World, on the occasion of the EESC hearing on Better Roma inclusion through civil society initiatives: focus on health and anti-discrimination (Brussels, 12 May 2014)
Daily report hebdomadaire dashboard / mise à jour des chiffres, étude à niveau locale, continentale et mondiale, pour finir sur une étude géopathologique à travers le sport
Being exposed to a flood of often legitimate questions from people (healthy or pathological), and this in all communication media, I offer an exchange of experience to offer "Wuhan flu", in the form a single daily bulletin of the "Key Points" type
Being exposed to a flood of often legitimate questions from people (healthy or pathological), and this in all communication media, I offer an exchange of experience to offer "Wuhan flu", in the form a single daily bulletin of the "Key Points" type
Being exposed to a flood of often legitimate questions from people (healthy or pathological), and this in all communication media, I offer an exchange of experience to offer "Wuhan flu", in the form a single daily bulletin of the "Key Points" type
Being exposed to a flood of often legitimate questions from people (healthy or pathological), and this in all communication media, I offer an exchange of experience to offer "Wuhan flu", in the form a single daily bulletin of the "Key Points" type
Being exposed to a flood of often legitimate questions from people (healthy or pathological), and this in all communication media, I offer an exchange of experience to offer "Wuhan flu", in the form a single daily bulletin of the "Key Points" type
Being exposed to a flood of often legitimate questions from people (healthy or pathological), and this in all communication media, I offer an exchange of experience to offer "Wuhan flu", in the form a single daily bulletin of the "Key Points" type
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
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Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
1. Lack of means, France moves towards
forced collective immunity
A. France and Europe seen from Asia - We are at
war, and the Asian examples show us the way
forward!
This section is produced with discussions with Dr Bachir Athmani in Paris and Mathieu
Bouquet in China.
“Put down the masks” and stop half-measures: we must adopt the recipes that work!
2. 1. Wearing a mask (if possible generalized!)
This tactic has proven itself: there are countries that use it and that win ... and others!
If our industry is not able to supply this type of product (which shows our extreme
dependence on China, already illustrated by the cost hunt in the pharmaceutical industry),
we must turn to l factory in the world, which currently produces 100 million masks ... per day!
(against a capacity of less than 10 million per ... week in France). Even if China produces of
course with varying levels of quality.
The masks (FFP2, surgical) must initially be reserved for healthcare professionals (around 2
million units per day) as well as for people in repeated contact with the public (Ehpad, police,
cashiers, etc.).
2. Massive screening
This is the key to the Korean strategy to detect cases and isolate them immediately.
Note the figure of 500,000 tests per week in Germany, compared with less than 50,000 per
week for France.
3. The development of this type of reagent by our laboratories (human or even veterinary
biology) is not, according to some specialists, a very complex element. Chinese, Koreans
and even Vietnamese did it urgently, without having a month of preparation before the arrival
of the epidemic on their territory.
3. Massive disinfection of public spaces
This is the case in China and South Korea in particular. Note the use of spray robots in these
two countries.
4. Identification and management of positive cases and contact
cases
This is an essential point.
In China and most Asian countries, a Covid patient is immediately isolated in hospital or
in a quarantine center. This measure was initiated in Hubei, after the authorities became
aware of the very large number of intra-family contaminations (some families have been
decimated).
In France, a patient with little symptoms returns to his family, which creates a great risk of
family contamination.
Likewise, in China if a contact person is identified, they are under quarantine. Quarantine
is now done in dedicated centers, and much more rarely at home.
If a suspect case is identified, isolation of the entire residence (China, Vietnam, etc.) until the
doubt is resolved. If the case is positive, the patient is isolated in hospital, and the
confinement of the residence is maintained for 14 days, with temperature monitoring and
possibly biological tests.
5. War effort: DIY or deployment in order?
Some hairy people spent months in the trenches. We have to spend 4 weeks (+/- 2) at
home.
All industry that can be mobilized must provide solutions for the development of the basic
elements of the fight against the virus (protective gear, care materials, etc.).
The lack of beds in public hospitals (eg in Paris: the 1,000 intensive care beds are occupied
or about to be occupied) can be compensated by the participation of the private sector.
4. Reduction of summer holidays for schoolchildren, university students and their parents
(solution preferred by China and Vietnam, where classes have not yet resumed).
Our health system must reposition itself in an emergency, when it is above all risk-oriented:
● acute (“White Plan”): mechanical (trauma) or chemical (see recently in the West) or
thermal or even nuclear type
● localized (type of attack or major accident) and not throughout the country.
● non-progressive, whereas we have to face an epidemic period of around 2 months
days (Wuhan case) with strict containment measures.
This may explain the difficulties encountered by our managers in adapting existing means.
B. France - We are rather following an Italian
trajectory - D11 containment
1. Incidence: +3,922 new confirmed cases (2,933 yesterday)
We remain in the epidemic growth phase, the number of new cases does not seem stable
over the last 4 days.
Note that general practitioners and the 15th have identified more than 40,000 positive cases
since the start of the epidemic, without confirmation by biological tests.
2. Prevalence: 22.5k in observation (20k yesterday)
On this basis alone, the doubling time seems to be getting longer (more than 6 days,
compared to 5 yesterday). But the figure of 22,500 does not take into account the
biologically unconfirmed cases mentioned in the previous paragraph.
If France continues to follow the Italian model, the peak could end around mid-April.
3. Trend (comparison with Italy)
To date, France's trajectory remains relatively close to that of Italy, with all the necessary
precautions for this comparison, in particular with regard to the testing strategy adopted by
each country.
5. 4. Health system: analysis of current capacities and flows
4.1. Figures
Deaths: 1,696, or 6% of cases identified by biological tests (but much lower if we took into
account all people carrying the virus in France)
Severe cases (resuscitation): 3,375, or 14% of cases identified biologically
4.2. Testimony of a colleague in the Grand Est to the emergency
“I have never had this experience: we usually have 150 visits to the emergency room and at
most we intubate once a day. Today, we have received only 70 patients but we had to
intubate 10 ".
4.3. Our system is still capable of absorbing the wave ...
6. ... but probably more for a very long time. While Italy has already seen its capacities
overwhelmed by the epidemic.
Graph: proportion of severe cases among identified cases
Graphiques : comparaison par pays des cas graves et décès
Note the dynamics of mortality rates (an indicator that is doubtful but its dynamic is a good
indicator) on the rise in France, and which only reflects the difficulties encountered more and
more frequently by carers, in a similar way to what is happening in Spain.
7. NB: precautions to take on mortality figures
In France, the mortality figures provided are probably largely underestimated compared to
reality, since only the figures for hospital mortality are included and consequently they do not
include figures outside the hospital (Ehpad, deaths without biological tests carried out, etc. .).
5. Territorial distribution
NB: the figures for March 26 in the evening were not communicated by region, the map and
the table below show the data available on March 25 in the evening.
9. 5.2. Evolution by region
C. World impact: an exponential dynamic
Thanks to Stéphane, a companion from the start, for his participation.
1. Incidence: 63k new cases diagnosed (46k yesterday, 44k
the day before)
2. Global geographic vision
There are currently the equivalent of 15 Wuhan type homes around the world, including ten
exploded in Europe and which can be joined!
10. The United States and Spain remain in an exponential phase.
3. Continent / country geographic analysis
3.1. Par continent
11. 3.2. By country
There is a high risk of health catastrophe in the United States, where the best technology will
not be able to cope with a massive influx of patients at risk, in particular due to
co-morbidities. Obesity, with its pathological consequences, affects more than a third of
American adults.
Table: evolution by country
12.
13. D. Prevalence worldwide - In a few days, the
United States reaches a number of cumulative
cases greater than that of China in 2 months!
The doubling time in the United States is currently 3 days.
1. Time vision (chronological)
At the current rate, doubling of cases worldwide every 5 days (stable).
Figures to be taken with caution given the disparity of testing strategies: the epidemic can
spread without it being reflected in the official figures, if the patients are not subject to
biological screening and a count official.
2. Spatial vision
Geographical location of countries with more than 10,000 active cases (top 8):
● USA 82k
● Italy 62k
● Spain 46k
● Germany 38k
14. ● France 22.5k
● Iran 16.7k
● Switzerland 11.5k (high density of imported cases)
● United Kingdom 11k
Chart: distribution by continent
15. Thanks to Mathieu Bouquet, partner from the start, for his precious help.
Keep in mind the “3M reflex” (Hands-Masks-Meter) to protect
yourself… but above all to protect the most vulnerable.
Trust and solidarity for this collective fight
Dr Guillaume ZAGURY
Specialist in International Public Health
Consultant in “Health Innovations”
HEC
In China since 2000.
● “All success is collective”, thanks to:
○ the whole “Back Up” team (Mathieu Bousquet, Carole Gabay, Flavien, Marie, Laetitia,
Anne-Sophie, ...), without whom this project would not have been possible.
○ all the “Medical” team (Dr Bachir Athmani, Dr Ibrahim Souare , Dr Taieb, Dr Viateur
...) who allow this project to exist,
○ all historical financial sponsors (Jerome, Benjamin Denis & B Square, Benoit
Rossignol, Arnault Bricout) who work for “Citizen Actions”
● If you feel like a patron or of partners to finance IT development, don't hesitate to contact me
(guillaume@covidminute.com).
● Also, even if part of the team is based in Shanghai, do not hesitate to come and join us,
because there is no shortage of work :-)