Practical IPC Considerations in the Fight Against COVID-19

Infection Prevention and Control (IPC) Global Webinar

Series

Fernanda Lessa, MD, MPH

Disclosures and Objectives

No conflict of interest or financial disclosures

Objectives: - Describe COVID-19 disease burden

- Importance of IPC during epidemics

- Goals of the Global webinar series

Global COVID-19 Burden as of May 13th

Number of confirmed COVID-19 cases, by date of report and WHO region, 30 December 2019 through 13 May 2020 ~ 4.1 million cases

287,399 deaths

https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200513-covid-19-sitrep-114.pdf?sfvrsn=17ebbbe_4

Goals of Infection Prevention and Control

WHO2015 Safe & Quality Health Services Package

Why IPC During Epidemics?

Prevention of infections in healthcare settings

Safe provision of care: Critical piece in maintaining essential health services during epidemics– Fear, distrust, worry of healthcare

settings– Ebola, MERS, COVID-19, etc.

Pillars of COVID-19 IPC Response

Goal: To support the maintenance of essential healthcare services by preventing healthcare-associated transmission of SARS-CoV-2 among healthcare workers and patients 1. Limit unrecognized entry of COVID-19:

• TRIAGE patients• LIMIT visitors• MONITOR staff

2. Prevent transmission• TRAIN staff (and provide supplies)

3. Rapidly identify healthcare transmission:• DETECT healthcare transmission• CONTAIN outbreaks before they spread

Guidance and Operational Considerations

https://www.cdc.gov/coronavirus/2019-ncov/hcp/non-us-settings/index.htmlhttps://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance/infection-prevention-and-control

COVID-19 Global IPC Webinar series

CDC/WHO collaboration

12 weeks/12 topics relevant to IPC priorities for control and prevention of COVID-19

Contribution of several IPC professional societies

– APECIH, ABIH, ICAN, APSIC, IPNET, etc.

– Bringing global IPC community together

Picture from Instituto Couto Maia -http://www.institutocoutomaia.com.br/profissionais-de-saude-do-icom-reforcam-a-campanha-fiquem-em-casa/

COVID-19 Resources CDC COVID-19 Web Site

https://www.cdc.gov/covid19

WHO Country & Technical Guidance - Coronavirus disease (COVID-19)

https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance

WHO Operation considerations for case management of COVID-19 in health facility and community

https://www.who.int/publications-detail/operational-considerations-for-case-management-of-covid-19-in-health-facility-and-community

CDC COVID-19 Operational Considerations for non-US healthcare settingshttps://www.cdc.gov/coronavirus/2019-ncov/hcp/non-us-settings/index.html

SOP for Triage of Suspected COVID-19 patients

https://www.cdc.gov/coronavirus/2019-ncov/hcp/non-us-settings/sop-triage-prevent-transmission.html

For more information, contact CDC1-800-CDC-INFO (232-4636)TTY: 1-888-232-6348 www.cdc.gov

The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.