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coVID-19: ThE FAcTs



             FRoM A DocToR’s



             PERsPEcTIVE




            T      he first case of the                                             an envelope of protein spikes. This

                   2019 novel coronavirus
                                                                                    gives it an appearance of a crown.
                   infection, or COvID-19 as
                   it is commonly known,                                            The Latin word for a crown is corona.
                                                                                    This is how these viruses got the
             was reported in the city of Wuhan                                      name coronaviruses. The sArs-Cov
             China in December 2019. The virus                                      2 virion (virus particle) is ~ 125 nm
             has since spread exponentially                                         in diameter and its genome ranges
             throughout the world. On 5 March                                       from 26 to 32 kilobases, said to
             2020, the south African Minister of                                    be the largest for an rNA virus.
             Health, Dr Zweli Mkhize, confirmed
             the first case of COvID-19 in the                                      Transmission
             country, a south African returning                                     Cov is transmitted to humans
             from Italy. On 12 March 2020, the                                      through animals. Once in humans,
             World Health Organization (WHO)                                        the virus is mainly transmitted
             declared the coronavirus outbreak     By Dr Nangamso Kukulela, Specialist   via inhalation of aerosol droplets
             a global pandemic. On 15 March,       Physician, MBChB(UCT), Mmed (Wits),   from coughing, sneezing or
             the President of the republic, Cyril   FCP(SA), practising at Netcare   being in close contact with
             ramaphosa, announced a national       Sunninghill Hospital             symptomatic individuals.
             state of disaster. This was followed by
             the government taking the necessary                                    In the air, the larger droplets tend
             steps to try to limit the spread of   emerged in 2012 in saudi Arabia;  to drop toward the ground within
             the virus and its impact, mainly to   •  Severe acute respiratory syndrome   1m, while the smaller droplets
             flatten the curve so as to enable the   coronavirus (sArs-Cov 2) – the   can travel as an aerosol cloud

             health system’s capacity to cope.   first case reported end December   over 2m. These remain viable in
                                                 2019 in Wuhan, China.              the air for up to 3 hours under
             COvID-19 (coronavirus disease) is a                                    certain conditions. Another form
             respiratory infection caused by severe   These viruses consist of a core of   of transmission is through hand to
             acute respiratory syndrome coronavirus   genetic material surrounded by   face contact from infected surfaces.
             2 (sArs-Cov 2). Coronaviruses (Cov)
             are a family of enveloped, positive-  Image 1: structural proteins of the sARs coV 2 virion (3).
                                                                                                              IMAgE By LECTurIO
             sensed, single-stranded rNA (+ssrNA)
             viruses. They tend to cause mild upper
             respiratory tract diseases in humans.

             The three species of Cov known to
             cause severe diseases in humans are:
             •  Severe acute respiratory syndrome
              coronavirus (sArs-Cov) – which
              emerged in 2003 in southern China;
             •  Middle East respiratory syndrome
              coronavirus (MErs-Cov) – which

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