WE ANALYZED 3.74 MILLION WORDS OF CONTENT AND 4 DIFFERENT CASE STUDIES OF
TOTAL 44,909 CONFIRMED CASES

Here’s What We Learned
About Coronavirus Disease 2019

(COVID-19)

corona

Worldwide COVID-19 Statistics

Cases
5,559,797
+65,342 (24h)
Deaths
348,420
+1,988 (24h)
Recovered
2,333,379
41.97%
Active
2,877,998
51.76%

CHAPTER 1:

Understanding Coronavirus

Since the past, humans have encountered many types of viruses, epidemics, and pandemics, and are currently battling an outbreak of a deadly disease called Coronavirus Disease 2019 (COVID-19).

The Coronavirus Disease 2019 (COVID-19), which was first reported on 31 December 2019 in Wuhan city of China, has now been declared a global health emergency by the World Health Organization (WHO).

To better understand the Coronavirus Disease 2019 (COVID-19), we analyzed 3.74 million words of content, smashed them together, shook them up, and came up with some astonishing insights. Our focus was to understand exactly how Coronavirus spreads and how it can affect your health.

And now it’s time to share what we discovered.

In this comprehensive guide, you will learn everything you need to know about Coronavirus Disease, from coronavirus basics to its symptoms to its spread to its prevention.

And by the end of this guide, you will get answers to all the questions that are arising in your mind right now.

So without further ado, let’s dive right in.

What is a Coronavirus?

People without thinking and without studying are making comments on social media that “coronavirus is just a common cold.”

Yes, cold is an early symptom of novel coronavirus infection, but that does not mean that coronavirus is just that. Therefore, to understand the coronavirus completely, it is important to know its history first.

Coronavirus is a family of viruses, which, when viewed from the microscope, crown, or halo-like spikes are seen on their surface.

According to the Centers for Disease Control and Prevention (CDC), the first human coronavirus was seen in the mid-1960s. After that, seven such coronaviruses have been identified that can infect humans.

The four coronaviruses that are common and not too dangerous are:

  • 229E (alpha coronavirus)
  • NL63 (alpha coronavirus)
  • OC43 (beta coronavirus)
  • HKU1 (beta coronavirus)

These four viruses usually cause common cold in humans, and almost all people, at least once in their lives, are definitely infected with one or more of these viruses.

Coronavirus fact: There is no cure for the common cold.

Then, three coronaviruses can cause great harm to humans:

  • SARS-CoV (beta coronavirus)
  • MERS-CoV (beta coronavirus)
  • SARS-CoV-2 (virus strain that causes COVID-19)

Let us first tell you about these three diseases in brief:

Severe Acute Respiratory Syndrome (SARS), a viral respiratory illness caused by the SARS-CoV virus, was first seen in China in 2003.

Middle East Respiratory Syndrome (MERS), a viral respiratory illness caused by the MERS-CoV virus, was first seen in Saudi Arabia in 2012.

Corona Virus Disease-2019 (COVID-19) is an infectious disease caused by novel coronavirus (SARS-CoV-2), was first seen in Wuhan, China, in mid November 2019.

Coronavirus fact: We are still in the early stages of the COVID-19 outbreak, and unlike any other common cold, there is currently no medication or vaccine available to prevent or treat this new virus.

You must be thinking, how dangerous is this COVID-19 outbreak, and how much should you worry about it?

Well, for this analysis, we analyzed some worst coronavirus outbreaks in history and compared them with the current ongoing COVID-19 outbreak.

For your information, below we are listing the ten worst virus outbreaks of history so far:

NameYearInfectedDeathFatality Rate
Marburg196759047881%
Ebola197633,68714,69344%
Nipah199949626553%
SARS20028,09877410%
H5N1-Bird Flu200386145553%
A(H1N1)pdm092009~1 Million~203,0001 to 10,000 Deaths/ 100,000 People
MERS20122,49485835%
H7N9-Bird Flu20131,56861639%
Seasonal FluYearly~1 Billion290,000- 650,000 10 Deaths/ 100,000 People
COVID-192019-Ongoing4,430,166298,1836.73%

Severe Acute Respiratory Syndrome (SARS), which was first identified in 2002, had about 8098 people infected, of which around 774 people died. This coronavirus outbreak had a fatality rate of about 10 percent.

Similarly, about 2494 people were infected with the Middle East Respiratory Syndrome (MERS), which was first identified in 2012, out of which around 858 people died. The fatality rate of this coronavirus outbreak is much higher than SARS, which is close to 35 percent.

And currently, 109,609 people have been infected from the ongoing Corona Virus Disease-2019 (COVID-19) from December 2019 to March 8, 2020, out of which about 3800 have died. And COVID-19 currently has a fatality rate of around 3.46%.

And if we compare these three coronavirus outbreaks then we get the following data:

  1. COVID-19 has the highest number of coronavirus infections, followed by SARS and MERS.
  2. COVID-19 also has the highest number of coronavirus deaths, followed by SARS and MERS.
  3. COVID-19 has the lowest fatality rate among all coronavirus infections.
  4. When comparing coronavirus infections against one another, COVID-19 is the most widely spread virus in less time.

Although the fatality rate of COVID-19 is lower than that of SARS and MERS, the nature of this virus indicates that it is growing very rapidly.

To understand the increasing number of infections from the COVID-19 outbreak, we have created a line graph for you.

the data is based on WHO situation reports from 21 Jan to 17 Feb

According to the WHO’s COVID-2019 situation reports, the number of people affected on January 21, 2020, which was 282, the same number increased to 76,769 on February 21, 2020, next month, and not only that, this number was later expanded to 4,425,485 in just four months.

That means about a 15692% increase in the number of infected people in just 4 months. 

Isn’t that HUGE?

Well, don’t look at the digits, but try to understand how fast the number of people infected with COVID-19 is increasing by looking at the graph.

Day by day, along with the number of people infected with COVID-19, the number of dead is also increasing.

the data is based on WHO situation reports from 21 Jan to 17 Feb

According to the same situation report of WHO, the number of people who died from COVID-19 which was only 3 on January 21, the same number increased to 2247 on February 21 next month and not only this, in just four months, the number of dead has touched the figure of 302,059.

Which shows a fatality rate of about 6.82 percent

Coronavirus update: The death rate which was close to 2.5 percent in the initial 4 weeks has now risen to 6.82 percent.

Here is the line graph which describes the current situation very well:

COVID-19 Worldwide Current Situation

This line graph displays the current confirmed cases (in blue), deaths (in red), and recovered cases (in green).

The WHO has repeatedly underlined the importance of “flattening the curve” in order to tackle the coronavirus outbreak. But looking at the curve, it does not seem that the situation is under control.

In fact, as of now, out of every 100 infected people, at least 6 to 7 people are dying due to COVID-19.

You may find this fatality rate lower than SARS and MERS, but the pace with which COVID-19 is infecting people, it is possible that in the coming few months, tens of millions of people will be affected by this virus. (which is actually happening)

In fact, the World Health Organization has said  that it may take about 18 months to prepare a COVID-19 vaccine.

This means that all countries will have to use their already available resources until the vaccine of COVID-19 is made.

So in such a situation, the responsibility of protecting yourself from infection remains your own. And how you can prevent your coronavirus infection, we will mention it in the upcoming chapters of this guide.

So let’s move ahead now.

Where Did This New Coronavirus Come From?

In late December 2019, China’s public health officials informed the World Health Organization about an unknown virus that is causing diseases like pneumonia in people.

And the following week, on 7 January, the WHO announced that the pneumonia outbreak in Wuhan city of China is due to a newly emerging virus of the coronavirus family. They also added the virus is spreading rapidly in and out of the city.

Since then, medical scientists around the world have been trying to find out where the new coronavirus came from. Many of them believe that the origin of this outbreak can be the Huanan Seafood Wholesale Market.

COVID-19 Update: China informed the WHO about the disease in late December 2019. However, there's now evidence which suggests it actually began in November.

Which Animal Transmitted the Virus to Humans?

According to a report by The Lancet, as of January 2, 2020, in Wuhan, 41 patients admitted to the hospital were found to be infected with COVID-19, and 27 of them had direct contact with the Huanan Seafood Wholesale Market.

Researchers believe the COVID-19 infection spread to humans from animals being sold in Huanan Seafood Wholesale Market.

In further observation, samples of animals of the market were also taken between January 1 to January 12. And at the end of the month, the Chinese Center for Disease Control and Prevention made it clear that 33 out of 585 animal specimens were infected with the coronavirus.

Even after discovering that COVID-19 has been transmitted from animal to human, it is unclear what type of animal the virus originated from.

A research team from China, looking at the genetic code of the virus, claimed that the coronavirus came from snakes. While in another analysis, it was found that the genetic sequence of this new virus matches 96 percent of the coronavirus found in the bats.

Considering both these analyses, for coronavirus outbreak, either of the snakes and bats can be considered as a culprit. And, since some snakes eat bats, bats are probably supposed to be the origin.

But, to be fair, snakes and bats have not tried to spread this disease, but humans have bought them from live animal markets to feed their hunger and have themselves become the victim of infection.

Therefore, to not have such outbreaks in the future, it is necessary to ban such live animal markets across the world.

COVID-19 Update: On February 7, 2020, researchers in Guangzhou, China, suggested that pangolins can be the most probable animal source of the coronavirus outbreak.

Pangolins Can Be Potential Intermediate Host Between Bats and Humans for Coronavirus Spread

Researchers have already suggested that COVID-19 originally came from bats. But the virus was probably transmitted to humans by another animal.

Yes, you heard that right.

In research jointly conducted by Shen Yongyi and Xiao Lihua of South China Agricultural University in Guangzhou, shows that pangolins are the potential intermediate host for a new type of coronavirus. According to their research, the genetic sequence of the virus found in pangolins had 99% similarity with the genetics of new coronavirus.

Whether the pangolin was the species at which coronavirus jumped, it’s not clear. So in a study, virome data sets of pangolins and bats were reanalyzed in which it was found that the samples of bats were more similar to the SARS-CoV-2 virus than to the pangolin coronavirus.

Therefore, it is certain that the primary origin of coronavirus are bats. But if we believe that pangolins are also involved in coronavirus spread then, the virus may have jumped from bats first into pangolins and later from pangolins into humans.

But what is the connection between Pangolins and China? Let’s understand:

Pangolins are the only mammals wholly-covered in scales- which they use to protect themselves from predators in the wild.

In China, traditional medicines are made from scales of Pangolins, which are used to treat problems like arthritis, menstrual pain, and skin conditions. Not only this, pangolin meat and blood are considered a delicacy in China.

This is why Pangolins are in high demand in China.

But do you know that Pangolins are a very rare and endangered species of mammals? They are one of the protected species under national and international laws. In China, if a person is found selling Pangolins in any way, he can be imprisoned for up to 10 years.

So the question arises that despite such strict rules, how are the people of China fulfilling the demand for rare and endangered Pangolins?

Well, the answer is very simple: illegal poaching and trafficking of Pangolins.

According to the South China Morning Post, the population of pangolin has decreased by 90 percent in China from 1960 to 2004, due to the commercialization of pangolin.

Although officially, it is not possible to sell pangolin in the Hunan seafood wholesale market. But it may be possible that due to the high demand for pangolin, people are selling them in the market illegally.

And what if the illegally sold pangolins are already infected with coronavirus? Yes, it is possible.

According to a research report published on 24 October 2019, coronavirus is probably responsible for killing a large number of Malayan pangolins.

So it is possible that the pangolins being sold in the market may be one of them which may not have died at that time but have been infected with the coronavirus.

Therefore, looking at the facts, it can be concluded that in the Hunan Seafood Wholesale Market, people were illegally selling “coronavirus infected pangolins” along with other animals without the intention of harming anyone.

And accidentally, the coronavirus outbreak happened from there.

And if, in reality, illegal animal trade is the reason for the coronavirus outbreak, then it will be challenging to get to the root of the virus outbreak because people may have already erased all the evidence from the market for fear of being caught in illegal trading.

CHAPTER 2:

People Most Vulnerable To Coronavirus

Who are Most at Risk of Coronavirus?

Looking at the first cases of COVID-19, it seemed that the disease is not as severe as SARS and MERS. But the increasing number of confirmed cases of COVID-19 and evidence of human-to-human transmission of the virus proved that 2019-nCoV is more contagious than the other two coronaviruses SARS-CoV and MERS-CoV.

To find out how dangerous this coronavirus is for different individuals, China’s health officials released a report after studying 44,672 confirmed cases of COVID-19 in Mainland China as of February 11, 2020.

To our knowledge, this is the first most significant study since the coronavirus outbreak.

And now it’s time to share what they discovered. Here’s the summary of their key findings:

  1. Out of 44,672 confirmed cases, a total of 1,023 people died with a fatality rate of 2.3 percent.
  2. In the list of confirmed cases, persons aged 50–59 came in first place with 22.4%, persons aged 60–69 came in second place with 19.2%, and persons aged 40–49 came in third place with 19.2%.
  3. Among confirmed cases, 51.4% are male and 48.6% are female.
  4. There are 25.2% of confirmed cases who were already facing some medical conditions.
  5. In confirmed cases, 22.0% of people are labor or farmers, and 20.6% are retired people.
  6. Only 4.7% of the 44,415 confirmed cases were those who had a critical coronavirus infection.
  7. The elderly population is more among those who die from virus infection. Of which 30.5% are aged 70–79, 30.2% are aged 60–69, and 20.3% are above 80 years.
  8. Only 36.2% of the people who die from virus infection are women, and the remaining are men.
  9. 46.1% of the people who died from virus infection are those who have retired.
  10. Among those who died from virus infection, 39.7% of people were suffering from hypertension, 22.7% of people with cardiovascular disease, and 19.7% of people with diabetes.
  11. Among people 80 years or above, the fatality rate was found to be the highest at 14.8%.
  12. The report found men’s fatality rate to be 2.8% and women’s fatality rate of 1.7%.
  13. Compared to other occupations, the fatality rate of retirees was found to be the highest at 5.1%.
  14. People suffering from cardiovascular disease were found to have the highest fatality rate of 10.5%, compared to other diseases.

We have detailed data and information on the analysis below.

Detailed Breakdown of the Analysis:

The analysis included a total of 72,314 unique records as of February 11, 2020, out of which 44,672 cases were confirmed to be infected with the coronavirus.

According to the analysis, out of 44,672 confirmed cases, a total of 1,023 deaths occurred at a 2.3% fatality rate.

To understand the pattern of coronavirus infection, below, we have explained the analysis with the help of graphs in 7 different parts. Which are as follows:

  1. Age
  2. Sex
  3. Occupation
  4. Province
  5. Wuhan-related exposure
  6. Medical condition
  7. Case severity

Analysis by Age:

In the analysis, there are 9 different classes of people according to age, in which 0–9 years, 10–19 years, 20–29 years, 30–39 years, 40–49 years, 50–59 years, 60–69 years, 70–79 years, and ≥80 years old people are included.

The study shows people aged 30 years to 79 years are the highest in the list of confirmed cases of COVID-19.

50–59 years by far is the most coronavirus-infected age group (with 22.4% of people). 60–69 years (19.2%), 40–49 years (19.2%), 30–39 years (17.0%) age groups are also fairly infected.

However, if you look up the graph, not by confirmed cases but by death cases, you’ll get a completely different number.

The study shows people aged 50 years and above are the highest in the list of death cases of COVID-19.

70–79 years by far is the age group with most coronavirus deaths (with 30.5% of people). 60–69 years (30.2%), ≥80 years (20.3%), 50–59 years (12.7%) age groups are also popular in the same list.

Next, taking into account the confirmed cases and death cases of COVID-19, we calculated the fatality rate of different age groups.

The study found the fatality rate according to the age of the people. The fatality rate was found to be higher in older people and lower in younger people.

≥80 years by far is the age group with most coronavirus fatalities (with 14.8% of people). And 0-9 years is the age group with the least coronavirus fatalities (with 0.0% of people).

Key conclusion: Studying all the graphs suggests that elderly people are probably at the highest health risk from COVID-19.

Analysis by Sex:

In this analysis, including both male and female, their confirmed cases, death cases, and fatality rates are studied separately.

The study did not find much difference in confirmed cases of men and women. Males represent the majority of confirmed COVID-19 cases (51.4%), followed by female cases (48.6%). 

However, if you look up the graph, not by confirmed cases but by death cases, you’ll get a completely different number.

The study shows males are the highest in the list of death cases of COVID-19. 63.8% of people who died from COVID-19 are male, and 36.2% are female.

Next, taking into account the confirmed cases and death cases of COVID-19, according to sex, we calculated the fatality rate of both genders.

The study found the fatality rate according to the sex of the people. The fatality rate was found to be higher in males and lower in females.

Key conclusion: Studying all the graphs suggests that males are probably at the highest health risk from COVID-19.

Analysis by Occupation:

In the analysis, there are 5 different classes of people according to the occupation, in which service industry, farmer/laborer, health worker, retiree, and other/none people are included.

Other/none by far is the most coronavirus-infected occupation (with 45.9% of people). Farmer/laborer (22.0%), Retiree (20.6%), Service industry (7.7%), Health worker (3.8%), occupation groups are also fairly infected.

However, if you look up the graph, not by confirmed cases but by death cases, you’ll get a completely different number.

The study shows Retiree are the highest in the list of death cases of COVID-19.

Retiree, by far, is the occupation group with most coronavirus deaths (with 46.1% of people). Other/none (37.5%), Farmer/laborer (13.6%), Service industry (2.2%), and Health worker (0.5%) occupation groups are also popular in the same list.

Next, taking into account the confirmed cases and death cases of COVID-19, we calculated the fatality rate of different occupation groups.

The study found the fatality rate according to the occupation of the people. The fatality rate was found to be higher in Retiree.

Retiree by far is the occupation group with most coronavirus fatalities (with 5.1% of people). And Health Worker is the occupation group with the least coronavirus fatalities (with 0.3% of people).

Key conclusion: Studying all the graphs suggests that retirees are probably at the highest health risk from COVID-19.

Analysis by Province:

In this analysis, including Hubei and other provinces, their confirmed cases, death cases, and fatality rates are studied separately.

The study finds a considerable difference between confirmed cases of Hubei and other provinces. Hubei represents the majority of confirmed COVID-19 cases (74.7%).

The study shows people related to Hubei are the highest in the list of death cases of COVID-19. 95.7% of people who died from COVID-19 are related to Hubei, and only 4.3% are related to other provinces.

Next, taking into account the confirmed cases and death cases of COVID-19, according to the province, we calculated the fatality rate of Hubei and other provinces.

The study found the fatality rate according to the province of the people. The fatality rate was found to be higher in Hubei (2.9%) as compared to other regions (0.4%).

Key conclusion: Studying all the graphs suggests that people related to the Hubei province are probably at the highest health risk from COVID-19.

Analysis by Wuhan-Related Exposure:

In the analysis, a total of 37,269 patients are included in 2 different classes. First, those who have contact with Wuhan and the others who have no connection with Wuhan.

The study finds a considerable difference between confirmed cases of people who have contact with Wuhan and the others who have no connection with Wuhan. People with Wuhan-related exposure represent the majority of confirmed COVID-19 cases (85.8%).

The study shows that people who have contact with Wuhan are the highest in the list of death cases of COVID-19. 92.8% of people who died from COVID-19 had contact with Hubei, while only 9.2% did not.

Next, taking into account the confirmed cases and death cases of COVID-19, according to Wuhan-related exposure, we calculated the fatality rates.

The study found the fatality rate according to the Wuhan-related exposure of the people. The fatality rate was found to be higher in people who have contact with Wuhan (2.7%) as compared to the people who didn’t (1.2%).

Key conclusion: Studying all the graphs suggests that people who have direct contact with Wuhan are probably at the highest health risk from COVID-19.

Analysis by Medical Condition:

In the analysis, there are 6 different classes of people according to medical conditions, in which a total of 20,812 people with Hypertension, Diabetes, Cardiovascular disease, Chronic respiratory disease, Cancer (any), and None medical conditions are included.

The study shows people with no medical condition are the highest in the list of confirmed cases of COVID-19.

Hypertension, by far, is the most coronavirus-infected medical condition (with 12.9% of people). Diabetes (5.3%), Cardiovascular disease (4.2%), Chronic respiratory disease (2.5%), and Cancer (0.5%) medical conditions are also fairly infected.

However, if you look up the graph, not by confirmed cases but by death cases, you’ll get a completely different number.

The study shows people with Hypertension are the highest in the list of death cases of COVID-19.

Hypertension, by far, is the medical condition with most coronavirus deaths (with 31.9% of people). Cardiovascular disease (18.3%), Diabetes (15.9%), Chronic respiratory disease (6.3%), and Cancer (1.2%) medical conditions are also popular on the same list.

Next, taking into account the confirmed cases and death cases of COVID-19, we calculated the fatality rate of different medical conditions.

The study found the fatality rate according to the medical condition of the people. The fatality rate was found to be higher in people with Cardiovascular disease.

Cardiovascular disease by far is the medical condition with most coronavirus fatality rates (with 10.5% of people), followed by Diabetes (7.3%), Chronic respiratory disease (6.3%), Hypertension (6.0%), and Cancer (5.6%).

Key conclusion: Studying all the graphs suggests that people with medical conditions such as Cardiovascular disease, Diabetes, Chronic respiratory disease, Hypertension, and Cancer are probably at the highest health risk from COVID-19.

Analysis by Case Severity:

In the analysis, there are 3 different classes of people according to case severity, in which a total of 44,415 people with Mild, Severe, and Critical cases are included.

The study shows people with mild case severity are the highest in the list of confirmed cases of COVID-19.

Mild by far is the most coronavirus-infected case severity (with 81.4% of people). Severe (13.9%), and Critical (4.7%) case severities are also fairly infected.

However, if you look up the graph, not by confirmed cases but by death cases, you’ll get a completely different number.

The study shows only people with Critical case severity are in the list of death cases of COVID-19.

Next, taking into account the confirmed cases and death cases of COVID-19, we calculated the fatality rate of different case severities.

The study found fatalities according to the case severity of the people and saw fatal outcomes only in those suffering from critical case severity.

Key conclusion: Studying all the graphs suggests that people with critical case severity are probably at the highest health risk from COVID-19.

Result of the Study:

This case study has told us a lot about the people who are most vulnerable to coronavirus. We found this case study interesting because it contains 44,672 confirmed cases of COVID-19, which is much larger in number than any other study.

Here’s the result of the study in short:

  • Most coronavirus vulnerable gender: Male
  • Most coronavirus vulnerable age: 50+
  • Most coronavirus occupation: Retiree (which are usually old people)
  • Most coronavirus vulnerable medical conditions: Cardiovascular Disease, Chronic Respiratory Disease, Hypertension and Diabetes

Researchers found in the study that this novel coronavirus is highly contagious. It has spread extremely rapidly from a single city to the entire country within only about 30 days.

We learned a lot about coronavirus from this study, and we hope you did too.

We have also discussed the pattern of the coronavirus in detail, here in the Chapter 7: Coronavirus Case Studies

And now is the time to move to the next chapter.

COVID-19 Fact: Chinese research finds, people with blood type 'A' are at highest risk of coronavirus infection and people with blood type 'O' are at least risk.

CHAPTER 3:

COVID-19 Symptoms

What Are The Symptoms Of COVID-19?

Since COVID-19 is still a new disease, doctors are still in its research and are learning new things about it daily.

A study conducted at around 138 patients at Zhongnan Hospital of Wuhan University found that among those infected with the new coronavirus, about 99% of people had a fever. At the same time, more than half experienced fatigue and a dry cough, and about one-third of the people experienced muscle pain and difficulty breathing.

In confirmed cases of COVID-19, symptoms range from mild to severe, starting with a cold and fever. As symptoms are similar to the flu, the disease becomes more challenging to detect. Most common symptoms of COVID-19 may include:

  • Fever
  • Fatigue
  • Dry cough
  • Shortness of breath
  • Myalgia
  • Pneumonia

Less common symptoms of COVID-19 may consist of:

  • Runny Nose
  • Nausea
  • Vomiting
  • Dizziness
  • Diarrhea
  • Sore throat
  • Headache
  • Passing out

The complete list of symptoms is still under analysis.

Prevention is always better than cure. If you have a cough, fever, or you have connection with an infected person or a major outbreak area, get yourself tested for coronavirus infection immediately.

When to consult a doctor: If you are experiencing any of these symptoms, and you have recently been to China, you need to seek medical advice immediately.

How Long Will It Take for the Symptoms to Appear?

According to the Centers for Disease Control and Prevention (CDC), symptoms of COVID-19 can take between 2 and 14 days to appear.

But a study published in the Journal of the American Medical Association (JAMA) found a patient’s incubation period to be 19 days long.

In that study, a 20-year-old woman who previously lived in Wuhan came to Anyang on January 10, after the virus outbreak. Three days later, she went to meet a sick patient (who was not infected with coronavirus) at Anyang District Hospital, along with five members of her family.

On January 17, one of the woman’s family members complained of fever and a sore throat. The following week, the other four relatives also complained of fever and shortness of breath. After that, all those relatives were admitted for investigation at the Fifth People’s Hospital on January 26.

And the investigation revealed that all the family members are infected with coronavirus, and the only woman who came in contact with those people from Wuhan was their 20-year-old relative.

Initially, when the woman was medically tested for coronavirus, no infection was detected. But when the woman was tested again one day later, the infection was detected, but the woman was still not showing any symptoms of COVID-19.

Doctors later revealed that the woman’s incubation period was 19 days long.

Besides, Zhong Nanshan, a Chinese scientist who underwent the discovery of SARS, also conducted a research in which he studied 1,099 laboratory-confirmed patients from 552 hospitals and took a median incubation period of 3 days (range, 0 to 24 days).

COVID-19 Incubation Period: A person can carry and transmit COVID-19 without showing symptoms from 1 to 24 days.

CHAPTER 4:

Coronavirus Transmission

How the COVID-19 Spreads?

The events of the last few weeks have made it clear that coronavirus, first seen in Wuhan, China, is now making tens of thousands of people sick worldwide.

As the virus outbreak develops day by day, the information related to it continues to change.

We’ve been following and providing the latest updates on COVID-19 since its outbreak.

Now we are going to tell you how this virus spreads. This information is based on studies conducted until February 25, 2020. But this information can be further developed based on scientific researches happening over time.

Here are the Reasons for the COVID-19 Spread:

COVID-19 spreads from one person to another, similar to other respiratory diseases such as the flu. Here are the possible ways of spreading coronavirus:

  • Transmission of the virus through droplets/particles.
  • Transmission of the virus through contaminated surfaces.
  • Transmission of the coronavirus through human feces.
  • Transmission of the virus through saliva.
  • Transmission of the virus through urine.

Transmission of the Virus Through Droplets/ Particles:

Droplet/ particles transmission is the leading cause of virus spread from person to person. When you cough or sneeze, you send droplets into the atmosphere, and others may fall ill when exposed to those infected droplets.

Transmission of the Virus Through Contaminated Surfaces:

If you cough or sneeze after being infected, your droplet falls on a surface and contaminates it. So later if a person comes in contact with that surface and touches his mouth, nose, or eyes, then he can fall ill.

Transmission of the Virus Through Human Feces:

Poor hand washing is a major cause of fecal-oral virus transmission. If you use the bathroom after being infected and do not take care of hygiene, then everything you come in contact with is contaminated by your feces. So later if a person comes in contact with those things and touches his mouth, nose, or eyes, then he can fall ill.

Transmission of the Virus Through Human Saliva:

If you are kissing someone or sharing food in the same plate, if the person is infected with coronavirus, then the virus can easily be transmitted orally from their saliva, even if they aren’t currently experiencing any symptoms.

Transmission of the Virus Through Urine:

The virus can be easily spread from person to person through infected person’s urine. There can be many ways of getting an infection this way. For example: If you use the same tap after going to the toilet that the person infected with coronavirus has previously washed his hands, then chances are that you too may be infected with the same virus later.

COVID-19 Fact: Many people mistakenly believe that COVID-19 is airborne, that it spreads through the air, but it is actually spread by droplets and particles of infected individuals.

CHAPTER 5:

Coronavirus Protection

How to Protect Yourself From COVID-19?

COVID-19 is still affecting most people in China and many other countries. Most people who become infected recover after experiencing mild illness, but there is always a possibility of infection by them. Therefore, it is important to take care of your health to avoid infection.

There are many things that you can do for your self-protection with the COVID-19. According to the World Health Organization, to keep yourself safe, you need to keep the following things in mind:

Wash Your Hands

Wash your hands with soap with clean running water. After applying soap, rub your hands for at least 20 seconds, then rinse the soap off and finally dry your hands thoroughly with the help of a clean paper towel, air dryer, or cloth hand towel.

Use Hand Sanitizer

If water and soap are not available, then use hand sanitizer. After applying the proper amount of hand sanitizer, rub both hands between your fingers, and under your nails, for at least 25 seconds till it dries quickly after absorbing in hands.

Don't Touch Your Face

If you need to touch your face, wash your hands first. If you touch your face with dirty hands, you may get an infection from the virus. So, before touching your eyes, nose, and mouth, wash both your hands thoroughly with soap and if the soap is not available, then use hand sanitizer.

Avoid Close Contact With People Who Are Sick

If you feel that someone is ill around you, try to stay away from him as much as possible, especially when he is coughing or sneezing. If for some reason you have to go to them, then after the meeting, wash both your hands thoroughly with soap and if the soap is not available then use hand sanitizer.

Stay Home

If you, your children or any of your family becomes ill, do not let that person go to school, office or any public place so that they do not spread the virus infection to others. For a person who is ill, he must stay in the house until he is fully recovered.

Cover Up When You Sneeze Or Cough

Viruses are spread from person to person during coughing and sneezing due to the transmission of droplets from the infected person's mouth and nose. Use tissue or paper towel whenever you cough or sneeze. If you do not have all that available at that time, then sneeze in the elbow.

Disinfect Surfaces And Clean Objects

Clean and disinfect surfaces and objects that are often used, such as doorknobs, bathroom, kitchen, computer, phones, and toys. To clean, mix 3 teaspoons bleach in 1 gallon of water and spray it on the surface and objects, rinse after 3 minutes and let it air dry.

Avoid Hugging, Kissing, And Shaking Hands

Close contact with sick individuals is the easiest way to infect yourself with the virus. If for some reason you have to do a handshake, hug or kiss with them, then immediately wash both your hands thoroughly with soap and use hand sanitizer if the soap is not available.

Get The Flu Shot If You Haven't Already

A flu shot can help make your life easier. Although seasonal flu shot cannot directly protect you from coronavirus, it can reduce the severity of flu symptoms such as runny nose and cough. Thus, by avoiding the flu, you can also avoid being in a medical environment with coronavirus patients.

Drink Plenty Of Fluids

When you are sick, you get dehydrated quickly. Due to fever, moisture and electrolytes keep coming out of your body. Due to which your body starts to lack water. So, to restore your moisture levels and to get the bad stuff out of the body, consume sufficient fluids.

Get Enough Sleep

When you are sick, it affects your immune system, due to which your body needs more rest. Good sleep helps your body fight infection and disease better. Sleep helps in relaxing your body, making the mind more productive and refreshing your mood.

Cook Meat And Eggs Thoroughly

Scientists believe that coronavirus started in an animal and then spread in humans. Therefore, health officials recommend cooking meat and eggs well before eating. Apart from this, animals that have died due to some disease are not advised to eat.

Should I Wear a Mask to Protect Against the COVID-19?

There’s a fun fact about medical masks that you probably won’t know.

Medical masks are used to prevent infected people from spreading the virus, not to prevent an uninfected person from getting infected.

However, if you are living in an area that is affected by the coronavirus outbreak, then these medical masks can protect you from getting infected to some extent. But for this, you have to choose an effective mask for yourself, which can be a bit tricky.

If fitted well, the N95 is the best face mask as it can filter tiny particles up to 95%, which may possibly contain the virus. However, N95 respirators are not able to provide full protection to children and people with facial hair as it is not designed for them.

According to the FDA, normal persons may use the following types of N95 respirators at the time of public health medical emergencies:

  • 3M™ Particulate Respirator 8670F
  • 3M™ Particulate Respirator 8612F
  • Pasture Tm F550G Respirator
  • Pasture Tm A520G Respirator

Due to the high demand for N95 respirators, this mask has disappeared from the local market. Masks are available on some online stores like Amazon right now, but their prices have skyrocketed due to lack of supply.

How to Put On And Use Mask?

It is difficult for people other than medical professionals to put on and use the N95 mask. If you wear a mask, then you should know how to use it, how long to use it, and what to do with it after use.

According to WHO, masks are put on, used, taken off, and disposed of in this way:

Step 1: Before using a face mask, wash both your hands thoroughly with soap, and if the soap is not available, then use hand sanitizer.​

Step 2: Find the metal strip of the face mask, adjust it well above your nose bridge, and stick the elastic strings behind your ears. (While doing this, make sure your mouth, nose, and chin are covered well.)

Step 3: If you feel like moisture in the face mask, remove it from the face by holding it with elastic strings and throw it in a closed dustbin. (While doing this, note that you are not touching the front of the face mask as it may be contaminated.)

Step 4: Repeat Step 1 and Step 2 to wear a new dry face mask. (Never use single-use face masks again.)

Here is the video by WHO which shows the proper technique to put on a face mask in detail:

Currently, the N95 face mask is only recommended for infected patients and health professionals dealing with those patients. No face mask is advised for the general public yet. However, the general public can use these face masks for self-protection. 

According to a study, respiratory masks are successful in preventing infection only when they are used with frequent hand washing. Therefore, while using masks, it is important to clean your hands from time to time with soap or sanitizer.

Key conclusion: N95 face mask can reduce your chances of getting infected with coronavirus, but only when you are using it with proper guidelines. Also, it is essential to pay attention to your hygiene, such as washing your hands from time to time, not touching the front of masks, and keeping a distance from infected people.

CHAPTER 5:

COVID-19 Tests

Here’s How Coronavirus Tests Work

Coronavirus (COVID-19) testing has been a major point of discussion and concern during the pandemic. But why is there so much focus on testing?

Well, for quick identification of cases, prompt treatment for those and immediate isolation to prevent the spread, the COVID-19 testing is very important. We now have two main kinds of tests available for COVID-19:

  1. Molecular Test: A molecular test tells you if you have a current infection.
  2. Serological Test: Serological is an antibody test that tells you if you had a previous infection.

We will discuss about both testing methods in detail below:

1. Molecular Test

This is a first type of diagnostic test that tells you if you have a current infection by looking for parts of the virus itself. In this test a long swab is used to collect sample, including physical pieces of coronavirus, from the back of the nose where it meets the throat.

To determine whether a nasopharyngeal sample is positive for the coronavirus, bio-technicians use three different molecular test techniques. Which are:

  • Reverse transcription polymerase chain reaction
  • Isothermal amplification assays
  • Antigen test

Reverse Transcription Polymerase Chain Reaction

Viruses such as SARS-CoV-2 contain only RNA, not DNA. Therefore, after a sample collection of a person, the extracted RNA is converted into DNA with the help of reverse transcription.

After that with the help of polymerase chain reaction, the converted DNA sample is amplified to a large enough amount to be examined in order to determine if it matches the genetic code of SARS-CoV-2.

This whole technique is called Reverse transcription polymerase chain reaction (RT-PCR).

Most RT-PCR tests can take anywhere from a few hours to a few days. But the FDA has recently begun giving the Emergency Use Authorization (EUA) for rapid diagnostic PCR tests that can produce results in less than an hour. Examples of authorized rapid diagnostic PCR tests include the following:

  • Abbott (Can detect SARS-CoV-2 in as little as 5 minutes)
  • Mesa Biotech (Can detect SARS-CoV-2 in as little as 30 minutes)
  • Cepheid (Can detect SARS-CoV-2 in as little as 45 minutes)

In addition, the FDA has also granted Emergency Use Authorization (EUA) for tests that collects saliva instead of using a traditional nasal swab. It is believed that this will reduce the risk for healthcare professionals and will be much more comfortable for patients to collect their own samples more efficiently.

To make testing easier, the FDA has recently authorized at-home coronavirus test kits, with the help of which you can find out if you currently have COVID-19 without leaving home. Examples of authorized at-home coronavirus test kits include the following:

According to the German virologist, Christian Drosten, RT-PCR test performed with the help of throat swabs is reliable only in the first week of illness. Later the virus can disappear in the throat while it grows in the lungs. Samples of people whose illness has been more than a week can be obtained from deep airways with the help of suction catheter or from sputum.

Isothermal Amplification Assays

Like PCR, isothermal amplification methods are used to amplify RNA. However these methods are much faster than PCR as they do not involve repeated cycles of heating and cooling the sample.

These tests typically detect amplified virus sequences using fluorescent tags, which are read with specialized machines. Unlike PCR, these methods do not require expensive reagents or instruments, which aids in cost reduction for coronavirus detection. 

Here are main differences, if we compare both PCR and Isothermal Amplification based methods of viral RNA detection. [Table adapted from Nguyen et al (2020)]

PCRIsothermal Amplification Methods
Bulky and cumbersomeSmaller, simpler, portable
Specialized thermal cyclers requiredOnly a heat block is required
4-8 hours until result1 hour until result
Requires skilled techniciansRequires no specific skill
Requires an additional reverse transcription stepCan be performed directly on RNA
Unstable reactions prone to inhibitors requiring purification stepsStable and inhibitors tolerated, and thus purification steps not required
Detects DNADetects DNA and RNA
Tested on patient samplesLess tested on patient samples

Antigen Test

An antigen test is a new type of diagnostic test designed for rapid detection of the virus that causes COVID-19.

In the antigen test, samples of patients are collected with the help of nasal swab. The antigen test looks for proteins from the surface of the virus present in the collected samples and bind to the strips and gives a visual readout. In the case of coronavirus, these are usually proteins from surface spikes.

One of the main benefits of antigen testing is the speed of testing, which can provide results in minutes. The positive results obtained from antigen tests are highly accurate. But there are more chances of getting negative results wrong, so before deciding the treatment, negative results obtained from antigen test should be confirmed with the help of PCR test.

If we compare the three tests together, we find that PCR tests require much time, energy and trained personnel. And isothermal amplification methods can process only one sample per machine at a time. But antigen test has the ability to do 300 million tests a day at a low cost.

2. Serological Test

Another approach of test is serology (or antibody) test which identify people who were infected and have already recovered from COVID-19, including those who did not know they were infected.

When a person comes into contact with the virus, his body develops antibodies to fight the invading virus, which can take several days to more than a week. Antibodies are simply proteins made by the immune system in response to an infection and are specific to that particular infection.

In response to infection, immune system produce antibodies including IgM and IgG. According to the FDA, IgM antibodies produced in response to SARS-CoV-2 become detectable in the blood several days after the initial infection. IgG antibodies typically become detectable in the blood 10 to 14 days after initial infection, and peak after 28 days.

Because the body takes time to develop antibodies, serological tests are not useful for quickly identifying whether a patient currently has COVID-19. Rather antibody tests can be used to identify individuals who have had an infection and are recovered.

Some countries are considering issuing immunity passports or risk-free certificates for individuals who have antibodies against COVID-19 so that they can travel again or go to work. But, According to the WHO, it is still unclear that people who have recovered from COVID-19 and have antibodies are protected from a second infection. In such a situation, the use of such certificates may increase the risk of continued transmission. Therefore, even if you are recovered, it is still important to follow the COVID-19 safety guidelines.

Who Should Be Tested For COVID-19?

Molecular test is used to find out if you currently have COVID-19 infection. But not all require this test.

The first reason for this is that most people have mild illness and can recover at home without medical care and there is no need to get them tested. Apart from this, another reason is that the availability of testing is still limited, so not all can be tested.

We are going to share some recommendations with you on COVID-19 testing. But keep in mind, ultimately, decisions about testing are at the discretion of your state and local health departments.

Priorities For COVID-19 Testing

If you belong to one of these groups, you should get tested for coronavirus:

  • People with potential COVID-19 symptoms, including: fever, cough, shortness of breath, chills, muscle pain, new loss of taste or smell, vomiting or diarrhea, and/or sore throat.
  • People who have been in close contact with coronavirus positive cases.
  • People who live in or have regular contact with high risk settings like healthcare facilities, homeless shelters, correctional facilities and migrant farm work camps.
  • Essential workers whose jobs make social distancing hard. Including healthcare workers, first responders and front line workers.

Clinicians should determine by themselves whether the patient’s signs and symptoms resemble COVID-19 and whether the patient should be tested.

Although the supply of tests is increasing, it can be difficult to find a place to test. So if you have symptoms of COVID-19 and want to get tested, call your healthcare provider first.

COVID-19 Test Results

If COVID-19 test is positive and you are the one who is sick:

  • Do not leave your home, except to get medical care.
  • As much as possible separate yourself from other people and pets in your home.
  • Monitor your symptoms continuously and follow the care instructions from your healthcare provider.
  • Seek emergency medical care immediately if you have trouble breathing, chest pain or pressure, confusion, or your face or lips are turning blue.
  • Call ahead before visiting your doctor so that they can protect themselves and other patients.
  • Always wear a cloth face covering, over your nose and mouth if you are around other people or pets. (even at home)
  • When you cough or sneeze, cover your mouth and nose with a tissue and throw away the used tissue in a dustbin.
  • Wash your hands often with soap with clean running water for at least 20 seconds.  
  • Use an alcohol-based hand sanitizer with at least 60% alcohol if soap and water are not available.
  • Do not share your personal household items with other people in your home.
  • Wash your personal household items thoroughly after using them with soap and water.
  • Clean and disinfect all “high-touch” surfaces like personal room and bathroom everyday by yourself.
  • Use separate bathroom and toilet if possible.

If COVID-19 test is positive and you are the caregiver:

  • Make sure that the sick person is following all the above mentioned guidelines.
  • Make sure that the person who is ill is consuming lots of fluids as well as resting.
  • Do everything possible to bring the sick person’s grocery, medicine and other needs to their doorstep.
  • If the condition of the sick person is not improving or the condition is worsening further, contact his doctor immediately.
  • The caregiver should never be someone who is at high risk for COVID-19.
  • You should always give food to the sick person in a separate room if possible.
  • You should always ask the sick person to put on a cloth face covering before entering the room.
  • You may also wear a cloth face covering when caring for a person who is sick.
  • Wash your hands often with soap and water for at least 20 seconds and ask everyone at home to do the same.
  • Use an alcohol-based hand sanitizer with at least 60% alcohol if soap and water are not available.
  • Avoid touching your eyes, nose, and mouth with unwashed hands.
  • If possible, urge the sick person to clean their own space.
  • Do not share bathroom with the person who is sick.
  • If sharing a same bathroom, ask the sick person to clean and then disinfect after each use.
  • Wear disposable gloves while handling dirty laundry and throw disposable gloves in the trash after each use and wash hands afterwards.
  • Keep monitoring your health for COVID-19 symptoms and ask your family members to do the same.

If COVID-19 test is negative:

If your COVID-19 test is negative, it does not mean that you will not get sick. The test result simply means that you did not have COVID-19 at the time of the test. Therefore, whether the result for your COVID-19 test is positive or negative, you should always take preventive measures for yourself and others.

CHAPTER 6:

COVID-19 Treatment

COVID-19 Prevention and Control

COVID-19, which started from Wuhan city of China, has now spread its footprint all over the world. According to WHO, around 204 countries around the world are currently vulnerable to coronavirus, and more than 1.2 million people are infected with the coronavirus. So far, 64,784 people have died, and 247,001 people have also been treated.

China, which had the most COVID-19 cases, also had most of the total recoveries. The recovery rate from COVID-19 in China is around 93.7%, which is much better than any other country.

Now the question arises that no country has any medicine available for the treatment of coronavirus, so how are so many people recovering in China?

Is China doing something different from other countries? Well, the answer is YES.

And that’s what we are going to reveal in this chapter.

So without further ado, let’s dive right in.

Traditional Chinese Medicine is Used On COVID-19 Patients in China:

Traditional Chinese Medicine (TCM) is playing an important role in the prevention and control of COVID-19 in China. TCM has been used to reduce fever and increase the body’s immunity on more than 90 percent of China’s COVID-19 patients.

To get a better understanding of TCM’s role in COVID-19 prevention and treatment, we contacted Tsao-Lin E. Moy, an acupuncturist and Chinese medicine expert. Tsao-Lin told us that as of February 2 in China, the official use of traditional Chinese medicine was mandated as part of a protocol: prevention, treatment, and recovery with antivirals. She also shared with us a study that tells us how people infected with coronavirus are being treated with the help of TCM in China.

Case Study: How Exactly COVID-19 is Currently Treated in China with TCM

To further improve the treatment of COVID-19, The COVID-19, Prevention, and Control Headquarters asked medical institutions to give priority to Traditional Chinese Medicine along with Western Medicine. They issued a notice stating that all designated medical institutions in Wuhan will ensure that all infected patients take Chinese medicine before midnight (24:00) on February 3, 2020. And indeed, the mandated use of TCM during treatment played an important role in pandemic prevention and control.

During this time, specific TCM wards were established in the designated hospitals, and besides, the TCM team collectively participates in the treatment.

Symptoms before giving TCM to patients were:

  • All the patients were so weak that they did not even have the strength to moan.
  • Most of the patients treated were severely ill.
  • Many of them had a high fevera thick white coating on the tongue, slippery and wiry pulse, bowel incontinence, and no gesture in the face due to extreme weakness.

Herbal formulations were given to the patients according to the TCM pattern of the person as prescribed by the medical experts on January 30, 2020.

And February 1, 2020, after 2 days of use of TCM, the following differences in symptoms were seen in patients:

  • The fever of some patients reduced, and the number of people with high fever also decreased.
  • Thick white coating in the tongue of the patients was now quite thin.
  • Bowel movements of patients now were coming to normal.
  • Now the patients had the energy to speak up to five sentences.
  • Now the problem of cough was much less in patients than before.
  • Now many patients could sit and perform qigong exercises or meditate.

Two days after this, on February 3, 2020, eight confirmed patients were discharged from Wuhan Jinyintan Hospital who were either treated with traditional Chinese medicine or either with a combination of traditional Chinese medicine and Western medicine The details of the discharged patients were as follows:

  • There were 4 females and 2 males.
  • Six of the patients were severe, and two were mild cases.
  • The discharged patients were aged between 26 and 68 years.
  • Along with improving the symptoms of discharged patients, their mental state was also found to improve.

For the complete recovery of the discharged patients, they were given 2 weeks of Chinese herbs doses. The patients were also told how to use the medicine with appropriate exercise and proper diet plan.

The next day, in the report on February 4, 2020, it was found that the use of Traditional Chinese Medicine (TCM) had significantly improved the condition of about 50 people in the ward.

Most people believe that traditional Chinese medicine has helped prevent and treat COVID-19, and they are also eager to learn more about it. But they do not have much information about Traditional Chinese Medicine (TCM). Therefore, we are now going to share with you the exact formulas of TCM used by China in treating 90 percent, COVID-19 patients.

We have details and additional data on Traditional Chinese Medicine (TCM) below.

Recommended Formulas, Acupuncture and Moxibustion Protocols for Treatment of Coronavirus (By TCM experts):

TCM experts have recommended some formulas, acupuncture and moxibustion protocols for prevention and treatment of COVID-19 which are as follows:

  1. Prevention Phase
  2. Influenza Phase
  3. Pneumonia Phase
  4. Recovery Phase

#1. Prevention Phase:

Suitable for: Prevention of pneumonia due to viral infections, and the flu.

Pneumonia Prevention Formula:

HerbDose
Radix Astragali15g
Rhizoma Atractylodis Macrocephalae (dry fried)10g
Radix Saposhnikoviae10g
Rhizoma Dryopteridis Crassirhizomatis10g
Flos Lonicerae Japonicae10g
Pericarpium Citri Reticulatae6g
Herba Eupatorii10g

Acupuncture Treatment for Prevention Phase:

It aims to strengthen the immune system, reduce early symptoms, and shorten the duration of the virus.

Points: ST 36, CV 6, CV 12

Methods and Frequency:

  • ST 36 on both sides for 15 minutes.
  • CV 6 or CV 12 for 10 minutes. (alternating from treatment to treatment)
  • Twice a day, once in the afternoon and once at night.

#2. Influenza Phase:

Diagnosis: Wind-Cold Invading the Exterior

Clinical Manifestations: Onset of fever (mostly low-grade fever), aversion to cold and fear of cold, chills, headache, ticklish throat, soreness of muscles of limbs, no sweat or night sweats.

Examination: Lung CT negative. Tongue is pale, coating is white and thin. Floating pulse

Treatment Strategy: Expel Wind, Release the Exterior; Clear Heat, Detoxify

Herbal Formula: Kudzu Decoction or Bupleurum and Kudzu Decoction to Release the Muscle Layer

Flu Formula #1:

HerbDose
Radix Puerariae Lobatae15g
Herba Ephedrae10g
Ramulus Cinnamomi6g
Radix Paeoniae Alba15g
Rhizoma Zingiberis Recens10g
Radix et Rhizoma Glycyrrhizae10g
Fructus Jujubae10g
Flos Lonicerae Japonicae20g
with headache, add Radix Angelicae Dahuricae15g
with dry or ticklish throat, add Rhizoma Belamcandae15g

Diagnosis: Toxic Heat Attacking the Lung

Clinical Manifestations: Fever, aversion to cold, sore and dry throat, dry cough, scanty sputum, sore and painful muscles in the limbs, weakness, headache.

Examination: CT scan reveals both lungs to have scattered ground-glass opacity (GGO). Tip and sides of the tongue are red; thin white or yellow tongue coating. Floating and rapid pulse.

Treatment Strategy: Expel Wind, Release the Exterior; Clear Heat, Detoxify

Herbal Formula: Honeysuckle and Forsythia Powder and Clear Epidemics and Overcome Pathogenic Influences Powder

Flu Formula #2:

HerbDose
Flos Lonicerae Japonicae10g
Fructus Forsythiae10g
Herba Schizonepetae10g
Fructus Arctii10g
Herba Menthae10g
Radix et Rhizoma Glycyrrhizae10g
Herba Lophatheri10g
Rhizoma Phragmitis25g
Rhizoma Coptidis6g

Diagnosis: Damp Cold in the Lung

Clinical Manifestations: Aversion to cold, fever or absence of fever, dry cough, dry throat, fatigue, weakness, chest stuffiness, epigastric distention, nausea, diarrhea. Pale tongue, white greasy coating, slippery pulse.

Treatment Strategy: Expel Wind, Release the Exterior; Dispel Damp Cold

Damp Cold Formula #1:

HerbDose
Rhizoma Atractylodis15g
Pericarpium Citri Reticulatae10g
Cortex Magnoliae Officinalis10g
Herba Pogostemonis seu Agastaches10g
Fructus Tsaoko6g
Herba Ephedrae6g
Rhizoma et Radix Notopterygii10g
Rhizoma Zingiberis Recens25g
Semen Arecae10g

Acupuncture Treatment for Mild and Moderate Cases:

The purpose is to reduce the severity of symptoms, shorten the duration, and alleviate emotional burden.

Points: LI 4, LR 3, ST 36, CV 8

Method and Frequency:

  • LI 4 and LR 3 bilaterally for 15 minutes.
  • ST 36 bilaterally for 10 minutes.
  • CV 8 with a moxa box for 15 minutes.
  • Twice a day, once in the morning and once in the afternoon.

#3. Pneumonia Phase:

Diagnosis: Shaoyang Syndrome with Damp

Clinical Manifestations: Fever, which is more pronounced in the afternoon, alternating chills with fever, cough, absence of wheezing, bitter taste in the mouth, dry mouth, chest stuffiness, stifling sensation, chest and hypochondriac fullness and distention, irritability, nausea or vomiting, no appetite, weakness. Similar to the beginning stage of pneumonia.

Examination: CT scan reveals both lungs to have multiple scattered or large pieces of ground-glass opacity (GGO). Slightly red tongue, thick and greasy, white or yellow coating, slippery, rapid pulse. 

Treatment Strategy: Harmonize Shaoyang Syndrome, Clear Damp-Heat 

Herbal Formula: Minor Bupleurum Decoction with Three-Nut Decoction or Sweet Dew Special Pill to Eliminate Toxins

Pneumonia Formula #1:

HerbDose
Radix Bupleuri24g
Radix Scutellariae9g
Rhizoma Zingiberis Recens10g
Rhizoma Pinelliae12g
Semen Armeniacae Amarum15g
Fructus Amomi Rotundus10g
Semen Coicis30g
Herba Lophatheri15g
Talcum15g
Rhizoma Smilacis Glabrae30g
Radix et Rhizoma Glycyrrhizae10g

Diagnosis: Damp Heat Afflicting the Lung

Clinical Manifestations: Low-grade fever or absence of fever, dry cough, scanty sputum, dry and sore throat, fatigue, weakness, poor appetite, chest stuffiness, epigastric distention, nausea or vomiting, loose stool.

Examination: CT scan reveals both lungs to have multiple scattered or large pieces of ground-glass opacity (GGO). Pale or pink, puffy tongue with teeth marks. White or greasy white coating. Soft or slippery pulse. 

Treatment Strategy: Transform Dampness, Detoxify; Disperse the Lungs and Expel Pathogens

Herbal Formula: Ephedra, Apricot Kernel, Coicis, and Licorice Decoction, Minor Sinking into the Chest Decoction and Tsaoko and Anemarrhena Decoction

Pneumonia Formula #2:

HerbDose
Herba Ephedrae20g
Semen Armeniacae Amarum10g
Semen Coicis30g
Rhizoma Coptidis6g
Rhizoma Pinelliae10g
Pericarpium Trichosanthis10g
Fructus Tsaoko10g
Rhizoma Anemarrhenae10g
Herba Houttuyniae15g
Radix et Rhizoma Glycyrrhizae10g
Fructus Amomi Rotundus9g

Diagnosis: Toxic Stagnation Obstructing the Lung

Clinical Manifestations: Cough, stifling sensation, stuffiness and distention in the chest, asthma and wheezing that worsens with exertion, accelerated respiration, thirst, irritability, reddish yellow urine. 

Examination: CT scan reveals both lungs to have multiple scattered or large pieces of ground-glass opacity (GGO). Fibrotic changes of the lung are also visible. Dark purplish tongue, yellow dry tongue coating or thick and greasy yellow coating, rapid, slippery pulse. 

Treatment Strategy: Detoxify, Arrest Wheezing; Transform Blood Stasis and Open Collaterals

Herbal Formula: White Tiger plus Ginseng Decoction) with Four Wild Decoction

Pneumonia Formula #3:

HerbDose
Gypsum Fibrosum30g
Rhizoma Anemarrhenae10g
Rhizoma Dioscoreae15g
Radix Panacis Quinquefolii5g
Rhizoma Smilacis Glabrae30g
Radix Rumicis Obtusifolii10g
Rhizoma Bolbostemmatis10g
Rhizoma Achyranthes Sylvestris10g
Lignum Sappan10g
Eupolyphaga seu Steleophaga10g
Vascular Citri Reticulatae15g
Semen Raphani20g
Semen Descurainiae seu Lepidii15g
Retinervus Luffae Fructus30g

Diagnosis: Closed Interior and Abandoned Exterior Syndrome

Clinical Manifestations: Mental incoherence, irritability, burning or heat sensation in the chest and abdomen, cold extremities, accelerated respiration and need for assisted breathing, scarlet purple tongue, dry yellow or yellowish brown coating, floating, forceful pulse that is empty in the deep level, or rootless. 

Treatment Strategy: Open the Closed, Consolidate the Abandoned, Detoxify, Rescue Reversal 

Herbal Formula: Frigid Extremities Decoction plus Ginseng, taken with Calm the Palace Pill with Cattle Gallstone and Purple Snow Powder

Pneumonia Formula #4:

HerbDose
Radix et Rhizoma Ginseng10g
Radix Aconiti Lateralis Praeparata10g
Serve with Calm the Palace Pill with Cattle Gallstone and Purple Snow Powder

#4. Recovery Phase:

Clinical Manifestations: Absence of fever, dry cough, chest stuffiness, shortness of breath, shortness of breath upon exertion, dry mouth, weakness.

Examination: CT reveals inflammation begins to subside as well as pulmonary interstitial changes. Pale red tongue, thick or greasy coating, thread, rapid pulse. 

Treatment Strategy: Tonify Qi, Nourish Yin, Tonify Lung and Open the Collaterals

Herbal Formula: Glehnia and Ophiopogonis Decoction

Pneumonia Formula #5:

HerbDose
Radix Glehniae seu Adenophorae15g
Radix Ophiopogonis15g
Fructus Schisandrae Chinensis15g
Radix et Rhizoma Ginseng12g
Semen Raphani15g
Retinervus Luffae Fructus15g
Vascular Citri Reticulatae15g
Fructus Perillae12g
Bulbus Fritillariae Thunbergii12g
Semen Armeniacae Amarum12g
Radix Scutellariae15g
Radix et Rhizoma Glycyrrhizae10g

Acupuncture Treatment for The Recovery Phase:

The Purpose is restore Lung and Spleen functions and the body’s zheng (upright) qi.

Points: GV 14, BL 17, BL 13, ST 36 or LU 6.

Method and Frequency:

  • Moxa all points for 15 minutes.
  • Once a day.

We’d like to thank John Chen for compiling and translating the data that made this study possible. We also want to give a shout out to Michael Norris for digging deep into the data and making it easy to understand and digest.

And for those that are interested, here are links to our study methods.

Keep in mind that you do not have to use the above formulas in place of Western medicines, preferably you have to work towards effective treatment using both Western and Chinese medicine.

Also, patients are advised not to use Chinese medicine for self-treatment and should not consider Chinese medicine as the only treatment. As the condition of all patients may vary, the use of Chinese medicine is not advised without consulting licensed medical practitioners.

COVID-19 Control: How China is Defeating Coronavirus Pandemic

While the whole world is fighting a deadly war with coronavirus that causes COVID-19, there are some countries which were previously vulnerable to the virus, are now doing a better job in defeating it.

China, which was at the forefront of the number of coronavirus confirmed cases, is now leading the list of most recovered cases. According to the data, China has recovered about 93% of the total infected cases, which is actually very admirable.

As the number of new cases falls, life in China is slowly returning to normal, and workers are gradually getting back to their jobs. Besides, schools, factories, public places, and tourist places have also reopened in China. This means that China’s intentions and objectives regarding COVID-19 are finally proving to be effective.

And this points to the obvious question, which is, how did they do it?

Well, to find out how China did this, we contacted some experts in the medical world and asked them some questions in its context. We interviewed the following people to know more about China’s pro-active steps to control coronavirus:

  1. Tsao-Lin E. Moy, acupuncturist and Chinese medicine expert
  2. Dr. Kate Tulenko, a physician and China health expert
  3. Dr. Rishi Desai, Chief Medical Officer of Osmosis and Former CDC Officer
  4. Dr. Kaushal Kulkarni, a US-based board-certified physician (Ophthalmologist)

And talked about the following:

  1. What methods did China take to control the coronavirus?
  2. How china traced every single COVID-19 case?
  3. During a lockdown, how people were getting extra food and supplies?
  4. Did China’s lockdown specifically work?
  5. What are the lessons for other countries?
  6. Are COVID-19 cases coming to an end in China?

And the answers that we got in our expert’s session are as follows:

1. What methods did China take to control the coronavirus?

2. How china traced every single COVID-19 case?

3. During lockdown, how people were getting extra food and supplies?

4. Did China’s lockdown specifically work?

5. What are the lessons for other countries?

6. Are COVID-19 cases coming to an end in China?

Since South Korea is also doing very well in the context of coronavirus, after this, we asked the experts to throw light on the important efforts being made by South Korea.

In response to this Dr. Desai said “In terms of testing, based on the March 20th data, the US lags far behind with only about 135,000 people tested, which works out to 1 out every 2424 people, roughly 15 times less than South Korea – despite both countries having their first confirmed case on January 19th. Unfortunately, the US data doesn’t include testing done by private companies, but as of late March, testing has been well-documented to be woefully inadequate in most parts of the US, requiring days to get a result of being unavailable altogether.”

With this, Dr. Kate Tulenko said, “What we learn from South Korea is that democracies can defeat this virus if that act early and decisively. People might need to give up some rights (such as the right to data privacy) to facilitate contact tracing. But these temporary reductions in rights will lead to a faster return to normal life and a robust economy.”

Finally, Kate Tulenko said that for countries facing new outbreaks, they should focus on social distancing, respiratory and hand hygiene, mass public mask-wearing, mass testing and contract tracing, and central quarantine of all COVID-19 positive patients.

We learned a lot in this chapter about China and South Korea’s efforts against COVID-19, and we hope you did too.

And now is the time to move to the next chapter.

CHAPTER 7:

Coronavirus Case Studies

Case Studies: Pattern of Coronavirus Infection

In this chapter, you are going to see two case studies to understand how coronavirus affects your body.

First, you will see a case study of 138 hospitalized patients and learn about their clinical characteristics.

Then you will see what symptoms the first 99 COVID-19 infected patients of Wuhan Jinyintan Hospital display.

Case Study #1: Clinical Characteristics of 138 Hospitalized Patients

In December 2019, the novel Coronavirus outbreak began in Wuhan, China. The number of cases was increasing rapidly, but information on clinical characteristics shown by the suffering patients was limited.

Therefore, between January 1 and January 28, 2020, at the Zhongnan Hospital of Wuhan University, a detailed study of the cases of 138 hospitalized patients was done, which was later published in JAMA on February 7, 2020.

Here's the Summary of Their Key Findings:

  1. The study includes 138 hospitalized patients aged 22–92 years whose median age is 56 years.
  2. Of the 138 hospitalized patients, 75 (54.3%) are male, and 63 (45.7%) are female.
  3. Out of 138 hospitalized patients, 102 (73.9%) were admitted in isolation ward and 36 (26.1%) in ICU.
  4. ICU patients were older in age than non-ICU patients. The median age of ICU patients was 66 years, and the median age of non-ICU patients was 51 years.
  5. Of the 138 hospitalized patients, 64 (46.4%) already had one or more medical conditions. Hypertension (31.2%), diabetes (10.1%), cardiovascular disease (14.5%), and malignancy (7.2%) were the most common coexisting conditions.
  6. The most common symptoms at the onset of the disease were fever (98.6%), fatigue (69.6%), dry cough (59.4%), myalgia (34.8%), and dyspnea (31.2%).
  7. Out of 138 hospitalized patients, 57 (41.3%) people caught the virus infection in the hospital. Out of which 17 patients (12.3%) were already admitted in the hospital, and 40 were health care workers (29%) of the same hospital.
  8. The study suggests rapid person-to-person transmission of the virus. On average, each patient was spreading the infection to 2.2 others.

Here’s the detailed breakdown of the study:

Detailed Breakdown of the Study:

To understand the pattern of coronavirus infection with this case study, below, we have explained the study with the help of graphs in 3 different parts. Which are as follows:

  1. Sex
  2. Comorbidities
  3. Signs and symptoms

Analysis By Sex:

In this analysis, including both male and female, their ICU and Non-ICU cases are studied separately.

In total, hospitalized patients, males represent the majority with 75 infected cases (54.3%), followed by 63 female cases (45.7%).

After this, to understand the pattern better, we divided the total cases into two parts ICU patients and non-ICU patients.

In the ICU case, 22 males (61.1%) and 14 females (38.9%) had to be transferred to the Intensive Care Unit for further treatment.

In the Non-ICU case, 53 males (52%) and 49 females (48%) were treated in isolation wards.

Key conclusion: Studying all the graphs suggests that men are probably at the highest health risk from coronavirus infection.

Analysis By Comorbidities:

In this analysis, we separately studied ICU and non-ICU cases of hospitalized patients admitted to Zhongnan Hospital, according to the comorbidities.

The study revealed that 64 out of 138 patients (46.4%) had 1 or more coexisting medical conditions.

In total, hospitalized patients, Hypertension medical condition represents the majority with 43 infected cases (31.2%). Followed by 20 Cardiovascular Disease cases (14.5%), 14 Diabetes cases (10.1%), 10 Malignancy cases (7.2%), 7 Cerebrovascular Disease cases (5.1%), 4 COPD cases (2.9%), 4 Chronic Kidney Disease cases (2.9%), 4 Chronic Liver Disease cases (2.9%) and 2 HIV infection cases (1.4%).

After this, to understand the pattern better, we divided the total cases into two parts ICU patients and non-ICU patients.

In the ICU case, Hypertension by far is the most coronavirus-infected medical condition (with 58.3% of people). Cardiovascular disease (25.0%), Diabetes (22.2%), Cerebrovascular Disease (16.7%), Malignancy (11.1%), COPD (8.3%), and Chronic Kidney Disease (5.6%) medical conditions are also fairly infected.

In the Non-ICU case, Hypertension by far is the most coronavirus-infected medical condition (with 21.6% of people). Cardiovascular disease (10.8%), Diabetes (5.9%), Malignancy (5.9%), Chronic Liver Disease (3.9%), Chronic Kidney Disease (2.0%), HIV Infection (2.0%), Cerebrovascular Disease (1.0%), and COPD (1.0%) medical conditions are also fairly infected.

Key conclusion: Studying all the graphs suggests that people with medical conditions such as Hypertension, Cardiovascular disease, Diabetes, and Malignancy are probably at the highest health risk from coronavirus infection.

Analysis By Signs and Symptoms:

In this analysis, we separately studied ICU and non-ICU cases of hospitalized patients admitted to Zhongnan Hospital, according to the signs and symptoms.

The study revealed early signs and symptoms of all hospitalized patients.

In total hospitalized patients, the most common symptom at onset of illness was fever (98.6%), followed by Fatigue (69.6%), Dry Cough (59.4%), Anorexia (39.9%), Myalgia (34.8%), Dyspnea (31.2%), Expectoration (26.8%), Pharyngalgia (17.4%), Diarrhea (10.1%), Nausea (10.1%), Dizziness (9.4%), Headache (6.5%), Vomiting (3.6%) and Abdominal Pain (2.2%). 

After this, to understand the pattern better, we divided the total cases into two parts ICU patients and non-ICU patients.

In the ICU case, the most common symptoms at the onset of illness were Fever (100%), Fatigue (80.6%), Anorexia (66.7%), Dyspnea (63.9%), and Dry Cough (58.3%). And less common symptoms were Myalgia (33.3%), Pharyngalgia (33.3%), Expectoration (22.2%), Dizziness (22.2%), Diarrhea (16.7%), Nausea (11.1%), Headache (8.3%), Vomiting (8.3%), and Abdominal Pain (8.3%).

In the Non-ICU case, the most common symptoms at the onset of illness were Fever (98.0%), Fatigue (65.7%), Dry Cough (59.8%), and Myalgia (35.3%). And less common symptoms were Expectoration (28.4%), Pharyngalgia (11.8%), Diarrhea (7.8%), Headache (5.9%), Dizziness (4.9%), and Vomiting (2.0%).

Key conclusion: Studying all the graphs suggests that fever, Fatigue, dry cough, myalgia, and dyspnea are the most common early signs of coronavirus infection.

Result of the Study:

This case study has told us a lot about the pattern of coronavirus. We found this case study interesting because it focused mainly on the early symptoms of the COVID-19.

Here’s the result of the study in short:

  • Most coronavirus vulnerable gender: Male
  • Most coronavirus vulnerable age: 60+
  • Most coronavirus vulnerable medical conditions: Hypertension, Cardiovascular Disease, Diabetes and Malignancy
  • Most common coronavirus symptoms: Fever, Fatigue, Dry Cough, Myalgia, and Dyspnea.
  • Coronavirus mode of transmission: Person-to-person
  • Coronavirus reproduction number: on average, 2.2

The study also revealed that patients who are mildly ill in the beginning can see major changes in their illness in a week. Patients can see the following changes in their illness:

  • Day 1 to 4: Mild signs and symptoms
  • Day 5 to 6: Shortness of breath
  • Day 7: Medical care in a hospital required
  • Day 8: Severe difficulty breathing

Doctors also found in these studies of patients that coronavirus infection is accompanied by pneumonia, which has effects in many parts of the body such as the blood clotting system, heart, kidney, liver, and lungs.

We learned a lot about coronavirus from this study, and we hope you did too.

We’d like to again thank JAMA for providing the data that made this research possible.

And now is the time to move to the second case study of coronavirus.

Case Study #2: Clinical Characteristics of 99 Confirmed Cases

Between January 1 and January 20, 2020, at the Wuhan Jinyintan Hospital, a detailed study of the cases of 99 confirmed cases was done, which was later published in The Lancet on January 30, 2020.

All data of the study was obtained from the patients’ medical records. And if any data was missing or unclear, the researchers clarified the data by direct communication with attending doctors and other health care providers.

Here’s the Summary of Their Key Findings:

  1. Out of 99 confirmed cases, 11 people died, 31 were discharged, and 57 were still hospitalized.
  2. In the list of confirmed cases, persons aged 50–59 came in first place with 30%, persons aged 60–69 came in second place with 22%, and persons aged 40–49 came in third place with 22%.
  3. Among confirmed cases, 68% were male, and 32% were female.
  4. There were 51% of confirmed cases that were already facing some chronic medical illnesses.
  5. In confirmed cases, 64% of people were self-employed, 19% were retired, 15% were employees, and 2% were agricultural workers.
  6. 23% of the 99 confirmed cases had a critical coronavirus infection and were transferred to the intensive care unit.
  7. Among confirmed cases, 40% of people were suffering from cardiovascular and cerebrovascular diseases, 13% of people with endocrine system disease, 11% of people with digestive system disease, 1% people with a malignant tumor, and 1% people with nervous system disease.
  8. The most common symptoms at the onset of the disease were fever (83%), cough (82%), shortness of breath (31%), muscle ache (11%), confusion (9%), headache (8%) and sore throat (5%).
  9. The less common symptoms at the onset of the disease were rhinorrhoea (4%), chest pain (2%), diarrhoea (2%), and nausea-vomiting (1%).
  10. 90% of the 99 confirmed cases had more than one sign or symptom.
  11. All 99 people had pneumonia. 75% of them had bilateral pneumonia, and 25% had unilateral pneumonia.
  12. Out of all 99 confirmed cases, 76% had oxygen therapy, 76% had antiviral treatment, 71% had antibiotic treatment, 27% had intravenous immunoglobulin therapy, 19% had glucocorticoids, 17% had mechanical ventilation, 15% had antifungal treatment, 9% had CRRT, and 3% had ECMO.

We have detailed data and information on the analysis below.

Detailed Breakdown of the Study:

To understand the pattern of coronavirus infection with this case study, below, we have explained the study with the help of graphs in 8 different parts. Which are as follows:

  1. Age
  2. Sex
  3. Occupation
  4. Chronic medical illness
  5. Clinical outcome
  6. Signs and symptoms
  7. Pneumonia
  8. Treatment

Analysis By Age:

In the analysis, there are 9 different classes of people according to age, in which ≤39 years, 40–49 years, 50–59 years, 60–69 years, and ≥70 years old people are included.

The study shows people aged 40 years and above are the highest in the list of confirmed cases of coronavirus infection.

50–59 years by far is the most coronavirus-infected age group (with 30% of people). 60–69 years (22%), 40–49 years (22%), and ≥70 years (15%) age groups are also fairly infected.

And, the median age of all confirmed cases is 55·5 years.

Key conclusion: Studying all the graphs suggests that elderly people are probably at the highest health risk from coronavirus infection.

Analysis By Sex:

In this analysis, including both male and female, their confirmed cases are studied separately.

In total confirmed cases, males represent the majority with 67 infected cases (68%), followed by 32 female cases (32%).

Key conclusion: Studying all the graphs suggests that males are probably at the highest health risk from coronavirus infection.

Analysis By Occupation:

In the analysis, there are 4 different classes of people according to the occupation, in which agricultural workers, self-employed, employees, and retired people are included.

The study shows self-employed are the highest in the list of confirmed cases of coronavirus infection.

Self-employed, by far, is the occupation group with most coronavirus confirmed cases (with 64% of people). Retired (19%), Employee (15%), and Agriculture worker (2%) occupation groups are also popular in the same list.

Key conclusion: Studying all the graphs suggests that self-employed persons such as salesmen are probably at the highest health risk from coronavirus infection.

Analysis By Chronic Medical Illness:

In the analysis, there are 6 different classes of people according to chronic medical illness. In which people with Cardiovascular & cerebrovascular diseases, Digestive system disease, Endocrine system disease, Malignant tumor, Nervous system disease, and Respiratory system disease, chronic medical illness are included.

The study revealed that 50 out of 99 patients (51%) had one or more coexisting chronic medical illnesses.

In total confirmed cases, Cardiovascular & cerebrovascular diseases chronic medical illness represent the majority with 40 infected cases (40%). Followed by 13 Endocrine system disease cases (13%), 11 Digestive system disease cases (11%), 1 Malignant case (1%), 1 Nervous system disease case (1%), and 1 Respiratory system disease case (1%).

Key conclusion: Studying all the graphs suggests that people with chronic medical conditions such as Cardiovascular & cerebrovascular diseases, Endocrine system disease (diabetes), and Digestive system disease are probably at the highest health risk from coronavirus infection.

Analysis By Clinical Outcome:

In the analysis, there are 3 different classes of people according to clinical outcome. In which people who remained in the hospital, who were discharged, and who died have been included.

The study shows that as of 25 January, 31 (31%) patients had been discharged, and 11 (11%) patients had died, and another 57 (58%) patients were still in the hospital.

Key conclusion: The study of all graphs suggests that coronavirus infection is probably very dangerous, as only 31 percent of the 98 people were discharged.

Analysis By Signs and Symptoms:

In this analysis, we studied all confirmed cases admitted in Jinyintan Hospital, according to the signs and symptoms.

The study revealed early signs and symptoms of all confirmed cases.

In total confirmed cases, the most common symptom at onset of illness was fever (83%), followed by cough (82%), shortness of breath (31%), muscle ache (11%), confusion (9%), headache (8%), sore throat (5%), rhinorrhea (4%), chest pain (2%), diarrhoea (2%) and nausea & vomiting (1%).

Key conclusion: Studying all the graphs suggests that fever, cough, shortness of breath, and muscle ache are the most common early signs of coronavirus infection.

Analysis By Pneumonia:

In this analysis, we separately studied unilateral pneumonia and bilateral pneumonia cases of confirmed cases admitted in Jinyintan Hospital.

In total confirmed cases, bilateral pneumonia represents the majority with 74 infected cases (75%), followed by 25 unilateral pneumonia cases (25%).

Key conclusion: Studying all the graphs suggests that coronavirus infection causes pneumonia in all patients.

Analysis By Treatment:

In this analysis, we studied all confirmed cases admitted in Jinyintan Hospital, according to the treatment they received.

In all confirmed cases, the most common treatments of illness were antiviral treatment (76%) and oxygen therapy (76%). Followed by antibiotic treatment (71%), intravenous immunoglobulin therapy (27%), glucocorticoids (19%), mechanical ventilation (17%), antifungal treatment (15%), continuous renal replacement therapy (9%), and extracorporeal membrane oxygenation (3%).

Key conclusion: Studying all the graphs suggests that antiviral treatment, oxygen therapy, and antibiotic treatment are the most common treatments of coronavirus infection till now.

Result of the Study:

This case study has told us a lot about the pattern of coronavirus. We found this case study interesting because it focused mainly on treatments of the COVID-19.

Here’s the result of the study in short:

  • Most coronavirus vulnerable gender: Male
  • Most coronavirus vulnerable age: 50+
  • Most coronavirus occupation: Self-employed (such as salesman)
  • Most coronavirus vulnerable chronic medical illness: Cardiovascular & Cerebrovascular Diseases, Endocrine system disease (such as Diabetes) and Digestive system disease
  • Most common coronavirus symptoms: Fever, Cough, Shortness of Breath, and Muscle Ache.
  • Most common coronavirus treatments: Antiviral Treatment, Oxygen Therapy, and Antibiotic Treatment

Doctors found in the study that in coronavirus infection, all people get pneumonia, which becomes more severe over time, and that made their bodies less capable of fighting the virus.

The study also revealed that the first two deaths occurred of men who had no serious health issues, but they were long-term smokers. Both of them were experiencing severe breathing problems due to coronavirus infection, and eventually, they died due to lung-related complications.

We learned a lot about coronavirus from this study, and we hope you did too.

We’d like to again thank The Lancet for providing the data that made this research possible.

And now is the time to move to the next chapter.

CHAPTER 8:

Coronavirus Rumors vs. Facts

COVID-19 Rumors vs. Facts: Biggest Coronavirus Myths Busted

Just as the outbreak of coronavirus has caused a storm of infection in people around the world, there has been a flood of articles about the outbreak on social media. Unfortunately, in this flood of articles, it can be difficult for a common man to separate facts from rumors.

And during a viral outbreak, rumors and misinformation can spread unnecessary fear and panic among people. 

So here at Healthroid, we have compiled a long list of the biggest myths about the novel coronavirus and the associated disease COVID-19 to discover the truth and explain how these rumors are misleading. 

Let’s dive right in.

‣ Myth: "This coronavirus was developed in a biological warfare lab and intentionally leaked."

Fact: No, no part of this rumor is correct. Scientists around the world continue to look at the origin of the virus until now. Scientists believe that coronaviruses likely originated from pangolins, just like many other viruses that have recently emerged in humans from wildlife.

‣ Myth: "An ultraviolet disinfection lamp can kill the new coronavirus."

Fact: No, according to WHO, UV lamps should not be used to sterilize hands, or other areas of skin as UV radiation can cause skin irritation.

‣ Myth: "China lied about coronavirus case numbers."

Fact: The truth is that no one is aware of the exact figures of coronavirus cases in China. By the way, if history is seen, China has messed up the data in other coronavirus epidemics in the past. According to The Epoch Times, some leaked documents reveal that the real figures in the Shandong Province of China are up to 52 times higher than the reported figures.

‣ Myth: "The coronavirus can be killed with a hand dryer."

Fact: It is essential to take care of the hygiene of your hands to protect yourself from coronavirus. For this, you need to wash your hands from time to time with alcohol-based hand sanitizer or soap and running water. Yes, after that, you can dry your hands with the hand dryer.

‣ Myth: "A vaccine is ready for the novel coronavirus that was patented many years ago."

Fact: There is no patent for the recently discovered new coronavirus. The wrong information was given in a Facebook post that a person named Jacob Rothschild owns the patent for Novel Coronavirus, which was later proved wrong by the Fullfact website by fact-checking. Instead, according to The Verge, the coronavirus vaccine will take a long time to come because vaccine development has just started from scratch.

‣ Myth: "Thermal scanners are effective in detecting people infected with the new coronavirus."

Fact: Thermal scanners cannot detect whether someone is infected with a coronavirus. Thermal scanners work only to measure the rise in the body temperature (fever) of people due to viral infection, whether it is a new coronavirus or any other virus. It takes 2 to 14 days for a person suffering from coronavirus to show symptoms. In such a situation, if a person is infected but is not showing signs of fever, then Thermal scanners also do not provide any information about the coronavirus infection.

‣ Myth: "Lysol and Clorox products can kill the novel coronavirus."

Fact: Popular brands Lysol and Clorox have mentioned in their labeling, they have a 99.9% effectiveness against human coronavirus. Yes, products like Lysol and Clorox are effective in disinfecting the previously seen (old) human coronavirus. Still, these products are equally effective against novel (new) coronavirus that has not been proven yet.

‣ Myth: "Spraying alcohol or chlorine all over your body can kill the coronavirus."

Fact: No, according to the WHO, if the virus has already entered your body, then the virus will not die by a spray of alcohol or chlorine. In fact, spraying can damage your mucous membranes (i.e., eyes, mouth). You need to be careful as both alcohol and chlorine are used to disinfect the surfaces with appropriate advice.

‣ Myth: "China sought court approval to kill 20,000 coronavirus patients."

Fact: An article published on the website AB-TC claimed that the Chinese government was seeking approval from the country’s Supreme People’s Court to kill 20,000 coronavirus patients to prevent the virus from spreading further. But a US-based fact-checking website Snopes proved the claim to be absolutely false by fact-checking. According to Snopes, this website has a history of spreading misinformation, and this website is full of junk news.

‣ Myth: "It is not safe to receive a letter or a package from China."

Fact: No, this is not true at all. According to the WHO, people who are receiving a letter or a package from China are not at risk of contracting the new coronavirus. Previous analyzes have shown that coronavirus cannot survive for a long time in objects such as letters or packages.

‣ Myth: "Traces of coronavirus have been found in some Asian foods that people have to avoid eating."

Fact: Some time ago, a post on social media was viral that in some Asian foods, traces of coronavirus have been found. Those foods include wagyu beef, Yakult, Nongshim Onion Ring snacks, Mi Goreng instant noodles, Lipton peach-flavored iced tea, fortune cookies, two varieties of rice, and Red Bull. In the post, it was being claimed that the statement has been confirmed by the New South Wales Ministry of Health. But later, the New South Wales Ministry of Health rejected this claim in a tweet and said that this post is fake and did not originate from NSW Health or any related institution.

‣ Myth: "Pets at home can spread the new coronavirus."

Fact: Currently, there is no evidence that pets such as dogs or cats can be infected with the coronavirus. However, if you come in contact with any animal, you should always wash your hands thoroughly with soap. By taking care of your hygiene, you can protect yourself from bacteria like E.coli and Salmonella, which are easily transferred from animals to humans.

‣ Myth: "You can get coronavirus from drinking Corona Beer."

Fact: No, not at all. There is no link between coronavirus and corona beer. You cannot be infected with coronavirus by drinking Corona beer. Unless you share a bottle or glass of beer with a coronavirus infected person.

‣ Myth: "Vaccines against pneumonia protect you against the new coronavirus."

Fact: No. According to WHO, vaccines against pneumonia do not provide protection against the new coronavirus. The coronavirus is very new and different, so it requires a separate vaccine. Researchers around the world are engaged in the manufacture of the coronavirus vaccine. Although these vaccines are not effective for coronavirus, vaccination against respiratory diseases is highly recommended to protect your health.

‣ Myth: "Coronavirus can spread by farting."

Fact: No, in reality, it is not possible. The Center for Disease Control and Prevention (CDC) of Beijing’s Tongzhou district has written a long article in their WeChat account in which they have clarified that farts cannot infect you unless you smell the fart of a pantless patient closely.

‣ Myth: "Regularly rinsing your nose with saline can help prevent infection with the new coronavirus."

Fact: No, according to the WHO, there is no evidence that regular cleaning of the nose with saline has prevented people from coronavirus infection. Regularly cleaning the nose with saline helps people recover quickly from the common cold, but this has not been found in the case of respiratory diseases.

‣ Myth: "Coronavirus infection is just a common cold or flu."

Fact: The symptoms of the new coronavirus are similar to those of the common cold or flu, but the two diseases are very different from each other. People also often compare COVID-19 to the flu, but we have a vaccine for prevention and medications to treat the flu. But there is no such treatment or vaccine available in the case of COVID-19.

‣ Myth: "Eating garlic can help prevent infection with the new coronavirus."

Fact: No, this is not true. There is no doubt that garlic is a healthy food that can kill microorganisms or can at least stop their growth. However, there is currently no evidence that people have been saved from the new coronavirus by eating garlic.

‣ Myth: "Warm weather will slow down the coronavirus."

Fact: It is true that some other viruses, such as common cold and flu, spread less in the summer season than in the winter season. But we cannot exactly compare this new coronavirus to other viruses because much more is yet to be known about its communication, severity, and investigation. So, unfortunately, it is difficult to know whether the hot weather will slow down the new coronavirus.

COVID-19 Update: Coronavirus can survive in both hot and humid climates: WHO

‣ Myth: "Putting on sesame can help block the new coronavirus from entering your body."

Fact: No, sesame oil does not kill the new coronavirus. According to the WHO, some chemical disinfectants such as bleach/chlorine-based disinfectants, either solvents, 75% ethanol, peracetic acid, and chloroform, are effective in killing coronavirus in surfaces. But those chemical disinfectants should not be used in the skin as it can be dangerous.

‣ Myth: "Chicken soup will stop the coronavirus."

Fact: It is not correct to say that chicken soup will stop the coronavirus; instead, it is right to say that chicken soup helps in fixing the mood of a sick person. Studies have shown that the ingredients of chicken soup, such as chicken, carrots, and garlic, boost the body’s immune system. Additionally, chicken contains high amounts of the amino acid tryptophan, which helps to produce a neurotransmitter called serotonin, which makes the sick person feel comfortable.

‣ Myth: "New coronavirus affects only older people."

Fact: No. According to the WHO, people of all ages can be infected with the new coronavirus. However, older people and people with pre-existing medical conditions (such as asthma, diabetes, heart disease) have a higher chance of getting infected with the new coronavirus than others. Therefore, all people, whether they are children, or adults, or older people, all need to take the same precaution to protect themselves.

‣ Myth: "Eating kimchi can prevent a coronavirus infection."

Fact: No, this statement is false. A few weeks ago, Kimchi, a Korean staple dish made from fermented cabbage, chili peppers, and garlic, was famous all over the internet. People were claiming that eating Kimchi can prevent a coronavirus infection. But later, South Korea’s Health Ministry disproved this claim and said, “Kimchi provides no protection against the new type of coronavirus. The best way to prevent the novel coronavirus is to wash hands frequently.”.

‣ Myth: "Antibiotics are effective in preventing and treating the new coronavirus."

Fact: No, antibiotics only act against bacteria and not viruses. And since COVID-19 is a disease caused by a coronavirus, in this case, antibiotics cannot be used in any way to prevent or treat it. However, if you are hospitalized for COVID-19, and you also have a bacterial infection, then, in this case, you may need antibiotics.

‣ Myth: "Cow dung and urine are effective cures for COVID-19."

Fact: No. Cow dung and urine are only excreta, which have nothing to do with coronavirus. No scientific study has been revealed so far that talks about the antiseptic properties of cow dung and urine. Therefore, it is complicated to say whether cow dung and urine can protect us from infection of any virus-like coronavirus.

‣ Myth: "Drinking a bleach solution (also known as MMS, or Miracle Mineral Solution) will prevent you from getting the coronavirus."

Fact: No. There is no scientific evidence that drinking bleach, MMS, or other sodium chlorite products will help prevent disease. Instead, the FDA has stated in one of its posts that the use of sodium chlorite products is dangerous, so it should be stopped immediately.

CHAPTER 9:

Coronavirus Frequently Asked Questions

COVID-19 Frequently Asked Questions and Answers

Want to find out more about the Coronavirus Disease 2019 (COVID-19)?

Got questions? We’ve got answers!

Below you’ll find answers to the questions we get asked the most about the novel coronavirus.

Novel Coronavirus is a new virus in the coronavirus family that has never been seen before.

Yes, there are seven types of coronavirus. 


The four coronaviruses that are common and not too dangerous are:


‣ 
229E (alpha coronavirus)
‣ NL63 (alpha coronavirus)
‣ OC43 (beta coronavirus)
‣ HKU1 (beta coronavirus)


Other three coronaviruses that can cause great harm to humans are:


‣ 
SARS-CoV (beta coronavirus)
‣ MERS-CoV (beta coronavirus)
‣ COVID-19 (previously known as 2019-nCoV)

COVID-19 is the official name of the disease caused by a novel coronavirus. In COVID-19, ‘CO’ stands for ‘corona,’ ‘VI’ for ‘virus,’ ‘D’ for disease, and ‘19’ for the year 2019.

No. ‘COVID-19’ and ‘2019-nCoV’ are the different names of the same disease. Formerly, the disease caused by novel coronavirus was referred to as ‘2019-nCoV’, but on February 11, 2020, the World Health Organization renamed the illness to ‘COVID-19’.

Wuhan, the capital of Central China’s Hubei province.

Researchers believe the COVID-19 infection spread to humans from animals. And animals suspected of spreading the virus are pangolins, bats, and snakes.

Most common symptoms of COVID-19 may include:


‣ 
Fever
‣ Fatigue
‣ Dry cough
‣ Shortness of breath
‣ Myalgia
‣ Pneumonia


Less common symptoms of COVID-19 may consist of:


‣ 
Runny Nose
‣ Nausea
‣ Vomiting
‣ Dizziness
‣ Diarrhea
‣ Sore throat
‣ Headache


The complete list of symptoms is still under analysis.

The coronavirus spreads from person-to-person.

‣ First, when a sick person releases small droplets of saliva or mucus from his mouth or nose while coughing or sneezing, and some other people near him come in direct contact with those droplets.

‣ Second, when small droplets of saliva or mucus released by a sick person land on objects and surfaces, which is later touched by someone. 

Studies so far have shown that coronavirus spreads only through exposure to respiratory droplets.

The risk of spreading coronavirus from a person without symptoms is very low. But many people who are infected with coronavirus initially show very mild symptoms; by looking at them, it may seem that they are completely healthy. So it is possible to get coronavirus infection from someone who, for example, is feeling a mild cough but is not ill.

Coronavirus is generally believed to spread from person-to-person via respiratory droplets. There is currently no evidence to support the food-related transmission of coronavirus. However, it is important to always wash your hands with soap and water before cooking or eating.

You can reduce the chances of getting infected or spreading coronavirus by taking a few simple precautions. Properly washing your hands is one of the most important things you can do to help prevent and control the spread of coronavirus. Visit the COVID-19 Protection Section to learn more about how to protect yourself from COVID-19.

It depends on where and with whom you are. If you are in an area or with a person where the virus outbreak has just started gaining momentum, there is a higher risk of infection from coronavirus.

Researchers are still learning about how coronavirus affects people. However, some research has shown that older people and individuals with pre-existing medical conditions develop more severe illnesses than others.

You should get tested of coronavirus, if:


‣ 
you are feeling sick with fever, cough, or difficulty breathing.
‣ have been in close contact with a coronavirus infected person.
‣ you live in or have recently traveled from an area with the ongoing spread of coronavirus.

No, antibiotics only act against bacteria and not viruses. And since COVID-19 is a disease caused by a coronavirus, in this case, antibiotics cannot be used in any way to prevent or treat it.

No vaccine or medicine has been developed yet for the prevention and treatment of coronavirus.

Wear the mask only if you are feeling ill with COVID-19 symptoms such as cough. If you are not sick and wearing a mask, then keep in mind that you are wasting the mask. The shortage of masks is going on all over the world, so you are most requested to use the masks carefully.

The incubation period means the time between a person being infected with the virus and showing symptoms after the infection. According to most studies, the incubation period of coronavirus is from 1 day to 24 days.

No, there is no evidence so far that a pet has been infected with coronavirus or a pet has spread coronavirus.

It is not sure how long the coronavirus can survive on a surface. But studies suggest that this novel coronavirus, like any other coronavirus, can remain on a surface for a few hours to a few days.

Yes, firstly, there is very little chance of an infected person to contaminate a package. Subsequently, after transferring the package in different conditions and temperatures, the chances of infecting a person are nearly zero.

CHAPTER 10:

Coronavirus Outbreak in Real-time

COVID-19 in Real Time: Here's How the Coronavirus is Spreading Rapidly

The World Health Organization (WHO), Johns Hopkins University, and other institutions have created useful dashboards to track COVID-19 outbreaks worldwide, where you can easily access real-time statistics on active cases, deaths, and recoveries of Coronavirus Disease 2019.

Apart from this, we have also published a data tracker on Healthroid with detailed  and accurate information about COVID-19 cases worldwide.

Healthroid's Real-Time Data:

Here is an interactive web-based world map to track COVID-19 statistics in real time.

If you are on the desktop, move the mouse cursor over the location to see the data. Apart from this, if you are on mobile or tablet, touch above the location to see the figures.

An interactive web-based dashboard to track COVID-19 in real time.

To identify new cases, we monitor various twitter feeds, online news services, and direct communication sent through the dashboard.

Here are the figures that shows the current country-wise confirmed cases, death cases and recovered cases of COVID-19. All countries are listed in the table from top to bottom based on the number of confirmed cases, just scroll the table to see the cases of other countries.

COVID-19: Situation update worldwide
  • Country
    Cases
    Deaths
    Recovered
  • United States
    1,698,311
    99,646
    457,232
  • Brazil
    367,906
    22,965
    149,911
  • Russia
    353,427
    3,633
    118,798
  • Spain
    282,852
    28,752
    196,958
  • United Kingdom
    261,184
    36,914
  • Italy
    230,158
    32,877
    141,981
  • France
    182,942
    28,432
    65,199
  • Germany
    180,688
    8,413
    161,200
  • Turkey
    157,814
    4,369
    120,015
  • India
    144,941
    4,172
    60,706
  • Iran
    137,724
    7,451
    107,713
  • Peru
    119,959
    3,456
    49,795
  • Canada
    85,104
    6,453
    44,207
  • China
    82,985
    4,634
    78,268
  • Saudi Arabia
    74,795
    399
    45,668
  • Chile
    73,997
    761
    29,302
  • Mexico
    68,620
    7,394
    47,424
  • Belgium
    57,342
    9,312
    15,297
  • Pakistan
    56,349
    1,167
    17,482
  • Qatar
    45,465
    26
    10,363
  • Netherlands
    45,445
    5,830
  • Ecuador
    37,355
    3,203
    3,560
  • Belarus
    37,144
    204
    14,449
  • Bangladesh
    35,585
    501
    7,334
  • Sweden
    33,843
    4,029
    4,971
  • Singapore
    31,960
    23
    15,738
  • Portugal
    30,788
    1,330
    17,822
  • Switzerland
    30,746
    1,913
    28,100
  • United Arab Emirates
    30,307
    248
    15,657
  • Ireland
    24,698
    1,606
    21,060
  • Indonesia
    22,750
    1,391
    5,642
  • South Africa
    22,583
    429
    11,100
  • Kuwait
    21,967
    165
    6,621
  • Poland
    21,631
    1,007
    9,276
  • Ukraine
    21,245
    623
    7,234
  • Colombia
    21,175
    727
    5,016
  • Romania
    18,283
    1,205
    11,630
  • Egypt
    17,967
    783
    4,900
  • Israel
    16,734
    281
    14,307
  • Japan
    16,550
    820
    13,413
  • Austria
    16,539
    641
    15,138
  • Dominican Republic
    15,073
    460
    8,285
  • Philippines
    14,319
    873
    3,323
  • Argentina
    12,076
    456
    3,999
  • Denmark
    11,387
    563
    9,964
  • South Korea
    11,206
    267
    10,226
  • Serbia
    11,193
    239
    5,920
  • Afghanistan
    11,173
    219
    1,097
  • Panama
    10,926
    306
    6,279
  • Bahrain
    9,171
    14
    4,753
  • Czechia
    8,972
    317
    6,180
  • Kazakhstan
    8,531
    35
    4,515
  • Algeria
    8,503
    609
    4,747
  • Norway
    8,360
    235
    7,727
  • Nigeria
    7,839
    226
    2,263
  • Oman
    7,770
    37
    1,933
  • Morocco
    7,532
    200
    4,774
  • Malaysia
    7,417
    115
    5,979
  • Moldova
    7,147
    261
    3,802
  • Australia
    7,118
    102
    6,531
  • Armenia
    7,113
    87
    3,145
  • Ghana
    6,808
    32
    2,070
  • Finland
    6,599
    308
    5,100
  • Bolivia
    6,263
    250
    629
  • Cameroon
    4,890
    165
    1,865
  • Iraq
    4,632
    163
    2,811
  • Azerbaijan
    4,271
    51
    2,741
  • Luxembourg
    3,993
    110
    3,781
  • Honduras
    3,950
    180
    468
  • Sudan
    3,820
    165
    458
  • Hungary
    3,756
    491
    1,711
  • Guatemala
    3,424
    58
    258
  • Guinea
    3,275
    20
    1,673
  • Uzbekistan
    3,189
    13
    2,607
  • Senegal
    3,130
    35
    1,515
  • Tajikistan
    3,100
    46
    1,395
  • Thailand
    3,042
    57
    2,928
  • Greece
    2,882
    172
    1,374
  • Djibouti
    2,468
    14
    1,079
  • Bulgaria
    2,433
    130
    862
  • Côte d’Ivoire
    2,423
    30
    1,257
  • Bosnia & Herzegovina
    2,406
    146
    1,696
  • Congo – Kinshasa
    2,297
    67
    337
  • Croatia
    2,244
    100
    2,035
  • North Macedonia
    1,999
    113
    1,439
  • El Salvador
    1,983
    35
    698
  • Cuba
    1,947
    82
    1,704
  • Gabon
    1,934
    12
    459
  • Estonia
    1,824
    65
    1,538
  • Iceland
    1,804
    10
    1,791
  • Somalia
    1,689
    66
    235
  • Lithuania
    1,635
    63
    1,138
  • Mayotte
    1,609
    20
    894
  • Slovakia
    1,511
    28
    1,307
  • New Zealand
    1,504
    21
    1,456
  • Slovenia
    1,469
    107
    1,346
  • Kyrgyzstan
    1,433
    16
    992
  • Maldives
    1,395
    4
    144
  • Kenya
    1,286
    52
    402
  • Sri Lanka
    1,182
    10
    695
  • Guinea-Bissau
    1,178
    7
    42
  • Venezuela
    1,121
    10
    262
  • Lebanon
    1,119
    26
    688
  • Hong Kong SAR China
    1,066
    4
    1,030
  • Mali
    1,059
    67
    604
  • Tunisia
    1,051
    48
    917
  • Latvia
    1,049
    22
    712
  • Equatorial Guinea
    1,043
    12
    165
  • Albania
    1,004
    32
    795
  • Haiti
    958
    27
    22
  • Costa Rica
    951
    10
    628
  • Niger
    945
    61
    783
  • Cyprus
    937
    17
    594
  • Zambia
    920
    7
    336
  • Paraguay
    865
    11
    344
  • Burkina Faso
    832
    52
    672
  • Uruguay
    769
    22
    618
  • Andorra
    763
    51
    663
  • Sierra Leone
    735
    42
    293
  • Georgia
    731
    12
    526
  • Diamond Princess
    712
    13
    651
  • Jordan
    711
    9
    479
  • Chad
    687
    61
    244
  • Nepal
    682
    4
    112
  • San Marino
    666
    42
    270
  • Ethiopia
    655
    5
    159
  • South Sudan
    655
    8
    6
  • Central African Republic
    652
    1
    22
  • Malta
    611
    6
    485
  • Jersey
    558
    45
    517
  • Jamaica
    552
    9
    211
  • Madagascar
    542
    2
    147
  • Tanzania
    509
    21
    183
  • Congo – Brazzaville
    487
    16
    147
  • Réunion
    452
    1
    411
  • Taiwan
    441
    7
    415
  • Palestinian Territories
    423
    3
    357
  • Cape Verde
    390
    3
    155
  • Togo
    381
    12
    141
  • Isle of Man
    336
    24
    303
  • Rwanda
    336
    0
    238
  • Mauritius
    334
    10
    322
  • French Guiana
    328
    1
    145
  • Vietnam
    326
    0
    272
  • Montenegro
    324
    9
    315
  • São Tomé & Príncipe
    299
    11
    4
  • Nicaragua
    279
    17
    199
  • Liberia
    265
    26
    141
  • Mauritania
    262
    9
    15
  • Eswatini
    256
    2
    158
  • Yemen
    233
    44
    10
  • Uganda
    212
    0
    68
  • Mozambique
    209
    1
    71
  • Myanmar (Burma)
    203
    6
    123
  • Martinique
    197
    14
    91
  • Benin
    191
    3
    84
  • Faroe Islands
    187
    0
    187
  • Guadeloupe
    161
    14
    115
  • Gibraltar
    154
    0
    147
  • Brunei
    141
    1
    137
  • Mongolia
    141
    0
    33
  • Guyana
    135
    10
    62
  • Bermuda
    133
    9
    81
  • Cayman Islands
    129
    1
    61
  • Cambodia
    124
    0
    122
  • Trinidad & Tobago
    116
    8
    108
  • Syria
    106
    4
    41
  • Aruba
    101
    3
    95
  • Malawi
    101
    4
    33
  • Bahamas
    100
    11
    46
  • Monaco
    98
    4
    90
  • Barbados
    92
    7
    70
  • Comoros
    87
    1
    21
  • Liechtenstein
    82
    1
    55
  • Sint Maarten
    77
    15
    59
  • Libya
    75
    3
    40
  • Angola
    69
    4
    18
  • French Polynesia
    60
    0
    60
  • Zimbabwe
    56
    4
    25
  • Macao SAR China
    45
    0
    45
  • Burundi
    42
    1
    20
  • St. Martin
    40
    3
    33
  • Eritrea
    39
    0
    39
  • Botswana
    35
    1
    19
  • Bhutan
    27
    0
    6
  • Antigua & Barbuda
    25
    3
    19
  • Gambia
    25
    1
    13
  • Timor-Leste
    24
    0
    24
  • Grenada
    22
    0
    17
  • Namibia
    21
    0
    14
  • Laos
    19
    0
    14
  • Belize
    18
    2
    16
  • Curaçao
    18
    1
    14
  • Fiji
    18
    0
    15
  • New Caledonia
    18
    0
    18
  • St. Lucia
    18
    0
    18
  • St. Vincent & Grenadines
    18
    0
    14
  • Dominica
    16
    0
    16
  • St. Kitts & Nevis
    15
    0
    15
  • Falkland Islands
    13
    0
    13
  • Greenland
    12
    0
    11
  • Vatican City
    12
    0
    2
  • Turks & Caicos Islands
    12
    1
    10
  • Montserrat
    11
    1
    10
  • Seychelles
    11
    0
    11
  • Suriname
    11
    1
    9
  • MS Zaandam
    9
    2
  • Western Sahara
    9
    0
    6
  • British Virgin Islands
    8
    1
    6
  • Papua New Guinea
    8
    0
    8
  • Caribbean Netherlands
    6
    0
    6
  • St. Barthélemy
    6
    0
    6
  • Anguilla
    3
    0
    3
  • Lesotho
    2
    0
  • St. Pierre & Miquelon
    1
    0
    1
Total
5,559,797
348,420
2,333,973

The table given below shows the increase in the number of confirmed cases, death cases and recovered cases and the rate of increase in the last 24 hours. All countries are listed in the table from top to bottom based on the number of confirmed cases. If the name of your country is not in the table, search for the required name with the help of search bar.

Country Cases 24h Deaths 24h Recovered % Active Tests
United States 1,698,311 11,875 99,646 346 457,232 26.9% 1,141,433 15,058,599
Brazil 367,906 4,288 22,965 249 149,911 40.7% 195,030 735,224
Russia 353,427 8,946 3,633 92 118,798 33.6% 230,996 8,945,384
Spain 282,852 0 28,752 0 196,958 69.6% 57,142 3,556,567
United Kingdom 261,184 1,625 36,914 121 224,270 3,532,634
Italy 230,158 300 32,877 92 141,981 61.7% 55,300 3,482,253
France 182,942 358 28,432 65 65,199 35.6% 89,311 1,384,633
Germany 180,688 360 8,413 42 161,200 89.2% 11,075 3,595,059
Turkey 157,814 987 4,369 29 120,015 76% 33,430 1,853,754
India 144,941 6,405 4,172 148 60,706 41.9% 80,063 3,033,591
Iran 137,724 2,023 7,451 34 107,713 78.2% 22,560 818,917
Peru 119,959 0 3,456 0 49,795 41.5% 66,708 820,967
Canada 85,104 405 6,453 29 44,207 51.9% 34,444 1,479,838
China 82,985 11 4,634 0 78,268 94.3% 83
Saudi Arabia 74,795 2,235 399 9 45,668 61.1% 28,728 722,079
Chile 73,997 4,895 761 43 29,302 39.6% 43,934 488,041
Mexico 68,620 2,764 7,394 215 47,424 69.1% 13,802 219,164
Belgium 57,342 250 9,312 32 15,297 26.7% 32,733 788,110
Pakistan 56,349 1,748 1,167 34 17,482 31% 37,700 483,656
Qatar 45,465 1,751 26 3 10,363 22.8% 35,076 192,484
Netherlands 45,445 209 5,830 8 39,615 324,918
Ecuador 37,355 599 3,203 95 3,560 9.5% 30,592 106,554
Belarus 37,144 946 204 5 14,449 38.9% 22,491 463,004
Bangladesh 35,585 1,975 501 21 7,334 20.6% 27,750 253,034
Sweden 33,843 384 4,029 31 4,971 14.7% 24,843 209,900
Singapore 31,960 344 23 0 15,738 49.2% 16,199 294,414
Portugal 30,788 165 1,330 14 17,822 57.9% 11,636 689,705
Switzerland 30,746 10 1,913 7 28,100 91.4% 733 372,146
United Arab Emirates 30,307 822 248 3 15,657 51.7% 14,402 2,044,493
Ireland 24,698 59 1,606 0 21,060 85.3% 2,032 295,626
Indonesia 22,750 479 1,391 19 5,642 24.8% 15,717 256,946
South Africa 22,583 0 429 0 11,100 49.2% 11,054 583,855
Kuwait 21,967 665 165 9 6,621 30.1% 15,181 273,812
Poland 21,631 305 1,007 11 9,276 42.9% 11,348 779,576
Ukraine 21,245 259 623 6 7,234 34.1% 13,388 291,868
Colombia 21,175 0 727 0 5,016 23.7% 15,432 252,742
Romania 18,283 213 1,205 20 11,630 63.6% 5,448 377,191
Egypt 17,967 702 783 19 4,900 27.3% 12,284 135,000
Israel 16,734 17 281 2 14,307 85.5% 2,146 541,322
Japan 16,550 0 820 0 13,413 81% 2,317 271,201
Austria 16,539 36 641 1 15,138 91.5% 760 405,341
Dominican Republic 15,073 272 460 2 8,285 55% 6,328 69,608
Philippines 14,319 284 873 5 3,323 23.2% 10,123 301,677
Argentina 12,076 0 456 4 3,999 33.1% 7,621 129,418
Denmark 11,387 27 563 1 9,964 87.5% 860 546,621
South Korea 11,206 16 267 1 10,226 91.3% 713 826,437
Serbia 11,193 34 239 1 5,920 52.9% 5,034 220,344
Afghanistan 11,173 591 219 1 1,097 9.8% 9,857 31,718
Panama 10,926 0 306 0 6,279 57.5% 4,341 58,240
Bahrain 9,171 33 14 0 4,753 51.8% 4,404 283,884
Czechia 8,972 17 317 2 6,180 68.9% 2,475 403,358
Kazakhstan 8,531 209 35 0 4,515 52.9% 3,981 671,774
Algeria 8,503 197 609 9 4,747 55.8% 3,147
Norway 8,360 8 235 0 7,727 92.4% 398 234,637
Nigeria 7,839 0 226 0 2,263 28.9% 5,350 44,458
Oman 7,770 0 37 0 1,933 24.9% 5,800 72,000
Morocco 7,532 99 200 1 4,774 63.4% 2,558 152,203
Malaysia 7,417 172 115 0 5,979 80.6% 1,323 513,370
Moldova 7,147 54 261 11 3,802 53.2% 3,084 40,565
Australia 7,118 4 102 0 6,531 91.8% 485 1,245,062
Armenia 7,113 452 87 6 3,145 44.2% 3,881 51,594
Ghana 6,808 125 32 0 2,070 30.4% 4,706 197,194
Finland 6,599 20 308 1 5,100 77.3% 1,191 168,700
Bolivia 6,263 348 250 10 629 10% 5,384 22,294
Cameroon 4,890 0 165 0 1,865 38.1% 2,860
Iraq 4,632 163 163 3 2,811 60.7% 1,658 194,444
Azerbaijan 4,271 149 51 2 2,741 64.2% 1,479 273,411
Luxembourg 3,993 1 110 0 3,781 94.7% 102 68,107
Honduras 3,950 207 180 6 468 11.8% 3,302 14,790
Sudan 3,820 192 165 19 458 12% 3,197 401
Hungary 3,756 15 491 5 1,711 45.6% 1,554 164,619
Guatemala 3,424 370 58 3 258 7.5% 3,108 31,427
Guinea 3,275 0 20 0 1,673 51.1% 1,582 14,407
Uzbekistan 3,189 25 13 0 2,607 81.7% 569 460,000
Senegal 3,130 83 35 0 1,515 48.4% 1,580 35,016
Tajikistan 3,100 171 46 0 1,395 45% 1,659
Thailand 3,042 2 57 1 2,928 96.3% 57 375,453
Greece 2,882 4 172 1 1,374 47.7% 1,336 155,037
Djibouti 2,468 198 14 4 1,079 43.7% 1,375 23,140
Bulgaria 2,433 6 130 0 862 35.4% 1,441 74,539
Côte d’Ivoire 2,423 47 30 0 1,257 51.9% 1,136 24,317
Bosnia & Herzegovina 2,406 5 146 2 1,696 70.5% 564 59,934
Congo – Kinshasa 2,297 156 67 4 337 14.7% 1,893
Croatia 2,244 0 100 1 2,035 90.7% 109 62,422
North Macedonia 1,999 21 113 0 1,439 72% 447 25,528
El Salvador 1,983 68 35 0 698 35.2% 1,250 75,146
Cuba 1,947 6 82 0 1,704 87.5% 161 94,060
Gabon 1,934 0 12 0 459 23.7% 1,463 9,908
Estonia 1,824 1 65 1 1,538 84.3% 221 75,779
Iceland 1,804 0 10 0 1,791 99.3% 3 58,225
Somalia 1,689 95 66 5 235 13.9% 1,388
Lithuania 1,635 12 63 0 1,138 69.6% 434 269,889
Mayotte 1,609 22 20 0 894 55.6% 695 5,200
Slovakia 1,511 2 28 0 1,307 86.5% 176 159,059
New Zealand 1,504 0 21 0 1,456 96.8% 27 261,315
Slovenia 1,469 1 107 0 1,346 91.6% 16 76,384
Kyrgyzstan 1,433 30 16 2 992 69.2% 425 100,488
Maldives 1,395 24 4 0 144 10.3% 1,247 11,775
Kenya 1,286 72 52 1 402 31.3% 832 61,971
Sri Lanka 1,182 41 10 1 695 58.8% 477 54,834
Guinea-Bissau 1,178 64 7 1 42 3.6% 1,129 1,500
Venezuela 1,121 0 10 0 262 23.4% 849 804,004
Lebanon 1,119 5 26 0 688 61.5% 405 74,994
Hong Kong SAR China 1,066 0 4 0 1,030 96.6% 32 202,930
Mali 1,059 29 67 2 604 57% 388 3,483
Tunisia 1,051 3 48 0 917 87.3% 86 47,816
Latvia 1,049 2 22 0 712 67.9% 315 99,770
Equatorial Guinea 1,043 83 12 1 165 15.8% 866 854
Albania 1,004 6 32 0 795 79.2% 177 13,333
Haiti 958 93 27 1 22 2.3% 909 2,718
Costa Rica 951 21 10 0 628 66% 313 23,580
Niger 945 0 61 0 783 82.9% 101 5,989
Cyprus 937 2 17 0 594 63.4% 326 99,733
Zambia 920 0 7 0 336 36.5% 577 20,011
Paraguay 865 3 11 0 344 39.8% 510 25,216
Burkina Faso 832 18 52 0 672 80.8% 108
Uruguay 769 0 22 0 618 80.4% 129 38,146
Andorra 763 1 51 0 663 86.9% 49 3,750
Sierra Leone 735 28 42 2 293 39.9% 400
Georgia 731 1 12 0 526 72% 193 49,093
Diamond Princess 712 0 13 0 651 91.4% 48
Jordan 711 3 9 0 479 67.4% 223 165,109
Chad 687 12 61 1 244 35.5% 382
Nepal 682 79 4 1 112 16.4% 566 146,834
San Marino 666 1 42 0 270 40.5% 354 3,996
Ethiopia 655 73 5 0 159 24.3% 491 83,854
South Sudan 655 0 8 0 6 0.9% 641 3,356
Central African Republic 652 48 1 0 22 3.4% 629 11,570
Malta 611 1 6 0 485 79.4% 120 61,615
Jersey 558 0 45 0 517 92.7% -4 10,255
Jamaica 552 2 9 0 211 38.2% 332 10,230
Madagascar 542 15 2 0 147 27.1% 393 5,670
Tanzania 509 0 21 0 183 36% 305
Congo – Brazzaville 487 0 16 0 147 30.2% 324
Réunion 452 0 1 0 411 90.9% 40 17,200
Taiwan 441 0 7 0 415 94.1% 19 70,880
Palestinian Territories 423 0 3 0 357 84.4% 63 44,876
Cape Verde 390 10 3 0 155 39.7% 232 1,307
Togo 381 0 12 0 141 37% 228 16,747
Isle of Man 336 0 24 0 303 90.2% 9 4,569
Rwanda 336 9 0 0 238 70.8% 98 59,369
Mauritius 334 0 10 0 322 96.4% 2 102,247
French Guiana 328 0 1 0 145 44.2% 182
Vietnam 326 1 0 0 272 83.4% 54 275,000
Montenegro 324 0 9 0 315 97.2% 0 10,167
São Tomé & Príncipe 299 48 11 3 4 1.3% 284 175
Nicaragua 279 0 17 0 199 71.3% 63
Liberia 265 0 26 0 141 53.2% 98
Mauritania 262 25 9 3 15 5.7% 238 2,583
Eswatini 256 6 2 0 158 61.7% 96 4,994
Yemen 233 11 44 2 10 4.3% 179 120
Uganda 212 14 0 0 68 32.1% 144 86,714
Mozambique 209 15 1 1 71 34% 137 8,796
Myanmar (Burma) 203 2 6 0 123 60.6% 74 18,644
Martinique 197 0 14 0 91 46.2% 92
Benin 191 0 3 0 84 44% 104 27,954
Faroe Islands 187 0 0 0 187 100% 0 9,178
Guadeloupe 161 0 14 0 115 71.4% 32 3,573
Gibraltar 154 0 0 0 147 95.5% 7 6,524
Brunei 141 0 1 0 137 97.2% 3 18,411
Mongolia 141 0 0 0 33 23.4% 108 12,407
Guyana 135 0 10 0 62 45.9% 63 1,457
Bermuda 133 0 9 0 81 60.9% 43 6,362
Cayman Islands 129 0 1 0 61 47.3% 67 8,426
Cambodia 124 0 0 0 122 98.4% 2 16,642
Trinidad & Tobago 116 0 8 0 108 93.1% 0 2,930
Syria 106 20 4 0 41 38.7% 61
Aruba 101 0 3 0 95 94.1% 3 2,070
Malawi 101 18 4 0 33 32.7% 64 2,411
Bahamas 100 0 11 0 46 46% 43 1,972
Monaco 98 0 4 0 90 91.8% 4
Barbados 92 0 7 0 70 76.1% 15 4,664
Comoros 87 0 1 0 21 24.1% 65
Liechtenstein 82 0 1 0 55 67.1% 26 900
Sint Maarten 77 0 15 0 59 76.6% 3 438
Libya 75 0 3 0 40 53.3% 32 4,351
Angola 69 0 4 0 18 26.1% 47 10,000
French Polynesia 60 0 0 0 60 100% 0 3,873
Zimbabwe 56 0 4 0 25 44.6% 27 37,039
Macao SAR China 45 0 0 0 45 100% 0
Burundi 42 0 1 0 20 47.6% 21 284
St. Martin 40 0 3 0 33 82.5% 4 553
Eritrea 39 0 0 0 39 100% 0
Botswana 35 0 1 0 19 54.3% 15 17,631
Bhutan 27 3 0 0 6 22.2% 21 15,607
Antigua & Barbuda 25 0 3 0 19 76% 3 183
Gambia 25 0 1 0 13 52% 11 1,476
Timor-Leste 24 0 0 0 24 100% 0 738
Grenada 22 0 0 0 17 77.3% 5 3,007
Namibia 21 0 0 0 14 66.7% 7 3,117
Laos 19 0 0 0 14 73.7% 5 5,795
Belize 18 0 2 0 16 88.9% 0 1,435
Curaçao 18 1 1 0 14 77.8% 3 572
Fiji 18 0 0 0 15 83.3% 3 1,300
New Caledonia 18 0 0 0 18 100% 0 5,454
St. Lucia 18 0 0 0 18 100% 0 898
St. Vincent & Grenadines 18 0 0 0 14 77.8% 4 209
Dominica 16 0 0 0 16 100% 0 433
St. Kitts & Nevis 15 0 0 0 15 100% 0 394
Falkland Islands 13 0 0 0 13 100% 0 445
Greenland 12 0 0 0 11 91.7% 1 1,885
Vatican City 12 0 0 0 2 16.7% 10
Turks & Caicos Islands 12 0 1 0 10 83.3% 1 126
Montserrat 11 0 1 0 10 90.9% 0 36
Seychelles 11 0 0 0 11 100% 0
Suriname 11 0 1 0 9 81.8% 1 488
MS Zaandam 9 0 2 0 7
Western Sahara 9 0 0 0 6 66.7% 3
British Virgin Islands 8 0 1 0 6 75% 1 167
Papua New Guinea 8 0 0 0 8 100% 0 2,402
Caribbean Netherlands 6 0 0 0 6 100% 0 424
St. Barthélemy 6 0 0 0 6 100% 0 137
Anguilla 3 0 0 0 3 100% 0 30
Lesotho 2 0 0 0 2 283
St. Pierre & Miquelon 1 0 0 0 1 100% 0

Johns Hopkins's Real-Time Data:

Here is a dashboard published and hosted by Johns Hopkins University that shows the number and location of confirmed COVID-19 cases, deaths, and recoveries in all affected countries.

In this dashboard, you can filter COVID-19 confirmed cases, death cases, and recovered cases by country/region.

If you are unable to see this dashboard in mobile phones, then a mobile-friendly version of the embedded panel is available here.

World Health Organization's Real-Time Data:

The World Health Organization (WHO) has also published a dashboard similar to that of Johns Hopkins. This real-time dashboard also provides information about confirmed cases and death cases of COVID-19 worldwide.

If you want to see information about COVID-19 cases of a specific country/region, you can filter the data from the right top corner.

Healthmap and Other Contributor's Real-Time Data:

The University of Oxford, Healthmap, Harvard Medical School, Boston Children’s Hospital, Northeastern University, Oxford Martin School, together with several other contributors, have prepared a data map of COVID-19 outbreak cases worldwide by taking help from government reports and news media.

The specialty of this data map is that by clicking on its map, you can easily find the data of confirmed cases of a particular location.

Also, if you click the “Animate Spread” button on the map, you can see in the animation how the coronavirus is making its mark around the world.

COVID-19 Fact: This is the first time in history when a global virus outbreak data has been opened in this way to the world.

CHAPTER 11:

Coronavirus Outbreak Timeline

Here is a Timeline of Wuhan Coronavirus Outbreak:

To get a complete understanding of Coronavirus Disease 2019 (COVID-19), it is important to first know about the worldwide coronavirus outbreak.

Here’s a timeline of what we know so far about the coronavirus outbreak.

CHAPTER 12:

What's Next?

What Will Happen Next?

The coronavirus outbreak has now spread to six continents out of the total seven continents of the world, except Antartica.

It is known that coronavirus is increasing its speed. Apart from China, coronavirus has spread its foot in many big countries like Italy, Iran, South Korea, Spain, Germany, France, and USA.

The World Health Organization (WHO) issued a global public health emergency warning on January 30, 2020, for the sixth time in its history regarding coronavirus outbreak. Here is a quick look at the other five outbreaks, in which the warnings of the global public health emergency were issued in the past.

  • Swine Flu (2009): Killed up to 203,000 people worldwide.
  • Polio Infection (2014): 359 reported cases worldwide.
  • Ebola (2014): 11,315 death cases reported in six countries.
  • Zika Virus (2016): The geographical range of Zika virus has steadily increased in 2016.
  • Ebola (2018): 2,196 death cases reported worldwide.

The WHO defines the global public health emergency as “an extraordinary event which is determined to constitute a public health risk to other states through the international spread of disease and to potentially require a coordinated international response”.

The WHO declares a disease as global public health emergency only when such a situation arises which is “serious, sudden, unusual or unexpected”.

And this is actually happening. In fact, an immediate international action is required, in the case of the novel coronavirus.

Coronavirus is Now a Pandemic

The WHO, by issuing a global public health emergency warning, had expressed concern about a situation, it is now in front of all of us.

Now, World Health Organization has declared the coronavirus outbreak a global pandemic. According to WHO, the reason for declaring coronavirus as pandemic is its “uncontrolled spread”.

What is a Pandemic? How is It Different From an Epidemic?

“A pandemic is an epidemic outbreak that occurs on at least two continents at the same time.”

So, what’s an epidemic?

Well, both pandemic and epidemic terms are used interchangeably during the outbreak of a disease according to its spread.

If the spread of a disease extends to only one continent, it is called epidemic. If at the same time, if the disease spreads in more than one continent, then epidemic itself is called pandemic.

In short: Epidemic is an outbreak that occurs in only one continent and Pandemic is an outbreak that occurs in more than one continent.

Some example of Epidemics are:

  • Indian Swine Flu Outbreak (2015): Killed up to 2,035 people.
  • Western African Ebola Virus Epidemic: Killed up to 11,300 people.
  • Plague Outbreak in Persia (1772-1773): Killed up to 2 million people.
  • Iceland’s Great Smallpox Epidemic (1707-1709): Killed up to 18,000 people.

Some example of Pandemics are:

  • Black Death Plague in Europe, Asia, and North Africa (1331-1353): Killed between 75-200 million people.
  • Flu Pandemic Worldwide (1889-1890): Killed up to 1 million people.
  • Spanish Flu Pandemic Worldwide (1918-1920): Killed up to 100 million people.
  • HIV/AIDS Pandemic Worldwide (1960-Present): Killed up to 30 million people.

As you can see, diseases are divided into epidemic or pandemic categories not based on the number of deaths but according to the spread of the diseases. So you do not need to panic unnecessarily by hearing the word pandemic.

Yes, that’s true that a coronavirus outbreak has caused pandemic first time in history. And virus is proving itself to be much more contagious than other coronaviruses like SARS and MERS.

But, so far, looking at the virus outbreak, it seems that the goal of the virus is not mass killing, but mass replication. This does not mean that you do not have to take novel coronavirus seriously.

Keep in mind coronavirus is serious and you also need to be serious to prevent it.

CHAPTER 13:

Let's Unite to Fight Coronavirus

You Can Help Prevent COVID-19

Do you know that a coronavirus infected person can infect at least two more people?

Yes, you heard that right.

Now imagine if 100 people have coronavirus infection, but they are not showing symptoms, and in the absence of information, they are wandering around you openly.

And if each one of those 100 people infects two others, then the total number of infected people will immediately rise to 300. Whose calculation is as follows:

  • 100 old infected people*2= 200 new infected people
  • 300 (Total new infected people)=  100 (old infected people) + 200 (new infected people)

If 100 infected people can do so many infections, then what if the number is 1000 or 10,000?

Isn’t that frightening? Yes, it is.

Challenge

You may be wondering what you can do in such a situation? Neither you are a doctor nor a medical professional.

Well, the best thing you can do now is to stay informed and keep others informed as well. And that’s what the #AwarenessIsCure Challenge is all about.

The motive of the #AwarenessIsCure Challenge is to promote awareness of the COVID-19. Here’s the simple one-step process:

Share this Coronavirus guide with the hashtag on your social media profiles and then nominate others to do the same.

Rules for this challenge are straightforward:

First, within 24 hours of being challenged, participants have to share this guide with the #AwarenessIsCure hashtag on their social media profiles.

Then, the participant can nominate a minimum of three other people to participate in the challenge.

Everyone has the ability to contribute to protect themselves and to protect others. Let us together spread this guide to people at a rate higher than the spread rate of coronavirus. Let’s share this guide with other people so that those who are still unaware of the coronavirus also know the right way to deal with it.

Let’s unite to fight the coronavirus.

And finally we would just like to say that awareness is the cure at the moment. So the more people you can make aware, the more you can slow down the spread of coronavirus.

You can use the below buttons to share the guide.

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