Covid-19 equipment project
 Share
The version of the browser you are using is no longer supported. Please upgrade to a supported browser.Dismiss

Comment only
 
 
ABCDEFGHIJKLMNOPQRSTUVWXYZ
1
Coronavirus Bridge (India) - Briefing
2
3
This project is working to help strengthen India's response to covid-19 by working to increase the demand and supply of equipment (ventilators etc) needed to treat the most serious cases of respiratory disease
4
For other India covid-19 projects see the coordination sheet at this link
5
Updating page on likely case numbers in India (Johns Hopkins) with recommendationshttps://cddep.org/covid-19
6
Updating page on low cost scalable solutions for India, BRICS, South Asia, Global Southwww.1aa4.com
7
Ministry of Health India on community transmission since Febhttp://www.ijmr.org.in/preprintarticle.asp?id=282179
8
group and links for engineers and companies and volunteers working on protection, ventilator, oxygen and PPE* production: www.facebook.com/groups/244659923359093/ PPE = personal protective equipment, clothing and footwear.WhatsApp group: https://chat.whatsapp.com/Cinp4SMGdzO8VUsSg8UBXP
Funding group:
www.facebook.com/groups/2619469724931837/
9
Call for Rapidly Manufactured Ventilation Systems:
https://medium.com/frontier-technology-livestreaming/frontier-tech-4-covid-action-emerging-market-ventilation-systems-9c818cb46189
10
PPE guidelines from WHOhttps://apps.who.int/iris/bitstream/handle/10665/331498/WHO-2019-nCoV-IPCPPE_use-2020.2-eng.pdf
11
Many countries are currently (15th Mar) officially in the CONTAINMENT phase (i.e. contact tracing and isolation of known cases, restriction of travel into the country). Once community transmission has taken hold, the country will then move to DELAY (e.g. preventing large gatherinegs, closing schools - some of which is already beginning) to reduce the pace of spread. The next key phase is MITIGATION, which happens if major community transmission has taken place and the public health system must handle the associated burden of serious cases. (Community transmission happens when a patient who is not exposed to anyone known to be infected and has not travelled to countries in which the virus is circulating tests positive for infection). SUPPRESSION is alternative to mitigation, if the delay measures are strong enough to successfully cause case numbers to go back down without widespread community transmission.
12
Covid-19 is expected to present a major public health challenge for India. Containment may fail within days/weeks (it may have already failed as global experience is that detected cases are a serious underestimate of actual cases - partly due to lack of testing and partly because of the asymptomatic incubation period during which a person can transmit the virus but doesn't show symptoms). Read the article linked right for a good background summary of India's context.Link to article
13
India's top health research think tank, ICMR, believe containment may clearly have failed by April 10th or so (see link on right). Others believe containment has already failed: "Dr. Ashish Jha, director of the Harvard Global Health Institute tells TIME that count is “just not right.” He believes there must be many more cases, but they have just not been identified. “I’m deeply worried that there’s a lot of community transmission and we are just not aware of it because there is not widespread testing,” he says."Link 1Link 2 (same as above)
14
The disease will spread rapidly due to India's dense population and lack of access to good sanitation. So there will be a large number of older adults and medical staff with respiratory distress and in need of hospital treatment, and likely not enough hospital / intensive care beds in all of India. Staff will be at risk if they haven't had PPE equipent and training delivered in time. So preparedness to cope with that now will be vital to save more lives at that time, and not suffer a collapse of medical systems which will still be needed for other life-saving actions, some of them with higher fatality rates than covid-19.Link to article
15
See below for tasks we are carrying out right now. Other sheets/tabs in this spreadsheet are numbers according to the task they connect to. NB None of the below is instead of containment/delay measures, but rather a back up resilience/preparedness/coping/protective strategy that will almost certainly be needed, as no state or nation is likely to be willing to release resources to any other, except China and a few very tightly controlled nations. We already saw this with France and Germany refusing to release ventilators to Italy.
16
WHO critical items and needs forecasting toolhttps://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance/covid-19-critical-items
17
TaskContact person
18
Assesment of Indian capacity to boost production of
- oxygen and nasal lines
- CPAP ventilators (cheaper, easier, are used at home quite often, may be possible to intubate with them TBC)
- chloroquine
- intensive care ventilators
- other potentially or confirmed life-saving options at low cost
Ross Tieman +12505519973 (whatsapp)
19
Collate best and latest treatment guidelines from China, HK, Singapore, Italy, WHO to determine whether cheaper alternatives to full invasive ventilators are effective.If anyone starts this please 1) take the "ZZZ" tabs from this sheet, 2) move them into a new one (separate project) and 3) link to that new sheet in this (linked) overall project coordination sheet
20
21
Vaccine teamshttps://www.who.int/blueprint/priority-diseases/key-action/novel-coronavirus-landscape-ncov.pdf
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
Loading...