Frontiers in Public Health (May 2020)
COVID19: A Systematic Approach to Early Identification and Healthcare Worker Protection
- Yu Zhao,
- Chong Cui,
- Kun Zhang,
- Jialin Liu,
- Jinfu Xu,
- Eric Nisenbaum,
- Yixiang Huang,
- Guoyou Qin,
- Bing Chen,
- Michael Hoffer,
- Michael Hoffer,
- Susan H. Blanton,
- Susan H. Blanton,
- Fred Telischi,
- Fred Telischi,
- Joshua M. Hare,
- Sylvia Daunert,
- Bhavarth Shukla,
- Savita G. Pahwa,
- Dushyantha T. Jayaweera,
- Paul E. Farmer,
- Paul E. Farmer,
- Paul E. Farmer,
- Carlos del Rio,
- Xuezhong Liu,
- Xuezhong Liu,
- Yilai Shu
Affiliations
- Yu Zhao
- ENT Institute and Otorhinolaryngology Department of the Affiliated Eye and ENT Hospital, State Key Laboratory of Medical Neurobiology, Institutes of Biomedical Sciences, Fudan University, Shanghai, China
- Chong Cui
- ENT Institute and Otorhinolaryngology Department of the Affiliated Eye and ENT Hospital, State Key Laboratory of Medical Neurobiology, Institutes of Biomedical Sciences, Fudan University, Shanghai, China
- Kun Zhang
- ENT Institute and Otorhinolaryngology Department of the Affiliated Eye and ENT Hospital, State Key Laboratory of Medical Neurobiology, Institutes of Biomedical Sciences, Fudan University, Shanghai, China
- Jialin Liu
- Department of Critical Care Medicine, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
- Jinfu Xu
- Department of Respiratory and Critical Care Medicine, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China
- Eric Nisenbaum
- Department of Otolaryngology, University of Miami Miller School of Medicine, Miami, FL, United States
- Yixiang Huang
- Department of Health Policy and Management, Health Development Research Center, School of Public Health, Sun Yat-Sen University, Guangzhou, China
- Guoyou Qin
- Department of Biostatistics, School of Public Health, and the Key Laboratory of Public Health Safety of Ministry of Education, Fudan University, Shanghai, China
- Bing Chen
- ENT Institute and Otorhinolaryngology Department of the Affiliated Eye and ENT Hospital, State Key Laboratory of Medical Neurobiology, Institutes of Biomedical Sciences, Fudan University, Shanghai, China
- Michael Hoffer
- Department of Otolaryngology, University of Miami Miller School of Medicine, Miami, FL, United States
- Michael Hoffer
- Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, FL, United States
- Susan H. Blanton
- Department of Otolaryngology, University of Miami Miller School of Medicine, Miami, FL, United States
- Susan H. Blanton
- Dr. John T. Macdonald Foundation, Department of Human Genetics and John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, United States
- Fred Telischi
- Department of Otolaryngology, University of Miami Miller School of Medicine, Miami, FL, United States
- Fred Telischi
- Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, FL, United States
- Joshua M. Hare
- Dr. John T. Macdonald Foundation, Department of Human Genetics and John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, United States
- Sylvia Daunert
- Department of Biochemistry and Molecular Biology, University of Miami Miller School of Medicine, Miami, FL, United States
- Bhavarth Shukla
- 0Division of Infectious Diseases, Department of Medicine, University of Miami Miller School of Medicine, Miami, FL, United States
- Savita G. Pahwa
- 0Division of Infectious Diseases, Department of Medicine, University of Miami Miller School of Medicine, Miami, FL, United States
- Dushyantha T. Jayaweera
- 0Division of Infectious Diseases, Department of Medicine, University of Miami Miller School of Medicine, Miami, FL, United States
- Paul E. Farmer
- 1Partners in Health, Boston, MA, United States
- Paul E. Farmer
- 2Harvard Medical School, Boston, MA, United States
- Paul E. Farmer
- 3Brigham & Women's Hospital, Boston, MA, United States
- Carlos del Rio
- 4Division of Infectious Diseases, Department of Internal Medicine, Emory University School of Medicine, Atlanta, GA, United States
- Xuezhong Liu
- Department of Otolaryngology, University of Miami Miller School of Medicine, Miami, FL, United States
- Xuezhong Liu
- Dr. John T. Macdonald Foundation, Department of Human Genetics and John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, United States
- Yilai Shu
- ENT Institute and Otorhinolaryngology Department of the Affiliated Eye and ENT Hospital, State Key Laboratory of Medical Neurobiology, Institutes of Biomedical Sciences, Fudan University, Shanghai, China
- DOI
- https://doi.org/10.3389/fpubh.2020.00205
- Journal volume & issue
-
Vol. 8
Abstract
The COVID-19 outbreak spread rapidly throughout the globe, with worldwide infections and deaths continuing to increase dramatically. To control disease spread and protect healthcare workers, accurate information is necessary. We searched PubMed and Google Scholar for studies published from December 2019 to March 31, 2020 with the terms “COVID-19,” “2019-nCoV,” “SARS-CoV-2,” or “Novel Coronavirus Pneumonia.” The main symptoms of COVID-19 are fever (83–98.6%), cough (59.4–82%), and fatigue (38.1–69.6%). However, only 43.8% of patients have fever early in the disease course, despite still being infectious. These patients may present to clinics lacking proper precautions, leading to nosocomial transmission, and infection of workers. Potential COVID-19 cases must be identified early to initiate proper triage and distinguish them quickly from similar infections. Early identification, accurate triage, and standardized personal protection protocols can reduce the risk of cross infection. Containing disease spread will require protecting healthcare workers.
Keywords
