Covid-19 Update Jay P. Slotkin, MD, MPH North Fork Reform Synagogue - - PowerPoint PPT Presentation

Covid-19 Update

Jay P. Slotkin, MD, MPH North Fork Reform Synagogue August 1, 2020

FOX 2

Outline

• What is an Infectious Disease
• Coronavirus
• Viral Transmission
• Symptoms
• Testing
• Incidence of Corona Virus on the North

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Infectious Disease An infectious disease is caused by a microorganism, such as a bacterium, virus or protozoan that is not normally found in the body. Some but not all infectious diseases are contagious, meaning they can spread from person to person.

The Components

• f an Infectious

Disease

The pathogen or infectious organism- Virus, Bacteria, parasite The agent necessary for disease to occur Variability in pathogenicity ( Ability to cause disease)

Pathogen

Refers to the Human that can get the disease Factors intrinsic to the host, called Risk Factors, influence our exposure and susceptibility: Genetic susceptibility Immunologic Status Age Presence of Diseases

Host

Extrinsic factors that affect the agent and the opportunity for exposure: Physical Factors: Climate and biologic factors Socioeconomic Factors: Crowding, Sanitation, and the availability of Health Services.

Environment

Outline

• What is an Infectious Disease
• Coronavirus
• Viral Transmission
• Symptoms
• Testing
• Incidence of Corona Virus on the North

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The Corona Virus

Outline

• What is an Infectious Disease
• Coronavirus
• Viral Transmission
• Symptoms
• Testing
• Incidence of Corona Virus on the North

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The Benefit of Wearing a Mask

In an editorial published July 14, 2020 in the Journal of the American Medical Association (JAMA), the CDC reviewed the latest science and affirms that cloth face coverings are a critical tool in the fight against COVID-19 that could reduce the spread of the disease, particularly when used universally within communities.

Outline

• What is an Infectious Disease
• Coronavirus
• Viral Transmission
• Symptoms
• Testing
• Incidence of Corona Virus on the North

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Symptoms of Corona Virus occur 2 to 14 days after exposure

Loss of smell or taste

Risk Factors for COVID-19

Risk Factors for COVID-19

The Challenge of the Corona Virus

• Not well understood
• Severity of illness is very variable

– Asymptomatic – Symptoms like a common cold – Symptomatic, but can treat at home – Hospitalization required – Can be fatal

• Many asymptomatic carriers

Outline

• What is an Infectious Disease
• Coronavirus
• Viral Transmission
• Symptoms
• Testing
• Incidence of Corona Virus on the North

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Testing

• Sensitivity

– In medical diagnosis, test sensitivity is the ability of a test to correctly identify those with the disease (true positive rate)

• Specificity

– test specificity is the ability of the test to correctly identify those without the disease (true negative rate).

Types of Testing for the Disease

A viral test tells you if you have a current infection. An antibody test might tell you if you had a past infection. An antibody test might not show if you have or had a current infection because it can take 1–3 weeks after infection for your body to make antibodies. Having antibodies to the virus that causes COVID-19 might provide protection from getting infected with the virus again. If it does, we do not know: How much protection the antibodies might provide or How long this protection might last.

Treatment

• Supportive

– Fluids, rest, respiratory support

• Medication

– Antiviral, Dexamethasone , Anti- inflammatory, Hydroxychloroquine – Antibody

• Immune based therapy, Convalescent plasma

– Vaccine

Outline

• What is an Infectious Disease
• Coronavirus
• Viral Transmission
• Symptoms
• Testing
• Incidence of Corona Virus on

the North Fork

Confirmed Cases by Town 7/31