Coronavirus disease (COVID-19) is an infectious disease caused by a newly discovered coronavirus.
Most people infected with the COVID-19 virus will experience mild to moderate respiratory illness and recover without requiring special treatment. Older people, and those with underlying medical problems like cardiovascular disease, diabetes, chronic respiratory disease, and cancer are more likely to develop serious illness.
The best way to prevent and slow down transmission is to be well informed about the COVID-19 virus, the disease it causes and how it spreads. Protect yourself and others from infection by washing your hands or using an alcohol based rub frequently and not touching your face.
The COVID-19 virus spreads primarily through droplets of saliva or discharge from the nose when an infected person coughs or sneezes, so it’s important that you also practice respiratory etiquette (for example, by coughing into a flexed elbow).
Stay informed:
Protect yourself: advice for the public
Myth busters
2. Properties of Coronaviruses
.
Family= Coronaviridae
Large, 80 to 220nm
The longest genome size of all RNA viruses
enveloped helical viruses with non-segmented
+ssRNA.
Long petal shaped projections (spikes) on the
outer surface of the envelope like a solar corona,
Royal crown like.
The spikes are made up of glycoproteins
2
3. Cont…
Coronaviruses are extremely fragile and difficult to
culture
Replication: takes place in cytoplasm of cell
They show high frequency of recombination
Coronavirus virus particles contain four main
structural proteins.
- spike (S),
- membrane (M),
- envelope (E), and nucleocapsid (N) proteins
3
4. Types of Corona Virus
Different types of human coronaviruses vary in the severity of illness
they cause and how far they can spread.
There are currently six recognized types of coronavirus that can infect
humans.
Common types include:
229E (alpha coronavirus)
NL63 (alpha coronavirus)
OC43 (beta coronavirus)
HKU1 (beta coronavirus)
Rarer, more dangerous types include MERS-CoV, which causes Middle
East Respiratory Syndrome (MERS), and severe acute respiratory
syndrome (SARS-CoV).
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6. Epidemiology
Coronaviruses primarily infect the upper
respiratory and gastrointestinal tract of different
animals and birds.
cause illness ranging from the common cold to
Severe Acute Respiratory Syndrome (SARS).
first isolated in 1937 from an
infectious bronchitis virus in birds that has the
ability to seriously devastate poultry stocks.
It was also founded that corona viruses can infect
mice, rats, dogs, cats, turkeys, horses, pigs, and
cattle.
6
7. Cont…
Coronaviruses were first described in the 1960s from
common cold patients.
These viruses were subsequently named human
coronavirus 229E and human coronavirus OC43.
On November 16, 2002, an outbreak of what is believed to
be severe acute respiratory syndrome (SARS) began in
the Guangdong province of China, which borders on Hong
Kong.
SARS arrived in Hong Kong in February 2003, when a doctor
who had treated some of the cases of SARS at Hospital in
Guangdong.
during a 6-month period, spread rapidly to 26 countries in
Asia, Europe, South America, and North America
7
8. Cont…
By Oct. 30 2013, there were 124 cases and 52 deaths
in Saudi Arabia by Middle East respiratory syndrome
corona virus (MERS-CoV).
In May 2015, an outbreak of MERS-CoV occurred.
- in the Republic of Korea, when a man who had
traveled to the Middle East, visited 4 different hospitals.
- largest outbreaks of MERS-CoV outside of the
Middle East previously known as Novel coronavirus
2012
8
9. Cont…
Animals such as civets may acquire infections with
SARS-like CoV from contact with infected bats.
Current data indicate that bats, primarily the
horseshoe bat, are the most likely reservoir for the
SARS-CoV, although the bat coronaviruses are
species-specific.
More than 10 mammalian species have been
identified as susceptible to the SARS-CoV by
natural or experimental infection.
Infections of these secondary hosts may give rise to
strains that could potentially infect humans.
9
10. Cont…
Coronaviruses infection can spread in the
following ways:
Coughing and sneezing , droplets
Touching or shaking hands with a person that has
the virus
Making contact with a surface or object that has the
virus and then touching a nose, eyes, or mouth.
On rare occasions, a coronavirus may spread
through contact with feces.
10
11. Cont…
Young people are most likely to contract a
coronavirus, and people can contract more than one
infection over the course of a lifetime, antibodies do
not last for a very long time.
Most people will become infected with at least one
coronavirus in their life.
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12. Common cold-coronaviruses cause an everyday
variety of respiratory infections, which are restricted to
the ciliated epithelia of the nose and trachea.
They are responsible for about 30% of common cold
infections.
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13. Path. of SARS- corona virus
Virus is transmitted by respiratory and fecal route.
The SARS-CoV targets :
Lung alveolar epithelial cells
Intestinal enterocytes
Other organ systems affected by SARS infection include the
spleen, lymph nodes, digestive tract, urogenital tract, CNS,
bone marrow, and heart.
Virus can also be isolated from urine and feces
affect the respiratory tract of mammals, including humans.
They are associated with the common cold, pneumonia, and
severe acute respiratory syndrome (SARS) and can also
affect the gut.
13
14. Cont…
Certain individuals may be genetically more
susceptible to SARS than others.
SARS-CoV which causes SARS, has a unique
pathogenesis because it causes
both upper and lower respiratory tract infections.
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15. Symptom of SARS
Acute, serious respiratory illness with:
High fever,
Chills
Muscle aches
Sore throat
Headache
Shortness of breath,
Dry Cough, difficulty of breathing
- Diarrhea may appear
15
16. Cont…
some people go on to develop very severe breathing
problems and may need the help of a machine (a
ventilator) to help them breathe.
The risk of dying from SARS is higher for this group.
People over 50 and those with other medical conditions
(e.g., heart problems, diabetes) are more likely to
develop severe breathing problems.
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17. Laboratory diagnosis
Electron microscopy
ELISA
PCR, amplification and detection of virus-
specific RNA
Virus isolation is difficult (often impossible)
and requires great expertise
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18. Prevention and treatment
Treatment is mostly supportive
precautions are made to isolate and/or quarantine
infected individuals.
Covering the mouth and nose with a tissue or
handkerchief while coughing or sneezing.
dispose of any used tissues and maintain hygiene
around the home.
Good hygiene practice
There is no vaccine currently available.
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Editor's Notes
Corona- latin crown,holo
We s
till don’t un
derstand why only certain coronaviruses are able to infect people.
Virus classificationGroup:Group IV ((+)ssRNA)Order:NidoviralesFamily:CoronaviridaeSubfamily:CoronavirinaeGenus:Alphacoronavirus
Betacoronavirus
Deltacoronavirus
Gammacoronavirus
Type speciesCoronavirusSpeciesHuman coronavirus HKU1
Human coronavirus OC43
Human coronavirus 229E
MERS-CoV
Rhinolophus Bat coronavirus HKU2
SADS-CoV
SARS-CoV
Pipistrellus bat coronavirus HKU5
Tylonycteris bat coronavirus HKU4
Rousettus bat coronavirus HKU9
Bat SL-CoV-WIV1
London1 novel CoV/2012
HCoV-EMC/2012
Replication[edit]
The infection cycle of coronavirus
Replication of Coronavirus begins with entry to the cell which takes place in the cytoplasm in a membrane-protected microenvironment. Upon entry to the cell the virus particle is uncoated and the RNA genome is deposited into the cytoplasm.
The Coronavirus genome has a 5’ methylated cap and a 3’polyadenylated tail. This allows the RNA to attach to ribosomes for translation.
Coronaviruses also have a protein known as a replicase encoded in its genome which allows the RNA viral genome to be transcribed into new RNA copies using the host cell's machinery. The replicase is the first protein to be made; once the gene encoding the replicase is translated, the translation is stopped by a stop codon. This is known as a nestedtranscript. When the mRNA transcript only encodes one gene, it is monocistronic. A coronavirus non-structural protein provides extra fidelity to replication because it confers a proofreadingfunction,[11] which is lacking in RNA-dependent RNA polymerase enzymes alone.
The RNA genome is replicated and a long polyprotein is formed, where all of the proteins are attached. Coronaviruses have a non-structural protein - a protease - which is able to separate the proteins in the chain. This is a form of genetic economy for the virus, allowing it to encode the greatest number of genes in a small number of nucleotides.[12]
By the end of 2004, three independent research labs reported the discovery of a fourth human coronavirus. It has been named NL63, NL, and the New Haven coronavirus by different research groups.[14] The three labs are still arguing over which one discovered the virus first and has the right to name it.
Early in 2005, a research team at the University of Hong Kong reported finding a fifth human coronavirus in two patients with pneumonia. They named it Human coronavirus HKU1.
In September 2012, a sixth new type of coronavirus was identified, initially called Novel Coronavirus 2012, and now officially Middle East respiratory syndrome coronavirus (MERS-CoV)
Coronaviruses are species of virus belonging to the subfamily Coronavirinae in the family Coronaviridae, in the order Nidovirales.[1][2] Coronaviruses are enveloped viruses with a positive-sense single-stranded RNA genome and with a nucleocapsid of helical symmetry. The genomic size of coronaviruses ranges from approximately 26 to 32 kilobases, the largest for an RNA virus.
The name "coronavirus" is derived from the Latin corona, meaning crown or halo, and refers to the characteristic appearance of virions under electron microscopy (E.M.) with a fringe of large, bulbous surface projections creating an image reminiscent of a royal crown or of the solar corona. This morphology is created by the viral spike (S) peplomers, which are proteins that populate the surface of the virus and determine host tropism.
Proteins that contribute to the overall structure of all coronaviruses are the spike (S), envelope (E), membrane (M) and nucleocapsid (N). In the specific case of the SARS coronavirus (see below), a defined receptor-binding domain on S mediates the attachment of the virus to its cellular receptor, angiotensin-converting enzyme 2(ACE2).[3] Some coronaviruses (specifically the members of Betacoronavirus subgroup A) also have a shorter spike-like protein called hemagglutinin esterase(HE).[1]
Coronaviruses infect a number of different animals;
most individual strains of virus typically only infect a single animal species.
Some are able to infect more than one related species.
Most corona viruses infect animals, but not people.
Recent examples include SARS coronavirus and MERS coronavirus.
In the future, one or more of these other coronaviruses could potentially spread to humans
Turkeys=birds
By Oct. 30 2013, there were 124 cases and 52 deaths in Saudi Arabia.[20] After the Dutch Erasmus Medical Centresequenced the virus, the virus was given a new name, Human Corona Virus-Erasmus Medical Centre (HCoV-EMC). The final name for the virus is Middle East respiratory syndrome coronavirus (MERS-CoV).
In May 2015, an outbreak of MERS-CoV occurred in the Republic of Korea, when a man who had traveled to the Middle East, visited 4 different hospitals in the Seoul area to treat his illness. This caused one of the largest outbreaks of MERS-CoV outside of the Middle East
previously known as Novel coronavirus 2012
1960s in the noses of patients with the common cold.
SARS is known as an atypical pneumonia because it is not caused by the usual bacteria or viruses.
ARS causes high fever, severe breathing problems, and flu-like symptoms. Over 8,000 cases were reported worldwide during the 2003 outbreak
774 deaths from SARS worldwide.
Mutation ability makes higghly contagius
Reoccurrence is because coronavirus antibodies do not last for a very long time. Also, the antibodies for one strain of coronavirus may be useless against other strains.
Initial outbreak in SE Asia
Hong Kong and Singapore first reported
Disease originated in China
Originally thought to be from wild game markets
Palm civet cat (which isn’t a cat) - Paradoxurus hermaphroditus
Raccoon dog (which isn’t a dog) - Nyctereutes procyonoides
It is a bat virus
Chinese horseshoe bats (Rhinolophus sinicus)
No virus isolation
Amplification of coronavirus RNA from anal swabs
Serology
It is highly-similar, but not identical to SARS-CoV
Mutations have most likely occurred in transmission from bats to civets to humans
Reverse genetics of SARS-CoV and some bat viruses has been done
No animal pathogenesis model
Virus is transmitted by respiratory and fecal routes
Infection is mediated by human angiotensin-converting enzyme 2 (hACE2) receptor
High expression
Lung alveolar epithelial cells
Intestinal enterocytes
Low expression
Blood vessels (virtually all organs)
Pneumonia
Cause of death is lung failure
Mutations have most likely occurred in transmission from bats to civets to humans
Reverse genetics of SARS-CoV and some bat viruses has been done
Recently, the receptor
involved in the entry of the SARS virus into the cell was reported to be the angiotensin-
converting enzyme 2 (ACE2).
Cold- or flu-like symptoms usually set in from two to four days after coronavirus infection, and they are typically mild.
Symptoms include:
sneezing
a runny nose
fatigue
a cough
in rare cases, fever
a sore throat
exacerbated asthma
Human coronaviruses cannot be cultivated in the laboratory easily, unlike the rhinovirus, another cause of the common cold. This makes it difficult to gauge the coronavirus' impact on national economies and public health.
There is no cure, so treatments include taking care of yourself and over-the-counter (OTC) medication:
Rest and avoid overexertion.
Drink enough water.
Avoid smoking and smoky areas.
Take acetaminophen, ibuprofen or naproxen to reduce pain and fever.
Use a clean humidifier or cool mist vaporizer.
The virus responsible can be diagnosed by taking a sample of respiratory fluids, such as mucus from the nose, or blood.
ELISA - may not discriminate past infections
stay at hom
Treatment, for the most part, is supportive, and may include intravenous fluids (fluids injected into a vein) or a respirator to help with breathing. Although antibiotics will not help with SARS (as SARS is due to a virus), they may be used in cases where the person has developed a secondary bacterial infection. The benefit of antiviral medications or corticosteroids (e.g., prednisone*) has not been established.e and rest while experiencing symptoms and avoid close contact with other people
November 2002[edit]
On November 16, 2002, an outbreak of what is believed to be severe acute respiratory syndrome (SARS) began in the Guangdong province of China, which borders on Hong Kong. The first case of infection was speculated to be a farmer in the Shunde district of Foshan County. The People's Republic of China (PRC) notified the World Health Organization (WHO) about this outbreak on February 10, reporting 305 cases (including 105 health-care workers) and 5 deaths;[1] it was later reported that the outbreak in Guangdong had peaked in mid-February, but that appears to be false, as later 806 infections and 34 deaths were reported.[2]
Early in the epidemic, the PRC discouraged its press from reporting on SARS and lagged in reporting the situation to the World Health Organization, delaying the initial report. Initially, it did not provide information for Chinese provinces other than Guangdong, the province where the disease is believed to have originated.[3] For example, a WHO team that travelled to Beijing was not allowed to visit the Guangdong province for several weeks.[4] This resulted in international criticism, which seemed to have caused a change in government policy in early April.
SARS arrived in Hong Kong in February 2003, when a doctor who had treated some of the cases of SARS at Sun Yat-Sen Memorial Hospital in Guangdong came to attend a family gathering. Dr. Liu Jianlun, Hong Kong's first patient, checked into the Metropole Hotel on February 21, with a room on the ninth floor, specifically room 911. Even though he was already feeling somewhat ill he visited with his family and traveled around Hong Kong. By February 22, he was sick enough to seek care at Kwong Wah Hospital. He died there in the Intensive Care Unit on March 4th. He is believed to have been a superspreader, as he spread the virus to many other guests on his hotel floor. Dr. Liu’s brother-in-law sought medical treatment in late February, entered the hospital on March 1st, and died on March 19th. Twenty-three other guests from the Metropole developed SARS, seven of them from the ninth floor, and it is estimated that around 80% of the Hong Kong cases were due to Dr. Liu.[6]
.