The World Health Organization (WHO) declared COVID-19 outbreak a pandemic on March 11. Cases of coronavirus continue to spread rapidly throughout the world. Here’s how we’re responding.
Working with the WHO, International Medical Corps is leveraging its relationships with local and national ministries of health globally to provide expertise, equipment, training, and triage and treatment services. We have designed a multi-pronged approach to ensure that at-risk countries and regions are able to prepare for and respond to potential outbreaks of coronavirus. Priority response activities include:
- Training and Capacity Building to Protect Frontline Health Workers and Staff
- Prepositioning and Deploying Medicines and Supplies, including Personal Protective Equipment
- Deployment of Screening and Triage Stations, and Case Management
- Community Outreach and Engagement
- Epidemic Response Team
Countries and regions with suspected or confirmed cases
Confirmed cases as of April 8
Deaths worldwide as of April 8
Across activities, International Medical Corps will build upon existing local response capabilities and integrate our response with local and regional emergency programs of WHO, CDC, Ministries of Health, Emergency Operation Centers, and others to ensure coordinated and complementary activities—while also building local capacity to address this and future outbreaks. In the US, International Medical Corps will work closely with state authorities and Federally Qualified Health Centers (FQHCs) to implement services as needed.
Training and Capacity Building
Capacity building for health workers in at-risk countries is critical to slow and address the spread of the coronavirus. The countries most at-risk for deadly potential outbreaks are those with limited health infrastructure and capacity to meet the needs of this rapidly spreading disease—such as the Philippines, Iraq, Afghanistan, Democratic Republic of the Congo (DRC), Nigeria and Ethiopia.
To meet the most critical gaps of each at-risk country, International Medical Corps will 1) determine the highest risk factors to contracting the disease based on the specific context; 2) deliver infection prevention and control (IPC) training modified to that local context; 3) target health facility staff as training recipients, helping to keep health workers safe and health facilities operational; and 4) incorporate a “training of trainers” approach that will equip select health workers to train others, exponentially increasing the number of people equipped to respond to the outbreak.
Prepositioning and Deploying Medicines and Supplies
With a global shortage of personal protective equipment—specifically N95 masks—this support is critical, as the costs of these supplies are rising exponentially. Before the outbreak, one N95 mask cost approximately $0.50. Today, one mask is as much as $22.00. The shortage and rising costs of supplies are not only affecting the coronavirus response, but are also limiting the availability of supplies to fight other diseases, such as Ebola in the DRC. Moreover, there is a rising concern for the supply of medications, as some countries implement restrictions on exports of pharmaceuticals.
International Medical Corps will leverage its longstanding collaboration with FedEx and its global supply-chain network to procure and deploy the medicines, medical supplies and equipment that health facilities and frontline health workers need. Supplies will include face masks, gloves, goggles and gowns—critical as personal protective equipment (PPE) for health workers—among other items.
Deployment of Screening and Triage Stations, and Case Management
When the situation demands, International Medical Corps will directly support the implementation of IPC measures in at-risk health facilities and refugee camps throughout the 30 countries where we work. Building on the screening and referral unit (SRU) model developed in the 2014-2015 Ebola outbreak—a model called “near perfect” by the CDC—International Medical Corps’ Emergency Response Team will deploy Coronavirus Advanced Medical Posts (CAMPs). These screening and triage centers at health facilities, transit hubs, hospitals, or at entry points of refugee and IDP camps, will help with screening and isolation of individuals with at-risk symptoms. Key features of International Medical Corps’ screening and triage centers include:
- Triage Point: for screening and identification of patients with Coronavirus symptoms
- Health Post: for consultation and stabilization of severe cases
- Dispatch Post: for ambulances to transfer patients in need of hospitalization
- Healthcare Waste Management Zone: for safe storage and safe disposal of medical waste
As the outbreak spreads, International Medical Corps will also provide case management support for testing for, and treatment of, coronavirus.
Community Outreach and Engagement
The emergence of coronavirus already is resulting in the distribution of misinformation and instances of stigma, which can contribute to additional health concerns, because they may lead individuals to hide their illness and avoid seeking healthcare immediately, discouraging healthy behaviors. Community outreach and engagement are critical not only to address stigma of the disease, but also to encourage proper health-seeking behavior.
International Medical Corps’ community outreach messaging includes information on proper hygiene practices to prevent the spread of coronavirus, as well as encouraging community surveillance, and supporting referral options for individuals with symptoms, enabling them to seek healthcare quickly. International Medical Corps also is prepared to address longer-term mental health and psychosocial support needs.
Epidemic Response Team
International Medical Corps maintains an Epidemic Response Team comprising clinicians, logisticians and sanitation experts on standby for the World Health Organization (WHO) and ready to deploy when requested. This team includes former CDC epidemiologists and public health experts who have worked throughout the international NGO and governmental spectrum, and who have experience working on outbreaks of infectious disease, including SARS, MERS, H1N1, flu and Ebola. The team remains flexible and ready to deploy globally to provide surged medical support in health facilities, hospitals and communities to address the spread of coronavirus, in coordination with the WHO and local ministries of health.