Webinar “Managing Stress & Anxiety During The Coronavirus”

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The coronavirus, which causes a disease called COVID-19, has spread across the world, leading to one of the largest pandemics in decades. While much of the world is effectively shut down, doctors, researchers, and other healthcare professionals are hard at work treating people that are affected and looking for solutions like a vaccine. Meanwhile, isolation and the growing numbers of infected people have many people worried about how this virus will affect their lives and the lives of their loved ones.

However, the poet Ralph Waldo Emerson once said, “Knowledge is the antidote to fear.” The best thing the average person can do is to stay informed and stay safe. Here’s a guide to what you might need to know about the coronavirus and how to avoid it. Still, there is much more to learn about this pandemic, and new information is coming out each day.

What is the Coronavirus?

What people refer to as the coronavirus is actually just one specific type of category of viruses called coronaviruses. This group of viruses infects birds and mammals, and it causes respiratory tract infections in humans. There are a wide variety of coronaviruses that have been able to infect people. Some of them are mild, causing symptoms similar to the common cold, while others can be deadly. The coronavirus we’re currently dealing with is called severe acute respiratory syndrome coronavirus 2 or (SARS-CoV-2). The virus causes a disease that we call the coronavirus disease 2019 (COVID-19).

If the abbreviation SARS sounds familiar, that’s because it was another dangerous coronavirus that started in China and spread to different parts of the world. Our current pandemic is actually a new strain of that same virus.

Coronaviruses get their name from the Latin word corona, which means crown or halo. The word often refers to the sun, and the group of viruses gets that name because of the way they look. Coronaviruses are spherical and covered in little offshoots called spike glycoproteins. The virus is a very simple structure. In fact, they’re so simple, that the scientific community has a long-standing debate as to whether or not viruses are alive. Like other viruses, the coronavirus is a bundle of genetic material, surrounded by protective fat and protein.

The only goal a virus has is to reproduce itself. They do this by entering a living cell and injecting its genetic material. The genetic code includes instructions that tell the cell to copy the virus, allowing it to reproduce. When the cell is filled with coronavirus, it breaks and releases the virus to attack more cells.

How the Coronavirus Affects the Body

The coronavirus primarily attacks the lungs. When you inhale it, the virus attaches to the epithelial cells that coat the inside of your lungs. The virus connects to ACE2 receptors on the cell and injects its genetic instructions. Besides destroying cells to copy itself, the coronavirus also has a dangerous effect on your immune system. Your immune system is designed to help defend you from infections and foreign attackers. However, the immune system can also do a lot of damage to your body if it gets out of control. The coronavirus can infect immune cells and tap into the immune systems communications network, which involves proteins called cytokines. The infected immune cells send out panic signals. These communications tell even healthy cells to attack, causing the immune system to overreact, leading to confusion and disorder.

This immune overreaction also wastes your body’s resources and can even damage healthy cells. Immune cells called neutrophils release enzymes that kill anything and everything in their path, including both the coronavirus and healthy cells. Killer T cells are designed to order infected cells to destroy themselves, but in the coronavirus-induced confusion, they can attack healthy cells too. Between the virus and the immune response, lung tissue takes a lot of damage. In severe cases, it can lead to long-lasting or permanent damage in the form of scar tissue. This can cause life-long breathing problems.

Throughout the battle, you’re likely to experience coughing as your lungs are irritated, and fever which is a common immune response. However, the immune system is resilient in a healthy person, and in most cases, it snaps out of the confusion and starts to eliminate the virus.

However, people that are vulnerable to the virus may not have a robust enough immune system to fight off the virus before it does serious damage, which is sometimes deadly. Extensive damage can wear away the protective lining in your lungs. This exposes important parts of the lung that are critical to breathing to bacteria that would otherwise pose no threat.

How Does the Coronavirus Spread?

According to the U.S. Centers for Disease Control and Prevention, the coronavirus primarily spreads from person to person through tiny droplets of water that contain the virus. When you stand within six feet of an infected person, coughing or sneezing can launch these droplets into the air. If they land on your mouth or nose, they can infect you. They can also spread if you come into contact with an infected person. If they’ve touched their face and shake your hand, the virus can get to you when you touch your mouth or nose.

There is still a lot that is unknown about the virus but based on other coronaviruses, like MERS-CoV researchers and medical professionals can make some guesses as to how this virus works. Based on other similar viruses, COVID-19 has an incubation period from anywhere between two days to two weeks. That means an infected person can show no symptoms for up to 14 days. It’s also possible for a person to be asymptomatic throughout the whole course of the disease. A study in February of 2020, studied people on a cruise ship that was quarantined in Japan. The study specifically looked at the proportion of the disease that caused no symptoms, which was around 17.9 percent.

People with no symptoms may spread the disease without knowing they have it. And people that come into contact with them aren’t able to sense that they might be carrying the disease. People that feel healthy are also more likely to leave their homes and come into contact with others.

It’s unclear if the coronavirus can spread via fomites. A fomite is an object or material that carries a disease or virus. Other coronaviruses can last on fomites like countertops, phones, doorknobs, and other surfaces for a few hours to a few days. It may be possible to get the virus from touching a fomite and then touching your face.

Is the Coronavirus Worse than the Flu?

As COVID-19 started to spread, it was often compared to the seasonal flu. Just like the flu, the coronavirus causes fever, and it can be dangerous to the elderly and other vulnerable people. Last year, the flu killed 37,000 Americans, and an estimated 389,000 people died from the respiratory effects of the flu each year around the world. The vast majority of these cases involve people 65 and older. Currently, there have been 41,000 deaths from the coronavirus worldwide and more than 845,000 confirmed cases.

However, there’s more to it than those numbers reveal.

The first thing to note is that the flu is seasonal. Flu season starts in the winter when people spend more time indoors near one another. This allows the flu to spread more quickly. When spring rolls around, cases of the flu drop dramatically. There are also treatments for the flu, including a vaccine. But SARS-CoV-2 is a brand new virus, and we don’t know much about it. COVID-19 is difficult to treat, and there is currently no vaccine for it. Since the flu is seasonal, many people have immunity from previous seasons. Since the coronavirus is new, there is no immunity, so everyone who’s exposed to it can catch it potentially.

The coronavirus can also spread extremely quickly for a variety of reasons. One reason is its long incubation period. The flu’s incubation period is about one to four days. That means you are only likely to walk around for a few days before you start to feel symptoms. Someone with the coronavirus can walk around for two weeks, spreading the disease, before they start to feel sick.

The higher rate at which the coronavirus can spread also puts more pressure on hospitals than the seasonal flu. For instance, New York, which has seen the worst of the COVID-19 pandemic in the United States, has overburdened hospitals to the point of needing a naval hospital ship with 1,000 beds to ease the issue. Still, the death toll is up to 1,550 in the state. As the healthcare system takes on the increased weight of the virus, other people that might need healthcare for other issues have limited access.

What is “Flattening The Curve?”

It’s nearly impossible to stop the spread of COVID-19 entirely. Because it spreads so quickly from person to person, and it’s impossible to isolate everyone, the virus will run its course. However, the virus may be able to be slowed down to make it more manageable. One of the reasons medical professionals are more worried about the coronavirus than the flu is that it spreads quickly, and they still don’t have reliable treatments for it. That means COVID-19 cases may swarm hospitals in highly populated areas. If hospitals are overwhelmed, it could mean that people won’t get the treatment they need. Otherwise, treatable cases might become more severe. Plus, medical issues that are unrelated to COVID-19 may also be neglected.

The curve refers to a line graph that shows the rise and fall of coronavirus cases. A very tall curve means that many people get the virus all at the same time. A short curve means that the virus has slowed down, and people aren’t flooding the healthcare system with new cases. A tall curve is fast and dangerous, and a flat curve is slow and manageable.

Pandemic outbreak graphs also show a horizontal line that goes across the middle of the graph. This line represents the number of cases that the healthcare system can safely handle at once. Staying below that line is vital to controlling an outbreak. If the curve rises above that line, it could mean the worst-case scenario where people that need treatment can’t get it in time.

Flattening the curve is a term that generally refers to taking measures that slow down the spread of the virus. Quarantine, shelter-in-place orders, and isolation are all part of those efforts.

Are Coronavirus Cases Dropping?

Currently, coronavirus cases are increasing, but that’s technically a good thing for now.

After China’s outbreak, South Korea had one of the largest viral outbreaks in the world. But now the curve in the country is flattening. South Korea has been hit by pandemics before. The Middle East Respiratory Syndrome (MERS) outbreak hit the country in 2012, and this time around, they were ready. They developed testing kits quickly, and they started using drive-through testing facilities. In fact, South Korea’s response was so good, countries all around the world are asking them for help with their own testing.

Testing during a pandemic is vital for understanding how the virus spreads. It can also help ease the burden on the healthcare system, and it can slow the virus down. Here’s why. If you don’t feel 100 percent on a normal day, you may still go out, go to the store, or even go to work. If you test positive for COVID-19 during a coronavirus epidemic, you’ll get treatment, and stay out of contact with other people. Each positive test is ideally another person that is aware of the problem and taking measures to slow the spread. The better we get at testing, the higher the confirmed cases will be, until the curve flattens out as it has in South Korea.

Who is the Most Vulnerable?

As with the flu, the people that are the most vulnerable are people that are age 65 or older, particularly people that live in nursing homes or long-term care facilities. However, certain medical conditions can put people of all ages at risk, including:

  • Chronic lung diseases
  • Moderate to severe asthma
  • Serious heart conditions
  • People taking medication that cause them to be immunocompromised
  • People being treated for cancer
  • Organ transplant patients
  • People with HIV or AIDS
  • People taking certain autoimmune medications
  • Diabetes
  • Chronic kidney diseases and dialysis
  • Liver disease
  • Smokers

How has the Coronavirus Affected the Recovery Community?

People in the recovery community have significant needs when it comes to treatment, healthcare, and interpersonal connection. Addiction is a progressive disease that requires readily available access to treatment services. Without treatment, substance use disorders are likely to get worse, and even life-threatening. Unlike many services around the world, addiction treatment facilities have not been shut down by quarantine orders. Since addiction treatment is healthcare, the majority of accredited clinics are still open and available through the pandemic.

People with substance use disorders often have other medical needs that require easy access to healthcare. For instance, someone who has spent time using intravenous heroin may have a blood-borne disease that needs treatment. Overdoses also need quick medical care that may now be burdened by the coronavirus. The treatment for some diseases that are associated with drug use, like HIV, might include immunosuppressants, which make you vulnerable to viral infections.

Finally, people in the recovery community rely on interpersonal connections to avoid relapse, as seen in organizations like Alcoholics Anonymous. Inpatient treatment clinics may still have group therapy sessions while maintaining social distancing guidelines. Outpatient treatment may use telemedicine to avoid person-to-person disease spreading. And community organizations may have to adapt to online meetings as well.

Where did the Coronavirus come from?

Coronaviruses often start in bats and birds. They can be found in a variety of mammals and birds all over the world. This particular virus has been traced to the city of Wuhan in China’s Hubei province. More specifically, a group of medical researchers for the China Novel Coronavirus Investigating and Research Team found that a cluster of people in the early cases went to a food market in the city. Chinese officials shut down the market, but the virus had already gotten out of containment. In 2003, the SARS virus had originated in a similar market in southern China.

Coronaviruses originate in markets like the ones seen in the two coronavirus outbreaks because of the nature of putting different kinds of wildlife and people nearby. Coronaviruses often can’t make the jump from birds or bats to people. The version of the virus that affects these small animals isn’t effective when infecting humans. You may have seen memes and social media posts attributing the virus to someone eating a bat, but it’s more likely that there was an intermediary species. The SARS virus spread from a bat to a small cat called a civet to people. There is some evidence to suggest that COVID-19 went from bats to a mammal called a pangolin to humans.

A video made by Vox pointed out that viruses that start in China have been traced to specific kinds of markets called wet markets, where a variety of animals are slaughtered and sold in one place. Cages of animals are stacked close together, allowing potential viruses to spread from species to species before they are handled or consumed by people. Chinese wet markets have more wildlife species than other wet markets around the world. The animals you can buy at a Chinese wet market don’t just come from China; they come from all over the world.

Vox explains that wildlife farming has been a common practice in the country since the 1970s when famine made it so the government-owned farms couldn’t feed the population. The Chinese government gave up control of farming practices, which were quickly taken over by large companies. Individuals and small farms turned to wildlife farming to sustain themselves. Because the people of China were in an emergency, the government allowed it. As wildlife farming took off, these markets grew to include dozens of different species that would normally never come in contact. Even animals that were illegal to trade like the endangered pangolin found their way to the wet markets.

Today, only a tiny percentage of people in China eat wildlife animals, but with a virus that spreads as quickly as the current coronavirus, it only takes a few people to get sick.

Safety Tips for Avoiding Coronavirus

To help slow the spread and flatten the curve of COVID-19, it’s important to listen to local and federal advice and orders concerning quarantining and safe practices. As we learn more about the virus, healthcare professionals update information about how the virus spreads and behaves. Stay up to date with the latest information. Based on what is already known, the American Red Cross has highlighted some ways you can avoid the virus, including:

  • Stay home as much as possible. If your job is shut down or if you can work at home, avoid leaving your house except for essential activities. Limiting your exposure to potentially infected people diminishes your chance of getting the virus.
  • Wash your hands. Wash your hands for at least 20 seconds, especially if you’ve been out in public. If you can’t access soap and water, use hand sanitizer with 60% alcohol.
  • Stay six feet apart. When you do have to go out to get supplies or food, stay about two arms lengths away from other people. This can help keep you away from the small droplets that may carry the disease.
  • Opt for virtual socialization. Humans need connection, and it’s important to maintain relationships through the pandemic. However, the safest way to do that right now is through virtual socialization. Video chatting apps allow you to meet with friends. In fact, people have been using the conference calling app Zoom to throw virtual parties.
  • Avoid touching your face. When you’ve been out in public, always wash your hands before touching your nose or mouth.
  • Clean and disinfect surfaces. Cleaning your household surfaces, doorknobs, cell phones, and other frequently touched items can help ensure that the virus isn’t clinging to any materials you may come in contact with.
  • Cover coughs and sneezes. Coughing and sneezing can project germ and virus-carrying droplets. Use a tissue or your elbow instead of your bare hands.

Washing your hands is a vital part of remaining free of the virus. Your hands come into contact with surfaces, objects, and people all day long. And anyone who’s been trying not to touch their faces recently knows how often we tend to put our hands near our noses and mouths. Keeping your hands clean can help avoid slip-ups.

The 20-second rule comes from the way soap works to destroy contaminants. Soap clings to fats and tears them apart, effectively destroying things like the coronavirus, which is surrounded by a protective layer of fat. It takes at least 20 seconds for soap to get all over your hand and tear the virus apart. The 20-second rule applies to more than just the coronavirus.

We don’t know for sure whether the virus that causes COVID-19 lasts for a long time on surfaces, but if it works like other similar coronaviruses, it’s likely to last for several days. Wiping down surfaces can help limit your exposure to the virus and maintain a safe home.

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