Coronavirus
What is Coronavirus?
A large family of viruses which includes the common cold to more severe diseases such as Middle East Respiratory Syndrome (MERS-CoV) and Severe Acute Respiratory Syndrome (SARS-CoV). In late 2019 a new strain of Coronavirus was observed which is now being called COVID-19
COVID-19: Key facts
Previously known as 2019-nCoV
Originated from Wuhan, China
A new strain of Coronavirus that had not been previously observed in humans
Zoonotic— able to jump between different species (i.e. animals to human)
Common symptoms include:
Fever
Cough
Shortness of breath / breathing difficulties
In more severe cases, it can cause:
Pneumonia
Severe acute respiratory syndrome
Kidney failure
Death
Statistics
As of 1st March 2020
Research Evidence
These are some studies that I recommend reading if you would like more information:
Where did COVID-19 come from?
A study from Lu et al 2020 showed that bats might be the original host of this virus. Animals sold at the seafood market in Wuhan might be an intermediate host facilitating the emergence of the virus in humans by binding to angiotensin-converting enzyme 2 receptor in humans. COVID-19 can be transmitted animal to human ( e.g direct infection in Wuhan market) or human to human (infection from people who are infected).
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30251-8/fulltext
Patient Characteristics
Based on study by Chen et al 2020- they followed 99 patients infected with COVID-19 in Wuhan and found that it is more likely to affect older males with long term medical problems such as high blood pressure or if the patient is a heavy smoker, and can result in severe and even fatal respiratory diseases such as acute respiratory distress syndrome. There is a greater number of men than women affected and this could be due to the protection from X chromosome and sex hormones, which play an important role in the immune system.
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30211-7/fulltext
Can a pregnant woman infected by COVID-19 pass the virus to their child and cause severe health problem to their babies? Based on a study by Chen et al 2020 showed a study of nine pregnancies where the mother infected by COVID-19, there is currently no evidence that it causes severe adverse outcomes in neonates or that it can pass to the child while in the womb (vertical transmission).
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30360-3/fulltext
Potential Drug Action
A study by Richardson et al 2020 showed that Baricitinib (a potential drug) can be used as a potential treatment for COVID-10. Using a computer algorithm, Baricitinib is predicted to reduce the ability of the virus to infect lung cells. A previous study showed that the way that COVID-19 enters human cells is via ACE-2 receptors. ACE-2 can be found in the lung, kidney, blood vessels and heart. Endocytosis is a process where the virus enters a cell and AAK1 regulates endocytosis. So, if we can inhibit AAK1, we can prevent the virus from entering the cells and subsequently prevent infection.
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30304-4/fulltext
Image shows the process of COVID-19 virus entering a cell. Taken from the linked paper.
Current Research on Potential Drugs and Vaccine
Currently more than 80 clinical trials launch to test coronavirus treatment, one of which is Kaletra which is an anti-viral, used in Malaysia and other countries
This is a list of potential drugs that could be used to treat COVID-19:
Research is currently undergoing to create a vaccine against COVID-19.
Further reading if you are interested. When will the coronavirus outbreak peak.
Links to Trusted Sources
Ministry of Health Malaysia:
National Health Service, UK:
Centers for Disease Control and Prevention, USA:
World Health Organisation:
https://www.who.int/emergencies/diseases/novel-coronavirus-2019