2020.3.4, Basic knowledge of covid19 and its prevention

Basic knowledge of covid19 and its prevention

Content

 

Abstract: this article is a summary of comparison between covid19 and flu, including its prevention, which focuses on serious, critical and death rate, as well as transmission approaches.

Preface

Prepping is good, not paranoia. “Preparing for the almost inevitable global spread of this virus, now dubbed COVID-19, is one of the most pro-social, altruistic things you can do in response to potential disruptions of this kind.”

—twittered by Doctor Eric Ding,  American public health scientist, PhD graduated from Harvard Univ (twitter: Feigl-Ding@DrEricDing)

—source: https://twitter.com/DrEricDing/status/1233388950993195008?s=20

 

 

1.    COVID-19 is NOT like the FLU

Source: https://rentry.co/covid-19-is-not-like-the-flu

items

Covid19

FLU

compare

Mortality or
CFR

 

3%

Note:
CFR= case fatality ratio

0.1% – 0.2%

10 to 50 times higher

Serious/critical cases

      
Serious: 15% – 20%

       ICU: 5%

1.5% hospitalised

10 times higher

world population
infected

60%

5% – 20%

3-12 times higher

number: person infect others/day

R0 = 3.0 – 6.0

R0 = 1.3

4 times

Spread speed: Without
lockdown

ca. 3 days doubling time

Note:
after lockdown,

ca. 7 days doubling time

ca. 7 days doubling time

twice

 

Incubation

Majority:
1-14 days

(average 5.5 days)

A few cases: 14-27 days

1-2 days

1-13 times

asymptomatic

Around 50%

 1 day

 

transmission through air

frequent aerosolized

(airborne) virus

 

aerosolized (airborne) virus

Within 1-3 meters

Survive in hard surfaces

9 days

1 day

9 times

People are infectious

2 to 4 weeks

about a week

1-2 times

doctors and nurses die.

thousands got infected,

some died

minimal known cases

 

ER and ICU’s get overloaded

frequent

rare

 

 

2.    Other basic knowledge about #covid19

2.1 other basic knowledge

items

Description and notes

Incubation

It is believed that on average, the incubation period of second- and third- generation virus carriers is longer

outbreak

Outbreak in Cities in China postponed for 1-2 weeks after Wuhan City.

Symptoms

Low fever, weakness and symptoms of the nose and mouth, dry cough, some gastrointestinal upset, muscle aches 

Note: After CT scanning, there are some abnormal in lungs found.

asymptomatic

swabs tested positive but no symptoms

Note:

40-50% of all reported cases are asymptomatic

Organs attacked

Lungs, heart, kidney, stomach, liver and testicles, esp. lungs

Classified by clinical symptoms

mild, normal, serious, and critical(ICU)

Contagion approaches

The primary mode of transmission is through human-to-human via respiratory droplets that people exhale (such as coughing or sneezing). Furthermore, these droplets can fall on surfaces (incl tables, phones, desks, handles of doors and
lifts), so people are able to catch the Wuhan virus if they
touch a surface that has been contaminated, and then touch their eyes, nose or mouth.

Notes:

(1) airborne? after a research in a Chinese univ, 1 in 28 samples was confirmed as airborne spread.

(2) pets: Scientists in HK found that after experiments, 2 dogs are tested mild positive.

(3) fart, urine and fecesUrine and feces spread were confirmed.
About fart, a Chinese doctor found that fart with taking off pants was tested positive and while without taking off pants was tested negative.

These means Wuhan virus spread is possible throughout public toilets.

 (4) it is deeply believed by doctors in Wuhan that tears can spread virus and is confirmed by Zhejiang University. (A more question is how about sweat?)

 (5) time and space: transmission is available within 1.5 metres in 20seconds-2 minute.

WHO

Don’t trust decisions made by WHO too much since they have already made over 3 times wrong decisions during February.

Maybe, 80% of their decision made were lagged around 1-2 weeks due to various reasons incl politics and economy.

Cure

At the present, there is no effective medication and vaccine to cure Wuhan virus.

Vaccine: at least 1 year later, it may be created since 1 year is the fastest history record.

Note: However, there are some Antiviral drugs can mitigate sickness.

Sequelae

Currently, it is incurable, easy to relapse, lifelong virus carrier and some sequelae.

Notes:

Although many patients recovers, some of them

(1)  After weeks, they are tested positive again, which means that they can still infect others.

(2)  Their organs, esp incl lungs, have been harmed in long-life.

 

2.2 More about death and serious Itinerary of Diamond Princess (total 3700 ppl) on 20/02

(source retrieved on 03/03/2020, https://en.wikipedia.org/wiki/2020_coronavirus_outbreak_on_cruise_ships)

items

Test

confirmed

asymptom

Death

number

3,063

634

328

6

rate

3063/3,700=82.8%

634/3064=20.7%

328/634=51.7%

6/634=1%

 

2.3  On 03/03, serious and death rate in the whole world

More than 70 countries and territories affected, with major outbreaks in central China, South Korea, Italy and
Iran.

(source: retrieved on 03/03/2020,  https://en.wikipedia.org/wiki/2019%E2%80%9320_coronavirus_outbreak)

 

confirmed

Serious

Death

Serious and death

cases

>90,000

8,000

>2900

10,900

rate

 

8K/900K=8.9%

2900/90000=3.2%

12.1%

 

Supplements:

Days range of death: 6~ 41 days, median: 14 days.

Majority of deaths:

(1)  80% from over 60 year old

(2)  75% with pre-existing health conditions incl cardiovascular and diabetes

 

3.    Prevention of #covid19

Kill
virus

Inactivation can be achieved by exposure to ultraviolet light, at a high temperature of 56
° C for 30 minutes, or 75% ethanol

Prevention

(1) Washing hands: use soap, disinfectant

(2) Distance: When chatting with people, it is best to keep 1.5 metres.

(3) Masks: if available, masks can reduce the chance of infection

(4) Transportation: best to avoid planes, trains, buses, taxis, and public toilets during epidemic

(5) No cluster: Avoiding grouping, no gathering meals, No parties

 

4.    Others about Wuhan virus:

website of current basic coronavirus information: https://www.worldometers.info/coronavirus/

 

travel

Fall down when walking

 

plastic and tourist
Iran, a male fell down and die

Full video of source

https://twitter.com/fiteray/status/1234070748722974721?s=20

https://twitter.com/wanghenggeng/status/1234116264974381057?s=20

describing

In China, workers return to work by
coaches from home to workplaces with the plastic bag protection during travel

**These scenarios always happen in China, Iran, now in American

**they have no symptom and just sudden fall down on the ground and many are suddenly dead.

 Henggeng Wang, organised from website, 04/03/2020

 

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