Q&A with Médecins Sans Frontières’ Dr. Tankred Stöebe on COVID-19

The Médecins Sans Frontières (MSF) or Doctors Without Borders has discussed the COVID-19 assessment from the countries visited by its emergency coordinator Dr. Tankred Stöebe, entitled: “How MSF is preparing for COVID-19 in South-East Asia.”

The COVID-19 stands for Corona Virus Disease 2019. 

“There’s been a lot of news about COVID-19 and we from the Doctors Without Borders / Médecins Sans Frontières have received some inquiries about what we have been doing about it. Hence, we wanted to share this material with you, said Regina Layug Rosero, MSF Communications Officer in the Philippines. 

Dr. Stöebe visited several countries in South-East Asia to assess their preparedness for potential outbreaks of COVID-19 and to discuss the support that MSF could provide at this stage. He participated in training sessions with healthcare staff in a Hepatitis C clinic in Phnom Penh in Cambodia. 

A similar training was also held in a hospital in Port Moresby, Papua New Guinea, where MSF are treating patients with tuberculosis. The training sessions helped to improve knowledge and reduce fear
among the staff – two prerequisites for providing the best level of care to MSF patients.

MSF’s Dr. Tankred Stöebe during a training in Phnom Penh, Cambodia. Hospital staff learned how to properly wear personal protective equipment when taking care of patients with COVID-19 or suspected cases.

What did you do during your assessments?
Some of the countries neighbouring China lack the robust medical infrastructure and effective systems to respond to emergencies like the current outbreak of COVID-19. We discussed contingency plans with hospital staff, including stocking the correct materials, and concrete step-by-step guidance for how to support patients and communities once cases of COVID-19 are diagnosed.

Gathering evidence-based epidemiological information and appropriate training are an essential part
of such preparations.

Why are countries with weak health systems particularly in South-East Asia vulnerable during such outbreaks?
There are fewer doctors and nurses to take care of the population and they often have limited stocks
of drugs and medical equipment. While they can cope with the daily medical challenges they face,
they do not have the resources to respond to an additional crisis.

In some places, the laboratories have limited capacity to carry out tests to confirm infections. However, in northern Laos, I was impressed to see how medical staff had developed strategies in case patients suspected of having COVID-19 arrive at their hospital, in spite of their limited resources. For the time being – with the border to China closed – it seems they can get by. It remains to be seen what will happen once the border crossings open again.

What questions were raised during the preparedness training in Phnom Penh, Cambodia? 
A lot is still unknown about COVID-19, so we started by sharing relevant information about the virus,
the ways in which the infection is spread and how to prevent this. Staff at the training in Phnom Penh posed many pressing questions and we answered as many as we could, but we were also open about the things that are not known at this time.

The lack of available information on the new virus causes anxiety and fear even among hospital staff. It was important to remind them that in eight out of 10 cases patients only develop mild symptoms and the mortality is currently around three per cent.

Did you provide practical training as well?
Yes. It is crucial to prepare hospital staff so that when the time comes they have the procedures in place that enable them to quickly and professionally handle patients showing symptoms of a suspected COVID-19 infection. At MSF, we focus on a step-by-step approach to providing systematic and practical guidance.

This means we show how to put on personal protection equipment, how to set up a triage point, where suspected cases are separated from other patients, and how these cases should be treated. This is what matters in the end: doctors and nurses need to be equipped to provide the best possible care to patients in what might be a chaotic situation. Both in Cambodia and Papua New Guinea, this was highly appreciated.

What is MSF planning to do next?
This depends on different scenarios: as long as there are no cases of infected patients or only imported infections, we’re focussing on preparedness and checking we have all necessary equipment in place, identify reference laboratories and assess isolation and intensive care capacities.

Once our teams start to see patients infected with COVID-19 in their country, they will help ensure that entry screenings are in place to isolate suspected cases; this helps to prevent the infection from spreading. In case of wider outbreaks, we will make sure to continue the care we provide to our current patients, and if necessary and feasible, to support the country’s public health infrastructure.

About MSF 
Médecins Sans Frontières or Doctors Without Borders, is an international humanitarian medical non-governmental organisation. It provides health support and services in conflict zones and in countries affected by endemic diseases. To learn more about MSF and its work at https://www.msf.org/who-we-are

Additional helpful information

Find additional helpful information through the links below: 

You can read more about Dr. Stoebe’s previous work with MSF here:  https://www.msf.org/libya-misrata-tripoli-first-hand-account-dr-tankred-stoebe

You can read about MSF’s response to COVID-19 here: https://msf-seasia.org/2019coronavirus

*Featured photo of Dr. Tankred Stöebe was taken from msf.org at google.com 

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