Daily Breeze (Torrance)

Notable difference­s between current strains of viruses

- — Z.B. Dr. Keith Roach Columnist — A.R.D. Contact Dr. Roach at ToYourGood­Health@med. cornell.edu.

DEAR DR. ROACH » Are the current strains of COVID and monkeypox similar to the AIDS virus? I'm confused about the manner of spreading it and where these strains came from.

DEAR Z.B. » SARS-CoV-2 (the virus that causes COVID-19), monkeypox virus, and HIV (the virus that causes HIV infection and, ultimately, AIDS) are all viruses, but they are all transmitte­d differentl­y and have very different effects on the body. However, all three of these viruses were originally found in other animals and were then transmitte­d to humans.

SARS-CoV-2 is spread mostly by large respirator­y particles, which means person-to-person contact usually within 6 feet of each other. The disease may also be spread by smaller particles that can travel longer distances, but that seems to be much less common. It does not seem to be easily transmitte­d by blood, by secretions or on surfaces. The virus mutates, and so far, the worldwide trend has leaned toward the more infectious variants, rather than more aggressive or lethal variants. The best evidence shows this was an animal virus that was transmitte­d to humans, probably from bats.

Monkeypox virus is closely related to smallpox, but not nearly as dangerous or infectious. It is transmitte­d mostly through close skinto-skin contact. Sexual transmissi­on has been the most common mode of transmissi­on, but sexual contact is not necessary for transmissi­on of infection. It's much more infectious when a person has the sores and scabs from the infection. Monkeypox can be transmitte­d from surfaces, especially from materials such as clothing or linen that have come in contact with the infectious materials from the sores. Monkeypox can also be transmitte­d by respirator­y particles, but it seems that prolonged faceto-face contact is needed. Monkeypox was also thought to have been transmitte­d from an animal (not necessaril­y a monkey). Many animals carry the virus, and scientists think the most common animal that monkeypox is found in is likely a rodent.

HIV viruses are spread through blood or sexual contact. HIV is not spread by saliva or casual contact, but objects that might contain small amounts of blood (such as a razor or a toothbrush) can potentiall­y transmit HIV. Once again,

By Russell Myers the virus originally came from an animal (chimpanzee­s).

DEAR DR. ROACH » I have passed out five times and have been diagnosed with vasovagal syncope. The last time, I ended up in the emergency room, and they put in a pacemaker. What can you tell me about this, and is a pacemaker a cure for this condition? The doctors tell me it can happen again.

DEAR A.R.D. » Vasovagal syncope is the most common type of faint. Fainting is very common and often needs no more treatment than keeping oneself hydrated, taking precaution­s about getting up slowly, and avoiding triggers that have caused fainting in the past.

Pacemakers are only occasional­ly used, most commonly when a thorough evaluation of the heart has shown that the heart rate becomes dangerousl­y low (such as a pause of greater than three seconds between heartbeats, causing a faint). When used appropriat­ely, pacemakers reduce the risk of fainting by half or more, but may not completely prevent further fainting. 18 19 20

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DILBERT: By Scott Adams

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