Corona Virus (Covid19), how should you navigate this for you and your family? Updated 7-8-2020.

Corona Virus (Covid19), how should you navigate this for you and your family? Updated 7-8-2020.

Gov. Phil Murphy today signed an executive order that requires face coverings be worn outdoors at all times where social distancing is not possible. Exceptions to the mandate include those eating at an outdoor dining establishment, individuals whose health would be compromised by wearing a mask, and children under 2 years old. Added 7/8/2020

Governor Murphy hits the pause button on reopening.  This means that NJ, which is in stage 2 of his reopening plan saw its numbers of transmission rose above the key mark 1 for the first time in 10 weeks. He stated we will stay here until this number drops again, citing his desire to make sure NJ does not have the same problems as other states have had.  For now, those businesses that have not reopened will need to wait.   This is bad for business although Murphy also asked for a Nationaal Mask policy as reported by The Hill this past Sunday which he believes would reduce transmission rates nationally and help prevent others from reinfecting NJ. This was reported by NJ.com. Added 7/8/2020

Travel concerns and quarantine

Governor Phil Murphy has ordered, “any person” who travels to one of 16 states where Covid-19 cases are climbing to self-quarantine for 14 days. Please be advised that there is no exemption in the executive order for essential workers.  The 16 states are Alabama, Arkansas, Arizona, California, Florida, Georgia, Iowa, Idaho, Louisiana, Mississippi, North Carolina, Nevada, South Carolina, Tennessee, Texas, and Utah. Added 7/2/2020

Travel Advisory effective 6/25/2020  If you are traveling to a state with a known high level of infection, you will need to self-quarantine for 14 days when you return to NJ. This quarantine – effective June 25 – applies to any person, including New Jerseyans, arriving from a state with a positive COVID-19 test rate higher than 10 per 100,000 residents over a 7-day rolling average or a state with a 10% or higher positivity rate over a 7-day rolling average. It is also important to note travel restrictions to other states as well.  Read about the state to state advisories which is important in vacation planning this summer. The governor did state this will not be strictly enforced   Added 6/25/2020.  

New Jerseyans may travel out of state, however, if they travel to a state that matches the above criteria, they should quarantine for 14-days when they return. Testing is available to everyone in New Jersey and is strongly encouraged for those who traveled to areas heavily impacted by COVID-19. To find a testing site near you, visit covid19.nj.gov/testing

Governor Murphy’s timeline to reopen NJ updated 6/25/2020.

NJ Governor Murphy announced on 5/13/2020 that beginning Monday 5/18/2020,  nonessential retailers would be allowed to offer curbside pickup only, while nonessential construction would be permitted to resume with masks and social distancing. Also, drive-through movies and religious services would be available if everyone remains inside their cars, as reported by The Hill. Welcome to the new normal. Added 5/14/2020.

NJ Governor Murphy announced on 5/14/2020 that beaches will reopen for the Memorial Day Weekend as reported by NJ.com.   As of now, beaches and boardwalks across NJ have already reopened but with social distancing restrictions in place.   The governor’s announcement gives standardized guidelines for being reopening.  NJ.com also stated ” Organized games, contact sports, concerts, festivals, and fireworks will be banned, and rides and arcade games will remain closed. But boardwalk restaurants can open for takeout and delivery.”  Beach tag sales will be limited to reduce capacity and he is leaving it up to the individual towns as to what those capacity numbers are. Added 5/15/2020 

Governor Murphy is allowing automobile dealerships and bike shops to reopen today for in-person sales as reported by NJ.com with social distancing being practiced and both parties wearing masks which have become the norm.  New cases continue to slow. It has also been reported by NPR that as people have stayed home, many are buying bicycles for exercise causing sales to boom by 50% in March alone.  Added 5/20/2020.

Governor Murphy said Middle schools, high schools, and colleges can hold commencement exercises as soon as July 6. The state recommends that all attendees wear face coverings and have temperatures checked before being allowed to enter. Added 5/28/2020

Governor Murphy announces today that stage 2 of reopening.   Beginning on June 15, nonessential retail stores in New Jersey will be permitted to have customers in their stores, and restaurants will be able to offer outdoor dining, Gov. Phil Murphy said at today’s COVID-19 press conference. He added that on June 22, hair salons and barbershops will be able to offer services, but that the date for reopening gyms and health clubs is yet to be determined. He also issued guidance on outdoor restaurant dining to begin on June 15th. Added 6/4/2020

NJ Stay at home order has been lifted by Governor Murphy on 6/9 and outdoor dining is commending on 6/15/2020 as reported on NJ.com. Indoor gatherings have been increased from 10 to 25 or at 25% of the capacity of a building.  Houses of worship may resume activities at these current restrictions. Outdoor gathering restrictions have been raised from 25 to 100 effective immediately and Murphy said he anticipates outdoor gatherings may be able to grow to 250 people on June 22 and to 500 people on July 3. Hair salons and barbershops will reopen with restrictions on June 22. Gyms, libraries, museums, and some government offices are also expected to reopen during the stage, though there is no specific timeline yet for those. Plus, child daycare centers in New Jersey can reopen June 15, outdoor, non-contact organized sports can resume June 22, and youth day camps can operate beginning July 6, all with restrictions.

added 6/10/2020

Governor Murphy announces his plan for contact tracing as a way to reduce the likelihood of future Covid19 outbreaks in NJ.  Added 6/11/2020

Here is how it will work:

  • New Jersey will seek to identify people who have been in close contact with an infected person if they were within 6 feet for a period of 10 minutes or more.
  • Contact tracers will then urge those who have been in contact to get tested and urge them to quarantine.
  • The contact tracers will be trained at the Rutgers University School of Public Health and by local health departments.
  • The training will focus on interview skills, which will be “central” to the job, Murphy said.
  • The contact tracers will rely on three objectives: consent, transparency, security, and limits.
  • Murphy said names will be provided by someone who has tested positive, but there will be “no wild good chases” to identify people they were in contact with.
  • He said he expects people will provide information because they’ll be driven by the “common good” of containing the virus. They won’t be ordered to do so.
  • Tracers will ask for names and phone numbers and some other information. They won’t ask for information on Social Security numbers, criminal backgrounds or immigration statuses.
  • Murphy asked people not to confuse such calls with robocalls, saying: “Please answer the phone.”

South Korea is doing contact tracing but the idea of normal is different from what many of us envision in the near term.  Check out this interesting article published in the Financial Times on how South Korea is going about contact tracing and how they are proceeding. Added 6/25/2020

Governor Murphy reopens Massage parlors, Medical Spa’s, Nail Salons, Tatoo parlors and more as of 6/22 as reported by The Patch added 6/13/2020

  • Libraries can do curbside pickup
  • Beauty salons can open on June 22
  • Barbershops can open on June 22
  • Cosmetology shops can open on June 22
  • Day and medical spas (not steam rooms, saunas or shared bathing facilities) can open on June 22
  • Electrology facilities can open on June 22
  • Hair-braiding shops can open on June 22
  • Massage parlors can open on June 22
  • Nail salons can open on June 22
  • Tanning salons can open on June 22
  • Tattoo parlors can open on June 22

Business guidelines include

  • Pre-screening and temperature checks
  • Staff/client pairs must be 6 feet apart unless there are physical barriers
  • Appointment-only service only
  • Masks must be worn

Governor Murphy issues guidance on the reopening of in-person education for regular and technical schools beginning July 1st. He also issued a second order that permits indoor portions of retail shopping malls to reopen to members of the public, effective at 6:00 a.m. on Monday, June 29.  Added 6/19/2020

Governor Murphy backtracks and disallows indoor dining at 25% capacity for now according to CNBC based on what is happening in other states. He is also justifying this move because bars at the shore were crowded without people wearing masks or the social distancing of patrons. Doing this further harms restaurants struggling to stay open with outdoor dining only.   I have had two experiences where it rained, forcing the restaurants to either do takeout or just shut down for the rest of the night.   Having 25% capacity in a state where the numbers have gone down exponentially makes little sense based on other states and bars or restaurants that do not act appropriately should be shut, not all of them.  This is what regulators and police should be doing.  In both instances, rain would have moved us indoors with 25% capacity.  No, we do not want a situation like the one that happened a few months ago but we all must act responsibly to make sure it doesn’t. Shutting restaurants down longer will assure more restaurant failures. Taiwan took a different approach which is less heavy-handed, uses democracy to disarm false messaging, and has kept its restaurants open.   Perhaps we could learn from them.  Check out this TED Talk on digital social innovation. Added 6/30/2020

According to NJBIA (NJ Business and Industry), businesses that conduct indoor instructional activities – such as dance studios, music lessons, martial arts training, gymnastics and arts and crafts, as well as escape rooms and all arcades – will be allowed to open at 25% capacity under established safety guidelines, starting on July 2.  Rules for school reopening have also been added and can be accessed in their entirety here as reported by NJ.com. Added 6/26/2020

Newest updates, Promising Treatments, etc.

There were a dozen or more new treatments being evaluated for virus patients that experience a cytokine storm, which is what kills coronavirus patients as reported by the NY Times.  These treatments will potentially improve your chances of survival. Added 6/23/2020

This commonly used inexpensive steroid helps reduce Coronavirus deaths.  Dexamethasone is the first drug shown to help save severely ill coronavirus patients, according to scientists in Britain. The drug appears to reduce inflammation caused by the immune system, protecting the tissues. In the study, dexamethasone reduced deaths of patients on ventilators by one-third and deaths of patients on oxygen by one-fifth.  Added 6/19/2020

Does the public really need those N95 masks?  N95 masks can be uncomfortable in the warm weather and are more difficult to wear as compared to the regular disposable masks.   A new study from Singapore suggests that N95 masks are most appropriately worn by healthcare workers aw reported by Medpage Today.  The CDC also recommends the same.   While many of us may decide to wear these for more protection, it is not necessary to do so and is not more helpful than a standards paper mask. Added 4/24/2020.

The FDA has just approved the first Coronavirus antibody test.  This is important because we have no way of knowing who has developed immunity in the general populace.   People who do have immunity can be helpful to those who are ill with the disease.  Also, those who are immune can go back to work safely, as Governor Cuomo has said in his daily addresses.  Since we have no idea how many people have developed antibodies who never developed any symptoms, this can also be helpful in understanding the virus.   It is likely that far more people have developed immunity to the virus but this is my opinion, rather than fact.  By testing for antibodies, we can have a better understanding and perhaps, a way forward to getting more towards normal.  Check out the NY Times article. Added 4-6-2020.

Newsweek also reported on this and you can read about it here  Also, there are new antibody tests that are not fully FDA approved which companies can purchase however these tests may not be that accurate according to Fast Company magazine.  Time will tell as these new tests become more widely used by companies wishing to get back to normal. Added 4/9/2020.

Can you trust that antibody test?   The NY Times investigated a number of these tests of which, only a few have been shown to be reliable.   Check out the article Added 5/5/2020. The Verge recently added this article regarding antibodies, how they work and the current problems questioning the reliability of antibody testing Added 5/31/2020.  The current question is that if we develop antibodies, shouldn’t we be immune?  This brings about a much larger issue of proper nutrition and the quality of the food we eat.  Bill Mahr in his show Real-Time actually summed it up really well in his monologue at the end of his HBO show which mirrors what I have been saying all along; you put yourself at risk with poor health habits which includes nutrition.   Unfortunately, many who are on the lower end of the income spectrum eat poorly, are more likely to have metabolic syndrome which includes diabetes, cardiovascular problems, and such.  A nurse who was on the front lines of this last week told me the people who had the largest problems she saw were Hispanic and diabetic. Added 5/31/2020

Blood plasma from Covid19 recovered patients is helping other patients recover in three days according to Dailywire.com. Known as convalescent plasma (CP) therapy, the treatment uses blood from recovered patients. Ten COVID-19 patients in China who were severely ill were given a dose of plasma donated from survivors of the virus, which had the antibodies necessary for their immune system to fight off the virus.

“All symptoms in the 10 patients, especially fever, cough, shortness of breath, and chest pain, disappeared or largely improved within 1 [day] to 3 [days] upon CP transfusion,” said the study, published in a respected journal called the Proceedings of the National Academies of Sciences.

This is remarkable since it is a potential cure for those hospitalized with the virus.   Added 4/8/2020.  More recently, the NY Times reported that the current research suggests that “treatment with antibodies from recovered patients may modestly help recovery and survival, scientists reported on Friday. Added 5/28/2020.

According to Medline, almost 90% of all covid19 hospital admissions are for those with co-morbidities which are underlying conditions.  The most common is hypertension (High Blood Pressure) followed by obesity, lung disease, diabetes and cardiovascular disease.

The drug Remdesivir has been approved by the FDA for the treatment of Covid19. According to the Star-Ledger, NJ will receive 4400 vials of the medication. Read more in our latest updates section. 5/10/2020. The research behind Remdisivir which was a failed drug for the treatment of hepatitis and ebola shows it reduced the hospitalization times for Covid19 patients by three days according to the NY Times. It has emergency use approval only and has not been formally approved by the FDA otherwise. Added 5/28/2020

Ventilators may be the wrong medicine for Covid19, as doctors find out that most people who are on them either die or have cognitive deficits.  Doctors are still using them but they are quickly realizing that the virus has a different effect on breathing and the lungs and these machines may be making matters worse.  Doctors are communicating this knowledge and are changing their approach to treatment.  Check out the article in the NY Times added 4/26/2020.

Small Chloroquine Study Halted Over Risk of Fatal Heart Complications – As reported in the NY Times, this anti-malarial drug touted by Donald Trump has been found to cause heart complications in a study performed in Brazil.  The study was recently halted. added 4/26/2020  A second larger study shows that Hydrochloroquine in hospitalized COVID-19 patients were associated with increased risk of death in the hospital and higher rates of arrhythmias, analysis of outcomes in nearly 100,000 patients indicated as reported by Medpage Today. Added 5/24/2020

How Clean is Clean? Covid19 has us cleaning everything but do we need to?   Sure, Coronavirus is scary especially from the current information although, most people are fine after infection.  Check out this article from the NY Times regarding Coronvirus and what it can attach to. Added 5/5/2020

New Protocol for hospital-based treatment may be close to 100 percent effective and uses steroids to help the patient recover according to this expert witness.   This is opposite what was reported a month or two ago that steroids may actually be worse.  This medical witness says they are in the process of publishing their latest data which can change the course of treatment since their protocol did not use respirators to get the results.   This may be a game-changer for those who become ill, but this story is still developing.  During this hearing, they also gave the current statistics country by country.   This is based on the data collected.  Sweeden has more deaths however, their economy has been left open. Also, the data shows that this is deadlier than the flu.  For the latest data and science behind it, please watch this videohttps://www.hsgac.senate.gov/covid-19-how-new-information-should-drive-policy.  

Pierre Kory, MD, MPA Medical Director, Trauma and Life Support Center Critical Care Service Chief Associate Professor of Medicine University of Wisconsin School of Medicine and Public Health reported on a treatment protocol that works without the use of respirators.  Their approach included

Front Line Covid-19 Critical Care Working Group “MATH+” PROTOCOL:
All three medicines must be started within 6 hours of admission to the hospital:
1) METHYLPREDNISONE – a powerful anti-inflammatory drug that we use to suppress the
immune system and prevent organ damage. COVID-19 is causing a condition called the
“cytokine storm” for which this drug, a corticosteroid, is the standard recommended
treatment accepted around the world.
2) ASCORBIC ACID– although known as Vitamin C, when delivered intravenously, this
substance acts as a powerful “stress hormone” that controls inflammation and prevents the
development of leaky blood vessels in the lung, thus avoiding the development of lung
failure which is the condition causing death in almost all COVID-19 patients.
3) HEPARIN – COVID-19 is causing widespread blood clotting, preventing blood flow to vital
organs such as the brain, lungs, and extremities. Heparin is a blood thinner that prevents
the formation of these blood clots and thus preserves blood flow to these vital organs. We
recommend the subcutaneous form of heparin, called enoxaparin, which has a long safety
record and is easy for nurses to administer.
4) OXYGEN SUPPORT – In addition to the 3 medications listed above, we have found that
maximizing the use of high-flow nasal oxygen delivery devices allows the avoidance of
invasive mechanical ventilation, which itself damages the lungs and is associated with a
mortality rate approaching nearly 90% in some centers. Added 5/11/2020

Vaccines are in development.  A new technology using RNA  or DNA according to Bill Gates from his personal blog suggests a viable vaccine may be here sooner than 18 months as suggested by DR. Fauci.  I suggest reading this as it discusses vaccines, the good and the bad, and how the scientific community is working on this right now.   He suggests that a vaccine that is at least 70% effective or more will have us achieve herd immunity.  From what I know and understand about herd immunity, a broad infection may get us there first although the virus is mutating and may allow it to infect us more than once.  Most of this is speculation at this time so time will tell.  Right now, we need the best path to finding normal.  May the best and fastest path win. Added 5/8/2020

Symptoms of Corona Virus (covid19)

WebMD has a good summary of Covid19 symptoms compared to a common cold or flu.

According to WebMD, there was a recent World Health Organization analysis of more than 55,000 confirmed cases in China. Here are the most common symptoms and the percentage of people who had them:

Fever: 88%
Dry cough: 68%
Fatigue: 38%
Coughing up sputum, or thick phlegm, from the lungs: 33%
Shortness of breath: 19%
Bone or joint pain: 15%
Sore throat: 14%
Headache: 14%
Chills: 11%
Nausea or vomiting: 5%
Stuffy nose: 5%
Diarrhea: 4%
Coughing up blood: 1%
Swollen eyes: 1%

COVID-19 is a lower respiratory tract infection, which means that most of the symptoms are felt in the chest and lungs. That’s different from colds that bring on an upper respiratory tract infection, where you get a runny nose and sinus congestion. Those symptoms seem to be mostly absent for people with COVID-19, though they’re not unheard of.

The good news is that in China, most people who have gotten sick — about 80% — have had mild to moderate symptoms.

You can read more here.

Other symptoms that have been in the news lately are a loss of taste and sense of smell.  While this could be with many types of viral colds, this seems to be a symptom even those with mild or no other symptoms re now having.  For more info, check out Time Magazine. Added 3/25/2020.

The CDC just added these symptoms that will occur between 2-14 days of exposure to Covid19 which include getting chills, or repeated shaking with chills, muscle pain, headache, sore throat, or a new loss of taste or smell as new symptoms of the coronavirus. People having trouble breathing, suffering persistent chest pain, or blueish lips or face should contact their doctor. It is important to note that it is estimated that 80% of those exposed may have few if any symptoms so exposure does not mean you will exhibit symptoms of Covid19. Added 4/27/2020.

Some Viral facts from Johns Hopkins someone just shared. With all the information overload we have had lately, this offers some helpful facts. (added 4/4/2020)

Johns Hopkins University,  sent this excellent summary to avoid contagion

I share it with you because it is very clear:
* The virus is not a living organism, but a protein molecule (DNA) covered by a protective layer of lipid (fat), which, when absorbed by the cells of the ocular, nasal or buccal mucosa, changes their genetic code.  (mutation) and convert them into aggressors and multiplier cells.
* Since the virus is not a living organism but a protein molecule, it is not killed but decays on its own.  The disintegration time depends on the temperature, humidity, and type of material where it lies.
* The virus is very fragile;  the only thing that protects it is a thin outer layer of fat.  That is why any soap or detergent is the best remedy because the foam CUTS the FAT (that is why you have to rub so much: for 20 seconds or more, to make a lot of foam).  By dissolving the fat layer, the protein molecule disperses and breaks down on its own.
* HEAT melts fat;  this is why it is so good to use water above 25 degrees Celsius for washing hands, clothes, and everything.  In addition, hot water makes more foam and that makes it even more useful.
* Alcohol or any mixture with alcohol over 65% DISSOLVES ANY FAT, especially the external lipid layer of the virus.
* Any mix with 1 part bleach and 5 parts water directly dissolves the protein, breaks it down from the inside.
* Oxygenated water helps long after soap, alcohol, and chlorine, because peroxide dissolves the virus protein, but you have to use it pure and it hurts your skin.
* NO BACTERICIDE SERVES.  The virus is not a living organism like bacteria;  they cannot kill what is not alive with antibiotics, but quickly disintegrate its structure with everything said.
* NEVER shake used or unused clothing, sheets or cloth.  While it is glued to a porous surface, it is very inert and disintegrates only between 3 hours (fabric and porous), 4 hours (copper, because it is naturally antiseptic; and wood, because it removes all the moisture and does not let it peel off and disintegrates).  ), 24 hours (cardboard), 42 hours (metal) and 72 hours (plastic).  But if you shake it or use a feather duster, the virus molecules float in the air for up to 3 hours and can lodge in your nose.
* The virus molecules remain very stable in external cold, or artificial as air conditioners in houses and cars.  They also need moisture to stay stable, and especially darkness.  Therefore, dehumidified, dry, warm and bright environments will degrade it faster.
* UV LIGHT on any object that may contain it breaks down the virus protein.  For example, to disinfect and reuse a mask is perfect.  Be careful, it also breaks down collagen (which is protein) in the skin, eventually causing wrinkles and skin cancer.
* The virus CANNOT go through healthy skin.
* Vinegar is NOT useful because it does not break down the protective layer of fat.
* NO SPIRITS, NOR VODKA, serve.  The strongest vodka is 40% alcohol, and you need 65%.
* LISTERINE IF IT SERVES!  It is 65% alcohol.
* The more confined space, the more concentration of the virus there can be.  The more open or naturally ventilated, the less.
* This is super said, but you have to wash your hands before and after touching mucosa, food, locks, knobs, switches, remote control, cell phone, watches, computers, desks, TV, etc.  And when using the bathroom.
* You have to HUMIDIFY HANDS DRY from so much washing because the molecules can hide in the micro cracks.  The thicker the moisturizer, the better.  * Also keep your NAILS SHORT so that the virus does not hide there.

What Covid19 does to your body – how it infects you added 4/20/2020

Why are we wearing masks; what is the incubation period, what causes pneumonia and autoimmune symptoms from the worst cases known as the cytokine storm? This article answers these questions and more.  Check it out in the article from USA Today .

Where to get tested Updated 4/18/2020

While New Jersey has opened testing centers, the lines have been long.   To have a better understanding of who is having symptoms of Covid19, if you are having upper respiratory symptoms and a loss of smell and taste which is related to the virus, you should get tested.   It was just reported the CVS as well as Walgreens will be offering a drive-in test that offers a fast result as reported by CNBC. They will be using the newer Abbots test that offers results in minutes and the tests are self swab meaning they hand you a swab to take the sample yourself.   This should help improve how we scale testing in NJ and other states. Locally, free testing is now available in Union County at Kean University  as well as in Middlesex County at the Edison  Kilmer drive through Automobile inspection center which is using the nest test developed at Rutgers University.

Some updated recommendations from the ANJC, our state chiropractic association include

  • Typical Symptoms – Cough, fever, and shortness of breath may appear 2-14 days after exposure.
  • Voluntary Home Isolation – Stay home when you are sick with respiratory disease symptoms. At present, these symptoms are more likely due to influenza or other respiratory viruses than to Covid-19.
  • Respiratory Etiquette – Cover coughs and sneezes with a tissue, then throw it in the trash can.
  • Hand Hygiene – Wash hands often with soap and water for at least 20 seconds when you first come in from public spaces, after going to the bathroom, before eating and after blowing your nose, coughing, or sneezing. If soap and water are not readily available, use an alcohol-based hand sanitizer with 60-95% alcohol.
  • Environmental Health Action – Routinely clean/disinfect frequently touched surfaces and objects.

General Recommendations for patients and health professionals from the World Federation of Chiropractic

Regularly and thoroughly wash your hands with soap and water or alcohol-based hand
cleaner.
Maintain at least 1 meter (3 feet) distance from anyone who is coughing or sneezing.
Avoid touching your eyes, nose, and mouth.
Follow good respiratory hygiene. Cover your mouth and nose with your bent elbow or
tissue when you cough or sneeze. Dispose of the used tissue immediately.
Clean surfaces with disinfectant.
Avoid unprotected contact with farm or wild animals.
Within health care facilities, enhance standard infection prevention and control practices
in hospitals, especially in emergency departments.
If you feel unwell, stay at home and isolate for at least 14 days.
If you develop fever, cough, and difficulty breathing, seek medical advice promptly as this
may be due to a respiratory infection or other serious condition. Call in advance and tell
your provider of any recent travel or contact with travelers.
Stay informed on the latest developments about COVID-19. Follow the advice given by your
healthcare provider, your national and local public health authority or your employer on
how to protect yourself and others from COVID-19.

Can a UV lightbox kill coronavirus (added 4/1/2020)?

Today on the nightly news they mentioned using a lightbox can sterilize packages and your phone effectively.  Of course, there are many items on Amazon which have shipping dates into late May or June so ordering one from there will be of little value. Our blog reported that many hospitals are using UVC which is normally filtered by the ozone which can kill cells.   It is said that it will not damage human tissue although another article I read said it can burn the skin more quickly than the normal sun can.   These boxes mostly use UVA or UVB to sterilize things but at this time, there is little proof of these boxes being an effective way to sterilize items delivered in the mail or coming from the store.   You can sterilize your phone and car keys with these devices but will they make a difference?

Most of the numbers we hear lately are based on who has been tested in the USA which at this time are only those who are the illest.  We can learn from other countries who are already affected. The country that is battling the infection right now is Italy whose population is generally older than the USA and is most likely to be at higher risk.

The infection has likely been with us for months now, without being noticed since it may have mimicked a typical virus for many people earlier this year.

The effect of covid19 is upper respiratory and the pneumonia cases are more common in those who were already ill or have compromised immune systems.

How to be proactive.

You can be proactive, as we are by doubling down on sanitizing surfaces between patients and doing our part to make sure that our offices are safe environments for chiropractic health care.

Being proactive for your health is simply good practice. While sanitizing can reduce the possibility of infection, it is important to know that overdoing it reduces the response of your immune system as well. Exposure exercises and strengthens your immune system and its response to all sorts of viruses and bacteria which helps you fight infection.  For now, be vigilant but do not make over sanitization a lifestyle when this problem has abated.

Also, realize as spring materializes, so do allergies which may also affect how you feel. There are also many other viruses that may make you feel ill but have different symptoms and are of shorter duration than most covid19 infections.

Things you can do naturally to help your immune system fight infection can include;

This is a small lower quality study (pdf attached, pre-print) that suggests Vitamin D may be very useful against the coronavirus, in summary: Added 4/29/2020

  1. This suggests a correlation between historical and post-admission vitamin D levels and the severity of COVID-19 infections.
  2. 95% of the mild cases had vitamin D levels of 30 ng/ml or more.
  3. 97% of ordinary cases were above 30 ng/ml.
  4. 95% of the severe and critical cases were in the 20-30 ng/ml range.
  5. The risk of death for the 20-30 ng/ml group was 12Xs that of the group over 30 ng/ml.
  6. The risk of death for those under 20 ng/ml was 20xs greater.
  • Selenium is important for a properly functioning immune system.  A safe upper limit is 400 micrograms.
  • Reducing inflammation which is itself a recognized cause of disease and taxes the immune system.   The Deflame pack available in our office taken daily can help reduce inflammation through turmeric, ginger and omega 3 supplementations.  The packet makes this easy although you can find these elements elsewhere.
  • Fever reduction. Avoid ibuprofen which makes this worse. a cool bath or shower is another proven method. Acetaminophen appears to be safe
  • Deep Breathing; If you do become infected, the virus makes it more difficult to breathe. Taking slow deep breaths during any upper respiratory infection can help improve how we oxygenate the body. It will also help reduce secondary infections that normally sit in the lower parts of the lungs.  Deep slow breathing is also less likely to make you cough.
  • CBD oil that is dosed sublingually– This is a powerful antioxidant and can help reduce inflammation, which may improve a viral infection.  Consider taking this if you begin to feel ill.
  • Zinc is naturally anti-viral and is commonly taken as zinc tablets. added 5/2/2020.

While these are not clinically proven cures, they have anecdotally been used to shorten the duration of a viral cold and may help you resist viral infection.  Do these things proactively and improve your ability to fight viruses and other colds naturally.

Some good news, people are cooking more from scratch as reported by the NY Times who stated that more cookbooks are now selling to a sheltered public.  By cooking yourself, and avoiding the lines at Trader Joes, you have control over what is in your food.  Added 4/26/2020.

Commentary on proper nutrition for proper immune function from Dr. C Added 4/23/2020

More recently, we now have statistics that show the following: Results reported on two recent studies from investigators at Stanford released April 17 and USC released April 20, suggest our current public health strategy may be missing the mark. This two serology (antibody) testing studies conducted in Santa Clara and Los Angeles Counties, suggest the estimates of the number of people infected by the coronavirus are 50-85-fold more than the number of confirmed cases. This is because the great majority of the normal population with normally functioning immune systems have no symptoms, their bodies are handling the infection. April 2, 2020, British Medical Journal article confirmed 78% of those infected have no symptoms, the World Health Organization reported 80% of infections are mild or asymptomatic. The Stanford and USC studies estimated the infectious mortality rate at 0.1% – 0.2%, in the ballpark of seasonal influenza.

This tells us that while the infection is serious, as I have been saying for at least a month or two, that 80 percent of the population has had few if any symptoms or quickly developed an immunity.   Is our health strategy of isolation correct?   Should we instead be advising people on lifestyle changes since those who are most affected had other health problems such as asthma, obesity, diabetes, high blood pressure, lung problems which are mostly lifestyle problems?  Is it any wonder these are the most vulnerable people? With restaurants closed and farmers dumping milk products, perhaps our future policies should be toward proper nutrition, exercise, and better lifestyle activities as the president sets an example for proper eating, cooking things from scratch. The list above are things you can do to boost immunity by improving your immune systems ability to fight viruses.  Sure, antibody tests are important but ultimately, we may be as healthy as what we eat.  A future vaccination may be helpful but wouldn’t natural herd immunity be more helpful?  Sweeden is doing a social experiment right now where they did not do a total lockdown.   While we have no way of knowing if this is a better approach, we will find out soon.

For now, some promising news is coming from hospitals using the antibodies taken from recovered patients.  Apparently, people given those antibodies are quickly recovering from the severe symptoms that brought them to the hospital in the first place.   For clarity right now, we need more testing and no, there is not a test available for everyone at this time but the governor is working on increasing the testing capacity available right now.

Sneezing into the elbow can help reduce the transmission however, we do understand that many people will quickly develop immunity and fight off the virus.  Until a vaccine or a proven treatment comes along, strengthening our immune response for our families is smart medicine.

While this moment is scary for all of us, be smart, be proactive and while the CDC has developed its protocols for reducing transmission (see our state associations official position which is based on the CDC above, you can adapt your additional measures to reduce the likelihood that you or a member of your family will become ill.

There are tons of viruses we are exposed to daily, but few can reach pandemic proportions as this one does because of how asymptomatic people may infect others. Worse, t is zoonotic which means it came from the animal kingdom.  The work that was done by Dr. Judy Mikovits who you can explore earlier in this blog may offer an explanation as to why this has occurred creating this novel (new) virus.

Things we are doing in both of our offices to improve hygiene and reduce the spread

Chiropractors in NJ are considered essential services. We are taking extra precautions while treating those in need in our offices which include:

  • Using gloves
  • disinfecting all surfaces.
  • Separating patients by the recommended 6 feet as best as possible in the offices.
  • Spraying and cleaning all surfaces including treatment tables between patient visits and sanitizing chairs, etc.
  • Asking anyone who has a fever or any typical symptoms to stay home.
  • Checking your temperature when you visit the offices.
  • As of now, we have reduced hours and have individual appointments available in our Scotch Plains office.

By practicing proper hygiene, and making sure your body is functioning optimally, you and your loved ones will stay healthy through all of this and it will be one for the history books later this year.

As always, we are here to help from a chiropractic perspective and I am always available to you, our patients.

Sincerely,

William D. Charschan D.C., I.C.C.S.P.

P.S. Some new approaches that are being explored include the use of vitamin C as mentioned in the Things you can do naturally section.  The doctor who used a similar approach to the one used in China says there were improvements with patients who were given high dosages of the vitamin, something we have recommended for years to shorten the course of an illness.   Governor Cuomo in his address to the state suggested the idea of developing an antibody test for those who are well to see who is immune and send them back to work which was reported in MDLinx, an online newsletter.  The article also mentions other treatments and vaccinations that are being evaluated to treat or prevent infection.  (updated 3/26/2020)