Covid-19 Questions Parents Ask About This Virus - April 2 update

April 02, 2020



COVID19 is a viral infection. The virus that causes it is named SARS-CoV-2 and the illness it causes is called COVID19 (but you will hear these two names used interchangeably). Viruses are a protein parasite that requires a living cell to reproduce. The Coronavirus family is a very common virus that typically causes a common cold. There are six different strains of coronavirus that currently infect humans and most of them are very mild. Coronaviruses are zoonotic meaning they can pass from certain animals to humans.

Over time, viruses can get “smarter” and mutate and change. Recently there have been new more serious types of coronaviruses such as SARS and MERES that have caused recent epidemics (2003 and 2012). Illness with these new viruses is different in that they are associated with high mortality (death rates). Corona means “crown” and the virus was given this name as it looks crown-like when viewed by a special microscope. COVID19 stands for CoronaVIrusDisease2019. It was identified in China in December 2019. It is a new type of virus never seen before. It is now spreading all over the world.



The COVID19 virus can incubate in your body for up to 14 days before you are sick. You may even have minimal symptoms almost unnoticeable for your entire illness.

The virus might enter your eyes, mouth and nose and goes to infect your body and lungs.

It enters your cells and replicates inside of them causing irritation to their passages (nose- congestion, throat- soreness, lungs- cough). During this process, the virus tends to damage your lung cells making you short of breath and causing typical findings on lung imaging (chest x-ray or chest CT scan). Further, as the body makes immunity to the virus, you might have a fever and body aches.

Your body’s inflammatory cells cause further tissue damage in your body that may result in sudden worsening such as shock and heart failure. How bad you feel when you are first sick does not necessarily predict how sick you can get with this infection. There seems to be consistency in that most person that gets very sick tend to develop respiratory problems on day 7-10 of their illness and they tend to get sick very quickly.
In general, 80% of infected patients do well, 13% require hospitalization and 7% are critically ill.


Per the CDC The following symptoms may appear 2-14 days after exposure;

  • Fever
  • Cough
  • Shortness of breath


The virus is now spreading in our communities from person to person (communal spread). The COVID19 virus spreads in large droplets that are expelled in coughing or sneezing. This is why staying 6 feet away from others is recommended. The sprayed germs cover surfaces leaving a film of coronavirus where the germs will live as fomites. These fomites can live on a surface for a week or longer. If you touch a contaminated surface then touch your eyes, nose or mouth, the virus will enter your body and cause infection.

There is concern that there may be an airborne transmission of COVID19 meaning that it can stay suspended in droplets in the air that you could inhale even after the infected person is no longer near. A study showed that the virus can be detected up to three hours later in the air.

Asymptomatic transmission; people who have the virus and are not sick but can spread the virus unknowingly to others. Some people infected with the virus have very minimal symptoms and are not even aware they are ill. This is likely playing a huge part in the spread of disease.
Carriers; people who were sick but recovered and still continue to shed the virus spreading it to others.
As a sigh of relief- Cats and dogs cannot catch nor transmit COVID19.


  • **Stay home and away from others as much as possible (this is soooo important).

  • Do not travel. Cancel any group gatherings. Avoid public transportation.
  • Disinfect frequently touched surfaces daily (doorknobs, tables, light switches, countertops, handles, desks, phone keyboards, toilets, faucets and sinks)
  • Wash your hands regularly, soap and water – scrub for 20 seconds.
  • Use hand sanitizer (at least 60% alcohol) often when out of the home.
  • Avoid touching your eyes, nose, mouth and face.
  • Masks; Wearing a mask is controversial as the virus is small enough to penetrate the holes in most masks. Further, masks are in short supply and needed by health care providers. At the very least wearing a mask helps remind you to avoid touching your face.


This is changing from day to day. As of now, the CDC lists the following people at high risk for the disease;

The CDC predicts that in the coming months, most of the population will be exposed to the virus.


Fortunately, children are not at particular risk from this illness. There have been no deaths in children under 9 years of age reported from this illness to date.
People with health conditions (especially heart and lung disease and diabetes) and older age are most at risk for death.
Adults 80 and older have been shown to have an alarming 14.8% death rate if they get infected with this virus.


Yes. Testing is now available, however, tests are extremely limited. Therefore, only very sick or high-risk patients are being tested. Technology companies are working furiously to make more tests available so this will likely change soon.


Yes, people are testing positive for COVID19 in our community. We don’t really know how prevalent it is because of the limited testing capabilities mentioned above. The CDC updates this ticker during business days (except the number to surge as the virus spreads and more tests arrive)…/2019-…/cases-updates/cases-in-us.html…


NO (not yet at least!). This is a virus so antibiotics like “a Z-pack” (that treat bacteria- a different type of infectious organism) do not treat it. There is currently no antiviral that will treat it either. If a person is very sick, the hospital can help them breathe with a ventilator and resuscitate them with other forms of life support but these are not always successful.

Many many many studies are underway to find something to treat this infection including antivirals (Remdesivir, Kaletra, Favilavir), monoclonal antibodies, chloroquine and other study drugs like APN01. Other studies are focusing on what supportive medications we can use to best support someone when they are critically ill. Rest assured, researchers around the world are working night and day to help us!


Until the test is more readily available, every person cannot be tested. If you are sick, stay calm and stay home. You do not need to see a doctor if you have a simple cold. You will likely be just fine. Stay away from other people and rest. Cover your sneezes and coughs. Wash your hands often. Wear a face mask if you have one. Disinfect frequently touched surfaces daily.

If you think you are ill, stay isolated at home away from other people for 14 days. Unless you are very sick and need emergency help, try to stay away from the Emergency Department so you do not infect other people and so you don’t get sick with a different illness. At some point, if more tests become available, “drive-through” testing may be an option. Remember, even if your loved one gets sick with COVID19, >80% of people will have mild to moderate disease that is easily managed at home.

NSAIDs; Unlike other infections, where we recommend alternating between Tylenol (acetaminophen) and Motrin (ibuprofen, Advil) for fever, aches and pains, we are recommending only using Tylenol/acetaminophen in case of COVID19. Early studies are showing that NSAIDS like Motrin may make you even sicker with this particular virus.

The thought is the anti-inflammatory properties of ibuprofen dampen down the immune system when it is needed for this infection. This may be an overblown reaction, but its what we know for now.


The illness lasts up to 14 days, which is the duration of the recommended self-quarantine. Sicker patients, those that require hospitalization, maybe ill for several weeks.


The new coronavirus can survive for several hours outside the human body, on various surfaces or even in the air, according to a study published Tuesday, quoted by AFP.

The authors of this study funded by the US government found that the virus responsible for the COVID-19 epidemic had a level of outdoor viability comparable to that of coronavirus causing Severe Acute Respiratory Syndrome (SARS).

This could mean that the magnitude of the COVID-19 pandemic – much larger than that of SARS from 2002-2003 – is associated with the fact that it is more easily transmitted from an asymptomatic (“healthy”) carrier.

The study was published in the New England Journal of Medicine (NEJM) and was conducted by scientists from the Centers for Disease Control and Prevention (CDC) in the United States, the University of California, Los Angeles and Princeton University.

The researchers’ experiments showed that the new coronavirus was detectable for up to two to three days on plastic or stainless steel surfaces and up to 24 hours on cardboard.

The researchers also used a nebulizer to spread the virus into the surrounding air. By this technique, they detected traces of the virus in the form of aerosol – that is, suspended particles in the air – for three hours.

Published online for consultation by professionals before being examined by a reading committee, the study nevertheless drew criticism, experts believe that using a nebulizer does not properly simulate a patient’s cough or sneeze and risks artificially increasing the extent of contamination on the way. air.

The virus is transmitted mainly by micropications expelled by patients when coughing or sneezing, and in this form (different from an aerosol) it is only viable for a few seconds.

Similar tests carried out in the case of SARS coronavirus have shown equivalent viability outside the human body.

However, this does not explain why the COVID-19 pandemic affected nearly 200,000 people, with about 8,000 deaths, while SARS infected only 8,000 people and killed 800.


As always, you should still seek emergency care for any emergency. Go to the Emergency Department if you are short of breath if you have laboured breathing, a severe weakness if you are passing out, confused or lethargic. High-risk populations should especially seek care if they are ill; those over 60 years, diabetics, those with chronic lung disease like COPD, patients with cardiovascular/ heart disease, or those with other chronic or debilitating illness.

The ED is always open and is happy to provide care to everyone we can help. You can call your primary care doctors office for advice if needed and check when testing might be more widely available.


No one knows for sure. To be honest, things will likely get much worse before they improve. We don’t know just how bad this will get. Experts project this may take several months until we have things under better control. Some have suggested that it might vanish in warmer weather, like the flu does, however, COVID19 infections are currently underway in hot weather places like Australia and Brazil. Some suspect it may disappear and then return later. Either way, we are preparing for this challenge and getting more and more information by the second.


I have heard many people say “I am not worried about getting infected with this virus”. While this may speak to your bravery and is statistically sound (as your chances for survival is high), it is not just about you. The concern is more about what your infection means for our community. The more people that get infected, the more this will spread.

People older than you and at higher risk are depending on you.

The more people are out and about means the more this virus is spreading.

This occurs as some people may be infected without even knowing it! Experts now say that for every known positive case of COVID19 in the US, there may be 5-10 people with undetected infections. Social distancing (staying home as much as possible) is crucial to protect those at high risk in our community. Social distancing is crucial to preserve emergency care for those who need it.

Think about other ways you can also support your elderly friends, family members and neighbours. See if you can help them with grocery shopping or daily needs.
Try to avoid the urge to hoard items such as food, toilet paper, soap and sanitizer so that others who need them in the community can have them.
We are all in this together. Share extra kindness whenever you can.


Yes. This new, non-treatable, relatively contagious virus with a relatively high death rate that is spreading through our communities like wildfire. We are learning valuable lessons from countries that have experienced this ahead of us. If everyone gets sick at the same time, our emergency system will become overwhelmed and will cease to function. If everyone is sick at once, doctors will be forced to triage- leaving older and higher risk patients without care. I personally can not imagine being in such a scenario.

There are a limited amount of ventilators, a limited amount of hospital beds, and a limited amount of health care workers. If we are able to slow the rate of infection and transmission of the virus, we can slow the number of people needing simultaneous emergent hospital care. If people become infected more gradually, we have more time to deliver each person the care they need so everyone has the best chance of survival. This is where our behaviour makes a difference. This is why social distancing is so so so so so important.


Yes. The flu itself is very dangerous and killed 20,000 people in the US this year. This occurs despite the fact that the flu is a well-known and relatively predictable infection with a widely available vaccine and treatment option.
COVID19 is new and not understood, it (currently) has no vaccine or treatment, and it is more easily transmitted and it is more deadly than the flu.
(one person sick with the flu tends to make 1.3 people sick. One person with COVID-19 makes 3 people sick. This number is variable based on our behaviour) (death rate from seasonal flu is 0.1%, the death rate for COVID19 is 2.3%)


The information from this pandemic is changing from minute to minute. It is hard to say as we have only recently started testing in the world. Information from multiple countries tells us this could be outright devastating.


YES! It is imperative to your health and your community to do this. If everyone gets sick at once, the hospital system will be overwhelmed and we will be unable to treat everyone that needs it. (In Italy, they are so overwhelmed with sick people, they are having to deny treatment to those >65 years). If we can slow the influx of patients, we can give everyone the care they need and deserve.

Avoid crowds, avoid playdates, and avoid any unnecessary outings. You can take walks and hikes, make skype dates and watch movies remotely with a friend- but stay away from others as much as possible. Remember, this is not only protecting you, but it is about protecting everyone in your community.


This is a virus that did not exist 3 months ago. It has created a pandemic and will result in many deaths in our community. They suspect we will all know someone who dies from this virus, and hopefully just one. We have the ability to affect the trajectory of this virus by our behaviour. It is critical that all citizens socially distance themselves- avoiding groups, play dates and non-critical appointments as much as possible until we understand more about this infection.


All hope is not lost. Be patient and sure that this pandemic will not last forever. Each minute researchers around the globe are gaining more information about this virus and with that information comes power. We are developing and trialling treatments and vaccines by the dozens. We will develop faster and more available diagnostic testing. We will produce more personal protective equipment to protect health care providers and the community. This has already taught us an enormous lesson which will leave us more prepared for future catastrophes on a local and global scale.


It is very alarming to be part of this pandemic. Most of us are living through something that we never thought we would encounter (everything cancelled, empty grocery store shelves, mandatory quarantines). Many of us are feeling a sense of anxiety and doom and that is a totally understandable reaction. Symptoms of anxiety include dry mouth, palpitations (feeling your heart beating fast), the sensation of a lump in your throat, chest tightness, and shortness of breath. Some people may find it hard to sleep and awake at night with intrusive thoughts. Some times when people breath very fast due to this they may experience tingling around their lips and their fingers and toes.

Remind yourself that this is an understandable response to stress and that these symptoms are all temporary. This situation is temporary. The best thing to do is to breath very slowly, in through your nose and sloooooowwwwly out through your mouth during these episodes. Try and distract yourself and remind yourself that this will pass and that you are ok. The most important thing to remember is that statistically, you will likely be fine, even if you do get sick, you will likely have nothing more than a cold.

Try to let what we do know empower you- if you stay home, avoid others, wash your hands, avoid touching your face, you will have an excellent chance of reducing illness to yourself and others. If we take action and isolate ourselves, we have the ability to dramatically change the trajectory of this virus in our community and celebrate our efforts once it passes. Our best and brightest are working tirelessly to fix this from every end.

In summary, I beg you to stay home as much as possible, protect yourself, and realize that your actions affect everyone around you. As a community, we have the ability to help each other and shut this thing down!

Excellent advise from Dr Gretchen Lent

From the Lift Session, some other great information:


This virus is part of a larger family of viruses, such as the Middle Eastern Respiratory Syndrome and severe acute respiratory syndrome. The latter possessing a higher percentage genomic pairing with the current strain of SARS to SARS was first identified in 2003 in the southern province of Guangdong China irrational transmission of the SARS virus was traced to bats and then possibly transmitted to civet cats. Now civet cats are a mammal that was funded and slaughtered for millions of human consumption in the province.

The new SARS two virus is believed to have the same origination for bats. In fact, bats are known to host more than 30 different variations of the coronavirus. However, with the new virus, The zoonotic transmission, a process by which an animal transmits that disease to human first occurred by way of an animal called a penguin. The penguin is an animal that is similar to an anteater again that you buy province, by the province this animal is slaughtered and sold for human consumption.

So the first human has direct contact with this new virus was traced to a food market and WuHan China. Now the virus is being spread by way of human transmission. Originally, it is not a transmission from animal to human and now is human that human transmission Hunan province is a large hub for trade and market with a population of approximately 11 million people, and they have an extensive transportation system. As a result, in the country of China, the virus has been able to spread rather rapidly


The incubation for this virus is on average about 5.2 days, those infected will notice fever shortness of breath coughing. These are the most common symptoms but this may change as scientists find out more about how the virus affects the respiratory system.

The viruses spread through droplets of saliva or mucus that are emitted during coughing and sneezing. Now it’s important to note that these may also be the same symptoms one would have in the case of a common cold during the cold and flu season seasonal allergies, but it is important to not procrastinate when one first notices the symptoms. With these types of symptoms appear when they appear it’s important to contact your health care provider right away and get checked out to rule in or rule out any particular viruses that you may have, as of the date of this podcast the country of China, in the country of China, there have been approximately 80,904 confirmed cases of the SARS virus.


The largest concentration of these cases has come from the Hebei province in China. proximately 67,743 confirmed cases of those 80,904 have come directly from the Hubei province. Keep in mind that the first confirmed case was December of 2019, so in three short months for four months this virus has made quite an impact on the country.

The most affected individuals were elderly men with possible morbidities, such as autoimmune disorder or cardiovascular disease. People that are already compromised. Have a compromised immune system are at higher risk of being infected by the virus and are more susceptible to contracting pneumonia.


It’s still unclear whether or not the virus can be transmitted from contacting an inanimate object such as a countertop or packages that may have been shipped through the mail. This process is referred to as nosocomial transmission. The latest evidence suggests that the virus will not live for very long on an inanimate object but research is still being conducted to verify this claim aerosol transmission which occurs to the air is also being investigated as a potential transmission source. So there have been other concerns raised about how this virus can be transmitted. Some people have raised the question of whether or not the disease can be transmitted from domesticated animals, for instance, our dogs or cats.


Today there is very little to no evidence suggesting that dogs or cats can be infected with the source to the virus. There was also a question as to whether or not mosquitoes would be able to transmit the star to the virus, and there hasn’t been any evidence to support that concern either although scientists are still working very hard to try to figure it out but the sharing as much information as possible.

So now that we’ve talked about the spread of the virus and we’ve covered some of the major concerns we need to really kind of hit on prevention because prevention really is the key to this, you know, just like with anything else the best defence is always a good offence and so you want to make sure that you’re prepared and you’re taking the necessary precautions in order to avoid contracting the virus, to begin with.


So what are the best strategies for prevention Well, of course, avoiding exposure to the virus that’s a no brainer but you also need to take preventative measures that will help decrease the likelihood of being affected, or taking care to eat healthily and maintaining an exercise regimen will help to strengthen your immune system so that’s always a good place to start. There’s a strong rationale for continuing and maintaining physical activity right getting outside a little during the day to get some fresh air and avoid being cooped up in buildings and rooms where a large number of people congregate and can possibly transmit the virus from one person to the next.

So you want to avoid close contact with larger groups that can also help reduce the likelihood of infection. Washing your hands thoroughly before eating or touching your face will help reduce the likelihood of spreading any viral infections. And of course, you want to disinfect and clean any food preparation services surface food containers, things of that nature. facemask provides a line of defence for immunocompromised individuals are those people that are already serving, many of the compromises Digital’s, so your healthcare folks that are really kind of in the trenches dealing one on one with people with the viruses. We want to make sure that they’re provided with good personal protection equipment.


If you have a good immune system and you’re a healthy person then, really, the masks aren’t going to help you much more than just washing your hands and take care of yourself.

Travel bans and restrictions have already proven to be effective in reducing the likelihood of spreading viruses, of other sorts so it’s a good idea to maybe consider postponing that vacation you are looking forward to until a significant decline in cases has been confirmed.


You can also add 30 to 60 minutes of extra sleep to your daily routine because inadequate sleep will also deplete your immune system, trying to avoid sugary drinks and snacks, things like that drinking more water and getting a lot of movement.

That’s where exercise becomes so important because we have a lymphatic system. That really is designed in our bodies to take out the trash and it removes things like bacteria and viruses and so the more we move the more that lymphatic move in lymphatic flow pushes the junk out of our body and helps to increase our immune strength.

So making sure that you’re getting out and taking care of yourself prevention really is the best cure.

If you have any questions regarding the Novo Coronavirus or the SARS virus that is now been named, please visit the Centers for Disease Control, or the World Health Organization website.

Read a very touchy message from an Italian medical assistant:

Good evening people!
Anyone who knows me knows I never publish alarmist or negative messages but…
…  I speak to you as not only as a Romanian citizen established in Italy for 16 years and who cares about those at home but also as a medical assistant who has been working in a university public hospital for 12 years.
My message, in reality, is dedicated to Romanians everywhere but especially to Romanians in Romania. He wants to actually be a call to calm and understanding…
Yes… it is a situation that is never before, hard to admit and a critical understatement… It is hard to sustain terms of sacrifice and risks to our health and those around us and a psychological and emotional load hard to Described in words… And in a state of necessity, measures were imposed to close various sections to destinate them exclusively for the sick of Covid 19 and the staff were obviously redistributed… the surgery of surgery Election to recover the fans… the old intensive care precinct reopened (the others are already busy in just a few days) with staff called from retirement, the holidays are blocked, hiring on the belt of staff Who won in advance at the automatic fire… Anesthesiologist interns were hired and dozens of fans were purchased because of the need for patients who needed mechanical ventilation… Doctors and assistants were quarantine who worked non stop for days and nights in a row even a week… and the examples could continue!
And as if it wasn’t for a few days, given the staff crisis they had to change the ministerial normative in the sense that they suspended quarantine and anyone who was in contact with a positive person is forced to continue the activity until the moment In which it becomes symptomatic and positivate the exudate. Hard work, under major stress conditions not to mention the need and obligatory to use individual protective devices that are already very few. So “you choose” not to drink or eat for hours, often a whole shift to not have physiological needs. It is sad to hear daily that there are infected colleagues (doctors and assistants) many of whom isolated at home or worse intubated and in critical conditions 😢… It’s even sadder to hear that young people die daily without pregress pathologists And not just old people with other very over added as they initially said 😢…
People, the situation is as real and serious as can be and it is not undervalued… And under these conditions, I can’t help but wonder… if the Italian health system that is quoted as among the best in the world is in collapse threshold what will happen to the health system in Romania when the number of infected patients increases exponentially??? And if crisis measures have been taken please respect them!!! 
Mothers… if schools are closed, don’t take your children to the mall or parks, don’t let them play in groups!
Don’t leave young people in a disco or bars! Leave your houses only if you have real needs… go strictly to the pharmacy or supermarket and that’s all!
Be associate until the wave passes, don’t hug, don’t shake hands with each other because you will have time after everything passes…
Avoid crowded places to limit the number of infected people!
In a few words…


Angelica Coroiu – Romanian medical assistant working in Italy

What did we learn from the French Emergency Medicine Society

Which are the detailed Covid-19 Symptoms?

– 1 patient transmits to 2.3-2.8 people
– isolation must be implemented in all countries according to the WHO director
– 81 % benign. 14 % serious. 5 % serious with REA.
– mortality correlated to age dates from March 13, progressive and underestimated: 2.5 % between 60 and 70 years. 6.4 % between 70 and 80. % above 80.

In Italy, several days deaths among people aged 30-40 (not found in the figures on 13 March)
– symptoms: Fever (38°C) dry cough, fatigue. Cough in 80 % of cases. Severity: Very rapidly growing dyspnoea. Myalgia, headache, diarrhea. Sudden anosmia and digueusia from the 6th to the seventh day.
– male report, 60-70 % male
– lymphopenia in 84 % of cases
– Moderate frequent thrombocytopenia, Lower PT, increased Dimers, LDH > 250, PCT> 0.5 (not recommended), CRP increase proportionate to gravity
– Chest CT ++ sensitive 88 %/ 97 % if associated with positive CRP
– RP unrecommended
– Pleuro-lung eco: Pleural thickening, heterogenic B lines, condensation islands: sensitive ++
– quick orientation to REA of all bilateral oxygen-dependent interstitial pneumopathies > 3 l / min due to degradation and very rapid IoT
– no VNI because useless + aerosols – thus risk contaminating care staff
– without any aerosol, except asthma in the air room with an open window
– 6 l / min oxygen and mask protection over glasses ++
– video laryngoscopy for IoT
– ++ protection for IoT and low-hoc staff (according to protocol, dirty hands/efficiency of clean hands)
– initially, patients with mild symptoms return to Z7-Z12 with severe bilateral pneumopathies
– pregnant women: First soothing studies, a healthy child born by an infected mother. Few pregnant women have serious forms. No maternal transmission
– myocarditis: 14 % in bad. 41 % in mixed pulse and heart disease. Increased mortality in hypertensive patients due to angiotensin. Do not stop antithHTA treatments. Special affinity for myocardial, rapid deterioration during extubation with rapid myocarditis and death in young people.
– healthy carrier children. Few serious forms 0.01. pre-existing Patho.
– Chloroquine: Not validated. No treatment. Isolation test +++ multicenter in progress.
– Important false-negative tracking test. 59 % sensitivity for the first sample. The scanner is more sensitive > 90 %

Now an interstitial PNP balance sheet is nothing more than COVID+
– Strasbourg: low dose CT from the beginning
– symptomatic medical staff screening only if they have cough + fever. Without systematic medical leave for COVID medical staff +, it can work with a mask if the general condition ok, recommended to stop for 7 days and reactivated with the mask because of less contaminant in the second week. In any case, all caregivers will be healthy contacts/carriers at least.
– Germany 20,000 BAD beds but probably 10 days behind us (fr). Test ++
– 14 % of affected Chinese caregivers. 41 % in services with the most serious patients and invasive procedures – REA ++
– no real case of reinfection. Pathology would be immune.
– we are more contaminating in the first week than in the second

ATTENTION 2 covid areas +/ covid – in the ER: areas must be completely sealed!! We will not help in the COVID area – if we are in the COVID + area + and vice versa, otherwise we are involved in the contamination of staff and patients
– home: Shower + washing clothes in the car, the virus is not soap resistant


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