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Published on: Apr 04, 2020
3 minute read
By: Dr Rajan Choudhary

Declaring A Pandemic — What Does This Mean ?

Its finally happened. Three months after the first case was reported in Wuhan, China, and after a 13 fold increase in cases in just two weeks, the World Health Organisation has designated COVID-19 a pandemic. This disease has resulted in over 121,500 confirmed cases across 114 nations, and 4,300 deaths, over 3,000 of them in China alone.

The WHO has shown alarm at some countries that have shown “alarming levels of inaction” and hope the new designation of pandemic will shock these nations into action. “This is not just a public health crisis, it is a crisis that will touch every sector,” said Dr. Tedros Adhanom Ghebreyesus, WHO director-general, at a media briefing. “So every sector and every individual must be involved in the fights.”

Despite this new update, it is not too late for nations to act, and countries can still impact the course of the outbreak by detecting, testing, treating and isolating patient, with further education to the public and contact tracing of cases.

WHAT IS A PANDEMIC

An epidemic is an increase in the spread of a disease within a community, and can be relatively common. Sometimes a single disease may spread rapidly in a small, unprepared community creating an epidemic. This is happening more often with the prevalence of the anti-vaxx movement, as immunity falters against preventable diseases like measles.

A pandemic on the other hand is the global outbreak of a serious new illness that is “sustainably transmitted throughout the world”. It is not a descriptor that is used lightly, as declaring a pandemic could “cause unreasonable fear, or unjustified acceptance that the fight is over,” if used incorrectly. There has been much discussion whether the declaration of N1N1 “swine flu” as a pandemic caused unnecessary panic, overwhelmed emergency services or caused excessive expenditure on antiviral medication.

Though they were concerned by the spread of the disease and came close by labelling it a “pandemic potential”, the WHO were reluctant to declare it one. Unfortunately, after 2 months of assessing the outbreak, members of the WHO were concerned “both by the alarming levels of spread and severity, and by the alarming levels of inaction.” There is no threshold, number of deaths, number of countries affected.

WHAT DOES THIS MEAN FOR THE COUNTRIES?

According to the World Bank, the annual global cost of a severe pandemic is around $570 billion, or 0.7% of the entire world’s income. This estimation is realised as more people stay at home and more authoritative measures are enforced by governments. At this time, Italy has not put in place nationwide quarantine with further closure of almost all shops and services bar food shops and chemists.

The UK is expected to move from the “containment” phase of the outbreak, aimed at halting the spread of the disease”, to “delay”. This instead accepts the disease cannot be contained, and instead looks to slow its progression. Measures such as “social distancing”, isolation of those showing minor viral symptoms and cancellation of social events. To prepare for the UK epidemic a £30bn package has been prepared to boost the economy during the COVID outbreak.

India has suspended all tourist visas and e-visas until April 15ht as a pandemic is declared. All incoming travellers including Indian nationals will be quarantined for a minimum of 14 days if they have visited China, Italy, Iran, Korea, France, Spain and Germany after 15ht February. Advice has also been given to avoid all non-essential travel abroad.

South Korea has ramped up testing, performing around 4,000 tests per million people between 3rd January and 11th March. In comparison to 1,000 per million in Italy, 400 per million in the UK and only 28 in the UK. This has been due to differences in government responses, the severity of outbreaks in each country and the nature of the healthcare system in each country.

The steady decrease in new coronavirus cases in South Korea has been attributed to this mass testing, improved public communications and the use of new technology to aid diagnosis and management. Interestingly it has been achieved without the drastic quarantine procedures in place in China and Italy.

WHAT SHOULD I DO

Washing your hands has been emphasised by almost all public health agencies and governments. And you should continue to follow this advice. Soap and water is one of the most effective ways to destroy the virus on your hands, and helps prevent its spread.

It is also important to avoid panic, and to not hoard soap, food and toilet roll. Do not trust forwards on WhatsApp or treatment advice suggested, as these can be ineffective or even dangerous. Recently 27 people died from alcohol poisoning after a myth was spread stating strong alcohol could cure coronavirus.

Similarly be wary of false cures being sold online or by un reputable stores. Currently there is no cure for COVID, and supportive treatment is required for those who fall extremely ill.

If you have symptoms of COVID-19, you should self-isolate and notify your local health authorities. Symptoms include fever, cough, sneezing, general lethargy and joint pain, symptoms similar to the flu.

If you have confirmed COVID and have been asked to quarantine yourself, PLEASE STAY INDOORS. There have been instances of infected people continuing to partake in everyday activities, resulting in the spread of the infection, sometimes to vulnerable children and the elderly.

Dr Rajan Choudhary, Product Head, Second Medic Inc, UK

www.secondmedic.com

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Understanding Diabetes Type 2 Symptoms: A Simple Guide

Diabetes is a common health condition that affects millions of people around the world. Among its different types, Type 2 diabetes is the most widespread. It often develops slowly and can go unnoticed for years. That's why it’s important to understand the symptoms of diabetes type 2, so you can take timely action and protect your health.

In this blog, we will explain what Type 2 diabetes is, the signs to watch out for, and when to see a doctor.

What is Type 2 Diabetes?

Type 2 diabetes is a chronic condition where your body either doesn't produce enough insulin or can’t use it properly. Insulin is a hormone that helps your body control blood sugar (glucose) levels. Without enough insulin, sugar builds up in your bloodstream instead of being used for energy.

This buildup of sugar can damage your organs over time, including your heart, kidneys, eyes, and nerves. That’s why early detection and treatment are very important.

Who is at Risk?

Type 2 diabetes can affect anyone, but some people are more likely to get it. You may have a higher risk if you:

Are overweight or obese
Have a family history of diabetes
Are over the age of 45
Live a sedentary (inactive) lifestyle
Have high blood pressure or cholesterol
Had gestational diabetes during pregnancy
Belong to certain ethnic groups (such as South Asian, African-Caribbean, or Hispanic)

Knowing your risk factors can help you stay alert and get tested early.

Common Diabetes Type 2 Symptoms

The symptoms of Type 2 diabetes often develop slowly, and many people may not notice them right away. Some people don’t experience any symptoms at all until complications arise. That’s why it’s sometimes called a "silent" disease.

Here are the most common diabetes 2 symptoms to look out for:

1. Frequent Urination

If you find yourself needing to urinate more often than usual, especially at night, it could be a sign of high blood sugar. Your body tries to get rid of the excess glucose through urine.

2. Excessive Thirst

Frequent urination can make you lose a lot of water, leading to dehydration. This makes you feel unusually thirsty all the time.

3. Increased Hunger

Despite eating enough, people with Type 2 diabetes may feel hungry more often. This is because the body isn’t using the glucose in the blood properly for energy.

4. Fatigue and Tiredness

When your body can’t use sugar for fuel, it leads to low energy levels. This can make you feel tired, weak, or sluggish even after a good night's sleep.

5. Blurred Vision

High blood sugar levels can affect the tiny blood vessels in your eyes, leading to blurry vision. If untreated, it can even cause permanent eye damage.

6. Slow Healing Wounds

Cuts, bruises, or infections may take longer to heal if your blood sugar is high. This happens because diabetes affects blood circulation and the immune system.

7. Tingling or Numbness

Many people with diabetes experience tingling, pain, or numbness in their hands or feet. This is known as diabetic neuropathy and is caused by nerve damage due to high blood sugar.

8. Unexplained Weight Loss

If you're losing weight without trying, it could be a warning sign. When your body can’t use sugar properly, it starts burning fat and muscle for energy.

9. Skin Problems

Dark patches on the skin, especially around the neck or armpits (a condition called acanthosis nigricans), can be an early sign of insulin resistance.

When Should You See a Doctor?

If you notice any of the above symptoms, it’s important to see a healthcare provider for a simple blood sugar test. Early diagnosis can help you manage the condition better and prevent serious complications.

Even if you feel fine, it's a good idea to get regular health check-ups, especially if you’re at higher risk.

How is Type 2 Diabetes Diagnosed?

Doctors use the following tests to diagnose Type 2 diabetes:

Fasting blood sugar test: Measures blood sugar after not eating for 8 hours
HbA1c test: Shows your average blood sugar levels over the last 2-3 months
Oral glucose tolerance test: Measures how your body handles sugar after drinking a sweet drink
Random blood sugar test: Can be done at any time of the day

Your doctor may repeat tests or use more than one type to confirm the diagnosis.

Can Type 2 Diabetes be Managed?

Yes! Type 2 diabetes can be managed with lifestyle changes, medications, and regular monitoring. Some people are even able to reverse it through weight loss and healthy habits.

Here’s how you can manage it:

Eat a balanced diet: Include whole grains, vegetables, lean proteins, and fruits
Exercise regularly: Aim for at least 30 minutes of activity most days of the week
Lose excess weight: Even a small amount of weight loss can improve your blood sugar
Take medications if needed: Your doctor may prescribe tablets or insulin
Monitor blood sugar: Keep track of your glucose levels as advised by your doctor
Avoid smoking and alcohol: These can worsen diabetes and its complications

Final Thoughts

Type 2 diabetes is a serious condition, but it can be controlled and even reversed with the right steps. Understanding the early warning signs and diabetes 2 symptoms can make a big difference in your health journey.

If you or someone you love is experiencing these symptoms, don’t wait—talk to a doctor today and get tested. Early action can help you lead a healthier, longer life.

Take control of your health today—recognize the diabetes 2 symptoms early and consult your doctor for a proper diagnosis and care plan.