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  1. #1
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    Coronavirus: Symptoms, prevention, what to do if you think you're infected

    The new coronavirus: Symptoms, prevention, and what to do if you think you're infected
    CBC News
    Jan 23, 2020

    If you have travelled to Wuhan, China, follow up with a health-care professional


    Passengers wear masks as they arrive Thursday at Vancouver International Airport. (Jonathan Hayward/The Canadian Press)

    So far, there have been no confirmed cases of the new coronavirus (2019-nCoV) in Canada. But China has confirmed there has been human-to-human transmission of the virus, and Canadian public health agencies say they have been making preparations for any potential case or outbreak.

    Meanwhile, airports in Vancouver, Toronto and Montreal - all of which have direct flights from China - have begun screening passengers.

    Here are some basic facts about the virus, its symptoms, prevention, and what to do if you believe you are infected.

    What are the symptoms?
    The initial symptoms of 2019-nCoV are mainly fever, with a few reports of people having difficulty breathing, and chest X-rays showing signs of pneumonia in both lungs.

    According to the World Health Organization, signs of infection can include respiratory complaints, fever, cough, shortness of breath and breathing difficulties. In more severe cases, infection can cause pneumonia, severe acute respiratory syndrome, kidney failure and even death.

    The only way to confirm 2019-nCoV is with a lab test. According to the U.S. Centers for Disease Control (CDC), symptoms of 2019-nCoV may appear in as few as two days or as long as 14 after exposure.

    What should you do?
    In general with coronavirus, when you have symptoms, you're most infectious.

    If you have travelled to Wuhan, China and develop symptoms of 2019 Novel Coronavirus infection, avoid contact with others and follow up with your health-care professional, according to the Public Health Agency of Canada (PHAC) website.

    People who have been to Wuhan arriving in Canada will leave the airport with information in English, French and simplified Chinese on what to do if they do experience symptoms within 14 days.

    If you do see a doctor, the PHAC website stresses you should make sure to tell them:

    • Your symptoms.
    • Where you have been travelling and living.
    • If you have had direct contact with animals (for example, visited a live animal market).
    • If you have had close contact with a sick person, especially if they had fever, cough or difficulty breathing

    How is it diagnosed?
    Respiratory samples are processed by provincial labs. The labs may screen for other things first like flu. The sample is also sent for confirmation at the National Microbiology Laboratory in Winnipeg.

    Is everyone who has been in Wuhan tested?
    People who have been to Wuhan but have no symptoms are not tested, but it's an opportunity to give them leaflets and information if they get symptoms in 14 days, Dr. Theresa Tam, Canada's chief public health officer, told reporters

    How can you avoid infection?
    There is no vaccine to prevent the infection, but health organizations, like the CDC in the U.S., recommend these everyday preventive actions to help stop the spread of any respiratory viruses:

    • Wash your hands often with soap and water for at least 20 seconds or use an alcohol-based hand sanitizer.
    • Avoid touching your eyes, nose, and mouth with unwashed hands.
    • Avoid close contact with people who are sick, and stay home if you are sick.

    Do masks help?
    After the SARS outbreak. the PHAC asked a panel of medical experts for guidance on how flu is transmitted and how best to protect against infection, including the efficiency of face masks.

    The report found that masks can offer protection, but there's no evidence inexpensive masks can protect against flu virus particles small enough to be inhaled into the lower respiratory tract or the lungs.

    It did find that the N95 masks are the most likely to be efficient because they filter particles smaller than one micron and provide a tight facial seal. It's unclear however if those masks would be effective against this particular virus.

    Tam told reporters that wearing a mask when you're well is not an effective measure.

    However, health officials might want to put a mask on someone who is sick, for example when they enter the health system. But there's no recommendation to wear a mask for people going about daily activities.


  2. #2
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    Re: Coronavirus: Symptoms, prevention, what to do if you think you're infected

    2019-20 coronavirus outbreak by country and territory - Wikipedia

    Canada

    As of 7 March, there have been 56 cases of coronavirus reported in Canada, all of which were either in British Columbia, Ontario, or Québec, with two presumptive cases in Alberta. All cases had recent travel history to a country with a substantial number of coronavirus cases. Of these cases, eight (5 in British Columbia, 3 in Ontario) have recovered.

    United States


    On 21 January, the United States confirmed its first case, a 35-year-old man living in Snohomish County, Washington who had travelled from Wuhan to Seattle–Tacoma International Airport on January 15.

    On 27 February, the CDC reported a case in California which may be the first instance of community transmission in the US.[55]

    On 29 February, officials of Washington State confirmed the first reported death from coronavirus in the US.

    As of 7 March, 17 deaths have been attributed to the virus in the United States.

    2020 coronavirus outbreak on cruise ships - Wikipedia

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    Re: Coronavirus: Symptoms, prevention, what to do if you think you're infected

    Coronavirus: Quarantine on cruise ship could backfire, experts Msay
    March 7, 2020

    Cruise ships hit by coronavirus outbreaks have quickly found themselves with no ports for thousands of passengers as countries on four continents have quarantined vessels or kept them at sea for days.

    Keeping all the passengers on board instead of letting them disembark on land is a strategy that can backfire, however, according to experts, because the ventilation systems and close quarters of cruise ships make them ideal places for illness to jump from one person to the next.

    "They're not designed as quarantine facilities, to put it mildly," said Don Milton, an epidemiologist with the University of Maryland.

    A ship with more than 3,500 people aboard was sailing in circles off the coast of California on Saturday after 19 crew members and two passengers tested positive for the new virus. Originally bound for San Francisco, the Grand Princess might be sent instead to a non-commercial port, officials said.

    While restaurants and other shipboard locations were closed, passengers were able to watch TV and use the internet, or if they were lucky enough to have one, go outside on their balcony overlooking the water.

    Passenger Karen Schwartz Dever said she and her husband were enjoying their balcony and keeping themselves busy with playing cards, while meals and water were being delivered by room service. But she worried about some of the other passengers.

    "I met someone who is in the middle of chemo for cancer," she said. "There are people on oxygen. There are also children on board. I can't imagine what it's like if they are in an inside cabin."

    ...The challenge is not an entirely new one: Ships have previously been affected by other diseases, such as norovirus, which causes vomiting and diarrhea and can spread quickly in the close quarters of a ship and among passengers with weakened immune systems.

  4. #4
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    Re: Coronavirus: Symptoms, prevention, what to do if you think you're infected

    I am booked to go on a Princess cruise with my mom to Alaska in early May. It is supposed to take off in San Francisco and stop at Seattle and other ports along the way. Fortunately, all the major cruise lines, including Princess, are letting everyone cancel in exchange for future credit. From an e-mail from Princess:

    Sailings departing between April 4 and May 31: booked guests can cancel by March 31, 2020, receive a Future Cruise Credit for 100% of the cancellation fee amount, and move your booking to any voyage that departs by December 31, 2021.
    We are taking a wait-and-see approach since you get cash back if the cruise line cancels before you do.

  5. #5
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    Re: Coronavirus: Symptoms, prevention, what to do if you think you're infected

    Actually, the only non-Alaska port besides San Francisco is Victoria, BC, so that is good news in a way. (Seattle was never on the itinerary, but it was hard to remember that since there are so many different Alaska cruises.)

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    Re: Coronavirus: Symptoms, prevention, what to do if you think you're infected


  7. #7
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    Re: Coronavirus: Symptoms, prevention, what to do if you think you're infected

    Good news:

    My cruise line, Princess, cancelled all cruises for the next two months, including my cruise:

    Voluntary 60 Day Pause of Global Ship Operations - Notices & Advisories - Princess Cruises

    They will be giving everyone their money back and at least a 25% credit for a future cruise.

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