There is lots
of information about COVID-19 out there, and some of it is bad information.
Hereʻs some
of the stuff Iʻve been hearing thatʻs not true, or not entirely true.
Q. A friend
asked whether, once youʻve had the virus, youʻre immune in the future.
A. The answer
is, probably, but not certainly.
Youʻre
generally immune to a virus after having gotten it—at least for a while.
However, there have been rare cases in which people have appeared to be over COVID-19,
and then got sick again. Was it simply a relapse of the original infection or a
new one? Thatʻs not yet clear.
There is also
indication that the virus has evolved, at least in China, and that there are
now at least two versions of COVID-19 out there. If youʻve had one, you might
still be susceptible to getting the second. Hereʻs a link to a scientific paper
on that.
The Centers
for Disease Control says this: "The immune response to COVID-19 is not yet
understood. Patients with MERS-CoV infection are unlikely to be re-infected
shortly after they recover, but it is not yet known whether similar immune
protection will be observed for patients with COVID-19."
Q. Another person
said flu goes away in the summer, so this will be gone by mid-year.
A. Donʻt count on it. This
disease has not been around long enough to know. Hereʻs what the Centers for
Disease Control says about that:
"It is not yet known whether weather and
temperature impact the spread of COVID-19. Some other viruses, like the common
cold and flu, spread more during cold weather months but that does not mean it
is impossible to become sick with these viruses during other months. At this time, it is not known whether the
spread of COVID-19 will decrease when weather becomes warmer. There is much more to learn about the
transmissibility, severity, and other features associated with COVID-19 and
investigations are ongoing."
Q. A
co-worker told me he read that if itʻs a dry cough itʻs COVID-19, but if itʻs a
wet cough itʻs the flu.
A. Wrong.
(Sometimes.)
As this guide from Johns Hopkins Medicine notes, thereʻs no sure thing with symptoms. A dry
cough occurs most often in COVID-19, but not always. Same with fever—some patients
have one, some donʻt. Same with soreness and tiredness. Same with shortness of
breath.
A World Health Organization study in Chinaʻs outbreak found that fever occurs 88 percent
of the time, dry cough in 68 percent of
cases, fatigue in 38 percent, sputum
production in 33 percent, shortness of breath in 19 percent, sore throat in 14
percent, headache in 14 percent, joint pan in 15 percent, chills in 11 percent,
nausea or vomiting in 5 percent, nasal congestion in 5 percent, diarrhea in 4
percent, and coughing up blood in 1 percent and and watery or inflamed eyes 1 percent.
Q. Someone
asked, if I get tested, will I know for sure that I am or am not infected?
A. If you
have symptoms and a positive test, youʻre infected. The test can confirm that
the disease youʻve got is not a cold or flu or other virus and is COVID-19.
If you have
no symptoms and you can get someone to test you, chances are it will be
negative. But that doesnʻt necessarily mean you donʻt have it. It could mean you donʻt. Or it
could mean youʻre infected but havenʻt been infected long enough to test
positive.
"As with all currently available tests, it’s
not yet clear how long a person needs to be infected before testing positive,
or whether someone who's infected could be identified by the test before
displaying symptoms."
Q. If I get sick,
I can only infect others while I have active symptoms.
A. Wrong. You
can infect people a day or two before your active symptoms show up,
and you might be able to pass the virus to others for a week or more after youʻve recovered.
This German study found active viruses for many days after symptoms disappeared.
© Jan TenBruggencate 2020
Thanks, Jan. Insightful per your usual.
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