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In China, they suggested treating coronavirus infection with Arbidol.

09 Apr 2020

In China, they suggested treating coronavirus infection with Arbidol. Or "Abidol." The media write different things. Where is the truth?

What happened?

On February 19, several new drugs appeared in updated Chinese guidelines for treating a new coronavirus infection, including Abidol. Many media outlets wrote that we are talking about the Russian drug "Arbidol" (the active substance is umifenovir), which was actually investigated as a means to combat a new coronavirus infection. However, then it turned out that the recommendations said otherwise. At least Google Translate offers a version of Abidol.

And what is "Abidol"?

This is the commercial name for the strong pain reliever tramadol. Abidol is sold in India. His presence looks unexpectedly among the list of antiviral drugs.

That is, after all, it was not about it?

No. It was about the "Arbidol." Despite the fact that this is the commercial name of the drug in Russia, in China it seems to be used as the name of the active substance (despite the fact that the World Health Organization recognizes only umifenovir as the name of this drug).

And where did you get the idea of “Arbidol”?

In the recommendations, naming the drug, the authors use the hieroglyphs 阿比多尔. On the website of a pharmaceutical company producing an analogue of Arbidol called En Er Xin, the same characters are indicated as the active substance of the drug. On the other page, the same characters are indicated along with the inscription in Latin Arbidol. Probably, the confusion in the translations is associated with the peculiarities of transliteration from Chinese. Even the company itself in the English version of the site, speaking of its antiviral drug, calls it Abidol. Both names (in some cases with an E at the end) are also mentioned simultaneously in official descriptions of clinical trials conducted in China.

So, does Arbidol really help with coronavirus infection?

No, there was no talk of this. The drug was included in the recommendations as a medicine, only potentially effective, which still needs to be evaluated. In such cases, this is considered normal, because there are still no drugs that are proven to cure the infection.


Is it true that arbidol will help with coronavirus?

09 Apr 2020

The Chinese Ministry of Health has included arbidol in the new version of the test plan for the diagnosis and treatment of coronavirus COVID-2019, according to the South China Morning Post. Why does this not say anything about the effectiveness of the drug, what we know about it, and how the news will affect drug sales all over the world

What happened? WHO recommended arbidol for coronavirus treatment

Arbidol as one of the drugs was included in the program for the diagnosis and treatment of pneumonia caused by the new coronavirus SARS-CoV-2. But this is not the final treatment plan, but so far only tests. In China, they constantly try new drugs, give them to a large number of patients and see if they will somehow affect the recovery. And the new version of this program now includes arbidol. It will really be given to patients - and they are already doing it.

Is it arbidol or another drug, as some media wrote?

Initially, information appeared about arbidol. Then part of the publications wrote that this is abidol - another medicine. Due to the peculiarities of transliteration from Chinese, it is not so easy to understand.

But if you carefully study the press release of the company that produces this drug, documents on clinical trials, articles and so on, we can conclude that this is exactly the same arbidol that we know. True, it is not produced in Russia - it is a Chinese generic.

Can't we say that arbidol is effective in treating coronavirus?

Clinical trials are not completed. In China, along with arbidol, many drugs are tested. There are drugs used in the treatment of HIV, and drugs that are trying to use to fight the flu. The authors of the trials hope that the infection mechanisms against which these drugs are targeted are somewhat similar to coronavirus ones, and that they can hit the same target to get a similar effect.

Will this change the attitude towards arbidol in Russia?

Arbidol currently has no proven effectiveness. No serious clinical trials have been conducted that would show that it is effective in combating the influenza virus, that it really helps to recover faster. Nevertheless, it is one of the most popular drugs in Russia. People buy it, because there is an aggressive advertising company. In addition, when a person is ill, he buys what is. And since there are no drugs with proven effectiveness against the common cold, and there are only a few of them against the flu, and there are questions for them, buyers will inevitably purchase drugs with unproven effectiveness.

It can be predicted that after the news from China, sales of such drugs will increase further.

The Russian manufacturer will say that this is a cure for coronavirus?

Yes, an advertising campaign with such allegations has taken place. Already complained to her in the FAS. But now, obviously, there will be more reasons for such statements, as news from China is presented as “arbidol helps against coronavirus”.

I note that there is a conflict of interest. An expert from the Chinese Ministry of Health, Li Lan Juan, said arbidol is effective against coronavirus pneumonia. However, she is a leading researcher in clinical trials of arbidol, which are not yet completed.

If arbidol is ineffective, will we find out?

Research will continue for several months, and if the topic is still relevant, test reports can be monitored. But, I suppose, if they fail, Chinese officials and the media are unlikely to report it loudly.


Flu? Coronavirus? SARS? Symptoms, complications, prevention

09 Apr 2020

Influenza, coronavirus infection and other acute respiratory viral infections (ARVI)

Influenza, coronavirus infection and other acute respiratory viral infections (SARS) are in first place in the number of people who become sick every year

Despite the constant efforts aimed at combating the causative agents of influenza, coronavirus infection and other acute respiratory viral infections, they still cannot be defeated.

Thousands of people die every year from flu complications.

This is due to the fact that viruses, primarily influenza viruses and coronaviruses, have the ability to change their structure and a mutated virus can infect a person again. So, a person who has had the flu has a good immune barrier, but nevertheless, a new altered virus can easily penetrate it, since the body has not yet developed immunity against this type of virus.

For whom is the most dangerous meeting with the virus?

Especially difficult for children and elderly people to carry the infection, for these age groups, complications that can develop during the disease are very dangerous. Children get sick more severely due to the fact that their immune system has not yet encountered this virus, and for older people, as well as for people with chronic diseases, the virus is dangerous due to a weakened immune system.

Risk groups

  • Children
  • People over 60
  • People with chronic lung diseases (bronchial asthma, chronic obstructive pulmonary disease)
  • People with chronic diseases of the cardiovascular system (congenital heart defects, coronary heart disease, heart failure)
  • Pregnant women
  • Medical workers
  • Workers in public transport, catering

How does infection happen?

Infection is transmitted from a sick person to a healthy person through the smallest droplets of saliva or mucus that are released during sneezing, coughing a conversation. Contact transmission is also possible.

Symptoms of COVID-19

Depending on the specific type of pathogen, the symptoms can vary significantly, both in severity and in combination options.

  • Temperature rise
  • Chills, general malaise, weakness, headache, muscle pain
  • Decreased appetite, nausea and vomiting are possible
  • Conjunctivitis (possibly)
  • Diarrhea (possible)

On average, the disease lasts about 5 days. If the temperature lasts longer, complications may have occurred.


  • Pneumonia
  • Encephalitis, Meningitis
  • Pregnancy complications, development of fetal pathology
  • Exacerbation of chronic diseases

Treatment of the disease is carried out under the supervision of a doctor, who only after examination of the patient prescribes a treatment regimen and gives other recommendations. The sick person must observe bed rest, eat fully and drink more fluid.


Taking antibiotics in the early days of the disease is a big mistake. Antibiotics are not able to cope with the virus, in addition, they adversely affect the normal microflora. Only a doctor prescribes antibiotics, only in case of complications caused by the attachment of a bacterial infection. It is dangerous and useless to take antibacterial drugs as a prevention of complications.

A sick person should stay at home and not create a threat of infection to others.

Prevention of COVID-19

The most effective way to prevent influenza is to vaccinate annually. The composition of the flu vaccine changes annually. First of all, vaccination is recommended for those at risk. The optimal time for vaccination is October-November. Vaccination of children against influenza is possible, starting from 6 months of age.

Vaccines against most pathogens of acute respiratory viral infections have not been developed.

Universal preventive measures

  • Wash your hands often and thoroughly.
  • Avoid contact with coughing people.
  • Stick to a healthy lifestyle (sleep, healthy food, physical activity)
  • Drink more fluids
  • Ventilate and humidify the air regularly in the room in which you are
  • Be less likely in crowded places
  • Use the mask when in transport or in public places
  • Avoid hugs, kisses and handshakes when meeting
  • Do not touch your face, eyes, nose with unwashed hands

At the first sign of a viral infection - consult your doctor!


Coronavirus: symptoms and prevention

09 Apr 2020

Coronavirus is an acute viral disease characterized by a predominant lesion of the respiratory system and the gastrointestinal tract. Coronavirus is a zoonotic infection of origin.


There are several varieties of coronavirus that causes disease in humans.

Three groups of viruses are distinguished depending on the genetic properties of the pathogen:

  • HCoV-226E human viruses;
  • HCoV-OC43 human viruses, HECoV intestinal pathogens;
  • coronaviruses SARS-CoV and MERS-CoV;
  • human rotaviruses HNoV.

Coronavirus in humans of the first or second group is considered the causative agent of not severe respiratory viral infections.

The most severe clinical manifestations can be observed when infected with the following pathogens:

  • SARS-Cov virus causes the development of SARS or severe acute respiratory syndrome;
  • MERS-CoV virus causes the Middle East respiratory syndrome, which is characterized by the development of acute pneumonia and renal failure;
  • 2019-nCov virus causes the development of respiratory distress syndrome.

Etiology of the disease

Coronavirus infection is caused by RNA genomic viruses of the genus Coronavirus. The coronavirus is surrounded by a supercapsid, which is pierced by sparsely spaced spikes that have the structure of thin necks and spherical heads located on them, which in appearance resembles a crown.

For humans, respiratory and intestinal coronaviruses are pathogenic. The most common form of respiratory disease, which is usually diagnosed as an acute respiratory viral infection.

Viruses are unstable in the environment. They instantly die at temperatures above 56 degrees, are destroyed by the action of chloroform, formalin, ethyl alcohol or ether. Coronavirus tolerates freezing well.

Ways of infection and development mechanisms

The causes of coronavirus are mutations that result in a new type of virus. The source of coronavirus infection is usually a sick person. At the same time, the period of contagiousness is indefinitely long.

The source of coronavirus may be some animals (monkeys, birds, snakes and others). The source of a new type of pathogen (2019-nCov) was, presumably, bats. However, there is currently no evidence that pets (such as dogs or cats) can carry the 2019-nCov coronavirus.

Pathogens cannot be transmitted directly through objects, door handles, parcels, products, if hand hygiene and the rules of culinary processing of products are observed. Do not touch the contaminated hands and objects of the face, nose, mouth, eyes. Therefore, it is recommended to wash your hands often and thoroughly with soap or treat with disinfectants.

The virus is transmitted by airborne droplets, airborne dust, and fecal-oral routes. Transmission factors include discharge of the nasopharynx, vomit, feces of birds, animals, and sick people.

In humans, the susceptibility to coronavirus is very high, all age groups are susceptible to the disease. Antigenic heterogeneity of viruses causes a significant frequency of reinfection with pathogens of other serological types.

To date, the pathogenetic mechanisms of the development of coronavirus infection have not been sufficiently studied. The entrance gate to the infection is the mucous membrane of the upper respiratory tract. When affected by the 2019-nCov pathogen, infection rapidly spreads to the bronchi and lungs.

With the fecal-oral transmission mechanism, the disease manifests itself in the form of a lesion of the gastrointestinal tract.

The disease is accompanied by the synthesis of antibodies that do not guarantee protection against reinfestation.

Clinical manifestations

For most coronavirus infections, the incubation period is limited to 2-3 days. However, for the 2019-nCov coronavirus, this period can be from 1 to 14 days (an average of 10 days).

Throughout this period, a person can infect others. The disease proceeds, most often, like normal flu, parainfluenza, or any other acute respiratory infection with all their characteristic symptoms.

Characteristic symptoms of coronavirus in respiratory form:

  • pain when swallowing, sneezing;
  • rhinitis;
  • headache;
  • cough;
  • manifestations of hypoxia;
  • temperature rise;
  • chills;
  • muscle pain.

At the initial stage of infection with a new type of pathogen, the signs of coronavirus coincide with all the signs of a common cold: dry cough, weakness, fever. Some patients have eye damage (conjunctivitis) and diarrhea. If the disease proceeds in a mild form, pneumonia does not develop and the entire pathological process is limited to mild symptoms. In such cases, the temperature may rise slightly or generally remain within the normal range.

In severe forms of the disease, the patient's condition rapidly worsens, a very high temperature rises, an unproductive persistent cough appears, and respiratory failure develops. The patient's condition worsens significantly if there are concomitant diseases.

Features of the disease in children

In children, infection can spread to the lower respiratory tract, causing chest pain when breathing and shortness of breath. There is inflammation of the larynx, cervical lymphadenitis, wheezing and dry wheezing in the lungs.

Features of the course and complications

In a typical coronavirus infection, complete recovery usually occurs within 5-7 days. Viruses mers and sars cov, as a rule, do not cause complications and the prognosis of the disease is favorable.

If the disease is more severe, it can take two or more weeks to recover.

In severe cases, the consequences of coronavirus are extremely unfavorable:

  • Severe intoxication
  • Signs of pulmonary edema
  • Progressive Acute Respiratory Failure
  • Multiple organ failure

The prognosis for this course of the disease is unfavorable.

Treatment of Coronavirus

Treatment of mild or moderate coronavirus includes symptomatic treatment - drugs to lower the temperature, antitussive drugs, colds, etc.

The treatment of severe forms of coronavirus is based on drug therapy.

Pharmacotherapy of coronavirus:

  • antiviral drugs; (Arbidol, Kagocel, Ingavirin)
  • specific immunoglobulins; (Genferon, Viferon etc)
  • corticosteroids. (Dexamethasone)

Corticosteroids are prescribed for progressive worsening of the clinical picture, prolonged lymphopenia, and a decrease in blood oxygen saturation.

With the development of severe complications, the use of antibiotics is indicated, as well as mechanical ventilation.

Good results were obtained when heavy patients were given blood plasma from patients with atypical pneumonia.

Prevention of Coronavirus (Covid-19)

To date, there are no specific measures for the prevention of coronavirus - a vaccine has not yet been developed? But one can use Arbidol, Kagocel, Tamiflu, Plaquenil.

When the slightest symptoms of the disease appear, it is recommended to be at home.

During a period of high morbidity, it is necessary to limit contacts with surrounding people as much as possible, to avoid crowds, not to visit crowded places.

Coronavirus Prevention Measures:

  • do not visit regions where coronavirus infection is most common;
  • wear personal protective equipment (masks);
  • wash hands regularly;
  • limit contacts at close range;
  • walk more in the fresh air in parks, squares, away from people;
  • strengthen local immunity (observe the temperature regime in the room - 18-20 degrees, maintain the necessary humidity - from 40 to 60%);
  • ventilate the premises more often;
  • moisturize the mucous membranes of the upper respiratory tract with saline solutions.


Difficult breathing

09 Apr 2020

The insidiousness of viral pneumonia. The main symptoms and how to protect yourself

First, we figure out what kind of attack this Covid-19 is. The enemy must know in person

Typical, atypical, viral pneumonia

Typical pneumonia is caused by bacteria, such as pneumococci. Infection provokes inflammation and leads to the accumulation of fluid in the alveoli of the lungs, resulting in respiratory failure.

Atypical pneumonia is caused by many pathogens - chlamydia, mycoplasma, legionella. It may not give a characteristic “typical” temperature, wheezing, wet cough. There may be only signs of intoxication and a dry cough, and then not always.

Viruses also cause SARS.

Such pneumonia is also called interstitial, since the fluid is formed not in the alveoli, but in the space between them - in the interstitium. At the same time, everything is possible on the x-ray in the alveoli, and on CT only slight changes.

How does viral pneumonia develop when infected with COVID-19

Viruses infect the epithelial cells of the respiratory tract, and if the immune system does not cope with them at this stage, they go down, fall into the lungs and continue to multiply there. The lungs themselves are defenseless against infections.

Cells are damaged by the virus and cease to ensure the normal supply of oxygen to the blood. To this is possible the addition of a bacterial infection.

Moreover, the virus, infecting cells, leaves antigens on their surface — the target for the immune system. And she is trying to destroy the virus, directing her cells there, which give destroy the infected cells, which damages the lung tissue even more. An excessive response of the immune system is even more dangerous than the exposure of the virus itself. A successful experience with the use of an immunosuppressive drug (suppressing immunity) is also associated with this.

There is no drug against coronavirus yet.

There are no broad-spectrum antiviral drugs. Different viruses have very few "common places" that could be "hit".

There is experience that a group of drugs against retro viruses is working. Also a good effect from the use of chloroquinolines - drugs against malaria. There is still a Japanese anti-flu drug that will probably be used with us.

But this heavy artillery should only be used under medical supervision.

As well as the connection to mechanical ventilation, which, restoring the oxygen balance, gives doctors time for treatment.

How to recognize viral pneumonia

One advice - if your condition worsens, urgently call a doctor

Moreover, with viral pneumonia there can be not only classical symptoms - cough, shortness of breath, high fever. This is an insidious disease, can develop imperceptibly. You should be alert if, even at low temperatures

  • you are very shy
  • you have an unusual weakness, a desire to lie down and not get up
  • pale or bluish complexion
  • shortness of breath and shortness of breath.

Be sure to call a doctor!


What is the temperature for coronavirus?

09 Apr 2020

One of the main signs of coronavirus infection is considered to be an increase in body temperature. The combination of fever with a dry cough is the basis for seeking medical attention. Nevertheless, there is no accurate information about the framework for increasing body temperature. Variations are possible depending on the age and history of the patient. In some cases, such a sign is completely absent.

It is important to understand that many people have a completely hidden course of infection when there is no manifestation of the disease. The absence of symptoms can be with active damage to the lung tissue. This is especially true for young people. Therefore, there are other criteria for primary diagnosis.

Temperature Rise Frame

Most patients with a serious course of the disease show a temperature above 38 degrees Celsius. This is a mild or moderate febrile temperature, indicating the active spread of the infectious process in the body. A rise in temperature above thirty-nine degrees with the persistence of a symptom for one to two or more days often indicates inflammation of the lung tissue. This is a formidable complication of coronavirus infection, which can lead to death.

In some cases, there may be a normal temperature or a slight increase, below thirty-eight degrees. It all depends on the strain of the infectious agent and the patient's medical history.

Coronavirus fever mechanism

The body's defense system specifically responds to the ingress of pathogens and their toxic particles into tissues and organs. There is a change in the features of thermal regulation associated with processes in the nervous and immune systems. This mechanism is aimed at destroying the pathogen, however, fever itself negatively affects the well-being of a person. Temperatures above forty-one degrees often cause death in a child.


  • Body temperature is not the only sign, so you need to consult a specialist if there is possible contact with an infected person, the appearance of cough, weakness or shortness of breath.
  • It is desirable to lower the temperature with paracetamol in the absence of contraindications. It is undesirable to use non-steroidal anti-inflammatory drugs, including aspirin and ibuprofen. Dangerous complications may occur with coronavirus.
  • You can eliminate the fever for a short time, but you should definitely consult a doctor. Do not self-medicate.

It is necessary to call a doctor at home indicating complaints. You can also find a regional health hotline or epidemiology department number. Specialists will tell you what to do in the presence of such complaints.


Do masks from coronavirus help?

09 Apr 2020

The first thought in most people when mentioning the methods of preventing coronavirus is to wear a medical (surgical) mask. Indeed, this useful device is used everywhere. Most often, masks can be seen on the face of surgeons and general practitioners, especially therapists and infectious disease specialists. Messages that masks help only those who are sick cannot spread the virus are unreliable.

Unfortunately, the availability of masks and other means of protection against viral invasion leaves much to be desired. For this reason alone, other prevention methods are being promoted as the most important.

Features of the masks

Ordinary masks are formed by a three-layer fabric: the filtering component in the middle and the outer layers. Such devices are used only once in hospitals. Surgical masks are also made, which have an additional layer to protect the integumentary tissues from liquid. There are specially processed and non-sterile devices. The most reliable mask is considered surgical.

You can use this method of protection for 2-3 hours. Up to a maximum of six hours. After that, wearing a mask only increases the risk of infection. Need to make a replacement.

Mask efficacy against Coronavirus

The effectiveness of the use of such devices is relative. There are conflicting studies. Some data indicate a significant reduction in the risk of infection with timely replacement. Other results show that among doctors, the incidence does not depend on wearing masks. Nevertheless, the World Health Organization recommends using this method of prevention.

It should be understood that the use of this device according to the rules is much better than the absence of any protection of the mouth and nose.

Other methods

  • Use of a medical respirator class FFP3.
  • Prevention of contact with infected people.
  • Refusal to visit crowded places.
  • The use of antiseptics.
  • Washing hands and face after street.

FFP3 class medical respirators, when used correctly, show much greater protection effectiveness compared to masks.


The incubation period of the coronavirus: what is it, duration, signs of completion

07 Apr 2020

The incubation or latent (latent) period of the disease is characterized by the absence of any manifestations. In the case of an infectious process, the pathogen accumulates and spreads in the body at this time. Clarification of the duration of this period is important for the timely detection of coronavirus. It should be borne in mind that, according to scientists, people in the later stages of the incubation period can begin to infect others.

There is no clear framework for ending the hidden course of the infectious process. Sometimes the symptoms are completely absent, but the person remains a carrier of viral particles.

What is it?

In the rough sense, this is a period of time that begins immediately after the penetration of pathogens into the body and ends with the formation of the first manifestations of the disease. In most cases, the mechanism of the absence of signs during the latent course is associated with the fixing of the pathogen in the cells and the spread of the pathological process. The onset of symptoms indicates an active manifestation of the pathogenic properties of the virus and the reaction of the body's defense system to invasion.

Duration with coronavirus

The average duration of the indicated period with coronavirus infection is 5 days. Perhaps the appearance on the second or third day of obvious signs. In some cases, a latent course is observed within two or three weeks from the time of invasion. Moreover, in the later stages, a person begins to spread the infection by airborne droplets without noticing it.

The problem of prolonged concealment of symptoms is largely associated with individual characteristics of the immune system. In children and adolescents, the manifestations of the disease may be completely absent while maintaining the ability to transmit pathogens to other people.

Signs of graduation

  • Raising body temperature to 38 degrees Celsius and above.
  • Dry cough.
  • Chills.
  • Fatigue.
  • Soreness in muscles and joints.
  • Unpleasant sensations in the throat.

Other symptoms vary depending on the strain and condition of the patient. Manifestations of infection may not differ from the common cold. Hidden carriage often occurs in people under thirty years of age. The danger lies in the fact that a person himself does not notice the end of the incubation course, while adverse changes are already taking place in the lung tissue. In this regard, it is important to undergo examinations in case there was a possible contact with the pathogen.


New methods: what advises to treat for COVID-19

07 Apr 2020

Released new recommendations for the fight against coronavirus. Experts have expanded the list of drugs that can be used to treat COVID-19, and advised doctors to treat personal protective equipment more rationally. In order to protect doctors from infection in hospitals, remote consultations will be introduced for people with symptoms of the virus.

Some drugs are currently undergoing clinical trials in patients with COVID-19. According to the information indicated in the document, they were determined based on an analysis of the experience of managing patients with SARS associated with coronaviruses.

These include lopinavir + ritonavir, chloroquine, hydroxychloroquine, and interferon preparations. Among the drugs that are undergoing clinical trials in patients with COVID-19, umifenovir, remdesivir, favipiravir can also be noted.

In addition, sections on antibacterial therapy for complicated forms of infection in pregnant women appeared in the updated document. Particular attention is paid to the fact that treatment should be prescribed to patients within the first two to three hours after hospitalization. In this case, women in labor with a severe course of the disease, antibacterial drugs are administered only intravenously.

According to the drafters of the recommendations, the presence of coronavirus significantly increases the risks during childbirth. In emergency situations, doctors advise patients to have a cesarean section.

Separately, the document also addressed the issue of the safety of doctors in contact with infected people. According to the recommendations, when a patient is admitted to a medical facility with signs of infection, the medical professional who is sent to contact the patient should wear a special suit - a hat, a plague (surgical) gown and a respirator. In addition, he must treat his hands and exposed parts of the body with disinfectants. After inspection, all equipment must be disinfected.

Doctors are also advised to rationally use personal protective equipment - for example, use the same respirator to work with several patients. Hospitals will also be required to reduce the number of physicians in contact with infected people and introduce distance counseling for those who suspect they have COVID-19.


Coronavirus 2019-nCoV and coronavirus infection

07 Apr 2020

What is coronavirus?

Coronaviruses are a family that includes, in January 2020, 39 types of viruses combined into 2 subfamilies that infect humans, cats, birds, dogs, cattle, pigs and hares.

Visually, its structure (and these are spherical microbes containing a single-stranded RNA molecule) resembles the structure of an astronomical (solar) corona, hence the Latin name Coronaviridae, and in Russian coronavirus. In the English-language media appears such a name as Corona Virus.

Coronaviruses are an infection, their viruses they cause a number of diseases from colds to severe acute respiratory syndrome (SARS).

Children are sick 5-7 times more often than adults. The incubation period caused by coronavirus infection depends on the form of the virus and lasts from one day to several weeks. Immunity after a short illness does not protect against reinfection. The World Health Organization (WHO) has recommended that all countries prepare to confront the epidemic.

This image was created at the Center for Disease Control and Prevention (CDC). It shows the ultrastructural morphology demonstrated by the new 2019 coronavirus (2019-nCoV).


Where did the coronavirus come from?

Coronavirus - initially a fairly common thing, causes a huge number of diseases in humans and other mammals. As a rule, these are acute respiratory viral infections that occur just like any flu, parainfluenza with a runny nose, fever. Sometimes these diseases manifest as intestinal infections.

What is the fuss about right now? The disease began in the Chinese city of Wuhan.

How many heard the word Wuhan before? Nobody really heard this word (except the Chinese, of course).

Wuhan is the largest city of mainland China in Hubei Province. The population of more than 11 million people. Wuhan Airport serves 21-22 million passengers a year (for example, the airport in Boryspil serves 13 million passengers). In the city of Wuhan there are about 10 national universities; there is a subway connected by high-speed trains to Guangzhou and Beijing.

Wuhan Fish Market

In this Wuhan, the first cases of the disease arose in the fish market. The question arises: what kind of fish market is this in continental Wuhan?

The city of Wuhan stands in the place where the Hanshui creek, one and a half thousand kilometers long, flows into the famous Yanji River (the length of the river is more than 6 thousand kilometers). And there is a fish market, but it is called "fish" conditionally, since it is the fish that are few there, but there is a lot of everything else.

There are more than a thousand shops and stalls in this market, where they sell cats and dogs, where they sell bats, dried wolves and a wide variety of mammals, snakes, etc.

It was there that the first infection occurred from some kind of beast (a mammal, not a fish). And the most danger is that among the first cases there were family members of those who worked in this market. That is, in relation to this virus transmission from person to person has been proven.

What is the danger of coronavirus?

  • The virus is new. No one on Earth has immunity to it. Really everyone can get sick.
  • The possibility of transmitting the virus from person to person has already been proven
  • There are already proven deaths from the virus.
  • Opinions appeared that the virus belongs to a unique line of coronaviruses and was not obtained as a result of recombination with the SARS virus

On the nose was the Chinese New Year. And for the people of China, this is travel time. The chances of the virus spreading around the world are simply huge.

Plus it's the flu season. And since this virus doesn’t have any visible and distinctive symptoms, to say for sure that this is precisely this Chinese disease, in its symptoms (runny nose, cough, fever) it mimics other acute respiratory infections. Without any special tests, coronavirus is almost impossible to diagnose.

Respiratory system treatment. Covid19

Coronavirus Facts

!) All roads in Wuhan cannot be blocked. Residents of neighboring cities began to break the asphalt to stop any communication with infected cities. Spontaneous self-defense units with weapons are created to prevent the arrival of diseased neighbors.

!) China informed WHO of the appearance of the virus only on December 31, 2019.

!) Only on January 20, the Chinese authorities confirmed that the virus is transmitted from person to person.

!) On January 23 at 23:00 (UTC + 8), the Chinese government announced the closure of the city of Chibi (population 0.5 million people).

!) On January 30, it became known that a group of scientists from Australia managed to propagate the coronavirus in the laboratory from existing samples. In fact, scientists have grown the virus. The data received was transmitted to WHO.

!) As of January 30, coronavirus has spread to 22 countries.

!) The Philippine branch of the World Health Organization (WHO) reported the first death from coronavirus outside of China in the Philippines. On February 1, a 44-year-old man died.

!) In Singapore, they found a coronavirus in a six-month-old baby. Chinese doctors said the threat of mother-to-child transmission.

Coronavirus infection COVID-19

How is the disease COVID-19 caused by coronavirus and how is it manifested? In terms of symptoms, the new 2019-nCoV virus from China disguises itself as a cold. Symptoms in adults and children are the same. At risk are people with reduced immunity and chronic diseases.

In patients, the temperature suddenly rises (now this is the main criterion for a quick check for coronavirus and the likelihood of being quarantined). On January 29, China reported that some patients with coronavirus did not have a fever.

A dry cough also torments the sick person. The virus insidiously gradually gets to the lungs, so with every hour the likelihood of developing pneumonia increases (the virus can already be called SARS).

The first victim of a coronavirus outside Hubei was an 80-year-old man. He stayed with his relatives for 2 months in Wuhan and died on his return home. On January 21, an American who returned from Wuhan to the United States on January 15 to Seattle was diagnosed with the first 2019 nCoV infection outside of Asia.

On January 30, The Lancet magazine published a full review of clinical data on a new disease - the 2019 coronavirus nCoV. The analysis includes 99 laboratory confirmed cases. Of them:

  • the average age of a patient with coronavirus is 55.5 years (of which 67 are men and 32 are women),
  • half of the patients had cardiovascular, cerebrovascular diseases (40 people), as well as diabetes (12 people),
  • in 74 patients, pneumonia was bilateral
  • 82 people had a fever
  • 31 people had shortness of breath,
  • 81 people had a cough
  • the majority of patients are managers and sellers, among the complaints are headache, muscle pain, diarrhea, vomiting, sore throat,
  • 75 patients took drugs
  • 70 patients took antibiotics,
  • 75 patients received oxygen therapy,
  • 17 people developed acute respiratory distress syndrome (ARDS)?
  • 11 people died from multiple organ failure.

The 2019-nCoV infection had a cluster onset, it is more likely that it will affect older men with concomitant illnesses and can lead to severe and even fatal respiratory illnesses, such as acute respiratory distress syndrome.

Coronavirus symptoms

In addition to fever, fever and fever, the following symptoms are observed in patients with coronavirus infection COVID-19:

  • lethargy, decreased activity and performance
  • diarrhea
  • nausea
  • digestive problems, abdominal pain
  • headaches (cephalgia)
  • palpitations
  • chest tightness
  • muscle pain (myalgia)
  • weakness, apathy
  • joint aches

On January 31, 2020, it became known that there is one patient (a boy of 10 years old) without symptoms known and characteristic of coronavirus. Nevertheless, he is sick and able to infect others. His case shows that the disease can spread unnoticed. It is believed that this incident could mean a rapid mutation and adaptability of coronavirus infection.

The incubation period for coronavirus

The incubation period lasts an average week. Minimum - 1 day. Maximum 3 weeks. At this time, the virus does not manifest itself in any way. China's chief virologist has made a statement that the epidemic will decline in 20 days. At the peak of the disease, the patient may experience severe cramps in combination with an extremely high temperature. According to recent reports, the coronavirus began to mutate. Incubation period recent data.

How to find coronavirus in tests?

  • primary temperature measurement
  • using a PCR test (polymerase chain reaction) in the laboratory

Express methods are currently being developed to determine coronavirus infection.

Can coronavirus be cured?

The Chinese virus was first detected in December. As early as January 13, Chinese scientists completely deciphered the virus genome and handed it over to everyone who wanted to study it. Today it’s already clear what coronavirus is, and it’s possible to create:

  • diagnosis (drugs that will allow you to quickly make a diagnosis)
  • the vaccine
  • different medecines (mentioned below)/

Coronavirus Medication

The Russian Ministry of Health named four drugs for the treatment of Chinese coronavirus:

  • Ribavirin (an antiviral drug for treating severe infections caused by the respiratory syncytial virus, viral hepatitis C, as well as other viral infections).
  • Interferon beta 1b (an antiviral drug from the interferon family, used as an injection to alter the course of multiple sclerosis).
  • Arbidol – antiviral drug
  • Amixin – antiviral drug
  • Lopinavir (is an anti-retroviral class protease inhibitor. It is used against HIV infection as a fixed-dose combination with another protease inhibitor, ritonavir)
  • Ritonavir (an antiretroviral drug that is used together with other drugs to treat HIV / AIDS (such combination treatment is known as highly active antiretroviral therapy) and genotype 4 viral hepatitis C (HCV)

The last two drugs, as mentioned above, are used to combat HIV infection and are not sold in pharmacies just like that. All medicines should be used with caution due to side effects. Antimicrobials can also be used: Moxifloxacin, Levofloxacin, Amoxicillin.

The choice of drugs and the course of treatment depends on the patient's condition and the severity of the disease.

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