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Corona
- 1. Dr.Sagar P Bhut M.D.(Ayu.),C.C.H.(Mumbai) ConsultingAyu. Pediatrician Garbha Sanskar Expert & Parenting Coach Life & Lifestyle Coach Clinical Hypnotherapist President- Sadbhavana Cheritable Trust, Jamkhambhaliya Charter President Of Rotary Club- Jamkhambhaliya Life time member of- Prakriti Rakshan Trust, Amreli DIRECTOR Shree Krishna Multi speciality Hospital- Jamkhambhaliya Vatsalya Hospital- Bhatiya
- 3. NOVEL CORONA VIRUS •Since last 200 years - More than 10 Diseases spread in world wide - No other disease affect like this....... • Its Zoonosis type virus-Infection spread from animals to Humans • COVID-19 • CORONA viruses – Big family of viruses • Out of them 7 types can infect Humans. • Affect/Infect to Mammals and Birds. • Studied under Electron Microscope-It appears like Crown in shape(Coronam is a Latin term for Crown) • SARS-CoV2 belongs to beta CoVs Category • Size approximately 60-140 nm
- 4. COVID-19 • CO ronaVI rus D isease - COVID • Also known as SARS Cov-2 • Spread through Droplets- Saliva, Nasal discharge during Coughing/Sneezing/Spitting • Newly Discovered • No Vaccine Available • Affected more than 27 countries worldwide
- 5. HISTORY • First timecharacterised in 1960 - Mild Symptoms of URTI- in Wuhan • 2 types of viruses detected from Nasal Cavities 1.Human Corona Virus 229E 2. Human Corona Virus OC43 • Same viruses also found from animals like cows, pigs and chickens
- 6. SARS • 2002-In SouthernChina – SARS-(Severe Acute Respiratory Syndrome) -New Human corona virus -Spread through Bats -Spreading more rapidely-28 countries -Upto July 2003 more than 8000 infected and 774 died • Mortality less(9.4%) • Characterised with URTI & LRTI both
- 7. MERS • MERS-(Middle EastRespiratory Syndrome) • Started in Saudi Arabia in 2012 • Also known as Camel flu • URTI,LRTI and Kidney Failure • Near about 2500 affected who live /travel • Less contagious than SARS • Highly Deadly than SARS-(Mortality Rate35%) • Killed 858 people
- 8. SARS CoV-2 • 2019-in late 2019 1st case detected in WUHAN than spread globally. • Originated in Bats
- 9. COVID-19 vs INDIA •1 st case 30th January in Kerala- a student studying in WUHAN UNIVERSITY who travelled from Wuhan • On 2nd March 1st Case in New Delhi • Same day In Jaipur 1 Italian Tourist • Next day his wife was positive • On 4th March- cluster of 14 Italians • 8th March-in Kerala 5 member of a family-out of them 3 were returned from Italy • 22nd March – INDIA did “JANTA CURFEW” • Upto the mid May- Mumbai, Delhi, Ahmedabad, Pune, Chennai and Kolkata become the HOTSPOT • Then the story upto YOU...
- 10. COVID-19 vs Italy •1 st confirmed case -31 st January,2020 – Chinese tourist come from WUHAN. • 1 week later 1 st Italian person who returned from China. • On 31 st January Italy stopped all Flights to China • Upto 23 rd March near about 60,000 cases(59,138) • On 21 st March 800 deaths in a single day • Affected Italy more than China • Mainly affected to Milan and Vatican cities
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- 12. Sign & Symptoms MostCommon Less Common Serious Fever Dry Cough Tiredness/Weakness Body ache Sore Throat Diarrhoea Headache Loss of taste or Smell Rashes Difficulty in Breathing/ Shortness of Breath Chest Pain Loss of Speech
- 13. Diagnostic Tools/Investigations • RT-PCR(ReverseTranscription- polymerase Chain Reaction)-Advice to do after at least 5 days of exposure • Rapid Test Kit(Antigen-Antibody) • HRCT-Chest • CRP • Hb fall
- 14. Classification Group -A Group-B Group -C Asymptomatic Patient/Patient with mild symptoms RR<24/min SpO2>94% in room Air Symptomatic patient with Mild to Moderate Pneumonia RR:24-30/min SpO2:90%-94% at Room Air Symptomatic patients with Severe Pneumonia RR>30/min SpO2<90% at room air or <94 with Oxygen ARDS & Septic Shock
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- 16. High Risk Patients Co-MorbiditiesClinical Characters Pathological Value Age>50 yrs Obesity Ischemic Heart Dieses Diabetes Hypertension Lung Disease(COPD, Asthma, TB) Chronic Kidney Disease Chronic Liver Disease Immunosuppressant- HIV, Malignancy Hypoxia-SpO2<94% Tachycardia- >100/min Respiratory Rate > 30/min Hypotension – Systolic <90 mmHg Sensorium Altered CRP>100 mg/L Lymphopenia (<20) with Neutrophil/Lymphocyt e Ratio >17 Ferritin >300 micro g/L LDH > 450 D-Dimmer >1000 ng/ml
- 17. Prevention Mantra “A SMSIS”- Prevention A- Avoid Touching Face S- Social Distancing M- Mask S- Senitisation I- Immunity S- Steaming
- 18. A-Avoid Touching Face •According to a 2015 study in the American Journal of Infection Control, people touch their faces more than 20 times an hour on average. About 44% of the time, it involves contact with the eyes, nose, or mouth. • On the face — eyes, nose, and mouth — that act as pathways to the throat and lungs. • The corona virus that causes Covid-19 is believed to be spread mostly by inhaling droplets released when an infected individual coughs or sneezes. But these droplets can also land on surfaces that we touch with our hands.
- 19. SNEEZING COUGHING 4000 Droplets 2000Miles Per Hour 3000 Droplets 50 Miles Per Hour
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- 21. S-Social Distancing • Alsocalled “Physical Distancing” • Avoid face to face contact • Keeping a safe space between 2 persons • At least 6 feet's or 2 arms length • Understand every other as a positive may be asymptomatic • Helps limited opportunities to be contaminated from disease as well as spreading
- 22. Practising... • Avoid handshake and Do “Namaste” • Be doubtful to everyone • Use social media • Avoid transportation, if must use personal transportation • Shopping Online or make it deliverable • Avoid gatherings if required do in open space • Motivate children for outdoor activities • Plan something new like Zoom dinners , various competitions, education seminars...
- 23. M-Mask • Mask isthe very Important For Covid-19 protection. • Create a barrier between mouth, nose and Environment. • Various types of masks are available in market. • N-95 Mask, Surgical mask, Cotton Mask, Fabric Mask, Fancy Mask etc.
- 24. FAQs • Which Oneis Best Mask?? • Precautions during buying it?? • How to wear it?? • When To Change It?? • Is Every mask Reusable?? • How to remove it?? • How to discard masks?? • Can we use cloth or handkerchief instead??
- 25. Wearing Mask is enoughto give protection from Covid-19 infection??
- 26. MYTHS • Oxygen levelwill drop down & CO2 will re inhaled. • If you are well than no need to wear mask. • If a person is positive than no need to wear mask. • Its Enough to Wear just mask.
- 27. S- Sanitization • Toprevent the spread of pathogens and killing them. • Important weapon to kill pathogens. • Mainly 2 types- 1) By washing hands by soap and water. 2) By Ready to use sanitizers. • Now a days Necessary to keep at every places. e.g. govt. Offices, big shops or small shops
- 28. Hand washing Technique... WHOrecommended 6 steps hand washing technique-
- 29. When to usesanitizer???? • When you are out side • Lack of Water or Lack of Time • Specially for Health professionals • 2 types – 1. Ethanol, Glycerine and hydrogen peroxide 2. Isopropanol, Glycerine and Hydrogen peroxide
- 30. I-Immunity • Immunity –DefensiveMechanism of our body • Reason behind-Why some are infected and some are not • Generally non measurable or can’t be known by reports. • No shortcuts to improve immunity. • Can improve gradually by some food, Some life style changes and by some medicines.
- 31. How to boostImmunity... • Improve Your Diet • Proper sleep • Exercise • Distress or Anxiety free life • Hydration • Avoid Addictions
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- 33. DETAILS Its a practicalOnline Seminar... In which you will learn... • How to know your immunity score • How you can safeguard yourself during the pandemic • 7 steps to improve your immunity in just 21 days • How to reverse any disease simply by changing you food , without medicine
- 34. S-Steaming/ Gargling Entry Point/Target of virus- Nose And Throat To avoid or Kill virus plays a important role Healthy Person must do at least- • 2 times steaming • 4 times Gargling Infected Person must do- • Every 4 Hourly Steaming • Every 2 Hourly Gargling Gargle can be done with-Luke warm water/Salt water/ Betadine solution
- 35. Benefits Of Steaming •Clears Mucus Membrane • Keeps Respiratory System Hydrated • Removes Waste Product • Gives Benefits to Facial skin – Fresh, Smooth And attractive.
- 36. Kit should beready for Home.. • Pulse oxy meter • Thermometer • Digital B.P. • Gluco meter • Oxygen
- 37. Treatment • Antiviral Drugs •Anticoagulant • Steroids • Zinc • Vit-C • Vit-D • Multivitamins & Antioxidants • Oxygen Therapy • Ayurveda Preparation • Pranayam & Meditation • Reassurance
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- 39. Take Home Message... •Avoid close contact • Avoid large events & Mass gathering • Wash you hands frequently • Wear mask • Stay Home until necessary • Cover mouth and nose with elbow while sneezing or coughing • Avoid travelling • Avoid use of A.C. & keep cross ventilation • Avoid sharing household items • Clean & Disinfect- hit touch surface
- 40. Request 1. Don't neglectany Sign & Symptoms 2. Stay Away From Rumours 3. Respect Health Professionals
- 41. Follow me On 8000-111-232dr.sagarbhut01@gmail.com DrSagar’s Health WorldKrishna Multi Hospital
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