Clinical management of severe acute respiratory infection when

Clinical management of severe acute respiratory infection when novel coronavirus (n. Co. V) infection is suspected • Interim guidance

https: //www. who. int/emergencies/diseases/novelcoronavirus-2019/advice-for-public/ 2

Key messages • COVID-19 can infect people of all ages, with the risk of severe disease increasing with age starting from around 40 years, particularly older age with underlying co-morbities. Mortality amongst children under 9 years of age is very low (i. e. not reported in studies from China, South Korea, Italy) • Physical distancing measures are an important way of slowing down the spread of the virus and buying time but not sufficient. To defeat the virus, countries need aggressive and targeted tactics – testing every suspected case, isolating and caring for every confirmed case, and tracing and quarantining every close contact. • We do not know how long the pandemic will last, we are still in early stages of the outbreak • Strong concerns about vulnerable populations – HIV affected communities, malnourished children, populations in conflict-affected and fragile zones • Broader political engagement at the interface of health, foreign policy and finance is needed to better enable countries to develop common positions and support multisector, all hazard preparedness plans. • Investments in development of diagnostic tests, medicines and vaccines are in progress. Availability of a vaccine for public use will take time.

Guidance for clinical management including of children Guidance on COVID 19 Questions and Answers on COVID 19 https: //www. who. int/news-room/q-a-detail/q-a -coronaviruses https: //www. who. int/emergencies/diseases/novel-coronavirus-2019/technicalguidance/patient-management

Parenting in the time of COVID-19: Six tip sheets

Aim and content To help parents interact positively with their children during lockdown and thereby help prevent child maltreatment. • One-on-one time, • Staying positive, • Creating a daily routine, • Avoiding bad behaviour, • Managing stress, and • Talking about COVID-19.

Method and co-branding • Developed by Parenting for Lifelong Health consortium • Evidence-based – LMIC and HIC findings on how to enable effective parenting • WHO and UNICEF coordinating dissemination • Other co-branders: • • End Violence US CDC USAID Internet of Good Things • 50+ other language versions soon available • Lancet letter available here https: //doi. org/10. 1016/S 0140 -6736(20)30736 -4

Four hyperlinks per page WHO COVID-19 Parenting page UNICEF COVID-19 Parenting page Multi-language versions Evidence base

COVID-19 Parenting tips on the web WHO website https: //www. who. int/emergencies/diseases/novel-coronavirus-2019/advice-forpublic/healthy-parenting UNICEF website https: //www. unicef. org/coronavirus/covid-19 -parenting-tips Multi-language versions https: //www. covid 19 parenting. com/

Psychosocial stressors and COVID-19 It is common and normal for individuals to feel stressed and worried in response to any disease outbreak. Specific stressors particular to the COVID-19 pandemic are: • Rumours and misinformation (social media) • Closure of schools and children’s activity spaces • Travel restrictions • Possibility of or actual physical isolation and quarantine • Deterioration of trust in government agencies and social networks • Avoidance of health facilities • Risk of relapse in pre-existing health conditions (including mental health) • Common symptoms of other health problems can lead to fear of infection • Discrimination towards persons who have been infected and their family members.

Resources

Coping with stress Stay socially connected Healthy diet, sleep pattern, exercise Messages for carers of young children Avoid separating children and carers Maintain regular routines Help children express feelings Model effective coping methods Avoid smoking, alcohol, other drugs Get reliable information Draw on your previous coping skills Identify sources of help

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