Frequently Asked Questions
What are coronaviruses?
Coronaviruses are a large family of viruses with some causing less severe common cold to more severe diseases such as severe acute respiratory syndrome (SARS) and Middle East respiratory syndrome (MERS). The SARS-CoV-21 is a coronavirus very similar to the one that caused SARS. Many coronaviruses are zoonotic, meaning they are transmitted from animals to humans.
While the SARS coronavirus is thought to be an animal virus from an as-yet-uncertain animal reservoir, perhaps bats, that spread to other animals (civet cats) and first infected humans in the Guangdong province of southern China in 2002, the MERS coronavirus was passed on from dromedary camels to humans in Saudi Arabia in 2012. There is evidence that the SARS-CoV-2 has also been transmitted from bats
What are the symptoms?
The guidelines5 from the Union Health Ministry for early recognition
of COVID-19 patients are those who come in with Severe Acute
Respiratory Infection (SARI) who also have a history of foreign travel
or close contact with another COVID-19 patient.
As per the guidelines, “COVID–19 may present with mild, moderate,
or severe illness; the latter includes severe pneumonia, ARDS [Acute
Respiratory Distress Syndrome], sepsis and septic shock.”
Who is affected?
While people of all ages can be affected by the disease, people aged 80 and above are at the highest risk of dying due to COVID-19, according to case records analysed by the Disease Control and Prevention Centers in China and South Korea. Victims of the virus with pre-existing medical conditions such as cardiovascular disease and diabetes have a higher fatality rate than others. Also the rate of fatalities was relatively higher for retirees.
Why Coronavirus is highly Contagious?
The much greater binding affinity to the cell receptor explains the apparent high human-to-human transmissibility of the virus compared with the SARS coronavirus. “The high affinity of the 2019-nCoV S for human ACE2 may contribute to the apparent ease with which the 2019-nCoV can spread from human-to-human,” the researchers write. “Additional studies are needed to investigate this possibility.” Since both the SARS coronavirus and the 2019 novel coronavirus share structural similarity and bind to the same receptor, the researchers tested three monoclonal antibodies specific to SARS virus for their ability to bind to the novel coronavirus. But none of the three antibodies tested were found to be effective in inhibiting the novel coronavirus from binding to the human receptor ACE2 and prevent or treat the disease.
However, the 3D map of the S protein will help researchers design new antivirals to stop the virus from binding and infecting human cells. “Knowing the atomic-level structure of the 2019-nCoV spike will allow for additional protein engineering efforts that could improve antigenicity and protein expression for vaccine development,” the researchers write. The researchers were able to determine the structure of the spike protein as the Chinese researchers shared the whole genome sequence data in the global database.
When the entire genome is sequenced it helps researchers understand the arrangement of the four chemical entities or bases that make up the DNA or RNA. The differences in the arrangement of the bases make organisms different from one another. Sequencing the genome of SARS-CoV-2 will help us understand where the virus came from and how it spread. For instance, by sequencing the genome of the virus isolated from an Indian patient, it will become possible to know if the virus had come from China or any other country
How can it be detected?
The virus can be detected using a RT-PCR test. An RT-PCR or reverse transcription polymerase chain reaction test is DNA-based and can quickly tell if someone harbours the virus. In India, the government facilities to test for the virus include 52 labs belonging to the Viral Research and Diagnostic Laboratories network of the Indian Council of Medical Research (ICMR), 10 labs under the National Centre for Disease Control (NCDC), and the NIV.
How to Protect yourself against COVID-19?
Guidelines by the World Health Organization specify that one of the ways to reduce the risk of infection is by regularly and thoroughly cleaning one’s hands with an alcohol-based hand rub or washing them with soap and water. Regular washing becomes important as the virus tends to be viable from hours to more than a day on different surfaces that are regularly touched with hands.
Washing with soap
The grime on our hands contains innumerable viruses and bacteria. Washing with water without using soap helps reduce the amount of microbes but does not remove most of the virus and bacteria completely. Using soap, therefore, becomes far more effective in removing microbes. Viruses such as coronavirus, influenza-causing viruses, Ebola, Zika have their genetic material encased in a layer of fat called the lipid envelope . Soap molecules are pin-shaped with a head that is waterloving (hydrophilic) and a tail that is oil-loving (oleophilic). Being oleophilic, the tail portion of the molecule tends to have an affinity for and ‘competes’ with the lipids in the virus envelope. Since the chemical bonds holding the virus together are not very strong, the long oleophilic tail gets inserted into the envelope and tends to have a ‘crowbar’ effect that breaks the lipid envelope of the virus. The tail also competes with the bond that binds the RNA and the lipid envelop thus dissolving the virus into its components which are then removed by water. Alcohol-based hand sanitisers Like soap, the alcohol present in hand sanitisers dissolve the lipid envelope, thus inactivating the virus. In addition, the alcohol also tends to change the shape or denature the mushroom-shaped protein structures that stick out of the lipid envelope. The mushroom-shaped protein structures help the virus to bind to special structures found on human cells and enter the cells. To be effective, the sanitisers should contain at least 60% alcohol. Unlike soap lather, the alcohol does not come in contact with all parts of the hand. So care needs to be taken to use sufficient sanitiser to increase the coverage. Unlike water, alcohol run does not remove the dead viruses from the hand. While a sanitiser can quickly reduce the number of microbes, it does not get rid of all types of germs, and is “not as effective when hands are visibly dirty or greasy”.
Using a mask
Medical masks help prevent the spread of coronavirus infection. If worn properly, masks may be effective in preventing transmission of coronavirus. An article published in the Journal of the American Medical Association (JAMA) says there is no evidence to suggest that masks worn by healthy individuals can help prevent infection. But a 2010 study says: “Mask wearing was associated with reduced secondary transmission and should be encouraged during outbreak situations.” Even the World Health Organization says wearing a medical mask is “one of the prevention measures to limit spread of certain respiratory diseases, including novel coronavirus (SARS-CoV-2), in affected areas”. Transmission through droplets from coughing and sneezing is one of the major routes of virus spread. When worn correctly, a mask can reduce the risk of inhaling droplets containing the virus. With many studies showing that people infected with novel coronavirus transmit the virus even before symptoms show up, it may be prudent to wear a mask especially when the virus is spreading in the community.
The WHO says that you should maintain at least 1 metre (3 feet) distance between yourself and anyone who is coughing or sneezing. This is because when someone coughs or sneezes they spray small liquid droplets from their nose or mouth which may contain virus. “If you are too close, you can breathe in the droplets, including the COVID-19 virus if the person coughing has the disease,” says the WHO.
Avoid touching eyes, nose and mouth
Hands can pick up viruses as they come in contact with many surfaces. It can then transfer the virus to your eyes, nose or mouth. From there, the virus can enter your body and can make you sick. Practise respiratory hygiene Cover your mouth and nose with your bent elbow or tissue when you cough or sneeze. Then dispose of the used tissue immediately.
Can I get tested for the coronavirus?
Most people will get better with rest, so there is no need to see a doctor about testing if you have mild symptoms. If you develop difficulty breathing or cannot keep fluids down, see a doctor or, if an emergency, call 911. Certain patients such as the elderly, those that are immunocompromised or have underlying medical conditions should call their doctor earlier. If you have questions, please call the clinic or your doctor before going in.
How can I protect myself when I travel?
At this time, the Centers for Disease Control and Prevention (CDC) recommends that people avoid all nonessential travel and all travel abroad. Check the CDC COVID-19 Information for Travel webpage https://www.cdc.gov/coronavirus/2019-ncov/travelers/index.html for up-to-date recommendations.
Should I wear a facemask?
It is not recommended that people who are well wear a mask to protect themselves from COVID-19 unless a healthcare professional advises it. A facemask should be used by people with COVID-19 who have symptoms to
protect others from getting infected. Health workers and other people who are taking care of someone infected with COVID-19 in a close setting should wear a mask.
What can I do if I get stressed about COVID-19?
When you hear, read, or watch news about an outbreak of an infectious disease, it is normal to feel anxious and show signs of stress. It is important to care for your own physical and mental health. For tips on what you can do to help cope, read “Coping with Stress During Infectious Disease Outbreaks” on the Public Health website. For help, call the Los Angeles County Department of Mental Health Access Center 24/7 Helpline at (800) 854-7771 or call 2-1-1.
What is the treatment?
There is no current evidence from randomised controlled trial to recommend any specific treatment for suspected or confirmed COVID19 patients. No specific anti-virals are recommended for treatment of those suffering from respiratory ailment due to lack of adequate evidence from medical literature.
What are severe complications from this virus?
Some patients have pneumonia in both lungs, multi-organ
failure and in some cases death.
How does the disease spread?
It primarily spreads through the respiratory droplets of infected people. If a person touches a surface or object that has been infected by the virus and then touches his own mouth, nose, or eyes, he may get infected.
Whats the structure of SARS-CoV-2 ?
Like other coronaviruses, SARS-CoV-2 virus particles are spherical and have mushroom-shaped proteins called spikes protruding from their surface, giving the particles a crown-like appearance. The spike binds and fuses to human cells, allowing the virus to gain entry. Researchers at the University of Texas at Austin and the National Institutes of Health, U.S., have produced a 3D atomic scale map of the protein of the SARS-CoV-2 that binds to and infects human cells. Mapping the 3D structure of the protein — spike (S) glycoprotein — will allow better understanding of how the virus binds to the human cells. Knowing the structure of the spike protein will, in turn, allow scientists to develop vaccines and antivirals against the virus and even better diagnostics.
Can a vaccine be developed for COVID-19?
According to Raman. R. Gangakhedkar, head of the Epidemiology and Communicable Diseases-I (ECD-I), Division of ICMR, there are two ways of going for vaccine preparation — either you look at the sequences of the gene which then may lead to development of antibodies, or you actually have the strain and then you try to develop a vaccine which is always an easier option. He said Indian scientists have managed to successfully isolate the COVID-19 virus and about 11 isolates are available which is a prime requisite for doing any kind of research related to viruses and developing the vaccine. Internationally, several institutes and pharmaceutical companies are in various stages of developing the vaccine with some set to go on clinical trials soon7
Should people avoid eating meat-based food to prevent transmission?
It is a respiratory virus and not a food-borne one. Coronavirus has nothing to do with food or pet animals or eating chicken and mutton. People can eat whatever they want and how much ever they want.
Can a person exposed to Coronavirus transmit it to others if he/she uses a swimming pool?
Highly unlikely. The Coronavirus is a droplet infection. It has to be inhaled to cause the disease. Chlorination of swimming pools to recommended levels can certainly inactivate any virus, including COVID-19.
How effective are thermal scanners in detecting people infected with the new coronavirus?
Thermal scanners are effective in detecting people who have developed a fever (i.e. have a higher than normal body temperature) because of infection with the new coronavirus. However, they cannot detect people who are infected but are not yet sick with fever. This is because it takes between 2 and 10 days before people who are infected become sick and develop a fever.
Are there differences between symptoms caused by the flu and COVID-19?
Cough and cold could mean an allergy. A fever with cough and cold is a symptom of the flu. When you have fever with a cough which is complicated by breathlessness, it is a symptom of Coronavirus infection and you must call your doctor to rule it out.
Is there a link between a person’s immunity and COVID-19 transmission?
Coronovirus is one of the weakest family of viruses. The deaths caused so far or people affected could have been ones with less immunity like children or the elderly. Sometimes, the virus enters a person’s lungs and causes pneumonia. People with vulnerable immunity like the elderly succumb to this. For young people with good immunity, the effects of the virus may not be too strong but if you are someone with comorbid conditions like diabetes or cardiac disease, or if you are on immunosuppresive drugs, then the risk of infection is severe.
Do vaccines against pneumonia protect you against the new coronavirus?
No. Vaccines against pneumonia, such as pneumococcal vaccine and Haemophilus influenza type B (Hib) vaccine, do not provide protection against the new coronavirus. The virus is so new and different that it needs its own vaccine. Although these vaccines are not effective against 2019-nCoV, vaccination against respiratory illnesses is highly recommended to protect your health
Are there any home remedies to treat COVID-19?
Home remedies and treatment other than allopathy is not proven science. The best thing is precaution only. You must keep away from a patient who coughs and sneezes. If you are coughing, you need to cover your face with a mask and not spread the droplets around. COVID-19 spreads through droplets
Are antibiotics effective in preventing and treating the new coronavirus?
No, antibiotics do not work against viruses, only bacteria. The new coronavirus (2019-nCoV) is a virus and, therefore, antibiotics should not be used as a means of prevention or treatment. However, if you are hospitalized for the 2019-nCoV, you may receive antibiotics because bacterial co-infection is possible.
Myths around COVID-19
There have been several myths around the disease, like consuming more garlic, curry leaves or cow’s urine would treat or protect one from the disease.The World Health Organisation has busted such misleading claims. On garlic, WHO said it is a healthy food that may have some antimicrobialproperties but there is no evidence that it has prevented people fromcontracting the 2019 nCoV.
Here are some other myths and the WHO’s response to them:
Myth: “COVID-19 virus cannot be transmitted in areas with hot and humid climates”
From the evidence so far, the COVID-19 virus can be transmitted in ALL AREAS, including areas with hot and humid weather. Regardless of climate, adopt protective measures if you live in, or travel to an area reporting COVID-19. The best way to protect yourself against COVID19 is by frequently cleaning your hands. By doing this you eliminate viruses that may be on your hands and avoid infection that could occur by then touching your eyes, mouth, and nose.
Myth: The new coronavirus can be transmitted through mosquito bites.
To date there has been no information nor evidence to suggest that the new coronavirus could be transmitted by mosquitoes. The new coronavirus is a respiratory virus which spreads primarily through droplets generated when an infected person coughs or sneezes, or through droplets of saliva or discharge from the nose. To protect yourself, clean your hands frequently with an alcohol-based hand rub or wash them with soap and water. Also, avoid close contact with anyone who is coughing and sneezing