19/03/2020
Socially distance, not to avoid getting ill, instead assume you have coronavirus/COVID-19 and socially distance to avoid infecting others.
I am not an alarmist, I don’t worry about the flu, I don’t ever get a flu shot. I go to the doctor once a year for routine medical screening. I worked as an RN in the early days of the AIDS epidemic. We assumed everyone was infected and used universal precautions.Until we know much more about the spread of this virus, I think it is prudent to assume the same.
Here are some of the things I have learned about the corona virus:
Viral load has been shown to be as high in people without symptoms as folks with a bad case of the disease.This means that someone can have no symptoms yet be capable of spreading the disease. People who are sick are not necessarily disease free after 14 days, they may transmit the disease for more than double that period of time.
The virus lives in the air, conservatively for 30 minutes, but maybe as long as 3 hours. This means it can hop on a dust particle and float around. You don’t even have to be in the same room to get sick. It doesn’t like fresh air and sunshine, so if you are outdoors you are at very little risk as long as you are not in a crowded place. You are at more risk in stores, restaurants, bars, offices and the like. It can live on a surface for 3-9 days depending on the surface; cardboard up to 24 hours, metal and plastic for longer. That means touching a menu and touching your face could make you sick as could door k***s, elevator buttons, shared keyboards… or simply breathing virus from the air.
Italy now has 35,713 cases and 2978 deaths.That is a death rate just over 8.25 %, many many times more deadly than the flu, which has a death rate of .1%. Death rates are higher in Italy because they have an older population. They also have a population of 62 million, in the US there are 327 million people. Italy was much quicker to test and isolate the sick. Health care professionals in Italy are having to choose whose life to save. There are not enough ICU beds or ventilators to treat everyone. The US has fewer hospital beds per person in this country than almost any other nation according to the WHO.
Infection with corona virus can be asymptomatic, very mild or more severe. It incubates slowly. From time of exposure you may get sick from 1 to as many as 28 days after exposure.
Mild disease: You may have some symptoms or none at all
• sore throat
• fever which may be low grade
• muscle aching
• fatigue
• nausea
• diarrhea
More severe symptoms:
• incessant dry cough
• shortness of breath
• high fever