By creator to www.thejakartapost.com
Because the variety of deaths attributable to COVID-19 continues to rise, well being staff within the frontlines are dealing with new challenges on daily basis. So far as we all know, COVID-19 manifests with a large scientific spectrum starting from sufferers with no signs to organ failure. The illness could also be labeled into gentle, reasonable, extreme and important classes, with the most typical signs of sufferers together with fever (virtually 99 p.c), fatigue (virtually 70 p.c), dry cough and diarrhea.
Just lately, rising research have detailed new and unusual manifestations of the novel coronavirus. Some describe eye-associated signs, similar to conjunctivitis or red-eye, which was observed since January, resulting in suspicions that COVID-19 could also be transmitted via the attention.
Later, the American Academy of Ophthalmology advised a low “danger of spreading COVID-19 via tears, however the virus may cause conjunctivitis and could also be transmitted by aerosol contact with the conjunctiva”.
Hopefully, these new research will assist ophthalmologists and different well being staff all over the world grow to be conscious and cautious relating to the ocular signs of COVID-19. In Indonesia, eye specialist Ferdiriva Hamzah has warned friends about this potential unusual manifestation of COVID-19.
One other scientific characteristic present in a lot of COVID-19 sufferers is a pores and skin rash, which may mislead the analysis.
I imagine there are nonetheless prospects of unknown scientific manifestations associated to COVID-19. This chance poses a problem for medical workers in dealing with COVID-19 in emergency and intensive care items, because it requires greater warning and vigilant of those new signs.
As a virus that had simply been found on the finish of 2019 and solely present in Indonesia in February, it’s actually not simple to check the potential scientific manifestations in Indonesian society. That is primarily because of the ignorance or analysis to this point, each domestically and internationally.
Unsurprisingly, there are a lot of “missed” circumstances in emergency items due to the more and more numerous signs which may be present in COVID-19 sufferers. Many COVID sufferers could come to the emergency room with no respiratory signs in any respect, making it laborious to diagnose the affected person.
One colleague cited a affected person with a historical past of routine dialysis who got here into the emergency room with shortness of breath. Shortness of breath in sufferers with kidney failure plus a historical past of dialysis is taken into account fairly regular, so the affected person was categorized as non-COVID however nonetheless dealt with with the usual precautions of utilizing private safety tools (PPE), X-ray examinations and a swab. Nevertheless, the affected person’s swab examined constructive!
This can be one in all many tales that reveals how complicated the vary of COVID-19 signs could have grow to be.
The above instance occurred in one of many referral hospitals for COVID-19 with ample services. What if it occurs in a hospital with restricted services amid very restricted PPE? Particular consideration have to be paid particularly to medical workers. No less than, 24 physicians have died from COVID-19, as reported by the Indonesian Medical Affiliation (IDI). A few of these docs had examined constructive for COVID-19, whereas others have been sufferers underneath surveillance.
Additionally, there’s a want for synergy between the federal government, associated skilled organizations similar to IDI and physicians to remain cautious and all the time search for and disseminate the newest info relating to new and unusual manifestations of COVID-19. The folks additionally have to be inspired to be sincere in answering questions from medical workers; we suspect many usually are not forthcoming in describing their signs.
The general public shouldn’t be afraid of the stigma surrounding COVID-19 as a result of honesty assists well being professionals within the strategy of dealing with and lowering the opportunity of mistreating COVID-19 circumstances, which is now identified to have such quite a lot of distinctive manifestations.
Let’s assist all well being professionals in dealing with such challenges each day to flatten the curve by doing every part we are able to, together with by staying at house in addition to bodily distancing, sustaining self-hygiene and honesty in answering their questions. Open and dependable info is vital to fixing these mysterious new manifestations of COVID-19.
Doctor from Airlangga College (Unair), director of Kuliah On-line
Disclaimer: The opinions expressed on this article are these of the creator and don’t replicate the official stance of The Jakarta Submit.
If you wish to assist in the struggle towards COVID-19, we have now compiled an up-to-date record of neighborhood initiatives designed to assist medical staff and low-income folks on this article. Hyperlink: [UPDATED] Anti-COVID-19 initiatives: Helping Indonesia fight the outbreak