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

Feb 20, 2020
yeah one piece really cool goal happy there's just you and then what he can do oh ok he's always

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anything why did you die? we have changed the system that we are sending notifications to journalists around the

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so if there are any issues with that please let us know hopefully all those who haven't been receiving and as always thank you Terry I would like begin. Today speaking not of the 19 in Kobe but in Syria since December 1, dozens of

health

facilities have suspended services in the Italian and Aleppo areas of almost 550

health

facilities in northwestern Syria, just around the half are operational due to attacks on health facilities that took place yesterday afternoon. in two separate hospitals in Aleppo, fortunately, there were no casualties, we repeat, health facilities and health workers are not allegedly allowed to target conflict and attacks on health a violation of international law almost 900,000 people have been displaced including half million children children are particularly prone to very powerful upper respiratory tract infections and due to lack of shelter many of them are sleeping outdoors with their families exposed to these elements for the next few days the temperature is sending medicines and essential supplies across the border from Turkey to Syria and we are sending surgical and trauma intensive care supplies to hit

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and Aleppo Governorate, plus medicines for non-cognitive problems. days and primary medical care, so I also devote a lot of attention to commit 19 who are still responding to many other emergencies around the

world

.
world health organization provides update on coronavirus nbc news live stream recording
Let me now turn to the latest on Corbett 19 at 6:00 a.m. Gerry my time this morning China has reported 72,000 528 cases to date, including 1850 deaths in the last 24 hours China has reported 1.8 billion cases, both clinical and confirmed cases outside of China there are now 804 cases in 24 countries with three deaths in the last 24 hours there have been 110 new cases outside of china including 99 on the dam and princess cruise ship we have no kovat cases 19 outside of china for more than a month with national authorities supporting each country that has cases to track the virus and understand how people got infected so far there are 92 cases in 12 countries outside of China of person-to-person 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 disease severity or case fatality rate we are following up with countries to learn more about what what happens with each case and the However, we have not yet seen sustained local transmission, except in specific circumstances, such as the Diamond Princess cruise ship.
world health organization provides update on coronavirus nbc news live stream recording

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world health organization provides update on coronavirus nbc news live stream recording...

I spoke to the Minister of Health of Singapore yesterday and we are very impressed. satisfied with the efforts they are making to find every case do contact tracing and stop transmission Singapore is leaving no stone unturned by testing every case of influenza-like illness 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 their 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 workers from health and prevent further transmission many countries are taking steps to prepare with religious support we have sent supplies of personal protective equipment to 21 countries and will send 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 much s of these countries have been sending samples to other countries for testing waiting several days for results they can now do it themselves within 24 to 48 hours some countries in Africa including the Democratic Republic of Congo are now leveraging capacity they have created to test ebola for kovat 19 tests this is a great example of how investing in health systems can pay dividends for health security other countries using the media to ensure accurate reporting several countries are prioritizing surveillance and monitoring at 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.
world health organization provides update on coronavirus nbc news live stream recording
There are many other examples. We still have a chance to prevent a broader global crisis. Please continue to work day and night with all countries to prepare them. quarantined you know me well enough the situation the authorities in japan obviously initially made the decision to quarantine antine the passengers on that ship where many passengers were kept together in an environment where they could be observed and where they could having separate accommodations, this was obviously much more preferable at the time than necessarily coming all dispersed but obviously the situation of the land 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 public health measures with other countries to evacuate people and dealing with them is very easy in retrospect to make decisions made at a certain time well how do you explain it?
world health organization provides update on coronavirus nbc news live stream recording
I think it's been that sometimes there are environments where viruses can spread and cruise ships and another Metropole Hotel. I mentioned another shop earlier, a particular environment in which disease can be distributed in a more efficient way, but again in terms of the total number of people on the ship, the vast majority Many people don't have Cove 819, a good number do and a quite a few have very very mild symptoms so I think we need to keep our heads here again and put this in perspective it is an unfortunate event that occurs on the ship and we trust that the authorities in Japan and the people in the government who we are recovering will be able to follow those people in the appropriate way to ensure that they receive adequate care if there are cases and if not that they reintegrate into their communities, but yes, it will be very important to study this particular event, to see what have been the problems that have led to transmission to people belonging to Beijing.
I don't think I'd like the start to be Owen French Duke who not only connacher values ​​separate you two the noodle is their math difference is that it was calculated as not actually even if it does the injury affects Levitas, copper gas room to set up hidden i do kakuzu in a able she needed calcoast man Alec stereo address do birthday shops econia st matthew thomas kelly and colin like you their full motel I think lot natosi Tetris mission certainly no Luke entity Lucas in sebasi become a little more adjunct new like no don't ask us if you make sound so far don't calculate the risk certainly hospitalization mostly Jubei after mankind starts accommodation certainty integers today is Sakura by Raj Malhotra commercial Malaysia Subramanya don't sing done have you seen need a donkey fanfare approval to excellent asset a division so it's ok currently e measures are evaluated based on modeling and so we use the data we have to imagine what the REO might be if nothing is done and what the scenario might be with the current what is the current the actual situation with the data that we have and so with the modernization, as shown, those measures on restriction of movement have delayed the design nation of the outbreak of two or three days inside China and her weeks outside of China two three weeks, for which, based on this, shows that the relief measure, if implemented well, could have an impact on the spread of the outbreak and that is why measures are now being taken in Beijing to strengthen control of the outbreak and postpone the peak postponed the maximum effect, give more time to deal with the problem, but in fact we will only know after a few times when those measures are really effective because it takes more or less than some studies that we now have about nineteen days between the one that is not get data from the other countries outside of china please provide the data or what is the reason behind that and also beyond what you just mentioned there is the modeling that they have been delayed or transmission and two or three weeks to the world today for china to be accepted or from the china side that you are citing we fully recognize that all affected countries are under extreme pressure and their primary responsibility is to their own citizens and to meet the public health challenge they face we continually call on them to share with us the core data we need.
I would say that so far it has not been absolutely easy to navigate with any country, but because we have had to ask a number of countries to speed up today's schedule, but we don't think this is due to a lack of transparency, but frankly it has been to through the urgency and difficulties of meeting days and these situations. data and then sharing it outside of a country and in some cases there are data protection issues there are citizen protection issues all the issues are sharing any kind of line lists that are individualized data on individual patients and then there are just some logistical issues that we are very pleased with, overall, with the cooperation that we've gotten on data sharing and we hope that continues, we want to be able to see more and more data things like common city studies Jaime hospital transmission investigations onboard investigations a sequencing system they lay out exactly what the conditions were that led to the 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 of our partners, both government and academic share with us the information that can help the heads of local agencies to provide the best possible advice and evidence to countries and, well, I have the floor to reflect on our colleague, the sample control measures in Beijing, I think that if you look at what's happening in Wuhan, the government authorities in China spent several weeks putting pressure on the virus and you saw the numbers have dropped now that they've engaged in door-to-door surveillance and they're doing that this is very good public health practice the first is first but we like to see progressive implementation of public health measures so the first goal in Wuhan was to contain the epicenter virus and you have heard the CEO speak fight the virus in the epicenter suppress that virus now there is a lot of room to really do a lot more active surveillance while the authorities are doing that active surveillance they don't want the v irus come back to other places Beijing is a central point in the country where a lot of workers return so China is trying to do as they succeed in putting Wolfire they don't want the fire to start somewhere else so they are taking very directed to make sure that people coming back to the city are watched and monitored, now it can be argued whether those measures are excessive or restrictive for people, but you, the stakes are high here, the stakes are high here in terms of of public health and in terms of not only the public health of China but of all the people of the world, so what we like to see is well thought out evidence-based public health measures that but respect individual freedom of people and individual human

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s and finding that balance which is sometimes difficult but right now the strategic and tactical approach in China is the right one and so are you I mentioned the strategic approach strategic and tactical in places like Singapore and we are seeing more and more countries have well directed planning operations to detect these virus containers and stop it and slow the spread.
We want every country to take that kind of public and evidence. focus driven over the next few days and weeks of modeling so this is peak data when this is data coming from the network of experts that we have when we do a teleconference and once a week with various modeling groups around the world, for what those groups are generally publishing their data and scientific literature, but we're lucky to have about three papers in print and this is where you're coming from, but just a note of caution: you know that modeling is based on assumptions, so that models get better when you have better data to put into the model, so currently we're still on those public health measures using assumptions and hopefully we'll have a lot better soon. solid results when we also have better data on the speed of spread from the international mission trying to figure out if they are going to come in and also go to the docks that mightspread quite quickly within the campus system there and the same for the DPRK they are saying they have

news

and cases, do you trust the expert team with that?
They are traveling to food conveniences and, depending on the need, they can also travel to one hand, so you know that all options are open and only you specifically know the situation. although this team can also travel experts already as of January, so we had a presence on the ground, actually, the presence of the experts could also help, but we were there before choosing the two promise runtime and differential impacts, as well as Beijing itself and then there will certainly be anywhere where there are portions of local people that we have here yes it is very difficult to make that judgment solely from the data that was presented in the paper yesterdayClearly there has been at least an apparent drop in mortality during the outbreak, but remember at the beginning of the outbreak what people were finding with the severe cases, so you have a big bias at the beginning of an outbreak because what you find a really sick people show up and now we're going to look for the sick, the less sick people so you can have a false active sense of mortality at first and we saw that, remember and the pandemic h1n1 we saw 10 and 20% fatality rates at first because only severe cases would show up a few weeks later the pattern was completely different so that's a big factor there's also the fact that fatality is different within the other provinces and that may also reflect the fact that the pressure from the system has been so severe that is where people go into early or critical care, one of the problems has been predicting the patients that have the comorbidities and underlying conditions and ensuring that they transition early to the intensive care or acute care route and that we're not bogging down the system with the mild cases and I think the system in China, for example, is much better at prioritizing doors that are more prone to being severely patients in the system it is also very difficult and critical care to ventilate so many patients and do ECMO with so many patients it takes a lot of technical skill not it's just a piece of machinery the technicians using that and again bringing them up to date bringing in the emergency medical teams remember 127 emergency medical team put 10,000 specialist medical workers were sent to obey from outside pre-trade pre-certified medical teams who were used to handling mass of casualties that would have helped reduce case fatality, so what we're seeing is a mix of case fatality reduction, probably due to better and better interventions over time, but also because we're finding more mild cases, so we have to be careful , it's very clear I think we need to remember sometimes this is projected as a mild illness 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 of younger people and adults who get that form of disease, that's great, but there are a number s Significant of people, remember that 20% of people who get this disease are severely or severely ill, so you really have to focus on how you can engage in giving them life-saving interventions.
We are honored that China has an advanced health care system that can provide such intensive care to so many. Our fear has always been that the disease will reach a higher level. country with a weaker healthcare system that will not be able to mount such a response and again there are a lot if you look at the numbers a lot of people have been admitted to the hospital a lot have been released but there are still a lot of people in hospital for a long time It takes a lot of effort on the part of a healthcare system to keep people in hospital for an average of 20 days at the intensive care level, so the system is overwhelmed by so many people requiring such care long term so we can see the strains on 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 from the disease will be lower because obviously that's less scary for 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 they can have a very serious course of the disease and we must be aware of that. disease that we need to prioritize from those individuals we don't have any new data since the research meeting and at this meeting they were discussing having a vaccine candidate about 16 weeks from now but again this would just be to have the candidate date and then, depending on the safety test, deciding if it will be used in humans, so it is still a matter of weeks, we are very supportive of it and we are working very closely with SEFIE, with the main donors and with the World Bank and others on 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 Canada should not stop supporting weaker health systems to prepare, this is not a trade - between one or the other we can save many many lives in the next few months with or without a vaccine we all want to invest in vaccines a long-term solution but now there are sick people and there are health systems that now s We are vulnerable therefore we must balance our investments and invest in the weaker health systems or in our old systems.
We can save a lot of lives with supportive therapy by testing the drugs that were currently being tested and getting everything working in our systems and then we do the other things and we develop the vaccine and we have to make decisions about vaccine investment now and the D gene will work with Safi with the World Bank and with other global agencies to ensure that we get the strategic investments we need in vaccine development without disrupting investments, we need to get national systems in on first of all lethality when you look at the number of cases in the rest of the world, we have 800 cases and three deaths, but that doesn't mean it won't increase for us, this is a window of opportunity that we shouldn't waste and we have to invest in preparation and really use this window of opportunity to keep or keep us out of any serious crises so to use the window of opportunity the most we need to have a balance of the use of public health interventions immediately and then the development of the vaccine we have to strike a balance the vaccine could be long term because it could take 12 to 18 months and this is like prepare for the worst situation, but to avoid any serious problems in the rest and make the most of the window of opportunity, it is simple to post all the solutions that we must do. really be our focus as 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 invest in the future as well to prepare for the future, as you said Mike, we're already discussing with partners on vaccine development, but the focus is striking a balance and getting the right focus, especially on the things that we need to do today, but one thing I'd like to underline is that there's a window of chance if you look at the case fatality rate or the number of this in the rest of the world it's actually about three out of eight hundred four even the number of cases 804 is low but that doesn't mean it will stay the same this is a window opportunity not to be missed. d that is what I would like to underline and in order not to lose this opportunity we must do everything possible to contain it and finish within that window of opportunity and that is why we are accelerating to help countries especially with weaker health systems to really minimize the impact thanks to that address will take you to dr.
Dr Ryan VM this just to let you know that our colleagues in the military in the East in the region are having a press conference in Cairo tomorrow at 11 o'clock I'll be back at 10 o'clock great time where our regional director will speak with the media there the preparation in the region regarding code 19 and also on how information should be shared. This press conference will be broadcast where we dig up the camera's Twitter account so the journalist here can follow that as well and send in some questions. soon the audio file for this press conference thank you very much

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