Colorised scanning electron micrograph of MERS virus particles (yellow) both budding and attached to the surface of infected VERO E6 cells (blue). Credit: NIAID

By Samira Sadeque
UNITED NATIONS, Jan 31 2020 (IPS)

Weeks into widespread panic about the “Coronavirus” that has so far killed at least 170 people in China, the World Health Organisation (WHO) on Thursday declared it a public health emergency. As of Friday, the disease had spread to all the regions in Mainland China, with more than 7,500 cases in the country alone, according to the BBC. 

In a statement, WHO Director-General Dr. Tedros Adhanom Ghebreyesus said owing to the large number of cases, the pace at which it is spreading, and for not knowing what this damage could do, he was declaring it “a public health emergency of international concern over the global outbreak of novel coronavirus”.

The virus has so far spread to countries such as South Korea, and England with four countries reporting human-to-human transmission: Vietnam, Germany, Japan and the United States. A key message from Ghebreyesus was the concern regarding facilities in countries that have “weaker health systems”. 

He reiterated that it is not known the extent of the “damage” the virus could do if it spread to countries that don’t have the capacity to address such viruses. It’s unclear in what capacity WHO is working with these countries, and the organisation did not clarify when asked. 

“We support all countries as they coordinate the efforts of multiple sectors of the government and partners – including bi- and multi-laterals, funds and foundations, civil society organisations and private sector – to attain their health objectives and support their national health policies and strategies,” WHO said in a statement to IPS. 

The health network operates in six regions around the world with 149 field offices. 

Experts told IPS some of the main challenges for countries with “weaker health systems” include the laboratory access, staffing challenges, and bedding capacity.  

There remains a grave challenge in diagnosing the Coronavirus, especially given the symptoms are very similar to the flu. Because pneumonia can be caused by a number of viruses, there are extra lab test required to diagnose a patient with the coronavirus, and not all countries are equipped with that. 

Furthermore, it’s difficult to gauge what kind of treatment each patient needs: a person with a “severe” case might require different treatment. Also, if a larger group of patients each require a bed for treatment that can take up to 20 days, not all hospitals may have that capacity. 

Other concerns that experts worry about is how the virus is transmitted and how infected it is in a patient. In many places that fall under the category of “weaker health practices”, the enforcing of Infection Prevention and Control (IPC), the set of regulations for medical staff to prevent the spread of infections, in itself can be a challenge. 

Depending on how it’s contained and how soon a vaccine is available to stop it, the virus could affect anywhere between 39,000 to 190,000 people in Wuhan province of China, according to a Nature report.

Meanwhile, other countries that have key relations with China — such as those in Asia and Africa are turning away flights. Kenya Airways and RwandAir have suspended all flights from China. 

When asked by IPS whether countries with identified cases are seeking out assistance from WHO, the organisation said, “WHO is working 24/7 with networks of scientists, clinicians, disease trackers, governments, supply chain experts and partners from the public and private sector to coordinate the new coronavirus response and support affected and non-affected countries in various capacities as well as providing help if needed.”