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Coronavirus

Health

Two doctors infected in Assam; Coronavirus cases rose to 58, death 2

Guwahati: The total number of coronavirus cases in Assam rose to 58 with two junior doctors testing positive for the disease on Friday and the test report of a 16-year-old girl confirmed the infection after her death, Health minister Himanta Biswas Sarma said. Two infected junior doctors are from Guwahati Mediacal College and North Eastern Regional Dental College.

The girl was suffering from fever and a pain in her leg. When her condition deteriorated, she was admitted to B Barooah Cancer Hospital on Thursday where she died later, the minister said at a press conference.

Her sample, taken for COVID-19 testing, and was found to be positive. It is “very unfortunate as she did not get the necessary treatment”, he said.
“We will have to discuss with the Union Health Ministry whether we can declare that she died due to COVID-19 as we did not treat her for the disease. She was found to be positive after her death,” Sarma said.

The Kamrup (Metro) district administration has declared two hostels and areas around the Guwahati Medical College Hospital, the employers’ colony near the B Barooah Cancer Institute where the girl lived with her grandmother and certain areas in Kharghuli and Chandmari as containment zones.

Sarma said of the total cases in the state, 21 are active while 34 have been cured of the disease and one died.

The health minister said that a bus carrying 45 passengers had arrived in Silchar on Wednesday from Rajasthan’s Ajmer.

Three of them tested positive on Friday, taking the the total number of cases related to this particular group to eight. Thirty-three were negative and results of other tests are awaited, he said.

Since the passengers had gone home briefly after screening, several areas in four villages of Cachar district have been declared as containment zones, Sarma said, adding direct and indirect contact tracing was on and 185 people have been quarantined in facilities.

In the last 24 hours, Assam reported a sudden spike in the number of COVID-19 cases. Of the 11 cases reported since Thursday, nine have travel history.

After a post-graduate student of the medicine department of Guwahati Medical College Hospital tested positive for COVID-19, the facility has been closed for new patients and 386 people, including hospital superintendent, doctors, students and several workers, have been quarantined, the health minister said.

Their swab tests have been conducted and the results were expected by Friday night. The medical student was engaged in screening of COVID-19 patients from May 4, Sarma said.

A 55-year-old woman from Kharghuli Hills area of Guwahati has tested positive and admitted to GMCH. Her family members have also been quarantined.

The fourth person to test positive in Guwahati had returned from West Bengal on May 6 along with two others in a personal vehicle. The person has been admitted to Mahendra Mohan Choudhury Hospital while the other two have tested negative, Sarma said.

“This is the second case with travel history to West Bengal and we have asked the police department not to issue passes to those originating their journey from this state, except in humanitarian cases,” the minister said.

Sarma said that three positive cases in Guwahati with no travel or contact history indicates that traces of the novel coronavirus may be prevalent in the city.

“People should, however, not panic but strictly follow the guidelines and report to doctors in case they have influenza-like illness (ILI) and diarrhoea,” he said.

So far, 1,032 people have entered the state since May 6 through check posts at Srirampur and Chagalia along the Assam-West Bengal border from where they proceeded to the five screening centres at Kokrajhar, Guwahati, Tezpur, Jorhat and Silchar.

The minister also said that harassing doctors, nurses and health workers is a non-bailable offence under the Epidemic Control Act and the Disaster Management Act.

Science

Will India pin its hopes on anti-viral drug remdesivir?

With cases on the rise, India is closely tracking progress of anti-viral drug remdesivir’s usage to cure Covid-19 patients.

After Gilead Science’s anti-viral drug remdesivir showed signs that it could become a standard of care to fight Covid-19 pandemic, a US government disease expert welcomed the key clinical trial results. India, too, may pin its hopes on the drug in a bid to treat rising Covid-19 patients.

Gilead Science’s antiviral drug remdesivir gained traction after the US governmADVERTISEMENectious disease expert Dr Anthony Fauci called the early results of a key clinical trial as “good news” in the fight against novel coronavirus.

Preliminary results showed that patients given remdesivir recovered 31 per cent faster than those given a placebo.

: Gilead says remdesivir shows improvement in Covid-19 patients when used early President Donald Trump called the remdesivir drug trials “a stepping stone in moving faster in the direction of making a vaccine”.

Fauci said, “FDA is working with Gilead to figure out mechanisms to make this easily available to those who need it.”

The National Institute of Allergy and Infectious Diseases, a wing of the National Institutes of Health (NIH) in the US, said early results from its 1,063 patient trials show that hospitalised Covid-19 patients who were given remdesivir recovered in 11 days, compared to 15 days for those who were given a placebo.

The study also showed that 8 per cent of patients who were given the drug died, as compared to 11.6 per cent in the placebo group. However, the difference was not statistically significant so may not be due to Gilead’s drug, they added.

Will India consider remdesivir?

India is part of World Health Organisation’s (WHO) solidarity trials for vaccines.

Indian Council of Medical Research (ICMR) Director Dr Raman Gangakhedkar said earlier that India has kept an eye out on the results from the trials conducted with remdesivir and the data that is being collected on it.

“It is a product made by Gilead company. ICMR is participating in a solidarity trial with WHO, an arm of that solidarity trial is also working on the efficaciousness of remdesivir. Can other pharmaceutical companies make it? Once we know that then we shall move forward from there,” said Gangakhedkar on April 13.

It has been widely reported that remdesivir had previously failed as a treatment for Ebola, but it is now being tried against the novel coronavirus. Gangakhedkar explained that the drug prevents certain viruses from multiplying.

“Remdesivir a drug that was being used in Ebola outbreak. The drug acts on the mutation of the Covid-19 virus, which is why researchers believe that it could work.”

An earlier clinical trial conducted in China with remdesivir revealed details about the Ebola drug’s inefficacy on critical Covid-19 patients.

Released prematurely by WHO, results of the China trial suggested no benefit of the drug in terms of preventing death and reducing virus load. WHO retracted it soon after. Gilead had rejected the claim and said the study was released too early due to low patient enrolment.

Indian Council of Medical Research (ICMR) Director Dr Raman Gangakhedkar said earlier that India has kept an eye out on the results from the trials conducted with remdesivir and the data that is being collected on it.

Milan Sharma 

US grants emergency approval for remdesivir for Covid-19 patients

Remdesivir

During a meeting in the Oval Office with President Donald Trump, Gilead Chief Executive Daniel O’Day called the move an important first step and said the company was donating 1 million vials of the drug to help patients.
In this file photo one vial of the drug Remdesivir is viewed during a press conference about the start of a study with the Ebola drug Remdesivir in particularly severely ill patients at the University Hospital Eppendorf (UKE) in Hamburg, northern Germany on April 8, 2020, amidst the new coronavirus Covid-19 pandemic.
In this file photo one vial of the drug Remdesivir is viewed during a press conference about the start of a study with the Ebola drug Remdesivir in particularly severely ill patients at the University Hospital Eppendorf (UKE) in Hamburg, northern Germany on April 8, 2020, amidst the new coronavirus Covid-19 pandemic. (AFP)
The experimental drug remdesivir has been authorized by US regulators for emergency use against Covid-19, President Donald Trump announced Friday.

It comes after the antiviral made by Gilead Sciences was shown in a major clinical trial to shorten the time to recovery in some coronavirus patients, the first time any medicine has had a proven benefit against the disease.

“It is really a really promising situation,” Trump said at the White House, where he was joined by Gilead’s CEO Daniel O’Day.

“We are humbled with this first step for hospitalized patients,” said O’Day, adding: “We want to make sure nothing gets in the way of these patients getting the medicine.”

The company has previously announced it was donating some 1.5 million doses for free.

This amounts to about 140,000 treatment courses based on a 10-day treatment duration.

Remdesivir, which is administered by an injection, was already available to some patients who enrolled in clinical trials, or who sought it out on a “compassionate use” basis.

The new move allows it to be distributed far more widely and used in both adults and children who are hospitalized with a severe form of Covid-19.

The Food and Drug Administration, which authorized the approval, defines severe as having low blood oxygen levels, requiring oxygen therapy, or being on a ventilator.

‘Proof of concept’

The US National Institute of Allergy and Infectious Diseases (NIAID) announced the results of a trial involving more than 1,000 people on Wednesday.

It found that hospitalised Covid-19 patients with respiratory distress got better quicker than those on a placebo.

Specifically, patients on the drug had a 31 percent faster time to recovery.

“Although the results were clearly positive from a statistically significant standpoint, they were modest,” Anthony Fauci, the scientist who leads the NIAID told NBC News on Thursday.

While not considered a miracle cure, remdesivir’s trial achieved a “proof of concept,” according to Fauci that could pave the way for better treatments.

Remdesivir incorporates itself into the virus’s genome, short circuiting its replication process.

It was first developed to treat Ebola, a viral hemorrhagic fever, but did not boost survival rates as other medicines.

The Food and Drug Administration FDA) has signed on the emergency use of Gilead Sciences Inc’s remdesivir drug for treating severe cases of COVID-19.

The drug, according to studies reduced the time it took patients to recover from the coronavirus infection. US President Donald Trump, on May 1, said that the FDA has granted Emergence Use Authorisation (EUA) for the investigational antiviral remdesivir.

Follow our LIVE Updates on the coronavirus pandemic here

The announcement was made at the Oval Office by Trump alongside Gilead CEO Daniel O’Day.

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“This EUA opens the way for us to provide emergency use of remdesivir to more patients with severe symptoms of COVID-19,” said Daniel O’Day, Chairman and Chief Executive Officer of Gilead Sciences.

Also Read | Exclusive: Gilead says open to collaborate with govts, drug firms to make Remdesivir globally available

“We will continue to work with partners across the globe to increase our supply of remdesivir while advancing our ongoing clinical trials to supplement our understanding of the drug’s profile. We are working to meet the needs of patients, their families and healthcare workers around the world with the greatest sense of urgency and responsibility.”

Health

Facebook says its new COVID-19 symptoms map could predict disease spread

Survey data collected by Facebook is being used to power new COVID-19 “symptom maps” that could soon to predict how the infectious disease is spreading across the U.S.
An interactive dashboard, which is being updated daily, shows a full county-by-county breakdown of the percentage of people who reported having symptoms, not confirmed cases. The results are based on data from a project being run alongside researchers from Carnegie Mellon University.
Facebook CEO Mark Zuckerberg said today that such analysis could help governments and healthcare experts better allocate resources and conduct economic planning, such as when to reopen local regions or where to distribute ventilators and protective medical gear.
“Researchers believe these symptom survey maps can be an important tool in making these decisions,” the billionaire entrepreneur, 35, wrote on his personal account.
Carnegie Mellon’s Delphi Research Center said in a blog post today that its survey, promoted on the social network, is generating about one million responses per week from users. Representatives from both teams stressed individual survey responses are not directly shared with Facebook.
The university’s own suite of maps also includes anonymized data sent by other organizations, including Google, Quidel Corp. and an unnamed national health care provider, the team said.
Facebook said the Carnegie Mellon survey asks users to voluntarily share if they—or anyone in their home—have suffered from symptoms associated with COVID-19 or the flu within the past 24 hours. Every day a new sample of users over the age of 18 are invited to answer the questions.
“The survey asked people if they have symptoms such as fevers, coughing, shortness of breath or loss of smell that are associated with COVID-19,” Zuckerberg wrote in The Washington Post.
“Since experiencing symptoms is a precursor to becoming more seriously ill, this survey can help forecast how many cases hospitals will see in the days ahead and provide an early indicator of where the outbreak is growing and where the curve is being successfully flattened.”
The social networking giant said it will expand the research project by running the surveys globally from this week, repeatedly noting that it will not see users’ direct responses.
“This will allow us to expand the symptom maps to provide county-by-county data across almost every country in the world where Facebook operates,” Zuckerberg wrote.
“We’re looking for more… partners around the world to help generate insights from this aggregate data to help the COVID-19 response. We’ll share more details on how to get involved soon.”
The Carnegie Mellon team said the survey data will be used to forecast COVID-19 activity “several weeks” into the future – added that it could fill crucial gaps in county data.
It said: “Within…weeks, [researchers] expect to use these estimates to provide forecasts that will help hospitals, first responders and other health officials anticipate the number of COVID-19 hospitalizations and ICU admits likely to occur in their locales several weeks in advance.”
Facebook has been contacted for comment.
There have now been more than 759,000 COVID-19 infections in the U.S., according to a map being maintained by Johns Hopkins University. The disease has claimed the lives of at least 40,683 U.S. citizens. Globally, there have been more than 2.4 million infections and at least 166,205 deaths.
Centers for Disease Control and Prevention Advice on Using Face Coverings to Slow Spread of COVID-19
• CDC recommends wearing a cloth face covering in public where social distancing measures are difficult to maintain.
• A simple cloth face covering can help slow the spread of the virus by those infected and by those who do not exhibit symptoms.
• Cloth face coverings can be fashioned from household items. Guides are offered by the CDC. (https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/diy-cloth-face-coverings.html)
• Cloth face coverings should be washed regularly. A washing machine will suffice.
• Practice safe removal of face coverings by not touching eyes, nose, and mouth, and wash hands immediately after removing the covering.
World Health Organization advice for avoiding spread of coronavirus disease (COVID-19)
Hygiene advice
• Clean hands frequently with soap and water, or alcohol-based hand rub.
• Wash hands after coughing or sneezing; when caring for the sick; before, during and after food preparation; before eating; after using the toilet; when hands are visibly dirty; and after handling animals or waste.
• Maintain at least 1 meter (3 feet) distance from anyone who is coughing or sneezing.
• Avoid touching your hands, nose and mouth. Do not spit in public.
• Cover your mouth and nose with a tissue or bent elbow when coughing or sneezing. Discard the tissue immediately and clean your hands.
Medical advice
• Avoid close contact with others if you have any symptoms.
• Stay at home if you feel unwell, even with mild symptoms such as headache and runny nose, to avoid potential spread of the disease to medical facilities and other people.
• If you develop serious symptoms (fever, cough, difficulty breathing) seek medical care early and contact local health authorities in advance.
• Note any recent contact with others and travel details to provide to authorities who can trace and prevent spread of the disease.
• Stay up to date on COVID-19 developments issued by health authorities and follow their guidance.
Mask and glove usage
• Healthy individuals only need to wear a mask if taking care of a sick person.
• Wear a mask if you are coughing or sneezing.
• Masks are effective when used in combination with frequent hand cleaning.
• Do not touch the mask while wearing it. Clean hands if you touch the mask.
• Learn how to properly put on, remove and dispose of masks. Clean hands after disposing of the mask.
• Do not reuse single-use masks.
• Regularly washing bare hands is more effective against catching COVID-19 than wearing rubber gloves.
• The COVID-19 virus can still be picked up on rubber gloves and transmitted by touching your face.

Health

How to Protect Yourself

Watch for symptoms
Reported illnesses have ranged from mild symptoms to severe illness and death for confirmed coronavirus disease 2019 (COVID-19) cases.

These symptoms may appear 2-14 days after exposure (based on the incubation period of MERS-CoV viruses).

Fever
Cough
Shortness of breath
Person perspiring and thermometer indicating person has a fever
person holding a cloth and coughing into the cloth
restricted air representing shortness of breath

If you develop emergency warning signs for COVID-19 get medical attention immediately. Emergency warning signs include*:

Trouble breathing
Persistent pain or pressure in the chest
New confusion or inability to arouse
Bluish lips or face
*This list is not all inclusive. Please consult your medical provider for any other symptoms that are severe or concerning.

Older adults and people who have severe underlying medical conditions like heart or lung disease or diabetes seem to be at higher risk for developing more serious complications from COVID-19 illness. More information on Are you at higher risk for serious illness?

Know How it Spreads
Illustration: woman sneezing on man
There is currently no vaccine to prevent coronavirus disease 2019 (COVID-19).
The best way to prevent illness is to avoid being exposed to this virus.
The virus is thought to spread mainly from person-to-person.
Between people who are in close contact with one another (within about 6 feet).
Through respiratory droplets produced when an infected person coughs or sneezes.
These droplets can land in the mouths or noses of people who are nearby or possibly be inhaled into the lungs.
Take steps to protect yourself
Illustration: washing hands with soap and water
Clean your hands often
Wash your hands often with soap and water for at least 20 seconds especially after you have been in a public place, or after blowing your nose, coughing, or sneezing.
If soap and water are not readily available, use a hand sanitizer that contains at least 60% alcohol. Cover all surfaces of your hands and rub them together until they feel dry.
Avoid touching your eyes, nose, and mouth with unwashed hands.
Illustration: Woman quarantined to her home
Avoid close contact
Avoid close contact with people who are sick
Put distance between yourself and other people if COVID-19 is spreading in your community. This is especially important for people who are at higher risk of getting very sick.
Take steps to protect others
man in bed
Stay home if you’re sick
Stay home if you are sick, except to get medical care. Learn what to do if you are sick.
woman covering their mouth when coughing
Cover coughs and sneezes
Cover your mouth and nose with a tissue when you cough or sneeze or use the inside of your elbow.
Throw used tissues in the trash.
Immediately wash your hands with soap and water for at least 20 seconds. If soap and water are not readily available, clean your hands with a hand sanitizer that contains at least 60% alcohol.
man wearing a mask
Wear a facemask if you are sick
If you are sick: You should wear a facemask when you are around other people (e.g., sharing a room or vehicle) and before you enter a healthcare provider’s office. If you are not able to wear a facemask (for example, because it causes trouble breathing), then you should do your best to cover your coughs and sneezes, and people who are caring for you should wear a facemask if they enter your room. Learn what to do if you are sick.
If you are NOT sick: You do not need to wear a facemask unless you are caring for someone who is sick (and they are not able to wear a facemask). Facemasks may be in short supply and they should be saved for caregivers.
cleaning a counter
Clean and disinfect
Clean AND disinfect frequently touched surfaces daily. This includes tables, doorknobs, light switches, countertops, handles, desks, phones, keyboards, toilets, faucets, and sinks.
If surfaces are dirty, clean them: Use detergent or soap and water prior to disinfection.
To disinfect:
Most common EPA-registered household disinfectants will work. Use disinfectants appropriate for the surface.

Options include:

Diluting your household bleach.
To make a bleach solution, mix:
5 tablespoons (1/3rd cup) bleach per gallon of water
OR
4 teaspoons bleach per quart of water
Follow manufacturer’s instructions for application and proper ventilation. Check to ensure the product is not past its expiration date. Never mix household bleach with ammonia or any other cleanser. Unexpired household bleach will be effective against coronaviruses when properly diluted.

Alcohol solutions.
Ensure solution has at least 70% alcohol.
Other common EPA-registered household disinfectants.
Products with EPA-approved emerging viral pathogens pdf icon[7 pages]external icon claims are expected to be effective against COVID-19 based on data for harder to kill viruses. Follow the manufacturer’s instructions for all cleaning and disinfection products (e.g., concentration, application method and contact time, etc.).

Health

Is it allergies, the flu or the coronavirus? How to tell the difference

By AJ Willingham, CNN

(CNN)The coronavirus has infected more than 100,000 people worldwide. With all of the news of event cancellations, empty flights and health precautions (wash your hands!), it’s natural that people may get a little anxious every time they feel a tickle in their throat or the beginnings of a bad cough.

Pedestrians wearing face masks cross a road during a Lunar New Year of the Rat public holiday in Hong Kong on January 27, 2020, as a preventative measure following a coronavirus outbreak which began in the Chinese city of Wuhan.

(CNN)The coronavirus has infected more than 100,000 people worldwide. With all of the news of event cancellations, empty flights and health precautions (wash your hands!), it’s natural that people may get a little anxious every time they feel a tickle in their throat or the beginnings of a bad cough.

While the coronavirus is certainly something to take seriously, the chances of any individual person getting it are still low. But if you’re wondering whether that stuffy nose could end up being a worst case scenario, CNN talked to Dr. Greg Poland, a professor of medicine and Infectious diseases at the Mayo Clinic and director of the Mayo Clinic’s Vaccine Research Group, about the differences between typical allergy, cold and flu symptoms, and ones associated with the coronavirus.

Itchy eyes? Runny nose? You probably have allergies — or a garden variety cold.
“The issue with seasonal allergies is that they affect the nose and eye,” Poland says. “They tend to be nasal, and most symptoms are localized to the head, unless you also experience a rash.”
Coronavirus and flu symptoms tend to be more systemic.
That is, they affect the whole body.

“The flu and the novel coronavirus, these affect other systems and the lower respiratory tract, Poland says. “You probably won’t have a runny nose, but what you might have is a sore throat, a cough, a fever or shortness of breath. So it’s a subtly different clinical diagnosis.
Pay attention to your temperature: Poland says it’s very unlikely that allergies would result in a fever. They usually don’t cause shortness of breath either, unless you have a preexisting condition like asthma.
Allergy symptoms are regularly occurring, and usually mild.
Poland says if you’ve had the same symptoms around the same time, year after year, you’re probably experiencing seasonal allergies. In that case, over the counter medication and other regular health precautions will help you feel better.
Coronavirus and flu symptoms can put you out of commission.
“If you have an acute case of coronavirus or flu, you will feel so tired, so achy, you’d basically be driven to bed. Everybody would see the difference,” Poland says. “Allergies may make you feel tired, but they’re not going to cause severe muscle or joint ache.”
Cold and mild flu symptoms usually resolve themselves.
With normal illnesses, you’ll start feeling better with rest and proper care within a few days (unless you are elderly or have other health conditions, in which case even mild illnesses may take longer to pass).
Coronavirus and acute flu symptoms could get worse over time.

If you have a nasty case of the flu or coronavirus, you may get worse when you expect to get better. This is a sure sign to seek medical care.
“What would increase the suspicion of coronavirus would be if you were short of breath,” Poland says. “People can also develop pneumonia from the flu, which has a similar presentation, so either way you’re going to want to seek medical attention.”
Early symptoms of allergies, cold, flu and coronavirus could be similar.
Unfortunately, Poland says, the initial stages of colds, flus and the coronavirus can be very similar, and some coronavirus and flu cases can be so mild they don’t raise any red flags. That’s why you have to pay attention to see if your symptoms persist, especially if you are in an at-risk group.
“We’re worried about older people, people with asthma or other lung diseases, people with heart disease or diabetes, and also pregnant women,” Poland says.
Coronavirus cases usually have some context.
So you think you have the coronavirus. Poland says any doctor is bound to ask you some contextual questions, like:
Have you traveled recently, and if so, where?
Have you had anybody in your home or had a workmate or schoolmate who’s traveled? Where did they go?
Have you had anybody in your home from areas where the outbreak is most concentrated?
Have you been on a cruise ship?
Do you live near an area where there’s an outbreak?
“You’re like a detective, trying to accept and put together pieces of data,” Poland says. “If someone who hasn’t left the middle of Kansas thinks they have the coronavirus, I would say take a Tylenol, have plenty of fluids and rest.”

It may sound harsh, but the current availability of testing, treatment and proper response to the virus doesn’t accommodate vague inclinations.
“If you’re worried, call in to your physician,” says Poland. ” Describe your symptoms and they’ll make a decision. You can’t test everybody and you can’t test anybody repeatedly.”
This is also an opportunity to do some critical thinking before you race for a diagnosis.
“You would take that next step if your suspicion increases,” Poland says.
Just because it isn’t the coronavirus, doesn’t mean it isn’t serious.
“In the last few months, 30 million Americans have been infected with a virus,” Poland says. “About 300 to 500 thousand of them so severe they had to be hospitalized, and about 30,000 of them died. It’s the influenza virus. We are so culturally numb to ‘just the flu’ that we don’t take it seriously despite the numbers. And in contrast, the coronavirus has killed about 3,300 in roughly the same time.”
Yes, the coronavirus may have a comparatively higher death rate, but Poland also points out the more people that are infected, the more likely it is the infection will spread to others.
This means even with the statistical difference in death rates, the flu is more prevalent and far more likely to be a problem for the average person.
“When you have 30 million infected, it’s easy to infect that next 10 million,” Poland says.

The bottom line.
While taking precautions to prevent the spread of the coronavirus is important, you may need to live with some uncertainty when it comes to the general health anxieties it inspires.
It’s up to you to stay vigilant, take into account your medical history, monitor any symptoms and think critically about whether your specific situation puts you at risk — or whether you just need a Zyrtec and some rest.

While the coronavirus is certainly something to take seriously, the chances of any individual person getting it are still low. But if you’re wondering whether that stuffy nose could end up being a worst case scenario, CNN talked to Dr. Greg Poland, a professor of medicine and Infectious diseases at the Mayo Clinic and director of the Mayo Clinic’s Vaccine Research Group, about the differences between typical allergy, cold and flu symptoms, and ones associated with the coronavirus.

Itchy eyes? Runny nose? You probably have allergies — or a garden variety cold.
“The issue with seasonal allergies is that they affect the nose and eye,” Poland says. “They tend to be nasal, and most symptoms are localized to the head, unless you also experience a rash.”
Coronavirus and flu symptoms tend to be more systemic.
That is, they affect the whole body.

“The flu and the novel coronavirus, these affect other systems and the lower respiratory tract, Poland says. “You probably won’t have a runny nose, but what you might have is a sore throat, a cough, a fever or shortness of breath. So it’s a subtly different clinical diagnosis.
Pay attention to your temperature: Poland says it’s very unlikely that allergies would result in a fever. They usually don’t cause shortness of breath either, unless you have a preexisting condition like asthma.
Allergy symptoms are regularly occurring, and usually mild.
Poland says if you’ve had the same symptoms around the same time, year after year, you’re probably experiencing seasonal allergies. In that case, over the counter medication and other regular health precautions will help you feel better.
Coronavirus and flu symptoms can put you out of commission.
“If you have an acute case of coronavirus or flu, you will feel so tired, so achy, you’d basically be driven to bed. Everybody would see the difference,” Poland says. “Allergies may make you feel tired, but they’re not going to cause severe muscle or joint ache.”
Cold and mild flu symptoms usually resolve themselves.
With normal illnesses, you’ll start feeling better with rest and proper care within a few days (unless you are elderly or have other health conditions, in which case even mild illnesses may take longer to pass).
Coronavirus and acute flu symptoms could get worse over time.

If you have a nasty case of the flu or coronavirus, you may get worse when you expect to get better. This is a sure sign to seek medical care.
“What would increase the suspicion of coronavirus would be if you were short of breath,” Poland says. “People can also develop pneumonia from the flu, which has a similar presentation, so either way you’re going to want to seek medical attention.”
Early symptoms of allergies, cold, flu and coronavirus could be similar.
Unfortunately, Poland says, the initial stages of colds, flus and the coronavirus can be very similar, and some coronavirus and flu cases can be so mild they don’t raise any red flags. That’s why you have to pay attention to see if your symptoms persist, especially if you are in an at-risk group.
“We’re worried about older people, people with asthma or other lung diseases, people with heart disease or diabetes, and also pregnant women,” Poland says.
Coronavirus cases usually have some context.
So you think you have the coronavirus. Poland says any doctor is bound to ask you some contextual questions, like:
Have you traveled recently, and if so, where?
Have you had anybody in your home or had a workmate or schoolmate who’s traveled? Where did they go?
Have you had anybody in your home from areas where the outbreak is most concentrated?
Have you been on a cruise ship?
Do you live near an area where there’s an outbreak?
“You’re like a detective, trying to accept and put together pieces of data,” Poland says. “If someone who hasn’t left the middle of Kansas thinks they have the coronavirus, I would say take a Tylenol, have plenty of fluids and rest.”

It may sound harsh, but the current availability of testing, treatment and proper response to the virus doesn’t accommodate vague inclinations.
“If you’re worried, call in to your physician,” says Poland. ” Describe your symptoms and they’ll make a decision. You can’t test everybody and you can’t test anybody repeatedly.”
This is also an opportunity to do some critical thinking before you race for a diagnosis.
“You would take that next step if your suspicion increases,” Poland says.
Just because it isn’t the coronavirus, doesn’t mean it isn’t serious.
“In the last few months, 30 million Americans have been infected with a virus,” Poland says. “About 300 to 500 thousand of them so severe they had to be hospitalized, and about 30,000 of them died. It’s the influenza virus. We are so culturally numb to ‘just the flu’ that we don’t take it seriously despite the numbers. And in contrast, the coronavirus has killed about 3,300 in roughly the same time.”
Yes, the coronavirus may have a comparatively higher death rate, but Poland also points out the more people that are infected, the more likely it is the infection will spread to others.
This means even with the statistical difference in death rates, the flu is more prevalent and far more likely to be a problem for the average person.
“When you have 30 million infected, it’s easy to infect that next 10 million,” Poland says.

The bottom line.
While taking precautions to prevent the spread of the coronavirus is important, you may need to live with some uncertainty when it comes to the general health anxieties it inspires.
It’s up to you to stay vigilant, take into account your medical history, monitor any symptoms and think critically about whether your specific situation puts you at risk — or whether you just need a Zyrtec and some rest.

Health

Rampant wildlife killing in NE India may bring out new fatal Covid-19 like virus

As the wold is battling the outbreak of coronavirus,experts warn spread of new virus from destroying deep forest in Northeast India. Many theories have been doing the rounds linking the virus with wild animals and amidst of those, the bat- pangolin theory is as accepted most convincing. Chandan Kumar Duarah, an independent researcher and Science Editor of Asomiya Pratidin warns of new Covid-19 like virus may come out from wild to human from wildlife if deforestation is not stopped. Deep forest destruction and leopard, pangolin like animal poaching and their meat eating may transmit to human. Experts with the World Health Organization (WHO) too say there’s a high likelihood the new coronavirus came from bats.

Experts claim the host to be pangolins. There have been speculations that the wildlife market in Wuhan in China could have been the starting point for the outbreak. China put a temporary ban on the wildlife trading as a measure to control the spread of coronavirus, but conservationists say it’s not enough and urged China to apply a permanent ban on the wildlife trade protecting human health.

Rapid deforestation and rampant destruction of habitats bring wildlife into close proximity with human habitations, Duarah said It is more likely there are chances of spread of deadly viruses as people come into closer contact with animals and their viruses. The viruses behind Severe Acute Respiratory Syndrome (Sars) and Middle East Respiratory Syndrome (Mers) are also thought to have originated in bats. Civet cats and camels respectively, are thought to be the carriers of these viruses before being transmitted to humans.

The Coronavirus has so far killed around 22 thousand people across the world and sickening more than 4 lakh – many times more than the number sickened by SARS. The outbreak of the virus has prompted calls to permanently ban the sale of wildlife but the Chinese government has made it clear the ban would be temporary.

Beijing announced a similar ban in the event of the outbreak of Sars in 2002. However, authorities relaxed the ban and the trade bounced back.

Many in China want the temporary ban on wildlife to be permanent while Chinese leader Xi Jinping said the country should “resolutely outlaw and harshly crackdown” on the illegal wildlife trade because of the public health risks it poses.

Chinese officials revealed that about 1.5 million markets and online operators nationwide have been inspected since the outbreak of coronavirus and 3,700 have been shut down while around 16,000 breeding sites have been cordoned off.

A WWF study showed illegal wildlife trade is worth around $20bn per year. It is the fourth biggest illegal trade worldwide, after drugs.

Markets selling live animals are considered a potential source of diseases that are new to humans. If China ban the wildlife trade permanently it will help conservation in Assam and other northeastern states of India, Duarah said. Since wildlife and its parts have been smuggled to China from northeastern Indian states to Chinese markets. Most of poaching and killing incidents are taking place to fill the Chinese demand. Moreover a new trend of wildlife flesh eating emerges in Assam and northeast Indian states. People eat flesh of leopard, pangolins, lizliard moitors, civets, snakes etc. It accelerates the probability of new COVID-19 like new virus, Duarah said.

Most of the samples taken from the Wuhan market that tested positive for the coronavirus were from the area where wildlife booths were concentrated. It is said that more than 70 per cent of emerging infections in humans are estimated to have come from animals, particularly wild animals.

The wildlife products industry is a major part of the Chinese economy and has been blamed for driving several species to the brink of extinction. China’s demand for wildlife products, which find uses in traditional medicine, or as exotic foods, is driving a global trade in endangered species.

“The Chinese market largely remains a threat to wildlife conservation, said Mubina Akhtar, a wildlife activist.

“The rampant killing of wildlife continues in Northeast India and China remains the major consumer. From rhino horn to geckos, pangolins, skin-paws- bones of tiger and other wild cats have been regularly smuggled to the markets in South Asia. A permanent ban on the trade-in wildlife by China would have been a vital step in the effort to end the illegal trading of wildlife,” she added.

Conservationists hope the outbreak could provide China with an opportunity to prove it is serious about protecting wildlife. China had earlier put a ban on the import of ivory – after years of international pressure to save elephants from extinction.

However, an end to wildlife trade seems distant. Even if China regulates or bans it, wildlife trade is likely to continue in the poorer regions of the world where it continues to be an important food source. Wildlife trade needs to be regulated globally both for conservation and protecting human health.

While it allows for greater surveillance and testing for viruses in farm animals, in case of wildlife- regulation, improved monitoring and public education hold the key to better control the problem.

Therefore countries need to contribute to exchange information as well as to improve food safety measures across a range of issues that also include pathogenic bacteria, viruses, and parasites.

International

Why I love living in Wuhan and worry for its future

It fills me with sadness that Wuhan is currently becoming synonymous with the coronavirus that is causing a national emergency and concern around the world. I see the news coming out of Wuhan daily, the city I’ve come to love and call my home. Stories of infections increasing, stories of exhaustion, worry, isolation but also stories of self-sacrifice, support and hope. Wuhan, where the virus is believed to have surfaced, remains on lockdown and outbreak has killed more than 420 people around the world.

For several years, I’ve been talking about Wuhan to whomever would listen. When mentioning the name, people would often just stare and say, “Wu… what?” “Wuhan”! “Where’s that?” “Hubei Province, Central China, a city of more than 11 million people …” “Mhhh, never heard of it.” End of conversation.

I’ve talked about the beauty of Wuhan, how the city keeps changing, becoming more interesting day by the day. It has a growing art and creative scene, new green and recreative spaces springing up everywhere.

I’ve talked about Wuhan University, which boasts China’s most beautiful campus. As a foreign expert on secondment from Dublin City University (DCU) to Wuhan University from 2017 to 2019, I’d the privilege to work alongside a team of professionals and share in the personal growth of some of China’s brightest students. I’ve lived in Ireland for almost 25 years and returned to Dublin last summer, but I recently chose to move back to Wuhan because I’d missed my life in this city.

I consider myself very lucky to be able to call this place my home. I was once asked what stories could be told to the world about Wuhan. I said that I’d write about its natural beauty in all its variation, the campus, the lakes, the mountains and rivers. I would write about long walks along the East Lake and bike rides criss-crossing the mighty Yangtze river. I would write about the city’s culture and art and music. I would try and capture the sounds of frogs and birds singing outside my window at 3.30 in the morning.

I would describe the intoxicating scent of osmanthus in autumn and the amazing sunsets all across the city. I would bring the reader on a culinary tour of Wuhan’s local foods, on a visual tour of the city’s arts and culture, and on a sound tour of its music. I would introduce them to the strength and the kindness of its people … and much, much more. I said that I hoped, one day, to find the time to sit down and start writing. I never did but I’ve been trying to get friends, family and colleagues to visit this city that recently appeared high up on a list of the most attractive cities in China. It’s attraction is also for its status as the Chinese city that hosts more institutions of higher learning than any other in the country, a place of phenomenal economic growth, a city also that has witnessed growing engagement with Irish business and education, including the long-standing partnership between DCU and Wuhan University that brought me there in the first place.

After returning to Wuhan in early December of last year to take up a position as lecturer in intercultural communication at Wuhan University, everything seemed to have fallen into place for me – I was already familiar with the city and the campus, I was given the warmest of welcomes and I was looking forward to starting my teaching load after the spring festival. I was also looking forward to family and friends visiting so that they could see the place none of them had ever heard of and which I was incessantly talking about.

At the end of December, a few cases of “novel pneumonia” were detected in the city of Wuhan. We all took notice but assumed that this was nothing to worry about. We started wearing masks and decided to be more vigilant, and avoid crowded places. Other than that, it was life as normal and I continued exploring the city for new music venues, exhibitions and the likes. With the impending Chinese Spring Festival and associated holidays everyone was excitedly talking about their holidays – some within China and others abroad. I myself had made plans to travel to Beijing, Shenyang and Dalian to visit friends. There were end of year gatherings and then we all said our goodbyes. I took a small bag and headed to Beijing with the intention of returning to Wuhan on January 30th.

Sylvia Schroeder: 'I consider myself very lucky to be able to call this place my home'
Sylvia Schroeder: ‘I consider myself very lucky to be able to call this place my home’

Between the time I left Wuhan and the moment I arrived in Beijing – a short four and a half hour high-speed train ride – it was becoming clear that something was beginning to change. The news about the number of infected people increasing, and the coronavirus (now often dubbed the “Wuhan virus”) spreading to other parts of China and abroad was becoming more urgent, more serious. I was also starting to receive messages from family and friends, from former colleagues back in Ireland, from other people I had worked with in China and abroad. Many of these people had only known Wuhan from my stories and most would never have got in touch with me, except that they suddenly made a connection – Wuhan had finally entered people’s consciousness, they were able to place it on a map, but unfortunately for all the wrong reasons.

As I spent these last few days in Beijing but the situation changed from one where I had planned to return home to Wuhan a few days ago to one where I cannot return to my home as the city is now under lock down, and it is difficult to know when it will be okay to return. I headed, instead, to Europe with my small bag holding only the most essential items. I also carry with me all my memories and my love for Wuhan and its people. I’m determined to return as soon as I can though, in the meantime, I worry for the people I’ve left behind, the friends I am in daily contact with.

The city of Wuhan
The city of Wuhan

What I’ve seen over the last few weeks is a city that has come together with an unrivalled resolve to overcome a major crisis through combined strength of solidarity in the face of adversity, a people working together in self-sacrifice, an unbelievable determination to get the situation under control, and a hope for normality to return as soon as possible. People are going out of their way to help and support each other. They choose to believe that they can beat the crisis to return life to normal as quickly as possible. But, people are also worried about how the world might now view them and their beloved city.

Health

Japan quarantined a cruise ship with 3,700 people onboard after coronavirus outbreak

  • Japan quarantined a cruise ship and is screening all 3,711 people onboard after a passenger was tested positive for the deadly Wuhan coronavirus.
  • An 80-year-old man who had been on The Diamond Princess’ first leg tested positive in Hong Kong on January 31, and is deemed to have the virus.
  • He had disembarked from the ship earlier, but hundreds of other passengers remained.
  • The ship arrived back in Yokohama, Japan, on Monday. All 2,666 passengers and 1,045 crew members are now being held in quarantine to be screened for the virus.
  • A passenger has been sharing photos of the quarantine from inside the ship. Scroll down to see some of them.
  • Visit Business Insider’s homepage for more stories.

Japan has quarantined a cruise ship carrying more than 3,700 people after one tested positive for the Wuhan coronavirus last week.

An unnamed 80-year-old man boarded The Diamond Princess in Yokohama on January 20, disembarked in Hong Kong on January 25, and admitted himself to the hospital on January 31. He was deemed to have contracted the virus.

The cruise ship, operated by Carnival Japan, arrived back to Yokohama on Monday. It was placed under quarantine upon arrival, Reuters reported.

japan diamond princess cruise route

There are a total of 2,666 passengers and 1,045 crew members on board right now, according to the cruise operator.

Upon arrival in Japan passengers were told to remain in their cabins, and were on Tuesday visited by medical crews, who took their temperatures and gave them a questionnaire to fill out.

Medics the diamond princess japan cruise

Those displaying any signs of the virus, including high temperatures and fevers, would undergo further tests from medical staff, Japan’s Chief Cabinet Secretary Yoshihide Suga said, according to The Japan Times.

Guests were allowed to resume their onboard activity after being screened, but the casino, shops, and photo studio have been shut, Reuters reported. It’s not entirely clear what the other activities available are.

A passenger on board has been tweeting images of the ship amid the quarantine. They show heavily-protected medical workers in blue walking up and down the deserted hallways, and once-populated attractions – like the rooftop pool – totally empty.

Last week Italian authorities quarantined a cruise ship carrying more than 6,000 people at Civitavecchia, Italy, amid fears that two passengers had the coronavirus. They were released on January 31.

The coronavirus has hit the travel industry hard as multiple airlines canceled flights to mainland China, and countries advised against visiting there. Shares of airlines, hotels, and cruise lines have been trading lower since the virus began.

The virus has killed 426 people and infected more than 20,000 since it broke out in early December 2019. It has spread to 24 countries.