the data of the Ministry of Health

Total deaths are 34,744. The number of positives since the beginning of the epidemic, including dead and recovered, has increased by 126. 96 ICU patients have been hospitalized, 2 fewer than yesterday. In the last 24 hours 305 people have recovered, in total they are 189,196. On the last day 27,218 swabs were performed

In Italy, the total number of people tested positive for coronavirus, including healed and deceased, is 240,436. The victims, in total, are 34,744, with 6 deaths in the last 24 hours (yesterday 22). The death toll is the lowest since the outbreak. The total of the positives, including dead and recovered, recorded an increase of 126 cases (174 yesterday), of which 78 in Lombardy and 16 in Emilia-Romagna. Only four regions register new victims in the last 24 hours: Lombardy, Piedmont, Emilia Romagna and Tuscany. In the remaining 16 there were no other deaths. In eight regions, however, there were no new positives: Marche, Puglia, Friuli Venezia Giulia, Umbria, Sardinia, Valle d’Aosta, Calabria and Molise, as well as in the autonomous Province of Trento. This is reported by the data of the daily bulletin released by the Ministry of Health (LIVE UPDATES – THE SPECIAL).

Heal and tampons

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Coronavirus, the situation in Italy: graphs and maps

305 people recovered in the last 24 hours for a total of 189,196. 96 ICU patients are hospitalized, i.e. 2 fewer than yesterday. There are 1,120 people hospitalized with symptoms (-40). Instead, 15,280 people are in house isolation (-143). Tampons are 5,341,837 so far, up 27,218 compared to yesterday. The cases tested so far are 3,235,504, net of how many swabs they have made.

The data region by region

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Coronavirus, from the first case to the infections: the stages. PHOTO

In detail, according to data released by the Ministry of Health, the currently positive people are:

10,823 in Lombardy
1,490 in Piedmont
1,032 in Emilia-Romagna
462 in Veneto
327 in Tuscany
277 in Liguria
840 in Lazio
274 in the Marche
53 in the autonomous province of Trento
162 in Campania
145 in Puglia
36 in Friuli Venezia Giulia
282 in Abruzzo
127 in Sicily
85 in the autonomous province of Bolzano
9 in Umbria
14 in Sardinia
3 in the Aosta Valley
26 in Calabria
26 in Molise
3 in Basilicata.

The victims

As for the victims, the following are recorded:

16,640 in Lombardy
4,087 in Piedmont
4,255 in Emilia-Romagna
2,008 in Veneto
1,104 in Tuscany
1,558 in Liguria
837 in Lazio
991 in the Marche
405 in the autonomous province of Trento
431 in Campania
543 in Puglia
345 in Friuli Venezia Giulia
462 in Abruzzo
281 in Sicily
292 in the autonomous province of Bolzano
80 in Umbria
132 in Sardinia
146 in the Aosta Valley
97 in Calabria
23 in Molise
27 in Basilicata.

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Health professionals ask for more coordination in responding to the covid in Lisbon | Coronavirus

Lisbon, Odivelas, Loures, Amadora and Sintra. This is the epicenter of the concerns of politicians and health authorities and there are two hospitals – Amadora-Sintra and Loures – that have felt the pressure caused by the growth of cases of covid for several weeks and that have already had to transfer patients to other units. The request for more centralized coordination comes from them and from the Ordem dos Médicos and the professionals on the field are listened to. Ministry will strengthen public health in Lisbon and the Tagus Valley with 120 professionals.

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very cheap and long-known drugs help save the lungs with coronavirus

Cloving hospital on the basis of the Medical Scientific and Educational Center (ISSC) Moscow State University named after M.V.Lomonosov took the first patients on April 21 and completed his work on June 13. It turned out that it was possible to achieve the best treatment results for COVID-19 in Moscow. Over the entire period, 4 patients died, and among severe patients who got mechanical ventilation, the mortality rate was less than 14% (for comparison, the average for the city and the world was up to 70 – 80%). Eighteen doctors out of 220 employees of the hospital were infected with coronavirus, there were no deaths among the medical staff.

What approaches were used at the University Hospital of Moscow State University to achieve such results? We continue the conversation with the head. Department of Therapy, Faculty of Fundamental Medicine, Moscow State University, Head of the Department of Age-Associated Diseases, Medical Scientific and Educational Center, Doctor of Medical Sciences, Cardiologist Yana Orlova.

MEDICINE FOR COUGH FOR 80 RUBLES

– Most of those who are ill or are afraid to get sick are worried about fibrotic changes in their lungs. They say that you have developed special therapy that can reduce the risk of developing fibrosis. Is it possible?!

– Yes, we launched an appropriate clinical study. There are no final results yet, but we have developed clinical practice.

“What did you do to save the lungs?”

– We used a combination of bromhexine and spironolactone (both are long-known very cheap drugs. – Ed.). Bromhexine is an expectorant that has been prescribed to patients with pneumonia and cough for many years. At the same time, experimental data showed that this drug can block a specific enzyme and impede the penetration of coronavirus into cells. True, it was on this effect that we counted to a lesser extent in inpatients, since such an effect is important mainly in the early stages of the disease. But the expectorant effect of bromhexine really helps patients with COVID. I heard that our colleagues in Peter launched a study of bromhexine for prophylactic purposes. We will wait for the results.

Coronavirus infected 18 doctors from 220 employees of the hospital, there were no deaths among the medical staffPhoto: Ivan MAKEEV

FIBROSIS OBSTACLE

– The second drug – spironolactone – is traditionally widely used in cardiology for the treatment of heart failure, severe hypertension. It has a small diuretic, magnesium and potassium-preserving effect, continues Yana. Orlova. – It has several mechanisms through which it can be useful in coronavirus infection.

Firstly, a mechanism that prevents the development of fibrosis in general in the body. There are works that, in particular, show that spironolactone reduces fibrosis in the heart. At the same time, it is known that the tendency to fibrosis is not local, but systemic – where there is more inflammation, there will certainly be fibrosis. And we see, of course, fibrotic changes in the “covide” in our patients. Therefore, we prescribed spironolactone as a drug for the prevention of this process.

Secondly, this drug blocks sex hormone receptors, in particular testosterone. Some published studies suggest that “high-testosterone” men suffer from “covid” more often and develop more severe fibrotic changes. Therefore, blocking these receptors for several weeks during COVID treatment may be useful in reducing the severity of complications. We are not talking about a longer intake, since male patients are unlikely to agree with a decrease in testosterone levels in the long term.

And perhaps the most important point. In almost all of our patients, we observed hypokalemia (a decrease in potassium levels. – Ed.). With coronavirus infection, potassium is intensely excreted from the body, and scientific articles even suggest that hypokalemia serves as the trigger for a cytokine storm. So spironolactone has a real chance to reduce the risk of this dangerous complication. But the main thing, in my opinion, is that lowering the level of potassium in the body is extremely harmful to the heart and triggers life-threatening rhythm disturbances, increasing the risk of sudden death. We, like all others, replenished potassium with droppers, but it was more effective to retain it in the body with the help of spironolactone.


Men certainly get worse than women;  the elderly are heavier than the young;  overweight people are heavier than patients without excess weight Photo: Ivan MAKEEV

Men certainly get worse than women; the elderly are heavier than the young; overweight people are heavier than overweight patientsPhoto: Ivan MAKEEV

WHEN PRESCRIBED PATIENTS

– Yana Arturovna, how many patients did you have on average?

– About 10 – 14 days. But someone and 50 days.

– Have you noticed signs by which it can be assumed that the disease in the person brought is likely to go the hard way?

– Such studies were carried out in the world, our clinical practice confirmed them. Men certainly get worse than women; the elderly are heavier than the young; overweight people are heavier than overweight patients. Men with a classic male type of baldness, a lot of facial hair, we can say brutal men get sick harder.

– Under what conditions did you discharge patients?

– We acted as close as possible to the recommendations Ministry of Health: so that the temperature for three days was not higher than 37.5 degrees; so that C-reactive protein (an indicator of inflammation) is lower than 10 mg / l, and saturation, that is, the level of oxygen in the blood, is higher than 96%.

“HEAD OF EPIDEMIOLOGY DEPARTMENT OF ITSELF WORKED AT SANPROPUSNIK”

– How often do you get sick doctors and nurses?

– In the first month no one got sick at all. We have a very powerful epidemiological service. The head of the sanitary-epidemiological department, a senior researcher, correctly organized the whole process, and for the first two weeks she personally worked in the sanitary inspection room at the exit from the “red zone” and helped doctors and nurses who were exhausted after the shift safely remove protective clothing.

Then both people’s fatigue and viral load accumulated. By the middle of the second month, sick people began to appear. There were no seriously ill patients. We treated part of the staff in our observation, part of it was treated at home. In total, 18 people were infected from the medical staff (less than 10%).

– Doctors take something for prevention? Vitamins C, D, Zinc?

– I saw the recommendations of American nutritionists, they speak out positively about taking zinc, melatonin and vitamin C. There were somewhat conflicting data on vitamin D. But we did not give any such recommendations to our employees. We have all the prevention was associated with minimizing contacts and other measures of epidemiological safety.

Physicians are the heroes of our time.“If you think that you are special and that a pandemic will not affect you, you are deeply mistaken,” listen to what the doctors who are fighting with coronavirus say

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30,000 new infections registered in Coruna and 552 deaths in Brazil – one world – outside the border

On Sunday, the Brazilian Ministry of Health announced that 30,476 new cases of Corona virus had been registered in the last 24 hours, in addition to 552 deaths.

There are now a million, 344,143 confirmed cases and 57,622 deaths in Brazil.

Follow the news of the world from the statement through Google News

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The Ministry of Health announced Russia’s readiness to supply the COVID-19 vaccine to the world market

From the very beginning of the COVID-19 coronavirus pandemic, Russia has been supporting countries in Europe, America and Asia, as well as international institutions and the World Health Organization, said Health Minister Mikhail Murashko.

“Taking into account the risk of the second wave of the pandemic, Russia is ready to supply direct antiviral agents to the world market, including drugs for the treatment of the cytokine storm (a potentially life-threatening reaction of the immune system that occurs also with infectious diseases .—” “B”), test systems and vaccines, ”Mr. Murashko said at the summit“ The global goal is to unite for the future ”(quote from TASS).

The Minister also called on the world community to coordinate research and production of medical products. Russia is ready for dialogue with the international community, he added.

In Russia, two drugs for the treatment of coronavirus are now approved. The first drug (avifavir) was approved in May, the second (arelivir) in June. Vaccine development in the country is still ongoing. Her clinical trials are underway. The Ministry of Health expects the appearance of a vaccine in late July.

How the whole world is searching for a vaccine and the means for its development – in the material “b” “In war, all money is good.”