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By Alexander Freund
At first glance, the symptoms caused by SARS CoV-2 resemble those we know from a "normal flu."
Frequent Symptoms of COVID-19
- Dry cough
- Loss of smell and taste
Other Symptoms That Sometimes Occur
- Muscle aches
- Sore throat
- Shortness of breath
Rare Symptoms of COVID-19
- Diarrhea (more likely in children)
- a rash on skin, or discoloration of fingers or toes
Sneezing is not a symptom caused by the novel coronavirus. So if you have to sneeze all the time and have a runny nose, you probably have a cold or a normal flu.
The sudden loss of smell and taste, on the other hand, is a very common symptom of COVID-19 and does not occur with flu or colds, even though they can sometimes also temporarily cause you not to smell or taste as well as usual because of a stuffy nose and inflamed throat.
These typical symptoms can occur, but do not have to: In very many cases, the COVID-19 infection proceeds with no symptoms or with only mild ones.
According to Germany's public health agency, the Robert Koch Institute, the average incubation period for COVID-19 is 5-6 days, but it can be up to 14 days.
Those who feel unwell or simply below par should not go to work, school, etc. and should reduce their social contacts.
A self-diagnosis is not always useful. If you are not sure or are worried, you should call a doctor or a COVID-19 hotline. Please do not go to the hospital or doctor's office on your own initiative, as COVID-19 is highly infectious. If there is doubt, the doctor or a test center will carry out a coronavirus test so you know whether you have been infected or not.
Most Frequent Transmission Paths
The main transmission route for SARS-CoV-2 is the inhalation of virus-laden droplets or aerosols that are released when infected people breathe, cough, speak, sing or yell. For this reason, a minimum distance of 5 feet should be maintained to other people.
If you stay for extended periods of time in small, poorly ventilated or unventilated rooms in which an infected person is present, the risk of infection increases. That is why regular and effective airing is so important.
Provided the minimum distancing is maintained, transmissions occur less frequently outdoors because the air is generally in motion.
Contact transmission through contaminated surfaces cannot be ruled out, especially in the immediate vicinity of an infectious person.
Effective Measures for Risk Minimization
- Keeping a distance to other people
- Compliance with hygiene rules
- Wearing protective face masks
- Frequent airing
- Rapid isolation of people who have tested positive
- Identification and early quarantine of close contacts
Keeping a distance, washing hands, wearing masks and regular airing prevent the spread not only of the new coronavirus, but also help against the flu and other infectious diseases.
Flu or Cold? Here Are the Little Differences
On average, adults catch a cold two to three times a year, and children up to as many as 10 times a year. But how do you tell if it is a normal cold or the flu?
Even doctors can have difficulty telling the difference between a case of influenza infection and a common cold when confronted with a patient's symptoms.
With a cold, most people get a scratchy throat, then a runny nose and eventually develop a cough. Those symptoms, as well as fever and headache, can plague a person for days, making them feel listless.
By comparison, the flu hits you all at once: A flu patient's head and limbs ache, a dry cough begins, one's voice becomes hoarse, painful throat aches occur and a high fever (up to 105°F), often accompanied by chills, can knock you out in short order. One just wants to stay in bed, feels exhausted, has no appetite and can sleep for hours on end.
A common cold typically passes within a few days and most symptoms go away after about a week. The flu is more tedious, keeping a person bedridden for at least a week, in some cases requiring several weeks before a person truly feels healthy again.
The RKI's Standing Committee on Vaccination (STIKO), recommends that all German residents at high risk of serious illness get an annual flu vaccination. That group includes people 60 and over, people who are chronically ill, pregnant women, and residents at senior and nursing homes. Beyond that, STIKO urges those who have a lot of contact with others (i.e., medical workers or those in public businesses or institutions) to protect themselves through vaccination as well.
When Should Antibiotics Be Used?
Most colds and flu cases are caused by viruses, against which antibiotics are useless.
Antibiotics strengthen the body's defenses by killing or hindering the growth of bacteria, but they also attack the cell walls or metabolic processes of micro-organisms. Penicillin, for instance, destroys the cell wall synthesis of bacteria. Porous cell walls make it impossible for pathogens to survive, literally causing them to burst. But this only works on bacteria, not viruses.
Antibiotics do, however, make sense in instances in which bacteria enter the body via a weakened immune system and begin to multiply. That process can lead to infection, sometimes permanently damaging the body's organs. Pneumonia, tonsillitis, cystitis or meningitis are most often caused by bacteria — thus, it makes sense to fight them with antibiotics.
Editorial note: This article from early February 2020 has been updated in line with the current data situation.
Reposted with permission from Deutsche Welle.
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By Teri Schultz
Europe is in a panic over the second wave of COVID-19, with infection rates sky-rocketing and GDP plummeting. Belgium has just announced it will no longer test asymptomatic people, even if they've been in contact with someone who has the disease, because the backlog in processing is overwhelming. Other European countries are also struggling to keep up testing and tracing.
Meanwhile in a small cabin in Helsinki airport, for his preferred payment of a morsel of cat food, rescue dog Kossi needs just a few seconds to tell whether someone has coronavirus.
<div id="bfda0" class="rm-shortcode" data-rm-shortcode-id="c60b1a0dedbedbe5e0ce44284aff852f"><blockquote class="twitter-tweet twitter-custom-tweet" data-twitter-tweet-id="1308390775328251906" data-partner="rebelmouse"><div style="margin:1em 0">Covid-19 dogs started their work today at the Helsinki Airport at arrival hall 2B. Dogs have been trained to detect… https://t.co/nw4mrw6eJM</div> — Helsinki Airport (@Helsinki Airport)<a href="https://twitter.com/HelsinkiAirport/statuses/1308390775328251906">1600779644.0</a></blockquote></div><p>If it were left to Kossi and his pals, crowds of potential virus carriers could be cleared in a fraction of the time for a fraction of the cost with none of the physical discomfort that accompanies the current nasal swab test based on the polymerase chain reaction (PCR) method.</p>
No Human Nose Needed<p>A dog can sniff a cloth wiped on a wrist or neck and immediately identify if it comes from someone who has contracted the virus as much as five days before any symptoms appear which would lead a person to go into isolation. "A dog could easily save so so, so many lives," University of Helsinki veterinary researcher Anna Hielm-Bjorkman told DW, who says their testing has shown an accuracy level of nearly 100%.</p><p>It was originally her idea to see whether Kossi, a talented disease-detection dog, could redirect his skills in sniffing out mold, bedbugs and cancer to detecting the new virus just as it started to spread in Europe. "It took him seven minutes to figure out 'okay, this is what you want me to look out for," Hielm-Bjorkman said. "So that totally blew our minds."</p><p>Susanna Paavilainen, the executive director of the Wise Nose scent-detection foundation and the woman who saved Kossi from euthanasia in a Spanish shelter eight years ago, immediately started retraining her dogs to find the coronavirus.</p><p>Miina, who used to track a young girl's blood sugar levels by scent, quickly came on board, along with two others already working in disease detection. In all, they hope to train 15 dogs in the first phase.</p><p>Hielm-Bjorkman said once they discovered the new capabilities, while the normal academic procedure would be to test, publish and get peer-reviewed, their first instinct was to get the dogs into service. "[Researchers] who are actually publishing," she noted wryly, "are not at the airports."</p>
Wags, Not Wages<p>But for that, they needed permission and ideally, some funding. Vantaa Deputy Mayor Timo Aronkyto, who is also responsible for airport security, saw the benefit straight away. "It took me two minutes," he told DW.</p><p>However, his funding options were limited to about $390,000 total for the four-month pilot project aiming to prove that results from the dog tests are at least as accurate as the PCR test. Anyone who tests positive at the voluntary canine site is requested to go to the medical unit for confirmation.</p><p>The interest of Aronkyto, a trained physician, is rooted in both health and wealth. "Our testing at the airport costs more than 1 million [euros] (USD $1.2 million) a month at the moment," he said, explaining he expects that to go up to €3 million (USD. $3.5 million) per month in winter. "These dogs would be much cheaper," he pointed out.</p><p>He's optimistic support will grow as data from the current pilot project accumulates, explaining there is already work underway to change Finnish legislation so eventually sniffer dogs would have the same "authority" as customs dogs.</p><p>Aronkyto anticipates one animal performing both functions in the near future. He plans to continue this level of funding from his city budget into next year but that doesn't train new dogs nor expand the capacity beyond the four that split shifts currently at the airport, even as infection rates rise.</p>
Helsinki Hesitates<p>Notably, however, the Finnish government has not signaled it would like to pick up the program itself, despite a huge surge in publicity and, as Hielm-Bjorkman and Paavilainen emphasize, interest from other countries. Travelers have been eager to participate, waiting in line more than an hour at times.</p><p>Finnish ambassador in Ramallah, Palestine, Paivi Peltokoski, praised the experience after a recent trip but, apparently, her enthusiasm is not overly contagious.</p>
<div id="d9823" class="rm-shortcode" data-rm-shortcode-id="61d382f115fe66a44eb793d9ebee3d94"><blockquote class="twitter-tweet twitter-custom-tweet" data-twitter-tweet-id="1318564228450615299" data-partner="rebelmouse"><div style="margin:1em 0">I was tested negative by two #coronadogs upon arrival at the #Helsinki airport in #Finland. Later a medical test ve… https://t.co/cGlWQn8DJb</div> — Päivi Peltokoski (@Päivi Peltokoski)<a href="https://twitter.com/PaiviPeltokoski/statuses/1318564228450615299">1603205184.0</a></blockquote></div><p>"If the government would see this already as something that they would believe in," Hielm-Bjorkman said, she could envision training hundreds of dogs, stationing sniffers at concert halls or sports matches or elderly care homes. She adds there's a need for a "paradigm shift" for both medical professionals and the public.</p><p>Usually it's doctors telling patients if they're sick, she explained, and "here it's a dog handler."</p>
Little Political Will on German Project<p>This situation is not limited to Finland. In Germany researchers also <a href="https://www.dw.com/en/german-sniffer-dogs-show-promise-at-detecting-coronavirus/a-54300863" target="_blank" rel="noopener noreferrer">announced promising results</a> with canines <a href="https://www.dw.com/en/coronavirus-german-military-training-sniffer-dogs/a-54062180" target="_blank" rel="noopener noreferrer">detecting COVID-19</a>, but no dogs have been used anywhere so far. And then, says Professor Holger Volk of the University of Veterinary Medicine Hanover, there has been insufficient political will or funding to move the project forward, something he called "very troubling" especially with a resurgent infection rate.</p><p>"When we started this whole project, we we did it because we wanted to help to stop the pandemic," Volk told DW. "It's really has been a very frustrating ride. I have had a lot of naysayers in the whole process. If I wasn't a very determined person, having done a lot of research, I would have probably stopped it."</p><p>He agrees with Hielm-Bjorkman's assessment that "it's just not in the perception of doctors that dogs are able to do this precise work." But he also echoes her faith in the vast potential of their discovery. "If you had a dog who could sniff every day quickly your cohort of workers, for example," he said, "think about the impact. You could continue having a workplace."</p><p>Speaking of workplaces, Susanna Paavilainen is starting to think if Finland doesn't want to unleash the dogs' potential at home, she and Kossi might accept one of the many requests from all over the world to provide training. "We can move because Kossi likes warm weather," she says, petting her star sniffer.</p>
An annual comprehensive report on air pollution showed that it was responsible for 6.67 million deaths worldwide, including the premature death of 500,000 babies, with the worst health outcomes occurring in the developing world, according to the State of Global Air, which was released Wednesday.
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By Hannah Seo
If you've been considering throwing out that old couch, now might be a good time. Dust in buildings with older furniture is more likely to contain a suite of compounds that impact our health, according to new research.
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Poor eating habits, lack of exercise, genetics, and a bunch of other things are known to be behind excessive weight gain. But, did you know that how much sleep you get each night can also determine how much weight you gain or lose?
By Robert J. Orth, Jonathan Lefcheck and Karen McGlathery
A century ago Virginia's coastal lagoons were a natural paradise. Fishing boats bobbed on the waves as geese flocked overhead. Beneath the surface, miles of seagrass gently swayed in the surf, making the seabed look like a vast underwater prairie.
Why Didn’t Seagrasses Recover Naturally?<p>Development, nutrient runoff and other human impacts have damaged marshes, mangroves, coral reefs and seagrasses in many bays and estuaries worldwide. Loss or shrinkage of these key habitats has reduced commercial fisheries, increased erosion, made coastlines more vulnerable to floods and storms and harmed many types of aquatic life. Rapid climate change has compounded these effects through <a href="https://theconversation.com/ocean-warming-has-fisheries-on-the-move-helping-some-but-hurting-more-116248" target="_blank">rising global temperatures</a>, more <a href="https://theconversation.com/more-frequent-and-intense-tropical-storms-mean-less-recovery-time-for-the-worlds-coastlines-123335" target="_blank">frequent and severe storms</a> and <a href="https://theconversation.com/as-climate-change-alters-the-oceans-what-will-happen-to-dungeness-crabs-61501" target="_blank">ocean acidification</a>.</p><p>In the late 1990s, local residents told two of us who are longtime students of seagrasses (Robert "JJ" Orth and Karen McGlathery) that they had spotted small patches of eelgrass in shallow waters off Virginia's eastern shore. For years the conventional view had been that seagrasses in this area had not recovered from the events of the 1930s because human activities had <a href="https://doi.org/10.1016/j.aquabot.2005.07.007" target="_blank">made the area inhospitable for them</a>.</p><p>But studies showed that water quality in these coastal bays was <a href="https://doi.org/10.1007/BF02782971" target="_blank" rel="noopener noreferrer">comparatively good</a>. This led us to explore a different explanation: Seeds from healthy seagrass populations elsewhere along the Atlantic coast simply weren't reaching these isolated bays. Seagrasses are underwater flowering plants, so seeds are among the main ways they reproduce and spread to new environments.</p>
Eelgrass beds were restored in four bays at the southern tip of Virginia's eastern shore on the Atlantic coast. David J. Wilcox/VIMS, CC BY-ND
Sowing a New Crop<p>From our <a href="https://doi.org/10.2307/1941597" target="_blank">earlier research</a>, we knew that when eelgrass seeds fall from the parent plant, they sink to the sea bottom quickly and don't move far from where they land. We also knew that these seeds don't germinate until late fall or early winter. This meant that if we collected the seeds in spring, when eelgrass flowers, we could hold them until the fall, helping them survive over the months in between.</p><p>We decided to try reseeding eelgrass in the areas where they were missing. Starting in 1999, we collected seeds by hand from underwater meadows in nearby Chesapeake Bay – plucking the long reproductive shoots, bringing them back to our laboratory and holding them in large outdoor seawater tanks until they released their seeds naturally. After about 10 years we started gathering the grasses using a custom-built underwater "lawn mower" to collect many more of the reproductive shoots than we could by hand.</p><p>In 2001 we sowed our first round by simply tossing seeds from a boat. Our first test plots covered 28 acres of mud flats in waters 2 to 3 feet deep. Returning the following year, we saw new seedlings sprouting up.</p><p>Each year since then, the <a href="https://www.vims.edu/" target="_blank">Virginia Institute of Marine Science</a> and the <a href="https://www.nature.org/en-us/about-us/where-we-work/united-states/virginia/" target="_blank" rel="noopener noreferrer">Nature Conservancy's Virginia Coast Reserve</a>, along with staff and students from the <a href="https://www.vcrlter.virginia.edu/" target="_blank" rel="noopener noreferrer">University of Virginia</a>, have led a team of scientists and citizens to collect and seed a combined 536 acres of bare bottom in several coastal bays.</p><p>These initial plots took off and rapidly expanded. By 2020 they covered 9,600 acres across four bays. Several factors helped them flourish. These bays are naturally flushed with cool, clean water from the Atlantic Ocean. And they lie off the tip of Virginia's eastern shore, where there is little coastal development.</p>
<span style="display:block;position:relative;padding-top:56.25%;" class="rm-shortcode" data-rm-shortcode-id="a482c2146febd6782c99960c2b55feb8"><iframe lazy-loadable="true" src="https://www.youtube.com/embed/K9NyfPLINtk?rel=0" width="100%" height="auto" frameborder="0" scrolling="no" style="position:absolute;top:0;left:0;width:100%;height:100%;"></iframe></span>
Sheltering Marine Life and Storing Carbon<p>Since eelgrass disappeared from these bays in the 1930s, human understanding of seagrass ecosystems has evolved. Today people don't pack their walls full of seagrass insulation but instead value different services they provide, such as habitat for fish and shellfish – including many <a href="https://doi.org/10.1111/conl.12645" target="_blank" rel="noopener noreferrer">commercially and recreationally important species</a>.</p><p>Scientists and government agencies also have recognized the importance of coastal systems in capturing and storing so-called "<a href="https://oceanservice.noaa.gov/facts/bluecarbon.html" target="_blank" rel="noopener noreferrer">blue carbon</a>." In fact, we now know that seagrasses constitute a globally significant <a href="https://doi.org/10.1038/ngeo1477" target="_blank" rel="noopener noreferrer">carbon sink</a>. They are a key tool for reducing carbon dioxide in the atmosphere and <a href="https://doi.org/10.1038/s41598-020-64094-1" target="_blank" rel="noopener noreferrer">slowing climate change</a></p><p>We are working to understand the valuable services that our restored seagrass beds provide. To our surprise, fish and invertebrates returned within only a few years as the meadows expanded. These organisms have established extensive food webs that include species ranging from tiny seahorses to 6-foot-long sandbar sharks.<br></p><p>Other benefits were equally dramatic. Water in the bays become clearer as the seagrass canopy trapped floating particles and deposited them onto the bottom, burying significant stocks of carbon and nitrogen in sediments bound by the grasses' roots. Our research is the first to verify the overall net carbon captured by seagrass, and is now being used to issue carbon offset credits that in turn <a href="https://vaseagrant.org/eelgrass-carbon-credits/" target="_blank">create more funds for restoration</a>.</p><p>One big question was whether restoring seagrasses could make it possible to bring back bay scallops, which once generated millions of dollars for the local economy. Since bay scallops no longer existed in Virginia, we obtained broodstock from North Carolina, which we have <a href="https://chesapeakebaymagazine.com/return-of-the-bay-scallop/" target="_blank">reared and released annually</a> since 2013. Regular surveys now reveal a growing population of bay scallops in the restored eelgrass, although there is still some way to go before they reach levels seen in the 1930s.</p>
Restored seagrass beds (dark areas) along Virginia's Atlantic coast, with sunlight reflecting from a small island. Jonathan Lefcheck, CC BY-ND