Coronavirus Update

Coronavirus: How to decide if you’re infected?

First of all, be aware that Coronavirus also known as Covid-19 symptoms may not show up for several days.

 

The virus infects the lungs, typically starting with a fever which is followed by a dry cough. It appears to take about 5 days to start showing symptoms, but in some cases can be much longer before symptoms start to show.

 

According to the WHO (World Health Organization), the incubation period is 14 days, which is why people are being asked to self-isolate or quarantine for 14 days after potential exposure.

 

How Serious or Deadly is it?

This is a new virus and statistics are changing daily.

 

As of writing March 11, 2020, the risk of exposure is considered to be low for most communities in the US. However, there are communities with an elevated exposure risk and those are being well documented and reported by the general media.

 

The CDC has developed guidance for the risk assessment and management of people with potential exposure to COVID-19. That article also provides Interim Guidance for Public Health Personnel.

 

According to the CDC most people will be able to self-treat and recover from COVID-19 at home.

 

Some are more susceptible and at a higher risk than others those include:

  • Older adults
  • People with underlying medical conditions
    • Heart Disease
    • Diabetes
    • Lung Disease

 

The director-general of WHO (World Health Organization) Tedros Adhanom Ghebreyesus, at a recent (March 5) press conference shared information gathered from the analysis of the Chinese breakout.

 

Based on the analysis of COVID-19 patients around the world, it is estimated that 3.4% of confirmed cases resulted in death.

Those over 80 had a much higher fatality rate of 14.8% while those in the age range 70-79 had a fatality rate of 8%. In Italy, as of March 4, all fatalities were of people over age 60.

 

These statistics are not conclusive though, as there are concerns that many cases are going un-reported or un-confirmed due to lack of testing and concerns about spreading the virus further, which is resulting in people self-isolating and treating lesser cases at home.

 

There are many factors affecting the mortality rate including the quality of medical care.

 

According to Johns Hopkins University as of March 12, 2020, over 127,000 + people, from more than 80 countries have been infected. Total deaths are 4,700 + and 68,000 + have recovered.

Coronavirus: How Is It Spread?

The virus is spread when an infected person coughs or sneezes expelling respiratory droplets containing the virus into the air.

 

The virus can be breathed in by anyone within approximately a 3-6 foot radius, or if the droplets land on a surface – phone, keyboard, desk-top, handrail or any other surface nearby.

 

Once someone touches that surface, the virus can be transmitted and infect that person entering their system most commonly via the eyes, nose or mouth.

 

The video clip below from an episode of Scrubs shows exactly how quickly and easily bacteria or a virus can spread.
Scrubs clip: how infection spreads

Best Practices:

  1. Wash your hands – properly and often. Think you already know how to wash your hands effectively? Watch this video to be sure you are doing it right!
  2. Use disposable tissues to CATCH and CONTAIN cough and sneezes then discard immediately in a bin after every single use then wash your hands immediately
  3. If you don’t have a tissue use your sleeve, then wash your hands and your clothes ASAP
  4. Avoid touching your eyes, nose and mouth with your hands, washed or unwashed. On average, we “unwittingly” touch our faces 23 times per hour
  5. Avoid close contact with anyone who is unwell

 

Coronavirus: What should you look for to know if you’re infected?

For those who are experiencing fever and/or coughing and present at the hospital or doctor’s office, the lungs may be in a state of 50% =/- of Fibrosis which can be challenging to treat effectively.

 

Pulmonary fibrosis is a lung disease that occurs when lung tissue becomes damaged and scarred. This thickened, stiff tissue makes it more difficult for your lungs to work properly.

As pulmonary fibrosis worsens, you become progressively more short of breath. https://www.mayoclinic.org/diseases-conditions/pulmonary-fibrosis/symptoms-causes/syc-20353690

 

Simple 10-Second Symptom Self Check:

A simple daily, self-check routine to follow. This will help you identify any early signs of respiratory issues if you have them.

 

Take a deep breath – hold for a minimum of 10 seconds.

 

If you are able to complete the 10-second process without coughing, discomfort, or tightness in your chest, this would typically indicate your lungs are clear, so you are likely free of infection.

 

If in doubt CALL but DO NOT GO TO a facility, instead CALL a healthcare professional for further evaluation and advice.

 

The Symptoms: May appear 2-14 days after exposure

  • Fever (39+C / 103+F)
  • Coughing, dry cough
  • Shortness of breath – follow the simple symptom self-check above, if you experience problems contact your PCP (Primary Care Physician, Nurse Line or Hospital by PHONE they will advise you what to do next

 

When & How Should You Seek Medical Advice or Treatment?

You should CALL a medical/nurse/hospital help-line DO NOT GO TO a medical office or hospital without calling them first. This will allow them to evaluate and prepare a quarantined area, if necessary, to examine/treat you safely.

If you are below 60 years of age and generally in good health with no other health issues, you should stay home and follow self-quarantine instructions for 14-days. DO NOT SELF DIAGNOSE but DO CALL a healthcare hotline for further evaluation and instructions.

If you are over 60 or have other health concerns, CALL a healthcare professional or hotline for further evaluation and instructions.

What To Do If You Feel Sick:

  1. Stay home and call a health care provider or health line to get further instructions.
    Even if your symptoms are mild. Do NOT go to work – you risk contaminating others in public places as you travel.
    Call before but go to a clinic or emergency department if you have more severe symptoms including high fever and shortness of breath – this is an indication your lung function is compromised and needs to be evaluated for treatment.
    If you are instructed to report to a designated medical facility, go alone, do NOT bring children or other family members unless you need assistance. If you do go to a facility for evaluation or treatment, wear a mask to cover your nose and mouth to prevent spreading to those around you.
    Avoid contact with others including family members to reduce the potential for spreading the virus

 

  1. If you are experiencing a medical emergency call 911. Be ready to tell the dispatcher your symptoms and recent travel history or close contact with anyone who may have been in contact with someone who has been diagnosed with COVID-19

 

  1. Practice meticulous hand hygiene and use a mask, thoroughly clean and disinfect your home paying special attention to “common touch zones” such as doors, door handles, buttons, tabletops, phones, keyboards, even your car doors and steering wheel

 

  1. Stay well hydrated – drink plenty of water and consider a vitamin C booster such as EmergenC or Airborne

 

  1. Stay calm, most people especially those who were previously healthy will be able to recover at home.

 

So You Think You Know How to Wash Your Hands?

Ask yourself this:

"How well do I wash my hands?" or

"Would I allow a nurse or doctor to treat me (or a loved one) if they washed their hands as I do?"

 

Watch the video below then ask yourself are you using effective handwashing techniques?

Emergency Info & Contact Numbers

Local – Hampton Roads

Southside

  • The Norfolk Department of Public Health has combined resources with health districts in Hampton Roads to set up a public call center. It will “provide the public with a centralized location to make requests for information and allow for consistent messaging from the eight Health Districts.” Cases will be routed to a dedicated voicemail box and calls will be returned within one business day. The call center number is (757) 683-2745 and still staffed Monday through Friday from 8 a.m. to 6 p.m.

Peninsula

  • The City of Williamsburg has setup a call center at the Peninsula District specifically for coronavirus medical questions. The call center will be open from 8 a.m. to 6 p.m. every day. The call center number is (757) 594-7069.
  • The City of Williamsburg has also set up a non-emergency COVID-19 telephone hotline specifically for questions and concerns about city services, closures, and assistance. The hotline phone number is (757) 259-7200.
  • James City County has created a local hotline for residents seeking county information. The hotline can be reached at (757) 564-2140.

Local – North Carolina

Dare County

  • Dare County has established a hotline to answer questions about COVID-19, including information about testing, travel restrictions, symptoms, and preparation efforts. It will open at 2 p.m. on Monday, March 16. It will be open every day from 8:30 a.m. to 5 p.m. The hotline phone number is (252) 475 5008.
  • The Dare County Control Group has created an online information center where residents can learn the answers to frequently asked questions.
  • Residents can sign up for COVID-19 email notifications from Dare County here.
  • Learn more here.

Hospitals

Sentara

  • Sentara has created a COVID-19 call center that will be open every day from 9 a.m. to 7 p.m. The purpose of the call center is to direct calls to appropriate resources based on nurse evaluations, answer questions about COVID-19 signs and symptoms, and provide information about Sentara policies and the hospital system’s coronavirus response. Callers will not be able to schedule appointments or receive COVID-19 testing recommendations or results at this call center. The call center phone number is (833) 945-2395

State – Virginia

Virginia Department of Health

  • The Virginia Department of Health has created a public information line for residents with questions about COVID-19. The phone number for the public information line is (877) ASK-VDH3.

State – North Carolina

North Carolina Department of Health and Human Services

  • The North Carolina Department of Health and Human Services has created a call center to disseminate public information about COVID-19. The phone number for the call center is (866) 462-3821.

Federal

Centers for Disease Control and Prevention

  • The CDC is sending out regular email updates on the status of the coronavirus pandemic. To get email updates the CDC, register here.

Do you have questions about a medical case or need help understanding treatment plans and options?

Health & Patient Advocacy | Medical Case Review

Medical Expert Witness

Dalawari Medical Services - Medical Consulting

Click here to Contact Us via email  or  Call + (804)-991-4109

About Jasdeep Dalawari MD

Experienced General and Specialist Physician with a demonstrated history of working in the medical practice industry. Skilled in Interventional, Endovascular, Vascular, and General Cardiovascular Medicine; Emergency Medicine; Healthcare Consulting, including Peer Review, Expert Witness, and Utilization Review; and Medical Education. Strong healthcare services professional with an MS focused in Health Administration from Virginia Commonwealth University.