Especially crowned: how to behave at the first sign of COVID-19 | Articles


On Sunday, October 18, the operational headquarters for the prevention and control of the spread of coronavirus in Russia announced 15,099 new cases of infection. Most infected in the capital (+4610), in second place is St. Petersburg (+674), the Moscow region closes the three anti-leaders (+460). The daily incidence continues to grow, although not at an avalanche rate in early October. Izvestia has collected answers to the most popular questions related to the coronavirus.

What do the data of the headquarters say?

According to the director of the Institute of Medical Parasitology, Tropical and Transmissible Diseases. E.I. Marcinovsky Sechenov University, virologist Alexander Lukashev, the picture of the daily incidence of the last week is quite stable.

Photo: Izvestia / Zurab Javakhadze

– It means that we are close to a balance between preventive measures and the spread of the virus, at least in Moscow, – the expert considers. – It should be understood that the result is achieved through restrictive measures, and if they are weakened, we can return to rapid growth.

The epidemiological situation, he believes, remains difficult.

Can the coronavirus be asymptomatic?

Maybe, says virologist Alexander Lukashev.

– Wherein the line between a completely asymptomatic course of the disease and a course with minimal signs is very blurred. A person may experience, for example, a slight sore throat, a slight increase in temperature, an episode of diarrhea, he explained.

According to the specialist, in the overwhelming majority of cases, the patient and the doctor learn about the asymptomatic course of the coronavirus after the fact, when antibodies are found in a person.

According to the data of the operational headquarters, as of October 18, 3,996 people were identified as infected with COVID-19 without clinical manifestations over the previous day. This is 26.5% of all cases per day.

Is it possible to take a PCR test without signs of malaise? How and where to do it?

Yes, the COVID-19 test can be taken even if there are no symptoms. According to the information on the stopcoronavirus.rf website, this can be done both in a public hospital and in a private clinic. For those living outside of Moscow, you will first need to visit a therapist and get a referral from him. In private clinics, additional documents are not required, however, the procedure is paid: each medical institution sets the cost independently. Residents of the capital can sign up for a test at the state clinic directly – through the UMIAS system.


Photo: Izvestia / Dmitry Korotaev

To date, according to the website, testing is available in 872 laboratories. Of these, 596 work at state medical organizations, 167 – in private clinics, 109 are part of the Rospotrebnadzor structure.

What to do at the first sign of ARVI?

If signs of SARS appear, it is advisable to call a doctor at home. According to the interim guidelines of the Ministry of Health for the prevention, diagnosis and treatment of coronavirus, an employee of the clinic must come home if the temperature of the sick person is higher than 37.2 degrees, as well as if there is a cough, difficulty breathing and shortness of breath, nasal congestion, chest pain, loss of taste and smell.

At the same time, if a patient is over 65 years old, he is at risk due to chronic diseases, has been in contact with an infected person or has recently arrived from another country, it is imperative to call a doctor in case of signs of SARS.

If the condition worsens and the doctor still does not go, can I call an ambulance?

Yes. On the hotline on issues related to coronavirus, the Izvestia correspondent was told that if there are signs of SARS, you need to contact the district clinic. The doctor must come within 24 hours. But if you feel worse or you cannot call a doctor from the clinic for any reason, you need to call an ambulance.

I’m afraid I have COVID-19, but I don’t want to be in the hospital. Will they definitely pick me up?

No, if you are asymptomatic or mildly ill, you will be left to be treated at home. According to the temporary guidelines of the Ministry of Health for the prevention, diagnosis and treatment of coronavirus, cases when the temperature is kept below 38 degrees, and the respiratory rate is 22 inhalation-exhalation per minute, are considered to be mild.


Photo: Izvestia / Sergey Konkov

I am sick, but the PCR test showed a negative result – I definitely do not have COVID-19?

No, not exactly. In about 30% of patients, especially those with pneumonia, the virus has already disappeared from the oropharynx, but continues to multiply in the lungs, virologist Alexander Lukashev told Izvestia.

I’m sick, but I don’t want to go to the doctor. Will antiviral drugs help me if I have COVID-19?

According to Alexander Lukashev, many antiviral agents are quite toxic and have severe side effects. Treatment for COVID-19 must be prescribed by a doctor.

– Self-medication is definitely not worth it, especially at home it is almost impossible to distinguish COVID-19 from a cold, – the specialist added.

A vaccine against coronavirus has been developed in Russia, but I am not sure about its effectiveness. This is not dangerous?

Two vaccines against COVID-19 have been registered in Russia. The first, “Sputnik V”, was developed by the Scientific Research Center of Epidemiology and Microbiology named after Academician Gamaleya. The second, “EpiVacCorona”, was created by the scientific center of virology and biotechnology “Vector”. Judging by the publication on stopcoronavirus.rf, none of them contain the coronavirus that causes COVID-19. Therefore, it is impossible to get sick after vaccination.

However, the third phase of clinical trials “Sputnik V” with the involvement of more than 40 thousand people began only in August and has not yet ended, according to the website of the Academician Gamaleya Research Center of Epidemiology and Microbiology.


Photo: Izvestia / Andrey Ershtrem

EpiVacCoron is also awaiting post-registration tests. The press service of Rospotrebnadzor said that they will start in November-December and will last six months.

Because of this, both vaccines have been criticized, however, according to the law, vaccination is on a voluntary basis. You can refuse the procedure.

What is the difference between the Sputnik V and EpiVacCorona vaccines, which one is more effective?

Theoretically, the Sputnik V vaccine is more “powerful” than EpiVacCorona, Alexander Lukashev said in an interview with Izvestia.

– It’s too early to talk about the effectiveness, only the upcoming clinical trials will show it, – added the specialist.

I want to be vaccinated against coronavirus, how to do it?

On September 8, the first batch of the Sputnik V coronavirus vaccine was released into civilian circulation, the Ministry of Health told reporters about it. The priority is set for the population from risk groups – teachers and doctors. However, you can take part in clinical trials of the drug. You can sign up as a volunteer for Sputnik V vaccination on the website.

To participate in the study of the EpiVacCorona vaccine, they suggest contacting the Federal State Budgetary Healthcare Institution MSCH-163 of the FMBA of Russia, according to Stopkoronavirus.rf.


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