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Coronavirus disease 2019-2020 (COVID-19)

By : knowledgeablepeoples.blogspot.com.

Coronavirus disease 2019-2020 (COVID-19) 



Coronavirus disease 2019 (COVID-19) is an infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The disease was first identified in December 2019 in Wuhan, the capital of China's Hubei province, and has since spread globally, resulting in the ongoing 2019–20 coronavirus pandemic.
The first confirmed case of what was then an unknown coronavirus was traced back to November 2019 in Hubei province. 

Common symptoms


Common symptoms fever, cough, and shortness of breath. Other symptoms may include fatigue, muscle pain, diarrhoea, pharyngitis , loss of smell, and abdominal pain. The time from exposure to onset of symptoms is usually around five days but may range from two to 14 days.While the bulk of cases end in mild symptoms, some progress to viral pneumonia and multi-organ failure. As of 22 April 2020, more than 2.56 million cases have been reported across 185 countries and territories,resulting in more than 177,000 deaths. More than 681,000 people have recovered.

The virus is primarily spread between people during close contact,[a] often via small droplets produced by coughing,[b] sneezing, or talking.While these droplets are produced when exhalation , they typically fall to the ground or onto surfaces rather than remain in the air over long distances. People can also become infected by touching a contaminated surface then touching their eyes, nose, or mouth. The virus can survive on surfaces for up to 72 hours.It is most contagious during the first three days after the onset of symptoms, although spread may be possible before symptoms appear and in later stages of the disease.
The standard method of diagnosis is by real-time reverse transcription polymerase chain reaction (rRT-PCR) from a nasopharyngeal swab.Chest CT imaging can also be helpful for diagnosis in individuals where there is a high suspicion of infection supported symptoms and risk factors; however, it's not recommended for routine screening.

Recommended measures to stop infection include frequent hand washing, maintaining physical distance from others (especially from those with symptoms), covering coughs and sneezes with a tissue or inner elbow, and keeping unwashed hands away from the face. The use of masks is suggested for those that suspect they need the virus and their caregivers.Recommendations for mask use by the overall public vary, with some authorities recommending against their use, some recommending their use, et al. requiring their use.Currently, there's no vaccine or specific antiviral treatment for COVID-19. Management involves treatment of symptoms, supportive care, isolation, and experimental measures.
The World Health Organization (WHO) declared the 2019–20 coronavirus outbreak a Public Health Emergency of International Concern (PHEIC) on 30 January 2020 and an epidemic on 11 March 2020.Local transmission of the disease has been recorded in most countries across all six WHO regions.
Signs and symptoms
Symptom Range
Fever 83–99%
Cough 59–82%
Loss of Appetite 40–84%
Fatigue 44–70%
Shortness of breath 31–40%
Coughing up sputum 28–33%
Loss of smell 15 to 30
Muscle aches and pains 11–35%
Those infected with the virus may be asymptomatic or develop flu-like symptoms such as fever, cough, fatigue, and shortness of breath.Fever may also develop somewhat later in the disease. Emergency symptoms include difficulty breathing, persistent chest pain or pressure, confusion, difficulty waking, and bluish face or lips; immediate medical attention is advised if these symptoms are present.Less commonly, upper respiratory symptoms like sneezing, runny nose or pharyngitis could also be seen. Gastrointestinal symptoms like nausea, vomiting and diarrhoea are observed in varying percentages.
Some cases in China initially presented only with chest tightness and palpitations.In one study, only about half of patients had fever at the beginning of their hospitalization, but 89% developed fever at some point during their hospitalization. Fever and respiratory problems appeared later both for some older persons and for some persons with other medical conditions. In some, the disease may reach pneumonia, multi-organ failure, and death. In those that develop severe symptoms, time from symptom onset to needing mechanical ventilation is usually eight days.
Loss of smell was identified as a common symptom of COVID-19 in March 2020,although perhaps not as common as initially reported. A decreased sense of smell and disturbances in taste have also been reported.



As is common with infections, there's a delay between the instant when an individual is infected with the virus and therefore the time once they develop symptoms. This is called the incubation period. The time period for COVID-19 is usually five to 6 days but may range from two to 14 days. 97.5% of individuals who develop symptoms will do so within 11.5 days of infection.
A minority of cases do not develop noticeable symptoms at any point in time. These asymptomatic carriers tend not to get tested, and their role in transmission is not yet fully known; however, preliminary evidence suggests that they may contribute to the spread of the disease. The proportion of infected people who do not display symptoms is unclear as of March 2020, with the Korea Centers for Disease Control and Prevention (KCDC) reporting that 20% of confirmed cases remained asymptomatic during their hospital stay.
Cause

Transmission :Respiratory droplets produced when a person is sneezing visualised using Tyndall scattering
A video discussing the essential reproduction number and case deathrate within the context of the pandemic
"A few insights concerning how the malady is spread are as yet being resolved." The WHO and therefore the U.S. Centers for Disease Control and Prevention (CDC) say it's primarily spread during close contact and by small droplets produced when people cough, sneeze or talk; with close contact being within approximately 1–3 m (3–10 ft). Both sputum and spit can convey huge viral burdens. Uproarious talking releases a greater number of globules than conventional talking.A amass in Singapore found that an uncovered hack can cause dots wandering out up to 4.5 meters (15 feet). a bit of composing distributed in March 2020 contended that counsel on bead separation could be bolstered 1930s research which overlooked the results of warm soggy outbreath encompassing the droplets which an uncovered cough or sneeze can travel up to eight .2 metres (27 feet).

Respiratory droplets can also be produced while exhalation , including when talking. In spite of the fact that the infection isn't commonly airborne, the National Academy of Science has recommended that bioaerosol transmission could likewise be conceivable and air authorities situated inside the foyer outside of people's rooms yielded samples positive for viral RNA. The droplets can land within the mouths or noses of individuals who are nearby or possibly be inhaled into the lungs. Some medical procedures like intubation and CPR (CPR) may cause respiratory secretions to be aerosolised and thus end in airborne spread. Initial studies suggested a doubling time of the amount of infected persons of 6–7 days and a basic reproduction number (R0) of two .2–2.7, but a study to be published on April 7, 2020 calculated a way higher median R0 value of 5.7.
It may also spread when one touches a contaminated surface, referred to as fomite transmission, then touches one's eyes, nose or mouth. While there are concerns it's going to spread via faeces, this risk is believed to be low.
The virus is most contagious when people are symptomatic; while spread is feasible before symptoms emerge, the danger is low. the ecu Centre for Disease Prevention and Control (ECDC) says while it's not entirely clear how easily the disease spreads, one person generally infects two to 3 others.
The infection makes due for a considerable length of time to days on surfaces. Specifically, the virus was found to be detectable for at some point on cardboard, for up to 3 days on plastic (polypropylene) and chrome steel (AISI 304), and for up to four hours on 99% copper. This, however, varies counting on the humidity and temperature. Surfaces could also be decontaminated with variety of solutions (with one minute of exposure to the merchandise achieving a 4 or more log reduction (99.99% reduction)), including 78–95% ethanol (alcohol utilized in spirits), 70–100% 2-propanol (isopropyl alcohol), the mixture of 45% 2-propanol with 30% 1-propanol, 0.21% hypochlorite (bleach), 0.5% peroxide , or 0.23–7.5% povidone-iodine. Cleanser and cleanser additionally are successful if effectively utilized; cleanser items corrupt the infection's greasy defensive layer, deactivating it, likewise as liberating them from skin and different surfaces. Other solutions, like benzalkonium chloride and chlorhexidine gluconate (a surgical disinfectant), are less effective.
In a Hong Kong study, saliva samples were taken a median of two days after the beginning of hospitalization. In five of six patients, the primary sample showed the very best viral load, and therefore the sixth patient showed the very best viral load on the second day tested.

Virology


Severe acute respiratory syndrome coronavirus 2
Illustration of SARSr-CoV virion
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) may be a novel severe acute respiratory syndrome coronavirus, first isolated from three people with pneumonia connected to the cluster of acute respiratory disease cases in Wuhan.[68] All features of the novel SARS-CoV-2 virus occur in related coronaviruses in nature.[69] Outside the physical body , the virus is killed by household soap, which bursts its protective bubble.
SARS-CoV-2 is closely associated with the first SARS-CoV. it's thought to possess a zoonotic origin. Hereditary investigation has uncovered that the coronavirus hereditarily groups with the sort Betacoronavirus, in subgenus Sarbecovirus (genealogy B) close by two bat-determined strains. it's 96% identical at the entire genome level to other bat coronavirus samples (BatCov RaTG13). In February 2020, Chinese analysts found that there's only one aminoalkanoic corrosive distinction in specific pieces of the genome successions between the infections from pangolins and individuals from people  however, whole-genome comparison so far found that at the most 92% of genetic material was shared between pangolin coronavirus and SARS-CoV-2, which is insufficient to prove pangolins to be the host .

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