COVID-19 in Australia: Our national response to the first cases of SARS-CoV-2 infection during the early biocontainment phase.

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Shaban, Ramon Z
Li, Cecilia
O'Sullivan, Matthew VN
Gerrard, John
Stuart, Rhonda
Teh, Joanne
Gilroy, Nicole
Sorrell, Tania C
White, Elizabeth
Bag, Shopna
Hackett, Kate
Chen, Sharon CA
Kok, Jen
Dwyer, Dominic E
et al.
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2020
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Abstract

Background: On 31 December 2019, the World Health Organization recognised clusters of pneumonia-like cases due to a novel coronavirus disease (COVID-19). COVID-19 became a pandemic 71 days later. Aim: To report the clinical and epidemiological features, laboratory data and outcomes of the first group of 11 returned travellers with COVID-19 in Australia. Methods: This is a retrospective, multi-centre case series. All patients with confirmed COVID-19 infection were admitted to tertiary referral hospitals in New South Wales, Queensland, Victoria and South Australia. Results: The median age of our patient cohort was 42 years (IQR, 24-53 years) with six men and five women. Eight patients (72.7%) had returned from Wuhan, one from Shenzhen, one from Japan, and one from Europe. Possible human-to-human transmission from close family contacts in gatherings overseas occurred in two cases. Symptoms on admission were fever, cough and sore throat (n = 9, 81.8%). Co-morbidities included hypertension (n = 3, 27.3%) and hypercholesterolaemia (n = 2, 18.2%). No patients developed severe acute respiratory distress nor required intensive care unit admission or mechanical ventilation. After a median hospital stay of 14.5 days (IQR, 6.75-21), all patients were discharged. Conclusions: This is a historical record of the first COVID-19 cases in Australia during the early biocontainment phase of the national response. These findings were invaluable for establishing early inpatient and outpatient COVID-19 models of care and informing the management of COVID-19 overtime as the outbreak evolved. Future research should extend this Australian case series to examine global epidemiological variation of this novel infection.

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Internal Medicine Journal

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© 2020 Royal Australasian College of Physicians. This is the peer reviewed version of the following article: COVID‐19 in Australia: Our national response to the first cases of SARS‐CoV‐2 infection during the early biocontainment phase, Internal Medicine Journal, Accepted Articles, 2020, which has been published in final form at 10.1111/imj.15105. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving (http://olabout.wiley.com/WileyCDA/Section/id-828039.html)

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Cardiovascular medicine and haematology

Clinical sciences

Health services and systems

Public health

COVID-19

SARS-CoV-2

clinical characteristics

models of care

pandemic

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Shaban, et al., COVID-19 in Australia: Our national response to the first cases of SARS-CoV-2 infection during the early biocontainment phase., Internal Medicine Journal, 2020

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