World Health Organization Provides Update On Coronavirus | NBC News (Live Stream Recording)

yeah, in a really cool piece, objective, happy, it's just you and then what can it do. Oh, okay, as long as something is recorded, why did you die? Good afternoon everyone and sorry for the delay. Press conference on the

coronavirus

disease. Copies 19 emergencies. Just a little note. We've changed the system in which we send notifications to journalists around the

world

, so if there's a problem with that, please let us know. Hopefully all those who haven't been receiving and as always, thank you. Thanks Terry. I would like to start. Today, when speaking not of the Kobe 19 but of Syria, since December 1, dozens of

health

centers have suspended their services in the areas of Italy and Aleppo, of the almost 550

health

centers in northwest Syria, only around half are operational until the attacks on health centers took place yesterday afternoon. in two separate hospitals in Aleppo fortunately there were no victims, we repeat, health facilities and health workers are not supposed targets of conflicts and attacks on health, a violation of international law, almost 900,000 people have been displaced, including half a million children, children are particularly prone to highly potent respiratory tract infections and, due to the lack of shelter, many of them will sleep outdoors with their families exposed to these elements in the coming days.

Temperature is sending essential medicines and supplies across the border from Turkey to Syria and we are sending supplies for intensive care and trauma surgery to Aleppo Governorate and

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, in addition to medicines for non-cognitive days and primary health care , and also devote a lot of attention to the commitments 19 that are still responding to many other emergencies around the

world

, let me now turn the latest on Corbett 19 at 6:00 a. m. Gerry, as of my time this morning China has reported 72,000 528 cases to the derecho, including 1,850 deaths in the last 24 hours China has reported 1.8 billion cases, including clinical and confirmed cases outside of China. now eight hundred and four cases in 24 countries with three deaths in the last 24 hours there have been 110 new cases outside China including 99 on the dam and the Princess cruise ship we have no cases of kovat 19 outside China for over a month with national support authorities in all countries that have cases to trace the virus and understand how people became infected so far there are 92 cases in 12 countries outside of China of human-to-human transmission at this time we do not have data on cases outside of China at this time We do not have enough data on cases outside of China to make a meaningful comparison on the severity of the disease or the case fatality rate.

We are following up with countries to get more information about what happens with each case and the outcome, however, we do not have it. I have still seen sustained local transmission, except in specific circumstances like the Diamond Princess cruise ship yesterday. I spoke to Singapore's Health Minister and we are very impressed with the efforts they are making to find every case, track contacts and stop transmission. Singapore is leaving. There is no stone unturned testing every case of influenza-like illnesses and pneumonia and so far they have found no evidence of community transmission. I also spoke with the Malaysian health minister to discuss Western bankers and other aspects of his preparations.

These signs show the importance of all countries being prepared for the arrival of the virus to treat patients with dignity and compassion to protect healthcare workers and prevent transmission. Many countries are taking steps to prepare with religious support. We have sent personal protective equipment supplies to 21 countries and will be sent to another 106 countries in the coming weeks by the end of this week 40 countries in Africa and 29 in the Americas should have the ability to detect Corbett 19 many of these countries have been sending samples to other countries for testing waiting several days for results can now do it themselves within 24 to 48 hours some countries in Africa, including the Democratic Republic of the Congo, are taking advantage of the capacity they have created to test for ebola to test for kovat 19.

This is a great example of how investing in health systems can pay dividends for health security other countries have media outlets to ensure accurate reporting several countries are prioritizing surveillance and tracking in ports of entry including Bangladesh Cambodia Ethiopia Pakistan Serbia and South Sudan we are also working with partners in some of the most fragile contexts, from Syria to the Central African Republic to prepare countries for the arrival of buyers there are many other examples of that we still have a chance to prevent a broader global crisis, let us continue working day and night with all countries to prepare them.

I appreciate you putting them in quarantine. Know the situation quite well from the authorities in Japan, obviously, they initially made the decision to quarantine the passengers on that ship, and many of them were to remain together in an environment where they could be observed and where they could have separate sessions. accommodation, obviously this was much more preferable at the time than necessarily coming all dispersed, but obviously the situation on the grounds has changed and clearly there has been more transmission than expected on the boat and I think tourists are adapting to that reality now and taking the necessary measures. public health measures with other countries to evacuate people and deal with them.

In hindsight, it is very easy to make decisions made at a certain point in time. Well, how do you explain it? I think sometimes there are environments where viruses can spread and move. boats and another Metropole Hotel. I've mentioned before another store, particular environments in which diseases can spread more efficiently, but again, in terms of the total number of people on the ship, the vast majority of people do not have Cove 819 in a good many They have it and a good number have very, very mild symptoms, so I think we need to keep our heads here again and put this into perspective.

It is an unfortunate event that occurred on the ship and we trust that the authorities of Japan and the government are taking it. On the way back, people will be able to follow up with those people in the appropriate way to make sure that they receive the appropriate care, if there are cases, and if not, that they reintegrate into their communities, but yes, it will be very important to study this in particular. event, see what have been the problems that have led to the transmission to people who belong to Beijing. I don't think I'd like to have the start to be Owen French Duke, who not only Connacher values ​​separate the two of you. the noodle is that your mathematical difference is calculated as you don't, actually, even if you do, to cause the injury, it affects Levitas, the copper gas room to set up, hidden, I make kakuzu on a table, she needed to the lime coast man, Alec, stereo direction, do. birthday stores econia st matthew thomas kelly and colin like your full motel I think through the lot natosi Tetris mission is certainly not Luke Lucas's entity in sebasi becomes a little more attached new since don't ask us if you launch sounds so far do not calculate the risk certainly hospitalization mainly Jubei after humanity begins to accommodate integers of certainty today is Sakura by Raj Malhotra commercial Malaysia Subramanya do not sing done, saw it needs a donkey fanfare approval an excellent asset a division so okay currently the measures are evaluated based on models and then we use the data we have to imagine what the REO could be if nothing is done and what the scenario could be with the current situation what is the current real situation with the data that we have and so on with the modernization As shown, those measures on restriction of movement have delayed the national design of the outbreak of two or three days within China and weeks outside of China two three weeks, so, based on This then shows that the measure alleviates if implemented it could well have an impact on the spread of the outbreak and that is why measures are now being taken in Beijing to strengthen the control of the outbreak and postpone the peak postponed the peak effect give more time to deal with the problem, but in fact we will know only later Sometimes, when those measures are really effective because it takes more or less of some studies, we now have about nineteen days between which no data is obtained from other countries outside China to provide the data or what is the reason behind that and also beyond. that you just mentioned, there is the modeling that has been delayed or the transmission and two or three weeks for the world today for China, so it is accepted or from the China side that you are citing, we fully recognize that all countries affected are under extreme duress and their primary responsibility is to their own citizens and to address the public health challenge they face, we continually ask them to share with us the basic data we need.

I would say that it has not been an absolutely smooth road with any country so far it is not because we have had to ask several countries to speed up today's show, but we do not believe that this is not due to a lack of transparency, but rather, frankly, to the urgency and difficulties of meeting. days and these situations they collect that data and then share it outside of a country and in some cases there are data protection problems, there are citizen protection problems, all the problems are sharing any type of line lists that are individualized data about individual patients and then there's just We're very pleased with some overall logistical issues with the cooperation that we've received on data sharing and we hope that continues.

We want to be able to see more and more data, such as community studies, hospital transmission investigations. Jaime The investigations on board a sequencing system establish exactly what the conditions were that led to transmission and obviously we would like to see those investigations early so that we can use them to learn lessons in other circumstances that we may face days a week, so again We encourage all our partners, both government and academic, to share with us what information they can and to help local agency heads provide the best possible advice and evidence to countries. And well, I have the floor to reflect on the sample control measures of our colleague from Beijing, I think if you look at what is happening in Wuhan, the government authorities in China spent several weeks putting pressure on the virus and you saw that the numbers have decreased Now that they have participated in door-to-door surveillance and they are going to do that, it is a very good public health practice, the first, the first, but we like to see the progressive implementation of public health measures, so the first objective in Wuhan was to contain the virus from the epicenter and you already heard the general director.

We talked about fighting the virus at the epicenter, suppressing that virus, now there is a lot of room to really do much more active surveillance while the authorities there do that active surveillance, they don't want the virus to return to other places. Beijing is a central point in the country that many workers return to, what China is trying to do is, while they manage to install Wolfire, they don't want the fire to start somewhere else, so they are taking very specific measures to make sure that people returning to the city is observed and monitored now it can be argued whether those measures are excessive or if they are restrictive for people, but there is a lot at stake here, there is a lot at stake here in terms of public health and not only in terms of public health. health of China but of all the people of the world, so what we like to see are well-thought-out, evidence-based public health measures that undermine respect for individual freedom and people's individual human

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s and find that balance which is sometimes difficult but right now it is strategic and The tactical approach in China is the right one and you also mentioned the strategic and tactical approach in places like Singapore and we are seeing more and more countries have well-directed planning operations to detect containers of this virus, stop it and slow the spread.

We want all countries to adopt that kind of public, evidence-based approach in the coming days and weeks. Modeling so that these are maximum when the data comes from the network of experts that we have when we hold a teleconference and weekly with a series of models. group around the world and so those groups generally publish their data and scientific literature, but we are lucky to have about three papers in print and this is where it comes from, but just a note of caution, you know, the modeling is based on assumptions, so the modeling is improving when you have better data to include in the model, so currently we are still in those public health measures thatThey use assumptions and I hope that soon we will have much better and more robust results when we also have better data on the speed of spread. from the international mission trying to find out if they are going to come in and also to the docks that could spread quite quickly within the campus system there and the same for the DPRK, they say they have

news

and cases, are you sure that is correct?

The expert team travels to food establishments and as per need they can also travel with one hand so that you know that all options are open and only you specifically know the particular situation, although this team can also travel with experts to starting in January, so we had a presence on the ground, in fact, the presence of experts could also help, but we were there before we chose the two promises, the execution time and the differential impacts, as well as Beijing itself , and then there will certainly be anywhere where there are parts of the local community. people we have here, yes, it is very difficult to make that judgment solely from the data that was presented in the

news

paper yesterday.

Clearly there has been at least an apparent drop in mortality during the outbreak, but remember at the beginning of the outbreak what people were encountering severe cases, so you have a big bias at the beginning of an outbreak because what you find is a really sick people move forward and now we're going to go out and look for the sick, the less sick people so that may have an active, factual, false sense of mortality at the beginning and we saw that, remember, and in the h1n1 pandemic we saw mortality rates of 10 and 20% at the beginning because only the severe cases occurred a few weeks later, the pattern was completely different, so that's an important factor.

There is also the fact that the lethality is different within those who have been in other provinces and that may also reflect the fact that the pressure of the system has been so severe when applied that is where people enter early or critical care, one One of the problems has been predicting patients who have comorbidities and underlying conditions and ensuring that they are transitioned early to the critical care or severe care pathway and that we are not blocking the system with the mild cases and I think the system in China, for example, it has gotten much better at prioritizing the doors most likely to be severely ill in the system.

It is also very difficult and in critical care to ventilate so many patients and perform ECMO with so many patients, it takes a lot of technical skill, it is not just machinery, the technicians use it and again they bring them up to date by bringing in the emergency medical teams. Remember that 127 emergency medical teams were dispatched to 10,000 specialized medical workers to obey since pre-certified external pre-market medical teams that were accustomed to handling mass casualties would have helped reduce the lethality, so what we are seeing is a Mortality mix is ​​reduced probably because of better and better interventions over time, but also because we are finding more mild cases, so we have to be careful, it is very clear.

I think we have to remember that sometimes this is projected as a mild illness that Most people just get a very mild illness and it's all over in a couple of days and that's true, and for those who have that and for more people young people and adults who get that type of disease, that's great, but there are a significant number of people. Remember that 20% of people who get this disease are seriously or seriously ill, so we really need to focus on how we can be involved in providing them with life-saving interventions. We are blessed that China has an advanced healthcare system that can provide intensive care to so many people, our fear has always been that the disease will reach a country with a weaker healthcare system that cannot mount that response and again, If we look at the figures, there are many people who have been admitted. many have been discharged, but there are still many people hospitalized for a long time.

It takes a lot of effort on the part of a health system to have people in the hospital for an average of 20 days at the intensive care level, so the system is overloaded by so many people requiring long-term care, for example. So we can see the strains in the system and we need to be aware of that, but our hope is that as we find more and more milder cases, the overall mortality of the disease will be lower because obviously that's less scary for the people, but we must remember that there are risk groups: vulnerable people generally between the ages of 40 and 79 or older people with underlying medical conditions and who may have a very serious illness. course of the disease and we need to be aware of that disease, we need to prioritize those individuals for whom we have no new data since the research meeting and at this meeting they were discussing having a vaccine candidate within about 16 weeks from now, but again, this would be just having the candidate and then depending on the safety testing, deciding whether it will be used in humans, so it's still a matter of weeks, we are very supportive of it and we are working very, very closely with sefie, major donors and with the world.

Bank and others about the strategic investments that will be needed to develop vaccines and there is not a lot of money, we are very aware that those funds should not deprive Canada of supporting weaker health systems to prepare for this. There is no balance between one or the other. We can save many lives in the coming months with or without a vaccine. We all want to invest in vaccines for a long-term solution, but now there are sick people and there are health systems that are now vulnerable, so we need to balance. our investments and invest in the weakest health systems or in our old systems.

We can save many lives with supportive therapy by testing the drugs that we are currently testing and getting everything in our systems working and then We do the other things and develop the vaccine and we have to make decisions about investment in vaccines now and the D gene will work with Safi with the World Bank and with other agencies globally to ensure that we get the strategic investments we need. need in the development of vaccines without interrupting investments, we need in national systems to enter into what is related to the first case of fatality, when you see the number of cases in the rest of the world, we have 800 cases and three deaths, but that is not This It doesn't mean it won't increase for us.

This is a window of opportunity that we must not waste and we have to invest in preparation and really take advantage of this window of opportunity to maintain or move away from any serious crisis, so that we can take advantage of it. The window of opportunity is the maximum we need to have a balance in the use of public health interventions immediately and then in the development of the vaccine we have to achieve a balance, the vaccine could be long term because it could take 12 to 18 months and this is like preparing for the worst situation, but to avoid any serious problems in the rest and make the most of the window of opportunity, it is in the simple public that all the solutions we must make must be our focus while, for Of course, we prepare. for the vaccine, so the balancing act is very, very important, we do what needs to be done today and then we also invest in the future to prepare for the future, as Mike said, we are already discussing with partners about development of the vaccine, but the approach is surprising. a balance and give the right focus, especially to the things that we should do today, but one thing I would like to emphasize is that there is a window of opportunity if you look at the case fatality rate or the number of these in the rest of the world.

Actually it is three out of eight hundred and four, even the number of cases 804 is low, but that does not mean it will remain the same. This is a window of opportunity that should not be missed. That is what I would like to emphasize and in order not to miss this opportunity, we must do everything possible to contain it and end within that window of opportunity and that is why we are accelerating to help countries, especially with more health systems. weak, to really minimize the impact. Thanks for that direction. Dr. Dr. Ryan. VM, this is just to inform you that our Eastern military colleagues in the region will hold a press conference in Cairo tomorrow at 11 o'clock.

Back at 10 o'clock, great time where our regional director will speak to the media there about the preparation in the region regarding coding 19 and also how information should be shared, this press conference will be broadcast in which we dig the chamber's Twitter account so that journalists from here can also follow it and send some questions, we will also send you the audio file of this press conference very soon, thank you very much