Corona warriors and their challenges

corona warriors are working in drastic conditions. The pros and cons of being as corona worriers.

1. 2020 NURSES ERA NURSES:SOLDIERS OF COVID-19 Presented by: Mr. Shatrughan Pareek MSN, DNA Nursing Superintendent Indian Railway Health services, Bikaner, Rajasthan

2. Highlights of the presentation COVID-19 INTRODUCTION 01 PROS AND CONS OF BEING AS SOLDIERS OF COVID-19 02 EFFECT OF VARIOUS POLICIES ON NURSES 03 CONCLUSION 04 2020 NURSES ERA NURSES:SOLDIERS OF COVID-19 Shatrughan Pareek 10.06.2020

3. Global Statistics 8 June 2020 Globally,  6,931,000 confirmed cases of COVID- 19, including  400,857 deaths , reported by WHO. India   Confirmed:2,65,928 Active:1,29,344 Recovered: 1,29,096 Deceased : 7,473 Tested: 47,74,434 2020 NURSES ERA NURSES:SOLDIERS OF COVID-19 Shatrughan Pareek 10.06.2020

4. INTRODUCTION: COVID-19 A Corona virus is a kind of common virus that causes an infection in your nose, sinuses, or upper throat. Most Corona viruses aren't dangerous. In early 2020, after a December 2019 outbreak in China, the World Health Organization identified SARS-CoV-2 as a new type of Corona virus. The outbreak quickly spread around the world. 2020 NURSES ERA NURSES:SOLDIERS OF COVID-19 Shatrughan Pareek 10.06.2020

5. SARS-CoV-2 is one of seven types of corona virus, including the ones that cause severe diseases like Middle East respiratory syndrome (MERS) and sudden acute respiratory syndrome (SARS). The other corona viruses cause most of the colds that affect us during the year but aren’t a serious threat for otherwise healthy people. 2020 NURSES ERA NURSES:SOLDIERS OF COVID-19 Shatrughan Pareek 10.06.2020

6. HISTORY OF COVID-19 The name corona virus was coined in 1968 from latin word “corona” meaning CROWN like. • The outbreak was first identified in Wuhan, China, in December 2019 . When a pneumonia cluster of unknown cause was observed. • The WHO declared the outbreak a Public Health Emergency of International Concern on 30 January, 2020 & Pandemic on 11 March, 2020. 2020 NURSES ERA NURSES:SOLDIERS OF COVID-19 Shatrughan Pareek 10.06.2020

7. By the end of Jan, virus found to be originated from bats & come to the conclusion that this virus also belongs to the group that caused SARS, so was named SARS CoV - On Feb 11th 2020 WHO names the virus COVID-19 ( Coronavirus disease 19). In India first case was reported from Thrissur , Kerala in the month of Jan, 2020. 2020 NURSES ERA NURSES:SOLDIERS OF COVID-19 Shatrughan Pareek 10.06.2020

8. Incubation period for novel coronavirus is b/w 2 to 14 days. Some infected people have no symptom. • As at April, estimated asymptomatic ratio range widely from 5% to 80%. • Reproductive ratio of this virus and degree of spread ability. It means that one person can spread infection to about 3 persons. • Novel corona virus – incubation period — is b/w 2 to 14 days even up to 28 days in some persons after exposure, but recently in Japan by mid march they have found it takes 14- 27 days for the symptoms to appear. Mortality rate- 1-3% PANDEMIC EPIDEMIOLOGY COVID-19 2020 NURSES ERA NURSES:SOLDIERS OF COVID-19 Shatrughan Pareek 10.06.2020

9. Sign & symptoms of COVID-19 Another sign & symptoms of COVID-19 Cough Fever Shortness Of Breath Sore Throat Body aches Headache Loss of smell or taste Nausea Diarrhea Fatigue Chills, sometimes with shaking 2020 NURSES ERA NURSES:SOLDIERS OF COVID-19 Shatrughan Pareek 10.06.2020

10. Mode of transmission Person to person through: • Droplet transmission : droplet of infected fluid from the nose and mouth of infected person lands on objects and surfaces when the person cough or talk. • People touch contaminated surfaces or objects and then touch eyes or mouth • Transmission can take place through physical contact with the infected person 2020 NURSES ERA NURSES:SOLDIERS OF COVID-19 Shatrughan Pareek 10.06.2020

11. • RT –PCR ( Real- time reverse transcription polymerase chain reaction) of Respiratory Tissue samples - in early phase of illness. (Nasopharyngeal swab / oropharyngeal swab) • Rapid Diagnostic Tests(RDT) – result in 10 to 30 minutes , sensitivity– 90% specificity – 95% , tests IgG / IgM antibodies. • ELISA / IFAT – Immunofluoresence Antibody Tests — antibodies detectable within one month. • (Enzyme linked immunosorbent Assay) – 1-5 hrs Diagnosis of Covid-19 2020 NURSES ERA NURSES:SOLDIERS OF COVID-19 Shatrughan Pareek 10.06.2020

12. • Older person • Children below 10 years • Pregnant • Person with pre- existing medical condition like high B.P., heart disease , diabetes, Immuno -compromised people. lungs disease like COPD & asthma Who are at risk 2020 NURSES ERA NURSES:SOLDIERS OF COVID-19 Shatrughan Pareek 10.06.2020

13. • No specific medicine available for COVID-19 but HCQS, AZEE, AC Inhabitators may be given • Clinical management is supportive Treatment 2020 NURSES ERA NURSES:SOLDIERS OF COVID-19 Shatrughan Pareek 10.06.2020

14. • Community awareness through inter-personal communication a) Uptake of preventive and control measures including social distancing b) Addressing myths and misconceptions • Support ANM/ Supervisor in house to house surveillance including Identification of probable cases Ensure uptake of medical services in urban and rural areas Psychosocial care ,stigma and discrimination Role of Nurse : At community setting 2020 NURSES ERA NURSES:SOLDIERS OF COVID-19 Shatrughan Pareek 10.06.2020

15. Follow established occupational safety and health procedures avoid exposing others to health and safety risks participate in employer –provided occupational safety and health training Use provided protocols to assess ,triage and treat patients Treat patients with respect ,compassion and dignity Maintain patient confidentiality Role of Nurse: clinical settings 2020 NURSES ERA NURSES:SOLDIERS OF COVID-19 Shatrughan Pareek 10.06.2020

16. Preventive measures AL 011- 23978046 Toll Free- 1075 Clean Text Slide for your Presentation 0000-0000-0000 2020 NURSES ERA NURSES:SOLDIERS OF COVID-19 Shatrughan Pareek 10.06.2020

17. Pros & Cons of COVID-19 Soldiers 03 Reorganization to nursing profession Social respect Dignity Global appreciation Positive attitude of community Breaking stigma Growth – personal and professional Motivation Risk of infection Fatal conditions Social isolation Negative attitude of community Lack of appreciation Under rated benefits Stigma Loss of confidence Jobless situations 2020 NURSES ERA NURSES:SOLDIERS OF COVID-19 Shatrughan Pareek 10.06.2020

18. Positive effect of various policies on Nurses Risk coverage ( Insurance) Availability of PPE Awareness among Professionals Weightage to profession 2020 NURSES ERA NURSES:SOLDIERS OF COVID-19 Shatrughan Pareek 10.06.2020

19. Lack of investigation facilities Discrimination regarding facilities Neglect of safety Field duties of Student nurses Financial losses ( holding allowances) Departmental actions Negative effect of various policies on Nurses 2020 NURSES ERA NURSES:SOLDIERS OF COVID-19 Shatrughan Pareek 10.06.2020

20. STAY SAFE STAY HEALTHY PANDEMIC COVID-19 2020 NURSES ERA NURSES:SOLDIERS OF COVID-19 Shatrughan Pareek 10.06.2020

21. THANK YOU