People who fully recover from the coronavirus can be left with '20 to 30%' less lung function, and gasping for breath when they walk quickly, doctors find
People who recover from the coronavirus can still be left with substantially reduced lung functions, doctors in Hong Kong have found after observing the first wave of discharged patients. "They gasp if they walk a bit more quickly," said Dr Owen Tsang Tak-yin, according to the South Morning Post. "Some patients might have around a drop of 20% to 30% in lung function." While it's too early to establish long-term effects of the illness, some scans have suggested that recovered patients had sustained organ damage, the Post reported. Out of a global total of 128,000 infections, some 70,000 have recovered so far. More than 4,700 have died. The illness — which presents symptoms including fever, breathlessness, and a cough — affects the elderly and those with preexisting symptoms the most. Visit Business Insider's homepage for more stories.
People who recover from the novel coronavirus can still be left with substantially weakened lung capacity, with some left gasping for air when walking quickly, doctors in Hong Kong have found. The findings came after the Hong Kong Hospital Authority observed the first wave of patients that were discharged from the hospital and had fully recovered from COVID-19. Out of 12 people, two to three had seen changes in their lung capacity. "They gasp if they walk a bit more quickly," Dr Owen Tsang Tak-yin, medical director of the authority's Infectious Disease Centre, told a press conference Thursday, according to the South China Morning Post. "Some patients might have around a drop of 20 to 30% in lung function" after full recovery, he said. While it's too early to establish long-term effects of the disease, scans of nine patients' lungs "found patterns similar to frosted glass in all of them, suggesting there was organ damage," Tsang said, according to the Post.
As of Friday morning, 69,607 people have recovered from the coronavirus out of 128,392 confirmed cases, according to data from Johns Hopkins University. More than 4,700 people have died of the disease. The disease appears to affect the elderly or infirm worse than any other demographic, as the outbreak in Italy has shown. "Among those who are infected, most will recover," World Health Organization director general Tedros Adhanom Ghebreyesus said Monday. The most commonly-reported symptoms include a fever, dry cough, and shortness of breath, and some 80% patients will experience a mild illness, according to the WHO.
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More than 1.3 million people have recovered from the coronavirus — and are likely now immune. But painful symptoms may last far longer than people realize.
More than 1.3 million people worldwide have recovered from the coronavirus. Recovered COVID-19 patients may have...More than 1.3 million people worldwide have recovered from the coronavirus. Recovered COVID-19 patients may have a residual cough or fatigue for weeks after major symptoms disappear. Though long-term effects remain unclear, patients who develop severe pneumonia could come away with scarred lungs and reduced lung function. Recovery likely means immunity, at least for a period of time, so people who were once infected could go back to work with low risk of reinfection. Visit Business Insider's homepage for more stories. Most people who get the coronavirus recover. More than 1.3 million such cases have been documented worldwide. "Eventually, if all goes well, your immune system will completely destroy all of the virus in your system," Tom Duszynski, director of epidemiology education at Indiana University–Purdue University Indianapolis, wrote in The Conversation. "A person who was infected with and survived a virus with no long-term health effects or disabilities has 'recovered.'" Still, many uncertainties remain: It's not yet clear how many people have recovered, how the illness will affect them in the long run, or how long they'll be immune. The process can take much more time and pain than people realize. Here's what the research so far reveals about people who have recovered from COVID-19. Recovery by the numbers Although more than 1.3 million people who had the coronavirus have recovered worldwide, according to Worldometer, the true number is probably far higher. Data on recoveries is less precise than case counts and death tolls, and many counties, states, territories, and regions don't report how many of their residents have recovered. "Recovered cases outside China are country-level estimates based on local media reports and may be substantially lower than the true number," Douglas Donovan, a spokesman for Johns Hopkins University, which previously tracked global recoveries in its COVID-19 database, told CNN. Plus, due to limited testing availability in some countries (including the US), the most severe cases were initially prioritized for official diagnoses. People who had mild symptoms, or none at all, have been less likely to get tested — if they even seek testing in the first place. That means that many mild infections are not included in the count of total cases or recoveries. That can skew experts' understanding of the disease and how they predict its trajectory. "Knowing the real number of infected people in the population would be very useful to have better models of when disease will peak and decline, and also when we can begin to return people to work," Dr. Bala Hota, a professor of infectious diseases and Associate Chief Medical Officer at Chicago's Rush University Medical Center, told CNN. What recovery is like Recovery doesn't necessarily mean feeling all better. Hota told CNN that many patients still have a mild cough and feel tired even once they're considered recovered and are no longer contagious. It can take a long time to fully get back to normal. "It takes anything up to six weeks to recover from this disease," Dr. Mike Ryan, executive director of the World Health Organization's Health Emergencies Program, said in March. "People who suffer very severe illness can take months to recover from the illness." The process is different for patients who were put on a ventilator. "What we're seeing in patients who end up on ventilators is that they often stay on them for several weeks," Dr. J. Randall Curtis, a professor at the University of Washington Harborview Medical Center, told US News & World Report. "And then, coming off the ventilator, they're often going to be in the ICU for several days, and then back [in a regular hospital unit] for a few days to a week or so to regain their strength." People who were put on a ventilator can walk away with long-term physical and psychological damage. If they develop acute respiratory distress syndrome (ARDS), that can scar their lung tissue. Lasting effects Dr. Shu-Yuan Xiao, a pathology professor at the University of Chicago School of Medicine, told ABC News that most people with mild cases of COVID-19 should recover "with no lasting effect." The future is murkier for patients who develop severe illness, though. Hong Kong's Hospital Authority reported in March that within a group of 12 recovered patients, "two to three" showed decreased lung capacity in follow-up visits with doctors. Those few patients gasped for air when they walked, according to the South China Morning Post. Scans of nine patients' lungs revealed signs of organ damage. But because the coronavirus was first identified in December, there hasn't been much time to research recovered patients and publish the findings. "This is a little bit of an understudied group," Hota said. Experts do have a sense of the effects that severe pneumonia can have on the body, though. If a patient develops acute respiratory distress syndrome (ARDS), that can scar their lung tissue. "It's the same general thing that you have with any type of phenomena that's severe enough to land you in the ICU," Dr. Amesh Adalja, an infectious-disease expert at the Johns Hopkins Center for Health Security, told ABC News. Adalja and Xiao both said that some severely ill patients may never recover full lung function. Antibodies and immunity People who have been infected develop antibodies that can probably fight off the coronavirus if they encounter it again. A pre-print study published Tuesday reported the results of 1,300 antibody tests from people who had confirmed and suspected cases of COVID-19 in and around New York City. The findings showed that 99.8% of people who got a positive diagnostic test later got positive results for antibodies. The research countered fears that not all patients walk away with antibodies. One Chinese study, which has also not yet been peer-reviewed, tested 175 recovered COVID-19 patients and found that 10 of them had not developed any detectable coronavirus antibodies. Antibody tests can sometimes return false negatives as well as false positives. But proponents of antibody testing say that it's imperative in the fight against the outbreak, since immune people could return to work safely. "Ultimately, this might help us figure out who can get the country back to normal," Florian Krammer, a professor in vaccinology at Mount Sinai's Icahn School of Medicine, told Reuters. "People who are immune could be the first people to go back to normal life and start everything up again." Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, said in an interview on "The Daily Show" that he was "willing to bet anything that people who recover are really protected against reinfection." "What we don't know yet is how long that immunity will last, the quality of that immunity, and whether all individuals will generate a long-lasting high immune response," Frances Lund, chair of the microbiology department at the University of Alabama at Birmingham, previously told Business Insider. Fauci also said on April 8 that because the virus doesn't seem to be mutating much, people who recover will likely be immune should the US see a second wave of spread in the fall. "If we get infected in February and March and recover, next September, October, that person who's infected — I believe — is going to be protected," he said. Although China, South Korea, and Japan have all reported rare instances in which people who recovered from the coronavirus later tested positive, those cases were probably the result of false positives, experts say. When you can leave self-quarantine If you're sick and wondering how to know when you've recovered, CDC guidelines depend on whether or not you were tested. If you weren't tested and probably won't be, you should stay isolated until you meet three criteria: You've have had no fever for at least 72 hours (without fever-reducing medication), your other symptoms (such as shortness of breath or coughing) have improved, and at least ten days have passed since the onset of symptoms. If you have gotten or will receive a diagnostic test, you need to test negative twice, 24 hours apart, before leaving isolation. Those tests must be done after you no longer have a fever (without fever-reducing medicine) and after other symptoms have improved. Once you have met these criteria, you can leave your home for essential outings, in accordance with your city, county, and state rules. You should still minimize contact with others, though, as well as disinfect all surfaces, clothes, and objects you've touched. Scientists still aren't sure when a person with the virus stops being contagious to others, but a team of German researchers found that coronavirus patients "shed" high amounts of virus early on in their infection. (The research is not peer-reviewed yet, however.) In mild cases, the amount of the virus the gets shed decreased significantly after day five. Patients with mild cases were not infectious eight days after they first started experiencing symptoms. The serious cases were not infectious after day 10 or 11. Holly Secon contributed reporting.Join the conversation about this story » NOW WATCH: How to help hospitals and healthcare workers fighting the coronavirus
On Friday, South Korea reported that 91 coronavirus patients being considered for discharge tested positive for...On Friday, South Korea reported that 91 coronavirus patients being considered for discharge tested positive for the virus again. The director of the Korea Centers for Disease Control and Prevention said the virus may have been "reactivated" rather than the patients being re-infected. It remains unclear why the patients tested positive after initially testing negative for COVID-19 — WHO announced Saturday that it would be investigating the reports. "As COVID-19 is a new disease, we need more epidemiological data to draw any conclusions," WHO told Reuters. Visit Business Insider's homepage for more stories. The World Health Organization (WHO) announced Saturday that it is investigating reports that coronavirus patients who initially tested negative tested positive for the virus days later. "We are aware of these reports of individuals who have tested negative for COVID-19 using PCR (polymerase chain reaction) testing and then after some days testing positive again," a WHO spokesperson told Reuters. On Friday, South Korea reported that 91 coronavirus patients they believed to have recovered from the disease tested positive for the virus again. Guidelines from WHO on clinical management recommended that a clinically recovered COVID-19 patient should test negative for the virus twice, with tests conducted at least 24 hours apart, before being discharged from the hospital. The COVID-19 patients in South Korea were being considered for discharge after testing negative for the disease — however, tests administered later showed positive results. South Korean health officials said they would be launching epidemiological investigations to determine what was behind the trend. Jeong Eun-kyeong, the director of the Korea Centers for Disease Control and Prevention, said in a news briefing that the virus may have "reactivated" in the patients, as opposed to the patients being re-infected again, Bloomberg reported. "While we are putting more weight on reactivation as the possible cause, we are conducting a comprehensive study on this," Jeong said Monday. "There have been many cases when a patient during treatment will test negative one day and positive another." The number of patients who were believed to have been cleared of the coronavirus but later tested positive jumped from 51 on Monday to 91 on Friday. Shortly after, WHO announced it would also be looking into the recent COVID-19 trend in South Korea as well. "We are closely liaising with our clinical experts and working hard to get more information on those individual cases. It is important to make sure that when samples are collected for testing on suspected patients, procedures are followed properly," a spokesperson for WHO told Reuters in a statement. According to WHO, current studies show that patients with mild COVID-19 experience a period of about two weeks between the onset of symptoms and clinical recovery. But it remains unclear why these patients are testing positive after they were believed to have recovered from COVID-19. "As COVID-19 is a new disease, we need more epidemiological data to draw any conclusions," the statement added. More than 390,000 people worldwide have recovered from the coronavirus, according to data collected by John Hopkins. Infectious disease experts, including Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Disease, believe that "people who recover [from COVID-19] are really protected against re-infection." People who have been infected develop antibodies that can "probably fight off the coronavirus if they encounter it again," making them temporarily immune to the coronavirus, according to Business Insider's Morgan McFall-Johnsen. However, it's unclear how long the protection lasts, she added. Recently, Dr. Anthony Fauci said people who recover from the coronavirus will likely be immune should a second wave of infection spread in the early fall. But preliminary studies about coronavirus immunity show that not all recovered patients develop the antibodies needed to protect ourselves from the virus. Join the conversation about this story » NOW WATCH: How to find water when you're stuck in the desert
Some patients who have recovered from coronavirus infection are suffering lasting damage, including liver damage, heart...Some patients who have recovered from coronavirus infection are suffering lasting damage, including liver damage, heart damage and blood clotting problems.