Corona Virus (COVID-19)

Keep yourself protected and ready to fight!

Likely airborne, Corona virus is part of a family of coronaviruses. They are named after the city of Wuhan in China where it started in a wildlife animal market.Some coronaviruses only affect animals, but others can also affect humans. This usually causes mild to moderate upper-respiratory infections, like the common cold. But they can also cause more severe illnesses such as pneumonia and organ failure.A newly identified type, called the 2019 novel coronavirus aka Wuhan Virus is causing a global epidemic but it's causing the severe outbreak in China and also worldwide. 

Worldwide Data on COVID-19

Total Cases: 156,719,256

Today's Cases: 35,332

Deaths so far: 3,270,225

Recovered: 134,931,607

Active Cases: 18,517,424

Critical Cases: 109,395


Symptoms Of Corona Virus

If you are affected by Corona virus, you may have some common symptoms such as Fever, Dry Cough, Shortness Of Breath, Loss of smell/taste, Gastrointestinal Issues, Diarrhea, General Body Aches. If you are affected severaly, you may have High Fever, Pneumonia, Kidney Failure, Death(2% of cases).
Corona virus usually spread from an infected person to another person by coughing and sneezing. Spreads also by contact or fecal-oral route. It is very infectious. Always see a doctor when in doubt.

Tips/Tricks For Corona Virus

1. Keep your hands, nose, face, mouth clean. Wash your hands, nose, and face often. Avoid touching public place handles/buttons. Wear gloves and eyeglasses if need be.
2. Use a mask if available. Any confined space like taxi, keep windows open. Avoid too much crowd.
3. Keep away from infected individuals and places. If you think you may have it, stay away from other people.
4. Eat healthily. Keep hydrated. Herbal drinks like Holy basil and Turmeric can help.
5. Keep handphones, keyboards, mouse, laptops clean. Don’t shake hands. Use Indian Namaskaram instead.
6. Avoid farms and animals. Don’t eat uncooked meat. Don’t take food from strangers, especially if they are coughing.
7. Keep and maintain social distancing from other people. Keep away of at least 1-2 metres. No hugs, kisses or sharing foods.
Watch our other video of Tips and Tricks. 👉 https://www.youtube.com/watch?v=muwUujTBERk

Infected With Corona Virus

1. Missed your vaccination? Anyway, Most cases can be with no symptoms or little symptoms. Symptoms can be cough, fever, diarrhea, aches, confusion or breathing difficulty. It's a highly infectious disease.
2. If your symptoms are mild, quarantine yourself at home, after confirming it with Doctors. Avoid taking Ibuprofen or anti-inflammatory medications for this illness. If you are on it already, check with doctor. Distance yourself from family members. Keep yourself hydrated. Wear a mask. Make sure you can drink, eat and pee normally. Any worsening of breathing, or situation, you need to go to Hospital. Let everyone make aware that you have the Corona Virus.
3. If you are hospitalized, trust the medical and health professionals to do their jobs. You may need supportive treatment. Anticoagulation treatments, Steroids, Chloroquine, and Antivirals Medications also can be given. Only steroids and anticoagulation medications have some evidence. Other treatments does not have much evidence. Try to stay positive, as only 2% of people die from this Corona Virus. Concentrate mentally on getting better. Keep breathing slowly and steadily. Don't give up!
4. If you are getting worse, you may need Intensive Care Support. It's likely from Lung failure or Septic Shock. You may have various tubes inserted and you may not be totally aware of things happening. It's unlikely you will be in pain. But, this is highly unlikely, therefore, relax and rest.

Don't Panic About Corona Virus

1. It's thought the virus spread is predominantly during the asymptomatic or pre-symptomatic phase, so you never know where you are going to catch it.
2. Travel restrictions may not help, as it may have spread already globally except restricting travel to severe epidemic areas where the infection is actively spreading.
3. Don't hoard supplies. This will create unnecessary panic and depletion of supplies artificially. Keep a balance and deal with situations keeping in mind yourself, family, neighbors, and country.
4. Don't ostracise people who are already infected. It could be you, real soon. It's simple humanity to care for others.
5. Help and support medical, nursing, emergency and hospital staff to help you and others. They are trying to do the best, whilst putting themselves at risk and dealing with limited resources.
6. Staying calm and composed keeps your immune system ready to fight the virus.

Precautions for Health Care Workers

1. No belts, wallets, cash/coins (not possible to clean them effectively).
2. Use mobile phone as less often as possible (especially during ward rounds).
3. Before going home at the end of the shift: place pen, stethoscope and hospital notes if any in a plastic resealable bag after cleaning them with alcohol 70%. Leave them in hospital if possible.
4. ‘Bare below elbows’ in hospital (fold sleeves up to elbows)to prevent cross infection.
5. Use some cheap or old shoes if possible while going to hospital and throw them away when the pandemic is over.
6. Clean stethoscope with 70% alcohol each time after examining a patient.
7. Clean mobile phone, spectacles with 70% alcohol at least once before leaving the ward and going home.
8. When getting close to patient during examination or taking blood samples or any intervention – use the best possible PPE. If PPE is not provided by the hospital, better buy yourself to save your life.
9. Frequent shower and change dress more frequently.
10. Shaving is really important as FFP masks do not completely protect as proper facial seal cannot be achieved (NHS & US health authorities recommendation).
More Guideliness: Precautions for Health Care Workers 👉 Referral Link

Travel Advice

1. Don't travel into an epidemic(you will get it)
2. Don't travel out of an epidemic (you will spread it)
3. Avoid all non essential air travel. Flight cabins are closed spaces. You can't open the window for fresh air!
4. Traveling by taxi, bus and train? Open the window if you can. Try social distancing if you can. Don't touch the surfaces unnecessarily. Make sure you wash your hands or shower after every travel.
5. Walk or cycle if feasible. Healthy too. Avoid Corona now. Avoid heart attack later.
6. Check all the Govt advice before travelling. No point getting stuck in long queues, giving yourself up to Corona. If the destination country does not allow you to enter, how can you?
7. Respect all the quarantine rules locally and at destination.

Economic Stability Criteria for Corona Virus Pandemic

1. Adequate surge capacity in Hospitals for outbreaks.
2. Public health infrastructure to support testing.
3. Robust contact tracing to curtail "hot spots and outbreaks".
4. Widespread access to serology blood testing to determine who is already immune to the corona virus.
5. Ability of enforce and propagate public health measures like mask wearing, safe distancing, washing hands and stay at home for suspected or confirmed mild cases.
6. Leadership and Management of state and companies in a dynamic and flexible way to foresee problems and rectify them, in addition to promote sustainable economic growth.

Latest Update

Authored by Dr. Anthony Fauci, on November 20, 2020

Dr. Anthony Fauci, the leader of US Covid-19 task force delivered grand round to doctors at Johns Hopkins University today. Below are the key take home points from his phenomenal talk about COVID-19 pandemic and upcoming vaccines.

Epidemiology
- About 50% of infections are spread by asymptomatic people infected with COVID-19.
- Disease spectrum:
* 80% mild to moderate ds (dont need hospitalization),
* Severe 14%,
* Critical 5%
- Case fatality rate 2.3%
- What is severe disease?: ARDS, neurological ds, hyperinflammation (cytokine storm), cardiac dysfunction, hypercoagulability, acute kidney injury, and muiltisystem inflammatory syndrome (children)
-High risk group for developing severe disease: cancer, chronic kidney ds, COPD, heart diseases, immunocompromised, obesity, pregnancy, sickle cell, smoking
Treatment for hospitalized patients approved by NIH/USFDA
- Remdesivir
- Dexamethasone
- Bamlanivimab and Baricitinib (monoclonal antibody)
Vaccine
- Vaccine (Moderna and Biontech Pfizer) will be available in US for general population in Jan or Feb 2021. Timeline for other countries was not discussed.
- People who had COVID-19 already should also get vaccine.
- Everyone will need to take booster doses of vaccine after the first dose. Duration between the doses aren't decided yet could range from months to years.
- Even with an effective vaccine, we have to follow mask and social distancing rules until the daily new cases are contained.
- Despite availability of the vaccine, a survey says that about 50% of people in US are either not sure or will not take the vaccine. So we need to make people around the world aware that these vaccines are developed with scientifically proven methods and transparency.
With or Without Vaccine
Follow the following precautions which have proven to reduce the chance of getting COVID-19 infection:
1. Mask/face coverings
2. Physical distance of more than 6 feet
3. Avoid crowds and closed spaces outside home
4. Outdoors better than indoors
5. Frequent washing of hands

Corona Vaccine Update

NameVaccine TypePrimary DevelopersCountry of OriginAuthorization/Approval
1BNT162b2mRNA-based vaccinePfizer, BioNTech; Fosun PharmaMultinationalUK, Bahrain, Canada, Mexico, US, Singapore, Oman, Saudi Arabia, Kuwait, EU
2mRNA-1273mRNA-based vaccine Moderna, BARDA, NIAIDUSUS, Canada
3CoronaVacInactivated vaccine (formalin with alum adjuvant)SinovacChinaChina
4No name announcedInactivated vaccine Wuhan Institute of Biological Products; China National Pharmaceutical Group (Sinopharm)ChinaChina
5Sputnik V Non-replicating viral vectorGamaleya Research Institute, Acellena Contract Drug Research and DevelopmentRussiaRussia

NIH - Coronavirus Disease 2019 (COVID-19) Treatment Guidelines 👉 Referral Link

Interventional radiology and COVID-19 👉 Referral Link

King's Critical Care Covid -19 Summary 👉 Referral Link

COVID-19 Best Practice from BMJ 👉 Referral Link

Guidance for infection prevention and control in healthcare settings from gov.uk 👉 Referral Link

NHS - Post COVID-19 Patient information pack 👉 Referral Link

For more health related videos. Click Here 👉 Dr Galen Channel