Category: Coronavirus

With the data about COVID isolation and its negative effects polluting our senses, it is reassuring that researchers are turning their attention to interventions to assist people sheltering at home.  Caged humans should start planning escapades Bringing the outside world into our homes is one strategy. Stress is reduced in indoor environments enriched with plants […]

It is human nature to want to name an illness.  This allows patients to come to terms with their symptoms and prognosis.  It also permits physicians to adopt a course of treatment.  In the case of COVID, diagnosing the disease presents pitfalls as well as opportunities.    First, the pitfalls.  As new diseases evolve, many of the symptoms associated with […]

Countries worldwide are racing to vaccinate a significant proportion of their populations against COVID in the coming months. The evidence that vaccination decreases the likelihood of severe disease is promising. What is not so clear is whether the vaccines will eradicate the pandemic. To date there has been very little research into whether the vaccines […]

The COVID context is changing rapidly with the virus mutating and vaccination programs being rolled out globally. The original evidence on vaccine trials still stands. Here is a summary of what we know to date, which is supported by research evidence and not baseless assertion nor media factoid. As always, the primary references are available […]

Now that masks have become common, they also have become big business.  They can be found in a great variety of shapes, patterns and materials, but all masks aren’t created equal. Many factors, including the composition and thickness of the material, and the density of the filter fibres, determine their effectiveness. Non-natural fibres work better to […]

In one in three primary care consultations more than one problem is managed. The average number of problems managed is two, but as we get older or if we include mental health problems, closer to five problems are addressed per consultation and at least the same number of medications prescribed. COVID has been blamed for virtually anything that can […]

With the advent of antibiotics in the first half of the last century, traditional public health went into hibernation.  Communicable or infectious diseases surfaced only occasionally, and usually only in small outbreaks of old foes such as TB, leprosy and polio. Most of these outbreaks were contained and in relatively inaccessible locations subject to a small […]

Since March 2020, most places in the world have been through several versions of CoVID-19 lockdown. The most extreme level, currently in force in several cities in the USA, prohibits social contact beyond the immediate household throughout the rest of the year. Those who can work from home are expected to do so. Those who […]

Over the past two decades, three human coronaviruses (SARS-CoV, MERS-CoV, and SARS-CoV-2) have emerged worldwide and there is still no approved vaccine for any of them. Greedy nations race each other in a drug-ridden CoVID Olympics, spending billions to find the gold medal vaccine. Yet we are told the greatest elite performer on earth – […]

Hospitals are full of sick people and not all of them are patients. More and more staff in hospitals are turning up for work that they are unable to do. They are present, but not working at their best, due to the impact of COVID-19 on their health and well-being. Every week there is another […]

Hospitals are full of people sick with CoVID but not all of them are patients. More and more staff in our hospitals are turning up for work that they are unable to do. They are present, but not working at their best, either due to their own health problems, increased CoVID-related workload, or CoVID anxiety. […]

What will happen to our healthcare services once the acute phase of CoVID-19 has passed is anyone’s guess. The backlog of non-urgent surgery and medical treatment grows daily as physicians not involved in acute life-threatening care are furloughed and patients are reticent to see clinicians for fear of catching CoVID-19, if their offices are even […]

Even before the CoVID-19 pandemic, more and more people were working remotely. Between 2012 to 2016, the number of people working remotely rose by four percent globally. In the US, 43% of workers spend some of their time working remotely. In countries such as Finland, Japan, Netherlands and Sweden, more than half the population work […]

In times of overwhelming disaster and limited resources, ingenuity and repurposing can save lives.  For example, the use of stapling wounds on the suture-poor battle fields more than a century ago was game changer. It worked because the purpose of a suture and a staple were similar – to hold two opposing surfaces together. Wrap […]

CoVID-19 is all about lungs and breathing. As the infection increases in seriousness so the need for breathing assistance becomes greater. Critical and intensive care units (ICUs) provide the optimal support for these life-threatening breathing problems. But are they ready for the expected surge in cases? There will never be enough ICU beds. Overall, critical […]

Global travel no doubt contributes to polluting our planet, but is it really responsible for the spontaneous outbreaks of CoVID-19 (coronavirus) occurring around the world? The recent outbreak in Italy, which has not been linked to any human carrier, makes me wonder. It is time to look into transmission beyond human-to-human. Granted we humans are […]

Doctors, nurses, and other health care professionals have a long history of wearing face masks in clinical environments, but I’ve never seen a person in scrubs walking down the street in a face mask.  That look is generally reserved to  tourists, particularly from Japan and China, who wear masks as they see the sights. Surgical […]