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Published on: Oct 28, 2020
2 minute read
By: Dr Rajan ( Medical Second Opinion Cell)

COVID: A Reminder To Stay Safe

COVID: A reminder to stay safe

As we approach the second wave of COVID, we need to remain vigilant with our actions to prevent the spread of the virus. We are continuously reminded about wearing a mask in public, maintaining socially distant, and not engaging in risky behavior such as large gatherings. But today we will focus on other forms of transmission. COVID is primarily transmitted by airborne droplets, but spreading the infection through infected surfaces is still feasible. Here we will look at three articles that investigate this mode of transmission.

SARS-COV-2 Survives for 28 days on surfaces

This study by Australian scientists has found that SARS-CoV-2 can survive on surfaces for up to 28 days. The team investigated using the same amounts of virus found on infected individuals, interacting with surfaces such as cotton, paper, stainless steel, glass, and vinyl. Such materials were chosen as they represent commonly touched objects such as mobile phones, ATMs, supermarket checkout regions, items that may not be cleaned regularly enough. Previous research showed the virus could be detected in aerosols for up to three hours, and on plastic and stainless steel surfaces for up to three days.

This study found the virus may survive as long as a week on most surfaces, with enough potency to re-infect. Even after two weeks, there were still plenty of detectable viruses. On other surfaces such as banknotes, the virus could survive as long as a month. The survival of the virus is also potentiated by colder temperatures. The virus is far less likely to survive at 30C than at 6 C, a worrying finding for countries currently approaching winter.

Survival of SARS-CoV 2 on the human skin

We know our skin is host to millions of different bacteria and viruses, but the conditions created by the body alongside the degree of microbial competition actually makes it quite a hostile environment for pathogenic microbes. Hirose et al looked to investigate how well the SARS-CoV-2 virus survives on human skin, using a model. They found that SARS-CoV-2 and the influenza A virus were destroyed more quickly on the skin than other surfaces such as steel, glass, and plastic. However, COVID lasted over 4x longer on skin compared to Influenza A (9 hours vs 1.8 hours).

More importantly, ethanol compounds were found to inactivate SARS-CoV-2 within 15 seconds on human skin. This highlights the importance of regular hand washing, even if with alcohol gel. Taking this in mind, it is useful to keep small bottles of alcohol gel on a person when traveling in public and using it regularly. After all, if you are touching door handles and other items that hundreds of other people may have touched before you, potentially with poor hygiene, it is safer to regularly disinfect.

Low risk of COVID transmission by fomites in real life conditions

Having taken these studies into account, it is quite difficult to quantifiably measure transmission from surface to a person. Knowledge of this transmissibility is quite important, especially to those working in a hospital environment. A review by Mondelli et al published in the prestigious journal The Lancet (Infectious Disease) describes two sequential studies to looking at the possibility of contamination of surfaces in an infectious disease ward of a major Italian hospital, and also whether risk of transmission was higher in emergency rooms and sub-intensive care wards.

These studies found there were very few surfaces in the hospital through which positive swabs could be taken, suggesting contamination was low. Of course the hospitals were running standard cleaning procedures, with regular wipedowns of commonly toughed objects. This again highlights the importance of maintaining hygiene, and how adequate cleanliness can significantly reduce the risk of infection.

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why fatigue should not be ignored

Feeling tired occasionally is a normal response to physical exertion, lack of sleep or emotional stress. However, when fatigue becomes persistent, overwhelming or unexplained, it should not be dismissed. Fatigue is one of the most common symptoms reported in healthcare, yet it is also one of the most frequently ignored.

Understanding why fatigue should not be ignored is essential because it often acts as an early warning sign of deeper physical or mental health issues.

What Is Fatigue?

Fatigue is a state of ongoing physical, mental or emotional exhaustion that:

lasts longer than expected
interferes with daily activities
does not improve with rest or sleep

Unlike ordinary tiredness, fatigue affects motivation, concentration and overall functioning.

Why Fatigue Is Commonly Ignored

Fatigue is often dismissed because:

busy lifestyles normalise exhaustion
symptoms develop gradually
people attribute fatigue to stress or ageing
rest temporarily masks the issue

Ignoring fatigue allows underlying conditions to progress unnoticed.

Common Medical Causes of Persistent Fatigue

Nutritional Deficiencies

Deficiencies in:

iron
vitamin B12
vitamin D
magnesium

can significantly reduce energy levels and cause weakness.

Anaemia

Anaemia reduces oxygen delivery to tissues, leading to:

constant tiredness
breathlessness
dizziness

It is one of the most common yet underdiagnosed causes of fatigue.

Thyroid Disorders

Both underactive and overactive thyroid conditions affect metabolism.

Symptoms include:

fatigue
weight changes
cold or heat intolerance

Thyroid-related fatigue often persists despite rest.

Chronic Infections

Low-grade or unresolved infections keep the immune system activated, causing prolonged fatigue.

Hormonal Imbalance

Hormones regulate energy, sleep and metabolism.

Imbalance may lead to:

exhaustion
poor sleep
low motivation

Poor Sleep Quality

Even with sufficient sleep duration, poor sleep quality can cause fatigue due to:

sleep apnea
frequent awakenings
stress-related insomnia

Mental Health Conditions

Anxiety, depression and chronic stress commonly present with fatigue as a primary symptom.

Mental fatigue is as real and impactful as physical fatigue.

Lifestyle Factors That Worsen Fatigue

Certain habits intensify tiredness:

irregular meals
excessive caffeine
dehydration
lack of physical activity
prolonged screen use

Lifestyle-related fatigue often coexists with medical causes.

How Fatigue Affects Daily Life

Persistent fatigue impacts:

work performance
concentration and memory
emotional regulation
physical activity
social relationships

Over time, quality of life declines significantly.

Warning Signs That Fatigue Needs Medical Attention

Seek evaluation if fatigue:

lasts more than two weeks
worsens progressively
occurs with weight loss or fever
is associated with breathlessness
interferes with daily tasks

These signs suggest an underlying issue.

Why Early Evaluation Matters

Early identification of fatigue causes:

prevents disease progression
simplifies treatment
improves recovery time
restores normal energy levels

Delayed care often leads to chronic complications.

Diagnostic Evaluation for Fatigue

Assessment may include:

detailed history
blood tests
nutritional screening
hormonal evaluation
sleep assessment

Testing helps identify root causes rather than treating symptoms alone.

Can Fatigue Be Prevented?

Some preventive measures include:

balanced nutrition
adequate hydration
regular physical activity
consistent sleep routine
stress management

However, prevention does not replace evaluation when fatigue persists.

Fatigue and Chronic Disease Risk

Long-term fatigue may be linked to:

cardiovascular disease
metabolic disorders
immune dysfunction

This makes fatigue an important early health signal.

When Rest Is Not Enough

If energy does not return after:

adequate sleep
reduced workload
lifestyle changes

medical evaluation is essential.

The Cost of Ignoring Fatigue

Ignoring fatigue can lead to:

delayed diagnosis
worsening health conditions
reduced productivity
emotional burnout

Listening to the body early prevents long-term consequences.

Conclusion

Fatigue is not merely a sign of a busy life—it is often the body’s way of signalling imbalance or illness. Persistent tiredness that does not improve with rest should never be ignored. Whether caused by nutritional deficiencies, hormonal changes, chronic stress or underlying disease, fatigue deserves attention. Early evaluation and timely care can restore energy, prevent complications and significantly improve quality of life. Listening to fatigue is an act of self-care and preventive health.

References

Indian Council of Medical Research (ICMR) – Fatigue and Lifestyle Health Report
World Health Organization (WHO) – Chronic Fatigue and Health Guidelines
National Institute of Nutrition (NIN) – Nutrient Deficiency and Energy Research
Lancet – Fatigue as a Marker of Chronic Disease Studie
Indian Journal of Medicine – Persistent Fatigue and Diagnosis
Statista – Fatigue, Stress and Health Trend Analysis

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