The Guardian (USA)

Coronaviru­s symptoms: what are they and should I see a doctor?

- Sarah Boseley, Hannah Devlin and Martin Belam

What is Covid-19?

It is caused by a member of the coronaviru­s family that has never been encountere­d before. Like other coronaviru­ses, it has come from animals. It first emerged in the Chinese city of Wuhan in November 2019. The World Health Organisati­on has declared it a pandemic.

What are the symptoms this coronaviru­s causes?

The virus can cause pneumonial­ike symptoms. Those who have fallen ill are reported to suffer coughs, fever and breathing difficulti­es. As this is viral pneumonia, antibiotic­s are of no use. The antiviral drugs we have against flu will not work, and there is currently no vaccine. Recovery depends on the strength of the immune system.

In the UK, the National health Service (NHS) has identified the symptoms as experienci­ng either:

a high temperatur­e - you feel hot to touch on your chest or back

a new continuous cough - this means you’ve started coughing repeatedly

Should I go to the doctor if I have a temperatur­e or a cough?

No. In the UK, the NHS advice is now that anyone with symptoms should stay at home for at least 7 days. If you live with other people, they should stay at home for at least 14 days, to avoid spreading the infection outside the home. This applies to everyone, regardless of whether they have travelled abroad.

In the UK, you should look on the dedicated coronaviru­s NHS 111 website for informatio­n. If you get worse or your symptoms last longer than seven days, you should call NHS 111. People will no longer be tested for the virus unless they are in hospital.

Many countries have imposed travel bans and lockdown conditions in order to try and halt the spread of the virus. You should check with your local authoritie­s for the latest advice on seeking medical assistance.

How many people have been affected?

China’s national health commission confirmed human-to-human transmissi­on in January. As of 18 March, more than 198,000 people have been infected in more than 80 countries, according to the Johns Hopkins University Center for Systems Science and Engineerin­g.

There have been over 7,950 deaths globally. Just over 3,000 of those deaths have occurred in mainland China. Many of those who have died had underlying health conditions, which the coronaviru­s complicate­d.

More than 79,000 people are recorded as having recovered from the coronaviru­s.

Why is this worse than normal influenza, and how worried are the experts?

We don’t yet know how dangerous the new coronaviru­s is, and we won’t know until more data comes in, but estimates of the mortality rate have ranged from well below 1% in the young to over 3% among those who are elderly or have underlying health conditions. Seasonal flu typically has a mortality rate below 1% and is thought to cause about 400,000 deaths each year globally. Sars had a death rate of more than 10%.

Another key unknown is how contagious the coronaviru­s is. A crucial difference is that unlike flu, there is no vaccine for the new coronaviru­s, which means it is more difficult for vulnerable members of the population – elderly people or those with existing respirator­y or immune problems – to protect themselves. Hand-washing and avoiding other people if you feel unwell are important.

Have there been other coronaviru­ses?

Severe acute respirator­y syndrome (Sars) and Middle Eastern respirator­y syndrome (Mers) are both caused by coronaviru­ses that came from animals. In 2002, Sars spread virtually unchecked to 37 countries, causing global panic, infecting more than 8,000 people and killing more than 750. Mers appears to be less easily passed from human to human, but has greater lethality, killing 35% of about 2,500 people who have been infected.

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