Monday, March 16, 2020

Speak softly and maintain a social distancing from people who talk face to face, sing, shout or do breathing exercises

Speak softly and maintain a social distancing from people who talk face to face, sing, shout or do breathing exercises

Dr K K Aggarwal
President CMAAO, HCFI and Past national President IMA

New studies and a large coronavirus outbreak in Massachusetts bring into question reassuring assertions by US officials about the way the novel virus spreads.
So far, emphasis has been that the virus is spread mainly by people who are already showing symptoms, such as fever, cough or difficulty breathing. But it appears that a Massachusetts coronavirus cluster with at least 82 cases was started by people who were not yet showing symptoms, and more than half a dozen studies have shown that people without symptoms are causing substantial amounts of infection.

WHO has so far emphasized that asymptomatic transmission can happen, but have said that it's not a significant factor in the spread of the virus.

This is How it can happen

1. We know that a “naked” virus can’t go anywhere unless it’s hitching a ride with a droplet of mucus or saliva. These mucus and saliva droplets are ejected from the mouth or nose as we cough, sneeze, laugh, sing, breathe and talk. If they don’t hit something along the way, they typically land on the floor or ground. To get access to your cells, the viral droplets must enter through the eyes, nose or mouth.
2. Sneezing and coughing are likely the primary forms of transmission.
3. But talking face-to-face with someone could pose a risk.
4. Even siting infront of someone who is singing, laughing, shouting or taking a forced large breath can shed the virus in the atmosphere
5. S Korea patient No. 31, discovered on Feb. 18, was a member of a quasi-Christian cult called Shincheonji. Shincheonji teaches  to attend services in which they sit closely together, breathing in spittle as they repeatedly amen in unison loudly. She was super spreader and ending in spreading infection to a large population.   
What to do

1. Maintain a distance of six feet from some one who is singing
2. Do sympathetic breathing yoga only in parks in the sun ( Bhastrika and Kapalbhati).They are otherwise good to build respiratory capacity
3. The distance between patient and doctors talking to each other should be 3 feet
4. Face to face meetings should have a distance of 3 feet
5. Speak softly and not loudly
6. Do not shout
7. Avoid joining laughter clubs in the morning during this period or maintain a distance of six feet between two people
8. Ban balloon been blown on the roads with the mouth
9. Ban all toys where the toys using blowing air
10. Maintain  asocial distancing in all religious chantings.

References that asymptomatic people can transmit

1. CDC: "Some spread might be possible before people show symptoms; there have been reports of this occurring with this new coronavirus, but this is not thought to be the main way the virus spreads,"
2. Coronavirus response coordinator, Dr. Deborah Birx, seemed to strike a somewhat different note on asymptomatic transmission “ She said they're trying to understand people under the age of 20 who don't have "significant symptoms" -- "Are they a group that are potentially asymptomatic and spreading the virus?" 
3. "We now know that asymptomatic transmission likely [plays] an important role in spreading this virus,": Michael Osterholm, director of the Center for Infectious Disease Research and Policy at the University of Minnesota.
4. In an article two weeks ago in the New England Journal of Medicine, Bill Gates, co-chair of the Bill and Melinda Gates Foundation, expressed concern about the spread of the disease by people who haven't yet developed symptoms, or who are only a bit sick.

 "There is also strong evidence that it can be transmitted by people who are just mildly ill or even pre-symptomatic. That means COVID-19 will be much harder to contain than the Middle East respiratory syndrome or severe acute respiratory syndrome (SARS), which were spread much less efficiently and only by symptomatic people," 

5. "Asymptomatic and mildly symptomatic transmission are a major factor in transmission for Covid-19,": Dr. William Schaffner, a professor at Vanderbilt University School of Medicine and long-time adviser to the CDC.

No comments:

Post a Comment