Aged Care Insite Issue 118 | Apr-May 2020 | Page 18

coronavirus special A nurse starts her shift at the Cremona Hospital, Milan, Italy. Photo: Paolo Miranda/AFP COVID-19: How it happened We take a look at how the global pandemic began, how it spread, and how countries responded. By Conor Burke T he COVID-19 pandemic came to light on 31 December 2019 with an alert to the WHO China office, and the speed with which it has spread across the globe has been rivalled only by how rapidly it has changed the lives of billions of people worldwide. As countries head into a period of lockdown, economies tank and people lose jobs, we find ourselves in the midst of a crisis with no end in sight. At the time of publication, the Australian government has announced a slew of new restrictive measures on once-taken-for- granted freedoms. From midnight on March 25, Australians were no longer able to go to weddings with more than five people present (including the couple and the celebrant) or attend funerals with more than 10 mourners, and Australians are now officially banned from leaving the country. No more real estate inspections, auctions, cinemas, pubs, swimming pools, tattoos, saunas, gyms or museums. Staying in and keeping socially distanced from friends and family has already become the norm, but how did we get here? 16 agedcareinsite.com.au WHAT IS COVID-19 AND WHERE DID IT COME FROM? Coronaviruses (CoV) are a large family of viruses that cause illnesses from the common cold to more severe diseases such as Middle East respiratory syndrome (MERS-CoV) and severe acute respiratory syndrome (SARS-CoV), and this particular strain causes pneumonia-like symptoms. COVID-19 is an infectious disease caused by a newly discovered coronavirus, and it spreads primarily through droplets of saliva or discharge from the nose when an infected person coughs or sneezes. The origins of this new coronavirus are unclear. However, scientists believe it may have mutated and jumped species from a bat or pangolin (a scaly armadillo-like mammal), much like the cases of SARS (2003) and MERS (2012), which found their origins in civet cats and camels respectively. Scientists have ruled out rumours of a lab-based origin for the coronavirus, and have identified markers in the way COVID-19 reacts with the human genome which suggest that it is a result of natural selection and not bioengineering. Cases were first identified in Wuhan, the capital of Hubei province in Central China, which has a population of more than 11 million. On January 7, officials announced they had identified a new virus, according to the WHO. On January 11, China announced its first death, and two days later the first foreign case was confirmed in Thailand. HOW THE VIRUS SPREAD By January 23, Wuhan had been effectively shut down, with all planes, trains, buses, subways and other forms of transport cancelled and stopped from leaving the city. At this point, only 581 cases had been confirmed globally (571 in China) with seven deaths, all in Hubei. January 25 saw the first Australian cases, as four men, three from NSW and one from Victoria, presented with symptoms. All four had recently flown back to Australia from China and had been in Wuhan. By January 30, the WHO declared the new coronavirus a “global emergency”. CONFUSION REIGNS As the virus started to gain a hold in Australia, the states, territories and various health bodies argued about how best to tackle a crisis not seen before in modern history. In February, the Royal Australian College of General Practitioners (RACGP) and its president Dr Harry Nespolon criticised the government’s response to the outbreak, saying the lack of government planning was “risking people’s health”. “Australia needs to implement a national plan for dealing with potential pandemics,” he said. “This isn’t the first and won’t be the last. If we don’t address these problems now, we’re risking people’s health. “While we have a national plan for pandemic influenza, it has not been implemented. Not implementing a plan is as good as not having a plan.”