CMAAO IMA HCFI CORONA MYTH BUSTER 14
Dr
K K Aggarwal
President
CMAAO, HCFI and Past National President CMAAO
Younger persons
are not at risk
More than 40 percent of those who have tested
positive for the virus in New York City are between the ages of 18 and 44.
Nationally, 12 percent of the intensive care patients were
between the ages of 20 and 44.
Herd immunity is the answer
No. Initially , the U.K. chief science
advisor’s statement, that the way out of this epidemic was to get to 60% or
more of the population recovered from infection and thus approach “herd
immunity” did not provide reassurance.
Much of the public immediately understood that the trade-off
appeared to be to accept a large number of deaths soon, to ultimately get the
population to a Covid-19–resistant state.
The minister of health however denied that this strategy was
the government policy.
Athithi deva bhava had no scientific evidence
Traditional Vedic teaching has been that all guests first are made to
wash feet, than hands, mouth, gargles and then made to sit in place while
bowing and not shaking hands with them. Visitors means who is not living with
you. The same has now come back.
There is
nothing like nonessential social contact.
No. All elderly should avoid non-essential contact.
Chanakya said
Yatha Chaturbhi Kanakam Parikshayate Sheelen Chednataaptadane
Tatha Chaturthi Purusham Parikshayate Tyagen Sheelen Guren Karmana
यथा चतुर्भि: कनकं परीक्ष्यते शीलेन छेदनतापताडनै:।
तथा चतुर्थि: पुरुषं परीक्ष्यते त्यागेन शीलेन गुणेन कर्मणा।।
Just like the way gold needs to be cut, rubbed, hit and
heated to see its actual brightness, in the same way in order to know about a
person, what has he sacrificed in life, how he speaks, his qualities and his
work needs to be seen.
Before meeting a non-essential contact we need to see his or
her hygiene habits.
Risk of transmission is same between age 30-60
No. The risk of symptomatic infection increases with
age (for example, at ~4% per year among adults aged 30–60 years). Nature
Medicine 2020
COVID patients can share beds in the hospital
The US CDC recommends that patients with suspected or confirmed COVID-19 be
placed in a single-occupancy room with a closed door and dedicated bathroom [95]. The patient
should wear a facemask if being transported out of the room (eg, for studies
that cannot be performed in the room). An airborne infection isolation room
(ie, a single-patient negative pressure room) should be reserved for patients
undergoing aerosol-generating procedures [Centers for Disease Control and
Prevention. Interim Infection Prevention and Control Recommendations for
Patients with Confirmed 2019 Novel Coronavirus (2019-nCoV) or Patients Under
Investigation for 2019-nCoV in Healthcare Settings. February 3, 2020.
https://www.cdc.gov/coronavirus/2019-nCoV/hcp/infection-control.html (Accessed
on March 11, 2020).]
Pneumonia
means severe case
Mild
(no or mild pneumonia) was reported in 81 percent.
Severe
disease (eg, with dyspnea, hypoxia, or >50 percent lung involvement
on imaging within 24 to 48 hours) was reported in 14 percent.
Critical
disease (eg, with respiratory failure, shock, or multiorgan
dysfunction) was reported in 5 percent.
Case fatality will be the
same in all countries
The proportion of severe or fatal infections may vary by
location. As an example, in Italy, 12 percent of all detected COVID-19 cases
and 16 percent of all hospitalized patients were admitted to the intensive care
unit; the estimated case fatality rate was 5.8 percent in mid-March.
In contrast, the estimated case fatality rate in mid-March in
South Korea was 0.9 percent.
This may be related to distinct demographics of infection; in
Italy, the median age of patients with infection was 64 years, whereas in Korea
the median age was in the 40s.
All will recover or die in 2 weeks
No. According to the WHO, recovery time appears to be around
two weeks for mild infections and three to six weeks for severe disease.
In all dyspnoea will develop in 3 days
Some patients with initially mild symptoms may progress over
the course of a week. In one study of 138 patients hospitalized in Wuhan for
pneumonia due to SARS-CoV-2, dyspnea developed after a median of five days
since the onset of symptoms, and hospital admission occurred after a median of
seven days of symptoms. In another study, the median time to dyspnea was eight
days [
Huang C, Wang Y, Li X, et al. Clinical features of patients
infected with 2019 novel coronavirus in Wuhan, China. Lancet 2020; 395:497.
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