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

Protect Yourself From COVID-19 (novel Coronavirus)?

COVID-19 is a viral disease that is spread by airborne droplets, similar to other viral diseases such as the common cold. Symptoms include respiratory issues such as coughing and sneezing, and for this reason many people look towards masks to prevent the spread of this disease. Whilst masks have their place in the treatment and management of respiratory illnesses in the healthcare setting, for the general public masks are of little use. Most members of the public use simple surgical masks, and these are not as effective as the approved N95 particulate respirators used by healthcare professionals.

THE PROBLEM WITH MASKS

Simple face-masks help prevent large droplets and particles from teaching your mouth and nose, particles that may contain viruses and bacteria. In surgery they prevent bodily fluids from being transmitted between patient and surgeon, such as blood. However their design does not block the very small particles that are transmitted by coughs and sneezes. Furthermore they are loose fitting and so particulates can still enter through the gaps between the mask and the skin.

N95 respirators on the other hand are specially designed to prevent very fine particulate matter from entering the users nose and mouth. However even these are not perfect as they are only rated to block 95% of all such matter. Their use also depends on having a tight seal around the face, and cannot be used with facial hair. Application of the mask must also be done in a particular manner without touching the mask to ensure it remains sterile. It needs to be replaced as soon as it is damp, and by only touching the straps behind your head. Before and after putting on the mask your hands should be cleaned with alcohol based gels, or with soap and water.

Because of the issues associated with masks, the WHO has released recommendations on when members of the public should use masks:

· If you are healthy, you only need to wear a mask if you are taking care of a person with suspected 2019-nCoV infection.

· Wear a mask if you are coughing or sneezing.

· Masks are effective only when used in combination with frequent hand-cleaning with alcohol-based hand rub or soap and water.

THE IMPORTANCE OF HYGEINE

So if masks are not effective, what should you do? The simple answer is you should maintain good personal hygiene to minimise the risk of infection. Simple, frequent hand-washing with soap and water or with alcohol gel physically destroys the virus on your hands. This minimises any transmission risk to yourself and to other people. If sneezing, you should sneeze into the crook of your elbow or into a tissue, and dispose of this. After this you should once again clean your hands and dry them thoroughly. Washing your hands for 20 seconds is more effective at reducing the risk of infection than wearing a mask.

Antibiotics will not help in treating COVID-19 as this is a viral disease. Antibiotics have no effect on viruses because they are completely separate types of organisms, as different as a human is to a potato. Other drastic measures such as irradiating your body or using highly irritant cleaning products on the skin such as bleach can cause harm and create further medical problems. Using traditional or homemade medical therapies advocated on social media or by word-of-mouth are similarly not effective in destroying the virus. Some treatments can be harmful to your body as they are untested with no evidence to show they work, and unfortunately can provide you with a false sense of security. If you wish to obtain advice you should do so from a qualified health professional or from the World Health Organisation site on public advice. This can be found on https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public COVID-19.

www.secondmedic.com website

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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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