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COVID-19 conference Highlights: Much liked global transmission, borderless exchange of information, ideas, experiences crucially important

tech2 News Staff July 27, 2020, 23:00:13 IST

COVID-19 conference Highlights: Much liked global transmission, borderless exchange of information, ideas, experiences crucially important

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COVID-19 conference Highlights: Much liked global transmission, borderless exchange of information, ideas, experiences crucially important
July 27, 2020, 22:59:06 (IST)

The conference is now at it’s close. Prof Kirby concludes the webinar with a thanks to all the participants. He adds that the organisers look forward to putting together another edition of a COVID-19 conference in the near future. 

“Stay healthy, keep fit, and see if you can keep that virus at bay,” he said, signing off.

July 27, 2020, 22:51:00 (IST)

The most basic prevention tools – handwashing, masks, and physical distancing – have save thousands if not millions of lives, and can’t be emphasised enough, says Dr Charles Powell. Much like the international nature of the pandemic, which hasn’t had any borders for transmission, the exchange of information and ideas and experiences globally is crucial.

It has vastly improved the quality of care and approached to addressing the pandemic, he adds, and should be ramped up.

July 27, 2020, 22:47:31 (IST)
Out politicians need to think very hard about public health strategies both during and after the pandemic. For now, preventing the infectious disease pandemic is going to make a difference, but in the long-term, public systems need to prioritise prevention, says Professor Sian Griffiths. A good place to start, she says, echoing Prof Reddy, common comorbid conditions.
July 27, 2020, 22:43:48 (IST)
As long as more vaccine distribution programs come into play, with the number of trials underway, there will be quicker and relatively equitable access to a working vaccine even in middle- and low-income countries, Professor Shattock.
July 27, 2020, 22:41:57 (IST)
Access to vaccine is definitely going to be an issue globally. Those with money are going to spread their bets wide, and boost their odds of access more, and sooner. But middle- and low-income countries will benefit from a vaccine much later, says Professor Robin Shattock.
July 27, 2020, 22:40:31 (IST)
Uganda has partnered in many vaccine research projects – with London and Institute of Tropical Medicine, Antwerp – because we’re not sure when a vaccine will reach us.
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July 27, 2020, 22:37:51 (IST)
The situation in Uganda is a little unusual, says Dr Monica Musenero, Assistant Commissioner (Epidemiology and Surveillance) at the Ugandan Ministry of Health. We have seen the epidemic slowly develop, because we implemented the lockdown early, and cases are still unravelling, and we learned early to use prevention as the best policy. Lockdown before cases started, worked to our advantage, particularly considering health systems are not very advanced.
July 27, 2020, 22:33:33 (IST)
Going back a few decades, it took us many years to be able to get a drug through the various stages of clearance before market. Now, we’re able to get that done in a matter of months, which is significant. This speed is something that’s also improved a lot since a year or two ago, which has produced a lot of clinical trial science that could help streamlining to accelerate the process itself in the future.
July 27, 2020, 22:29:39 (IST)
The last session in this evening’s conference – a session on vaccines and public health policy – is now a go.
July 27, 2020, 22:28:18 (IST)
For mental health treatments, there’s a lot of evidence-based therapies that have been proven to work. We need to be able to take some risks and accept what might seem unconventional – whether it’s billboards or a game app that uses a methodology rooted in psychology – to address the needs of the people seeing mental issues as a result of COVID-19, says Dr Homes suggests.
July 27, 2020, 22:25:38 (IST)
One of the biggest takeaways is to adapt the public health care system is to fit the needs of the patients. Right now, while we’re ready to treat patients, patients aren’t necessarily presenting themselves for care. And we need to be able to think of how to care for the wide range of patients, based on the needs and behaviour of patients, to serve them better, Dr Russman says.
July 27, 2020, 22:20:46 (IST)
Some of the new groups we’re seeing mental health issues in are COVID-19 patients in the ICU, and frontline health workers, who are at risk of traumatic stress disorders like PTSD. It’s important we incorporate solutions, like public health messaging, are important additions in public health systems. After all, mental health is very treatable, Dr Holmes adds.
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July 27, 2020, 22:18:20 (IST)
We’re seeing that COVID-19 definitely affects mental health – what a pandemic can do affects us both in physical and mental levels. Vulnerable groups, like those already seeing mental health issues both minor and major, are being pushed further into distress. Anxiety is one of the most common illness we’re seeing affecting different ages, from children to older adults, Dr Holmes says.
July 27, 2020, 22:15:57 (IST)
The next segment is on the how COVID-19 has effected mental health and psychology, by Professor Emily Holmes, Distinguished Professor, Uppsala University.
July 27, 2020, 22:14:57 (IST)
Over the last 6 months, we’ve learned that neurological symptoms are definitely seen in COVID-19 patients. Early diagnosis, and differential diagnosis will make all the difference in treating these symptoms, Dr Manji summarised.
July 27, 2020, 22:13:13 (IST)

Dr Haji explains the four distinct ways in which COVID-19 patients showed complications in the nervous system and brain.

July 27, 2020, 22:10:10 (IST)
The webinar has moved to the section discussing the effects and complications of COVID-19 in the brain. The speaker is Dr Hadi Manji, Consultant Neurologist and Honorary Senior Lecturer, National Hospital for Neurology.
July 27, 2020, 22:08:26 (IST)
We’re always innovating when it comes to addressing COVID-19 treatment. Daily meetings to discuss symptoms, the latest medical research to treat these symptoms, and bringing in international expertise and consultations have all been very useful in maintaining good quality healthcare considering the fast-evolving state of COVID-19 and medical research, Dr Russman concludes.
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July 27, 2020, 22:04:36 (IST)
Telemedicine has been another boon to care for stroke patients – it has reduced the number of staff needed to examine COVID-19 patients, without reducing the quality of care given, Dr Russman adds.
July 27, 2020, 22:02:33 (IST)
When we were under a stay-at-home situation at the start of the pandemic, there were a lot fewer patients presenting symptoms, and sooner. Now, the cases are on the rise, but the trend we’re seeing is that the symptoms are also presenting themselves later in the infection process than before. This makes it a little more risky for hospital staff, and requires ER staff need to be vigilant, and better equipped with protective gear, says Dr Andrew Russman.
July 27, 2020, 21:57:43 (IST)
With those comments, the third session is now underway, hosted by the President of the Royal Society of Medicine. [He insists you tag any tweets you send out about the conference with the right hashtag…but only if you’re saying nice things.]
July 27, 2020, 21:52:58 (IST)
In all epidemic outbreaks, it’s often those with comorbid conditions, older population and serious health conditions are ones to suffer most severely. The lesson to the health system is to attend aggressively to the most common comorbid conditions during non-epidemic periods too – diabetes, hypertension and obesity being some examples from India, says Prof Srinath.
July 27, 2020, 21:50:22 (IST)
Diabetes and obesity are two of the most important comorbid conditions, based on the data we’ve seen, experts say.
July 27, 2020, 21:48:33 (IST)
We know the infection begins 4-5 days before the onset of symptoms. If we know in advance who is more at risk, the symptoms of thrombosis (blood clotting disorder) can be better controlled using early-intervention and medicines like anti-coagulants or heparin.
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July 27, 2020, 21:46:05 (IST)

Meanwhile, here’s a look at a summary screenshot from the thrombosis section. 

July 27, 2020, 21:41:16 (IST)

Sorry everyone, we’re pretty adept with basic biology and medicine but the next section on thrombosis is going right over our heads 🙁

We’ll be sure to send you time stamps at the end of our liveblog to the recording, so you can tune in and catch up on the findings from the sections on thrombosis if it’s important to you.

July 27, 2020, 21:34:27 (IST)
The focus on telemedicine during the pandemic could be a positive change that could stick with the Indian health system even after the pandemic isn’t in play, Professor Srinath says.
July 27, 2020, 21:33:20 (IST)
However, comorbid conditions are ample in the population, with urban diabetes, obesity and hypertension being the most prevalent. Among the people admitted with COVID-19, there have many cases of stroke, myocardial infarction have been commonly seen. There has been a sharp drop in the number of elective heart surgeries by patients, but there is still some data being gathered to assess why this is.
July 27, 2020, 21:30:35 (IST)
In India, there has been a relatively low mortality rate, possibly due to the younger age profile of the country, says Professor K Srinath Reddy, Public Health Foundation of India.
July 27, 2020, 21:28:29 (IST)
Effect of COVID on cardiovascular disease isn’t a direct one, based on a lot of data from research in multiple nations including the UK. Many studies have reported fewer cases of mortality and admissions over the course of the pandemic, in heart patients that have experienced STEMI (ST-Elevation Myocardial Infarction), a serious form of heart attack observed in comorbid heart patients.
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July 27, 2020, 21:22:17 (IST)
The second panel on how COVID-19 has affected cardiovascular health in its patients kicks off. Experts will discuss some specific comorbities, in those with exisiting heart conditions, and how the health system has responded to address them.
July 27, 2020, 21:20:01 (IST)
The pandemic can create a lot of damage, not just economically. The last great pandemic, the Spanish Flu, was quickly followed by the Great Depression, and extremism. The differences that continued afterwards culminated in a World War. In the case of COVID-19, the research community, the health community and the pharmaceutical industry and leading the way to find a solution. The world’s shared goal towards a vaccine give me optimism that we won’t see the same fate, Dr Kandor concluded, ending his welcome address.
July 27, 2020, 21:16:05 (IST)

Whether we stand in the abyss or move to our mutual future depends on how we collaborate and coordinate our efforts, he says. COVID-19 has aggravated some already worrying problems, including and especially racism and other forms of discrimination.

“Progress is so much faster when national interests are set aside, and commercial interests are shelved for the greater good,” Dr Kantor adds.

July 27, 2020, 21:13:48 (IST)
As the first panel on respiratory effects ends, Dr Viatcheslav Moshe Kantor from the Kantor Charitable Foundation gives his Welcome Address (a technical blip preventing him from doing so at the start of the webinar). He thanks all the health workers at the frontline of the pandemic.
July 27, 2020, 21:10:54 (IST)

Health experts and researchers have seen success in treating hypoxia with the use of pulmonary shunts. High-flow oxygen therapy and continuous positive airway pressure therapy (CPAP), which are less invasive methods, allow for more flow of oxygen with some artiificial assistance, and has shown a lot of promise in COVID-19 patients with severe respiratory symptoms. 

30-50% of cases that see hypoxia don’t need invasive methods/intubation to treat hypoxia, experts say.

July 27, 2020, 21:00:11 (IST)
In Barcelona, where there’s a mild second wave currently underway, one of the key challenges to preventing new cases is adequate physical distancing. This is a similar situation that many countries are in right now, with the opening up of lockdown restrictions, and the younger section of society feeling open to moving around in public spaces.
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July 27, 2020, 20:56:53 (IST)
In the UK, early collaboration from medical personnel across disciples – pulmonologists, cardiologists, anaesthesiologist and seniors physicians among others – helped bring different perspectives on the same issue, which helped prepare hospitals under the NHS to prepare for the unfolding pandemic.
July 27, 2020, 20:52:57 (IST)
In small US cities like Rochestor, around 30% of the COVID-10 cases were affecting non-white Caucasians, which pointed to some sociological factors or specific biological factors rooted in race-specific differences fairly early on.
July 27, 2020, 20:48:34 (IST)
A lot of these pre-surge measures in New York involved in increasing capacity and training in COVID-19-specific diagnosis and treatment. A lot of medical equipment including ventilators, ICU facilities, PPE, and increasing the number of beds were some of the first measures put in place.
July 27, 2020, 20:46:44 (IST)
Experts are now sharing some key pre-surge measures that were put in place in New York, Barcelona and Minnesota took before cases began to climb steeply.

The Royal Society of Medicine will be bringing together a group of thought leaders from around the world to share learnings and consensus on some key aspects of the COVID-19 pandemic and its impact on human health. The webinar began at 8.30 pm IST, and is being streamed via the Royal Society’s official website for registered viewers. Leading health experts, as per  the event website , will be part of discussions on the coronavirus pandemic, under four key areas:

  • Respiratory effects: critical care and ventilation
  • Cardiovascular complications and the role of thrombosis
  • Impacts on the brain and the nervous systems
  • Looking forward: research, vaccines and future management strategies

Experts will share the most effective ways to treat COVID-19 based on research and experience from around the world, and how the pandemic has affected the physical and mental health of patients. Also on the agenda is advice to improve treatment plans and strategies to lessen the impact of pandemics in future outbreaks.

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