JEFFERSON CITY (AP) — Missouri has launched a 24-hour hotline staffed by medical professionals for people seeking guidance on the new coronavirus, and the federal government awarded the state nearly $10 million to help fund its response to the disease.
The state Department of Health and Senior Services said residents and medical providers needing advice on the virus can call 877-435-8411 at any time on any day.
As of Wednesday, March 11, 46 people in Missouri have been tested for the virus that causes COVID-19, but just one has tested positive, the department said. That person is a St. Louis County resident who had traveled to Italy for a study-abroad program.
People who feel ill may have a virus but not coronavirus. How to tell?
Patients and doctors alike are parsing signs of illness to figure out who needs what tests or care and how worried they should be.
“You have three different major viruses floating around at the same time,” causing somewhat similar symptoms — but different levels of concern, said Dr. Gary LeRoy, president of the American Academy of Family Physicians.
So what’s the biggest danger? And why are we responding to them so differently?
COVID-19, the disease caused by the new coronavirus, is a flu-like illness that has killed a small fraction of the number of people that the flu kills every year. Through the first four months of the outbreak, coronavirus has killed about 4,300 people. Flu kills 290,000 to 650,000 every year around the world, according to the World Health Organization.
Expressing alarm both about mounting infections and inadequate government responses, the World Health Organization declared Wednesday that the global coronavirus crisis is now a pandemic but added that it wasn’t too late for countries to act.
“We have called every day for countries to take urgent and aggressive action. We have rung the alarm bell loud and clear,” said Tedros Adhanom Ghebreyesus, the WHO chief.
“All countries can still change the course of this pandemic – if countries detect, test, treat, isolate, trace and mobilize their people in the response,” he said.
To some, that comparison with influenza seems comforting because flu is such a familiar foe. President Donald Trump regularly brings it up, noting in a tweet how many more Americans die from flu and adding, “Nothing is shut down, life & the economy go on … Think about that!”
But to public health experts, the huge number of flu deaths is exactly why extraordinary steps should be taken to try to prevent the new coronavirus from spreading widely.
The flu’s annual return can’t be stopped because it’s already so embedded in the population. There is still a chance COVID-19 cases can be limited or spread slowed while treatments are developed.
HOW DEADLY ARE THE VIRUSES?
Flu kills about 0.1% of those it infects, but that’s still hundreds of thousands of people each year because it infects millions.
Researchers are still trying to understand just how deadly the new coronavirus is. The mortality rate from infection with the virus isn’t known yet because the cases caught in an early part of an outbreak are often the most severe, people with mild or no symptoms aren’t being tested, and sometimes overwhelmed hospitals struggle to care for the sickest patients. Various reports have estimated the fatality rate from less than 1 percent to as high as 4 percent among cases diagnosed so far, depending on location.
Most people infected by the new coronavirus develop mild or moderate symptoms and recover after about two weeks.
SO WHAT DO I HAVE?
Flu, cold and coronavirus often share certain symptoms, but differences in intensity and how they appear can offer clues to which one is causing the misery. Doctors can test for the flu and get results within a day, but coronavirus testing is still hampered by limited availability in the United States.
Colds are often suspected because adults get about two on average each year, said LeRoy, a family medicine doctor and associate dean at Wright State University in Dayton, Ohio.
“The common cold just starts out with a sore or scratchy throat, cough, runny nose, stuffy nose”; and any fever is usually mild, he said.
Flu symptoms are more intense and usually come on suddenly. They can include a high fever (over 100.5 degrees), extreme exhaustion, muscle or body aches, a dry cough and chills. Flu symptoms can include a runny or stuffy nose, headaches and potentially vomiting or diarrhea, though the latter two are more common in children than adults, the U.S. Centers for Disease Control and Prevention says.
“It really hits you like a bus,” and people may start a day well but feel terrible by afternoon, LeRoy said.
Symptoms of COVID-19 may appear more slowly. They usually include fever, a dry cough and noticeable shortness of breath, according to the World Health Organization. A minority of cases develop pneumonia, and the disease is especially worrisome for the elderly and those with other medical problems such as high blood pressure, obesity, diabetes or heart conditions.
WHAT TO DO IF YOU’RE SICK
Don’t go straight to your doctor’s office — that just risks making more people sick, officials urge. Call ahead, and ask if you need to be seen and where.
Fever, cough and noticeable shortness of breath — “if you have those three components, especially if it’s associated with some recent travel or someone you know who’s been exposed to COVID-19, those things should prompt you to call for medical attention,” LeRoy said.
“Mildly ill patients should be encouraged to stay home,” the CDC’s Dr. Sue Gerber told doctors on a conference call last week. People having difficulty breathing should seek care, and older people or those with other conditions should contact their doctors early in the course of illness, she said.
To protect yourself, wash your hands well and often, keep them away from your face, sneeze or cough only into your arm and avoid crowds and standing close to people.
There’s one big difference between flu and coronavirus: A vaccine exists to help prevent the flu, and it’s not too late to get it. It won’t protect you from catching the coronavirus but may put you in a better position to fight it.
“You don’t want to have a compromised immune system if you were to encounter coronavirus,” LeRoy said.