Passengers wearing face masks who arrived from Guangzhou, China lineup for immigration at the Ninoy Aquino International Airport in Manila, Philippines, 22 January 2020.
“If you look at the experiences of Korea, Italy, or Iran, they did not start in the capital. You need to prepare your whole health system and your whole of government because you wouldn’t [know] where the transmission would start,” he added.In case the community-wide transmission happens, the government should shift its efforts from “containment to mitigation,” said Abeyasinghe.
“Our assessment of this disease so far indicates that largely it’s a mild disease –about 81 percent will have mild disease – many of them could be managed as outpatients. But 14 percent will develop severe disease, and five percent will progress to critical, meaning they will need intensive care facilities. So this is what we are concerned about because among that five percent will largely be elderly subjects having underlying medical conditions,” he added.
“We are still advocating for countries to invest in containment measures while they prepare for community-wide transmission. We are now seeing several large clusters affecting countries outside of China, namely” South Korea, Iran, and Italy. But even in these countries – what we are seeing is localized transmission and we still believed that even in these countries the trend could be reversed,” he added.
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