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Coronavirus Update. COVID-19 Tracker LIVE Real Time Updates

COVID-19 Tracker LIVE Real Time Coronavirus Updates

Sources: WHO, CDC, ECDC, NHC of the PRC, JHU CSSE, DXY, QQ and various International Media
Total Confirmed

Total Recovered

Total Deaths

Country | Total Confirmed | Total Recovered |  Total Deaths
960,896        118,162        54,265
223,759        95,708   22,902
195,351        63,120   26,384
161,488        44,594   22,614
156,513        109,800        5,877
148,377        135        20,319
107,773        25,582   2,706
89,328   68,193   5,650
82,827   77,394   4,632
80,949   6,767     747
59,324   29,160   4,057
46,134   10,785   7,094
45,354   16,425   2,465
37,190       4,409
28,894   21,300   1,599
26,496   5,939     825
25,331   7,797     700
23,392   1,277     880
22,719   1,366     576
18,561   9,233     1,063
18,177   1,005     2,192
Saudi Arabia
16,299   2,215     136
15,398   6,602     199
15,225   12,282   542
13,842   7,149     1,305
13,624   1,002     12
13,231   1,656     360
12,858   6,746     181
12,723   2,866     269
11,395   2,265     526
S. Korea
10,728   8,717     242
10,635   2,890     601
9,813     1,887     71
9,590     1,573     67
9,358     929        10
8,882     1,107     743
8,617     840        209
8,445     5,669     418
7,779     1,152     151
7,579     862        501
7,499     32   201
7,352     2,471     219
6,711     5,539     83
Dominican Republic
5,926     822        273
5,780     3,862     98
5,538     338        159
5,416     122        145
5,142     1,067     233
4,475     2,500     186
South Africa
4,361     1,473     86
4,319     1,114     307
3,897     537        159
3,780     1,030     185
3,711     3,088     85
3,304     825        94
3,256     1,479     419
2,922     2,594     51
2,892     656        19
2,652     646        25
2,588     1,160     8
2,506     577        130
2,500     485        272
2,016     1,034     54
1,998     333        10
1,865     707        8
1,790     1,570     10
1,763     1,224     86
1,746     833        28
1,635     228        46
1,617     1,080     21
1,518     697        53
Bosnia and Herzegovina
1,486     592        57
New Zealand
1,470     1,142     18
1,463     188        47
1,438     467        41
1,388     219        81
1,379     394        18
North Macedonia
1,367     374        59
1,337     437        51
1,290     205        55
1,279     134        10
1,182     222        35
Ivory Coast
1,077     419        14
Hong Kong
1,038     753        4
1,008     373        2
996        208        7
939        207        38
866        54   46
812        267        12
810        148        14
738        344        40
Diamond Princess *
712        645        13
712        403        27
704        143        24
Costa Rica
693        242        6
684        325        27
682        370        8
Burkina Faso
629        442        41
627        65   59
614        276        7
596        370        14
San Marino
513        64   40
485        139        6
473        45   13
Sri Lanka
467        120        7
448        249        4
444        332        7
442        50   28
429        281        6
417        300        0
390            18
380        144        4
370        91   21
343        98   14
342        92   2
331        295        9
323        132        10
320        153        6
Isle of Man
308        243        18
305        28   7
299        48   10
El Salvador
298        83   8
270        225        0
Equatorial Guinea
258            1
228        85   9
213        19   17
Faeroe Islands
187        178        0
183        88   0
177        17   0
176        30   3
175        77   14
149        82   12
146        10   5
138        123        1
136        131        0
123        62   0
122        117        0
122        29   3
120        25   11
Trinidad and Tobago
115        53   8
French Guiana
111        87   1
109        39   5
100        69   2
96   62   6
94   42   4
Cabo Verde
90       1
84   37   3
Sierra Leone
82   10   2
81   55   1
79   31   6
78   15   11
75   46   0
73   12   7
72       6
70   12   0
Cayman Islands
70       1
61   18   2
French Polynesia
57   41   0
56   10   1
54   27   1
52       0
51   12   0
46   15   0
45   28   0
42   11   3
39   13   0
Puerto Rico
39       2
Saint Martin
38   24   3
38       0
33       3
32       1
31       4
25       2
Antigua and Barbuda
24   11   3
24       0
22       1
19       0
New Caledonia
18   17   0
18   10   0
18       0
18       2
U.S. Virgin Islands
17       0
16   13   0
16   11   1
16   10   0
16       0
Saint Lucia
15   15   0
Saint Kitts and Nevis
15       0
St. Vincent Grenadines
14       0
12       3
11   11   0
11       0
Turks and Caicos
11       1
11       1
11       1
10       1
10       1
Vatican City
Papua New Guinea
St. Barth
Western Sahara
British Virgin Islands
Sao Tome and Principe
* Cases identified on a cruise ship currently in Japanese territorial waters.

A few months ago, almost no one knew of the existence of SARS-CoV-2, and now the virus has spread to almost every country in the world. The scale of COVID-19's destruction of modern society may not have been witnessed by many people in the world today.

Worldwide, the number of confirmed cases of new coronary pneumonia continues to increase, and it is obviously impossible to control the epidemic in the short term.

How will this epidemic end? What profound impact will it have on society?

A few months ago, almost no one knew of the existence of SARS-CoV-2, and now the virus has spread to almost every country in the world. The scale of COVID-19's destruction of modern society may not have been witnessed by many people in the world today.

A global pandemic of this scale can be said to be inevitable. In recent years, hundreds of health experts have written many books, white papers and columns, warning everyone that the next global pandemic is likely to occur. 
Bill Gates has been admonishing anyone who listens to persuasion that his TED speech already has 18 million views.

So, what should I do now? I was talking about a global pandemic with a pregnant friend sometime late in the evening, when her expected date of delivery came a few days later. 

We realized that the baby she was about to be born would be one of the first freshmen to step into a world that has been profoundly changed by COVID-19. We decided to call these children "Generation C". 
It is foreseeable that the decisions people make in the next few weeks, and the pain of loss we experience, will reshape the future life of Generation C.

First, a brief review. The Global Health Security Index aims to assess the ability of all countries in the world to respond to infectious disease pandemics. The United States ranks first in the world with a score of 83.5. This country has always been rich, powerful, and developed. 
It is considered to be the most prepared country, and this illusion has been shattered. Although two or three months ago, the spread of the virus in other countries had issued a warning to the United States, but when COVID-19 finally swept across the United States, it failed.

SARS-CoV-2 Test

Nahid Bhadelia, an infectious medicine physician at Boston University School of Medicine, said: 
"In any case, even the best equipped health system, viruses (like SARS-CoV-2) are for it. It’s also a test. ”The infectivity and lethality of New Coronavirus are higher than seasonal influenza viruses, and it is more concealed, quietly infecting more people a few days before causing obvious symptoms. 

In order to contain such a pathogen, every country and region must develop detection methods, diagnose each infected person, isolate them, and track their close contacts. 
South Korea, Singapore and Hong Kong, China are all actively implementing these epidemic prevention measures, and these are exactly what the United States has not done.

As another report in Atlantic Weekly stated, the Centers for Disease Control and Prevention developed and distributed a batch of defective test kits in February this year. 

Independent laboratories developed new test kits

Independent laboratories have developed new kits, but because of the lengthy administrative process of the US Food and Drug Administration (FDA), they have been unable to obtain approval. 

In the most critical month, the number of people in the United States to be tested quickly increased to tens of thousands, but only hundreds of people were tested. As a biochemical research superpower, the United States cannot even develop a simple test kit quickly, which is really unimaginable.

Failure to keep up with the early detection of the epidemic has almost lost all other methods of epidemic prevention. If the United States could accurately trace the trajectory of the virus at the beginning, the hospital could systematically carry out work arrangements to deal with the pandemic. 
Moreover, the operation of the medical and health system is close to full load, and is busy dealing with severe seasonal flu, and now suddenly faced with a new virus.
Simulation for Coronavirus Update. COVID-19 Tracker LIVE Real Time Updates

The US medical system does not reserve much room for crisis, but instead hopes that in an emergency, other unaffected states will help the affected states. 
This concept applies to regional disasters such as hurricanes or forest fires, and does not apply to epidemic infectious diseases that have spread to 50 states across the United States.

The emergence of this situation today is partly because the White House is extremely deficient in scientific professionalism. The PandemicEmergency Preparedness Office was once part of the National Security Council (NSC), but was disbanded in 2018.

 On January 28 this year, Luciana Borio, a former member of the team, called on the government to "immediately act to stop the outbreak in the United States", with special emphasis on working with private institutions to develop a rapid diagnosis. 
And easy to use detection kit. But because the office has been disbanded, Polio can only issue these warnings through The Wall Street, and cannot directly advise the president. 
The United States did not act immediately, but continued to sit and watch.

Wrong response to the new crown epidemic in the US

The situation caused by the wrong response to the new crown epidemic in the United States is more serious than every health expert I have spoken to. Ron Klain, who coordinated the US response to the Ebola outbreak in West Africa in 2014, lamented: "(This is much worse than Ebola.) Chief Executive Officer of the Global Alliance for Immunization and Vaccines (GAVI) Officer Seth Berkley said: 
"As an American, I was terrified. 
In the entire industrial world, the United States may face the most severe epidemic. "

How the United States will fight the epidemic in the coming months?

The response of the United States has slowed down a bit, and it is difficult to catch up with the spread of the epidemic-but it is not impossible. Health care workers have seen worrying signs: shortage of protective equipment, increasing number of patients, and many doctors and nurses also infected.

Italy and Spain have warned the situation that the United States may fall into with brutal reality. Due to the severe shortage of hospital beds, protective equipment and medical staff, doctors have no way to treat and save everyone. 
They have to be forced to make an unimaginable choice: after rational evaluation, the patients who are most likely to survive are treated first, and others are left People die.
The number of beds per person in the US is lower than in Italy. In order to avoid the disastrous consequences of immunization, the United States must take the following four actions quickly.

Rapid production of masks, gloves and protective equipment

First and foremost is the rapid production of masks, gloves and other personal protective equipment. If the health of medical staff is not guaranteed, then the entire response mechanism will be paralyzed. The reason for this shortage is that hospitals have always ordered medical supplies on demand, which also relies on complex international supply chains. However, this supply chain is currently being severely tightened due to the impact of the epidemic.

Some manufacturers have begun to face the challenge and produce anti-epidemic materials, but their contribution is only a stubborn salary, and the distribution of materials is very unreasonable. Thomas Inglesby of the Johns Hopkins Bloomberg School of Public Health said: 
"There is an urgent need for large-scale co-ordination of logistics supplies across the United States." 
He proposed that the US Department of Defense Logistics can be transferred Handling these matters, this is a team of 26,000 people, and has also assisted in responding to many public health crises including the 2014 Ebola outbreak.

This department can also coordinate the second urgent need: the development of a large number of COVID-19 test kits. The current testing speed is slow, which mainly stems from the shortage of five types of related items and personnel: 
Masks to provide protection for testing staff, throat swabs for sampling, kits for extracting viral genes from sampled samples, chemistry in the kit Reagents, and professionally trained testing personnel. 
Most of these shortages stem from supply chain contraction. 

The United States mainly relies on three manufacturers of extraction reagents. This deployment is precisely to prevent one of them from producing difficulties, but this time all three manufacturers cannot meet the unprecedented global demand. 
At the same time, one of the world's largest manufacturers of pharyngeal swabs is located in Europe's worst-hit area: Italy's Lombardy region.

 FDA is now Accelerating Test Kits Approval

Some shortages are being resolved. FDA is now accelerating the approval of testing kits developed by private laboratories. But the test must still be used with care. 
Marc Lipsitch of Harvard University suggested that medical staff and inpatients should be tested first so that hospitals can detect and control nosocomial infections in a timely manner. Only when the development of the epidemic slows down can a wider population be tested.

Various measures take time, and during this period, the epidemic may accelerate development until it exceeds the response capacity of the medical system, or it may slow to a manageable level. 
Based on these two possibilities, the nation's fate depends on a third action: social isolation. 

Think of it this way: divide all Americans into two groups. Group A includes all personnel involved in medical response, including medical workers, testing personnel who treat patients, and production personnel of protective materials. All people not included in group A fall into group B. The task of this group is to get more time for group A. Group B must now be physically socially isolated to block the viral chain of transmission, thereby "flattening the curve". 
Given the slow accumulation of COVID-19, in order to avoid subsequent collapse of the medical system, these measures must be implemented immediately, do not wait until it seems appropriate to take action, and must persist for a few weeks.

It is not easy to persuade the American people to live at home

Before the White House gave clear guidelines for the fight against the epidemic, the mayor, government officials, and employers were forced to act separately.

Some states have explicitly banned large parties, or closed schools and restaurants, and asked people to stay at home. But there are still many citizens who continue to pour into public places.

At this time, the health and safety of the whole people depends on the sacrifices made by most people. Clear coordination is crucial. This is the fourth action that should be taken quickly. 

The public must understand the importance of social segregation and stabilize their confidence while ensuring the flow of information. However, Trump has repeatedly downplayed the problem and told the public "we have controlled the epidemic well" when he did not control the epidemic. 
He declared that "the number of new cases will drop to near zero when the number of confirmed cases continues to rise". 
Like his rhetoric that people are generally detectable, his unrealistic advocacy in some cases exacerbated the crisis. He even recommended unproven drugs.

Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases (NIAID), has assisted each president in developing strategies to deal with emerging infectious diseases since the Reagan era. 

Now, as a member of the COVID-19 expert group, he will meet with Trump almost every other day.
But Trump seems to have been swinging. Many authorities and business leaders are also using the same set of rhetoric. They believe that relaxing social isolation can protect high-risk groups such as the elderly, while allowing low-risk groups to return to work. This idea is tempting, but it is flawed. It overestimates our ability to assess the risks of others, and to a certain extent excludes "high-risk" people from social life. This idea also underestimates the harm that the virus can cause to "low-risk" people. 

If young people are also infected in large numbers, the hospital will be overwhelmed. It is foolish to stop social isolation now

If Trump follows the already implemented epidemic prevention policy, the American people will continue to maintain social isolation, relevant agencies will conduct extensive testing, and be able to produce and supply sufficient masks, the United States still has the opportunity to reverse the worst development of the COVID-19 epidemic. At least temporarily. 
No one knows how long the epidemic will last. We only know that it will not end soon. "It may last four to six weeks, and it may last up to three months. But I am not very sure about this range," Fuch said.

How will the new crown epidemic end?

Even a perfect response cannot end this pandemic. As long as the virus still exists somewhere, it may cause a second outbreak in a place where the epidemic is lax. Faced with these situations, there are three possible outcomes: one is unlikely, one is very dangerous, and the last is very long.

The first outcome is that every country suppresses the virus at the same time, just like SARS in 2003. In view of the wide spread of the coronavirus epidemic, and the severity of the situation in many countries, the chance of simultaneously controlling the epidemic worldwide is extremely small.

The second outcome is that the development of the virus is the same as the past influenza pandemic: the virus spreads globally, leaving a sufficient number of immune survivors, and eventually it will be difficult to find a new host. 

This "group immunization" process occurs quickly and is therefore very tempting. But the price here will be extremely terrible: SARS-CoV-2 is more contagious and more deadly than the flu. It is likely to leave millions of dead bodies and a collapsed health system after the outbreak. 

Britain initially seemed to have considered this strategy of mass immunization, but after the model revealed the tragic consequences, they backed down. The United States now seems to be considering this strategy.

The third ending is a protracted "gopher" game played around the world to fight the virus around until a vaccine is produced. This is the best ending, but it is also the longest and most complicated process.
First, it depends on vaccine development. We do not have a ready-made coronavirus vaccine, so researchers must start from scratch. The initial progress was quick and impressive. 

NIH has entered the stage of early Vaccine clinical trials

In mid-March, the candidate vaccine jointly developed by Moderna and the National Institutes of Health (NIH) has entered the stage of early clinical trials. This marked a 63-day interval from when the scientists first completed the viral gene sequencing to when the candidate vaccine was injected into the subject's arm. Fudge commented: "This is really an amazing world record."

But this is also the fastest step in many slow follow-ups. The initial test only told researchers whether the vaccine was safe and whether it could provoke an immune response. 

Subsequently, the researchers need to check whether it can actually prevent SARS-CoV-2 infection. They will need to conduct animal testing and large-scale trials to ensure that the vaccine does not cause serious side effects. 
They also need to figure out how many doses are needed, how many times people need to be injected, whether the vaccine is effective for the elderly, and whether other chemicals are needed to enhance the effectiveness.

Even if the vaccine is effective, it is not easy to mass-produce it

GAVI's Berkeley said. Moderna uses new mRNA vaccine technology. This method works in animals, but it has not been proven in humans. There are also many research teams developing vaccines based on more mature technologies. But no matter which strategy is faster, Berkeley and other experts estimate that it will still take 12 to 18 months to develop a proven vaccine, and then it will take longer to manufacture, transport, and inject into people's arms.

As a result, the new coronavirus is likely to linger in the lives of Americans for at least a year, or even longer. If the current social isolation measures are effective, then the pandemic may recede, making everything seem normal. The office can be filled with employees and the bar can be noisy again. The school can open the door again, and friends can get together again. 

However, with the normal recovery, the virus will make a comeback. This does not mean that society must continue to blockade until 2022. But "we need to be prepared to go through multiple periods of social isolation," said Stephen Kissler of Harvard University.

The situation in the next few years, including the frequency, duration, and timing of special controls, depends on the two characteristics of the virus, and we don’t know anything about it. 
The first is seasonality. Coronaviruses are mostly infectious diseases in winter, which will weaken or disappear in summer. This may also be true for SARS-CoV-2, but with so many immunocompromised hosts available for infection, seasonal changes may not be sufficient to slow the spread of the virus. 

Maia Majumder of Harvard Medical School and Boston Children ’s Hospital said: 
“Most countries around the world are anxiously waiting to see how summer will affect the spread of the virus in the northern hemisphere, if any.”

The second characteristic is the duration of immunity

 When people are infected with a milder human coronavirus, they can cause cold-like symptoms and they can maintain immunity for less than a year. However, a small number of people who have been infected with SARS virus are far more severely ill, and their immunity lasts longer. 

Immunity from SARS-CoV-2

Assuming that SARS-CoV-2 is in the middle, people who return to health after infection may have a year or two of immune protection. To confirm this, scientists will need to develop accurate serum tests, that is, look for antibodies that confer immunity. They also need to confirm that this antibody can indeed prevent people from getting infected or spreading the virus. 
If this is the case, the immune citizens can return to work, take care of the disadvantaged groups, and stabilize the economy in the round of social isolation.

The epidemic changes the world. How will the epidemic be combated in the future and how will new pneumonia end?

Whether it's because of a gradual accumulation of immunizations or because of a belated vaccine, the explosive spread of the virus will become increasingly difficult. It is unlikely that the virus will disappear completely. As the virus changes, the vaccine may need to be updated, and people may need to be re-vaccinated regularly as a basis, just like flu vaccines today. 
The model suggests that the virus may outbreak globally, triggering an epidemic every few years. Keesler said: "But my hope and expectation is that the severity will be reduced and the impact on society will be less." In the future, COVID-19 may become the stubborn disease of the winter like today's flu. 
Perhaps it eventually became extremely ordinary. 
Even with the existence of vaccines, most young people would be too lazy to fight in the future, forgetting how their world was changed by the epidemic.

The world changed by the Corona epidemic

To achieve this, deaths must be reduced as much as possible, the cost will be considerable. The economy has been greatly affected. In the United States, one in every five people has reduced working hours or lost their jobs. 

Inequality will also increase:
Low-income people are the hardest hit by social isolation measures, and they are also most susceptible to chronic health problems, which increases the risk of serious infections.

SARS-CoV-2 Disaster to Cities and Societies

Disease has destabilized cities and societies many times, "but it hasn't happened in this country for a long time, or it hasn't reached the level we have seen." Elena Cornis, a medical history expert at the University of California, Berkeley (Elena Conis) said, "Today we are much more urbanized and metropolitanized. We have more people traveling long distances and living away from their families and work."

After the infection began to subside, the second wave of mental health problems followed. In times of extreme panic and uncertainty, people will cut off normal interpersonal relationships. Hugs, handshakes and other social etiquettes now have a dangerous meaning. People with anxiety and obsessive-compulsive disorder often struggle. 
The elderly have long been excluded from most public life, and they are further required to alienate others, which deepens their loneliness. Asians are being humiliated by racial discrimination, and the president's insistence on labeling the new coronavirus with the "Chinese virus" is even more fueling. 

As people are forced to stay at home, incidents of domestic violence and child abuse are likely to surge. Children may be traumatized and have been accompanying them into adulthood.

After the pandemic, those recovered COVID-19 patients may be avoided and stigmatized

Medical staff will also need time to recover: After one or two years of SARS attacks on Toronto, people who have dealt with the epidemic are still more negative, less efficient, and more likely to experience occupational fatigue and post-traumatic stress. People who have experienced long-term isolation and epidemic prevention will carry the scars caused by the experience.

However, "After we have experienced this trauma, we may also usher in a better world," said Richard Danzig of the Center for a New American Security. The community is already looking for new ways to unite, even if they must keep their distance. 

The concept of hygiene may also get better. Just as the rise of AIDS has made modern young people develop safer sex, the habit of washing hands for 20 seconds was difficult to implement even in hospitals in the past. We did n’t even think about it at all. ”Konis added.

COVID-19 Pandemic May Promote Social Change

Pandemics may also promote social change. People, businesses and institutions are very quick to take or call for measures they previously thought might be behind, including working from home, using teleconferences, proper sick leave and flexible parenting arrangements.

After COVID-19, the aspects of US national identity may need to be rethought. During the epidemic, many of the country’s values ​​seemed to be working against the country. 
Its individualism and exceptionalism would tend to equate what it wants with resistance, leading some people to save lives and stay at home Flock to bars and nightclubs.

Isolationism’s speech over the years has also had consequences. Americans have always regarded China as a distant country very different from the United States, so they did not expect that they will be next, or that they are not ready. 
Veterans who have experienced epidemics in the past have long warned that American society is caught in a cycle of panic and indifference. But we have reason to believe that the disaster of COVID-19 may lead to more thorough and lasting changes.

The COVID-19 pandemic directly affected everyone and changed the nature of everyday life

This not only distinguishes COVID-19 from other diseases, but also distinguishes it from other system challenges of our time. A government has all sorts of problems with climate change. We will not feel the consequences within a few years, and it will be difficult to investigate the responsibilities even when we feel the consequences. And when the president said that everyone can be tested, but after a day no one can test, this is different.

The epidemic also dispelled privileges: usually, powerful people can better protect themselves, but now they also have to face isolation, test positive, or even lose their loved ones.

After 9/11, the world focused on anti-terrorism; after COVID-19, the focus will shift to public health. Looking forward to seeing a surge in virology and vaccine science funded sponsorships, students flocking to apply for public health programs, and increased domestic production of medical supplies. 

It is also expected that the pandemic will become the top agenda of the UN General Assembly. Anthony Fudge is now a household name celebrity. Such changes may themselves protect the world from the next inevitable disease, just as countries and regions that have experienced SARS have responded better to the outbreak.

It is difficult to predict what lessons the United States will learn from this experience, especially considering the fact that online algorithms today only provide news that is consistent with the preconceived notions of the audience. 

Ilan Goldenberg, a foreign policy expert at the new US Security Center, said this dynamic will play a key role in the coming months. He said:
 "The series of changes after the Second World War or 9/11 is not a bunch of new ideas. Those ideas already existed, but only within a few months after the event, due to changes in the situation and the acceptance by the American public The willingness to change the scale will be sharper. "

It is not difficult to imagine a world in which most countries believe that the United States defeated COVID-19

Trump has succeeded in transferring his responsibilities despite many mistakes, and his approval ratings have soared. Going further inwards, withdrawing from various international alliances, building a truly tangible city wall, and withdrawing capital from other countries; with the growth of Generation C, the "foreign plague" replaced terrorists and became a threat to the new generation.

People can also imagine the future of the United States to learn another lesson: 

By maintaining social distance, people have instead created a group spirit, allowing people to turn outward and make foreign and domestic neighbors; the November 2020 election marked the first place in the United States. 
The abandonment of policies: 
As after World War II, the country shifted from isolationism to international cooperation, filled with stable investment and the brightest minds. 
The health care team continued to grow, and the children of Generation C all wrote that when they grew up, they became Epidemiologists, public health has become the core of foreign policy. Global cooperation is committed to solving challenges such as pandemics and climate change. CDC is issuing its own guidelines for public health and care.

In 2030, SARS-CoV-3 may appear. We are already rehearsed and confident. Pun intended!


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