COVID-19 3/14/2020

March 14, 2020

The day is young but the flow of information never ceases.

Tdday’s New York Times contains a very timely op-ed piece about the human spirit in the time of pandemics. I commend it to your attention.

Peter D’Adamo, a naturopth probably best known for his work on diet and blood types, has a site on which he tracks various supplements and their activity against viruses, including Coronavirus. The two color coded columns refer to activity against Coronoavirus. The left column (“Cyto”) refers to killing virus cells directly, and the right column (CorV) refers to affecting the activity of the virus.

It is abundantly clear that “social distancing” and widespread testing are crucial.
Social distancing is something that we will have to do voluntarily, unless something like martial law is declared.

Widespread testing is getting ramped up, but for now is significantly less available than it should be. Drive-in centers have been established at Greenwich Hospital, Waterbury Hospital, and Bristol Hospital, but a physician’s order is required. We need free testing for anyone who has reason to suspect that they are ill, without a doctor’s order. This has been very effective in South Korea. I don’t know when or if we will achieve that level of access to testing.

From the CDC site regarding advice to physicians on testing, accessed today:

Priorities for testing may include:

Hospitalized patients who have signs and symptoms compatible with COVID-19 in order to inform decisions related to infection control.

Other symptomatic individuals such as, older adults and individuals with chronic medical conditions and/or an immunocompromised state that may put them at higher risk for poor outcomes (e.g., diabetes, heart disease, receiving immunosuppressive medications, chronic lung disease, chronic kidney disease).

Any persons including healthcare personnel, who within 14 days of symptom onset had close contact with a suspect or laboratory-confirmed COVID-19 patient, or who have a history of travel from affected geographic areas within 14 days of their symptom onset.

There are epidemiologic factors that may also help guide decisions about COVID-19 testing. Documented COVID-19 infections in a jurisdiction and known community transmission may contribute to an epidemiologic risk assessment to inform testing decisions. Clinicians are strongly encouraged to test for other causes of respiratory illness (e.g., influenza).

Mildly ill patients should be encouraged to stay home and contact their healthcare provider by phone for guidance about clinical management. Patients who have severe symptoms, such as difficulty breathing, should seek care immediately. Older patients and individuals who have underlying medical conditions or are immunocompromised should contact their physician early in the course of even mild illness.