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Loss of smell and taste validated as COVID-19 symptoms

By: University of California - San Diego
Source: https://www.sciencedaily.com
Website: https://www.sciencedaily.com/releases/2020/04/200413132809.htm

Loss of smell and taste has been anecdotally linked to COVID-19 infections. In a study published April 12, 2020 in the journal International Forum of Allergy & Rhinology, researchers at UC San Diego Health report the first empirical findings that strongly associate sensory loss with COVID-19, the respiratory disease caused by the novel coronavirus.

"Based on our study, if you have smell and taste loss, you are more than 10 times more likely to have COVID-19 infection than other causes of infection. The most common first sign of a COVID-19 infection remains fever, but fatigue and loss of smell and taste follow as other very common initial symptoms," said Carol Yan, MD, an otolaryngologist and head and neck surgeon at UC San Diego Health. "We know COVID-19 is an extremely contagious virus. This study supports the need to be aware of smell and taste loss as early signs of COVID-19."

Yan and colleagues surveyed 1,480 patients with flu-like symptoms and concerns regarding potential COVID-19 infection who underwent testing at UC San Diego Health from March 3 through March 29, 2020. Within that total, 102 patients tested positive for the virus and 1,378 tested negative. The study included responses from 59 COVID-19-positive patients and 203 COVID-19-negative patients.28

Yan said the study demonstrated the high prevalence and unique presentation of certain sensory impairments in patients positive with COVID-19. Of those who reported loss of smell and taste, the loss was typically profound, not mild. But encouragingly, the rate of recovery of smell and taste was high and occurred usually within two to four weeks of infection.

"Our study not only showed that the high incidence of smell and taste is specific to COVID-19 infection, but we fortunately also found that for the majority of people sensory recovery was generally rapid," said Yan. "Among the Covid-19 patients with smell loss, more than 70 percent had reported improvement of smell at the time of survey and of those who hadn't reported improvement, many had only been diagnosed recently."

Sensory return typically matched the timing of disease recovery. Interestingly, the researchers found that persons who reported experiencing a sore throat more often tested negative for COVID-19.

In an effort to decrease risk of virus transmission, UC San Diego Health now includes loss of smell and taste as a screening requirement for visitors and staff, as well as a marker for testing patients who may be positive for the virus.

Other known symptoms of COVID-19 include fever, fatigue, cough and difficulty breathing. Respondents in Yan's study were most often persons with milder forms of COVID-19 infection who did not require hospitalization or intubation. The findings, she said, underline the importance of identifying early or subtle symptoms of COVID-19 infection in people who may be at risk of transmitting the disease as they recuperate within the community.

"It is our hope that with these findings other institutions will follow suit and not only list smell and taste loss as a symptom of COVID-19, but use it as a screening measure for the virus across the world," Yan said.

Co-authors include: Farhoud Faraji, Divya P. Prajapti, Christine E. Boone and Adam S. DeConde, all at UC San Diego.

COVID-19 coronavirus epidemic has a natural origin

By: Scripps Research Institute
Source: Science Daily
Website: https://www.sciencedaily.com/releases/2020/03/200317175442.htm

The novel SARS-CoV-2 coronavirus that emerged in the city of Wuhan, China, last year and has since caused a large scale COVID-19 epidemic and spread to more than 70 other countries is the product of natural evolution, according to findings published today in the journal Nature Medicine.

The analysis of public genome sequence data from SARS-CoV-2 and related viruses found no evidence that the virus was made in a laboratory or otherwise engineered.

"By comparing the available genome sequence data for known coronavirus strains, we can firmly determine that SARS-CoV-2 originated through natural processes," said Kristian Andersen, 27PhD, an associate professor of immunology and microbiology at Scripps Research and corresponding author on the paper.

In addition to Andersen, authors on the paper, "The proximal origin of SARS-CoV-2," include Robert F. Garry, of Tulane University; Edward Holmes, of the University of Sydney; Andrew Rambaut, of University of Edinburgh; W. Ian Lipkin, of Columbia University.

Coronaviruses are a large family of viruses that can cause illnesses ranging widely in severity. The first known severe illness caused by a coronavirus emerged with the 2003 Severe Acute Respiratory Syndrome (SARS) epidemic in China. A second outbreak of severe illness began in 2012 in Saudi Arabia with the Middle East Respiratory Syndrome (MERS).

On December 31 of last year, Chinese authorities alerted the World Health Organization of an outbreak of a novel strain of coronavirus causing severe illness, which was subsequently named SARS-CoV-2. As of February 20, 2020, nearly 167,500 COVID-19 cases have been documented, although many more mild cases have likely gone undiagnosed. The virus has killed over 6,600 people.

Shortly after the epidemic began, Chinese scientists sequenced the genome of SARS-CoV-2 and made the data available to researchers worldwide. The resulting genomic sequence data has shown that Chinese authorities rapidly detected the epidemic and that the number of COVID-19 cases have been increasing because of human to human transmission after a single introduction into the human population. Andersen and collaborators at several other research institutions used this sequencing data to explore the origins and evolution of SARS-CoV-2 by focusing in on several tell-tale features of the virus.

The scientists analyzed the genetic template for spike proteins, armatures on the outside of the virus that it uses to grab and penetrate the outer walls of human and animal cells. More specifically, they focused on two important features of the spike protein: the receptor-binding domain (RBD), a kind of grappling hook that grips onto host cells, and the cleavage site, a molecular can opener that allows the virus to crack open and enter host cells.

Evidence for natural evolution

The scientists found that the RBD portion of the SARS-CoV-2 spike proteins had evolved to effectively target a molecular feature on the outside of human cells called ACE2, a receptor involved in regulating blood pressure. The SARS-CoV-2 spike protein was so effective at binding the human cells, in fact, that the scientists concluded it was the result of natural selection and not the product of genetic engineering.

This evidence for natural evolution was supported by data on SARS-CoV-2's backbone -- its overall molecular structure. If someone were seeking to engineer a new coronavirus as a pathogen, they would have constructed it from the backbone of a virus known to cause illness. But the scientists found that the SARS-CoV-2 backbone differed substantially from those of already known coronaviruses and mostly resembled related viruses found in bats and pangolins.

"These two features of the virus, the mutations in the RBD portion of the spike protein and its distinct backbone, rules out laboratory manipulation as a potential origin for SARS-CoV-2" said Andersen.

Josie Golding, PhD, epidemics lead at UK-based Wellcome Trust, said the findings by Andersen and his colleagues are "crucially important to bring an evidence-based view to the rumors that have been circulating about the origins of the virus (SARS-CoV-2) causing COVID-19."

"They conclude that the virus is the product of natural evolution," Goulding adds, "ending any speculation about deliberate genetic engineering."

How coronavirus took hold in North America and in Europe

By: University of Arizona
Source: University of Arizona
Website: https://www.sciencedaily.com/releases/2020/09/200910150245.htm

A new study combines evolutionary genomics from coronavirus samples with computer-simulated epidemics and detailed travel records to reconstruct the spread of coronavirus across the world in unprecedented detail.

Published in the journal Science, the results suggest an extended period of missed opportunity when intensive testing and contact tracing might have prevented SARS-CoV-2 from becoming established in North America and Europe.

The paper also challenges suggestions that linked the earliest known cases of COVID-19 on each continent in January to outbreaks detected weeks later, and provides valuable insights that could inform public health response and help with anticipating and preventing future outbreaks of COVID-19 and other zoonotic diseases.

"Our aspiration was to develop and apply powerful new technology to conduct a definitive analysis of how the pandemic unfolded in space and time, across the globe," said University of Arizona researcher Michael Worobey, who led an interdisciplinary team of scientists from 13 research institutions in the U.S., Belgium, Canada and the U.K. "Before, there were lots of possibilities floating around in a mish-mash of science, social media and an unprecedented number of preprint publications still awaiting peer review."26

The team based their analysis on results from viral genome sequencing efforts, which began immediately after the virus was identified. These efforts quickly grew into a worldwide effort unprecedented in scale and pace and have yielded tens of thousands of genome sequences, publicly available in databases.

Contrary to widespread narratives, the first documented arrivals of infected individuals traveling from China to the U.S. and Europe did not snowball into continental outbreaks, the researchers found.

Instead, swift and decisive measures aimed at tracing and containing those initial incursions of the virus were successful and should serve as model responses directing future actions and policies by governments and public health agencies, the study's authors conclude.

Coronavirus Update: Majority of Canadians say they’d support

By: Jessie Willms and Hailey Montgomery
Source: www.theglobeandmail.com
Website: https://www.theglobeandmail.com/canada/article-coronavirus-update-majority-of-canadians-say-theyd-support-another/

Top headlines:

Poll of more than 1,000 Canadians finds 70 per cent would support, or somewhat support, returning to lockdown in the event of a second wave
Four hard-learned lessons from the pandemic critical to handling a resurgence in Canada
U.S. nears five million coronavirus cases, the highest in the world

In Canada, there have been at least 117,306 cases reported. In the last week 2,312 new cases were announced, 30 per cent fewer than the previous week. There have also been at least 101,839 recoveries and 8,953 deaths. Health officials have administered more than 4,448,657 tests.

Worldwide, there have been at least 18,282,208 cases confirmed and 693,694 deaths reported.

Sources: Canada data is compiled from government websites, Johns Hopkins and COVID-19 Canada Open Data Working Group; international data is from Johns Hopkins University.

Coronavirus explainers: Updates and essential resources • Coronavirus in maps and charts • Lockdown rules and reopening plans in each province
Photo of the day
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Cyclists bike on the sidewalk as traffic builds up at a checkpoint on the first day of the government's reimplementation of a stricter lockdown to curb COVID-19 infections, in Marikina City, Metro Manila, Philippines, August 4, 2020. REUTERS/Eloisa Lopez

ELOISA LOPEZ/Reuters
Number of the day
7 in 10

More than seven in 10 Canadians support closing all but essential businesses and asking exposed Canadians to self-isolate if coronavirus cases spike again, according to a new poll conducted for The Globe and Mail by Nanos Research.

50 per cent said they would support shutdown measures, while 23 per cent said they would somewhat support it.
13 per cent said they opposed shutdown measures, and another 12 per cent somewhat opposed it.

Pollster Nik Nanos said he thinks widespread Canadian support for a return to lockdown, if necessary, is also driven by the escalating crisis in the United States, where efforts to contain the virus have failed.
Coronavirus in Canada

When students return to school in Alberta, face masks will be required for students between grades 4 to 12 and all staff in common areas.
The construction industry in Ontario says its members won’t use the COVID Alert app since it requires smartphones, which are prohibited on job sites. Instead, the industry advocated for a wearable option.

In Ottawa, the government said COVID Alert, the recently released contact tracing app, has been downloaded by 1.1 million people.

The app only only works on smartphones released in the past five years, which critics say will leave out poorer and older Canadians who are unlikely to have newer devices.
In response, Chief Public Health Officer Theresa Tam said the app is only one of many tools used to combat coronavirus.

Migrant workers: Agriculture employers in several provinces are restricting the movement of migrant farm workers during the pandemic, raising questions about the rights of temporary foreign workers.

Lessons from the first wave: In the past seven months, Canada has learned many hard lessons about COVID-19. These four lessons, if applied in a second wave, could keep cases under control as students return to school and winter looms.

Masks work. If everyone wears them, they should contribute to controlling a second wave
Testing, tracing and isolating works, but only if deployed quickly and only when community transmission is low
Preserve critical-care capacity in hospitals but don’t shut down all scheduled operations again – because you can’t
To protect nursing homes, cut down on crowding

Coronavirus around the world

Watch: U.S. President Donald Trump argued in an Axios interview that the U.S. has better coronavirus death numbers than other countries if counted as a percentage of cases, not the total population. The country is approaching five million cases and has racked up more than 155,000 deaths.
Philippine police enforced a strict new lockdown on about 28 million people in the capital Manila and nearby provinces as the Southeast Asian country reported the region’s biggest daily rise in coronavirus cases.
Vietnam reported dozens of new cases and two deaths related to a continuing outbreak, as Hanoi said the country lacked testing kits needed to continue mass screening for cases.
Germany has continued to experience a steady uptick of cases in recent weeks, and health officials urged people to continue physical distancing rules as the country is already experiencing a second wave of the virus.

Coronavirus and business

Porter Airlines delayed its restart for the third time, pushing its reopening date to Oct. 7, from Aug. 31.

The airline grounded its planes on March 31 and laid off most of its 1,500-person work force.
Porter cited travel restrictions, a closed Canada-U.S. border and quarantine rules as reasons for the delay.

Also today: Manufacturing in the United States accelerated to its highest level in nearly 18 months in July. However, a resurgence in U.S. coronavirus cases raises fears about how long a recovery will last.

And: A growing number of younger Canadians are buying life insurance coverage online as the novel coronavirus pandemic spurs worries about economic uncertainty and puts a spotlight on potential health risks.

Rob Carrick: How the COVID-19 pandemic may sabotage retirement for boomers and Gen X [For subscribers]
Globe opinion

Arthur Schafer: “That [Justin Trudeau and Bill Morneau] deny what is patently obvious to most Canadians indicates that neither understands what it is to be in a conflict of interest.”

More reporting

Grocery shelves won’t be fully stocked with Clorox’s disinfecting wipes until 2021
Chipotle is among several fast food brands set for new wave of hiring as sales rebound [For subscribers]
Oil prices rise more than 1 per cent on hopes for economic recovery, but coronavirus fears weigh [For subscribers]
How one B.C. venue is bringing back concerts
The Madrid Open tennis tournament is cancelled due to COVID-19
Rafael Nadal won’t defend his U.S. Open title because of coronavirus concerns
First-year Toronto Argonauts head coach Ryan Dinwiddie is dealing with pandemic uncertainty

Distractions
Open this photo in gallery

Introducing Stress Test, a new podcast from The Globe and Mail that delves into the topics impacting the wallets of Canadians between the ages of 20 and 40.

Jeanine Brito/The Globe and Mail

💸 For the money-stressed millennial: The first season of The Globe and Mail’s personal finance podcast Stress Test is out now. Catch up on topics like how to get out of debt, what you should know before buying a home and investing amid a pandemic. If you enjoyed what you heard, let us know.

Leave us a rating on Apple Podcasts, or send the show a note at This email address is being protected from spambots. You need JavaScript enabled to view it. . We hope to see you for a Season 2.

How to survive the gig economy
How to get out of debt
Is now the right time to buy a house?
Crisis-proof your finances
Does investing change during a pandemic?
Can you afford to live downtown?
How much do kids really cost?
Should you move back in with your parents?

Listen to Stress Test on iTunes or Spotify.
Information centre

Rob Carrick’s 10-point checklist of things you should have done by now to protect or improve your money situation. Tips for minimizing damage to your credit score; how to manage retirement anxiety during difficult times; and things to think about if you’re considering home delivery.
Here are the expectations for self-isolation; tips for managing anxiety and protecting your mental health; and what to do if you think you have the virus, and what you can do to help slow the spread of coronavirus. How to break a bad habit (like touching your face).
The best foods to eat to maintain an immune system-friendly diet; and how to keep a healthy diet while working from home; four eating tips when working from home; and five mistakes that might cause you to gain unwanted weight. Here are the essentials to stock up on and how to shop safely for groceries; the best pantry staples and how to stop stress-eating. What to cook with rhubarb (aside from pie).
Here’s what you should do if you are newly laid off; how to apply for CERB, EI, and other financial benefits; how the CRA might identify CERB fraud; and other coronavirus and employment questions answered. What to do if your employees don’t return to work because they want to collect CERB.

What are we missing? Email us: This email address is being protected from spambots. You need JavaScript enabled to view it.. Do you know someone who needs this newsletter? Send them to our Newsletters page.
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A wake-up call: COVID-19 and its impact on children's health and wellbeing

By: Henrietta H Fore
Source: www.thelancet.com
Website: https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(20)30238-2/fulltext

As cases of COVID-19 surge worldwide and threaten to overwhelm life-saving health services, the survival of mothers and children is at great risk.
In The Lancet Global Health, Timothy Roberton and colleagues1
present startling new evidence on the potential rise in maternal and child mortality in low-income and middle-income countries if essential health services are disrupted as a result of COVID-19. Building on lessons learned from previous outbreaks of Ebola virus disease and severe acute respiratory syndrome (SARS), the authors estimate a devastating increase in the numbers of maternal and child deaths resulting from reductions in routine health service coverage.

• View related content for this article
Left unchecked, these reductions (due to, for example, disruptions in medical supply chains or the availability of human and financial resources) along with declines in the uptake of health services by communities fearful of infection will be more catastrophic for mothers and children than COVID-19 itself. The projection of an additional 1·2 million child deaths and 56 700 maternal deaths in 118 countries if coverage of essential services drops by around 45% for 6 months is alarming. It is also avoidable if we act now.
These findings reinforce the multi-part approach that UNICEF has adopted from the start of the outbreak.2coronavirus photo 1
First, we are working to prevent COVID-19 transmission and treat those who fall sick. Second, we are working to address the effects of the policy responses aimed at containing the spread, including maintaining routine health services for all children and mothers, ensuring continuity of learning, keeping mothers and children safe and protected from violence, and scaling up social protections to keep children and their families afloat. Third, we are working to strengthen the systems that underpin all of these services.
The evidence is already showing the negative effects of COVID-19, and the unprecedented measures to contain it, on maternal and child health. Children are at risk not only of infection, but also of losing or being separated from family members and caregivers. Mothers and children are affected by the disruption of essential preventative and curative support and supplies resulting from suspensions in services and transportation systems, as well as by financial constraints.3
, 4
Constrained access to clinics, schools, social workers, water, and sanitation is a particular threat to the most vulnerable populations, and the lack of child protection and broader social services is particularly harmful to women and children in need of safety.
Looming above all of these concerns is the economic impact of both the pandemic control measures governments are taking and the predicted knock-on effects of the projected global recession:5
reduced incomes, public and private debt, and reduced access to goods will affect many aspects of household health and nutrition. In short, these effects threaten to roll back the hard-won progress countries have made in recent decades.
As a global community, overcoming the negative impacts of the pandemic will require focus on six key areas of action and investment. First, we must keep children healthy and well nourished by providing supplies and protective equipment, which must reach health workers and affected communities. At the same time, life-saving maternal, newborn, and child health services, routine vaccinations, and access to HIV treatment must be maintained.
Second, we must urgently prioritise funding and support for maintaining and strengthening water, sanitation, and hygiene. The combined work of governments and the private sector will be required to increase the practice of handwashing across the board, tapping into local innovation and global partnerships.
Third, learning and connectedness among children must be maintained, and support must be given to governments to provide no-technology, low-technology, and digital solutions. Already before the crisis, UNICEF was working on an initiative6
with partners to extend digital infrastructure to ensure all children can learn, no matter who and where they are, and this work needs to be brought quickly to scale.

 

Read more...

 

COVID-19 Canada: Number of cases heading in right direction

By: Patrick Cain Global News
Source: National Post
Website: https://nationalpost.com/news/canada/canadian-coronavirus-data-trending-in-right-direction-shutdowns-to-continue-pm

COVID-19 Canada: Number of cases heading in right direction, but we need to continue distancing, Trudeau says
Author of the article:
Reuters
Publishing date:
Apr 20, 2020 • Last Updated 2 months ago • 2 minute read
A body is removed from Centre d'hebergement Yvon-Brunet, a seniors' long-term care centre, amid the outbreak of the coronavirus disease (COVID-19), in Montreal, Quebec, Canada April 18, 2020. Christinne Muschi / Reuters
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OTTAWA — The number of people with the new coronavirus in Canada is trending in the right direction but strict physical distancing will need to stay in place, Prime Minister Justin Trudeau said on Sunday.

The remarks by Trudeau were some of his most upbeat since the crisis began in March.
COVID-19 Canada: Number of cases heading in right direction, but we need to continue distancing, Trudeau says

The total number of people killed by the coronavirus in Canada rose by just under 12 per cent to 1,506 in a day, official data showed on Sunday. The figure for those diagnosed with the coronavirus had climbed to 33,922.

The respective figures on Saturday were 1,346 deaths and 32,412 positive diagnoses.

As many countries have done during the pandemic, authorities across Canada ordered the closure of non-essential businesses, throwing millions out of work, and urged people to stay at home. In response, Ottawa has unveiled more than C$200 billion in programs to help dull the economic pain.

“All these measures we’ve brought in are about helping you do the things that will get us through this. And it’s working – we’re seeing the numbers trend in the right direction so we need to keep doing what we’re doing,” Trudeau told a daily briefing.

COVID-19: What you can do right now to stay safe

In the face of increasingly widespread fears of a COVID-19 pandemic, what concrete steps can a person take right now to prevent the infection? Read our practical guide based on official sources.
In this Special Feature, we explain how to maximize the chances of staying healthy during the COVID-19 outbreak.

All data and statistics are based on publicly available data at the time of publication. Some information may be out of date. Visit our coronavirus hub and follow our live updates page for the most recent information on the COVID-19 outbreak.

To date, public health officials have reported tens of thousands of cases of COVID-19, the respiratory disease caused by the new coronavirus, SARS-CoV-2.

This situation has caused many people around the world to feel anxious about becoming infected, and social media outlets and public forums abound with questions about how to keep COVID-19 at bay.

This Special Feature is a practical guide that describes the best ways to avoid a respiratory infection at home, at work, at school, and while traveling.

The recommendations that we outline are based on those of official sources, including the World Health Organization (WHO), the Centers for Disease Control and Protection (CDC), and the American Red Cross, as well as our correspondence with a WHO spokesperson.
How to stay safe where you live

“Based on the information received so far, and on our experience with other coronaviruses, COVID-19 appears to spread mostly through respiratory droplets (when a sick person coughs, for example) and close contact,” a WHO spokesperson told Medical News Today.

In light of that information, the spokesperson said, the WHO recommend preventive actions to minimize exposure to droplets.

During day-to-day activities, people can take the following measures to prevent infection, in accordance with WHO guidelines:

Clean the hands regularly with an alcohol-based sanitizer, or wash them with soap and water. The CDC also make this recommendation, advising that sanitizer should contain “at least 60% alcohol” and that people should wash their hands for at least 20 seconds.
Clean surfaces — such as kitchen seats and work desks — regularly with disinfectant.
Avoid crowded areas when going out, for people over 60 years old and people with any underlying health problems.
Try to avoid close contact with people who display flu-like symptoms, including coughing and sneezing.
Get accurate information about COVID-19. Some good sources include the Pan American Health Organization and WHO websites.

The American Red Cross also advise against touching the mouth, nose, or eyes when out and about, before having a chance to wash the hands.

Also, the CDC recommend getting the flu shot to prevent other seasonal respiratory infections.

The CDC recommend that all people wear cloth face masks in public places where it is difficult to maintain a 6-foot (2-meter) distance from others. This will help slow the spread of the virus from asymptomatic people and people who do not know that they have contracted it. People should wear cloth face masks while continuing to practice physical distancing. Instructions for making masks at home are available here. Note: It is critical that surgical masks and N95 respirators are reserved for healthcare workers.
How to stay safe at work and school15

Work and school environments may seem particularly daunting in the context of an outbreak, but some simple measures can help prevent infection in the office or classroom.

They are largely the same as those outlined above. According to WHO recommendations, the following are the most important preventive steps:

Regularly clean work surfaces and objects in continual use, such as phones and computer keyboards.
Regularly wash the hands with soap and water or use sanitizer.

In recent telebriefings, CDC officials advised anyone who is concerned about the potential impact of COVID-19 to get in touch with employers and schools to find out exactly what response measures they have in place.

New coronavirus vs. flu

By: Medically reviewed by Cameron White, MD, MPH on March 19, 2020 — Written by Aaron Kandola
Source: Medical News Today
Website: https://www.medicalnewstoday.com/articles/coronavirus-vs-flu#transmission

COVID-19 and the flu can cause similar symptoms. However, there are several differences between them.

The novel strain of coronavirus (SARS-CoV-2) causes coronavirus disease 19 (COVID-19).

Both COVID-19 and the flu are respiratory illnesses that spread from person to person. This article will discuss the differences between COVID-19 and the flu.

Stay informed with live updates on the current COVID-19 outbreak and visit our coronavirus hub for more advice on prevention and treatment.
Symptoms

The symptoms of the flu and COVID-19 have some differences.

People who have the flu will typically experience symptoms within 1–4 days. The symptoms for COVID-19 can develop between 1–14 days. However, according to 2020 research, the median incubation period for COVID-19 is 5.1 days.

As a point of comparison, the incubation period for a cold is 1–3 days.14

The symptoms of COVID-19 are similar in both children and adults. However, according to the Centers for Disease Control and Prevention (CDC), children typically present with fever and mild, cold-like symptoms, such as a runny nose and a cough.

The following table outlines the symptoms of COVID-19, the flu, and a cold.
Severity and mortality

The symptoms of COVID-19 and flu can range from mild to severe. Both can also cause pneumonia.

It is important to note that the World Health Organization (WHO) have classified mild symptoms of COVID-19 to mean that a person will not require hospitalization. The WHO classify mild cases to consist of symptoms including:

fever
cough
fatigue
loss of appetite
sore throat
headache

The CDC also lists the following as potential symptoms:

breathlessness
muscle pain
chills
new loss of taste or smell

According to the WHO, around 15% of COVID-19 cases are severe, and 5% are critical. Those in a critical state require a ventilator to breathe. The chance of severe and critical infection is higher with COVID-19 than the flu.

COVID-19 is also more deadly. According to the WHO, the mortality rate for COVID-19 appears to be higher than that of the flu.

Compared with the flu, research on COVID-19 is still in its early stages. These estimates may change over time.
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Transmission

Both SARS-CoV-2 and the flu virus can spread through person to person contact.

Tiny droplets containing the viruses can pass from someone with the infection to someone else, typically through the nose and mouth through coughing and sneezing.

The virus can also live on surfaces. The WHO is not sure exactly how long the virus can survive, but it could be days.

According to the CDC, people can transmit the flu virus to people who are 6 feet (ft) away. According to the WHO, people should stay at least 6 ft away from anyone coughing or sneezing to help prevent the transmission of the SARS-CoV-2 infection.

According to the WHO, the speed of transmission differs between the two viruses. The symptoms of flu appear sooner, and it can spread faster than the SARS-CoV-2 virus.

The organization also indicate that people with flu can pass the virus on before they show any symptoms. A person can also pass on the SARS-CoV-2 infection even if they have no symptoms.

There are also differences in transmission between children and adults.

According to the WHO, the transmission of the flu from children to adults is common. However, based on early data it appears that it is more common for adults to pass the SARS-CoV-2 infection onto children. Children are less likely to develop symptoms.

The CDC recommend that all people wear cloth face masks in public places where it is difficult to maintain a 6-foot (2-meter) distance from others. This will help slow the spread of the virus from asymptomatic people and people who do not know that they have contracted it. People should wear cloth face masks while continuing to practice physical distancing. Instructions for making masks at home are available here. Note: It is critical that surgical masks and N95 respirators are reserved for healthcare workers.
Treatment

Coronavirus Anxiety: Coping with Stress, Fear, and Worry

Source: Help Guide
Website: https://www.helpguide.org/articles/anxiety/coronavirus-anxiety.htm

ears about COVID-19 can take an emotional toll, especially if you’re already living with an anxiety disorder. But you’re not powerless. These tips can help you get through this stressful time.
Woman outside, eyes open wide, holding a tissue to her nose with both hands
Understanding your anxiety

It’s a frightening time. We’re in the midst of a worldwide pandemic, with cities and even entire countries shutting down. Some of us are in areas that have already been affected by coronavirus. Others are bracing for what may come. And all of us are watching the headlines and wondering, “What is going to happen next?”

For many people, the uncertainty surrounding coronavirus is the hardest thing to handle. We don’t know how exactly we’ll be impacted or how bad things might get. And that makes it all too easy to catastrophize and spiral out into overwhelming dread and panic. But there are many things you can do—even in the face of this unique crisis—to manage your anxiety and fears.
Stay informed—but don’t obsessively check the news22

It’s vital to stay informed, particularly about what’s happening in your community, so you can follow advised safety precautions and do your part to slow the spread of coronavirus. But there’s a lot of misinformation going around, as well as sensationalistic coverage that only feeds into fear. It’s important to be discerning about what you read and watch.

Stick to trustworthy sources such as the CDC, the World Health Organization, and your local public health authorities.
Limit how often you check for updates. Constant monitoring of news and social media feeds can quickly turn compulsive and counterproductive—fueling anxiety rather than easing it. The limit is different for everyone, so pay attention to how you’re feeling and adjust accordingly.
Step away from media if you start feeling overwhelmed. If anxiety is an ongoing issue, consider limiting your media consumption to a specific time frame and time of day (e.g. thirty minutes each evening at 6 pm).
Ask someone reliable to share important updates. If you’d feel better avoiding media entirely, ask someone you trust to pass along any major updates you need to know about.
Be careful what you share. Do your best to verify information before passing it on. Snopes’ Coronavirus Collection is one place to start. We all need to do our part to avoid spreading rumors and creating unnecessary panic.

Focus on the things you can control

We’re in a time of massive upheaval. There are so many things outside of our control, including how long the pandemic lasts, how other people behave, and what’s going to happen in our communities. That’s a tough thing to accept, and so many of us respond by endlessly searching the Internet for answers and thinking over all the different scenarios that might happen. But as long as we’re focusing on questions with unknowable answers and circumstances outside of our personal control, this strategy will get us nowhere—aside from feeling drained, anxious, and overwhelmed.

When you feel yourself getting caught up in fear of what might happen, try to shift your focus to things you can control. For example, you can’t control how severe the coronavirus outbreak is in your city or town, but you can take steps to reduce your own personal risk (and the risk you’ll unknowingly spread it to others), such as:

 

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