Tsiodras: We are in a good scenario with the coronavirus – What mistakes to avoid

The Sotiris Tsiodras made special reference to the situation in Italy because of coronavirus and highlighted the failure which led to painful losses.

The neighboring country, according to tonight’s report, has now surpassed 10,000 virus deaths with the daily count being over 600 dead. The problem seems to have no end, however, according to EODY’s chief infectious agent, it certainly has a beginning.

Tsiodras: “The coronavirus should not be underestimated for even a second”
Who is it? The devaluation of the “enemy”. Since the start of the virus outbreak in the country, everyone has been talking about a war with an invisible enemy that does not discriminate against ages, social groups and areas. It beats anytime and anywhere. As Sotiris Tsiodras said, following a question asked in today’s briefing on developments in the Greek coronavirus , Italy defied the enemy, downplayed it and eventually paid for it and continues to pay dearly.

Specifically, Mr. Tsiodras stated:

“I think there has been a huge increase in cases in Italy following a sudden recession. It is certain that when we defy the enemy, he will enter our home. I don’t think the Italians defied it, but when it touches you, I saw reports today from US areas. where it has not been realized that the virus can infect each of us, and we can then pass it on to people in high-risk groups. ”

The seasoned infectious expert noted that “it should be understood by everyone that as long as the virus is here, there is a threat. If you just relax and relax for a while, you will be struck with fury again. This is what I think is happening in Italy and that we have seen in Italy, from areas where there was very high transmission, has expanded to the southern areas. ”

Sotiris Tsiodras is then referred to the correlation measures the evolution of the coronavirus :

“Any relaxation in the measures will lead to the virus returning and the wave recovering. That’s why the measures you see where they are kept and where they are kept have been kept for a long time. Special attention is needed. Do not neglect the measures, because the virus will avenge us. ”

“At 0.4% risk for those under 50”
Then, the information coordinator conveyed to Sotiris Tsiodras the following question:

“A close relative of mine, fortunately young at a young age, who was having fever for days on end and cried to EODY for guidance. EODY told her to find a doctor to examine her but the family doctor had closed his practice. She phoned two other doctors, but they refused to see her. What do you advise this patient and the hundreds of others in her position who have neither a family doctor nor money to do the tests? Can these people monitor their own health? Is it dangerous for the virus to spread and the patient’s health not to know what he has because he can’t do the test and he doesn’t have a doctor to monitor him? ”

This particular attitude caused an angry response as follows:

“I can sense a sense of being so scared by the beloved journalist, who I don’t like, to tell you honestly. He is talking about a young person who has several days of fever and cough, that is, the typical course of the disease. A person who is under the age of 50 has a 0.4% chance of getting something, based on international data.

»A person who could very well monitor his health according to the instructions of the National Public Health Organization at home. A person who has no access to any health system in our country. Error. Of course she has access to our country’s health system if she is worried and has no doctor to turn to. ”

What are the worrying symptoms
Sotiris Tsiodras then said that “there are reference hospitals and people to whom any citizen can turn. I don’t know anyone who wanted to go to a hospital, even with mild symptoms, and they were kicked out. Of course when someone has no serious symptoms of the disease and goes to the hospital, as we have said, he will spread his virus to others or expose himself to the virus if he has not.

At that point, Mr. Tsiodras listed what are the symptoms that should mean “alarm”:

“There is no need for a diagnostic test in this category of young patient, who has no worrying symptoms for their health and is not an extension of fever and cough. The worrying symptom is very high fever , shortness of breath , chest pain , not being able to breathe . There you should, of course, seek medical help quickly. And of course it is good to have a reinforcement of the primary health system. The minister can talk a lot better about this than me, and have a personal contact with each of us. That is also our goal. Let’s get better out of this pandemic. ”

Tsiodras ‘thumbs up’ on hospital workers
The infectious disease specialist also wanted to make a separate reference to the bravery and struggle of nurses: “You have often heard me talk about nursing staff. I think today I should make a special mention to our nurses and nurses who are next door to patients with unparalleled self-sacrifice and self-denial, “he said.

“Also to the rest of the hospital staff, traumatists, cleaning staff, administrators and all the other specialties who are on our side and have exaggerated themselves in patient care. I also want to make a reference to the psychological support of everyone. Instructions for this support have been posted on the websites of the Ministry of Health and the EODY, with the support of the First Psychiatric Clinic of the Medical School of the National and Kapodistrian University of Athens.

But all of us must be aware of some important issues that are unprecedented for all of us. It is very common and normal to have anxiety and fear for ourselves or our loved ones, for possible manifestation of the disease and its transmission, as well as for its severity and outcome.

“Also, reduced contact with other people disrupts our daily lives. We all feel the significant restriction of our personal freedom, which can lead to tensions. Patients themselves, as well as their family members, may also feel stigmatized by people who are afraid of getting the virus. »

Sotiris Tsiodra’s advice on maintaining our mental health
“I have some practical tips that I have borrowed from the EODY and our University website to respect human dignity and support our mental health,” he said shortly afterwards, adding that:

  • “Prefer to get valid information , limit repeated and uninterrupted exposure to news, which increases levels of anxiety and distress and can also be a source of misinformation.
  • Keep in touch with the people who are important to us, our family, our friends. Communication creates a strong mental protection network that supports us. The psyche of every person is greatly tested at this time.
  • Also, ensure a balanced diet , avoiding alcohol and smoking , especially now that in many families with young children, children are at home and having as much rest and physical activity as possible at home.
    Mr. Tsiodras observed at that point that “it is a disease that affects us all, us and our loved ones. Very few are immune from the disease and this should not disrupt our communication with others. This can and must be maintained. Social distance, distancing, as we say, cannot and should not mean social isolation or loneliness. We have ways not to be scared and lost, but to come out victorious from this whole adventure.

“The next few weeks are important . Thanks to all of you, we remain in a good scenario of the epidemic in the country. Thank you from my heart for the courageous attitude of all, ”he said.

What about colchicine
Asked about the inclusion of treatments for the coronavirus of the active substance colchicine , as the virus appears to cause myocardial damage, Sotiris Tsiodras responded: “On the cardiotoxicity of the new virus, it seems that this is true with an unknown mechanism. You know, viruses can cause heart inflammation.

“We know from studies that have been published in very large scientific journals, such as the New England Journal of Medicine, that the presence of influenza alone increased the risk of heart attack or myocardial infarction for a week after the flu was diagnosed, whereas the presence of any other respiratory virus increased the chance of a heart attack at least three times.

“It seems that this virus, too, has some cardiotoxicity. It is not known exactly what mechanism it does. A group of teachers from Greece had the initiative to recommend to the Commission the use of a cardioprotective drug, called colchicine, and similar actions are already being followed by other scientists abroad.

“This medicine may have a protection for the heart, and we will do so in the context of a well-organized protocol. Our cardiologists are world-renowned and have great recognition abroad. And we hope to work and protect even more patients from complications in the hospital. ”

Tsiodras: Data for pregnant women
Asked if there is any evidence of pregnant or hospitalized patients and what treatment they will receive without compromising the fetus, given that substances such as chloroquine have significant side effects, the infectious responder responded: “Pregnant women do not seem to have any greater risk than the general population, is the young population. Most of the data published on pregnant women is good and the very little experience we have in our home country is good to date.

»Of course, it takes a lot of care when you have drugs that are toxic, especially in this population, and only given when they are needed.

»For this and for pregnant women special monitoring and treatment is recommended only if there are complications. I mean here, it’s a happy fact, some scientific studies have been published in the last three days that have concerned China but also the United States, talking about whether the child can be exposed to the virus while in the belly of his hand, if exposed during or after surgery. ”

But they all had one thing in common. Little kids don’t die. So I think that’s the key. They do not seem to be significantly affected, so let’s leave the good message that these studies have.

Tsiodras: “Mathematical estimations are not expressed with complete certainty”
Then, Sotiris Tsiodras, was asked what is the estimation for the dispersion in the community today and when will we know we have avoided the worst.

In his response, the EODY infectious disease expert was clear: “I want to be clear about something here. That mathematical estimates have uncertainties and “strong” data is the data on tubes and deaths.

So based on this data alone, I’ll tell you we’re in a good scenario. I also said in my announcement a short while ago that the bad scenario is not being followed, which is a scenario of the Italian or other type in which there was an exponential increase in both deaths and deaths. The better we all adhere to the measures, the better our image as a country and as a general population. ”

Sotiris Tsiodras emphasized that “the dispersion naturally exists in the community. It is very difficult to make accurate estimates of how many incidents we have in the community right now, because there is a great deal of heterogeneity and diagnostics, and people with mild symptoms and, sometimes for concern, also go to private diagnostic centers. and in hospitals and diagnosed as positive for the disease and the only accurate estimates of the spread will be made with the hard data we have now and later with antibody studies that we evaluate this at the moment by a dedicated scientist with laboratory professors and others. ”

What happens when a coronavirus patient receives discharge
Following a question, Sotiris Tsiodras mentioned what happens when a coronary artery disease patient completes his hospitalization and is discharged.

“It seems like the virus can stay in the body for a long time. Some say up to 17 days of respiratory secretion and some say it can reach up to 25, 27 days in the gastrointestinal tract, faeces, to be excreted, ”he said and explained:

“That’s why it’s very important that people who are discharged follow the hygiene rules for a long time. However, criteria have been adopted for when someone is discharged from the hospital, and they also have molecular diagnostic tests. That is, to have a twice negative molecular test.

“It seems that with the data of international organizations, even after the 10th day, even if you are positive for the virus, the chance of transmitting it is greatly reduced. This does not invalidate the protection measures, hygiene, hygiene measures, especially with regard to the toilet, because you have seen it excreted in faeces for a long time. ”

This fact, he said, is being given by international organizations and not to overwhelm the health system: “It’s a virus you see in the United States and elsewhere, Italy, Spain and the United Kingdom I hear over the last 48 hours opportunities for the health system to leave patients with simple clinical criteria and leave for 7 days. This does not mean that they are super contagious or that they will stick to the whole environment around them and that they need attention to hygiene rules. ”

Sotiris Tsiodra’s prediction is that “we will gradually see such a strategy adopted by more countries. 10 days is a safe time, but you see that where the system is being fought it can be done earlier in the hospital. Always with the criteria that the patient will be a person who will adhere to hygiene measures and of course protect against spreading to the environment. ”

The latest developments on coronavirus medicine
Finally, Sotiris Tsiodras said about the progress made in the treatment of the virus:

“Regarding the process for the production of the drug, I know it has been started by the AEO, the deputy minister may know more. The drug is given according to specific criteria. It is currently being given to hospital patients. It is a drug that has its complications. It must be under strict medical supervision . And the criteria under which the platform can be given and created so that it can be given to people in need and who are in the community have also been considered today.

“I think it does, there is a lot of attention to it, as in the matter of the laboratory testing mentioned in the question. We said, laboratory testing is done at the moment with strict criteria. Criteria for high-risk groups, people with a picture of pneumonia or respiratory distress, people in the medical staff not to spread the hospital epidemic, people who are in the forefront, people hospitalized , to avoid spreading the epidemic inside the hospital.

So we must not override the criteria. The fact that there are laboratory tests in some other hospitals or other places does not mean that we do this laboratory testing on everyone. ”

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