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Published on: Apr 04, 2020
2 minute read
By: Raj Dwivedi

Problems With Detecting The Novel Coronavirus (COVID-19) (1)

The Novel Coronavirus Disease has been in the public eye for almost two months now, and a lot has been happening behind the scenes to understand this new outbreak. Several organizations have been working together with the World Health Organization and Officials from China to understand the symptoms and how the virus causes the disease, track the number of people infected by the virus and put in place public health measures to adequately mitigate the potential dangers this disease can bring with it. In this post we will discuss the new updates to the Coronavirus Disease 2019 (COVID-19).

IDENTIFYING COVID-19

As of 17 February, there have been 70, 365 confirmed cases of COVID-19 in China, with 1772 deaths, which gives it an estimated fatality rate of 2.5%. Now whilst these are official figures, the actual estimate may differ from this. This is because the areas that have been heavily affected especially the Hubei region, have had shortages of coronavirus testing kits, with demands far outstripping supply. Testing is required to not only identify patients for treatment but also for isolation and quarantine. This is a key step in preventing the rapid spread of disease amongst the population. Understanding the spread of a new disease also helps scientists create accurate disease models that can determine the infectivity, morbidity and mortality of COVID-19, and predict where the infection may strike next. The government authorities can use this information to prepare the surrounding regions, and ensure the impact of the disease is lessened.

Current testing requires swabs to be taken from the patients mouth and throat. This sample is then sent to laboratories, where the viral DNA is replicated in order to identify whether this DNA is from the coronavirus. Unfortunately, this is expensive, uses lots of reagents and can take two days. Even with laboratories working round the clock, running 6,000 tests a day, the workload is outstripping the health departments capacity. This leaves a large population of the Hubei Province with symptoms suggestive of COVID-19 but with no way to formally diagnose the disease. There may be a significant under-reporting of cases simply because capacity does not exist to test everyone, and the disease burden may be considerably higher.

INNOVATION IN RESPONSE

In response to this doctors have started using CT scans to identify potentially infected patients. CT scans are a quick, non-invasive and readily available. By looking for lesions and signs of pneumonia in the patients lungs. Whilst this negates the need for testing strips, lesions are a fairly late sign of COVID-19, and so this method is not suitable for those who have recently been infected or have not yet shown these symptoms. In the Hubei Province however, with the drastic shortage of testing kits, clinical and radiological diagnosis is now being used to increase the rate of detection.

Manufacturers are also struggling to increase output of testing kits and reagents to match this demand, and the race is on to develop new rapid testing kits. Beijing has approved seven Biopharmaceutical companies to push forward with fast track development of testing kits. Liferiver, a Shanghai based biotech company, took just 20 days from development of its kit to launch. This process normally takes 3 years. China’s Nankai University announced on Monday a breakthrough in developing a rapid test kit that can identify infection among suspected patients within 15 minutes.

And it’s not just Chinese companies — a Singapore based biotech company has announced a portable kit that can detect the novel coronavirus as well as similar viruses responsible for MERS and SARS in a single 2 hour test. These innovations represent a massive step forward in identifying infected patients early in order to provide them the necessary treatment, and in accurately tracking the spread of the disease.

www.secondmedic.com

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Asthma Symptoms in Adults: Early Signs, Triggers, and When to Seek Care

Asthma is often perceived as a childhood condition, but a significant number of cases develop or persist into adulthood. In India, adult asthma is increasingly recognised due to rising air pollution, occupational exposure and lifestyle-related risk factors. Unfortunately, asthma symptoms in adults are frequently misdiagnosed as recurrent infections, allergies or age-related breathlessness, leading to delayed treatment.

Understanding adult asthma symptoms is critical for early diagnosis, effective control and prevention of severe attacks.

What Is Asthma?

Asthma is a chronic inflammatory disease of the airways. In asthma, the airways become:

inflamed
narrow
overly sensitive to triggers

This leads to difficulty in breathing, especially during exposure to specific stimuli.

Why Adult Asthma Is Often Missed

Adult asthma symptoms may:

appear gradually
vary in severity
mimic common respiratory conditions

According to Indian Council of Medical Research and WHO data, many adults remain undiagnosed for years, increasing the risk of complications.

Common Asthma Symptoms in Adults

Wheezing

A high-pitched whistling sound while breathing, especially during exhalation, is a classic asthma sign.

Shortness of Breath

Adults with asthma often feel:

breathless during routine activities
difficulty taking deep breaths

This may worsen at night or early morning.

Chest Tightness

Many describe a sensation of pressure or tightness in the chest, which can be mistaken for heart-related issues.

Chronic Cough

A persistent cough, especially:

at night
early morning
after exercise

is a common but overlooked asthma symptom.

Symptoms That Worsen With Triggers

Asthma symptoms often intensify after exposure to specific triggers.

Air Pollution and Smoke

Urban pollution, vehicle emissions and indoor smoke significantly worsen asthma symptoms in adults.

Allergens

Dust mites, pollen, mould and pet dander are common triggers.

Respiratory Infections

Viral infections can trigger asthma flare-ups or reveal undiagnosed asthma.

Physical Activity

Exercise-induced asthma causes breathlessness and wheezing during or after physical exertion.

Weather Changes

Cold air, humidity and sudden temperature changes can aggravate symptoms.

Adult-Onset Asthma

Adult-onset asthma differs from childhood asthma.

Characteristics include:

onset after age 20–30
less association with childhood allergies
more persistent symptoms
higher likelihood of severe disease

Occupational exposure and hormonal changes contribute to adult-onset asthma.

Risk Factors for Asthma in Adults

Several factors increase asthma risk:

long-term exposure to pollution
smoking or passive smoking
occupational chemicals or dust
obesity
family history of asthma
chronic sinusitis or allergies

Women may experience asthma onset or worsening during hormonal changes.

When Asthma Symptoms Become Serious

Seek immediate medical attention if experiencing:

severe breathlessness
difficulty speaking in full sentences
bluish lips or fingertips
rapid worsening of symptoms
poor response to usual inhalers

These signs indicate a potentially life-threatening asthma attack.

How Adult Asthma Is Diagnosed

Diagnosis includes:

detailed symptom history
physical examination
lung function tests (spirometry)
response to bronchodilators

Early diagnosis improves long-term outcomes.

Impact of Untreated Asthma

Untreated asthma can lead to:

frequent attacks
reduced lung function
sleep disturbances
missed workdays
reduced quality of life

According to Lancet respiratory studies, uncontrolled asthma increases hospitalisation risk.

Managing Asthma Symptoms in Adults

Effective asthma management focuses on:

identifying and avoiding triggers
using prescribed inhalers correctly
monitoring symptoms regularly
maintaining follow-up care

Asthma action plans help patients recognise worsening symptoms early.

Role of Preventive Healthcare

Preventive healthcare helps:

detect asthma early
assess lung function
guide lifestyle modifications

Regular health checkups are especially important for individuals with respiratory symptoms or occupational exposure.

Lifestyle Measures That Support Asthma Control

Helpful practices include:

avoiding smoking
improving indoor air quality
wearing masks in polluted environments
maintaining healthy weight
regular, moderate exercise

Lifestyle support complements medical treatment.

Mental Health and Asthma

Stress and anxiety can worsen asthma symptoms.

Stress management:

reduces symptom frequency
improves medication response

Holistic care improves asthma outcomes.

Importance of Medication Adherence

Asthma medications work best when:

taken regularly as prescribed
inhaler technique is correct

Skipping treatment increases flare-up risk.

Long-Term Outlook for Adults With Asthma

With proper management:

symptoms are well controlled
severe attacks are preventable
normal activity levels are achievable

Most adults with asthma lead active, productive lives.

Conclusion

Asthma symptoms in adults are often subtle, variable and easily mistaken for common respiratory problems. Wheezing, breathlessness, chest tightness and chronic cough should not be ignored, especially when triggered by pollution, exercise or weather changes. Early diagnosis, trigger control and consistent treatment are essential to prevent severe attacks and preserve lung health. Recognising adult asthma early empowers individuals to manage symptoms effectively and maintain a good quality of life.

References

Indian Council of Medical Research (ICMR) – Respiratory Disease and Asthma Studies
World Health Organization (WHO) – Asthma Management and Prevention Guidelines
National Family Health Survey (NFHS-5) – Respiratory Health Indicators
Lancet Respiratory Medicine – Adult Asthma Outcomes and Management
NITI Aayog – Air Pollution and Respiratory Health Reports
Statista – Global Asthma Prevalence and Trends

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