03/15/2020
There seems to be a lot of confusion lately regarding the current Coronavirus outbreak.
I am going to do my best to simplify the current information available.
The Novel Coronavirus or COVID-19 is a virus that is spread mostly through 2 different modes –
1) Droplets in the air from when an infected person coughs or sneezes. These droplets can then infect people within 3-6 feet who breathe in the droplets.
2) The above droplets land on a surface, such as a counter or doorknob, and people touch that contaminated surface and then touch their eyes, nose, or mouth.
The virus can spread very quickly as we have seen in several countries such as China, Italy, and Iran.
So, why are people so concerned about COVID-19?
The reason is that it is an infection that has the potential to spread very quickly to a large population and cause a significant percentage of the population to be sick (potentially very sick) at the same time. This leads to more people who are very sick than the healthcare system is able to care for. We never want to be in a situation in which we must choose who we are going to treat because we cannot treat everyone. This situation has already occurred in other countries, such as Italy.
This virus is different than the flu. Although the symptoms are similar (fever, cough), the illness lasts much longer. Symptoms usually worsen 5-8 days after they start and last for about 3 weeks. Most patients with severe disease require ICU admission around day 7 of illness and survivors were discharged around day 22. The risk of dying from COVID-19 increases with increasing age and with underlying medical problems. Most young children will not even show any signs of infection, but can still spread the virus, which can lead to rapid spreading of the virus.
So, how do we prevent that situation?
Quite simply, although it is not so simple, we have to be smart about social distancing. Schools are closing and events are being cancelled. This prevents large groups of people getting together in a closed space that could lead to the infection being spread dramatically. However, closing schools is not enough. We need to maintain social distancing. This means avoiding getting together with friends, play dates for kids while school is closed, and other group activities that are part of our usual lives. This will slow the transmission of the virus so that it will not overwhelm the healthcare system and many infected people will be over the illness before other people contract the infection. Every single day can make a huge difference in the spread of this virus.
Also, we need to be diligent about washing our hands. This can be with soap and water or it can be with hand sanitizer. However, we need to constantly wash our hands after touching surfaces and be careful not to touch our eyes, noses, or mouths.
Finally, what do we do if we think we might be exposed to Coronavirus or have Coronavirus?
Call the local health department.
For Sullivan County, the number is 845-292-5910.
For Orange County, the number is 845-291-2330.
Do NOT go to the Hospital, Urgent Care, or your Doctor if you think that you were in contact with someone with coronavirus or think that you are infected with coronavirus.
This could lead to infecting other people in those locations, including the healthcare workers who are needed to care for people during this outbreak.
Jeffrey Weinstein, MD
Board Certified in Internal Medicine & Pediatrics