I think one of the main causes is the difference in the widespread testing for the COVID-19 besides also the health conditions and the age inaddition to the well underestimated death rate in many countries
Severity depends upon existing disease and old age where immunity is already lower. Preventive measures are very clear, social distancing, wash hands more often, do not visit place where crowd is there, wear mask and gloves when outside of home. Make meetings via computer not in person
This is a complex issue. Many factors will determine severity of Covid-19 after infection with SARS-CoV-2. Age, frailty, co-morbidity, medication use (e.g. ACE inhibitors and NSAIDs). However, the severity of infection may vary even between fit, healthy people. Some young people have even died.
This may reflect differences in viral dose and therefore viral load. Healthcare professionals working with patients with Covid-19 are exposed to a higher viral dose. Preliminary data from several countries suggest that healthcare professionals are at greater risk of catching SARS-CoV-2 and having more severe Covid-19 disease. Data from China suggests that patients with more severe Covid-19 have higher viral loads,5 so, higher SARS-CoV-2 viral loads, could worsen outcomes. So, the exposure to Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) should be minimised.
Heneghan C, Brassey J, Jefferson T. SARS-CoV-2 viral load and the severity of COVID-19. Centre for evidence based medicine, Oxford, UK. [Internet] Available from: https://www.cebm.net/covid-19/sars-cov-2-viral-load-and-the-severity-of-covid-19. Updated 26/03/20. Accessed 05/04/20.
Article Checklist Proformas to Guide and Document the Assessment of ...
The availability of healthcare in general and specifically critical care will affect case fatality. In China and Italy where large numbers of healthcare professionals were infected the capacity to deliver healthcare was substantially reduced.
So, as the COVID 19 pandemic progresses we will need to upskill colleagues to facilitate the assessment and treatment of critically ill patients with and without COVID 19. This may be achieved by face-to-face education sessions. However this is very labour intensive and may result in spread of COVID 19 amongst healthcare professionals.
An alternative approach would be to use standardised checklist proformas for the assessment of critically ill patients (see link below).
Article Checklist Proformas to Guide and Document the Assessment of ...
The use of checklist proformas can facilitate the management of critically ill patients by staff who do not routinely work in intensive therapy units. This could improve outcomes in this high risk cohort of patients and improve the confidence of staff redeployed to ITU from other care areas.
To reduce the severity of the disease if you get it, it is important to know what to do if you get Covid-19.
These recommendations apply to young adults with no medical conditions. If you have medical conditions or any concerns it is best to speak to your doctor for specific advice. This is particularly important if you have a pre-existing lung condition or are taking immunosuppressant medications.
Prepare for a nasty chest infection.
Things you have to hand
• face tissues,
• Acetaminophen; for a fever over 38°c, take acetaminophen rather than Ibuprofen.
• Generic, cough medicine to thin mucus (check the label make sure that it does not contain paracetamol; otherwise you could double dose and get side effects)
• vaporub for your chest is also a great suggestion.
• humidifier would be useful; however, turning on a hot shower and breathing in the steam in the bathroom may also help.
• Food: soups are ideal
• Drink: stay well hydrated, water is fine
• Rest and do not leave your house. You could be infectious for fourteen days. Avoid elderly people and those with pre-existing health conditions.
• Wear gloves and a mask to avoid transmitting the infection
• If you do not live alone. Isolate yourself in your bedroom. Ask those you live with to leave things outside to avoid contact.
• Wash your bed linen and clothes frequently. Clean your bathroom with sanitisers.
The vast majority of Covid-19 cases in healthy adults can manage at home with rest, hydration, acetaminophen, cough medicine.
Go to hospital if you are having trouble breathing or your fever is very high (over 39°C) and not settling with acetaminophen and cooling with ice packs or if you are worried, in distress or feel your symptoms are getting worse
In Saudi Arabia the lock down has resulted in depletion of medications. There is no warfarin available. Antimicrobials are in very short supply. Shipping charges have increased significantly. The situation is likely to be similar in other countries.
If medications are depleted control of unrelated diseases may deteriorate. This may increase the severity of Covid-19
We must urgently determine which medications are effective for this condition to avoid wastage.
Through cleaning frequently touched surfaces and objects , Covering mouth and nose with flexed tissue when coughing or sneezing besides staying home when sick in addition to the personal hygenic measurments spechially washing hands .
Social distancing, avoid touching your eyes, mouth and nose with dirty hands , and avoid shaking hands which is very difficult behaviour to change, especially in some African contexts where handshaking is more than just for greeting, but it also connotes acceptance, familiarity, respect and acknowledgment of one another.. For this reason, to ensure behavior change is achieved for the control of SARS-COV2, new messages must be developed and used to ensure that people stop handshakes altogether for whatever reasons.
Detect carriers. Test as much people as posible, even if Asymtomatic. Frequent hand wash and general higiene. Were mask and gloves. Cloroquine prophilaxis for the health providers. Keep at home
Detecting carriers means mass testing at population level. This may be a challenge in some countries and more so with high demand for reagents by literally the whole world. Most newly infected countries , especially in Africa have not started mass testing due to scarcity of testing kits and reagents. We must continue with what is known to work..... social distancing, hand washing, sanitizing, proper hygiene and avoiding crowded places/ gatherings.