Friday, July 31, 2020
Thursday, July 30, 2020
#EidAlAdha 2020 festival of sacrifice is to be celebrated amidst the #COVID19Pandemic in India including Tamilnadu religious &social gatherings in Mosques or Eid ground are barred. Please have Eid-Ul-Adha prayer at home&give #Qurbani with social distancing &hygiene- M.A.Aleem Trustee Natharvali Dargha Trichy
This year Eid-Ul-Adha festival of sacrifice is to be celebrated amidst the COVID-19 Pandemic , when more states in India including Tamilnadu have barred the religious and social gatherings in Mosques or Eid ground on 1st August 2020.
It is better to pray at home like in Eid-Ul-Fitr two months ago with socital distancing.
Wishes and greeting without contact is good by saying salam,waving hand , placing the hand on heart , and by gesturing to prevent COVID-19 spread
The ritual of `qurbani' (sacrifice of animal) can be conducted and distributed with self hygiene and adopting social distancing.
- M.A.Aleem Trustee Natharvali Dargha Neurologist Trichy Tamilnadu India
Wednesday, July 29, 2020
Tuesday, July 28, 2020
Elderly and COVID-19 - M.A.Aleem Neurologist #Trichy #Tamilnadu #India
Elders and COVID-19
Government of India and the state government of Tamilnadu is able to manage Covid-19 treatment and reduce deaths better than many other countries.
In line with international data, those above 60 years of age account for maximum percentage of COVID-19 deaths in India.
Epidemiologically, the elderly population also bears the heaviest burden of non-communicable diseases, leading to heightened vulnerability in the COVID-19 scenario.
The elderly, who constitute 10% of India’s population, accounted for over 60% of the country’s Covid-19 deaths.
Besides, 73% of Covid-19 deaths were among those with co-morbidities.
Globally, COVID-19 has impacted several lives and is steadily increasing its
reach. While Indian Government has taken stringent actions to contain the spread of
COVID-19, including nation-wide lockdown, it is also critical for each one of us to
follow the protocols and take necessary measures and precautions to break the
chain of transmission of the disease.
Elderly people are at a higher risk of COVID-19 infection due to their
decreased immunity and body reserves, as well as multiple associated co-
morbidities like diabetes, hypertension, chronic kidney disease and chronic
obstructive pulmonary disease. Also, course of disease tends to be more severe in
case of elderlies resulting in higher mortality.
However, COVID-19 transmission among elderly population can be reduced
by taking following measures:
DO’s
1. Stay at home. Avoid meeting visitors at home. If meeting is essential, maintain
a distance of one meter.
2. Wash your hands and face at regular intervals with soap and water.
3. Sneeze and cough either into your elbow or into tissue paper / handkerchief .
After coughing or sneezing dispose of the tissue paper/ wash your
handkerchief.
4. Ensure proper nutrition through home cooked fresh hot meals, hydrate
frequently and take fresh juices to boost immunity.
5. Exercise and meditate.
6. Take your daily prescribed medicines regularly.
7. Talk to your family members (not staying with you), relatives, friends via call
or video conferencing, take help from family members if needed
8. Postpone your elective surgeries (if any) like cataract surgery or total knee
replacement
9. Clean the frequently touched surfaces with disinfectant regularly.
10.Monitor your health. If you develop fever, cough and/or breathing difficulty
immediately contact nearest health care facility and follow the medical advice
rendered
DON’Ts
1. Do not cough or sneeze into your bare hands or without covering your face.
2. Don’t go near your contacts if you are suffering from fever and cough.
3. Don’t touch your eyes, face, nose and tongue.
4. Don’t go near affected/ sick people .
5. Don’t self-medicate.
6. Don’t shake hands or hug your friends and near ones.
7. Do not go to hospital for routine checkup or follow up. As far as possible make
tele-consultation with your healthcare provider.
8. Don’t go to crowded places like parks, markets and religious places.
9. Don’t go out unless it is absolutely essential.
The case fatality rate (CFR) seems to be age-dependent, with a higher percentage among the elderly, especially in men.
In Tamil Nadu, the percentage of people over 60 years of age among the total number of positive cases has been increasing over the months.
Monday, July 27, 2020
Vaccines For COVID-19 - M.A.Aleem BMJ 2020;370:m2752
BMJ British Medical Journal
Editorials
Covid-19: an opportunity to reduce unnecessary healthcare
BMJ 2020; 370 doi: https://doi.org/10.1136/bmj.m2752 (Published 14 July 2020)
Cite this as: BMJ 2020;370:m2752
Re: Covid-19: an opportunity to reduce unnecessary healthcare
Dear Editor
Vaccines for COVID-19
Introduction of vaccines to prevent COVID-19 may help to overcome some unnecessary health care burden.
Scientists around the world are working on potential treatments and vaccines for the new coronavirus disease known as COVID-19.
Researchers around the world are developing more than 165 vaccines against the coronavirus, and 27 vaccines are in human trials. Vaccines typically require years of research and testing before reaching the clinic, but scientists are racing to produce a safe and effective vaccine by next year for COVID-19.
The potential vaccines are first administered to animals in preclinical testing trials.
Then that is given to a small number of people to test safety and dosage and to confirm the immunity development in phase I safety trials.
After that the tested vaccine is given to hundreds of people, children and elderly people, in phase II expended trials to study the ability to stimulate immunity and its safety.
Then the tested vaccine is given to thousands of people and wait to see how many people become infected, compared to volunteers who received a placebo. These trials can determine if the vaccine protect against COVID-19.
Currently a vaccine in development by the British-Swedish company AstraZeneca and the University of Oxford is based on a chimpanzee adenovirus called ChAdOx1. Their Phase I/II trial, reported on July 20, found that the vaccine was safe, causing no severe side effects. It raised antibodies against the COVID-19 as well as other immune defenses. The vaccine is now in a Phase II/III trial in England, as well as Phase III trials in Brazil and South Africa. The project may deliver emergency vaccines by October. AstraZeneca has said their total manufacturing capacity for the vaccine, if approved, stands at two billion doses.
Serum Institute of India is planning to manufacture two-three million doses of the Oxford coronavirus vaccine by end-August.
Part of their phase III trials of this Oxford vaccine are also expected to be conducted in India next month.
In India in collaboration with the Indian Council of Medical Research and the National Institute of Virology, the Indian company Bharat Biotech designed a vaccine called Covaxin based on an inactivated form of the coronavirus. When the company launched Phase I/II trials in July, reports circulated that the vaccine would be ready by August 15. But now it seems that it would be available no sooner than early 2021.
Regulators in each country review the trial results and decide whether to approve the vaccine or not. During a pandemic, a vaccine may receive emergency use authorization before getting formal approval.
Competing interests: No competing interests
25 July 2020
M.A. Aleem
Emeritus Professor of Neurology * Visiting Specialist in Neurology ** Consultant Neurologist ***
The Tamilnadu Dr.M.G.R. Medical University * Dhanalakshami Srinivasan Medical College ** ABC Hospital ***
Chennai 600032* Perambalure 621212** Trichy 620018*** Tamilnadu India
@drmaaleem
Wednesday, July 22, 2020
Tuesday, July 21, 2020
COVID19 #TrichyRural#Tiruchirappalli Manapparai, Marungapuri blocks see a steady rise in cases by C. Jaisankar in The Hindu Tiruchi on 21.7.2020 - M.A.Aleem Neurologist #Trichy #Tamilnadu #India
https://www.thehindu.com/news/cities/Tiruchirapalli/manapparai-marungapuri-blocks-see-a-steady-rise-in-cases/article32150562.ece
#COVID19 #TrichyRural
#Tiruchirappalli
Manapparai, Marungapuri blocks see a steady rise in cases by
C. Jaisankar I. The Hindu Tiruchi on 22.7.2020 - M.A.Aleem Neurologist #Trichy #Tamilnadu #India
THE HINDU 22.7.2020
TIRUCHIRAPALLI
Manapparai, Marungapuri blocks see a steady rise in cases
C. Jaisankar
TIRUCHI 21 JULY 2020 18:15 IST
UPDATED: 21 JULY 2020 18:19 IST

Mounting cases of COVID-19 in Manapparai and Marungapuri blocks in the district were a cause of concern not only for residents but also the administration.
According to official sources, 2,094 persons were tested positive for the virus in the district up to July 18. Of them, 1,123 were from Tiruchi city. Rural areas of the district accounted for 867 cases.
Manapparai tops the list of 14 blocks in the district. There were 132 cases in Manapparai alone, followed by Mannachanallur block with 118 cases. Manikandam and Musiri follows with 74 cases each. Sixty nine cases were reported from Marungapuri block. At least five to six cases have been adding to Manapparai tally daily.
It was from April, that the first few cases of COVID-19 were reported in Puthanatham and Thuvarankurichi in Marungapuri block. Though most of the patients had recovered, the virus began affecting the people residing in neighbouring villages gradually. The case load in Manapparai continues to surge and it crossed 150 mark on Monday.
Kallipatti, Marungapuri, Valanadu and Karutha Kodangipatti were among the most affected villages in Manapparai and Marungapuri blocks. Since many policemen in Manapparai station tested positive for COVID-19, it has been shut temporarily. A few policemen in Thuvarankurichi were diagnosed positive.
On death count too Marungapuri tops the list in rural areas. As per an official statement, 33 COVID-19 deaths were reported in the district. While Tiruchi city accounted for 22 deaths, 11 were from rural areas. Of them, five deaths were reported in Marungapuri alone.
“It is a matter of concern. We observe that awareness on social distancing norms is very low in rural areas. There are people, who still believe that there is no such virus,” says M. A. Aleem, a neurologist.
He said that there was no seriousness among the people on the exponential spread of the virus. More than 60 to 70% of the rural people did not use face mask and failed to follow personal distancing norms. Moreover, many of them hardly followed hand washing etiquette.
Dr. Aleem said that employment guarantee job scheme workers, grocery and vegetable traders and others should be made to wear face mask.
Monday, July 20, 2020
Multifaceted COVID-19
“Chickenpox is a virus. Lots of people have had it, and probably don't think about it much once the initial illness has passed. But it stays in your body and lives there forever, and maybe when you're older, you have debilitatingly painful outbreaks of shingles. You don't just get over this virus in a few weeks, never to have another health effect. We know this because it's been around for years, and has been studied medically for years.
Herpes is also a virus. And once someone has it, it stays in your body and lives there forever, and anytime they get a little run down or stressed-out they're going to have an outbreak. Maybe every time you have a big event coming up (school pictures, job interview, big date) you're going to get a cold sore. For the rest of your life. You don't just get over it in a few weeks. We know this because it's been around for years, and been studied medically for years.
HIV is a virus. It attacks the immune system and makes the carrier far more vulnerable to other illnesses. It has a list of symptoms and negative health impacts that goes on and on. It was decades before viable treatments were developed that allowed people to live with a reasonable quality of life. Once you have it, it lives in your body forever and there is no cure. Over time, that takes a toll on the body, putting people living with HIV at greater risk for health conditions such as cardiovascular disease, kidney disease, diabetes, bone disease, liver disease, cognitive disorders, and some types of cancer. We know this because it has been around for years, and had been studied medically for years.
Now with COVID-19, we have a novel virus that spreads rapidly and easily. The full spectrum of symptoms and health effects is only just beginning to be cataloged, much less understood.
So far the symptoms may include:
Fever
Fatigue
Coughing
Pneumonia
Chills/Trembling
Acute respiratory distress
Lung damage (potentially permanent)
Loss of taste (a neurological symptom)
Sore throat
Headaches
Difficulty breathing
Mental confusion
Diarrhea
Nausea or vomiting
Loss of appetite
Strokes have also been reported in some people who have COVID-19 (even in the relatively young)
Swollen eyes
Blood clots
Seizures
Liver damage
Kidney damage
Rash
COVID toes (weird, right?)
People testing positive for COVID-19 have been documented to be sick even after 60 days. Many people are sick for weeks, get better, and then experience a rapid and sudden flare up and get sick all over again. A man in Seattle was hospitalized for 62 days, and while well enough to be released, still has a long road of recovery ahead of him. Not to mention a $1.1 million medical bill.
Then there is MIS-C. Multisystem inflammatory syndrome in children is a condition where different body parts can become inflamed, including the heart, lungs, kidneys, brain, skin, eyes, or gastrointestinal organs. Children with MIS-C may have a fever and various symptoms, including abdominal pain, vomiting, diarrhea, neck pain, rash, bloodshot eyes, or feeling extra tired. While rare, it has caused deaths.
This disease has not been around for years. It has basically been 6 months. No one knows yet the long-term health effects, or how it may present itself years down the road for people who have been exposed. We literally *do not know* what we do not know.
For those in our society who suggest that people being cautious are cowards, for people who refuse to take even the simplest of precautions to protect themselves and those around them, I want to ask, without hyperbole and in all sincerity:
How dare you?
How dare you risk the lives of others so cavalierly. How dare you decide for others that they should welcome exposure as "getting it over with", when literally no one knows who will be the lucky "mild symptoms" case, and who may fall ill and die. Because while we know that some people are more susceptible to suffering a more serious case, we also know that 20 and 30-year-olds have died, marathon runners and fitness nuts have died, children and infants have died.
How dare you behave as though you know more than medical experts, when those same experts acknowledge that there is so much we don't yet know, but with what we DO know, are smart enough to be scared of how easily this is spread, and recommend baseline precautions such as:
Frequent hand-washing
Physical distancing
Reduced social/public contact or interaction
Mask wearing
Covering your cough or sneeze
Avoiding touching your face
Sanitizing frequently touched surfaces
The more things we can all do to mitigate our risk of exposure, the better off we all are, in my opinion. Not only does it flatten the curve and allow health care providers to maintain levels of service that aren't immediately and catastrophically overwhelmed; it also reduces unnecessary suffering and deaths, and buys time for the scientific community to study the virus in order to come to a more full understanding of the breadth of its impacts in both the short and long term.
I reject the notion that it's "just a virus" and we'll all get it eventually. What a careless, lazy, heartless stance.”
Sunday, July 19, 2020
India is in second place in COVID-19 Testing - M.A.Aleem BMJ 2020;370:m2817
Bmj British Medical Journal
News
The Big Picture
Delhi prepares to hit 500 000 covid-19 cases
BMJ 2020; 370 doi: https://doi.org/10.1136/bmj.m2817 (Published 14 July 2020)
Cite this as: BMJ 2020;370:m2817
Rapid response
Re: Delhi prepares to hit 500 000 covid-19 cases
Dear Editor
India is in second place in COVID-19 Testing
In the 29th week of the COVID-19 Pandemic
World COVID-19 cases have surpassed 14 Million on 17.7.2020 As of today, 18.7.2020, the world has recorded 14, 215, 939 COVID-19 cases. The recovered cases are 8, 488, 484 in number and death was reported in 600, 036 cases as of today
About 48.09%.of the world COVID-19 cases are in three countries--the US, Brazil and India--duing this 29th week of the Pandemic. Likewise about 41.04% of COVID-19 related deaths are recorded in these three countries. The Indian COVID-19 related death rate is low at 2.5%
India has conducted the second largest number of coronavirus tests (12 million) after the US (42 million).
The US has done 45, 697, 029 total COVID-19 tests at the ratio of 138, 021 tests per 1 Million population
The Indian positivity rate of Covid-19 stands at 6.73 percent in the 1st week of July 2020.
Now India has done 12, 739, 490 total tests at the rate of 9228 tests per 1 Million population. The positivity rate at India is now around 8%.
India has registered its first 1 Million cases (1, 005, 637) and has recorded the highest single day of COVID-19 cases of 35, 468 with 680 deaths on 16.7.2020
For the first time the world has registered the highest single spike of 2.4 lakh (248, 871) and US has recorded the highest number of 73, 388 cases in a single day on 16.7.2020.
WHO has an advisory that has recommended a positivity rate of less than 5% for two weeks as an indicator that the epidemic is under control, allowing social restrictions to be gradually relaxed.
In Tamilnadu the positivity rate is at 9.91% and in Trichy is about 8 6%.
So it is better to continue the social restrictions along with personal and respiratory hygiene till vaccines are available.
Competing interests: No competing interests
18 July 2020
M.A Aleem
Emeritus Professor of Neurology * Visiting Specialist in Neurology ** Consultant Neurologist ***
The Tamilnadu Dr.M.G.R. Medical University * Dhanalakshami Srinivasan Medical College ** ABC Hospital ***
Chennai 600032* Perambalure 621212** Trichy 620018*** Tamilnadu India
@drmaaleem
Indian Food Helps to Beat #COVID-19 - M.A.Aleem BMJ 2020;370:m2840
Bmj British Medical Journal
Editor's Choice
Covid-19: What we eat matters all the more now
BMJ 2020; 370 doi: https://doi.org/10.1136/bmj.m2840 (Published 16 July 2020)
Cite this as: BMJ 2020;370:m2840
Rapid response
Re: Covid-19: What we eat matters all the more now
Dear Editor
Indian Food Helps to Beat COVID-19
Indian food ingredients are very much helpful, during this COVID-19 Pandemic
Vitamin C and Zinc-rich food play an important role in boosting the immunity and can help to prevent infections like COVID-19.
Vitamin C rich food helps to stimulate the formation of antibodies. Citrus fruits, strawberries, red bell pepper and kiwi are all rich in vitamin C, which may help to fight COVID-19.
There are many zinc-dependent enzymes in our body and deficiency has been linked with immune dysfunction. Zinc-rich foods include beans, seeds, nuts, meat, poultry and seafood, which can help to beat COVID-19.
Intake of low carb diets is useful. A low carb diet will help slow down diabetes and focus on a protein-rich diet to keep you in good shape. And regularly consume vegetables and fruits rich in Beta carotene, Ascorbic acid & other essential vitamins. Certain foods like mushrooms, tomato, bell pepper and green vegetables like broccoli, spinach are also good options to build resilience in the body against infections including COVID-19.
Some natural immunity supplements in Indian food items including ginger, gooseberries (amla) and turmeric can also help during this COVID-19 Pandemic.
There are several herbs that can help in boosting immunity like garlic, basil leaves and black cumin. Certain seeds and nuts like sunflower seeds, flax seed, pumpkin seeds and melon seeds as excellent sources of protein and vitamin E are also very much useful.
Probiotics like Yoghurt, Yakult and fermented food are also excellent sources to rejuvenate the composition of gut bacteria, which is important for nutrient absorption by the body.
Intake of immunity boosting food along with social distancing and self hygiene are important to beat and break and COVID-19 infection.
Competing interests: No competing interests
18 July 2020
M.A. Aleem
Emeritus Professor of Neurology * Visiting Specialist in Neurology ** Consultant Neurologist ***
The Tamilnadu Dr.M.G.R. Medical University * Dhanalakshami Srinivasan Medical College ** ABC Hospital ***
Chennai 600032* Perambalure 621212** Trichy 620018*** Tamilnadu India
@drmaaleem
Saturday, July 18, 2020
Here are 10 signs you may have Covid-19. If you have any of the following below please attend fever camp/ COVID-19 detection camp/GH at #Trichy District and get tested for #COVID19 at free of cost▪︎ Shortness of breath▪︎ Fever▪︎ Dry cough▪︎ Chills & body aches▪︎ Sudden confusion▪︎ Digestive issues▪︎ Pink eye▪︎ Loss of smell & taste▪︎ Fatigue▪︎ Headache, sore throat, congestion .- M.A.Aleem Neurologist #Trichy #Tamilnadu #India
Friday, July 17, 2020
Wednesday, July 15, 2020
Tuesday, July 14, 2020
Monday, July 13, 2020
Sunday, July 12, 2020
Early Lapse ends in Flop - M.A.Aleem BMJ 2020;370:m2720
Bmj British Medical Journal
News
Covid-19: Airborne transmission is being underestimated, warn experts
BMJ 2020; 370 doi: https://doi.org/10.1136/bmj.m2720 (Published 07 July 2020)
Cite this as: BMJ 2020;370:m2720
Response
Re: Covid-19: Airborne transmission is being underestimated, warn experts
Dear Editor
Early Lapse ends in Flop
As of now today on 11.7.2020, world has registered the total number of 12.6 Million (12,654,664) confirmed COVID-19 cases and deaths were reported in 5.6 lakh (563,521) cases. Recovery were recorded in 7.3 Million (7,388,577) cases.
Handling of the COVID-19 Pandemic by WHO is not acceptable uniformly by all countries.
WHO’s confusing guidance on wearing of masks in the early days of covid-19 pandemic may be the one of the reasons for the lack of control of COVID-19 spread.
Lack of early conformation and acknowledgment of air borne mode of spread of COVID-19 infection resulted in little reluctance by the people and the unplanned lockdown and reopening may also leads to the widespread COVID-19 infection in the community.
Lack of recognition, about the seriousness of the air borne COVID-19 spread by some of the world leaders are also be a reason for the uncontrollable spread of COVID-19.
Playing the COVID-19 situation for the personal and political gains is the another reason in some countries for the COVID-19 spread.
Lack of WHO's report about the autopsy findings from early cases from china has also leads to delay in finding out the proper treatment to target the pathogenesis and its pathways in the COVID-19 infection .
Lack of early recognition of cytokine storm and coagulation abnormalities has also been a reason for many COVID-19 related deaths.
Competing interests: No competing interests
11 July 2020
M.A. Aleem
Emeritus Professor of Neurology * Visiting Specialist in Neurology ** Consultant Neurologist ***
The Tamilnadu Dr.M.G.R. Medical University * Dhanalakshami Srinivasan Medical College ** ABC Hospital ***
Chennai 600032* Perambalure 621212** Trichy 620018*** Tamilnadu India
@drmaaleem
Saturday, July 11, 2020
New Proverbs Needs to be included in the English language because of this #COVID19Pandemic - M.A.Aleem Neurologist #Trichy #Tamilnadu #India
New Proverbs Needs to be included in the English language because of this COVID-19 Pandemic
- M.A.Aleem Neurologist #Trichy #Tamilnadu #India
1.Divided we live, United we die!
2.A sneeze, in time... infects nine!
3.All that sniffles has caught a cold!
4.Homestay is the best policy!
5.One man's mask is another man's poison!
6.An unmasked guy is the Covid's workshop!
6.As you spray, so shall you reap..
7.Better to be poor & healthy than being rich & sick!
8.Curiosity killed the doctor!
9.Don't count your chickens before next March!
10.Every cough has its spray!
11. Rome wasn't infected in a day!
12. When the cough is away, you can come out & play!
- M.A.Aleem Neurologist #Trichy #Tamilnadu #India
Friday, July 10, 2020
https://www.hindutamil.in/news/blogs/563671-whether-corona-patients-have-a-brain-or-neurological-problem.htmlOn COVID-19 and Brain interview by M.A.Aleem Neurologist #Trichy #Tamilnadu #India in The Hindu Tamil Thisai on 10.7.2020
முகப்பு
வலைஞர் பக்கம்
டி.கார்த்திக்
Published : 10 Jul 2020 11:56 AM
Last Updated : 10 Jul 2020 12:06 PM
கரோனா நோயாளிகளுக்கு மூளை, நரம்பியல் பிரச்சினை ஏற்படுமா?- பிரிட்டன் ஆய்வு பற்றி மருத்துவர் விளக்கம்!
உலகம் முழுவதுமே கரோனா வைரஸ் தொற்றுக்கு மருந்து, தடுப்பூசிகள் கண்டுபிடிக்கும் பணிகள் தீவிரமாக நடைபெற்றுவருகின்றன. அதேவேளையில் கரோனா வைரஸால் ஏற்படும் பாதிப்புகள் குறித்தும் மருத்துவ உலகம் பல்வேறு ஆய்வுகளை மேற்கொண்டுவருகின்றன. அந்த வகையில் பிரிட்டன் விஞ்ஞானிகள் மேற்கொண்ட ஆய்வில் கரோனா வைரஸ் தொற்றால் பாதிக்கப்பட்டவர்களில் சிலருக்கு மூளை, நரம்பியல் சார்ந்த தொந்தரவுகள் ஏற்படலாம் என்று கண்டுபிடிக்கப்பட்டுள்ளது.
இதுவரை இல்லாத அளவில் கரோனா வைரஸின் தாக்கம் உள்ளது. பொதுவாக எந்த வைரஸ் தொற்று ஏற்பட்டாலும், அதுதொடர்பான அறிகுறிகள் பாதிக்கப்பட்டவருக்குத் தலைகாட்டும். ஆனால், கரோனா வைரஸ் எந்தவித அறிகுறியும் காட்டாமல் மக்களைப் பாதிக்கிறது. இந்தச் சூழ்நிலையில் பிரிட்டன் மருத்துவ விஞ்ஞானிகள், எந்தவித அறிகுறியும் இல்லாமல் கரோனா தொற்று ஏற்பட்ட சிலரிலும் தொற்றிலிருந்து விடுபட்ட சிலரிலும் மூளை பாதிப்பை அதிகம் பார்க்க முடிவதாக ஆய்வறிக்கையில் சொல்லியிருக்கிறார்கள். அரிதாக, பிரிட்டனில் சிலருக்கு கரோனாவின் முதல் அறிகுறியாக மூளை பாதிப்பே இருந்ததாகவும் இந்த ஆய்வில் கண்டுபிடிக்கப்பட்டுள்ளது.
பிரிட்டனில் முதல் கரோனா பாதிப்பு, ஜனவரி 31-ம் தேதி ஏற்பட்டது. அப்போது முதல் தற்போது வரை கரோனாவால் பாதிக்கப்பட்டவர்களில் மூளை பாதிப்பு ஏற்படுவோரின் எண்ணிக்கை 3 சதவீதம் உயர்ந்துள்ளதாகவும் ஆய்வில் கூறப்பட்டுள்ளது. இந்த ஆய்வு மேற்கொண்ட 40 பேரில், 12 பேருக்கு மூளை வீக்கம்; 10 பேருக்கு மயக்கம்; 8 பேருக்கு நரம்பு பாதிப்பு, 8 பேருக்குப் பக்கவாதம் வரக்கூடிய நரம்பு மண்டலப் பாதிப்பு இருந்ததையும் ஆய்வில் விஞ்ஞானிகள் சுட்டிக்காட்டியுள்ளனர். மேலும், இந்தப் பாதிப்பு ஏற்பட்டவர்களில் 5 சதவீதத்தினர் உயிரிழந்துவிட்டதாகவும் அதில் குறிப்பிடப்பட்டுள்ளது.
இந்த ஆய்வு முடிவுகள் குறித்து திருச்சியைச் சேர்ந்த மூளை, நரம்பியல் நிபுணரும், திருச்சி அரசு மருத்துவக் கல்லூரி முன்னாள் மூளை, நரம்பியல் துறைத் தலைவருமான டாக்டர் எம்.ஏ. அலீமிடம் கேட்டோம். “சில வைரஸ்களுக்கு உடல் உறுப்புகள் எதிர்வினையாற்றும். அந்த வகையில் கரோனா வைரஸ் மூளையைப் பாதிக்கலாம். பொதுவாகவே வைரஸ் காய்ச்சல் வந்தால், எல்லா உறுப்புகளிலும் அது தாக்கத்தை ஏற்படுத்தும். அது மூளையிலும் தாக்கத்தை ஏற்படுத்தி பாதிக்கப்பட வாய்ப்புகள் உள்ளன. இதன்படி கரோனா நோய் இருக்கும்போதும், வந்துசென்ற பிறகும் சிலருக்குப் பாதிப்பு வரலாம். கரோனா சிகிச்சையோடு, அதற்கான சிகிச்சையையும் சேர்த்துக் கொடுத்தால், அந்தப் பாதிப்பு சரியாகிவிடும்” என்று தெரிவித்தார் டாக்டர் அலீம்.
கரோனா வந்தவர்கள் தங்களுக்கு மூளை, நரம்பியல் பாதிப்பு ஏற்பட்டுள்ளது என்பதை அறிந்துகொள்வது எப்படி? “ஒருவேளை பக்கவாதம் ஏற்பட்டால், கை, கால் செயலழிந்துபோகும். நரம்பியல் பாதிப்பு ஏற்பட்டால், உட்கார்ந்து எழுவதில் பிரச்சினை ஏற்பட்டு, போலியோ நோய் போல இருக்கும். சிலருக்கு மயக்கம் ஏற்படலாம். சீனாவில் கரோனா வந்தபோதே, இதுபோன்ற பாதிப்புகள் பற்றியும் சொல்லியிருந்தார்கள். குடல், இரைப்பை சார்ந்த பிரச்சினை ஏற்படும் என்று அப்போது சொன்னதுபோலவே மூளை, நரம்பியல் பாதிப்பும் ஏற்பட வாய்ப்புகள் உள்ளன.
கரோனா தொற்று ஏற்பட்ட எல்லோருக்கும் இது ஏற்படும் என்று சொல்வதற்கில்லை. சிலருக்கு ஏற்படலாம். இதை நினைத்து அச்சப்படவும் தேவையில்லை. ஒருவேளை உடலில் ஏதேனும் அறிகுறிகள் தென்பட்டால், உடனே மருத்துவமனைக்கு சென்றுவிட வேண்டும்” என்று டாக்டர் அலீம் தெரிவித்தார்.
அன்பு வாசகர்களே....
இந்த ஊரடங்கு காலத்தில் வீட்டை விட்டு வெளியே வராமல் நமக்கு நாமே சமூக விலகல் ( Social Distancing) செய்து கொள்வோம். செய்தி ஊடகங்களின் வழியே உலகுடன் தொடர்பில் இருப்போம். பொதுவெளியில் இருந்து தனிமைப்படுத்திக் கொண்டு கரோனா பரவலைத் தடுப்பதில் நம் பங்கை முழுமையாக இந்த சமூகத்துக்கு அளிப்போம்.
கரோனா நோயாளிநரம்பியல் பிரச்சினைபிரிட்டன் ஆய்வுமருத்துவர் விளக்கம்Neurological problemCorona patientsகரோனா வைரஸ் தொற்றுBlogger specialடாக்டர் எம்.ஏ. அலீம்
Sunday, July 5, 2020
Spitting Spreads COVID-19 - M.A.Aleem Neurologist Trichy Tamilnadu India
Spitting Spreads COVID-19
- M.A.Aleem Neurologist Trichy Tamilnadu India
Many people particularly whose who smoke chew tobacco beetle leaves gums or having acute or chronic upper or lower respiratory tract infections allergy or asthma have the urge of spitting anywhere and everywhere.
In recent days the risk of catching a contagious disease like COVID-19 is high with spitting. Other diseases like common cold flu TB hepatitis viral meningitis cyromegalovirus herpes virus and Epstein Barr virus and glandular fever can also spread through saliva by spitting.
Spitting habit of people on roads can intensities the risk of COVID-19 spread.
It is established now that the
COVID-19 can transfers through respiratory droplets. When a person randomly spits on the road or any other public place, the chances of the droplets entering eyes, nose or mouth of other people nearby are high. If a person spat in an enclosed room which doesn’t have proper ventilation, the threat of virus transmission would increase even more.
A lot of people around us have the habit of spitting frequently which is dangerous amid the pandemic. Thus, people should maintain cleanliness and hygiene and their surroundings to limit the transmission of diseases, be it COVID-19 or any other communicable disease that transmits through saliva.
Having the need to spit time and again is an old habit of many of us. But the situation is very risky now. A minor negligence of one person might be hazardous to public health and we must consider changing our habits to minimise virus infection.
On Prevention of #COVID19 spread "Cooperation Vital " in the Readers Mail Column of Tiruchi The Hindu on 6.7.2020 by M.A.Aleem Neurologist #Trichy #Tamilnadu #India
Readers Mail https://www.thehindu.com/todays-paper/tp-national/tp-tamilnadu/readers-mail/article31998444.ece
Cooperation vital
As the number of COVID-19 positive cases is getting higher with every passing day in Tiruchi, the onus is on the people to restrict their travel, and adapt well to social distancing and preventing crowding.
Since Tiruchi is at a vantage location, it has become a transit point for people on their way to other districts.
The people have to cooperate with the State government and district administration to prevent spread of the infection.
M.A. Aleem,
Tiruchi.
Saturday, July 4, 2020
Friday, July 3, 2020
Current Scenario of the COVID-19 Pandemic- M.A.Aleem Trichy BMJ 2020;370:m2637
Bmj British Medical Journal
Editor's Choice
Getting it right in the pandemic
BMJ 2020; 370 doi: https://doi.org/10.1136/bmj.m2637 (Published 02 July 2020)
Cite this as: BMJ 2020;370:m2637
Rapid Response
Re: Getting it right in the pandemic
Dear Editor
Current Scenario of the COVID-19 Pandemic
In the 27th week of this Pandemic, over 11 Million ( 11,033879 ) people in the world population (0.14%) are infected with COVID-19, in almost all countries.
World has recorded for the first time over 2 lakh COVID-19 cases (208864) in a single day during this Pandemic on 2.7.2020. Of this a quarter of the global COVID-19 cases are in the US.
Highest single day spike of over 20k (21948) cases has been reported in India on 2.7.2020.
Global scenario of COVID-19 cases are not yet reaching a plateau in a few countries like USA, Brazil and in India despite the low death rate.
During this 27th week of the COVID-19 Pandemic, 56% of the infected global cases are recovered from illness.
Among currently infected persons, 99% are mildly affected and 1% are seriously ill.
Infected cases which have an outcome in the form of recovery are noted in 92% of patients, and death was recorded in 8% of cases.
As primary prevention for COVID-19, many candidate vaccines are in the pipeline.
Oxford vaccine AZD1222 is under phase 3 trial. Covaxin a vaccine from India is in phase 1 trial. Definitely any one of the vaccines for COVID-19 will hit the market in August 15th or at the end of 2020 and even if delayed may be in the beginning of year 2021.
Competing interests: No competing interests
03 July 2020
M.A Aleem
Emeritus Professor of Neurology * Visiting Specialist in Neurology ** Consultant Neurologist ***
The Tamilnadu Dr.M.G.R. Medical University * Dhanalakshami Srinivasan Medical College ** ABC Hospital ***
Chennai 600032* Perambalure 621212** Trichy 620018*** Tamilnadu India
@drmaaleem
