WONCA Africa Clinical Webinar on COVID-19

WONCA Africa hosted a webinar on 4th March 2020 on the novel Coronavirus outbreak. There were several experts from WHO Geneva on the call

  • Overview of the COVID19 situation - Sarah Hess

  • Clinical Care Update - Tom Fletcher

  • Infection Prevention and Control Update - April Baller

  • Health workforce and facility preparedness - Catherine Kane

  • Protection of health workers’ occupational safety and health - Ivan Ivanov

See chat text below for details of websites suggested etc.

00:01:57 Maria Bakola: Hello everyone!

00:02:28 Maren Hopfe: Hello everyone also from my side

00:02:31 Nicholas Mosoba: Hello all!

00:03:25 Maria Bakola: Hello from Greece. Sorry, I and at work (old pc) and I have no cam and mic.

00:04:41 Millicent Addai Boateng: Hi everyone, my name is Millicent from Ghana and I can't wait to hear more on the topic.

00:05:09 Patrick Mutua: Hi everyone

00:05:54 Elaine Rabello : Good morning/afternoon everyone. Greetings from The Netherlands, on behalf of Fiocruz, Brazil.

00:06:09 Galaxy A70: Hi all. Greetings from Kenya

00:06:52 Muzimkhulu Zungu: Hello to all

00:06:56 meena cherian: hello all greetings from Geneva

00:07:13 Maren Hopfe: Hi again, greetings from ILO Geneva

00:07:26 Baba Aye: greetings all, Baba Aye (Public Services International)

00:07:45 Grace Gichuna: Hello all, greetings

00:07:59 Jeldah Mokeira: Hi all, greetings

00:08:01 Muzimkhulu Zungu: Hello to all, greetings from NIOH in Johannesburg South Africa

00:08:26 Baba Aye: I can hear only background noise now Is any one (of the organisers) talking presently, please?

00:08:39 Joseph Michael Ochieng Oduor: Hi all greetings from Nairobi

00:08:46 Boakye: hello

00:08:58 Boakye: I can’t hear anything

00:09:06 Galaxy A70: same here

00:09:08 meena cherian: meena from Geneva Foundation for Medical Education and Research Switzerland and also member of HIFA

00:09:16 Mohammad Saadati: same

00:09:23 Stanley Mutwol: Hello greetings from Kapsowar Mission

00:09:30 afua asabea amoabeng nti: hello

00:10:23 afua asabea amoabeng nti: l can hardly hear a thing. greetings from University of Ghana hospital

00:11:23 Baba Aye: could Susan.Korir, Collins Moses, Boniface Gitahi, Galaxy Note8, Infinix S5 etc put off their videos as instructed, please?

00:11:42 Baba Aye: the load of these is contributing to the challenges of setting up?

00:11:52 Serge Kalala: hi every one i don't hear some thing i don't know why ?

00:12:20 Baba Aye: people could unmute their mics and videos when they want to speak otherwise, it doesn't help any or all of us to keep these on.....

00:12:37 Serge Kalala: dr kalala from thé DR.CONGO

00:13:24 Veronica Kamau: Hey everyone.Veronicah and Felister,MOH Kenya

00:18:34 Akinbode Fafiolu: Hi everyone i am Akinbode Fafiolu, good to be here.

00:19:14 Akinbode Fafiolu: Dr. Akinbode Fafiolu from Nigeria

00:21:39 Joseph Michael Ochieng Oduor: dear friends please mute your mouth pieces

00:23:19 Victoria Olafimihan: hello Everyone, I'm Dr Olafimihan Victoria from Nigeria

00:23:35 meena cherian: are there slides or is there only audio because we do not see any presentation

00:24:05 Faith Zablon: Hello. i am faith zablon from kenya

00:24:18 Admin: Please note that the webinar is at max capacity of 100 so if you get kicked out you may not be able to get in again. But try….

00:24:57 Joseph Michael Ochieng Oduor: How long does the virus survive on formites?

00:25:13 Admin: Victor Kigen and Galaxy Note9 - please add questions to chat. We may not have time to allow verbal comments.

00:26:23 Admin: We will collate questions and try to address them at the end. Thx to those who submitted questions. We will highlight those not answered by WHO speakers.

00:28:06 Admin: Please note that if you get out of the webinar there will be a recording posted on the WONCA Africa website in a few days

00:28:52 Stephen Okeyo: Admin please control participants who are making noce with family members

00:30:12 Stephen Okeyo: Please control members with noise in background. it very distractive

00:31:43 Joseph Michael Ochieng Oduor: Is the virus sensitive to U.V exposure that seems to be within the equatorial regions of the planet?

00:32:42 Lanre Olosunde: Dr Olosunde Lanre from Ilorin Nigeria, good to be here

00:34:03 Brenda Nnokam: In my opinion the biometric finger scan at the immigration stations at the airports of different countries serves as a point source of dissemination, the WHO may want to advice countries especially those in the cold temperate regions to set up a means of disinfecting the surfaces of person person who undergoes a biometric scan

Dr Brenda Nnokam from Nigeria

00:34:58 Joseph Michael Ochieng Oduor: How severe is the virus among healthy persons in the populations?

00:36:34 Stephen Okeyo: What is the risk in hotel accommodation settings due to sahring of linen and surfaces, and indeed even kitchen and restaurants

00:36:37 Husein Janoowalla: Another option would be to use sanitizer on every person undergoing biometric fingerprint scan before and after the scan

00:37:41 Eve Oalo: In a case where there is an infection in a household, and a school going age child from this household goes to school and interacts with the other kids and school fraternity. The infection will be enormous. how then can schools and community health workers handle the COVID preparedness?

00:37:42 Brenda Nnokam: Airlines may be advised in my opinion to disinfect surfaces per flight undertaken as well as I think the way to contain the virus is to prevent it at all levels

00:41:26 Eve Oalo: Assuming an infected person uses a biometric at the airport for finger print scans, the next person who follows next on the biometric uses a sanitizer to clean up, will the virus be killed within that shorter period? or how long should one wait before they use the scan after sanitizing?

00:45:20 Eve Oalo: which are these OHS programs in Kenya please? ouline

00:45:46 Brenda Nnokam: In my opinion, we can reduce the number of people who die from the virus, if we can teach them to stop reinfecting themselves with shed viruses;which prolong recovery time and predispose to increase mortality.if we can do this, it can help reduce transmission to the health care workers and other non infected.

00:47:25 Joseph Michael Ochieng Oduor: Dear administrator please shut down if possible all the participants that can't adhere with the rules (mute their microphones)!!!

00:49:16 Admin: • Virus epidomiology

o How long does the virus survive on formites?

o Is the virus sensitive to U.V exposure that seems to be within the equatorial regions of the planet?

o kindly confirm the period of commicability of the disease and justify if mother to child transmission is possible with strategies put in place

o Where are we with research into the discovery of a cure for this infection?

o There is a school of thought that the virus thrive better in the temperate regions than in the tropics? Is there any substantive evidence to this

o Where are we with research into the discovery of a cure for this infection?

00:50:43 Admin: • Staff Capacity/Protection on COVID-19

o do the ministry of health do any sensitization and training health workers on preparedness and where is the training going?

o Kindly provide the PPE’s specs for gowns(coveralls),gunboot covers and Google’s for use Incase of a suspected case of Covid 19.

o With overstretched health care services, do we have sufficient protective items eg gowns, masks, gloves?

o The surgical face masks have two sides; a coloured side and a white side. There is an instruction on the internet about wearing the mask with the coloured side outside if you don’t have a flu or an RTI but if you do then the white side should be worn outside. Is there any truth to this?

00:50:56 Admin: • CHWs / NGOs

o What should the contingency plan look like for the CHW & the CHS and the NGO in general?

o Policies and guidelines on management on COVID-19 for community health workers

o There are some workers for the NGO who move/ travel across the countries and within the country, how can the travels be managed in the wake of the COVID-19. What about the CHWs and CHS teams local transportation and movements? how can that be made safely.

o How the NGO manage the interactions/ meetings internally and externally against attacks of COVID- 19

00:51:08 Faith Zablon: A recent research in Japan showed that there was a patient who was reinfected. So, how soon should recovered patients be discharged from the Hopsital and what confirmation tests are being performed to ensure the viral load is not able to reinfect?

00:51:25 Stanley Mutwol: how longafter disnifecting a room for COVID-19 should you admit another patient

00:51:42 Admin: • Community

o I would like to know what program, or programs are there for schools in preparedness for COVID-2019?

o Don't you think that there is a need for public awareness in various languages, Sotho, Zulu etc.

o What are some of the mechanisms and tools to use to track and report any suspected or identified COVID-19 cases at the community level ?

• Screening

o is temperature checks reliable to identify those infected by the COVID-19? Some people can cheat by taking antipyretics to lower their temperatures, what effective measures can we put across to help identify those that are sick at the airport checkpoints?

o Do we have screening at our ports if entry?, if so how many have been screened at OR Tambo airport in Johannesburg and what are the results?

o With overcrowded prisons, are we ready in prison

00:54:51 alan barnard: Is there a template for us to use in community clinics for uniformity of advice to community members in waiting rooms, libraries and schools or other public places?

00:57:20 CATHERINE KANE: https://iris.wpro.who.int/bitstream/handle/10665.1/14482/COVID-19-022020.pdf

00:58:33 CATHERINE KANE: This is the guidance for health workers and facilities. It is picture-based, and there is supplemental material on each topic at https://www.who.int/emergencies/diseases/novel-coronavirus-2019

00:59:38 Admin: question on email and ground on covid-19

00:59:39 CATHERINE KANE: The document on Rights, Roles and Responsibilities of Health Workers, including occupational safety & health, is available at https://www.who.int/docs/default-source/coronaviruse/who-rights-roles-respon-hw-covid-19.pdf

00:59:55 CATHERINE KANE: https://iris.wpro.who.int/bitstream/handle/10665.1/14482/COVID-19-022020.pdf

00:59:59 alan barnard: it is great. thanks!! just had a look

01:00:02 Admin: does cholroquine work on covid 19

01:00:27 CATHERINE KANE: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public has advice for the public, including downloadable posters for the community

01:00:57 Admin: do we have health Covid-19 healthy carriers?

01:01:42 Admin: Please put question/comment in chat

01:02:40 Admin: From staff on site whats the origin of the organism is it zoonotic or lab generated?

01:02:42 Margaret Kiarie: Is it true that blacks are not affected by covid-19

01:03:56 Admin: does alcohol cure corona virus? not sure if they ment the drink or sanitizer

01:04:39 Jeldah Mokeira: What is the appropriate disinfection methodology for health facilities/rooms? Is chlorine 0.5% useful against this virus?Any guidelines on body management?

01:04:51 Admin: Sorry to all the 500+ participants who registered. The webinar capacity is 100. We will post a recording and also consider a second webinar with more capacity

01:05:37 Admin: We are also working on a webinar series on important clinical issues for Africa and hope to get more WHO speakers to speak to these. Watch this space and join WONCA Africa at www.WONCAAfrica.org

01:06:46 Jeldah Mokeira: Body management-I meant dead bodies... sorry

01:06:47 CATHERINE KANE: For information on IPC procedures in facilities (for surfaces): file:///C:/Users/ckane/Downloads/WHO-2019-NcOV-IPC_WASH-2020.1-eng.pdf

01:06:47 Margaret Kiarie: are there dark skinned people infected with covid-19

01:07:23 CATHERINE KANE: Apologies: https://www.who.int/publications-detail/water-sanitation-hygiene-and-waste-management-for-covid-19

01:07:57 Baba Aye: how do we ensure that the labour rights of health workers (including as stated in the WHO advice) are ensured through collective bargaining and social dialogue between employers/governments and health workers?

01:09:20 CATHERINE KANE: Baba - start with https://www.who.int/docs/default-source/coronaviruse/who-rights-roles-respon-hw-covid-19.pdf

01:09:37 Karen hospital: how regular do we change N95 masks?

01:09:38 Baba Aye: I was not late and I heard Dr Ivan

01:09:55 Baba Aye: what I am talking about is going beyond what is said to what is done

01:10:37 Baba Aye: In Hong Kong, the Hong Kong Health Employees union had to embark on strike last month and a leader of theirs was arrested...for trying to ensure these rights

01:11:07 CATHERINE KANE: And you are entirely correct that ensuring these rights are protected requires sustained dialogue with leaders of countries, health systems and health facilities.

01:11:36 Admin: In Hong Kong, the Hong Kong Health Employees union had to embark on strike last month and a leader of theirs was arrested...for trying to ensure these rights - this will have to be a national issue using the WHO guidanc

01:11:43 Baba Aye: and in Liberia, two leaders of the National Union of Health Workers of Liberia (NAHWUL) were sacked for four years (initially these were 22 with 20 recalled after some months). their crime? demanding that principles of OSH be put in practice

01:12:05 Baba Aye: thanks Catherine - that's the point!

01:12:08 Galaxy A70: can Dustmasks be used when surgical masks are not available

01:12:39 Jeldah Mokeira: please comment on dead body management- are they infectious? any special guidelines on handling of these bodies?

01:12:59 Baba Aye: we've circulated the document already to our members, Catherine - thanks again, though

01:13:24 Muzimkhulu Zungu: colleagues sorry I have to go to another engagement but wish you all COVID 19 preparedness

01:13:46 CATHERINE KANE: Wonderful! And eager to hear on how that progresses.

01:14:13 Hellen Koech: Thank you for the links to resources above. very helpful..

01:15:13 Victoria Olafimihan: Thanks Catherine the resources are indeed helpful

01:15:20 William Omwega: Is it possible to advocate for random testing for people with severe flu or pneumonia even if they haven’t traveled or come into contact with suspected COVID-19 patient(s) ?

01:16:07 Maria Bakola: Thank you for the helpful presentation and answers to the questions!

01:16:26 Jeldah Mokeira: thanks, was very informative

01:16:39 Brenda Nnokam: As much as the health care provider owes a fiducial duty to the patients, the society owes the health care worker certain duties as well. Both must work at tandem to kept for a healthy society, if neither one nor the other fails in their duty, then the other for instance if a healthcare worker is assaulted,it is within the right of the health facility or worker to refuse to care for the assailant. If the society is made aware of this, it will go a way to reduce violence against health care workers

01:17:14 Brenda Nnokam: thanks for the meeting, it has been quite informative

01:17:46 Samuel Mwangi: thanks big time was informative

01:18:21 Stephen Okeyo: Thank you Joy and WHO team

01:18:44 Infinix S5: Thanks Admin! Highly appreciated

01:19:05 Faith Zablon: Its been an educative session and thank you for spending your time to give us all the necessary info we need as health care workers and proffessionals. Thank you Sarah. Prof Shabir, WONCA Africa.

01:19:35 Brigid Nta: thanks. it was very informative

01:19:38 Infinix S5: Thanks Catherine

01:19:56 Dr Munir Jiwa lic 1425: Thks admin. very informative.

01:19:58 Samson Adeleke: Thank you for arranging this. The information are quite useful.

01:20:01 Karen hospital: Thanks for the heads up,from Karen Hospital,Nairobi Kenya👋🏾

01:20:02 Dr. Isaiah: Thank you for this learning session. This information is critical at such a time when everyone in the world is living in fear of the Corona virua

01:20:16 Victoria Olafimihan: Thanks to WHO team for creating time for this and Wonca Arica for thinking and organizing this in ta yime like this. More grace

01:20:28 Bonface gitahi: Thanks Admin for the opportunity very educative.

01:20:52 Admin: https://afrophc.org/

01:21:32 Serge Kalala: thanks !

01:21:34 Margaret Kiarie: Are Africans prone to covid-19 infection

01:22:45 Karen hospital: We appreciate👏🏾

01:24:18 Caroline Kirigo: This was informative, thank you all to took the time to educate & inform

01:25:51 Chikodi Onyemkpa: thank you all

01:26:34 Mercy Cheptoo: thanks.

01:26:52 Lisebo Mojaje: thank you

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