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European countries have not yet considered the possibility of opening borders for Russians, based on the number of detected cases of coronavirus infection in the country, Foreign Minister Sergei Lavrov said in an interview with RT.
“Europe is now being opened, but, given the number of detected cases of infection, Russia, like the USA and Brazil, at this stage is considered as a country for which Europe has not yet opened,” the minister said. According to him, now Russia is assessing the epidemiological situation for the resumption of air traffic. When asked when the borders would be opened, Lavrov replied that he did not know.
On March 20, Russia, due to the coronavirus pandemic, stopped foreign rail traffic, a week later passenger air service with other countries was limited. On June 8, part of the restrictions was lifted – the Russians were allowed to leave the country to work and study, as well as to take care of sick relatives living in other states. Since June 15, the European Union has opened almost all internal borders. The European Commission previously recommended the launch of a phased opening of external borders on July 1.
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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 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.
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Over the last day in Russia 104 people died with the coronavirus COVID-19. On the eve of the daily increase was 188 people. The total number of deaths in the country has reached 9073.
According to the operational headquarters, the total number of deaths is 1.43% of all infected in the country. Over the last day, 24 people died in Moscow, 21 in St. Petersburg, six in the suburbs.
In total, 6791 new cases of infection were registered per day, of which more than 30% were without clinical manifestations. The total number of infected reached 634,437. During the day, 5735 people recovered, a total of 399,087.
The improvement of the epidemiological situation in the country for several days was once again announced by Russian President Vladimir Putin. According to him, the pandemic in Russia is receding. According to authorities, the peak of the epidemic occurred in mid-May. Russian regions are gradually removing previously imposed restrictions. The Russian Ministry of Health has warned that removing an increase in Russian contacts while lifting restrictions could lead to an increase in new infections.
How regions get out of the regime of restrictions – in the article “Kommersant” “Governors under close Rospotrebnadzor”.
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The incidence of coronavirus in Russia is gradually decreasing: for several days in a row, less than 7 thousand new cases have been detected per day. The total number of infected in the Russian Federation exceeded 627 thousand people. As for the victims of the epidemic, the country has nearly 9 thousand deaths among patients with COVID-19.
Despite the decrease in the number of cases of coronavirus infection, a new surge in incidence may soon occur in Russia. According to the Russian virologist Mikhail ShchelkanovThis will happen in two weeks. The specialist noted that now the increase in incidence is recorded in Europe, and this trend will affect Russia. In his opinion, a major outbreak will affect several large cities – Moscow, St. Petersburg, Nizhny Novgorod and Vladivostok. In order to avoid a new jump in the incidence rate, according to Schelkanov, the borders should remain closed.
We give brief statistics on the distribution of coronavirus in Russia:
Russian Deputy Prime Minister Tatyana Golikova took the initiative to establish long-term follow-up for patients who had been ill with coronavirus. She noted that the consequences of the disease have not yet been studied, and it is important to pay attention to the associated risks. Among them, she called the exacerbation of coronary heart disease, hypertension, lung disease, acute diseases of the cardiovascular system of an autoimmune nature, myocarditis and other diseases.
The Federal Tourism Agency has published a list of restrictive measures that are currently in force for tourists entering foreign countries. Some of them have a two-week quarantine for travelers. There are also countries where a medical certificate is required to cross the border stating that the bearer passed a negative coronavirus test.
In order for collective immunity to coronavirus to take shape in Russia, about 70 million doses of the vaccine are needed. At the moment, the drugs are in the testing phase.
World situation
According to Johns Hopkins University, the number of cases of coronavirus infection in the world has reached 9,801,958 – this is data for all countries since the outbreak. The United States (2.468 million), Brazil (1.275 million), Russia (627.7 thousand), India (508.9 thousand) and the United Kingdom (310.8 thousand) are in the top five in the number of cases of infection.
Johns Hopkins University has 494,180 deaths. The United States (125.0 thousand), Brazil (55.9 thousand), Great Britain (43.5 thousand), Italy (34.7 thousand) and France (29.8 thousand) are the leaders in the number of deaths from coronavirus.
Currently, a record daily increase in the incidence of coronavirus is recorded in the United States. Over the past day, more than 40 thousand new cases have been revealed there, and this trend is observed in states where some of the restrictive measures were previously removed.
According to the President of the United States Donald Trump, the country has low mortality when compared with other states. At the same time, according to Johns Hopkins University, the States are in third place in the number of deaths per 100 thousand people and are second only to Spain and the UK.
The European Medicines Agency has recommended authorizing the sale of Veklury for the treatment of pneumonia with COVID-19. The drug was used to treat Ebola. In Russia, he is currently undergoing clinical trials.
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After weakening quarantine measures in European countries, automakers began to resume production stopped due to the coronavirus epidemic. In the coming weeks, companies plan to gradually launch production facilities, while removing sanitary restrictions will allow dealerships to open, which should restore demand for cars.
Volkswagen resumed production at the Wolfsburg plant last week. Production began from 10-15% of normal output and will gradually increase to 40%, the company said. Factories in Portugal, Spain, Russia, South Africa, and North and South America will gradually begin to operate. Porsche, Lamborghini and Bugatti, which are part of the VW Group, resumed operations on May 4.
Fiat Chrysler Automobiles (FCA) was the first to launch the Sevel plant in Atessa (Italy, a joint venture with the PSA Group), producing commercial vans, on April 27. The company also resumed pre-production of the Fiat 500 electric version at its Mirafiori plant. Ferrari restarted production in Modena gradually from May 4 to 8. Other FCA plants, including Alfa Romeo and Maserati, will begin operations in late May and early June.
The French PSA launched the first stage of partial resumption of production from May 4 to 11, sites in France will begin to operate from May 11, when the first stage of the weakening of quarantine will take place in the country. Romanian carmaker Dacia, owned by French Renault, resumed work earlier this week. The company’s plant in Slovenia will open on May 11. Venues in France began to restart this week.
Volvo relaunched plants in Sweden, which did not impose strict quarantine measures, on April 20. Ford Motor launched major European production on May 4. Mercedes-Benz factories gradually launched production from May 4 to 8. BMW plans to launch a plant in Dingolfing (Germany) on May 11, the rest of German companies on May 18.
Automobile workers are provided with masks and disinfecting gel for hands, walk-throughs and workshops are equipped with remote temperature scanners, jobs are separated by plexiglass shields, the tool is treated with a disinfectant after each shift, manufacturers explain. New sanitary protocols regulate employee behavior even during breaks. Nevertheless, on Thursday May 7, the Renault plant in Sandoville was stopped by a court decision – the local union complained to the court about the lack of sanitary measures.
Later, the rest will open production in the UK, where the coronavirus pandemic has so far barely declined. Jaguar Land Rover plans to phase out production from May 18, the first to return to production will be the plant in Solihull (United Kingdom) in parallel with the company’s plants in Slovakia and Austria. At the exact same date, a restart of the Mini factory in Oxford is scheduled. Toyota has not yet announced the timing of the opening of the British plant, but the company’s company in France has been operating in a limited mode since the end of April. Rolls-Royce resumed production this week. Bentley will restart production in the UK on May 11.
In addition to complicating sanitary measures, the restart of the normal work of automakers is hindered by the uncertainty with demand for cars. The introduction of quarantine measures and the closure of car dealerships led to a record drop in car sales in Europe. In March, they fell by 52%, and almost all car sales stopped in April: they fell by 96% in Spain, 98% in Italy, 97% in the UK, and 89% in France. In Germany, sales in April fell by 61%. No one expects a full return to normal market performance immediately after the relaxation of sanitary restrictions, company representatives say. So far, governments, for example, Germany and France, have postponed until mid-summer the adoption of emergency measures to support demand for the car market, as requested by automakers.
The coronavirus pandemic crisis came at a difficult time for automakers. Companies are stepping up their investments in electric cars to meet stricter emission standards. Profit from the sale of traditional vehicles is necessary for them to finance these investments, Reuters notes. So BMW has already announced that it will suspend some investments, including in the Hungarian plant project, which will be postponed for a year to save money.
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On the page of the doctor and TV presenter Alexander Myasnikov interesting information about the situation with infectious diseases in the world was published on the social network. And in particular that rotavirus infection causes hundreds of thousands of deaths per year in the world. Is the familiar and familiar rotavirus more dangerous than the coronavirus? “KP»Understands together with the immunologist, expert in public health and international health care, candidate of medical sciences Nikolay Kryuchkov.
– Of course, in addition to COVID-19, there are many other dangerous diseases in the world and these are not necessarily infectious diseases. Let me remind you that mortality from cardiovascular diseases is in the first place, also high mortality is associated with oncological diseases, in particular, lung cancer, and, of course, infectious diseases are also often the cause of death. However, the threat of rotavirus infection today is greatly exaggerated, said Nikolai Kryuchkov.
How many people die from rotavirus?
According to pessimistic estimates provided by the World Health Organization, around the world in 2013, 215 thousand children under the age of five died from rotavirus infection. According to other data obtained in international studies, this is 122 thousand deaths in 2013.
– The situation since 2013 in terms of mortality from rotavirus infection has not changed much. I think here we can talk about 200 thousand deaths per year among children under five years of age. Half of the world’s deaths occur in five countries: India, Pakistan, Nigeria, Angola and Congo– emphasizes the immunologist Nikolai Kryuchkov. – In the media you can often find information that up to a third of deaths of children under five are caused by rotavirus. This is not true! The fact is that among all deaths of children under five years of age in the world, mortality from diarrhea accounts for about 8%, but among these 8% of deaths from diarrhea – from 25% to 30% are attributable to rotavirus. That is, it turns out about 200 thousand deaths of children under five years of age per year in the world, while more than 6 million children under five die in the world per year.
On the page of the doctor and TV presenter Alexander Myasnikov on the social network, interesting information was published on the situation with infectious diseasesPhoto: Ivan PROKHOROV
Is rotavirus disease relevant for Russia?
If you consider Europeyy region to which Russia, then the figures for mortality from diarrhea are lower than in developing countries. Mortality from diarrhea among children under five in Europe is 4% – 5% of all childhood deaths. About a quarter of them are rotavirus.
In Russia, according to WHO estimates, in 2013, 52 children under the age of five died from rotavirus infection, which is 0.3% of all other deaths of children under five years of age. Rotavirus infection is not the most common cause of death among children, and even more so among adults (the latter rarely die from rotavirus, so all statistics are data on the death of children – approx. Ed.).
– Rotavirus is a problem primarily in poor countries with a warm climate. For Russia, this is also a problem, but to a much lesser extent, ”said Nikolai Kryuchkov, a doctor. – It is important to emphasize that effective and safe rotavirus vaccines exist.
The incidence of rotavirus infection after the introduction of vaccination has decreased many times. In Russia, universal vaccination against rotavirus is not carried out, but, despite this, mortality is low, given that it is clear how to help such patients. The main thing here is replenishment of lost fluid and symptomatic therapy. Given these two factors — the availability of a vaccine and the development of affordable treatment — mortality from rotavirus is very low even among children from zero to five years old, not to mention adults. Among adults, these are isolated cases.
Who is worse: rotavirus or coronavirus?
According to epidemiologists, mortality (taking into account the number of deaths from the number of episodes of the disease) of rotavirus infection in the world is from 0.05% to 0.09%. This is comparable to mortality from seasonal flu. Yes, in the poorest countries it can reach up to 2%. However, in this case, only moderate to severe episodes are taken into account, and not all cases of rotavirus infection.
“With coronavirus infection, according to my most optimistic forecasts, the mortality rate in the world will be 2%,” says Nikolay Kryuchkov. – Let me remind you that now the mortality rate from COVID-19 in Russia is about 4%. AT Germany – 3.5%, and this is one of the best examples in Europe. Of course, a lot depends on how the data are kept and analyzed, but even though there are probably unaccounted cases, the mortality from coronavirus infection is much higher than the mortality from rotavirus. And the epidemic of coronavirus infection is still far from over.
“It is also important to understand that we are having a coronavirus pandemic, and the situation with rotavirus is under control.” The number of deaths from coronavirus is now growing, due to the fact that there is an increase in cases of infection. The daily increase in new cases of coronavirus infection in the world is more than 5%, and in Russia today it is more than 8%. Therefore, it is obvious that the situation with rotavirus is stable, and the coronavirus pandemic for us is not known how it will end. The coronavirus infection pandemic continues to grow, it is important to understand this, ”Nikolay Kryuchkov emphasized in a conversation with“ KP ”. – When we talk about the number of deaths from rotavirus, 200 thousand people a year around the world among children under five years of age are deaths that happened in a year! As we know, the coronavirus epidemic lasts about four months. This is significantly less than a year.
The daily increase in new cases of coronavirus infection in the world is more than 5%, and in Russia today it is more than 8%Photo: Ivan MAKEEV
How many deaths from coronavirus infection will be in a year (given that, according to the data of May 3, 243,922 people died in the world – approx. Ed.)? Yes, there are other dangerous infections in the world, but many of them can be protected. This is Hepatitis B, and pneumococcal infection, tetanus, and so on. And Dr. Myasnikov rightly points out the need for widespread vaccination against the most dangerous and common infections. Unfortunately, there are no vaccines from COVID-19 yet, they will be ready by the spring of next year at best.
Also, an important difference between the course of rotavirus infection and coronavirus infection: hospitalization with rotavirus disease in developed countries is very rare. All necessary treatment conditions can be provided at home. With coronavirus, the patient often needs active therapy, which can only be provided in a specialized medical institution.
SPECIFICALLY
Dr. Myasnikov gives such statistics on mortality from infections (in the world for a year)
Measles (there is a vaccine) – 140 thousand deaths per year
Pneumococcus (there is a vaccine) – 2 -2.5 million deaths per year
Hepatitis B (there is a vaccine) – 650 thousand deaths per year
Tetanus (there is a vaccine) – 89 thousand deaths per year
Cervical cancer (there is a vaccine) – 250 thousand deaths per year
Tuberculosis (there is a vaccine) – 1.5 million deaths per year
Influenza (there is a vaccine) – 650 thousand-1 million deaths per year
Coronavirus (no vaccine) – 244 thousand deaths from the beginning of the spread
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The number of patients with coronavirus in the Samara region since the beginning of April has grown by three people. It’s really a bit, but the situation around is more like preparing for combat action. New infectious beds are constantly being prepared in the region, doctors are being trained, hospitals are being re-equipped. Residents perplexed: “More patients? They don’t tell any information? ” In fact, there is no need to look for a dirty trick: citizens are honestly told about how the situation is developing. But what comes next is difficult to predict. Associate Professor of the Department of Infectious Diseases of Samara State Medical University, Chief Specialist of the Ministry of Health of the Samara Region on the Problems of Diagnosis and Treatment of HIV Infection, Infectious Disease Doctor with 30 Years of Experience Elena Strebkova now helps to organize an infectious diseases hospital at the hospital named after Midpoint “There are no patients here, but who knows if they will appear tomorrow.” She told in an exclusive interview to a journalist “KP–Samara”, Why the whole branch of medicine is working so hard today, although the numbers of cases and the inhabitants seem low, are Samara residents at risk of picking up a coronavirus and why is COVID-19 more dangerous than“ ordinary flu ”.
– Elena Alekseevna, why is such mass training, reprofiling of hospitals necessary?
– The measures taken by the government of the country and the region, and now allow us to prevent a surge in incidence. If not for them, we would be faced with a situation that is now happening around the world. Thanks to the measures taken for isolation and sanitation, a large number of cases of infection do not appear. This is done so that all our medical organizations have time to prepare. We see that new cases of infection and new cases appear daily, and we must be prepared to provide highly qualified medical assistance to the residents of the region. Like all my colleagues, we will be happy if we do not have to. But we must be prepared.
– How are hospitals preparing to receive coronavirus patients, what is the peculiarity of interacting with such patients?
– Infectious diseases that we usually deal with in the Samara Region are caused by microorganisms that do not require special preparation from a doctor. And COVID-19 is a particularly dangerous infection. Therefore, all protective measures in hospitals converted to infectious hospitals, for example, in SOKB named after V.D. Seredavina, taken for this class of pathogenicity. For this, doctors put on protective suits, masks, goggles – a person must be fully protected, because even small aerosol drops that remain in the air after coughing or sneezing can get on it and then lead to infection.
– How are doctors trained to resist the coronavirus?
– Doctors at hospitals that are converting to infectious hospitals are currently undergoing training. First of all, they are taught to wear and take off protective clothing correctly. Because the physician must first protect himself from infection, otherwise there will be no one to help people.
In addition, doctors are told how the virus is transmitted and how to protect themselves; they explain all the rules for disinfection. Of course, we study the clinical forms of the disease, how it manifests itself, what supporting signs of coronavirus infection, what indicators you need to pay attention to in order to make a diagnosis and assess the severity of the patient.
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– And as for lung ventilation, for example? Is she taught to do it?
– Naturally, such a huge number of resuscitators, infectious disease specialists, pulmonologists, which may be needed in case of a surge in incidence, is not in the healthcare system. Therefore, if necessary, infectious disease specialists and pulmonologists will work as consultants. One infectious disease specialist and pulmonologist per 100 patients – this will be quite hard work.
Under their guidance, doctors of all other specialties, after training, will be able to work with such patients. But the main burden will fall on resuscitators. Here, one resuscitator with two nurses will work for six people. Although basic training in mechanical ventilation and resuscitation will still pass all the doctors. For example, the staff of Seredavin Hospital is almost completing such training.
– How large, in your opinion, is an infectious disease specialist with 30 years of experience in the likelihood of a scenario when 100 coronavirus patients fall on one pulmonologist?
– We all want to hope that this probability is low, but we should always be prepared for this. It’s impossible to deploy an infectious diseases hospital in a hospital that was not intended for this; deploying such a huge number of resuscitation beds is impossible. The preparations that are currently underway will allow us to avoid the so-called “Italian scenario” – the very help that is needed will be immediately provided to the patients. IN Italy such a difficult situation was due to the large number of patients at the same time. Quarantine was announced late in the country; the healthcare system was not ready for such an arrival of patients who need ventilation support. In our country, the health system managed to prepare.
– Explain why we have so few patients and how relevant is self-isolation in this situation?
– These are the rules for the development of the epidemic. Why in Moscow so many sick? Not only because there are more people. But also because people from different countries flocked there and only then were distributed among the regions. Therefore, a huge number of sources of infection fell precisely in the capital. Naturally, there is the largest percentage of cases. But people from Moscow came here, and now the virus is spreading here. And now it doesn’t have to be contact with a person who came from abroad. This may be contact with a person who has not left the territory of the Samara region, who himself does not suspect that he is a source of infection.
The virus already exists in the urban environment, and it was for this reason that self-isolation measures were taken to protect people from each other. The closer we are to each other, the greater the likelihood of becoming infected, and the biggest danger is that this will happen at the same time, giving a greater burden on the health system.
“How can the virus spread if we all sit at home?”
– Let’s really look at things. You are not sitting at home. Anyway, you go to the store, to the pharmacy, where to whatever. The main distribution path is through door handles, through the buttons of elevators, in contact with trolleys in stores. These are transmission routes that no one has canceled. And with close contact at a distance of less than two meters, infection from person to person is also possible.
– They say that coronavirus is less dangerous than ordinary flu, it has less mortality, there is no reason for panic?
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– Mortality from influenza was also quite high until the moment of mass vaccination. Now vaccination saves us from a large number of deaths with the flu. And we expect the appearance of a coronavirus vaccine only by the end of the year. Therefore, people are not protected. And since the virus is new, it first appeared this year, we have no immunity. And since no one has immunity, there is no layer that would restrain the explosive nature of the epidemic. Explosive is when several thousand cases appear at one moment. According to some experts, the main surge in the incidence may occur next week. The medical system must be prepared for this.
– In social networks, KP-Samara asked readers why, in their opinion, in the Samara region such a low incidence of coronavirus. It turned out that most are sure: we just have little testing for coronavirus. How do you rate coronavirus testing in the region? Are they enough?
– We test as much as necessary, except Rospotrebnadzor A laboratory has been deployed at the AIDS Center. They test those who came from abroad and are in quarantine, all patients with pneumonia, with severe forms of acute respiratory infections, pregnant women – volumes are large.
“And the main question that worries everyone is when will it all end?”
– So far, the measures taken are designed for the next three months. But we will all be happy if everything ends earlier.
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WASHINGTON – The US public health director warned Sunday that due to the number of deaths caused by the coronavirus, “this will be the hardest week, the saddest week, in the lives of most Americans.”
Jerome Adams added: “Next week will be our Pearl Harbor moment, it will be our September 11 moment, it will be the most difficult time for many Americans in their entire lives.”
In declarations in several television programs, he indicated: “It will happen throughout the country, and I want the whole nation to understand it.”
The number of people infected with the virus in the United States exceeds 300,000 and the death toll stands at more than 8,400. More than 4,000 of those deaths occurred in New York State.
Much of the American population has orders to stay home, and authorities assert that there are indications that the population is abiding by instructions on social distancing. However, the government also emphasizes that the worst is yet to come.
In most people, the new coronavirus causes mild or moderate symptoms that disappear in two to three weeks. In some people, especially older adults and those with underlying health conditions, it can lead to more serious illnesses, such as pneumonia, and even death. Most people recover.
Although the health authorities recommended the use of masks to prevent the spread, experts ask not to let their guard down.
Some states have refused to order citizens to stay home. Adams was asked on NBC’s “Meet the Press” if those states should join the rest of the country.
“90% of Americans are doing their part even in states where they were not ordered to stay home,” Adams said.
“If a state cannot do it for 30 days, then give us a week, give us what they can, so that our health system is not overwhelmed this week.”
The symptoms of coronavirus, influenza, and cold are very similar, but how do you know if you have one of these?
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Target and Walmart supermarkets announce the entry into force of new measures that will be implemented starting this Saturday to combat the coronavirus crisis, a pandemic that has already claimed the lives of 191 people.
The new measures include more protection for employees, fewer customers inside stores and lines at the main entrance to enter, the idea is to comply with the recommendation of social distancing to the letter.
Men go out to the supermarket and women stay home.
As COVID-19 gains ground, restrictions in stores and supermarkets become more necessary. The concern is not only in guaranteeing the supply of basic products for the home, the protection of its workers and clients, it becomes an urgent need in the current emergency..
“I think the measures are fine, one should protect oneself and take care of the other,” said Francisco Trul, a Miami Garden resident.
In a statement, Walmart noted that as of today, Saturday: “Stores will now allow no more than five customers per 1,000 square feet at any given time, approximately 20 percent of a store’s capacity.”.
They both worked at the same store in Illinois. Neither had been to the store in more than a week, the company said.
Simultaneously Target announced that it “will actively supervise and when necessary limit the total number of people inside based on the specific square footage of the store.”.
These measures are implemented just when the United States took the lead in the number of people infected with Coronavirus worldwide.
In the current emergency after a store is at its maximum capacity, customers will be admitted on a “1-out-1-in” basis (one leaves one enters), that means that the same number of customers leaving will be the same that they enter.
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