{"id":3197,"date":"2020-08-11T13:23:38","date_gmt":"2020-08-11T11:23:38","guid":{"rendered":"https:\/\/www.sajo-innovation.de\/blog\/?p=3197"},"modified":"2020-08-11T13:25:52","modified_gmt":"2020-08-11T11:25:52","slug":"assessment-of-the-sars-cov-2-pandemic-treatment-options-consequences","status":"publish","type":"post","link":"https:\/\/www.sajo-innovation.de\/blog\/assessment-of-the-sars-cov-2-pandemic-treatment-options-consequences\/","title":{"rendered":"assessment of the SARS-CoV-2 pandemic \u2013 treatment options \u2013 consequences"},"content":{"rendered":"\n<p style=\"color:#f7da8b\" class=\"has-text-color has-background has-text-align-center has-normal-font-size has-very-dark-gray-background-color wp-block-paragraph\">by Sabine Breun and Joerg Baumann, August 10, 2020<\/p>\n\n\n\n<p style=\"background-color:#ffde84;color:#4b4c4c\" class=\"has-text-color has-background has-text-align-left has-normal-font-size wp-block-paragraph\"><strong>To-date 20,000,000 SARS-CoV-2 infected individuals have been recorded globally, with an unknown number of unrecorded cases.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A pandemic always is subject to an unpredictable development and dynamics.<\/strong> Based on experience, virologists and epidemiologists may extrapolate certain dynamics of a pandemic, which is depending on the pathogen and the behavior of the human population. A timely application of new scientific findings would help to avoid unnecessary harm. <strong>In Germany, in the spring of 2020, this has worked very well<\/strong>, while several other countries failed to manage a cooperation between science, politics, people, and economy.<\/p>\n\n\n\n<p style=\"background-color:#136245;color:#f5f8f9\" class=\"has-text-color has-background wp-block-paragraph\">This brings us to the one thing that people, economy, and politics need to give scientists: <strong>It is about trust and the appreciation that only prevention may avoid harm by a pandemic.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Scientists may err sometimes. However, science has the unique characteristic of error correction. Thus, with time <strong>there may be adjustments<\/strong> regarding scientific advice, based on new findings.<\/p>\n\n\n\n<p class=\"has-background has-very-light-gray-background-color wp-block-paragraph\">The big issue with a pandemic is the fact, that for a lay person there is <strong>no direct link<\/strong> <strong>between individual misbehavior, an invisible virus, infection numbers, and ultimately deaths<\/strong>. There is no immediate penalty or reward, but a time-delayed dynamic, making it hard for a lay person to bring into context misbehavior and stupidity with the course of the pandemic.<\/p>\n\n\n\n<p style=\"background-color:#5a5e62;color:#f2f5f5\" class=\"has-text-color has-background wp-block-paragraph\"><strong>A pandemic does not immediately penalize the person who is misbehaving, but rather indirectly, with a time delay, and probably different people altogether.<\/strong><\/p>\n\n\n\n<p style=\"background-color:#ffde84\" class=\"has-background wp-block-paragraph\">The SARS-CoV-2 pandemic is having its unique dynamic. SARS-CoV-2 is being spread differently by individuals. There are infected persons who do spread less virus, while there are so called <strong>\u2018super spreaders\u2019<\/strong>, infecting numerous others.<\/p>\n\n\n\n<p style=\"background-color:#ffde84\" class=\"has-background wp-block-paragraph\">According to current data, a person is considered infectious for 8 to 10 days post infection. <strong>Only two to three days after infection, symptoms arise, without the individual\u2019s prior knowledge of infection.<\/strong><\/p>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<p class=\"wp-block-paragraph\">The necessary tests do pose several drawbacks (in Germany):<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">(1) Momentarily there are <strong>long delays<\/strong> in test result communication. This is due mainly to the necessity to send samples to remote laboratories, and in many cases, there seems to be a lack of organization. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">(2) The swab needs to be done carefully, since <strong>contaminations <\/strong>will interfere with the highly sensitive test.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">(3) The test is priced at \u20ac 120, which we consider outrageously high. Christian Drosten very early provided his test for free to the WHO. This test is well designed, makes sense and is safe and sensitive. A fair price would be around \u20ac 20.<\/p>\n<\/div><\/div>\n\n\n\n<figure class=\"wp-block-image size-large\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"120\" src=\"https:\/\/www.sajo-innovation.de\/blog\/wp-content\/uploads\/2020\/08\/Strich-grau-2-1024x120.jpg\" alt=\"\" class=\"wp-image-3134\" srcset=\"https:\/\/www.sajo-innovation.de\/blog\/wp-content\/uploads\/2020\/08\/Strich-grau-2-1024x120.jpg 1024w, https:\/\/www.sajo-innovation.de\/blog\/wp-content\/uploads\/2020\/08\/Strich-grau-2-300x35.jpg 300w, https:\/\/www.sajo-innovation.de\/blog\/wp-content\/uploads\/2020\/08\/Strich-grau-2-768x90.jpg 768w, https:\/\/www.sajo-innovation.de\/blog\/wp-content\/uploads\/2020\/08\/Strich-grau-2.jpg 1171w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p class=\"has-background has-very-light-gray-background-color wp-block-paragraph\">Recent scientific meta studies, compiling the most relevant studies, make it clear that, depending on temperature, indoor conditions, and humidity, the virus is capable to stay infectious in smallest aerosols floating in the air for hours. This is providing a <strong>highly contagious environment in closed rooms<\/strong> without air circulation.<\/p>\n\n\n\n<p class=\"has-background has-very-light-gray-background-color wp-block-paragraph\">Circulation by <strong>air conditioning is spreading infectious virus<\/strong> thus increasing the risk of infection. The only way to prevent this would be a HEPA filter, which needs to be exchanged regularly. This also does not reduce the risk to zero. The HEPA filter itself during the exchange is considered itself highly contagious.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The use of <strong>face masks is providing a certain level of protection<\/strong> by aerosols. This protection is stronger for others than for the wearer him\/herself. A certain protection for the wearer was underestimated in the beginning of the pandemic. It is a small one, but measurable, it is depending on the material, the specification, the correct handling, and the wearer\u2019s discipline.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">SARS-CoV-2 is infecting cells that carry a specific receptor, which is found on many tissues. Thus, <strong>the virus may affect all organs, including the CNS<\/strong>. <strong>Long-term damage<\/strong> is foreseeable, also with damage resulting from the immune system\u2019s action. Similar to the Influenza pandemic of 1918, we would expect COVID-19 long-term effects to lead to a wave of further deaths and <strong>chronic illness<\/strong>. This is adding to the not yet accountable harm that intensive care and ventilation of severe cases will have on those patients.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"120\" src=\"https:\/\/www.sajo-innovation.de\/blog\/wp-content\/uploads\/2020\/08\/Strich-grau-2-1024x120.jpg\" alt=\"\" class=\"wp-image-3134\" srcset=\"https:\/\/www.sajo-innovation.de\/blog\/wp-content\/uploads\/2020\/08\/Strich-grau-2-1024x120.jpg 1024w, https:\/\/www.sajo-innovation.de\/blog\/wp-content\/uploads\/2020\/08\/Strich-grau-2-300x35.jpg 300w, https:\/\/www.sajo-innovation.de\/blog\/wp-content\/uploads\/2020\/08\/Strich-grau-2-768x90.jpg 768w, https:\/\/www.sajo-innovation.de\/blog\/wp-content\/uploads\/2020\/08\/Strich-grau-2.jpg 1171w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">There is a global hunt for a <strong>vaccine<\/strong>. A vaccine would provide the best opportunity to stop the pandemic. However, <strong>if such a vaccine will provide the necessary level of protection is not known<\/strong>. Patients who have recovered from COVID-19, are <strong>losing the specific antibody mediated protection<\/strong>. The antibody titer is declining rapidly after several weeks already. Therefore, <strong>a recurrent infection is possible since there is no life-long immunity<\/strong>. This is known from other coronaviruses for years now.<\/p>\n\n\n\n<p style=\"color:#f7d67d\" class=\"has-text-color has-background has-very-dark-gray-background-color wp-block-paragraph\"><strong>A vaccine needs to face this issue. Therefore, we do not think a vaccine, no matter on what basis, will have a resounding success.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The \u2018<strong>immune passport<\/strong>\u2019 is history as well since it would come with an expiration date.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Drugs <\/strong>that had been approved for other diseases merely pose a <strong>poor secondary choice<\/strong>. They might be the one small advantage that is helping a patient to survive.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Chloroquine<\/strong> (a malaria drug), enthusiastically touted at first, did not show any positive effect.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Remdesivir<\/strong> (licensed for Ebola virus infections) needs to be applied intravenously in high dosage. Its effect is weaker than against Ebola virus, but might help in emergency cases to safe a patient\u2019s life. It is, however, not suitable for broad application.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Dexamethasone<\/strong>, a glucocorticoid hormone, does suppress an overshooting immune response, which might be deadly (as seen in the 1918 Influenza pandemic). Dexamethasone is helping in acute situations but is not suitable for long-term use.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"120\" src=\"https:\/\/www.sajo-innovation.de\/blog\/wp-content\/uploads\/2020\/08\/Strich-grau-2-1024x120.jpg\" alt=\"\" class=\"wp-image-3134\" srcset=\"https:\/\/www.sajo-innovation.de\/blog\/wp-content\/uploads\/2020\/08\/Strich-grau-2-1024x120.jpg 1024w, https:\/\/www.sajo-innovation.de\/blog\/wp-content\/uploads\/2020\/08\/Strich-grau-2-300x35.jpg 300w, https:\/\/www.sajo-innovation.de\/blog\/wp-content\/uploads\/2020\/08\/Strich-grau-2-768x90.jpg 768w, https:\/\/www.sajo-innovation.de\/blog\/wp-content\/uploads\/2020\/08\/Strich-grau-2.jpg 1171w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p style=\"background-color:#136245;color:#f4f6f7\" class=\"has-text-color has-background wp-block-paragraph\"><strong>This virus will be present in the global population for the time being.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Everybody has got the following means to protect him\/herself and his\/her surroundings: <strong>There is an etiquette including physical distancing, face masks, hand washing, general hygiene, caution, and attention. Every close contact with a contagious individual who might not be aware of his\/her condition is enabling the virus a ride.<\/strong><\/p>\n\n\n\n<p style=\"background-color:#5a5e62;color:#f3f6f7\" class=\"has-text-color has-background wp-block-paragraph\"><strong>We expect to have to live with this virus for the coming years, and probably decades. Maybe there will be another pandemic to join forces (the annual influenza season is looming), providing a double impact on people and their immune system.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">For several years, there is an avian influenza strain raging through China. It is highly contagious but does NOT YET spread from human to human. <strong>It is a question of time, when it might acquire this trait<\/strong>. These are the prerequisites for pandemics, such as those of the years 1918 and 1957 (the so called \u201cHong Kong Flu\u201d). New vaccines need to be developed annually.<\/p>\n\n\n\n<p style=\"background-color:#ffde84\" class=\"has-background wp-block-paragraph\">The consequences of such pandemics, for individuals, for generations, for society and economy in countries around the world may be seen with the current pandemic, <strong>with an open ending<\/strong>.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"120\" src=\"https:\/\/www.sajo-innovation.de\/blog\/wp-content\/uploads\/2020\/08\/Strich-grau-2-1024x120.jpg\" alt=\"\" class=\"wp-image-3134\" srcset=\"https:\/\/www.sajo-innovation.de\/blog\/wp-content\/uploads\/2020\/08\/Strich-grau-2-1024x120.jpg 1024w, https:\/\/www.sajo-innovation.de\/blog\/wp-content\/uploads\/2020\/08\/Strich-grau-2-300x35.jpg 300w, https:\/\/www.sajo-innovation.de\/blog\/wp-content\/uploads\/2020\/08\/Strich-grau-2-768x90.jpg 768w, https:\/\/www.sajo-innovation.de\/blog\/wp-content\/uploads\/2020\/08\/Strich-grau-2.jpg 1171w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p style=\"color:#063f62\" class=\"has-text-color wp-block-paragraph\"><strong>We do have the opportunity \u2013 through decades of hard work, and serendipitous findings on the way \u2013 to beat viruses, to curtail pandemics, to provide prophylaxis and treatment.<\/strong><\/p>\n\n\n\n<p style=\"background-color:#063f62;color:#f3f6f7\" class=\"has-text-color has-background wp-block-paragraph\">The SAJO key technology is providing<strong> a battery of highly efficient drugs <\/strong>of a new generation. We are able to deliver this battery \u2013 <strong>a fireworks of antiviral containment<\/strong>.<strong> It would be a bad choice not to use this tool.<\/strong><\/p>\n\n\n\n<p style=\"background-color:#5a5e62;color:#f0f3f4\" class=\"has-text-color has-background wp-block-paragraph\">SAJO will make the difference. The earlier we may start the faster the delivery of antivirals.<\/p>\n\n\n\n<p style=\"color:#edf2f4\" class=\"has-text-color has-background has-text-align-center has-normal-font-size has-luminous-vivid-amber-background-color wp-block-paragraph\"><strong>SAJO stands for a HEALTHY and BETTER WORLD and FUTURE!<\/strong><\/p>\n\n\n\n<p style=\"background-color:#063f62;color:#f5f8fa\" class=\"has-text-color has-background wp-block-paragraph\">Now you are up to date again. SARS-CoV-2 successfully <strong>dodged many intelligent measures, except for responsible acts by the individual<\/strong>. So, do not falter in your attention, do not start to become careless, stay alert and healthy.<\/p>\n\n\n\n<p style=\"background-color:#063f62;color:#f5f8fa\" class=\"has-text-color has-background wp-block-paragraph\">Yours, Sabine and Joerg<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/www.sajo-innovation.de\/blog\/wp-content\/uploads\/2020\/03\/SJ-5-1024x576.jpg\" alt=\"\" class=\"wp-image-711\" srcset=\"https:\/\/www.sajo-innovation.de\/blog\/wp-content\/uploads\/2020\/03\/SJ-5-1024x576.jpg 1024w, https:\/\/www.sajo-innovation.de\/blog\/wp-content\/uploads\/2020\/03\/SJ-5-300x169.jpg 300w, https:\/\/www.sajo-innovation.de\/blog\/wp-content\/uploads\/2020\/03\/SJ-5-768x432.jpg 768w, https:\/\/www.sajo-innovation.de\/blog\/wp-content\/uploads\/2020\/03\/SJ-5.jpg 1280w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p style=\"background-color:#f7bc28;color:#f7f9fa\" class=\"has-text-color has-background has-normal-font-size wp-block-paragraph\"><strong>SAJO \u2013 for a healthy and better future!<\/strong><\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"alignright size-large is-resized\"><img decoding=\"async\" src=\"https:\/\/www.sajo-innovation.de\/blog\/wp-content\/uploads\/2020\/02\/sajo_logo_inverted_full.png\" alt=\"\" class=\"wp-image-40\" width=\"245\" height=\"103\" srcset=\"https:\/\/www.sajo-innovation.de\/blog\/wp-content\/uploads\/2020\/02\/sajo_logo_inverted_full.png 786w, https:\/\/www.sajo-innovation.de\/blog\/wp-content\/uploads\/2020\/02\/sajo_logo_inverted_full-300x127.png 300w, https:\/\/www.sajo-innovation.de\/blog\/wp-content\/uploads\/2020\/02\/sajo_logo_inverted_full-768x324.png 768w\" sizes=\"(max-width: 245px) 100vw, 245px\" \/><\/figure><\/div>\n\n\n\n<p style=\"background-color:#5a5e62;color:#f9f4f4\" class=\"has-text-color has-background has-normal-font-size wp-block-paragraph\"><strong>This is providing an opportunity to those of you who want to put a stop on this pandemic, who do have the money, to just do it. Give us a call and take part!<\/strong><\/p>\n\n\n\n<p style=\"background-color:#5a5e62;color:#f9f4f4\" class=\"has-text-color has-background has-normal-font-size wp-block-paragraph\"><strong>We would be pleased to join forces with you!<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>by Sabine Breun and Joerg Baumann, August 10, 2020 To-date 20,000,000 SARS-CoV-2 infected individuals have been recorded globally, with an unknown number of unrecorded cases. A pandemic always is subject to an unpredictable development and dynamics. Based on experience, virologists and epidemiologists may extrapolate certain dynamics of a pandemic, which is depending on the pathogen [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":762,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[312,223,115,374,144,370,132,12,11,372,325,17,328,114,375,323,136,15,13,20,327,322,19,18,25,26,110,365,113,299,295,106,373,326,321,369,95,40,111],"class_list":["post-3197","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-allgemein","tag-antibacterials","tag-antivirals","tag-assets","tag-battery-of-highly-efficient-drugs","tag-behavior","tag-chloroquine","tag-closing-of","tag-coronavirus","tag-covid-19","tag-dexamethasone","tag-drug","tag-epidemic","tag-european-union","tag-financiation","tag-fireworks-of-antiviral-containment","tag-immune-system","tag-infection-numbers","tag-infectious-disease","tag-influenza","tag-investment","tag-investors","tag-long-term-damage","tag-outbreak","tag-pandemic","tag-quarantaine","tag-quarantaene","tag-recommendation","tag-remdesivir","tag-resonsibility","tag-sajo-high-technology","tag-sajo-key-technology","tag-sars-cov-2","tag-sars-cov-2-covid-19-assessment-treatment-consequences","tag-shift-of-economic-powers","tag-spanish-flu","tag-sponsors","tag-tests","tag-vaccination","tag-virus"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.sajo-innovation.de\/blog\/wp-json\/wp\/v2\/posts\/3197","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.sajo-innovation.de\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.sajo-innovation.de\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.sajo-innovation.de\/blog\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.sajo-innovation.de\/blog\/wp-json\/wp\/v2\/comments?post=3197"}],"version-history":[{"count":26,"href":"https:\/\/www.sajo-innovation.de\/blog\/wp-json\/wp\/v2\/posts\/3197\/revisions"}],"predecessor-version":[{"id":3330,"href":"https:\/\/www.sajo-innovation.de\/blog\/wp-json\/wp\/v2\/posts\/3197\/revisions\/3330"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.sajo-innovation.de\/blog\/wp-json\/wp\/v2\/media\/762"}],"wp:attachment":[{"href":"https:\/\/www.sajo-innovation.de\/blog\/wp-json\/wp\/v2\/media?parent=3197"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.sajo-innovation.de\/blog\/wp-json\/wp\/v2\/categories?post=3197"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.sajo-innovation.de\/blog\/wp-json\/wp\/v2\/tags?post=3197"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}