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| Virus survivors may suffer long-term psychological issues like anxiety |
The coronavirus may be something we will have to live with for a long time to come, which is a scary thought -- perhaps eventually everyone will be infected one way or another -- and they could be re-infected too, which seems just as worrying.
And now scientists at Chinese University have released a study that found the virus may remain in the gut for a longer period of time, and so people may still be infectious even though nasal and throat swab tests may give them negative results.
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| Dr Chan says the virus can linger in the gut for a long time |
"Our study proved that some discharged patients may still carry infectious stool samples that may transmit the virus to their family members or friends," said Professor Paul Chan Kay-sheung, chairman of the university's microbiology department. "Thus, they must be alert, maintain good hygiene and disinfect toilets and their homes regularly."
The 2,000 samples used for the study were those collected from children who arrived at the airport from overseas.
"We believe stool [of infected patients] can increase the risk of community transmissions," medical faculty dean Francis Chan Ka-leung said. "We understand [from the study] that infants and young children may have this problem -- they have no symptoms and become hidden transmitters."
Just another thing to worry about...
Having the physical strength and hope to beat the virus is a feat in itself, but dealing with the lasting psychological impact could change people completely. So far over 4,400 people in Hong Kong have recovered from the virus.
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| Wong was in the hospital for almost a month fighting the virus |
A recent article in the newspaper talked to three survivors about how the pandemic has affected them.
One is a freelance translator in her 30s, who caught the virus after being on a cultural exchange trip in Europe in March.
She was hospitalized for 27 days, sharing a 100 sq ft hospital room with another patient and reported the experience was like being in prison.
Although she was discharged in April, the woman, surnamed Wong, still does not feel completely well, mentally or physically.
After she returned home to live with her parents, she didn't go out for a month, fearing crowds and the possibility of reinfection. Wong also says she has developed anxiety disorders, is unable to sleep well, is easily agitated, and washes her hands so frequently that her skin peels.
X-rays show her lungs are functioning normally, but she worries about the long-term effects of the virus.
For a 41-year-old man surnamed Siu, his family of five who live together were all infected with the virus and were all sent to hospital. Siu's father was the first to fall ill, who then infected his wife, himself, his older brother and four-year-old niece.
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| Wong washed her hands so much that her skin peeled |
Siu also spent two weeks in a 100 sq ft hospital room with another patient and constantly worried about his family members who he could not see.
He, his older brother, and niece were all discharged the same day, though his father was discharged two weeks later. It wasn't because his father was physically ill, but because he was suffering from post traumatic stress disorder (PTSD) from the whole experience, while his mother was sent to ICU and needs a ventilator to breathe.
Since his father returned home, Siu has noticed his father's decline in memory, while he himself tries to stay busy even if it's housework to keep his mind off what they have gone through.
His mother is still in the ICU, though the viral count in her body is declining, albeit slowly.
Finally another woman who asked to be named Sophie, said her two-and-a-half year old son caught the virus after their trip to Britain in April. Her husband did not go on the trip.
As her son needed to be hospitalized, Sophie elected to stay with him for three weeks despite the possibility of catching the virus there.
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| Some survivors may suffer from depression and PTSD |
When he was finally discharged, she quarantined at home for another two weeks because she was considered a close contact.
However, no one -- friends or family -- would help look after the son, and with her husband busy at work, Sophie had no choice but to take her son with her to quarantine together in a government-run centre.
"Doctors and nurses took good care of my son in hospital. But the moment we left the hospital, people seemed to be scared of us, and treated us like 'monsters'," she said. "I felt more isolated than ever."
When she came home, she noticed neighbours did not want to take the lift with her, and friends did not contact her to meet up. As a result, she herself stayed at home more, and before she goes out, she checks to see if anyone is outside in the hallway.
Psychiatrist Dr Ivan Mak Wing-chit says coronavirus survivors may suffer mental disorders, PTSD and anxiety.
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| Dr Mak says if disorders remain, people need to get help |
He did a study on the long term psychiatric effects of SARS on survivors 30 months after the outbreak and found one-third had psychiatric disorders, one-quarter had PTSD, and 15.6 percent had depressive disorders.
"Some responses to acute stress are normal and they gradually disappear," he says. "But if they remain for more than one month, and people start losing confidence in their control over their lives, that should be taken seriously."
We must give survivors more sympathy and support to help them heal after such a traumatic event in their lives. They need to know others are caring for them even if it's a text message. To know others are thinking about them can help them get through another day.