A presentation on Indian perspective of Covid 19

1. WebMeet 5
COVID 19 – OVERVIEW
Dr Raj Thorat

2. What is Covid 19 ?
 CoronaVirus Disease 19

6. Corona Virus
 Large Family of viruses
(Common Cold – MERS – SARS )
 Covid 19 - nCoV (SARS-CoV-2)
A Novel CoronaVirus,new strain not previously
identified in humans
 RNAVirus
 Zoonotic

7. - Epidemic
- Endemic
- Pandemic

8. Origin of Pandemic
 Hubei province,Wuhan ,China (31st Dec 2019)
 The first case in India (30th Jan 2020)
 WHO declared Pandemic (11th March 2020)
 Total 214 countries and territories in the world are affected
(Till Date)
(11 countries have not confirmed any cases of COVID-19.
Many of these countries withoutCOVID-19 are Pacific Island countries in Oceania)

9. Pathogenesis
 ACE 2 receptors are used by virus to enter
type II pneumocytes in the lung
 ? Neuropilin in nasal mucosa
 Multiorgan Involvement
 Acute ImmunogenicThrombogenic
Inflammatory Disease

12. Symptoms
 Dry Cough
 Fever
 Breathing difficulty
 Bodyache
 Chills
 SoreThroat
 Loss ofTaste,Smell
Sensation
 Loose Motions

13. Testing Protocol

14. Investigations
 CBC
 Inflammatory Markers (ESR,CRP,Ferritin,D-Dimer)
 IL 6
 Routine Labs
 CXR / HRCTThorax

15. CT Scan Findings

16. CT Severity Score

17. CT Severity Score Interpretation

18. MoHFW Covid 19
Management Protocol

24. Epidemiological Studies
 Incubation Period - 2 to 14 days
 Males > Females
 Paediatric Population – Low Mortality
 Reinfection rate – insignificant

25. Indian Data as on 24/10/2020
 Day 215
 confirmed COVID-19 cases - 78,14,682
 Deaths - 1,17,956

26. Prognosis
 Recovery Rate (India) # 89.7% as on 24/10/20
 Mortality (India) = 1.56% as on 23/10/20
 LongTerm Effect ??
- Pulmonary Fibrosis
- Stroke & ACS
- Reinfection
- > 1 year (Unknown)

27. Preventive Measures

33. How & When will it end ?
 Vaccines
 Herd Immunity
 Treatment / antiviral agents

34. Human Life – Current & Future

35. These Days will also Pass

36. These Days will also Pass
And

37. These Days will also Pass
And
. . . Life Goes On . . . . !