RACA Journal May 2020 | Page 44

Feature COVID-19 Disease caused by the SARS-CoV-2 virus Novel coronavirus Coronaviruses are viruses that circulate among animals but some of them are also known to affect humans. Prevention When visiting affected areas Avoid contact with sick people The 2019 novel coronavirus was identified in China at the end of 2019 and is a new strain that has not previously been seen in humans. Wash your hands with soap and water If you develop cough, use a medical face mask Wherever you travel apply general hygiene rules Symptoms FEVER COUGH DIFFICULTY BREATHING MUSCLE PAIN TIREDNESS VIA RESPIRATORY DROPLETS 2–14 days estimated incubation period ecdc.europa.eu/en/novel-coronavirus-china Basic information about the virus, symptoms, prevention and transmission. With consideration to the spatial layout of the cruise ship, the proximity of infected passengers to others likely had a major role in the spread of COVID-19. As individuals move through the BE, there is direct and indirect contact with the surfaces around them. Viral particles can be directly deposited and resuspended due to natural airflow patterns, mechanical airflow patterns, or other sources of turbulence in the indoor environment such as foot fall, walking, and thermal plumes from warm human bodies. These resuspended viral particles can then resettle back onto fomites. Whenever an individual makes contact with a surface, there is an exchange of microbial life, including a transfer of viruses from the individual to the surface and vice-versa. Once infected, individuals with COVID-19 shed viral particles before, during, and after developing symptoms. These viral particles can then settle onto abiotic objects in the BE and potentially serve 44 Transmission RACA Journal I May 2020 as reservoirs for viral transmission. Evidence suggests that fomites can potentially be contaminated with SARS- CoV-2 particles from infected individuals through bodily secretions such as saliva, nasal fluid, contact with soiled hands, and the settling of aerosolised viral particles and large droplets spread via talking, sneezing, coughing, and vomiting. A study on environmental contamination from the MERS-CoV demonstrated that nearly every touchable surface in a hospital housing MERS-CoV patients had been contaminated with the virus, and a survey of a hospital room with a quarantined COVID-19 patient demonstrated extensive environmental contamination. The knowledge of the transmission dynamics of COVID-19 is still currently developing, but based upon studies on SARS-, MERS-CoV, preliminary data on SARSCoV-2, and CDC (Centers for Disease Control and Prevention) recommendations, it seems likely that SARS-CoV-2 can www.hvacronline.co.za