Symtoms of corovirus

According to WHO media says

There are now more than half a million confirmed cases of COVID-19 and more than 20,000 deaths.

These are tragic numbers, but let's also remember that around the world, more than 100,000 people have recovered.

Yesterday, I had the honour of addressing an extraordinary meeting of leaders from the G20 countries.

My message was threefold: we must fight, unite and ignite.

Fight to stop the virus with every resource at our disposal;

Unite to confront the pandemic together. We are one humanity, with one, common enemy. No country can fight alone; we can only fight together.

And ignite the industrial might and innovation of the G20 to produce and distribute the tools needed to save lives.

We must also make a promise to future generations, saying never again.

Viral outbreaks are a fact of life. How much damage they do is something we can influence.

I thank the G20 countries for their commitment to fight the pandemic, safeguard the global economy, address international trade disruptions and enhance global cooperation.

This is especially important for countries who are not part of the G20 but will be affected by decisions made by G20 countries.

Earlier today, we held a briefing with around 50 Ministers of Health from around the world at which China, Japan, the Republic of Korea and Singapore shared their experiences and the lessons they have learned.

Several common themes emerged about what has worked:

The need for early detection and isolation of confirmed cases;

Identification, follow-up and quarantine of contacts;

The need to optimize care;

And the need to communicate to build trust and engage communities in the fight.

Countries also expressed several common challenges.

The chronic global shortage of personal protective equipment is now one of the most urgent threats to our collective ability to save lives. 

WHO has shipped almost 2 million individual items of protective gear to 74 countries that need it most, and we’re preparing to send a similar amount to a further 60 countries.

But much more is needed.

This problem can only be solved with international cooperation and international solidarity.

When health workers are at risk, we’re all at risk.

Health workers in low- and middle-income countries deserve the same protection as those in the wealthiest countries.

To support our call on all countries to conduct aggressive case-finding and testing, we’re also working urgently to massively increase the production and capacity for testing around the world.

One of the most important areas of international cooperation is research and development.

A vaccine is still at least 12 to 18 months away.

In the meantime, we recognize that there is an urgent need for therapeutics to treat patients and save lives.

Today we are delighted to announce that in Norway and Spain, the first patients will shortly be enrolled in the Solidarity Trial, which will compare the safety and effectiveness of four different drugs or drug combinations against COVID-19.

This is a historic trial which will dramatically cut the time needed to generate robust evidence about what drugs work.

More than 45 countries are contributing to the trial, and more have expressed interest. The more countries who join the trial, the faster we will have results.

In the meantime, we call on individuals and countries to refrain from using therapeutics that have not been demonstrated to be effective in the treatment of COVID-19.

The history of medicine is strewn with examples of drugs that worked on paper, or in a test tube, but didn't work in humans or were actually harmful.

During the most recent Ebola epidemic, for example, some medicines that were thought to be effective were found not to be as effective as other medicines when they were compared during a clinical trial.

We must follow the evidence. There are no short-cuts.

We also need to ensure that using unproven drugs does not create a shortage of those medicines to treat diseases for which they have proven effective.

As the pandemic evolves and more countries are affected, we are learning more and more lessons about what works and what doesn't.

WHO is continuing to support all countries in the response.

We’ve published more than 40 guidance documents on our website, providing detailed, evidence-based recommendations for governments, hospitals, health workers, members of the public and more. 

More than 1 million health workers have been trained through our courses on OpenWHO.org. We will continue to train more.

We’re also delighted to report that the COVID-19 Solidarity Fund has now received donations of more than US$ 108 million in just two weeks, from 203,000 individuals and organizations.

Thank you to each and every one of you.

The English version of our WhatsApp Health Alert now has more than 12 million users globally, and the Arabic, French and Spanish versions were launched today. More languages will be added, including Bangla, Chinese, Hindi, Kurdish, Portuguese, Russian, Somali, Urdu, Swahili and more.

I’ve said before that crises like this bring out the best and worst in humanity.

We have recently seen an increase in scams, cyberattacks and impersonation using WHO, my name and COVID-19.

I am very grateful to those working in various national organizations providing critical cybersecurity intelligence to the WHO Cybersecurity team.

Thank you for your efforts to work with us to protect the health systems, health workers and members of the general public who rely on our information systems and digital tools. Special thanks to Microsoft for assisting on this.

I’d like to end with something Singapore’s Minister of Health, Gan Kim Yong, said during today’s briefing.

We are only at the beginning of this fight.

We need to stay calm, stay united and work together.

I thank you.

What is corona virus

Coronaviruses are a large family of viruses which may cause illness in animals or humans.  In humans, several coronaviruses are known to cause respiratory infections ranging from the common cold to more severe diseases such as Middle East Respiratory Syndrome (MERS) and Severe Acute Respiratory Syndrome (SARS). The most recently discovered coronavirus causes coronavirus disease COVID-19.

COVID -19

COVID-19 is the infectious disease caused by the most recently discovered coronavirus. This new virus and disease were unknown before the outbreak began in Wuhan, China, in December 2019.

Symptoms of coronavirus

The COVID-19 virus affects different people in different ways.  COVID-19 is a respiratory disease and most infected people will develop mild to moderate symptoms and recover without requiring special treatment.  People who have underlying medical conditions and those over 60 years old have a higher risk of developing severe disease and death.

Common symptoms include:

• fever
• tiredness
• dry cough.

Other symptoms include:

• shortness of breath
• aches and pains
• sore throat
• and very few people will report diarrhoea, nausea or a runny nose.

People with mild symptoms who are otherwise healthy should self-isolate and contact their medical provider or a COVID-19 information line for advice on testing and referral.

People with fever, cough or difficulty breathing should call their doctor and seek medical attention.

 Prevention 

To prevent infection and to slow transmission of COVID-19, do the following:

• Wash your hands regularly with soap and water, or clean them with alcohol-based hand rub.
  
• Maintain at least 1 metre distance between you and people coughing or sneezing.
  
• Avoid touching your face.
  
• Cover your mouth and nose when coughing or sneezing.
  
• Stay home if you feel unwell.
  
• Refrain from smoking and other activities that weaken the lungs.
  
• Practice physical distancing by avoiding unnecessary travel and staying away from large groups of people.

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Prevention

Strategies for preventing transmission of the disease include overall good personal hygiene, hand washing, avoiding touching the eyes, nose or mouth with unwashed hands, coughing/sneezing into a tissue and putting the tissue directly into a dustbin. Those who may already have the infection have been advised to wear a surgical mask in public.^{[249][250][251]} Social distancing measures are also recommended to prevent transmission.^[252][253]

Many governments have restricted or advised against all non-essential travel to and from countries and areas affected by the outbreak.^[254] However, the virus has reached the stage of community spread in large parts of the world. This means that the virus is spreading within communities whose members have not travelled to areas with widespread transmission.^{[citation needed]}

Health care providers taking care of someone who may be infected are recommended to use standard precautions, contact precautions and airborne precautions with eye protection.^[255]

Contact tracing is an important method for health authorities to determine the source of an infection and to prevent further transmission.^[256] Misconceptions are circulating about how to prevent infection, for example: rinsing the nose and gargling with mouthwash are not effective.^[257]

As of 13 March 2020, there is no COVID-19 vaccine though a number of organizations are working to develop one.^[258]

Hand washing

Hand washing is recommended to prevent the spread of the disease. The US Centers for Disease Control and Prevention (CDC) recommends that people wash hands often with soap and water for at least 20 seconds, especially after going to the toilet or when hands are visibly dirty; before eating; and after blowing one's nose, coughing, or sneezing. It further recommended using an alcohol-based hand sanitizer with at least 60% alcohol by volume when soap and water are not readily available.^[249] The WHO advises people to avoid touching the eyes, nose, or mouth with unwashed hands.^[250][259]

Respiratory hygiene

Health organizations recommended that people cover their mouth and nose with a bent elbow or a tissue when coughing or sneezing (the tissue should then be disposed of immediately).^[250][260] Surgical masks are recommended for those who may be infected,^{[261][262][263]} as wearing a mask can limit the volume and travel distance of expiratory droplets dispersed when talking, sneezing and coughing.^[264] The WHO has issued instructions on when and how to use masks.^[265]

Masks have also been recommended for use by those taking care of someone who may have the disease.^[263] WHO has recommended the wearing of masks by healthy people only if they are at high risk, such as those who are caring for a person with COVID-19, although masks may help people avoid touching their faces.^[263]

Surgical masks are the lowest grade of protection, and are designed mainly to protect others from the wearer. Masks designed to protect the wearer are technically "respirators", though calling them "masks" is common. Only China has specifically recommended the use of masks by healthy members of the public.^{[208][264][266]} Nevertheless, face masks have been widely used by healthy people in Hong Kong,^[267] Japan,^[268] Malaysia,^[269] and Singapore.^[270][271]

Social distancing

Main article: Social distancing

Taiwan-president Tsai Ing-wen demonstrating social distancing by using a traditional Taiwanese greeting instead of shaking hands in response to COVID-19 pandemic.

Social distancing includes infection control actions intended to slow the spread of disease by minimizing close contact between individuals. Methods include quarantines; travel restrictions; and the closing of schools, workplaces, stadiums, theatres, or shopping centres. Individuals may also apply social distancing methods by staying at home, limiting travel, avoiding crowded areas, using no-contact greetings, and physically distancing themselves from others. ^[272][273] Many governments are now mandating or recommending social distancing in regions affected by the outbreak. ^[274][275] The high-risk group includes older adults (60 years of age and older), those with a weak immune system (i.e. due to cancer treatment, treatment for autoimmune diseases, HIV, organ transplant or bone-marrow transplant), smokers and those with serious underlying medical conditions (such as heart disease, diabetes, lung disease. ^[276][277]

Self-isolation

Self-isolation at home has been recommended for those diagnosed with COVID-19 and those who suspect they have been infected.^[278][279] Additionally, individuals who have recently travelled to a country with widespread transmission or who have been in direct contact with someone diagnosed with COVID-19 have also been asked by some government health agencies to self-quarantine or practise social distancing for 14 days from the time of last possible exposure.^[6][7][280]

The National Health Service in the UK has recommended that those with symptoms of COVID-19 should stay at home for 14 days, taking precautions to avoid infecting others within the household. As long as symptoms do not significantly worsen, health services should not be contacted

Overview

Premature ejaculation occurs when a man ejaculates sooner during sexual intercourse than he or his partner would like. Premature ejaculation is a common sexual complaint. Estimates vary, but as many as 1 out of 3 men say they experience this problem at some time.

As long as it happens infrequently, it's not cause for concern. However, you might be diagnosed with premature ejaculation if you:

• Always or nearly always ejaculate within one minute of penetration
• Are unable to delay ejaculation during intercourse all or nearly all of the time
• Feel distressed and frustrated, and tend to avoid sexual intimacy as a result

Both psychological and biological factors can play a role in premature ejaculation. Although many men feel embarrassed talking about it, premature ejaculation is a common and treatable condition. Medications, counseling and sexual techniques that delay ejaculation — or a combination of these — can help improve sex for you and your partner.

Symptoms

The main symptom of premature ejaculation is the inability to delay ejaculation for more than one minute after penetration. However, the problem might occur in all sexual situations, even during masturbation.

Premature ejaculation can be classified as:

• Lifelong (primary). Lifelong premature ejaculation occurs all or nearly all of the time beginning with your first sexual encounters.
• Acquired (secondary). Acquired premature ejaculation develops after you've had previous sexual experiences without ejaculatory problems.

Many men feel that they have symptoms of premature ejaculation, but the symptoms don't meet the diagnostic criteria for premature ejaculation. Instead these men might have natural variable premature ejaculation, which includes periods of rapid ejaculation as well as periods of normal ejaculation.

When to see a doctor

Talk with your doctor if you ejaculate sooner than you wish during most sexual encounters. It's common for men to feel embarrassed about discussing sexual health concerns, but don't let that keep you from talking to your doctor. Premature ejaculation is a common and treatable problem.

For some men, a conversation with a doctor might help lessen concerns about premature ejaculation. For example, it might be reassuring to hear that occasional premature ejaculation is normal and that the average time from the beginning of intercourse to ejaculation is about five minutes.

Causes

The exact cause of premature ejaculation isn't known. While it was once thought to be only psychological, doctors now know premature ejaculation involves a complex interaction of psychological and biological factors.

Psychological causes

Psychological factors that might play a role include:

• Early sexual experiences
• Sexual abuse
• Poor body image
• Depression
• Worrying about premature ejaculation
• Guilty feelings that increase your tendency to rush through sexual encounters

Other factors that can play a role include:

• Erectile dysfunction. Men who are anxious about obtaining or maintaining an erection during sexual intercourse might form a pattern of rushing to ejaculate, which can be difficult to change.
• Anxiety. Many men with premature ejaculation also have problems with anxiety — either specifically about sexual performance or related to other issues.
• Relationship problems. If you have had satisfying sexual relationships with other partners in which premature ejaculation happened infrequently or not at all, it's possible that interpersonal issues between you and your current partner are contributing to the problem.

Biological causes

A number of biological factors might contribute to premature ejaculation, including:

• Abnormal hormone levels
• Abnormal levels of brain chemicals called neurotransmitters
• Inflammation and infection of the prostate or urethra
• Inherited traits

Risk factors

Various factors can increase your risk of premature ejaculation, including:

• Erectile dysfunction. You might be at increased risk of premature ejaculation if you occasionally or consistently have trouble getting or maintaining an erection. Fear of losing your erection might cause you to consciously or unconsciously hurry through sexual encounters.
• Stress. Emotional or mental strain in any area of your life can play a role in premature ejaculation, limiting your ability to relax and focus during sexual encounters.