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Published on: November 10, 2023
Review on the coronavirus disease (COVID-19) pandemic: Its outbreak and current status
Dalia Almaghaslah1, Geetha Kandasamy1, Mona Almanasef1
1Department of Clinical Pharmacy, College of Pharmacy, King Khalid University, Abha, Saudi Arabia.
Insights
The coronavirus disease (COVID-19) pandemic, caused by an RNA virus, has spread globally. Preventive measures are crucial as no vaccine is currently available for COVID-19.
Area of Science:
- Virology
- Epidemiology
- Public Health
Background:
- The first cases of coronavirus disease (COVID-19) were identified in Wuhan, China, in late 2019/early 2020.
- COVID-19 is caused by a diverse RNA virus, with over 1.2 million confirmed cases and 67,000 deaths reported globally by April 6, 2020.
Purpose of the Study:
- To conduct a literature review on the coronavirus outbreak.
- To summarize the pathogenesis, epidemiology, diagnosis, and disease control and management strategies for COVID-19.
Main Methods:
- Literature review of coronavirus outbreak.
- Analysis of pathogenesis, transmission, clinical presentation, and treatment strategies.
Main Results:
- COVID-19 pathogenesis involves precise replication in respiratory epithelial cells, leading to T-cell apoptosis and immune system collapse.
- Transmission occurs via respiratory droplets; symptoms include fever, cough, and shortness of breath.
- Potential treatments include favilavir, chloroquine phosphate, and remdesivir, with hydroxychloroquine and azithromycin showing promise in reducing viral load.
Conclusions:
- COVID-19 transmits more rapidly than MERS-CoV and SARS-CoV but has a lower fatality rate.
- The full global impact of the pandemic remains uncertain.
- Preventive strategies are the primary defense against COVID-19 due to the absence of a vaccine.
Background:
In late December 2019 and on 1st January 2020, the coronavirus (COVID-19) infecting humans was first identified in Wuhan, Hubei Province, China. Later cases have also been confirmed worldwide. Coronaviruses are RNA viruses that are phenotypically and genotypically diverse. Globally, as of 6th April 2020, laboratory confirmed cases of COVID-19 reported to the World Health Organisation (WHO) amounted to 1 211 214, including 67 666 deaths.
Aim:
In the current study, we performed a literature review on coronavirus outbreak to summarise details about the pathogenesis, epidemiology, diagnosis and the management strategies for the disease control.
Pathogenesis:
Coronaviruses are tremendously precise and mature only in differentiated respiratory epithelial cells, as seen in both organ cultures as well as human volunteers. This virus will cause the antiviral T-cell response to be erratic, owing to the T-cell apoptosis activation, triggering the immune system to collapse.
Transmission:
The understanding of the transmission of COVID-19 risk is incomplete. The transmission mainly occurs through the respiratory droplets once an infected person sneezes, like the spread of flu and other respiratory infectious agents.
Clinical Presentation:
Presentations of COVID-19 includes fever, cough, shortness of breath, malaise and respiratory distress.
Treatment:
There have been no approved vaccines available for COVID-19 until today. The Ministry of Science and Technology in the People's Republic of China declared three potential antiviral medicines suitable for treating COVID-19. Those three medicines are, namely, favilavir, chloroquine phosphate and remdesivir. Hydroxychloroquine combined with azithromycin enhances the reduction of the viral load in COVID-19 patients.
Conclusion:
The corona virus transmits quicker than its two predecessors the MERS-CoV and SARS-CoV, but has reduced casualty. The global effects of this latest pandemic are still unclear. Nevertheless, considering that so far no vaccine has been available; preventive approaches are the best way to fight against the virus.
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