Virus

Scientists just beginning to understand the many health problems caused by COVID-19

JUNE 26, 2020 / 12:12 PM / UPDATED 4 HOURS AGO

Julie Steenhuysen
5 MIN READ

CHICAGO (Reuters) - Scientists are only starting to grasp the vast array of health problems caused by the novel coronavirus, some of which may have lingering effects on patients and health systems for years to come, according to doctors and infectious disease experts.

Besides the respiratory issues that leave patients gasping for breath, the virus that causes COVID-19 attacks many organ systems, in some cases causing catastrophic damage.

“We thought this was only a respiratory virus. Turns out, it goes after the pancreas. It goes after the heart. It goes after the liver, the brain, the kidney and other organs. We didn’t appreciate that in the beginning,” said Dr. Eric Topol, a cardiologist and director of the Scripps Research Translational Institute in La Jolla, California.

In addition to respiratory distress, patients with COVID-19 can experience blood clotting disorders that can lead to strokes, and extreme inflammation that attacks multiple organ systems. The virus can also cause neurological complications that range from headache, dizziness and loss of taste or smell to seizures and confusion.

And recovery can be slow, incomplete and costly, with a huge impact on quality of life.

The broad and diverse manifestations of COVID-19 are somewhat unique, said Dr. Sadiya Khan, a cardiologist at Northwestern Medicine in Chicago.

With influenza, people with underlying heart conditions are also at higher risk of complications, Khan said. What is surprising about this virus is the extent of the complications occurring outside the lungs.

Kahn believes there will be a huge healthcare expenditure and burden for individuals who have survived COVID-19.

LENGTHY REHAB FOR MANY

Patients who were in the intensive care unit or on a ventilator for weeks will need to spend extensive time in rehab to regain mobility and strength.

“It can take up to seven days for every one day that you’re hospitalized to recover that type of strength,” Kahn said. “It’s harder the older you are, and you may never get back to the same level of function.”

While much of the focus has been on the minority of patients who experience severe disease, doctors increasingly are looking to the needs of patients who were not sick enough to require hospitalization, but are still suffering months after first becoming infected.

Studies are just getting underway to understand the long-term effects of infection, Jay Butler, deputy director of infectious diseases at the U.S. Centers for Disease Control and Prevention, told reporters in a telephone briefing on Thursday.

“We hear anecdotal reports of people who have persistent fatigue, shortness of breath,” Butler said. “How long that will last is hard to say.”

While coronavirus symptoms typically resolve in two or three weeks, an estimated 1 in 10 experience prolonged symptoms, Dr. Helen Salisbury of the University of Oxford wrote in the British Medical Journal on Tuesday.

Salisbury said many of her patients have normal chest X-rays and no sign of inflammation, but they are still not back to normal.

“If you previously ran 5k three times a week and now feel breathless after a single flight of stairs, or if you cough incessantly and are too exhausted to return to work, then the fear that you may never regain your previous health is very real,” she wrote.

Dr. Igor Koralnik, chief of neuro-infectious diseases at Northwestern Medicine, reviewed current scientific literature and found about half of patients hospitalized with COVID-19 had neurological complications, such as dizziness, decreased alertness, difficulty concentrating, disorders of smell and taste, seizures, strokes, weakness and muscle pain.

Koralnik, whose findings were published in the Annals of Neurology, has started an outpatient clinic for COVID-19 patients to study whether these neurological problems are temporary or permanent.

Kahn sees parallels with HIV, the virus that causes AIDS. Much of the early focus was on deaths.

“In recent years, we’ve been very focused on the cardiovascular complications of HIV survivorship,” Kahn said.

паће wrote:
Иначе, у Вијетнаму се вијетнамски рат не зове само рат, него амерички рат.

Evo kako izgleda stanje u Opštoj bolnici u Novom Pazaru pic.twitter.com/PWZgi1fLDT

— Paşin Unuk (@zavnos1945) June 26, 2020

sve sto vam prenosim na twitter-u su informacije zdravstvenih radnika, ako me oni lazu kako im je prosao dan na poslu, lazem i ja vas. Bice jos vesti od mene. @N1infoBG @zaklina_prva ako vi ne istrazite i ne objavite istinu o virusu nece niko.

— Pajo Pajo (@svpavlers) June 26, 2020

Ovo što se sada dešava je vrlo opasno. Kineza očigledno nema. Ovde su samo ove naše guske zalutale u magli.
*Pod jedan, predsednik i ostali iz vlasti su omalovažili mere tako da se narod ne može kriviti za nesprovođenje istih.
*Ukinuli su Sajam, odnosno izolaciju zaraženih.

— Dr Heroj (@zdravsind) June 25, 2020

Nekontrolisani udar na specijalizovane ustanove, ogromno čekanje, nedostatak testova.
*Perfidno prikrivena pogrešna procena o prokuženosti stanovništva što će rezultati mnogo većim brojem obolelih i mrtvih od planiranog.
*Davanje potpuno pogrešnih procena o smirivanju zaraze.

— Dr Heroj (@zdravsind) June 25, 2020

Na dan 24.06.2020. godine broj testiranih u ZZJZ Novi Pazar je 4184 od tog broja, broj inficiranih je 479

Na dan 23.06.2020. godine broj testiranih u ZZJZ Novi Pazar je 4084 od tog broja, broj inficiranih je 444

Dnevni rekord u BiH - registrovano 140 novoobolelih u jednom danu https://t.co/tTMBnLGeqR

— TV N1 Beograd (@N1infoBG) June 26, 2020

Vranje na korak do vanredne situacije

J. Stojković | 26. jun 2020. 15:39 | Komentara: 0

Zbog rapidno povećanog broja zaraženih korona virusom Gradski štab za vanredne situacije, u petak je na zasedanju doneo odluku da pošalje zahtev Republičkom kriznom štabu za pooštravanje mera na lokalu u cilju sprečavanja širenja virusa korona.

Odgovor se očekuje već tokom vikenda, nakon čega će se krenuti sa primenom predloženih mera. Nepoznanica je o kojim merama je reč, ali se pretpostavlja da će biti skraćeno radno vreme ugostiteljskih objekata i zabrana svake vrste okupljanja.

U međuvremenu lokalna samouprava će iz njene nadležnosti pojačati inspekcijski nadzor nad svim privrednim subjektima, kako trgovine, tako ugostiteljski objekti. Isto važi i za linijski prevoz, taksi vozila i prevoz putnika.

- Nužno je da ozbiljno shvatimo situaciju u kojoj se nalazimo jer za pet dana imamo 84 zaražene osobe, koji već imaju razvijenu kliničku sliku, koja podrazumeva srednji oblik upale pluća i koji su hospitalizovani – kaže gradonačelnik Vranja dr Slobodan Milenković koji je na čelu Štaba.

On napominje da je doneta odluka da se ponovo krene sa dezinfekcijom grada, ulicai drugih javnih površina.

Epidemiološka situacija u Vranju je prema rečima epidemiologa nepovoljna i zabrinjavajuća. Unazad nekoliko dana dnevno se registruje po 20-tak noboobolelih sa srednje teškim kliničkim slikama. Osim toga, najviše obolelih je među radno aktivnim stanovništvom, od 40 do 60 godina.

- Beležimo i porodične infekcije, zatim prenošenje virusa u manjim kolektivima i trgovinskim radnjama. Najnoviji podaci pokazuju da su 23.i 24. juna na analizu poslata 72 uzorka. Od tog broja 21 bris je pozitivan na kovid. 18 novoobolelih je iz Vranja, 1 iz Preševa, 1 iz Bosilegrada i 1 iz Vladičinog Hana – kaže epidemiolog dr Slađan Stanković.

U međuvremenu u Vranju su otkazane sve kulturne manifestacije i sportski događaji koji podrazumevaju okupljanje većeg broja ljudi.

NAJVIŠE OBOLELIH U VRANJU

Od početka epidemije u martu u Pčinjskom okrugu je registrovano ukupno 613 obolelih, najviše u Vranju 485. Prema zvaničnim podacima Zavoda za javno zdravlje od posledica kovida preminulo je 16 stanovnika Pčinjskog okruga

kaže kolega radiolog, u zemunskoj dnevno umiralo po 5-6 koji su kovid negativni (krš testovi), a sve sa slikom teških pneumonija...

ukratko, sve je laž

Raskrikavanje je proveravalo i da li su obe vrste testiranja (RT-PCR i serološko testiranje) moguće u kovid ambulantama po beogradskim domovima zdravlja.

Recimo, pozvali smo broj u Topličkoj 8 (za koji piše da je kovid ambulanta u Zemunu), a dobili smo Ambulantu za febrilna stanja i respiratorne probleme gde su nam objasnili da oni pregledaju pacijente koji imaju određene simptome, a potom ih po proceni lekara šalju na RT-PCR test ili serološko testiranje. Ipak, ukoliko građanin želi da se testira na lični zahtev, to je moguće, ali u kovid ambulanti zemunskog doma zdravlja u ulici Rade Končar 46.

Na pitanje Raskrikavanja da li je broj pacijenata u porastu, iz Topličke kažu „gužve su sve veće i veće, dnevno odradimo 150 do 160 pregleda, čak smo produžili i radno vreme”.

Naravno, LOL za "kriterijume definicije slučaja", masovno se testiralo po državnim službama i to nije nikakva tajna, Cecin frizer se razboli pa se čitava estrada testira i dobije rezultate u roku od odmah, kako se koji sportista razboli odmah se testiraju čitavi klubovi, a ovamo neće da testiraju supružnike pozitivnih ako nemaju simptome i tako dalje. Klasično zajebavanje.

o, da. I retestiraju.