Monday, April 27, 2020

How coronavirus behaves in body and why Covid-19 is difficult to treat

Viruses are strange creatures. They are not even a complete cell that school textbooks describe as the basic unit of life. Viruses are a chemical compounds made up of only a handful of molecules.

These molecules arrange themselves in different orders to form various types of shapes. In the case of the novel coronavirus, these molecules make a sparkling red ball with crowns - giving identity to the family of coronavirus.

They are very, very small in size compared to their pathogenic cousins such as bacteria and fungi. They prey on almost any living organism. Some viruses infect other pathogens and make them sick. Bacteriophage is an excellent example. It infects and kills bacteria. Bacteriophage is considered as the reason why River Ganga water remained relatively bacteria-free before humans exceeded their capacity to keep the river water clean.

Coming back to viruses, they are so simple that most scientists don't even categorise them as living beings. Remember, school textbooks called them the link between the living and the non-living.

The novel coronavirus, scientifically named as SARS-CoV-2, is a comparatively large virus. Its size is about 120 nanometres - four times that of the poliovirus, which is just 30 nanometres. But a harmless Escherichia coli bacteria - the ones present in our gut - is some 16 times the size of the novel coronavirus. An average red blood cell in our body is about 64 times larger than the novel coronavirus.

The key molecule in all viruses including coronaviruses is protein. These are genetic materials and a storehouse of a very limited set of instructions - like a specific software programme. When these viruses get a favourable environment - namely, the body fluid - they start replicating themselves. This is their reproduction. They enter a cell and eat it from inside. When they leave the cell, they are in millions and the host cell is nothing more than garbage.


This is the way they wreak havoc among species including humans and crops. They are very smart and can travel through air, water, soil, droplets and from one person to other person. Through human-to-human transmission via saliva or mucous droplets, the novel coronavirus spread to all corners of the world after emerging from Wuhan in China. It took humans for a ride, literally.

Now, let's take a look at how the novel coronavirus behaves in our body. Proteins are crucial for the functioning of any living body. They don't only build muscles but they also establish the communication network within the body system. What is required, where and when, and how an issue inside the body is to be fixed is done by these proteins -- specifically, mRNA (messenger RNA), which perform the sentry's role in the body.

It is this variety of protein that keeps SARS-CoV-2 going. Typically, a human cell uses about 20,000 different types of proteins. Viruses use much less. For example, an HIV -- one that causes AIDS -- uses only 15 proteins to do its work. The novel coronavirus deploys 33, that too with the small size of its body.

Larger pathogens such as bacteria offer extra body space for medicines like antibiotics to block them from reproducing. The bacteria can be easily identified by antibiotics-induced antibodies as they flood outside the human cells. This behaviour makes them a suitable target for antibiotics/antibodies.

However, no antibiotic drug works on viruses because these germs don't reproduce on their own. They hijack the human host cell's physiology -- the miniature biological factory -- to make their Xerox copies. They leave one cell to invade millions others. They are always hidden. It is hard for medicine shots to kill viruses without damaging the body cells these pathogens have taken hostage.

There is another problem why treating viral diseases including Covid-19 is a bigger challenge. The viruses keep evolving almost continuously, but not significantly enough to be categorised as mutation. It is like changing clothes frequently.

This behaviour of virus confuses our immune system, whose responsibility is to detect the virus and neutralise the enemy. What happens often is that by the time the body's immune system detects the virus, the damage has already been done, and infection has transmitted to other person or persons.

Many a time, when body prepares for the fight with the invading virus -- the point when fever and other symptoms start showing up, the enemy is already on its way out after demolishing the fortresses of defence.

Doctors say the symptoms of fever etcetera are sometimes actually the response of the immune system rather than the virus. This is a stage where it may be too late for a patient. This is what is being seen in Covid-19 cases. A large number of Covid-19 patients died within 48 hours of their admission in a hospital. Those who were diagnosed earlier got well faster.


This is only for your information, kindly take the advice of your doctor for medicines, exercises and so on.     

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Thursday, March 30, 2017

Hepatitis B, C may up Parkinson's disease risk

Hepatitis B and C viruses may both be associated with a significantly increased risk of Parkinson's disease, a new study has found. Hepatitis B is spread through contact with blood and body fluids of an infected person, such as unprotected sex, sharing needles, getting a tattoo or piercing with unsterilised tools or sharing razors or toothbrushes with an infected person.
 
Hepatitis C is spread through blood-to-blood contact such as sharing needles, razors and toothbrushes and is passed on at birth by infected mothers. While both can lead to serious illness, many people have few symptoms and do not realise they have the virus, especially at first.


"The development of Parkinson's disease is complex, with both genetic and environmental factors," said Julia Pakpoor, from University of Oxford in the UK.

"It's possible that the hepatitis virus itself or perhaps the treatment for the infection could play a role in triggering Parkinson's disease or it is possible that people who are susceptible to hepatitis infections are also more susceptible to Parkinson's disease," said Pakpoor.


Researchers examined hospital records from a large British database. They looked for records of people with a first case of hepatitis B, hepatitis C, autoimmune hepatitis, chronic active hepatitis and HIV from 1999 to 2011. Then those people were compared to the hospital records of people with relatively minor conditions such as cataract surgery, bunions and knee replacement surgery.

For all of the participants, researchers looked at the records to see who later developed Parkinson's disease. There were nearly 22,000 people with hepatitis B, 48,000 with hepatitis C, 6,000 with autoimmune hepatitis, 4,000 with chronic active hepatitis and nearly 20,000 with HIV. They were compared to more than 6 million people with minor conditions. The study found that people with hepatitis B were 76 per cent more likely to develop Parkinson's disease than those in the comparison group, and people with hepatitis C were 51 per cent more likely to develop Parkinson's disease.

A total of 44 people with hepatitis B developed Parkinson's disease, compared to 25 cases that would be expected in the general population. For people with hepatitis C, 73 people developed Parkinson's disease, where about 49 cases would have been expected in the general population. People with autoimmune hepatitis, chronic active hepatitis and HIV did not have an increased rate of Parkinson's disease.

A previous study from Taiwan showed a relationship between hepatitis C and Parkinson's disease, but it did not show any relationship for hepatitis B. The research was published in the journal Neurology.
 

this is only for your information, kindly take the advice of your doctor for medicines, exercises and so on. 
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Saturday, July 27, 2013

Hepatitis: Infected injections, unsafe blood transfusions

There are five main Hepatitis viruses, referred to as types A, B, C, D and E. Hepatitis A and E are typically caused by ingestion of contaminated food or water. Hepatitis B, C and D usually occurs as a result of parenteral contact with infected body fluids. Hepatitis B is also transmitted by sexual contact.

“Hepatitis B (HBV) and Hepatitis C (HCV) infections are silent diseases that remain asymptomatic for decades. Due to lower awareness, more than 80 percent HCV patients and over 60 percent patients with HBV are diagnosed at a stage when the disease is irreversible.

A senior consultant gasteroenterology  told that “of Hepatitis through infected syringes and blood is a significant problem ”

“Most patients in India get the Hepatitis B and C forms in childhood either through mother to child transmission or contact with other siblings,” he said adding, many times after being infected the problem becomes chronic and they become permanent carriers of the virus.

A group medical director and senior gasteroenterologist , who specialises in paediatric Hepatitis, said immunisation against the disease is an effective prevention method.

Under the Universal Immunization Programme (UIP), the government provides Hepatitis B vaccine and 
 the government has also introduced auto-disabled (AD) syringes for all vaccinations under UIP in all states. AD syringes are single use, self-locking syringes that cannot be used more than once.

This prevents misuse and contamination and cross- infection through repeated use of unsterilised injection or equipment. Routine screening of blood units for Hepatitis B and C has been made mandatory for all blood banks to detect and discard contaminated blood units, a senior health ministry official said.

 According to the World Health Organization, 240 million people globally are chronically infected with Hepatitis B and around 150 million are chronically infected with Hepatitis C.

Approximately 500 million people worldwide are living with either hepatitis B or hepatitis C. This means 1 in 12 people suffer from this deadly disease.

As for Hepatitis C, one out of every 100 in India may be chronically infected by the virus and most among these 12 million people do not know they are infected.

“Hepatitis C usually affects people in the age group of 20 to 60 years while Hepatitis B is most common in the age groups 10 to 60 years,”  senior consultant Hepatologist and Gastroenterologist, said.

ps- this is only for information, always consult you physician before having any particular food/ medication/exercise/other remedies.


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Saturday, September 15, 2012

ADVANTAGES OF DRINKING WATER IN THE MORNING