Covid-19: Running Commentary and Info


A running commentary and resource for information. As this continues, each section will include the resources cited.

Coronaviruses derive their name from the fact that under electron microscopic examination, each virion is surrounded by a “corona,” or halo.

Who is at risk for coronavirus?
The virus that causes COVID-19 infects people of all ages. However, evidence to date suggests that two groups of people are at a higher risk of getting severe COVID-19 disease. These are older people (that is people over 60 years old); and those with underlying medical conditions (such as cardiovascular disease, diabetes, chronic respiratory disease, and cancer). The risk of severe disease gradually increases with age starting from around 40 years. It’s important that adults in this age range protect themselves and in turn protect others that may be more vulnerable.WHO has issued advice for these two groups and for community support to ensure that they are protected from COVID-19 without being isolated, stigmatized, left in a position of increased vulnerability or unable to access basic provisions and social care.

How contagious is the coronavirus disease?
It’s unclear exactly how contagious the new coronavirus is. Data has shown that it spreads from person to person among those in close contact (within about 6 feet, or 2 meters). The virus spreads by respiratory droplets released when someone with the virus coughs, sneezes or talks.

Is the coronavirus disease more severe than the flu?
COVID-19 causes more severe disease than seasonal influenza.While many people globally have built up immunity to seasonal flu strains, COVID-19 is a new virus to which no one has immunity. That means more people are susceptible to infection, and some will suffer severe disease.Globally, about 3.4% of reported COVID-19 cases have died. By comparison, seasonal flu generally kills far fewer than 1% of those infected.

What happens if I get the coronavirus disease?
People with COVID-19 generally develop signs and symptoms, including mild respiratory symptoms and fever, on an average of 5-6 days after infection (mean incubation period 5-6 days, range 1-14 days). Most people infected with COVID-19 virus have mild disease and recover.

Can people recover from coronavirus disease?
You can recover from the coronavirus disease (COVID-19). Catching the new coronavirus DOES NOT mean you will have it for life. Most of the people who catch COVID-19 can recover and eliminate the virus from their bodies.

Can a person test negative and later test positive for the coronavirus disease (COVID-19)?
Using the CDC-developed diagnostic test, a negative result means that the virus that causes COVID-19 was not found in the person’s sample. In the early stages of infection, it is possible the virus will not be detected.For COVID-19, a negative test result for a sample collected while a person has symptoms likely means that the COVID-19 virus is not causing their current illness.

Can COVID-19 be spread by asymptomatic individuals?
Asymptomatic transmission may occur and has contributed to a limited amount of transmission of COVID-19 infections. People can shed the virus before they have symptoms, but this is generally less than individuals with symptoms.

Is there asymptomatic transmission of the coronavirus disease?
An asymptomatic laboratory-confirmed case is a person infected with COVID-19 who does not develop symptoms. Asymptomatic transmission refers to transmission of the virus from a person, who does not develop symptoms.There are few reports of laboratory-confirmed cases who are truly asymptomatic, and to date, there has been no documented asymptomatic transmission. This does not exclude the possibility that it may occur. Asymptomatic cases have been reported as part of contact tracing efforts in some countries. WHO regularly monitors all emerging evidence about this critical topic and will provide an update as more information becomes available.

What is the incubation period of the coronavirus disease?
The incubation period for COVID-19, which is the time between exposure to the virus (becoming infected) and symptom onset, is on average 5-6 days, however can be up to 14 days. During this period, also known as the “pre-symptomatic” period, some infected persons can be contagious. Therefore, transmission from a pre-symptomatic case can occur before symptom onset.

How long does it take to develop antibodies after a coronavirus infection?
It typically takes one to two weeks after someone becomes sick with COVID-19 for their body to make antibodies; some people may take longer to develop antibodies.

Can you have the coronavirus disease without a fever?
The signs and symptoms of COVID-19 present at illness onset vary, but over the course of the disease, most persons with COVID-19 will experience the following:Fever (83–99%) Cough (59–82%) Fatigue (44–70%) Anorexia (40–84%) Shortness of breath (31–40%) Sputum production (28–33%) Myalgias (11–35%)Atypical presentations have been described, and older adults and persons with medical comorbidities may have delayed presentation of fever and respiratory symptoms.

Is there a vaccine for coronavirus?
There is currently no vaccine to prevent coronavirus disease 2019 (COVID-19). At this time 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.

Can antibiotics treat the coronavirus disease?
No, antibiotics do not work against viruses. The 2019-nCOV is a virus and, therefore, antibiotics should not be used as a means of prevention or treatment.

What is the recovery time for the coronavirus disease?
Using available preliminary data, the median time from onset to clinical recovery for mild cases is approximately 2 weeks and is 3-6 weeks for patients with severe or critical disease.

Can someone who has been quarantined for COVID-19 spread the illness to others?
Someone who has been released from quarantine is not considered a risk for spreading, according to the CDC.

How long does the coronavirus last on surfaces?
Current evidence suggests that novel coronavirus may remain viable for hours to days on surfaces made from a variety of materials. Cleaning of visibly dirty surfaces followed by disinfection is a best practice measure for prevention of COVID-19 and other viral respiratory illnesses in households and community settings.

Can the coronavirus disease spread through food?
Coronaviruses are generally thought to be spread from person to person through respiratory droplets. Currently, there is no evidence to support transmission of COVID-19 associated with food. Before preparing or eating food it is important to always wash your hands with soap and water for at least 20 seconds for general food safety.

Can mosquitoes or ticks spread the virus that causes coronavirus disease?At this time, CDC has no data to suggest that this new coronavirus or other similar coronaviruses are spread by mosquitoes or ticks. The main way that COVID-19 spreads is from person to person. See How Coronavirus Spreads for more information.

What are the CDC’s level 3 guidelines on the coronavirus disease?
Level 3: Recommends 14-day self-isolation and social distancing upon return to the United States. Social distancing includes avoiding going out in public and close personal interactions. If you become symptomatic, immediately self-isolate and contact your county health department or health care provider.

Future questions to consider and include.
Can a person test positive and get it again?

Info:
https://www.mayoclinic.org/diseases-conditions/coronavirus/in-depth/coronavirus-who-is-at-risk/art-20483301
https://www.cidrap.umn.edu/covid-19/faqs
https://www.nfid.org/infectious-diseases/frequently-asked-questions-about-novel-coronavirus-2019-ncov/
https://www.webmd.com/lung/news/20200428/how-contagious-likely-before-you-know-youre-sick
https://www.livescience.com/new-coronavirus-compare-with-flu.html
https://www.healthline.com/health-news/why-covid-19-isnt-the-flu
https://www.vdh.virginia.gov/coronavirus/coronavirus/what-to-do-if-you-have-confirmed-or-suspected-coronavirus-disease-covid-19/
https://www.sciencemag.org/news/2020/05/race-antibodies-stop-new-coronavirus
https://khn.org/news/consumer-beware-coronavirus-antibody-tests-are-still-a-work-in-progress/

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