The new coronavirus causes little more than a cough if it stays in the nose and throat, which it does for the majority of people unlucky enough to be infected. Danger starts when it reaches the lungs.
One in seven patients develops difficulty breathing and other severe complications, while 6% become critical. These patients typically suffer failure of the respiratory and other vital systems, and sometimes develop septic shock, according to a report by last month’s joint World Health Organization-China mission.
The progression from mild or moderate to severe can occur “very, very quickly,” said Bruce Aylward, a WHO assistant director-general who co-led a mission in China that reviewed data from 56,000 cases. Understanding the course of the disease and identifying individuals at greatest risk are critical for optimizing care for a global contagion that’s killed more than 3,700 people since emerging in central China in December.
About 10-15% of mild-to-moderate patients progress to severe and of those, 15-20% progress to critical. Patients at highest risk include people age 60 and older and those with pre-existing conditions such as hypertension, diabetes and cardiovascular disease.
“The clinical picture suggests a pattern of disease that’s not dissimilar to what we might see in influenza,” said Jeffery K. Taubenberger, who studied the infection in Spanish flu victims, including one exhumed more than 20 years ago from permafrost in northwestern Alaska.
Covid-19 most likely spreads via contact with virus-laden droplets expelled from an infected person’s cough, sneeze or breath…..