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

Asymptomatic COVID Infections – Are You Safe?

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Asymptomatic COVID infections – are you safe?

Patients with COVID usually exhibit signs of coughing, fever, and fatigue. This can develop into further respiratory problems including difficulty breathing, pneumonia in both lungs, and in severe cases the need to ventilate a patient in an intensive care setting. But what if you are asymptomatic? Do you need to worry? Surely you get the benefits of immunity without the dangers of life-threatening symptoms.

In our previous blog, we discussed how a study showed 41% of people with COVID were asymptomatic. However, they had the same viral load as their symptomatic counterparts. This paper published in Nature Medicine suggests that even the asymptomatic patients developed signs of lung inflammation without showing any outward symptoms. Could asymptomatic patients still be damaged by COVID? It's not easy to study this subset of patients, as they do not get tested routinely or present to hospital for examination or investigation.

This study looked at 37 individuals in the Wanzhou District who were diagnosed with COVID via swab test but did not show any symptoms before the test or during hospitalization. These patients were found through the extensive contact tracing program set up in Central China. Whilst in hospital 57% showed abnormalities in the lung fields on a CT scan, including the “ground glass” appearance classic for COVID pneumonia. These changes could be due to fluid or blood in the area or due to inflammation caused directly by the infection.

What does this mean for the individual in the long term? This is difficult to say, especially since COVID has only been around for a few months so long term follow up is simply impossible to state accurately. Depending on the size and severity of the inflammation it may resolve spontaneously with no lasting damage, or the inflammation could cause scarring of the lung tissue that only becomes evident several years or decades down the line. It's difficult to tell.

The study also looked at two other factors in these patients. Compared to their symptomatic counterparts, asymptomatic patients were found to shed viral particles for several more days. It is unclear the significance of this, or whether this makes them more infective or prone to transmitting the infection for a longer period of time. It does add support to the theory asymptomatic people should not believe themselves exempt from spreading the infection.

Secondly, the study looked at the prevalence of antibodies present in the patient's blood. These antibodies can be used as a surrogate for immunity. In theory, after infection occurs our body has the ability to rapidly produce these antibodies against the virus in the event of a second infection. This would neutralize the infection before it could develop into a serious disease.

Looking at these antibodies the researchers found antibody levels against the SARS and MERS virus to last over 2 years. However, against SARS-CoV-2, the antibody levels fall within 2-3 months, providing only a short duration of immunity. This is worrisome for individuals and countries hoping to achieve herd immunity or at least immunity to the virus after a mild or asymptomatic infection.

So what should we take away from this? Perhaps an asymptomatic infection is not the perfect scenario. Damage does occur to your lungs, albeit temporary damage. You are still able to spread it to vulnerable people. And your immunity may not last as long as other infections.

Therefore be safe. Maintain social distancing, follow government advice on wearing a mask. And if you can, avoid excessive socializing or close contact with lots of other people. The virus hasn’t gone away, and it is still dangerous. 

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Inflammation

How Inflammation Affects Overall Health: Understanding the Hidden Risks

Inflammation is often misunderstood. While it is a vital protective response of the immune system, persistent or chronic inflammation can quietly damage tissues and increase the risk of serious diseases. Understanding how inflammation affects overall health is crucial in preventing long-term complications and maintaining optimal wellbeing.

According to the World Health Organization and global medical research published in Lancet, chronic inflammation is linked to a wide range of non-communicable diseases, including heart disease, diabetes and autoimmune disorders.

 

What Is Inflammation?

Inflammation is the body’s natural response to:

  • infection

  • injury

  • toxins

  • stress

It activates immune cells to eliminate harmful stimuli and promote healing.

There are two main types:

Acute Inflammation

Short-term and protective.
Examples include swelling after injury or fever during infection.

Chronic Inflammation

Long-term, low-grade inflammation that persists even without injury.

Chronic inflammation is harmful.

 

How Chronic Inflammation Develops

Persistent inflammation can result from:

  • unhealthy diet

  • sedentary lifestyle

  • obesity

  • chronic stress

  • environmental toxins

  • untreated infections

Modern lifestyle patterns contribute significantly to this condition.

 

Impact on Heart Health

Inflammation damages blood vessels and promotes plaque formation.

This increases risk of:

  • heart attack

  • stroke

  • hypertension

ICMR data highlights cardiovascular disease as a leading cause of death in India, with inflammation playing a contributing role.

 

Link Between Inflammation and Diabetes

Chronic inflammation interferes with insulin signalling.

This leads to:

  • insulin resistance

  • elevated blood sugar

  • metabolic syndrome

NFHS-5 data shows rising diabetes prevalence, partly linked to inflammatory lifestyle factors.

 

Effect on Joint and Muscle Health

Inflammatory processes contribute to:

  • arthritis

  • joint stiffness

  • muscle pain

Autoimmune diseases often involve chronic inflammation.

 

Gut Health and Inflammation

The gut plays a central role in immune regulation.

Poor diet and stress disrupt gut balance, triggering:

  • inflammatory bowel conditions

  • digestive discomfort

  • nutrient malabsorption

Gut inflammation impacts systemic health.

 

Brain Health and Inflammation

Emerging research suggests chronic inflammation affects:

  • memory

  • mood

  • cognitive performance

Inflammatory markers are associated with depression and neurodegenerative disorders.

 

Chronic Fatigue and Inflammatory Stress

Persistent inflammation causes:

  • ongoing fatigue

  • reduced stamina

  • sleep disturbances

The immune system remains in constant activation mode.

 

Role in Autoimmune Disorders

Autoimmune diseases occur when the immune system mistakenly attacks healthy tissues.

Chronic inflammation is central to conditions such as:

  • rheumatoid arthritis

  • lupus

  • inflammatory bowel disease

 

Signs of Chronic Inflammation

Symptoms may include:

  • unexplained fatigue

  • persistent joint pain

  • digestive issues

  • frequent infections

  • skin problems

Early detection is important.

 

Lifestyle Factors That Increase Inflammation

High Sugar Intake

Excess sugar promotes inflammatory pathways.

 

Processed Foods

Trans fats and additives trigger immune responses.

 

Sedentary Lifestyle

Lack of exercise reduces anti-inflammatory benefits.

 

Poor Sleep

Sleep deprivation increases inflammatory markers.

 

Chronic Stress

Elevated cortisol disrupts immune balance.

 

Natural Ways to Reduce Inflammation

Anti-Inflammatory Diet

Include:

  • leafy greens

  • fruits rich in antioxidants

  • nuts and seeds

  • whole grains

Avoid excessive processed foods.

 

Regular Physical Activity

Exercise lowers inflammatory markers and improves circulation.

 

Stress Management

Meditation and breathing exercises reduce stress hormones.

 

Adequate Sleep

7–8 hours of quality sleep supports immune regulation.

 

Maintain Healthy Weight

Excess abdominal fat produces inflammatory chemicals.

 

Role of Preventive Health Screening

Regular tests such as:

  • blood sugar

  • lipid profile

  • inflammatory markers

help monitor risk factors early.

 

Importance of Early Intervention

Unchecked inflammation increases risk of:

  • cardiovascular disease

  • metabolic disorders

  • organ damage

Timely lifestyle changes reverse early inflammatory effects.

 

Long-Term Health Benefits of Inflammation Control

Reducing inflammation supports:

  • heart health

  • stable blood sugar

  • improved immunity

  • enhanced cognitive function

  • reduced pain

Preventive strategies protect long-term wellbeing.

 

Conclusion

Understanding how inflammation affects overall health reveals its profound impact on the heart, brain, gut and metabolic systems. While acute inflammation protects the body, chronic inflammation silently contributes to major diseases. Fortunately, lifestyle changes such as balanced nutrition, regular exercise, quality sleep and stress management significantly reduce inflammatory burden. Prevention and early monitoring remain the most effective tools for protecting overall health and ensuring long-term vitality.

 

References

  • World Health Organization (WHO) – Chronic Disease and Inflammation Reports

  • Indian Council of Medical Research (ICMR) – Cardiovascular and Metabolic Health Studies

  • National Family Health Survey (NFHS-5) – Diabetes and Hypertension Data

  • NITI Aayog – Preventive Healthcare Strategy Reports

  • Lancet – Inflammation and Chronic Disease Research

See all

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