'You must test and isolate' to prevent COVID-19: UN health agency chief
Tedros noted that many countries have already exceeded their capacity to care for mild cases in health facilities and, if they are in that situation, they should prioritize older patients and those with underlying conditions.UN | Updated: 17-03-2020 08:47 IST | Created: 17-03-2020 08:47 IST
"The most effective way to prevent infections and save lives is by breaking the chains of transmission. And to do that, you must test and isolate", said WHO chief Tedros Adhanom Ghebreyesus, at Monday's COVID-19 press briefing, held at the UN health agency's headquarters in Geneva: "Once again, our message is: test, test, test."
The WHO has repeatedly decried a lack of urgency on the part of many countries when it comes to testing, isolation and contact tracing (i.e. carefully monitoring people who are in close contact with someone who has been infected).
In his Monday briefing, Tedros acknowledged the rapid escalation in social distancing measures worldwide, which include many more school closures, the canceling of sporting events and, in some countries, the closure of businesses where people congregate, such as restaurants, bars, cinemas, and theatres.
However, simply following guidelines for personal behavior (such as social distancing, regular handwashing and coughing into your elbow) are, said Tedros, simply not enough to "extinguish the pandemic".
"You cannot fight a fire blindfolded," he said, underscoring the importance of testing every single case. "We cannot stop this pandemic if we don't know who is infected".
Around 1.5 million tests have been sent to 120 countries by the WHO to meet global demand, and the agency is working with companies to make them available to those in need.
Advice for care at home
Tedros noted that many countries have already exceeded their capacity to care for mild cases in health facilities and, if they are in that situation, they should prioritize older patients and those with underlying conditions.
One option for patients with mild symptoms is for them to be isolated and cared for at home, he explained. This may put others in the same household at risk, so caregivers should follow WHO guidance on how to provide care as safely as possible.
The patient and caregiver should, for example, wear medical masks when they're in the same room, sleep in separate bedrooms and use a different bathroom; the caregiver should wash hands after any contact with the patient or the patient's immediate environment; visitors should not be allowed. Because patients can still infect others after they stop feeling sick, the measures should continue for at least two weeks after symptoms disappear.
Show solidarity: don't hoard
Frequent handwashing is not only a matter of personal hygiene: it is also, declared Tedros, an act of solidarity, because it reduces the risk that you will infect others, in your community and around the world: "do it for yourself, do it for others", he said.
WHO is also asking people to express their solidarity by not hoarding essential items. Hoarding can create shortages of medicines and other essential products, which can exacerbate suffering.
However, Tedros welcomed the response to the Coronavirus Solidarity Fund, launched by the WHO and partners on Friday. Since then, some 110,000 people have contributed almost $19 million, which will be used to buy diagnostic tests, supplies for health workers and support research and development.
The WHO chief also mentioned the #safehands challenge, an online awareness-raising exercise, encouraging people to share their videos promoting the importance of correct handwashing, which has been attracting attention from many participants, including celebrities and world leaders.
UN staff assisting national governments
Meanwhile, at United Nations Headquarters in New York, the Secretary-General's spokesperson, Stéphane Dujarric, announced that UN teams are working with authorities around the world, to support COVID-19 national preparedness and response plans.
In many countries, said the spokesperson, UN personnel are providing additional expertise to governments, in areas such as public health, humanitarian and emergency response, as well as community awareness and risk communications.
In Asia, for example, a number of UN bodies are supporting government efforts in areas such as finance and economy, education and water and sanitation, with immediate support to garment factory and migrant workers and a special focus on women.
And in Latin America and the Caribbean, and in Africa, UN communications experts are supporting community awareness and risk communications efforts at a national level.