Following factors are important in the accelerated spread of COVID-19 pandemic:
1. Close contact with a patient - do not forget that the patient may be pre-symptomatic or asymptomatic
2. Old age and comorbidities - most of the deaths are in patients with old age (highest in people 80 years and above) and presence of other diseases (Hypertension, diabetes, respiratory disease, any system failure, and immunocompromised status)
3. Cold climate causing people to stay indoors
4. Overcrowding - at airports, markets, schools, prisons, barracks, and big sport events
5. Health care facilities having poor facilities for isolation
Institute of mathematical sciences carried the simulation on the acceleration mechanism. The rate of propagation is very high from 3rd stage onwards. Quarantine and self discipline are best measures for prevention and retard the process
Failure of social distancing either due to lack of insight from governing bodies or non-compliance of the populace for whatever reason are accelerating transmission of the virus.
Another issue is lack of advice on what to do to prepare in case you get Covid-19.
If you are not prepared you will have to go out to get supplies and this will infect others.
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
Free movement of the people ignoring quarantine policies who are in a threat of being infected, mass gathering ignoring social distancing advises, inadequate contact tracing facilities are responsible for accelerating transmissions.