But the story of the meeting began to unfold rapidly in the other direction. First, the main epidemiologist of Ministry of health of Russia, academician Nikolay Briko harshly outlined honest and frightening portrait of the virus itself: the index of contagiousness seems to be low, that is, one case infects 2 to 4 people – it’s not the measles, which one person passed an average of 12 others. But a newcomer multiplies in the lungs much more than his grandfather – the SARS virus sample 2002-2003. Moreover, entering into a man, he two days do not submit life signs – does not produce signal molecules. Unlike other SARS, half of cases has no symptoms, that is, feels completely healthy, though their light, he already eats. And the person remains infectious, even when he recovered and was discharged from the hospital.
moreover, where it is seen that the respiratory virus was transmitted by airborne droplets, contact and oral-fecal path at the same time – a hybrid of the common cold, diarrhea and dirty hands. And in the environment long live atypical for respiratory viruses. And clinical forms has so many that it is time to take it to a new class of virus affects the lungs, heart, blood vessels, hematopoietic system, kidney, nerves and, apparently, much more. Finally, for some reason, kills twice as many men than women. How can you not believe the conspiracy theorists that it was created as a military virus to destroy the army of a potential enemy. Only here it is not clear how he will be able to distinguish the enemy from his own soldier… So this is a fantastic plot of the academicians was not carried away because of their complete idiocy.
But the conversation took a military turn. Because our army has mobile hospitals that can be deployed in 4-6 weeks, and inflatable modules, can become a receiving and sorting items for the affected by the virus (so set the goal of military medicine is still the great Pies). And there are mobile oxygen stations, each of which is able to provide oxygen patients up to 12 hours, and reported to colleagues the General-major of medical service, academician Yuri Sherbak. And most importantly – have experience in rapid deployment and staffing of the hospital complex on the basis of Lenexpo.
Finally, our native army has a medical fleet, and its ships are able to moor to the shore, which are converted into the reception of patients with the coronavirus of the hospital, take hundreds of infected people and provide them with adequate treatment. But instead, hospital ships ply the seas, and qualified medical officers of different ranks languishing, doing a sore throat, and diarrhea are a few of the sailor. Remained really unclear why it’s our peoplein uniform and flew off to save Italy, but has not risen in line with choking literally and figuratively civilian counterparts. But they are monstrous losses: according to the who infected with coronavirus to 20 percent of the medical staff. And according to our NGOs, Russia has already lost this war 70 physicians.
– All in anticipation of the vaccine for coronavirus, and I personally would be happy and proud if it happens. But the task is difficult, and when it will be solved, I don’t know. And I want to remind you that, despite invested a lot of money, attempts to develop vaccines from its predecessor – the virus of atypical pneumonia (SARS) – failed – cooled colleagues-academics and head, Department of Microbiology, Virology, immunology, First MSMU n.a.Sechenov, academician Vitaly Zverev.- And the results were such that they did not even publish. Therefore, we must first develop a means of protecting patients.
the Academician recalled that the virus acts on innate immunity and may lead to the death of people who have chronic diseases of different organs and systems. After reading a small but difficult-writing a lecture about how innate immunity works and how is the acquired immunity against the specific pathogen, Vitaly Zverev, however, said that scientists understand something, how can you approach the creation of a new vaccine against coronavirus. But better still enable your own immune system. And offered for certain groups to use already developed in our country, therapeutic bacterial vaccine”, and Immunobac ВП4″.
At least, mice, grafted by it, has survived after a lethal injection of bacteria up to 5 days. It protected mice from lethal influenza. The vaccine was developed against unknown infectious agents and their combinations, and can protect the cells in which the virus is going to infiltrate. And often ill with different infections of children this vaccine reduces the number of episodes several times. Perhaps she will be able to protect against coronavirus, suggested the academic. While it is a subcutaneous infection and drops, but you can make a spray that actually will block the virus entrance into the body.
Mr. Zverev also categorically dispelled allegations that the anti-COVID-19 effective vaccination of BCG and polio vaccine, but expressed confidence that a new vaccine needs to be alive. That is, it must be created on the basis of this coronavirus, though weakened, not to combine only some of its genes, as is customary in recent years the ideologists of recombinant vaccines. Of the readers who remember the live vaccine a flu vaccine that once injected into the nose to all Soviet scholars, making his claim on merit.
Unusually��th and mystery of coronavirus was confirmed by the chief freelance pulmonologist of Ministry of health of Russia, corresponding member of RAS Sergey Avdeev. For example, a virus cannot be seen on x-rays of the lungs. And for the first time, doctors are faced with pneumonia with no symptoms. He stressed that so far medicine has an antiviral therapy. The treatment, which is now used throughout the world (the combination of several antimalarial and antiviral drugs) based only on a single small study on 36 patients. And no one clinically endpoints (information about the outcome of the treatment) in this study was not cited, and it itself was not conducted according to the rules of such works. And why is it that it has become a guide for the whole world, gently exclaimed the chief specialist.
we Can only guess that Mr. Avdeev wanted to say but couldn’t. And it is likely that in “peace time” for such things any doctor would not only be removed from practice, but also to send to hell. And that this “straw” in a sea of coronavirus – the best proof that the world science is on this issue in full out. But aloud he said that the current therapy will, most likely, not even through the months and through the years. And praised the idea of the Chinese to use the blood plasma of survivors to rescue the most difficult: isolated from her antibodies allow in some cases to improve their condition. However, called it a miracle.
unique Situation – anesthesiologists-resuscitators always worked together with surgeons, and now they are at the forefront and are the treating physicians of patients with COVID-19 – such in the history of medicine has not been reported corresponding member of RAS, Director of scientific research Institute of emergency care. Sklifosovsky Sergey Petrikov.
sklif one of the first was found with severe coronavirus infection. About 50 percent of patients require observation in the intensive care unit. The Institute was first, 22 intensive care ward, after a week of repurpose another floor, and now there are 37 and 65 intensive care hospital wards. But this is not enough, in Sklife pereprofilirovanie two more floors, then it becomes 67 35 intensive care units and hospital wards. Doctors are faced with the fact that some patients develop damage to the heart muscle, kidneys, from other hospitals, to translate it patients joined with bacterial infection, almost total defeat of the lungs.
In search of ways of rescue of critically ill patients here use experimental methods. For example, ventilation, helium-oxygen mixture is an inert gas helium is the driver for transport of oxygen in the affected lobes of the lungs, and patients have noted positive effects. In the same vein, use of resuscitation bar��camera, but so far these methods have not given a clear scientific assessment.
Said Mr. Petrikov and how hard doctors work. The PPE hot, hard to breathe in the respirator, misted glasses, but valiant our doctors cope, not complain. Any aerosol treatments and manipulations are risky for staff. Many patients, for example, it is necessary to perform a tracheostomy (insert a breathing tube into the trachea), and this manipulation is particularly dangerous, as the treatment of respiratory cough flies with great speed and range. So there are some additional means of protection – shields, and special masks.
Said the Director of Sklifa and the mysterious pron position is when a patient with pneumonia lying on stomach. It turns out that this simple technique allows you to tap into those parts of the lungs that is usually when breathing are not used.
But he seemed surprised the question of the Vice-President of RAS, head of unit biomedical Sciences OMN RAS, academician Vladimir Chekhonin. He said that he had a conversation with the head of the company “Basic element” Oleg Deripaska, who have expressed a desire to help the Sklif in the development of methods of treatment using the plasma of recovered patients. “We help, always and only!” – exclaimed, a little, to put it mildly, puzzled Mr. Petrikov. And who would be in his place not surprised?
But then took the word of the General Director of the Federal center of physico-chemical medicine, the academician Vadim Govorun and drew the attention of colleagues that the information on the re-infection of coronavirus that appeared in foreign sources, it is unlikely. Most likely, speech can go about the chronic process. And this, actually speaking, the sensation! Not heard before about respiratory viruses that become chronic disease.
But academic talker continued, already with the appearance of SARS, it became clear that the picture for the diagnosis very difficult. For example, it is unclear how the virus enters the bloodstream. The need to establish adequate diagnostic palette for practitioners, to make a single Protocol of management of patients. And now all vying to create the test system. And do we have reference laboratories that tested them and determined which should apply and which are not? But more importantly – to be a unified strategy of mass testing. And he explained: the doctors took the first blow, now it’s up to scientists, science needs to find the answers to all these questions.
Academics become sad – the challenge stood before them in all its hellish nudity. Of course, they expressed full optimism and confidence in the final victory over COVID-19. However, today, it seems, about the same distance as from Borodino to Paris. But hopefully, zhechü Moscow all-taki is not necessary.
