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category A agents (cholera, plague).

Patients should be placed in separate


rooms or cohorted together. Negative
pressure rooms are not generally
needed. The rooms and surfaces and
equipment should undergo regular
decontamination preferably with
sodium hypochlorite. Healthcare
workers should be provided with fit
tested N95 respirators and protective
suits and goggles. Airborne
transmission precautions should be
taken during aerosol generating
procedures such as intubation, suction
and tracheostomies. All contacts
including healthcare workers should
be monitored for development of
symptoms of COVID-19. Patients can be
discharged from isolation once they
are afebrile for at least 3d and have
two consecutive negative molecular
tests at 1 d sampling interval. This
recommendation is different from
pandemic flu where patients were
• All clinicians should keep
themselves updated about recent
developments including global
spread of the disease.

• Non-essential international travel


should be avoided at this time.

• People should stop spreading


myths and false information about
the disease and try to allay panic
and anxiety of the public.

Conclusions

This new virus outbreak has


challenged the economic, medical and
public health infrastructure of China
and to some extent, of other countries
especially, its neighbors. Time alone
will tell how the virus will impact our
lives here in India. More so, future
outbreaks of viruses and pathogens of
zoonotic origin are likely to continue.
Therefore, apart from curbing this
outbreak. efforts should he made to
considerable protection in mice against a MERS-
CoV lethal challenge. Such antibodies may play a
crucial role in enhancing protective humoral
responses against the emerging CoVs by aiming
appropriate epitopes and functions of the S protein.
The cross-neutralization ability of SARS-CoV RBD-
specific neutralizing MAbs considerably relies on
the resemblance between their RBDs, therefore,
SARS-CoV RBD-specific antibodies could cross-
neutralized SL CovVs, i.e., bat-SL-CoV strain WIVI1
(RBD with eight amino acid differences from SARS-
CoV) but not bat-SL-CoV strain SHC014 (24 amino
acid differences) (200).

Appropriate RBD-specifie MAbs can be


recognized by a relative analysis of RBD of SARS-
CoV-2 to that of SARS-COV, and cross-neutralizing
SARS-CoV RBD-specific MAbs could be explored
for their effectiveness against COVID-19 and further
need to be assessed clinically, The U.S.
biotechnology company Regeneron is attempting to
recognize potent and specific MAbs to combat
COVID-19. An ideal therapeutic option suggested
for SARS-CoV-2 (COVID-19) is the combination
therapy comprised of MAbs and the drug remdesivir
(COVID-19) (201). The SARS-CoV-specific human
MAb CR3022 is found to bind with SARS-CoV-2
RBD, indicating its potential as a therapeutic agent

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