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Notice for patients: Coronavirus (COVID-19/ SARS-CoV-2)

March 15th, 2020

The Estonian government has declared state of emergency to fight coronavirus spread. Due to these measures, as of March 16th all our scheduled appointments and procedures have been canceled. Patients will be contacted accordingly.

There will be no first appointments or sperm analysis done this week. However, we would appreciate, if you could fill in the contact form on our website, so we could contact you later. Thank you for your understanding.

You can find official information on Estonian Health Board website for more details.


March 12th,2020

Dear patients and citizens seeking advice and assistance!

As an assisted reproduction centre, even we are striving to protect our patients against potential coronavirus infection as best possible. At present, there is a prevalence of uncertainty, because a vast quantity of contradictory information is available in the media and on social networks. The “infodemic” – meaning the surplus of rumors, false reports and fake news – is minimally as problematic as the epidemic itself! For this reason, we strive to provide you with objective and up-to-date information on the topic of assisted reproduction, pregnancy and coronavirus disease, and to observe the recommendations of authorities and healthcare facilities.

We ask you not to visit our assisted reproduction centre if you are suffering from symptoms suggesting coronavirus infection, or if you have spent time in any of the current high-risk areas in recent weeks, or have come into contact with potentially infected individuals.

Currently, the risk areas as follows:

HIGH RISK AREAS: China, Italy, Iran, South Korea

AVERAGE RISK AREAS: Germany (North Rhine – Westphalia, Baden – Wuerttemberg and Land of Bavaria), France (Auvergne – Rhône – Alpes Bourgogne-Franche-Comté, Grand Est Hauts-de-France, Ile-de-France), Tyrol ski resorts in Austria, Spain (Madrid, Catalonia and the Basque Country), Japan, Singapore.

 

At present, the health risk for citizens e.g .in Germany and in Estonia is classified as moderate. (Source: RKI:  Status: 2 March 2020, 12:30 p.m.). Contagion from person to person is the gravest means of infection. In general, the same preventive, protective and hygienic measures as those applicable during ordinary flu season should be observed. This includes proper hand hygiene, not shaking hands when greeting and keeping a distance from individuals who are ill – including people with cold or flu symptoms.(https://www.infektionsschutz.de/coronavirus-sars-cov-2.html).

COVID-19 infection is generally mild, sometimes entirely asymptomatic. The level of danger of the pathogen cannot yet be reliably assessed – but it seems to be substantially lower than in the case of MERS or SARS, and is likely to be comparable to the seasonal flu (source: AGES, status: 3 March 2020, https://www.ages.at/themen/krankheitserreger/coronavirus/).  In some cases, the course of the illness can be severe. The illness tends to be fatal primarily among the elderly and/or individuals with a severe chronic health anamnesis.

At present, there is no reason to believe that COVID-19/ SARS-CoV-2 infection would have a more severe progression among pregnant women than women who are not pregnant. Likewise, no cases of transmission of the virus to an unborn child have been described or confirmed yet (status: 2 March 2020).

In addition to the usual preventive measures, we recommend that patients who wish to get pregnant be vaccinated against the flu, not least to avoid concurrent infection with COVID-19/ SARS-CoV-2 and the flu. This applies both to unvaccinated pregnant women and unvaccinated women who wish to get pregnant. Vaccination against the flu virus poses no threat to pregnant women, and does not require the postponement of pregnancy therapy, because it is a “dead vaccine”. Therefore, pregnancy is not a contraindication to flu vaccination. Although the 2019/2020 flu season has most likely already peaked, you should get a flu vaccination even now. In fact, vaccination against the flu is explicitly recommended for pregnant women. The Standing Committee on Vaccination in Germany (STIKO) recommends flu vaccination for all pregnant women from the 2nd trimester; if there is a higher health risk due to other medical problems (e.g. asthma or diabetes), from the 1st trimester of pregnancy.

Additional useful information and tips on how to behave if you suspect infection is available at the following links:

https://www.terviseamet.ee/en/covid19

https://www.sozialministerium.at/Informationen-zum-Coronavirus/Coronavirus—Haeufig-gestellte-Fragen.html

https://www.unicef.de/informieren/aktuelles/blog/coronavirus-das-sollten-eltern-wissen/211680

https://www.frauenaerzte-im-netz.de/aktuelles/meldung/corona-virus-und-schwangerschaft/

https://www.infektionsschutz.de/coronavirus-sars-cov-2.html

https://www.infektionsschutz.de/fileadmin/infektionsschutz.de/Downloads/Merkblatt-Infektionsschutz-Coronavirus.pdf

https://www.rki.de/SharedDocs/FAQ/NCOV2019/FAQ_Liste.html?nn=13490888

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