Debate rages over new NCDC guideline on discharge, home treatment of asymptomatic patients

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Debate rages over new NCDC guideline on discharge, home treatment of asymptomatic patients
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“This discharge criteria from clinical care will also take into account the patient’s condition, disease experience and other factors.”

was based on emerging scientific evidence that shedding of live virus is not viable after about 10 days.

Ihekweazu, in answer to The Guardian inquiry, said because Nigeria is dealing with a pandemic caused by a new virus, there is need to continually review strategies based on emerging scientific evidence. “Please, wash your hands frequently with soap and running water, wear a face mask when outdoors and in public settings, avoid contact with sick people, maintain a distance of at least two metres between yourself and the next person.”

On the NCDC’s target of increasing daily sample testing to 4,000, Ihekweazu said: “At the moment, we are testing an average of 1,500 samples daily across the country. The debate on whether patients who do not show symptoms or show only mild symptoms can transmit the virus to other people was fueled early this week by the comment by a WHO official that: “It is very rare for asymptomatic patients to transmit the disease.”An asymptomatic person is someone with COVID-19 who does not have symptoms and never develops symptoms. Both scientists clarified that it is not the same as someone who later develops symptoms, who would be classified as pre-symptomatic.

“Asymptomatic patients are primarily isolated to prevent transmission of the virus, especially to their loved ones.” “We need to be patient with WHO and scientists working very hard to know more about COVID-19 through research, including the immunology clinical trials and vaccine trials. It is unfortunate that too much pressure is being put on WHO and that appears to be why it may have been inconsistent in many of the guidelines developed. It is important that we wait for new findings on COVID-19.”

The first published study on how the first 32 patients with coronavirus in Nigeria were treated showed that 75 per cent of them presented in moderately severe condition, while 16 per cent were asymptomatic. The most common presenting symptoms amounted to 59 per cent and dry cough constituted 44 per cent.

He said the implications on the recovery process would be minimal if the patients can effectively comply with medical advice of bed rest, continuation of any subsequent or necessary medications and general advice medically handed out during the process of recovery at home, noting: “I believe that as the patients are being discharged, the authorities would have also set up necessary follow-up routines in case of an unlikely relapse.

Current Director General of NIMR, Prof. Babatunde Salako, added: “I don’t believe any isolation centre will discharge a patient yet to recover, but an asymptomatic patient can be managed at home in self-isolation. This is becoming necessary as many cases are now being detected, with little spaces for admission.”

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