Новости Kоронавирус COVID-19

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Telehealth

During the coronavirus pandemic, telemedicine can increase access to health care at a time when many patients, like older adults, are being advised to stay home. Keeping potentially infected people out of crowded waiting rooms and away from health care providers such as doctors, nurses, physician assistants and others can reduce the risk of spreading COVID-19 further.

This week, the Trump administration announced expanded Medicare telehealth coverage to allow beneficiaries to receive a wider range of health care services without having to travel to a health facility. Clinicians will be reimbursed for providing telehealth services to beneficiaries throughout the U.S.

There are limits to telemedicine. In emergencies such as severe injuries or if you have shortness of breath or experience chest pain or pressure, or when a hands-on physical exam or procedure is necessary, patients will still need to receive in-person care.
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Face masks
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Disposable face masks help prevent the spread of viruses like COVID-19 when worn by an infected person. While used in health care settings, it's less clear whether public use of basic surgical masks helps prevent a healthy wearer from being infected.

Respirator masks, also called N95 masks, are made from cloth-like filter material that protects wearers from inhaling infectious particles.

Mask use comes with caveats:

Face masks are meant for episodic, not ongoing, use. Medical professionals put on a mask when entering the room of a potentially infected patient. When they leave the room, the mask comes off. "If we wear it all day and we're continually touching it, or we take it off and put it back on, all we're doing is transferring virus onto our hands," Morrison says.
Face masks must be intact and fit properly to work. Before putting on a mask, inspect it for holes or tears. Your mouth and nose should be fully covered, without any gaps at the sides, top or bottom of the mask.
https://health.usnews.com/conditions/slideshows/coronavirus-prevention-steps-that-do-or-do-not-work?slide=8
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Cleaning and disinfection
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Inanimate surfaces can become "reservoirs for contamination" unless they're routinely cleaned, warns Karen Hoffmann, an infection preventionist and immediate past president of the Association for Professionals in Infection Control and Epidemiology, or APIC.

The staying power on surfaces for the novel coronavirus is still being tested. To get an idea, a new study looks at combined research on older human coronaviruses including SARS and MERS. Coronaviruses can persist on inanimate surfaces such as glass, metal or plastic for up to nine days, according to the study published in the March issue of the Journal of Hospital Infection.

Fortunately, known coronaviruses can be effectively inactivated within one minute by surface disinfection products containing any one of these ingredients, researchers concluded: ethanol (62% to 71%) hydrogen peroxide (0.5%) and sodium hypochlorite, or bleach (0.1%).

The Environmental Protection Agency offers a list of disinfectants that meet EPA criteria for use against SARS-CoV-2, the virus that causes COVID-19. The list includes many name-brand cleansers and wipes.
https://health.usnews.com/conditions/slideshows/coronavirus-prevention-steps-that-do-or-do-not-work?slide=9
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Visitor restrictions
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Nursing homes by their very nature provided a perfect storm of infection susceptibility. Clusters of vulnerable people living at close quarters – often older adults with underlying medical conditions – can facilitate spread of COVID-19. Nursing homes are restricting visits from family members and friends as recommended by the Centers for Disease Control and Prevention and the Centers for Medicare & Medicaid Services in response to the COVID-19 pandemic.

Other senior residential complexes face increased risk, too. Assisted living facilities are following suit and asking family members to stay away. Staying connected virtually through video calls or social media can help during this time.
https://health.usnews.com/conditions/slideshows/coronavirus-prevention-steps-that-do-or-do-not-work?slide=10
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Stocking up, not hoarding
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Stocking up on food and household supplies is smart. Hoarding supplies such as hand sanitizer or toilet paper is uncalled-for.

To prepare for sheltering in place or possible shortages, experts recommend stocking up on prescribed medications, self-care items like over-the-counter medications and supplies (like diabetes testing strips), nonperishable food, hand hygiene and home-cleaning supplies and cash, and filling your vehicles with gasoline.

Hoarding more hand sanitizer than you could ever need, or collecting cases of personal items such as disposable masks, gowns and gloves, disrupts overall infection-control efforts.

"If everyone goes out and buys an unnecessary mask, there won't be masks for people who need them," Morrison says. That includes depriving patients who are ill – to prevent them from spreading any infection – and the medical professionals taking care of them.
https://health.usnews.com/conditions/slideshows/coronavirus-prevention-steps-that-do-or-do-not-work?slide=11
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Travel precautions

As COVID-19 emerges in many parts of the world, individual nations are imposing travel restrictions and enforcing screening of incoming travelers. In the U.S., the CDC is continually updating its advisories for various types of travel:

Cruise ships. As of March 19, the CDC recommended that travelers defer all cruise ship travel worldwide. The U.S. Department of State also recommends against cruise ship travel for several reasons, including the possibility of passengers being subject to quarantine procedures by local authorities.
International air travel. If you're arriving in the U.S. after leaving a country with a Level 3 travel health notice (with widespread, ongoing transmission), you'll be asked to stay home and practice social distancing for 14 days after leaving the outbreak area.
Domestic air travel. The CDC website provides a detailed list of what to consider when deciding whether it's safe for you to travel in the U.S. For example: Is COVID-19 spreading where you're going? Will you be in close contact with others during your trip?
https://health.usnews.com/conditions/slideshows/coronavirus-prevention-steps-that-do-or-do-not-work?slide=12
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COVID-19 prevention approaches

Preventing or limiting COVID-19 infection takes a combined effort with approaches like these:

Social distancing.
Quarantine.
Home isolation.
Hand hygiene.
Respiratory etiquette.
Telehealth.
Face masks.
Cleaning and disinfection.
Visitor restrictions.
Stocking up, not hoarding.
Travel precautions.

https://health.usnews.com/conditions/slideshows/coronavirus-prevention-steps-that-do-or-do-not-work?slide=13
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What Are the Symptoms of Coronavirus?
Fever, a dry cough and shortness of breath are among the most common, but some people with the coronavirus feel no symptoms at all.
What are the symptoms of coronavirus?
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The virus that is wreaking such devastation across the globe is a type known as a coronavirus. It is just one of a large number of similar viruses that may cause illness in animals and humans. Most human coronaviruses, which cause respiratory infections, produce only mild to moderate symptoms. But this one, known as SARS-CoV-2, and the disease that results, COVID-19, can lead to much more serious symptoms – sometimes with fatal consequences

Fever, fatigue and dry cough

According to the World Health Organization, the most common symptoms of COVID-19 are fever, feeling extremely tired and dry cough. These are considered lower respiratory tract symptoms. Some patients may also feel body aches and pains.
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Nasal congestion, runny nose and sore throat
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The virus may also cause upper respiratory symptoms, like a sore throat, runny nose or congestion in the nasal passages, though this appears to be “a small percentage of patients,” says Dr. John Swartzberg, clinical professor emeritus of infectious diseases and vaccinology at University of California—Berkeley School of Public Health.

Diarrhea
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“Only a small percentage have diarrhea,” Swartzberg says. Diarrhea and all of the previously mentioned symptoms are, in the vast majority of people, mild to moderate in severity. About 80% of people recover in a week or two and need no special treatment other than typical symptom control, such as fever reducers, cough suppressants and adequate hydration, WHO says.

Shortness of breath
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About 1 in 6 people who gets COVID-19 becomes seriously ill and develops a high fever and difficulty breathing, WHO reports. This could be a sign of pneumonia. Those more likely to become seriously ill include people over age 65 and those with underlying medical problems like high blood pressure, heart disease or diabetes. Anyone who has fever, cough and difficulty breathing should seek medical attention for suspected COVID-19, WHO advises. Feeling short of breath without accompanying fever or cough is probably being caused by something else – but it still needs to be monitored, so call your doctor.

Lost sense of taste and smell
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Many people who come down with COVID-19 are reporting a loss of the sense of smell, known as anosmia, and of taste, which is highly dependent on smell. Though only anecdotal to date, this is not surprising. “One of the more common causes of smell loss is a virus, including other coronaviruses that cause the common cold,” says Steven Munger, director of the University of Florida Center for Smell and Taste.

In some people who have tested positive for the virus, in fact, loss of smell is the only symptom. On March 22, the American Academy of Otolaryngology–Head and Neck Surgery recommended that anosmia be included in the list of symptoms used to screen people for possible testing or self-isolation.

Neurological symptoms
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The New York Times recently reported that "a small subset" of patients around the world with the coronavirus have developed seizures, confusion, brain swelling and other neurological impairments. Little is known about these symptoms as of now, and the vast majority of coronavirus patients have no neurological symptoms.

No symptoms at all
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As many as 25% of those infected with the coronavirus never develop any symptoms at all, Dr. Robert Redfield, the director of the Centers for Disease Control and Prevention, told National Public Radio on March 30. Redfield said that this helps explain how the coronavirus has spread so far and fast, and why even those who feel fine should stay at home.

Symptoms can take up to 2 weeks to develop.
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It takes, on average, about five or six days from when a person is exposed to the coronavirus to when he or she shows symptoms, according to the CDC; this is called the incubation period. But symptoms can appear as early as two to three days or as late as 13 days after exposure – or, as previously stated, not at all. That’s why the CDC recommends anyone who may have been exposed to the virus stay in self-quarantine for 14 days. Remember, you can spread the virus to others even if you have no symptoms.

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Новости Kоронавирус COVID-19

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В России зафиксировали 5849 новых случаев коронавируса


В Российской Федерации за прошедшие сутки медики выявили 5849 пациента с коронавирусом в 85 регионах. Об этом в пятницу, 24 апреля, сообщили в оперативном штабе по борьбе с распространением инфекции.

Москва по-прежнему остается лидером по количеству случаев нового заражения, в столице заболели 2 957 человек. За ней идут Московская область (611) и Санкт-Петербург (253).

Общее число заболевших в России достигло 68 622 человек. Выздоровели 5568 пациентов. За сутки умерли 60 человек, за всё время эпидемии зафиксировано 615 летальных исходов.

По данным Роспотребнадзора, в России более 161 тыс. человек остаются под наблюдением из-за подозрения на коронавирус. Количество сданных тестов на инфекцию в стране превысило 2,5 млн. При этом за последние сутки было выполнено 150 тыс. проверок.

Накануне в России замедлился рост числа больных коронавирусной инфекцией, а общее число заболевших в России достигло 62 773 человек.
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Новости Kоронавирус COVID-19

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