Dr.Narayan Mishra

MD, FIAB, FNCCP, FICS,FIAMS, FIRD;FICAAI,FRCP(Glasgo) FCCP (USA)
Former Prof & HOD Pulmonary Medicine. Former National President of Indian Chest Society& National College of Chest Physicians of India.Past Governor of Rotary International RID-3262

This is a new era where we discovered Humanity shattered by not arms nor lives with huge numbers paved by deadly Corona while bidding adieu to 2019.It will be remembered in global map from a tinsel city like Yuan with a death to spread masses of World Globe. A penchant curse more trivial than Trojan War, more biblical than 2 shattered World Wars & even torrid jinx of hobnobbing inter & intra nations war where death a gift like cacophony to simple loving Families.

Lakhs Sufferings on Novel Corona a Renaissance of Nobel minds who dashed their brainstorming to tears. Sufferings are as if gift of centuries to one & all where remedial measures still a question. But encyclopaedic thoughts still living particularly among Indians from day one of 31st December 2019 & now various measures are quintessence thoughts for remedy through not medicine but applying Psycho-therapy Treatment by staying at home which is a new discovery unlike other diseases. Even some returned home & in Quarantine too safety and security is a big gun irrespective of rich and poor.

Cyclopaedists and wage earners to follow the rhythm.PPE (Personal Protection Equipment) a new Discovery to save humans built Humanity at farthest & unreached areas as a true Bond of Tranquillity. Action through deep silence of Social Distancing, Protection through use Masks & regular Hand Washing more than 20 times per day are the core principles to counter further spread. Migrants too to remain aloof from families & bond of affection deprived but that is a caution to kill such deadly Virus Chain from air & respiratory system.

This is rather bricking a Message of We Can with Win-win unlike sufferings from Civilised Nations where India proved herself as an Indicator of Reforms. Nor to be stigmatized but Prevention to look at neighbourers and interior hamlets particularly habits of Social Distancing & Personal Hygiene as an iota. Where Literature failed there stood organized strength from chaos to cure. Isolation & Quarantine of the People having History of Travel abroad or contact with such Corona rightly dealt.Symptoms a carry creature from lungs through air & respiratory system pulling down lower respirations. General Immunity & Local Immunity scaring at old & elder persons having combats like COPD,Candio-vascular diseases,Diabetes,Hyper Tension, Cancer with such Chronicle diseases are the core symptoms.

Time to induce infection within 0-14 days where 80% cases having minor symptoms like normal flu,dry cough relating to it. Smokers are more prone to reach at severe progressive diseases & death. Consequences aggravated as infectious diseases which spread human to human through coughing range.

COVID-19 is a new disease due to anew or novel CORONA virus which is highly infectious, originated at China in Nov 2019 and imported by more than 205 countries including India. At present we don’t have definite specific treatment and vaccine for it. Literally only vaccine & antidotes are-intensive and strict- Social distancing nad personal hygiene along with Quarantine and Isolation of the persons having history of foreign travel and or contact with such a case.

Usually it spreads through droplet infection while coughing and by settled viruses on various surfaces. Few studies also indicate about feco-oral transmission which is not well established.

As per the recent worldwide studies and pooled data it is  found that elderly persons and persons having co morbidities like COPD,Cardio vascular diseases, Diabetes, Hypertension, cancer and many other condition where the general immunity and the local immunity of airways and lungs is reduced, are more prone for this infection and severity. The incubation period- that is the time between getting infection and showing the signs and symptomsis 0-14 days with a median of 5-6 days. In about 80% cases the persons are asymptomatic or having a minor symptoms like normal flu i.e dry cough, running nose, mild fever with body ache etc. and they don’t need any specific treatment or hospitalization. If required paracitamol and antihistamine can be given. In rest 20% cases it becomes severe with increased cough, very high fever, severe breathlessness, chest pain, other signs of pneumonia and they need hospitalization and with presumptive treatment majority of patients come out. Among these 20% about 5% cases become critically ill with Multi organ failure needing ICU and Ventilators and maximum death occurs in this group. The mortality rate is lower in younger age group among COVID 19 case. At one end no death from 0-9 yrs to around 15% in 80 yrs or above.

As on today mortality is more than 5 % in the world with an infection in 9 lakhs cases where as in India it is about 3% with infection in about 2013 cases. Recent study shows that smokers are 14 fold more prone for severe progressive disease and death. Whole world is working for the specific drug and vaccine against this disease.

To summarize-it is a highly infectious disease which spreads from man to man through droplets during coughing within a range of 6 feet and by contact with fomites. Safe distance, frequent hand washing, maintenance of good hygiene, avoidance of social gathering and home stay will save all of us. Total lock down is the best policy. Don’t be panic if you are having mild symptoms & have no history of travel and or contact with a COVID 19 patient. But if you are having severe symptoms as mentioned, do visit a recognized center for further evaluation.

At this juncture with patience and courage we will have to fight against this deadly disease basing on only scientific evidences and obeying strictly the rules of the land. Social Distancing, Repeated hand washing with personal hygiene, Quarantine and Isolation are the magic wand. At last, I appeal all of you.

Last but not least need of patience & courage to fight against these deadly devils as Scientific Evidence by obeying strictly the Rules of Quarantine road map. Measures still reflect to build love with “Stay Home & Stay Safe”.

Posted; II ODISHABARTA II