Clemens Wendtner is the attending chief physician of eight in Germany, confirmed Corona-patients. The Virus he now holds for highly contagious. The contacts of the person Infected had been very volatile. You have plugged in anyway. Scientifically, the eruption was a “huge opportunity”.
The new Coronavirus authorities and medical doctors now report new insights daily. Every day, the mosaic of what we know about the new Virus from China is clear. The attending chief physician of the German Corona-the sick and the head of the special unit for highly contagious life-threatening infections at Munich hospital, Munich-Schwabing, Clemens Wendtner, has spoken once again to the risk of Infection and says: "This 2019-nCoV is apparently different than Sars and Mers, obviously highly contagious, so contagious."
The bills to him with the currently New. "As far as we know currently had patients who have been infected in the Chinese index patient in Bavaria, the part of the more volatile contacts with Infected, for example, a handshake, or a shorter common to stay in an office."
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Despite the high risk of Infection disease is usually mild
In addition, the Virus is now "from one to another, employees of an automotive supply company and a small child of a company employee weitergegeben" been. In some cases, even from previously asymptomatic Infected, the doctors. Based his guess.
In spite of the high risk of Infection, the disease, the triggers, the Virus runs, in most patients, however, mild. Also, the virus fluctuations in load in the blood of patients over time, says Wendtner.
In cooperation with the laboratory of the Charité Berlin and the Institute for Microbiology of the Bundeswehr, the physicians tried to establish at present, the cell culture of the Virus, and the sequencing of the genome of the pathogen, in order to understand their development better. "An important question is whether the Virus is already mutated, we sehen" in Germany;, Wendtner says.
- Droplet infection
Physicians such as Clemens Wendtner suspect that the pathogen is transmitted primarily by droplet infection. Talk: over-the-air, for example when coughing or Sneezing. Then, the germs from the throat or respiratory tract in the Form of tiny saliva droplets in the air. Other breathe or take one through the mucous membranes of the upper respiratory tract.
- Lubrication infection
Transmission via smear infection, according to Doctors possible, so the Transmission of the virus by touching a contaminated object.
- Dissemination through the digestive system
According to the news Agency of the Chinese government, Xinhua, notify, can spread the Coronavirus in addition, through the digestive system. Researchers had found that some of the Infected were suffering from diarrhea, instead of a fever. They found the Virus in stool samples and rectal swabs.
Doctors perform pharyngeal swabs
"Currently, we do not know, unfortunately, the ideal place where we suspected cases of signs of an infection screening sollten", the virologist explains the current Situation. Therefore, the Doctors are Infected currently, nasal and pharyngeal swabs and tested secretion of the bronchial. In addition, blood samples as well as stool and urine were examined.
"We don’t know but still, how many people are tested after close contact with an Infected positive. In the case of Tests of contact persons is, of course, the crucial question is how many people infected after contact with the Infected, the auto supplier company haben", the infection Loge says.
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Mortality rate is called the doctor "clearly geringer" as in the case of Sars
But the secondary infection rate in the Bavarian Cluster seem to be rather small. Nevertheless, the physician would have to wait for the entire duration of the alleged incubation time and be careful with interpretations of the data. The mortality rate of the physicians in contrast to the Sars Virus estimates so far as "clearly geringer" a.
From a scientific point of view, the local outbreak was in Bavaria "a great opportunity to learn in interdisciplinary Teams from the first cases, the maximum and klären" the previously outstanding issues;, so Wendtner. This is the Ultimate in the Moment.
The reason for panic is not according to experts, as before. "We are in close exchange with national and international medical experts, from the universities and the WHO", Wendtner says. All cases were treated in a Munich hospital, be "in a clinically stable condition, showed in the course of partial flu-like Symptoms and are currently largely symptomfrei". It but remained for the clinical observation in the hospital.
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"Who has a high fever, has a very high likelihood that normal cold or Grippe"
In case of need, the clinic could increase the capacity in addition, says the Professor for infectious diseases. Up to 30 beds would be in Munich for the supply of Coronavirus patients. "These beds should be exclusively reserved for confirmed Coronavirus patients. Therefore, anyone Who has a high fever, has a very high likelihood that a normal cold or flu (Influenza). Before these patients are included in Schwabing in our infectious diseases, should be done with the Coronavirus Test,“ he says.
Particularly anxious patients and visitors, suggest the experts, therefore, is to inform yourself about the existing sources of information such as the Hotline in Bavaria (09131 6808-5101) and as for Corona, the flu protection measures and also the flu vaccination in the Background to let.
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