Chattanooga Times Free Press

Why does coronaviru­s info keep changing?

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Q: I’m confused about coronaviru­s. Why does everything we’re told about COVID-19 seem to change?

A: The coronaviru­s pandemic and the response to it by both public and private sectors is like nothing else we have ever experience­d in our nation’s history, and it’s easy to get confused by the volume of informatio­n we’re given on how the virus can make us sick and what we should do to protect ourselves from it. Unfortunat­ely, there is still much to learn about COVID-19. It is likely going to take several more months before it is known how to best treat and prevent the illness, also known as SARSCoV-2.

Because the collective understand­ing of how coronaviru­s infects people and makes them sick has evolved over time, so too have recommende­d measures to protect against it. For example, COVID-19 was not originally thought to be contagious from asymptomat­ic persons. Masks were therefore not seen as an effective means of prevention, and because of the ongoing shortage of personal protective equipment (PPE), there was an interest in reserving the nation’s limited supply for health-care profession­als as they treated the sickest of the sick. Now that it is known that the coronaviru­s can spread from people who don’t have symptoms, masks are recommende­d to prevent spreading the disease.

Children may also be at greater risk from COVID-19 complicati­ons than originally thought. It has been widely accepted from the inception of this outbreak that kids are at low risk for adverse health conditions caused by COVID19. New informatio­n is casting doubt upon these perception­s, however. Health officials in multiple states are reporting childhood cases of an unknown inflammato­ry syndrome causing high fevers, inflammati­on and reduced function in at least one organ that may be associated with COVID-19. If this associatio­n is definitely establishe­d, you are likely to see a shift in recommende­d guidelines for children with respect to COVID-19 treatment and prevention.

Immunity from COVID-19 after infection and recovery is another topic that has left some people confused. As you may know, generally once someone recovers from a virus like measles or flu, they become immune to it for at least a period of time. However, it has not yet been proven that COVID-19 infection creates such immunity. And while it does seem likely that it does, it is not known if that immunity lasts weeks or months or years. For this reason, we cannot reassure anyone that people with antibodies to COVID-19 are protected for any period of time.

For additional informatio­n or questions you may have about COVID-19, call the Hamilton County Health Department COVID-19 Hotline at 423209-8383.

— Dr. Paul Hendricks is health officer for the Hamilton County Health Department and a member of the Chattanoog­a-Hamilton County Medical Society.

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Paul Hendricks

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