CMAAO IMA HCFI CORONA MYTH BUSTER 13
Dr
K K Aggarwal
President
CMAAO, HCFI and Past National President CMAAO
Pandemic is going
with the normal pace
It took 67 days
from the first reported of Covid-19 to reach 100,000 cases, 11 days for the
second 100,000, and just four days for the third 100,000.
Lock down alone
will take care
No. You need also rigorous testing and contact-tracing strategies.
You can't win a
football or a cricket game only by defending. You have to attack as well.
To win, we need to
attack the virus with aggressive and targeted tactics - testing every suspected
case, isolating and caring for every confirmed case, and chasing and
quarantining every close contact.
COVID-19 does not affect the heart itself?
No. Early information suggests that the heart may be affected by
COVID-19. Inflammation of the heart (myocarditis), the sack around the
heart (pericarditis), heart failure, heart attack, and heart rhythm problems
have all been reported.
However, it is not always clear whether heart-related signs or symptoms
are directly related to a primary issue with the heart, or related to the heart
reacting to other problems in the body such as low blood pressure or low oxygen
levels. Until we know more, the answer is that the heart may be affected in
some people with COVID-19, but there is much more to learn.
I have high blood pressure, I am at the same risk
No. Those with high blood pressure may have a higher risk from COVID-19.
And, also like those with heart disease, we don’t know at this point if
having heart disease and high blood pressure causes worse
outcomes, or if these conditions are just associated with
worse outcomes.
I have heart disease, I am at the same risk?
No. The American College of Cardiology notes that
those with heart disease may have the highest mortality rate at over 10%. The
point is not to cause more anxiety, but to emphasize the importance of
infection avoidance if you have heart disease.
Chloroquine and
hydroxy chloroquine are inter-changeable
No, A Chinese
study involving the use of both chloroquine and its molecular cousin,
hydroxychloroquine, determined that hydroxychloroquine is the more potent of
these two drugs in its inhibition of this novel coronavirus.
COVID 2 ands flu
affects the same site in respiratory tract
No. COVID-19, the illness caused by the
coronavirus, starts in your respiratory tract. That’s the airway between your
mouth, nose, throat, and lungs. It’s the same place that the common cold
attacks. But COVID-19 can become more serious than the common cold because it
is more likely to get deeper into your respiratory tract, including into your
lungs. That’s because your lower airways have more ACE2 receptors.
Good quarantine
will take three months
No,
effective quarantine period is 14 days By this time you can flatten the curve.
Masks means masks
No. Hospitals and clinics are running out of masks. Healthcare
workers are going online to beg for more, the hashtags #GetMePPE and #WeNeedPPE
are trending on Twitter. Health providers are working scared. Some people are
making their own.
Using a simple template, they cut green surgical sheeting into
half-moons, which they pin and sew before attaching elastic straps.
Deaconess Health System in Evansville, Indiana, has posted instructions
for fabric masks on their website and asked the public to step up and sew.
Elsewhere, healthcare workers have turned to diapers, maxi pads
and other products to create masks.
Some
thing is better than nothing but they are not PPE.
Any mask would do
for doctors
No. One 2020 review by Chinese researchers, for example, analyzed six
randomly controlled trials that included more than 9000 participants and found
no added benefits of N95 masks over ordinary surgical masks for healthcare
providers treating patients with the flu.
But COVID-19 is not influenza,
and evidence suggests it may require more intensive protection [JAMA]
The virus can linger in the air for hours, suggesting that N95
respirators are healthcare providers' best option when treating infected
patients.
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