This spring, as in 2020, in Russia and around the world, was never. The isolation and restriction of movement was accompanied by disturbing news about the growing number of cases and intractable symptoms of coronavirus infection. All this is expected made people more attentive to their health and hygiene. Now more and more often hear the opinion that the pandemic coronavirus will forever change our lives. What are the changes and whether there is in them something good, “the Tape.ru” in the framework of the special project “the World will never be the same” said the doctor of biological Sciences, Professor of the Department of Virology of biological faculty of Moscow state University Alexey Agranovsky.
the “we Have a population docile and undisciplined”
of What are the habits acquired during the pandemic coronavirus, would you recommend to leave permanently?
the Alexey Agranovsky: I think my recommendations is unlikely that anything will change, but, again, I think people should be more focused in terms of health. And if this habit will be good. You should be able to pay attention to detail. It is generally helpful to public life.
Understand human society, the important two ingrained habits: discipline and obedience. Are two different things. Here we have the population, I think, obedient and unruly. In Germany, obedient and disciplined. And in Greece, for example, unruly and undisciplined. This is a different properties that are specific to certain countries, and after the epidemic will change the intensity of these properties in the societies.
the And what better than that? In Germany as in Greece or in Russia? From the point of view of epidemics.
Of course, as in Germany, the better. But, you know, any of the properties is not accidental in human society. Gaining something, every society at the same time lose something. I listed the properties of even and train, but they are a long time there. All this does not mean that they can radically change. It is a profile, or what is that called in English (and more frequently used in Russian scientific papers) pattern, a pattern of behavior.
That is declared — isolation- and all went to a barbecue. On the other hand, imposed penalties — and the people did not protest. This is the obedience and indiscipline. The government’s telling us something, but we kind of skipped it by ear. But, on the other hand, and do not want to get involved, because his time is more expensive. It is a pattern of behavior.
Having such a template, we, the ordinary people, the inhabitants of our country, something to gain, but what we can lose in comparison with other countries. On the other hand, the position of “Ordnung muss sein” (“order must be respected” in the PErevote from German) — at first glance, the perfect, but it’s actually not perfect, because it deprives society of the necessary artistry, sloppiness, that is something that can have its advantages.
Well, strains of flu all the time disappear. Die do they? You could say that. They each year, or the year after new, because the genetic information of the influenza virus consists of eight segments. Roughly speaking, we’ll have information in the form of hard disks, consisting of deoxyribonucleic acid (DNA). This is a huge volume. And the virus is a USB flash drive. You know? The flu virus has eight little flash drives. If two strains of influenza virus infect a single organism — a bird, for example, or an animal, there can be a reshuffling of these flash drives. The result will be a new strain with new properties. And every year, or the year after, when the new pandemic, the organism learns to cope with the new strain, and this version is removed from nature. I do not know a hundred percent or not, but at least it becomes relevant.
Over time, the formation of new strains. Some of them are constantly portrayed in migratory birds, domestic birds, and other warm-blooded, and so they all the time are dangerous.
It is a devastating and terrible disease, but the world health organization (who) not long ago discussed the topic of complete destruction of the smallpox virus. And indeed, we can assume (simplifying) that he had disappeared.
So the epidemic of mass lesions is a perfectly normal and natural thing. And then the virus disappears. It should not be surprising.
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of what do you think, can improve medical diagnostics as a result of this epidemic of coronavirus?
In principle — no. I don’t see new approaches in this area. Diagnostic methods have been, and remain two main types. First, this is a quick analysis of the presence of the stick, which I have mentioned, ribonucleic acid (RNA), is a polymerase chain reaction and reverse transcription. To not scare anyone, I will explain. This methods when the smear is taken, it stands the total RNA, and then just a quick test determines there RNA of this strain of the coronavirus SARS-CoV-19-2 or it is not.
Second, there are tests for the presence of antiviral antibodies in the blood of people. These tests help to identify who was a carrier and still retains the antibodies in the blood, and who was not.
Both tests are important, but they have been known for a long time. EndOh, they modifierade each time for a given pathogen. Matched conditions, tests of the standard try to do that as little as possible it was false positive and false negative results — both bad. But the principles remain the same, and I don’t see anything qualitatively new.
the You are told about, so to speak, qualitative approach. Do you expect that will be a better implementation?
Yes, of course. This whole situation can be seen as training for a possible future (God forbid!) more serious testing. This system is now adjusted: to do more tests, do them more precisely, to develop faster. Plus the system is adjusted administratively.
Fried rooster from time to time kept quiet, but now swallowed. And all of these systems force us to rethink the administrative measures of the recent past — for example, optimization of health, the destruction of medical institutions infectious hospitals. Actually still was under attack and research institutions in our country. I think it should be reconsidered. People need to work and to be ready.
It is possible the lessons, and would love to have been learned by those who make decisions.
of how do you think the pandemic will contribute to the fact that officials will be removed from doctors the extra paperwork? That doctors it is overloaded, saying time and again…
I’d like, but I don’t know. Human society all the while learning, but it learns unevenly. In some ways it can learn, and in this particular issue this administrative chaos can still keep their positions.
of the epidemic of coronavirus is often compared to the Spanish flu pandemic, which was almost exactly one hundred years ago. Correctly whether this comparison? As the pandemic has changed the world and medicine?
In my opinion, you can compare everything with everything, but the pandemic was significantly more destructive. The numbers of victims are quite different, including if we compare them with forecasts for COVID-19. So many victims will not. Why is this happening, I can not say for sure.
Everyone knows that any viral pneumonia accompanied by development of bacterial infections. I heard (can’t neither deny nor confirm) that the Spaniard was accompanied by the development of particularly vicious bacterial lung infection. Now all this is difficult to verify, but we will consider it a working hypothesis. It could be. Here is a comparison may be correct.
the is it Correct at all to say that epidemic and other shocks such as major wars move medicine forward?
Yes, I think that’s true. This kind of turmoil possible. They are forced to look differently at things, to organize the medicine, to think over some more then��governmental methods and more accurate schemes, as these methods are fast to deploy. If in this situation we can speak about a positive effect in this you can see it.
of what do you think, will they learn global medicine do to prevent such spread of the epidemic, as it is now, or it is in principle unattainable task? Because China seem to have managed if the numbers don’t lie…
This is a very difficult question. I think radically to cope with future pandemics impossible. That every time a new situation, and the fact that every time burden of the pandemic is freedom of speech. It is a paradox, but I’m talking about: freedom of speech and protection of information, certainly important, but also a very important protection information. And now, with the development of the Internet, it is very important.
As you will not kiss roshanali who stopped you on the street to check their documents, so you should not disseminate unverified information, because the constant background of increased attention (unwanted, I believe) to this problem without special knowledge and in the absence of guidance (because many people don’t know who to believe, and believe all in a row) is very, very bad. It always accompanies a pandemic strikes and even physical harm because anxiety is reduced immunity.
The person must be focused, focused on their loved ones, their development, and even in a difficult situation should be balanced judgment, reposts, likes and, anxiety and so on.
Well, in the future of the pandemic is possible, and protect yourself from them, I think, impossible. It is now evident, that is, in hindsight, that China worked well. Though, perhaps, some administrative overlap, but they managed to stop this epidemic, we assume. So is the case at the moment. We don’t know yet reliably on the possibility of re-infection and resistance of the immune system, but so far it seems everything was done correctly. This is a good example, and this is a forecast for other countries as it may be, if the government is doing everything more or less correctly. Well, with minimal mistakes.
the “I applaud the measures where the government relies more on citizens”
of What are the government measures to combat the spread of coronavirus you welcome and which are not?
I applaud the measures where the government relies more on citizens. Restraint, isolation — all these words imply that the people themselves have to realize that it is necessary to limit your contacts once went to such a danger. But fine, Yes, and in this volume, when our salaries is wrong.
I mean a kind of administrative enthusiasm, which forces decisions excessive and, I think, incorrect.
A striking example — the fines from the cameras of the cars that go without a pass. This decision, to the spread of the epidemic has no direct relationship. But dissatisfaction will be because of this.
the Influence of isolation positively to the situation with other diseases?
Don’t see, frankly, how can affect positively, in addition to reducing the chance of being infected with other pathogens. Can have a negative impact on planned testing, surgery, sometimes vital. The fact that the current health care system is associated with this situation and all are intended to combat COVID-19. Accordingly, one will not get the help that he needs.
of But now, as they say, and do less of patients with intestinal infections, rotavirus. Is it true? If Yes, what was the reason? The fact is that people are more likely to wash their hands?
I think — Yes, it is. Of course, such caution and discipline of the people, observance of rules of hygiene will affect the reduction of rotavirus and other infections that are transmitted through the hands of dirt.
with in General, this notorious “social distance”, which all now say, hand washing is the truth that will make our world better? People will be less sick, and if after a coronavirus in any kind of habits left? Or coronavirus pass and old habits come back?
I think that old habits will return, but not quite. Still, the memory of it remains. And maybe to hurt some of the diseases will be less. I think a more significant extent, this was true of Italy where people are very emotional, active contact with each other, cuddling, certainly at the meeting kiss. We agree that so is not accepted.
Although it is important in conditions when a new infectious disease (and old too, like the flu, for example) is part of our life. As important, when there are no epidemics.
People do not behave as before, because the memory of those times forever.
