So far as I have understood on the novel Corona Virus (nCoV) infection epidemic, it seems to be characterized as below;
1)There are sizable number of asymptomatic carriers and mild cases not differentiated from simple common cold.
2)It could be contagious during the incubation period.
3)Different from the epidemic in China, there seems less worsening rate in the other countries. Hopefully, this might be due to natural selection of the more virulent strain and/or spontaneous mutation in the process of epidemic.
These characteristics are different from SARS which caused epidemic in 2003. There were more than 800 fatal cases. The medical staff was the target of this highly virulent virus. I still remember I should do with it at own small private practice without any equipment necessary to prevent infection those days. It was a real frustration. So far, the clinical features of this nCoV seem different from SARS or even MERS.
We might be able to infer that the border strategy at quarantine is not of much use to prevent epidemic. Actually, the passengers of a big cruiser where some of them turned to be infected have been confined to the ship for days. I believe the closed narrow space of the ship is apt to cause further prevalence of the pathogen even if they are separated there.
I believe the authority should provide simple diagnosing kit for this pathogen, in stead of RT PCR used for diagnostic test, not suitable for mass screening, at present. And there should be certain number of facilities in each area/district which could hospitalize and treat severe cases.
Most of all, we should never be panic with this issue.
I was surprised to know the budget for the National Institute of Infectious Diseases in Japan has been reduced to 2/3, that is, only 40 billion JPY per a year, for the past 10 years. I am afraid the health issue of the people is only of secondary importance in our country. They pay 4 times of this budget for a stealth air fighter imported from the US.
PS：This evening, BBC has reported that a Chinese researcher indicated a possibility of airborne infection with nCoV. If it is right, together with infectivity during incubation period, ordinary quarantine methods turn meaningless. Observing the wide spread infection among the passengers on the cruiser, this should be quite possible, I am afraid.
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