• Published on: Jul 07, 2020
  • 1 minute read
  • By: Dr Rajan Choudhary

Asymptomatic Carriers Of COVID

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Why Asymptomatic carriers of COVID are as dangerous as symptomatic patients

 

Many countries have now begun enforcing masks for everyone to wear when out in public, in enclosed spaces, or on public transport. There is good evidence to support these measures, but unfortunately, some still show resistance to the idea. Whilst some reasons put forward are non-sensical (masks do not cause any noticeable or measurable decrease in oxygen delivery to the body), other people feel like they shouldn’t wear a mask because they do not have symptoms of COVID. And thus would not spread anything. Here we look at a recent publication in Nature, one of the most esteemed peer-reviewed scientific journals in the world, and what it shows us about the transmission of COVID in a population.

This study by Lavezzo et al looked at the suppression of the SARS-CoV-2 outbreak in the Italian municipality of Vo’. This municipality is 50 kilometers west of Venice with a population of just 3,416 people. It experienced its first casualty of COVID on the 21st of February, after which it underwent lockdown for 14 days. During this time data was collected on the clinical presentation and hospitalization of COVID patients, as well as other citizens through the contact tracing network.

In total 2,812 residents were tested in late February, with another 2,343 tests performed two weeks later at the end of lockdown. Nasal and throat swabs were taken to identify infected individuals. The study found only 2.6% of people were positive for COVID at the start of lockdown, which reduced to 1.2% two weeks later.

Out of this infected population, 42.5% were asymptomatic. They had no symptoms at the time of swab testing nor did they develop symptoms afterwards. When the viral load was measured between symptomatic and asymptomatic patients, there was little difference.

Evidence has pointed to a large asymptomatic population, and previous studies have shown it to be as high as 50% in some cases. Many would assume if a patient has no symptoms then they must have fought the infection before it became an issue, or had a very low viral load and therefore were not likely to spread it. This study shows it is simply not true. Asymptomatic carriers of COVID are likely to contribute to the transmission and spread of COVID amongst the population.

If you are asymptomatic you have as high a viral load as someone who is symptomatic. But there is no way to tell without a swab. You have as much of a potential to spread the infection to the vulnerable. Even in people who became symptomatic the height of transmission was found to be before the patient showed any symptoms.

So what does this mean? If you have COVID you are likely to spread it before you show any symptoms or any symptoms at all. We know masks are effective at significantly reducing the spread of COVID, by catching the water droplets that carry the SARS-CoV-2 Virus. Now that shops and public places are re-opening, the risk of spread is high.

Wear a mask. Stop the spread.

https://www.nature.com/articles/s41586-020-2488-1_reference.pdf suppression of a SARS article

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Monthly Field Day with Patients & Staff: Building Stronger Connections for Better Health

Monthly Field Day with Patients & Staff: Building Stronger Connections for Better Health

Healthcare outcomes are shaped not only by medical treatments but also by trust, communication and community engagement. As healthcare systems in India move toward preventive and patient-centric models, initiatives that foster meaningful interaction between patients and healthcare professionals are gaining importance. One such initiative is the Monthly Field Day with Patients & Staff.

A field day creates a shared space where patients and healthcare teams interact beyond clinical settings. These interactions humanise healthcare, improve understanding and encourage long-term wellness practices.

Why Community Engagement Matters in Healthcare

Modern healthcare recognises that health is influenced by behaviour, awareness and social support. According to the World Health Organization (WHO) and NITI Aayog, community-based health engagement improves preventive care adoption and patient outcomes.

Field days help bridge the gap between healthcare providers and patients by:

  • encouraging open dialogue
     

  • reducing fear and hesitation
     

  • promoting shared responsibility for health
     

 

What Is a Monthly Field Day with Patients & Staff?

A Monthly Field Day with Patients & Staff is a structured wellness initiative organised outside the routine clinical environment. It focuses on interaction, education and preventive health activities.

Typical elements include:

  • basic health screenings
     

  • lifestyle education sessions
     

  • fitness or relaxation activities
     

  • informal conversations with healthcare staff
     

  • family and caregiver participation
     

The aim is to create a supportive and approachable healthcare experience.

 

Why Monthly Frequency Matters

Consistency is key in behaviour change and preventive health.

Monthly field days:

  • reinforce health messages regularly
     

  • build familiarity and trust
     

  • allow continuous follow-up
     

  • keep wellness top of mind
     

According to public health studies, repeated engagement significantly improves health literacy and adherence.

 

Benefits for Patients

1. Improved Health Awareness

Patients gain better understanding of:

  • chronic disease management
     

  • preventive screenings
     

  • nutrition and lifestyle habits
     

Education in informal settings improves retention.

 

2. Increased Comfort with Healthcare Teams

Regular interaction reduces anxiety and hesitation around seeking medical care.

Patients are more likely to:

  • ask questions
     

  • follow medical advice
     

  • attend follow-ups
     

 

3. Early Risk Identification

Field days often include basic screenings that help detect:

  • high blood pressure
     

  • elevated blood sugar
     

  • obesity risk
     

Early identification enables timely intervention.

 

4. Enhanced Emotional Wellbeing

Social interaction and community activities reduce feelings of isolation, especially among elderly or chronically ill patients.

 

Benefits for Healthcare Staff

1. Better Understanding of Patient Needs

Direct interaction outside clinical settings helps staff understand patient challenges more holistically.

 

2. Improved Communication Skills

Informal engagement strengthens empathy and communication effectiveness.

 

3. Reduced Burnout

Positive patient interaction and community appreciation contribute to staff morale and job satisfaction.

WHO recognises staff wellbeing as a critical factor in healthcare quality.

 

Role of Field Days in Preventive Healthcare

Preventive healthcare focuses on reducing disease burden before complications arise. Field days support prevention by:

  • promoting routine screenings
     

  • encouraging healthy lifestyle habits
     

  • addressing myths and misconceptions
     

  • reinforcing long-term care plans
     

NITI Aayog identifies community engagement as a cornerstone of preventive healthcare strategies.

 

Activities Commonly Included in Field Days

Health Screening Stations

Blood pressure, blood sugar, BMI and basic assessments.

Wellness Education

Short talks on nutrition, exercise, sleep and stress.

Interactive Sessions

Q&A discussions with doctors, nurses and health educators.

Physical Activities

Group walks, yoga sessions or light exercises.

Family Engagement

Including caregivers improves adherence and support systems.

 

Impact on Chronic Disease Management

For patients with chronic conditions such as diabetes or hypertension, regular engagement:

  • improves medication adherence
     

  • reinforces lifestyle modification
     

  • reduces emergency visits
     

Lancet studies highlight that community-based interventions improve chronic disease outcomes.

 

Building Trust Through Transparency

Field days foster trust by:

  • making healthcare providers approachable
     

  • encouraging open dialogue
     

  • demonstrating commitment to patient wellbeing
     

Trust improves treatment adherence and satisfaction.

 

Role of Data and Feedback

Feedback collected during field days helps healthcare organisations:

  • identify common concerns
     

  • refine wellness programs
     

  • personalise future interventions
     

Data-driven engagement enhances program effectiveness.

 

Long-Term Impact on Healthcare Outcomes

Organisations that invest in regular patient-staff engagement observe:

  • higher patient satisfaction
     

  • improved preventive screening rates
     

  • reduced disease complications
     

  • stronger community relationships
     

According to WHO, patient-centred care models improve health outcomes and system efficiency.

 

Why Field Days Are Especially Relevant in India

India’s diverse population faces challenges such as:

  • limited health literacy
     

  • delayed care-seeking
     

  • chronic disease burden
     

Community-based initiatives like field days address these challenges through education and trust-building.

 

Conclusion

A Monthly Field Day with Patients & Staff is more than a community event—it is a strategic preventive healthcare initiative. By fostering open communication, promoting health awareness and strengthening relationships, field days improve patient engagement and staff wellbeing alike. In a healthcare landscape increasingly focused on prevention and community trust, regular field days play a vital role in building healthier, more connected communities.

 

References

  • ICMR – Community Health and Preventive Care Reports

  • National Family Health Survey (NFHS-5) – Health Awareness and Engagement Dat

  •  NITI Aayog – Community-Based Preventive Healthcare Strategies

  • WHO – Patient-Centred Care and Community Health Guidelines

  • Lancet – Community Engagement and Health Outcome Studies

  • Statista – Healthcare Engagement and Preventive Care Trends India

  • EY-FICCI – Healthcare Workforce and Patient Engagement Reports

See all

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