Coronavirus COVID-19 Daily Update 19th March 2020
![](https://images.medshr.net/cms/original/20200318165704691-Covid-19 Stats.jpg)
Coronavirus COVID-19 Daily Update
This update will be published daily at 12pm GMT and aims to provide clinicians and the public with an overview of the latest data, guidelines, key publications and policy around COVID-19, with links to essential resources and information.
Join the discussion on these latest COVID-19 cases on MedShr:
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Please post any COVID-19 cases, images or learning points from your clinical practice on MedShr - share key knowledge and experience with a global network of doctors to help improve patient care. Include #COVID19 in your case title.
Please email COVID@medshr.net if you have any data, publications or information you would like to share.
Global Impact of COVID-19 to Date
As of 19th March 11:00 (GMT)
![](https://images.medshr.net/cms/original/20200319113530781-COVID Updates V2 (5).png)
COVID-19 Cumulative Global Cases
As of 18th March 09:00 (GMT)
![](https://images.medshr.net/cms/original/20200319145107230-COVID Updates V2 (12).png)
Source: World Health Organisation
COVID-19 Global Active Cases Map
As of 19th March 11:00 GMT
![](https://images.medshr.net/cms/original/20200319114001171-Screenshot 2020-03-19 at 11.39.44.png)
Total UK COVID-19 Cases
As of 18th March 09:00
![](https://images.medshr.net/cms/original/20200319114212402-COVID Updates V2 (7).png)
Source: Public Health England
COVID-19 Cumulative UK Cases
As of 18th March 09:00
![](https://images.medshr.net/cms/original/20200319145142933-COVID Updates V2 (10).png)
Source: Public Health England
COVID-19 Daily UK Cases
As of 18th March 09:00 (GMT)
![](https://images.medshr.net/cms/original/20200319145209093-COVID Updates V2 (11).png)
Source: Public Health England
Reproduction and Fatality for Selected Human Viruses
This graph provides a comparison of the reproduction number and case-fatality ratio of COVID-19 against other viruses.
![](https://images.medshr.net/cms/original/20200318210103059-COVID-19-Facts-and-Insights-March-16-v3-5_pages-to-jpg-0001.jpg)
Source: McKinsey & Company
COVID-19 Case Fatality Rate by Age
The elderly are at a greatly increased risk of mortality.
![](https://images.medshr.net/cms/original/20200319103739293-COVID-19-Briefing-note-March-16-2020-final-2_pages-to-jpg-0001.jpg)
Source: McKinsey & Company
Disease Phases Around the World
As of 16th March 09:00 (GMT)
![](https://images.medshr.net/cms/original/20200319103529789-COVID-19-Briefing-note-March-16-2020-final-4 (1)_pages-to-jpg-0001.jpg)
Source: McKinsey & Company
COVID-19 Transmission Complexes
As of 16th March 09:00 (GMT)
![](https://images.medshr.net/cms/original/20200319103917947-COVID-19-Facts-and-Insights-March-16-v3-7_pages-to-jpg-0001.jpg)
Source: McKinsey & Company
Latest Clinical Guidelines
Essential Reading for all Doctors: Handbook of COVID-19 Prevention and Treatment
Clinical practitioners on the front lines of China’s fight against COVID-19 have developed a handbook of treatment and care protocols for healthcare providers.
Click here to download.
![](https://images.medshr.net/cms/original/20200319101245200-Handbook of COVID-19 Prevention and Treatment-1 (1)_page-0001.jpg)
Clinical guide for the management of critical care patients during the coronavirus pandemic
This provides clinical guidance on the management critically ill COVID-19 patients, covering topics such as intubation, ventilation and ARDS treatment.
Published 16th March
![](https://images.medshr.net/cms/original/20200319104307770-Screenshot 2020-03-18 at 17.35.51.jpg)
Source: NHS
Clinical management of severe acute respiratory infection (SARI) when COVID-19 disease is suspected
Published 13th March
![](https://images.medshr.net/cms/original/20200319105632424-WHO-2019-nCoV-clinical-2020.4-eng (1)-1_pages-to-jpg-0001.jpg)
Source: WHO
King’s Critical Care – Evidence Summary Clinical Management of COVID-19
Published 9th March
![](https://images.medshr.net/cms/original/20200319111104710-KCC COVID19 Evidence Summary-1_page-0001.jpg)
Management of a suspected case of COVID-19
Revised 18th March
![](https://images.medshr.net/cms/original/20200319110504555-COVID-19_flow_chart_page-0001.jpg)
Source: Public Health England
Suspected COVID-19 cases - Which samples should be taken
![](https://images.medshr.net/cms/original/20200319105939550-COVID-19_Suspected_cases_samples_taken_A3_poster_AandE_09_page-0001.jpg)
Source: Public Health England
Latest COVID-19 Publications
Some key recent publications to be aware of:
![](https://images.medshr.net/cms/original/20200319102145816-PIIS0140673620305663_pages-to-jpg-0001.jpg)
This article presents details of patients admitted to the two designated hospitals in Wuhan—Jinyintan Hospital and Wuhan Pulmonary Hospital—with laboratory-confirmed COVID-19, and explores risk factors for mortality and describes a detailed clinical course of COVID-19, including viral shedding.
![](https://images.medshr.net/cms/original/20200319103015125-jama_grasselli_2020_vp_200049-1_pages-to-jpg-0001.jpg)
This article gives a summary of the response of the COVID-19 Lombardy ICU network and a forecast of estimated ICU demand over the coming weeks. It provides some valuable lessons and reflections which other countries can learn from.
Author: Dr Daniel Livingstone, MedShr - Health Education England Fellow
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