Expert Answers Questions On COVID-19 Vaccination And Treatment

Expert Answers Questions On COVID-19 Vaccination And Treatment

Dr Arvind Kumar, Chairman, Institute of Chest Surgery, Medanta Hospital decodes the common myths about COVID-19 treatment and vaccination
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Expert Answers Questions On COVID-19 Vaccination And TreatmentAll your commonly asked questions on COVID-19 treatment and vaccination answered

New Delhi: According to the recent data of the Health Ministry, India reported 2.59 lakh new COVID cases, taking its tally to 2.6 crore. The death count rose to 2,91,331 after 4,209 more patients died in the last 24 hours. Experts feel that speeding up vaccination and following COVID appropriate behaviour are the two important keys to control the outbreak in the country. However, India’s vaccinations showed a downward graph amid fears of a third wave in the next 6-8 months.

Amid the scare for COVID-19 cases in India, Banega Swasth India team speaks to Dr Arvind Kumar, Chairman, Institute of Chest Surgery, Medanta Hospital to know more about coronavirus treatment and why it is important for everyone to get vaccinated as soon as possible. Here’s what he said:

Question: Is Ivermectin the new Hydroxychloroquine? How effective it is for COVID-19 treatment?

Dr Arvind Kumar: Ivermectin was never projected as a magic bullet. We suggested the use of this drug based on some in vitro studies, which are basically studies done not on patients’ bodies but on laboratories. It was seen, in the laboratory setting, when COVID-19 was mixed in the Ivermectin solution, the virus replication becomes slow. This research was done in Australia and on that basis, it was suggested that this can help in treating the virus growth.

However, in the trials done by World Health Organisation, the same thing didn’t give any sound results. In India also we have done some trials, it was done in Bhubaneswar on the healthcare workers. There the study said that the solution helped in enhancing the health of the healthcare workers. Similarly, some other trials also showed that when this solution was given then for patient the chances of developing a severe disease from mild infection became less.

So, basically, overall, it was found that Ivermectin helps in reducing the growth of the virus, it can also help in preventing a severe disease. But the evidence suggesting this was never that solid that it can be recommended as a standard treatment of care for COVID-19. But the guidelines which the government has released recently, do recommend Ivermectin for treating mild COVID patients, however they have also written that the evidence for the same is weak.

As far as I am concerned, medically, I would say, some benefits of the solutions are there, but the evidence of its working are less. Secondly, it is not an expensive medicine, nor it has many side-effects, so I am a bit in favour of giving this treatment as there are small benefits and anyways, we have less ways to treat COVID, so a little help is not bad.

Also Read: Explainer: All About DRDO’s New COVID Drug

Question: Are antibiotics important in fighting COVID-19? Will you recommend it for the virus treatment?

Dr Arvind Kumar: COVID-19 is a viral infection; antibiotics are those medicines that act against the bacteria. So, antibiotics has zero effect on the virus growth. Some people who are in favour of it says that in this virus infection sometimes one may get secondary bacterial infection and by giving antibiotics we are controlling that. My counter argument to that will be – if you will give antibiotics without any indication that the person might have secondary bacterial infection, you will kill the sensitive bacteria in their body and make the resistant bacteria stay, which will be more harmful.

In my personal practice, I don’t recommend antibiotics for COVID-19 patients at all. I myself have got infected with COVID-19 two months ago, I also did not use any antibiotics for my treatment.

Question: How long the immunity last after getting vaccinated against COVID-19 or after getting infected with the infection?

Dr Arvind Kumar: After one gets infected with COVID, the antibodies start getting made in the body. According to current evidence it is seen that people who have got infected with COVID, their immunity last for up to 3 months and that is why the new guidelines that have come which says people with COVID-19 infection should get vaccinated only after completing three months.

On the other hand, after vaccination, it is believed that one will have antibodies in their body for up to 6 months. But answers to questions like do we need to give booster shot after six months or will the antibodies last in some people for more time than others are the things, we don’t know answers off as of now. But I am hopeful, we have something in two-three months’ time.

Also Read: Dos And Don’ts Of Using Steroids In COVID-19 Treatment

Question: Do people get antibodies in the body after getting the first dose?

Dr Arvind Kumar: Yes, we start getting some antibodies in a few days’ time after getting the first dose of COVID-19 vaccination. However, it is not up to the level we need to fight the virus more effectively and that is why booster shot is given. So, the level of antibodies we have in our body in the second week after getting the second dose of vaccination are treated as the level which will give us utmost protection.

Having said that, I would also say, what vaccines we have in India – Covaxin and Covishield, in that we get about 70 to 80 per cent of protection. Which means if 100 people have got both doses of vaccination and then they are exposed to the virus then out of those 100 people – 70 to 80 people will not get COVID-19 infection, but 20 to 30 people will get infected. However, mostly the virus will be mild, and the possibility of ICU and deaths will be low. Initially it was believed it was zero, but in the recent past we have seen people dying even after getting both the doses. However, remember, the chances of this are very less, therefore, everyone should get vaccinated as soon as possible.

Also Read: Coronavirus Explained: All You Need To Know About The COVID-19 Vaccine For Children In India

Question: Would exercising increase the efficacy of the vaccine after the vaccination process in the individual?

Dr Arvind Kumar: Exercising has no effect on the efficacy of the vaccine. We should however do it for our own health and building our own immunity. However, if you have mild symptoms like soreness in arms or body ache or are experiencing chills – then we suggest that you give rest to the body, eat good diet and take a lot of fluids. One can continue workout as usual after 48 to 72 hours when all these symptoms go away.

Question: It is believed that when we take the vaccine in that period our immunity is very fragile, and one is more at risk of catching the infection – is it a myth or fact?

Dr Arvind Kumar: It is a myth. Vaccine stimulates your immune system to fight the virus by making adequate antibodies in the body, which helps in protecting you from developing the disease. Antibodies in your body act as a barrier wall and helps keep the virus at bay, so even when you are exposed to the virus and it tries to enter it, antibodies fight it out before it can enter in your body and create problems.

NDTV – Dettol Banega Swasth India campaign is an extension of the five-year-old Banega Swachh India initiative helmed by Campaign Ambassador Amitabh Bachchan. It aims to spread awareness about critical health issues facing the country. In wake of the current COVID-19 pandemic, the need for WASH (WaterSanitation and Hygiene) is reaffirmed as handwashing is one of the ways to prevent Coronavirus infection and other diseases. The campaign highlights the importance of nutrition and healthcare for women and children to prevent maternal and child mortality, fight malnutrition, stunting, wasting, anaemia and disease prevention through vaccines. Importance of programmes like Public Distribution System (PDS), Mid-day Meal Scheme, POSHAN Abhiyan and the role of Aganwadis and ASHA workers are also covered. Only a Swachh or clean India where toilets are used and open defecation free (ODF) status achieved as part of the Swachh Bharat Abhiyan launched by Prime Minister Narendra Modi in 2014, can eradicate diseases like diahorrea and become a Swasth or healthy India. The campaign will continue to cover issues like air pollutionwaste managementplastic banmanual scavenging and sanitation workers and menstrual hygiene

World

19,66,15,634Cases
6,33,31,644Active
12,90,85,240Recovered
41,98,750Deaths
Coronavirus has spread to 194 countries. The total confirmed cases worldwide are 19,66,15,634 and 41,98,750 have died; 6,33,31,644 are active cases and 12,90,85,240 have recovered as on July 30, 2021 at 4:07 am.

India

3,15,72,344 44,230Cases
4,05,155 1,315Active
3,07,43,972 42,360Recovered
4,23,217 555Deaths
In India, there are 3,15,72,344 confirmed cases including 4,23,217 deaths. The number of active cases is 4,05,155 and 3,07,43,972 have recovered as on July 30, 2021 at 2:30 am.

State Details

State Cases Active Recovered Deaths
Maharashtra

62,90,156 7,242

81,933 3,980

60,75,888 11,032

1,32,335 190

Kerala

33,49,365 22,064

1,55,327 5,287

31,77,453 16,649

16,585 128

Karnataka

29,01,247 2,052

23,277 685

28,41,479 1,332

36,491 35

Tamil Nadu

25,55,664 1,859

21,207 314

25,00,434 2,145

34,023 28

Andhra Pradesh

19,62,049 2,107

21,279 280

19,27,438 1,807

13,332 20

Uttar Pradesh

17,08,373 60

784 16

16,84,834 44

22,755

West Bengal

15,26,539 766

11,300 70

14,97,116 822

18,123 14

Delhi

14,36,144 51

554 19

14,10,541 70

25,049

Chhattisgarh

10,01,781 130

2,086 140

9,86,175 270

13,520

Odisha

9,74,132 1,615

15,276 489

9,53,088 2,039

5,768 65

Rajasthan

9,53,622 17

259 9

9,44,410 26

8,953

Gujarat

8,24,829 27

268 6

8,14,485 33

10,076

Madhya Pradesh

7,91,796 18

130 0

7,81,153 18

10,513

Haryana

7,69,858 30

712 10

7,59,516 17

9,630 3

Bihar

7,24,719 46

481 1

7,14,596 42

9,642 3

Telangana

6,43,716 623

9,188 126

6,30,732 746

3,796 3

Punjab

5,99,005 58

553 6

5,82,162 60

16,290 4

Assam

5,64,030 1,299

14,114 385

5,44,695 1,664

5,221 20

Jharkhand

3,47,105 56

259 22

3,41,720 34

5,126

Uttarakhand

3,41,982 48

669 3

3,33,952 51

7,361

Jammu And Kashmir

3,21,207 181

1,144 5

3,15,686 175

4,377 1

Himachal Pradesh

2,05,728 229

1,098 145

2,01,110 84

3,520

Goa

1,70,900 90

1,077 5

1,66,679 93

3,144 2

Puducherry

1,20,725 98

972 49

1,17,961 49

1,792

Manipur

96,824 1,000

10,895 27

84,408 1,016

1,521 11

Tripura

78,059 271

3,640 221

73,665 488

754 4

Meghalaya

63,745 731

5,750 294

56,933 423

1,062 14

Chandigarh

61,948 5

37 1

61,102 4

809

Arunachal Pradesh

47,477 335

4,252 49

43,000 383

225 1

Mizoram

37,171 764

11,862 252

25,168 511

141 1

Nagaland

27,653 67

1,299 51

25,798 114

556 4

Sikkim

26,132 276

3,297 180

22,498 92

337 4

Ladakh

20,324 4

60 4

20,057 8

207

Dadra And Nagar Haveli

10,643 1

36 5

10,603 6

4

Lakshadweep

10,162 7

70 6

10,042 13

50

Andaman And Nicobar Islands

7,534 3

10 3

7,395

129

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