Author: Conghua Xie; Xiaoyong Wang; Hui Liu; Zhirong Bao; Jing Yu; Yahua Zhong; Melvin LK Chua
Title: Infection Control of 2019 Novel Corona Virus Disease (COVID-19) in Cancer Patients undergoing Radiotherapy in Wuhan Document date: 2020_3_24
ID: njo93g3h_39
Snippet: with SARS-CoV-2 on Jan 26, 2020 (3 days after the lock-down). We were able to establish a contact history with 70 other patients over the preceding 14-day window. Amazingly, none of the patients developed COVID-19 pneumonia on follow-up, which again highlights the effectiveness of our infection control protocol. Unfortunately, due to the lock-down, only 18 of these patients were able to resume RT, as the remaining 52 patients were not allowed to .....
Document: with SARS-CoV-2 on Jan 26, 2020 (3 days after the lock-down). We were able to establish a contact history with 70 other patients over the preceding 14-day window. Amazingly, none of the patients developed COVID-19 pneumonia on follow-up, which again highlights the effectiveness of our infection control protocol. Unfortunately, due to the lock-down, only 18 of these patients were able to resume RT, as the remaining 52 patients were not allowed to return to the city. Some limitations of this study deserve mention. First, it is apparent that the number of patients decreased substantially following the lock-down (a 10-fold drop in case-load; Figure 3) . While it is unknown if such a meticulous protocol would be applicable in high-volume cancer centres from other parts of the world, reduction of case-load constitutes a key step of limiting human-to-human transmission of SARS-CoV-2, and thus, patients' treatment ought to be prioritised accordingly. Finally, it is important to assess the impact on the long-term prognosis of these cancer patients, especially for those individuals who were unable to resume their treatment, which is the undesired consequence of a lock-down and robust infection control measures.
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