2. Coronavirus Flashcards
Major cause of coronavirus
travel
Coronavirus
- enveloped / non-enveloped?
- RNA / DNA virus?
- singe/double stranded?
enveloped
RNA virus
single-stranded
Coronavirus
Order:
Family:
Genera:
Order: Nidovirales
Family: Coronaviridae
Genera:
1) Alpha-CoV
2) Beta-CoV***
3) Delta-CoV
4) Gamma-CoV
Subgenus of SARS
Sarbecovirus
Subgenus of MERS
Merbecovirus
SARS-CoV
reported case: _____
deaths: _____
countries: _____
reported case: 8,096
deaths: 774 (~9.6% case fatality)
countries: 37
Where SARS-CoV originated
Guangdong Province, China
Time span of SARS-CoV
November 2002 – July 2003
Other term for SARS-CoV
“Infectious atypical pneumonia”
New coronavirus not previously endemic in humans
SARS-CoV
Cases of SARS-CoV had epidemiological links
to the ____-___ animal trade.
wild-game animal trade
Specimens are collected from
1)
2)
(also give scientific name)
- masked palm civet
(Paguma larvata) - raccoon dogs
(Nyctereutes procyonoides)
SARS CoV like virus with more than ___% nucleotide homology to the human SARS CoV
99% nucleotide homology
Middle East Respiratory Syndrome coronavirus (MERS)
reported case: _____
deaths: _____
countries: _____
reported case: “2,604”
deaths: “936” (~36% case fatality)
countries: “27”
Where MERS originated
Saudi Arabia
Time span of MERS
Sept 2012 - present
98-100% of ____ are (+) for MERS-CoV antibodies
camels
Incidence of MERS-CoV in humans is 15x higher in _______
camel shepherd
Incidence of MERS-CoV in humans is 23x higher in ____ __ than in general population.
slaughterhouse workers
Where COVID-19 originated
Wuhan, Hubei Province, China
Time span of COVID-19
Devember 2019 - present
was found to be an epidemiological link of the 100 initial patients exposed (COVID-19)
Wuhan Huanan Seafood Wholesale (Wet Market)
CoV attach to the host cell surface receptors via _____
spike protein (S)
______ is believed to play a crucial role in overcoming species barriers and accomplishing interspecies transmission from animals to human
S protein
Cellular receptor of SARS-CoV & COVID-19
ACE 2
angiotensin-converting enzyme 2
Cellular receptor of MERS-CoV
DPP4
dipeptidyl peptidase 4
Reservoir hosts of:
SARS-CoV: ______
MERS-CoV: ______
COVID-19: ______
Reservoir hosts
SARS-CoV: Horshoebat
MERS-CoV: Egyptian tomb bat
COVID-19: Bats
Coronavirus infection in “humans” is commonly associated with (5)
1) mild to severe respiratory disease
2) high fever
3) severe inflammation
4) cough
5) internal organ dysfunction
Coronavirus infection in “domestic animals” is commonly associated with (4)
1) respiratory
2) gastrointestinal
3) liver disease
4) neurologic disease
INCUBATION PERIOD (IP)
SARS-CoV: _______
MERS-CoV: _______
COVID-19: _______
SARS-CoV: [ 2 - 10 days ]
MERS-CoV: [ 2 - 10 days ]
average: ( 5 - 6 days )
death: [~11.5 days ]
COVID-19: [ 4-7 days ]
average: ( 5 days )
number 1 Clinico-pathological feature of coronavirus
fever
Recommended diagnosis for coronavirus
RT-PCR / next generation sequencing
For viral pneumonia (coronavirus)
Chest CT
Viral RNA could be detected in (5) of covid infected persons
- respiratory tract (URT)
- lower respiratory tract
- stool
- blood
- urine
Peak of coronavirus viral load in respiratory specimens
second (2nd) weeek after symptom onset
Which respiratory tract has higher viral load of coronavirus?
LOWER respiratory tract
Diagnostic classification for coronavirus
virological culture
Where coronavirus test can be done
RITM
Specimen required for coronavirus
respiratory discharges
(3) best recommendation for clinical specimens for detection of SARS-CoV 2
- bronchalveolar lavage fluid
- sputum
- nasal swabs
Epidemiological tools for control of coronavirus (4)
[ ETPI ]
- Early warning system surveillance
- Tracking & mapping by GIS / geographical information system
- Prediction tools/models
- Immediate travel restrictions
Category of SARS & MERS as notifiable disease (reported by PIDSR)
Category 1
Control and Prevention of coronavirus
- Vaccination ***
- Immediate travel restrictions
- Ban on wildlife trade
- PPE
- Hand hygiene
- Improve measures in hospital