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Corona virus in Poland: diseases and recommendations. Special Report 20/11/2021

Koronawirus w Polsce

We first heard about the SARS-CoV-2 coronavirus in December 2020. Media reports spoke of an atypical form of pneumonia that appeared in residents of the Chinese city of Wuhan. The speed at which the infection spread and the number of deaths it caused surprised scientists. This infection was different from those known until now – so it got its name COVID-19. The pathogen that caused this was the SARS-CoV-2 coronavirus. It soon became clear that the virus crossed the borders of China and reached most countries of the world. The first case of COVID-19 was recorded in Poland on March 4, 2020, and the first death as a result of this disease was recorded on March 12, 2020. The day before, the World Health Organization (WHO) announced that we are dealing with a pandemic, a pandemic with a dimension worldwide.

The number of patients increased and the number of dead increased. There has been no cure for COVID-19, and there is no vaccine to protect against the coronavirus. At that time, only short-term measures to prevent disease were effective: masks, social distancing, hand washing and disinfection, as well as isolating the sick from the healthy. Over time, tests for the presence of the Corona virus were introduced, which facilitated the control of patients, and at the end of 2020 it was announced that the first effective vaccines against COVID-19 had been found. The situation is much worse with the treatment of infections – there is still no effective treatment for this disease. Doctors use different “cocktails” of antiviral drugs. However, its effectiveness depends on many factors, including age, gender, condition of the patient (whether he suffers from other chronic diseases or obesity), race (there are studies that have shown that this disease is more severe in people with dark skin), and the stage of the disease to the doctor. . What do we know about this disease now and what is the situation around the world? We explain.

see also

Current restrictions in Poland

SARS-CoV-2 and COVID-19 – what do we know about them?

SARS-CoV-2 is a typical virus of animal origin and is transmitted mainly by droplets or by contact with the secretion of an infected person. The infection caused by this virus is called COVID-19. The course of this disease may be
Asymptomatic or asymptomatic nature.

SARS-CoV-2 coronavirus penetrates into cells through the interaction of S protein (spike, spike) and angiotensin-converting enzyme 2 (ACE2). Infection of the lower respiratory tract cells (mainly type 2 pneumocytes) causes severe damage to the alveoli in some patients. The patient’s immune system is involved in this process – complementary components and pro-inflammatory cytokines (in the most severe forms of the disease, with multi-organ failure, uncontrolled release of cytokines, the so-called cytokine storm). The SARS-CoV-2 coronavirus harms not only the lungs (some changes are irreversible), but also other organs. This is due to the fact that the ACE2 enzyme is also present in other tissues. Therefore, this pathogen can attack the blood vessels, heart, brain, central nervous system, kidneys, liver, skin and eyes. As a result, it leads to many complications after the disease. Some diseases appear immediately after illness, and some a few weeks later. This phenomenon also has its name, the so-called COVID long or after COVID. Importantly, the long-term phenomenon of COVID may also appear in people who have had a mild infection.

The most common symptoms of COVID-19

The most common symptoms associated with COVID-19 are:

Less common, such as symptoms
Headache, diarrhea, rash.

What do you do if you suspect you have the coronavirus?

If you are short of breath or
If you are having trouble breathing, call 112 or 999 right away for medical help and tell them if you have, or might have, the coronavirus.

If your health condition does not require urgent medical intervention, contact your GP who will issue you a referral for a coronavirus test.

You can also make a self-referral online by completing a simple qualification form. If the system qualifies you for the test, you have two options: via the online form or during a conversation with a consultant.

Information about the test result can be found in the patient’s online account. If the test is positive, your doctor will tell you. You will also receive information about further treatment. maybe you can be:

  • referral to hospital,
  • start the isolation in the isolation room (among other things, isolators are held by people who cannot be isolated at home, as this would put their loved ones at risk of contracting the Coronavirus),
  • Start home isolation.

see also

Corona virus test without a doctor’s referral

COVID-19 antigen tests

How do you prepare for the corona virus test?

There are two types of SARS-CoV-2 coronavirus tests in Poland:
Antigen test and PCR test. Prepare yourself for both. At least 3 hours before the test:

  • do not eat meals,
  • do not drink,
  • Don’t chew gum
  • Do not rinse your mouth and nose,
  • Don’t brush your teeth
  • do not take medicine,
  • Do not smoke.

If you do not follow these rules, your test result may be inconclusive.

If you are waiting for your test result, stay home and don’t call other people!

What does the corona virus test result mean?

If your SARS-CoV-2 test result is available, you will see one of four messages after logging into the patient’s online account:

If the test is positive, you should go into home isolation, unless your doctor refers you to isolation or a hospital (infectious hospital list).

see also

Fear of being vaccinated against COVID-19

Ambiguous COVID-19 result

When does home isolation start?

Isolation at home begins on the day the patient receives a positive result
The result of the diagnostic test for SARS-CoV-2. Its duration depends on the patient’s health status (clinical symptoms of COVID-19) and the decision of the primary care physician or physician caring for the patient in the hospital or isolation room.

In the case of a symptomatic patient, after 7 days of isolation at home, the primary care physician calls the patient for an interview. It determines when symptoms appear (they may have occurred before the test result was obtained) and when they stop (the last time the patient had a fever, cough, and shortness of breath). Based on this, you will determine how long the isolation will last. Isolation is usually completed after 3 asymptomatic days, but not earlier than 13 days after the first symptoms appear.

In the case of an asymptomatic patient, after 7 days of isolation at home, the primary care physician contacts the patient to determine their health status. If there are no symptoms of the disease, isolation ends 10 days after the date of the first positive diagnostic test for SARS-CoV-2.

Importance! If, on the basis of the interview, the doctor finds disturbing symptoms, he may extend the isolation. He will pass this information on to the patient, and you will also be in his IKP.

see also

Isolation, quarantine and epidemiological surveillance - what does that mean?

Current restrictions in Poland

Who can get a vaccine against COVID-19?

In Poland, all 12-year-olds can sign up for
Vaccination against COVID-19. Of course, a minor must have parental consent. To register for the vaccination, all you have to do is enter the patient’s online account. There should be an electronic referral that will allow you to register for the vaccination (either online or during a conversation with a consultant).

The amount of antibodies in the body is known to decrease over time, so from September onwards, people over 60 who are immunocompromised can take an extra booster dose of the COVID-19 vaccine, provided they have completed their baseline and last immunization schedule The dose was given 6 months after the last dose. However, the final decision is made by the attending physician.

In Poland, you can vaccinate yourself with vaccines that have received a positive opinion from the European Medicines Agency (EMA):

  • Formulated by Pfizer/BioNTech (2 doses, mRNA type)
  • Moderna COVID-19 Vaccine (2 doses, mRNA type)
  • Vaxzevria from AstraZeneca (2 doses, vector)
  • Johnson & Johnson COVID-19 Janssen Vaccine (Single-Dose, Vector)

see also

Vaccinations: what are the Poles afraid of?

Vaccination against COVID-19 is not an experiment

Coronavirus – How to avoid infection with SARS-CoV-2?

The SARS-CoV-2 coronavirus is transmitted by airborne droplets, for example when coughing or exhaling. Virus droplets leave the host’s body and land on objects or surfaces around the patient. To avoid contracting the coronavirus, consider the following recommendations.

  1. Wash your hands often with soap and water or an alcohol-based hand sanitizer.
  2. Avoid touching your eyes, nose and mouth with your hands.
  3. Cover your mouth and nose with your bent arm or a disposable tissue when coughing or sneezing. Then throw the tissue in the trash and wash and sanitize your hands.
  4. Avoid contact with sick people – keep a distance of at least 1 meter.

How do you wash your hands properly?

  1. Wet your hands with warm water. Apply liquid soap to the crease of your hand.
  2. Soap both the inner surfaces of your hands.
  3. Slap your thumb and soap them.
  4. Tap the thumb of one hand with the other, then switch hands.
  5. Clean the back of one hand with the palm of the other hand, then switch hands.
  6. Rub both wrists.
  7. Rinse your hands well to remove the soap. Dry them carefully.

Wash your hands for at least 30 seconds!

shutterstock_1635244774_jak myc . receiver

Photo

You can obtain all necessary information about the Coronavirus by calling 590190800 (National Health Fund hotline).

The above advice cannot replace a visit to a specialist. Remember that in case of any health problems, consult a doctor.

Source: GIS / PAP / Ministry of Health

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