​​​​​​​COVID-19 IN MÉXICO APRIL 2020

DMS Mexico will have daily updates in our webpage and our social media regarding the evolution of Coronavirus (COVID-19) in Mexico until the time when this situation gets resolved. Furthermore, we’ll inform about the action protocol we have decided to implement for the prevention of contagion and reaction in the event of detection of symptoms consistent with respiratory illness during handling of our groups.

Should you want a copy of the document we have designed in editable format, please send an email to us requesting it at gustavo.white@dmsmexico.com

 

We hope that this crisis gets resolved promptly and activities return to normal shortly.

 
COVID-19 SITUATION IN MEXICO 

Updated | April 7, 2020

The Ministry of Health informed that 346 new positive COVID-19 patients in the last 24 hours.

  • 2,785 confirmed cases and 7,526 suspect cases:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COVID-19 cases by State in Mexico

                                                                         Confirmed             Suspect                 Deaths                         ​

  • Mexico City                                                   723                        1,350                       32

  • Sinaloa                                                          111                           329                       13                                 

  • Jalisco (main destinations:Guadalajara,

Tequila y Puerto Vallarta)                                    135                           752                        7

  • Baja California (main destinaton:Tijuana)     136                           345                        7

  • Hidalgo (main destination: Pachuca)              41                             87                        6

  • Coahuila                                                        109                           550                        5

  • Estado de México (main destinations:

Teotihuacán y Valle de Bravo)                              320                           609                        9

  • Tabasco                                                         108                            293                        8

  • Veracruz                                                          46                            429                        3

  • Morelos                                                            24                              51                        4

  • Quintana Roo (main destination:Cancún)      135                            171                        9

  • Querétaro                                                         45                              58                        2

  • San Luis Potosí                                                41                            187                        3

  • Baja California Sur (main destination:

  • Los Cabos)                                                       56                             148                       2

  • Durango                                                            15                              84                        4  

  • Zacatecas                                                         10                              48                        2

  • Puebla                                                            179                             262                       4

  • Nueva León (main destination;Monterrey)       93                             333                       4

  • Michoacán                                                        34                              134                      4

  • Sonora                                                              35                              176                      1

  • Guerrero (main destination:Acapulco)              37                              145                      3

  • Oaxaca                                                              35                               61                       1

  • Tamaulipas                                                        32                              111                       3

  • Nayarit (main destination:Nuevo Vallarta)         10                               37                       1

  • Yucatán (main destination:Mérida)                    74                               88                       2       

  • Guanajuato                                                        61                             242                       1

  • Campeche                                                         14                               12                       1

  • Aguascalientes                                                  53                             183

  • Chiapas                                                             28                               80

  • Chihuahua (donde está Ciudad Juárez)            22                              68

  • Tlaxcala                                                             18                               83

  • Colima                                                                 5                               19

  •  

 

    Total                                                                2,785                        7,526                   141

  • 15,099 negative dismissed cases

  • 25,410 studied cases

  • 141 Deaths (75% male, 25% female)

  • Gender ratio:58% male, 42% female

  • Treatment ratio:73% ambulatory (2,033 cases), 27% hospitalized (752 cases)

Source: Ministry of Health of the Mexican Government. Cutoff at 19:00 hrs. on April 7th, 2020

COVID-19 SITUATION IN THE WORLD

Source: World Health Organization,Organización Mundial de la Salud, Ministry of Health of the Mexican Government  on April 7th, 2020

LAST NEWS - March 30, 2020

The General Health Council determined to declare a health emergency because of force majeure because of the pandemic generated by the new coronavirus, which will take effect until April 30th.

The General Health Council decided to declare the health emergency due to force majeure in Mexico due to the crisis over the new coronavirus, foreign secretary Marcelo Ebrard reported. "Declare health emergency for force majeure by Coronavirus Covid-19," he said during his participation in the conference from The National Palace. At a press conference, the official explained that the measure will take effect from the publication of the emergency in the Official Journal of the Federation until April 30th. 

 

In this regard, the Undersecretary of Prevention and Health Promotion, Hugo López-Gatell, clarified that the health emergency in Mexico does not mean a state of emergency. "There is nothing in this declaration that resembles a curfew, Mexico does not believe in that," Marcelo Ebrard added." He added that 28 people have died so far from Covid-19; while they add up to 93 cases of coronavirus in Mexico. "We are in a rapid ascent phase and we have insisted that we havoc we will see them in phase 3, but that right now we are in time to take advantage of the mass restraint measures," he said at a press conference.

 

The Under-Secretary of Health disclosed that the Health Council agreed on seven measures to curb the spread of the virus, including the extension of the period of suspension of non-essential activities.

"Immediate suspension from March 30th to April 30th of non-essential activities in the public, private and social sectors is ordered; I mean, everything. In order to mitigate the spread and transmission of the virus," said the Undersecretary of Health. In addition, the number of people who may be able to be concentrated to 50 was reduced. The authorities urged the population to "comply with the co-responsible home safeguard" and assured that, after April 30th, they will issue guidelines for the tiered return to regular activities.

 

New measures announced

Measure 1: Suspension of non-essential activities from March 30th to April 30th

Measure 2: The day is ranging from a healthy distance until April 30 and calls for meetings of more than 50 people. Measure 3: I urge the population to a voluntary home security.

Measure 4: Over 60s, people diagnosed, hypertension, diabetes, immunosuppression, pregnancy status, diabetes should not go to work

Measure 5: Return to work activities will be staggered

Measure 6: Censuses involving physical interaction are suspended

Measure 7: All these measures will be done in full respect of human rights

Source: https://www.milenio.com/politica/coronavirus-mexico-entra-emergencia-sanitaria-nacional-pandem

March 28, 2020

The undersecretary of health called on the Mexican population to follow the guidelines of the health authorities to avoid saturation of health services enters phase 2 in the face of coronavirus pandemic 

 

 

 

 

 

 

 

 

 

 

 

The undersecretary of health, Hugo López-Gatell, called on national citizenship to follow the instructions of health authorities. The epidemiological expert noted that our country is approaching accelerated exponential growth. In addition, he asked to raise awareness of what this critical increase in patients and the risks of saturation to the health system means.

Source: https://mexico.as.com/mexico/2020/03/29/tikitakas/1585449316_400735.html?omnil=resrelart

 
**IMPORTANT**
PREVENTION AND REACTION PROTOCOL FOR COVID-19 WHILE HANDLING GROUPS

Due to the COVID-19 pandemic decreed by the World Health Organization on March 11th, 2020, we’ve decided to redact the present protocol for preventing and reacting to detection of symptoms consistent with respiratory diseases while handling group travel.

DMS México must inform the client of the existence of this protocol and the client must agree with the provisions taken herein. Responsible: account executive and client.

DMS Mexico commits to the following:

  • In the event that the guide or coordinator present symptoms of respiratory diseases, he/she must notify it immediately to DMS. DMS Mexico must isolate him/her immediately and notify the client. Responsible: guide, DMS Mexico

  • In the event that the group is located more than 50kms away from DMS Mexico offices, DMS must seek support of the local CVB or national scope associations such as the Mexican DMC Association (AMDEMAC), to replace the person in question in a timeframe no greater than 12 hours after the report. Responsible: DMS Mexico

  • If the guide is located less than 50kms away from DMS Mexico offices, DMS will provide a replacement within the next 3 working hours.

  • In the event that a congress or event has hired staffing service, the provider must have replacement personnel available before the start of that day activities, in case it is needed. Responsible DMS Mexico.

  • DMS Will make available to the client the possibility of hiring a daily assistance plan with adequate coverage against COVID-19 at extra cost.

 

PREVENTION ACTIONS

 

We have detected 4 basic service aspects that must comply with normativity so as to avoid, as much as possible, contagion of group participants.

Guides and/or staff:

  • DMS Mexico must supply the guide and coordinator with a contagion prevention package which must include:

    • Antibacterial gel or a solution which has at least 70% of alcohol content in an amount enough for all participants and all occasions that it’s required.

    • At least 1 disposable medical face mask per participant to be handed only in the event that one or several participants presents coughing, sneezing or any symptom that might indicate probable illness: Responsible: DMS and guide/staff

  • The guide, coordinator and/or client personnel will be required to inform DMS Mexico in the event of detection of any person with symptoms of respiratory illness so that these in turn inform the pertinent authorities. Responsible: al personnel from DMS Mexico as well as the final client.

  • Any person who addresses the group will maintain at least un meter of distance from the nearest participant at all times while he/she speaks; in the event that this distance is not possible, the persona addressing the group must wear a medical face mask. Responsible: guide, coordinator or client’s personnel.

 

Regarding motor coach and collective transportation:

  • In the event that the vehicle has a bathroom, it must be stocked with enough antibacterial liquid soap, running water, toilet paper and disposable paper towels for hand cleaning. Responsible: Vehicle rental company, operator.

  • The bathroom must carry a sign reminding and encouraging users to wash their hands with the correct technique. Responsible: bus rental company, operator.

  • Before the group boarding the vehicle, it must be sprayed with disinfectant aerosol and contact surfaces, such as railings, armrests, baggage storage bins and handles, must be cleaned with disposable or reusable towels drenched in disinfectant or chlorine solution. Responsible: operator.

  • Each time that the group boards the vehicle, participants must disinfect their hands with antibacterial gel or disinfectant solution with an alcohol concentration of over 70%. Responsible: guide or coordinator.

  • Before boarding the bus for the first time and as many times as deemed necessary, the guide or coordinator must give indications to the participants regarding the actions that they must take or avoid taking so as to avoid contagion. Responsible: guide or coordinator with script provided by DMS Mexico.

  •  Each time the group deboards transportation and before they board back on, all contact surfaces, such as armrests, railings and overhead bins, must be disinfected. Responsible: operator.

Hotels, food handling and restaurants:

  • DMS Mexico shall make certain that all lodgings where the group stays, have hygiene and disease prevention protocols that are consistent with proper handling of the COVID-19 virus. Responsible: DMS Mexico

  • In the event of handling Box Lunches: menus that include raw food must be avoided, making sure that the provider has established protocols that insure the hygienic handling of all food and beverage items. The usage of medical facemask as well as hairnets while preparing food is mandatory as well as frequent and adequate hand washing for any person in contact with food and beverage. Frequent and conscientious sanitizing of all preparation utensils is also required. Responsible: food and beverage provider.

  • DMS Mexico must make sure that any restaurant of food outlet has hygiene protocols consistent with contagion risk prevention in its installations as well as food handling as it relates to their staff, materials and proper disinfection of all surfaces that come in contact with diners, including not only tables and chairs but also other surfaces like railings, handles and others. Restaurants or venues that can ensure a distance of at least 1 meter between diners as they eat will be preferred.

Tours and activities:

  • Before starting each activity, the guide will inform all participants about the protocols that pertain to tours and activities, which are detailed as follows, ensuring that everyone agrees with the decisions taken by the personnel from both the DMS and/or local operator as well as a coordinator from the direct client, and that they will abide by the dispositions that they take. In the event of disagreement by part of the participant, he/she will not be allowed to participate in such activity, without this meaning that there will be any kind of reimbursement of the cost incurred for such activity. Responsible: guide, DMS coordinator and client personnel.

  • Before any visit to a public space that might be heavily concurred, the coordinator, guide or advance personnel, in accordance with the client’s personnel, should they accompany, must make a visual risk assessment of the space and will agree on the actions to be taken to minimize contagion risks; they may even decide to avoid the visit altogether should they consider the risks to be too high. The staff will immediately communicate to the group their findings, as well as the actions to be taken by the group. Heavily congested spaces where physical contact with other people are unavoidable will be avoided whenever possible. Responsible: guide, DMS Mexico coordinator and Direct client personnel.

  • All participants will be asked, when possible, to avoid having direct contact with surfaces exposed to public or to previous contamination. Responsible: guide and/or coordinator.

 

RESPONSE ACTIONS

 

In the event that any person is detected, regardless of them being a part of staff, providers, clients or participants, that displays symptoms of respiratory illness the following actions must be followed:

 

  • At the moment of case detection, all group activities Will be suspended immediately, especially those that involve contact with other people. Responsible: DMS staff and client personnel.

  • DMS México must inform local authorities immediately by dialing 800-0044-800 and the Ministries of Health and Tourism to receive instructions. Responsible: DMS Mexico.

  • DMS will provide all participants with a medical facemask and will return the entire group to the hotel to begin isolation procedures. Responsible: DMS Mexico and DMS staff.

  • DMS will request from all participants and staff that has been in contact with the group, to provide a list of people with which they have been in contact in the previous days. Responsible: DMS Mexico

  • All indications by the local authorities will be attended as rigorously as possible.

 
WHAT IS THE CORONAVIRUS FAMILY (COVID-19)?

Coronaviruses are a large family of viruses that circulate between humans and animals (cats, camels, bats, etc.), which can cause a variety of conditions, from the common cold to more serious diseases. 

Coronavirus (COVID-19) was first reported in Wuhan, China on December 31, 2019. 

The World Health Organization (WHO) is working closely with global experts, governments and partners to rapidly expand scientific knowledge on this new virus, track its spread and virulence, and advise countries and measures to protect health and prevent the spread of the outbreak.

WHAT ARE THE SYMPTOMS?

Most people infected with the COVID-19 virus will experience mild to moderate respiratory illness and recover without requiring special treatment.  Older people, and those with underlying medical problems like cardiovascular disease, diabetes, chronic respiratory disease, and cancer are more likely to develop serious illness.

Sources: World Health Organization, Ministry of Health of the Mexican Government 

Stay aware of the latest information on the COVID-19 outbreak, available on the WHO website and through your national and local public health authority. Most people who become infected experience mild illness and recover, but it can be more severe for others. Take care of your health and protect others by doing the following:

1) Wash your hands frequently

Regularly and thoroughly clean your hands with an alcohol-based hand rub or wash them with soap and water.

Why? Washing your hands with soap and water or using alcohol-based hand rub kills viruses that may be on your hands.

 

2) Maintain social distancing

Maintain at least 1 metre (3 feet) distance between yourself and anyone who is coughing or sneezing.

Why? When someone coughs or sneezes they spray small liquid droplets from their nose or mouth which may contain virus. If you are too close, you can breathe in the droplets, including the COVID-19 virus if the person coughing has the disease.

 

3) Avoid touching eyes, nose and mouth

Why? Hands touch many surfaces and can pick up viruses. Once contaminated, hands can transfer the virus to your eyes, nose or mouth. From there, the virus can enter your body and can make you sick.

 

4)Practice respiratory hygiene

Make sure you, and the people around you, follow good respiratory hygiene. This means covering your mouth and nose with your bent elbow or tissue when you cough or sneeze. Then dispose of the used tissue immediately.

Why? Droplets spread virus. By following good respiratory hygiene you protect the people around you from viruses such as cold, flu and COVID-19.

 

5) If you have fever, cough and difficulty breathing, seek medical care early

Stay home if you feel unwell. If you have a fever, cough and difficulty breathing, seek medical attention and call in advance. Follow the directions of your local health authority.

Why? National and local authorities will have the most up to date information on the situation in your area. Calling in advance will allow your health care provider to quickly direct you to the right health facility. This will also protect you and help prevent spread of viruses and other infections.

 

6) Stay informed and follow advice given by your healthcare provider

Stay informed on the latest developments about COVID-19. Follow advice given by your healthcare provider, your national and local public health authority or your employer on how to protect yourself and others from COVID-19.

Why? National and local authorities will have the most up to date information on whether COVID-19 is spreading in your area. They are best placed to advise on what people in your area should be doing to protect themselves.

 

Protection measures for persons who are in or have recently visited (past 14 days) areas where COVID-19 is spreading

  • Follow the guidance outlined above.

  • Stay at home if you begin to feel unwell, even with mild symptoms such as headache and slight runny nose, until you recover. 

  • Why? Avoiding contact with others and visits to medical facilities will allow these facilities to operate more effectively and help protect you and others from possible COVID-19 and other viruses.

  • If you develop fever, cough and difficulty breathing, seek medical advice promptly as this may be due to a respiratory infection or other serious condition. Call in advance and tell your provider of any recent travel or contact with travelers. Why? Calling in advance will allow your health care provider to quickly direct you to the right health facility. This will also help to prevent possible spread of COVID-19 and other viruses.

 

Source: World Health Organization, 2019

 
 

MEXICO HAS EXPERIENCE DEALING WITH SUCH CRISIS: AH1N1 PRECEDENT IN MEXICO

 

It has been 11 years since Mexico faced the first pandemic threat of the XXI century. AH1N1 virus caused 8,000 deaths and infected 9.5 million Mexicans (as per an INSP study)

 

Although the first confirmed case was registered in California, in our country at least 20 deaths had been reported in patients taken care of in hospitals with clinical symptoms consistent with viral pneumonia. Soon it would be discovered that it was the new strand of influenza: AH1N1.

 

The closing of public and private schools was immediately enforced at all educational levels, from preschool to university and measures to foment social isolation were put in place.

 

The National Health System intensified the epidemiologic monitoring operative and alerted all its state units regarding the prolonging of the transmission period of what was believed to be seasonal influenza.

 

Less than a week after its presence being acknowledged in Mexico, the new virus had extended to other 10 countries in Europe, Eastern Pacific and the Middle East.

 

Then, on April 23rd, 2009, the World Health Organization (WHO) declared a public health emergency with international transcendence.

 

That same Night, the Mexican government declared a sanitary emergency. From that moment, streets where virtually deserted, Mexican people had to normalize the view of people having their faces covered with masks, using anti-bacterial gel constantly and being distanced from other people. Hugs and kisses were also avoided, and people greeted each other at a distance.

As days passed, the pandemic numbers rose and the list of countries that reported outbreaks grew until on April 6th, the general director of WHO, Margaret Chan, announced that the pandemic alert would raise to level 6, as 74 countries had at least one confirmed case reported.

In October 2009, WHO, through the Pan-American Health Organization (PHO), conducted an expert conclave from different parts of the world.

 

According to the Special Project Unit of the Mexican National University (UNAM) in its article “The A/H1N1 influenza. A chronicle of the first pandemic of the XXI Century”:  Mexican cumulative experience was a valuable credit to the world’s medical community in the redacting of the preliminary practical-clinical guide for prevention, diagnose and treatment of A/H1N1 influenza.

 

This information allowed us to suppose that the new virus had circulated in Mexico and the United States, at least, since February, without being properly diagnosed. Furthermore, the phylogenic analysis allowed the recognition that a precursor virus had circulated around the world between porcine population several years prior

The Special Project Unit reported the following:

The genetic mutation, which finally configured the new A/H1N1 virus in 2009, originated in Asia, having circulated for several months before being properly identified.

 

Trial conquered

According to the Special Project Unit of the School of Medicine:

Against all forecasts, at the end of November 2009, it was discovered that the rate of resurgence of new cases was diminishing in several countries of the northern hemisphere; almost immediately a concurrent decrease of hospitalization requirements, including ICU admissions and, finally, pneumonia mortality rate tended to decline to prior year’s levels.

 

Source:  https://noticieros.televisa.com/especiales/fotos-asi-enfrento-mexico-la-pandemia-de-influenza-a-h1n1/  April 26th, 2019

 

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