Smoking and coronavirus. Updated data for May 2020.
Increasingly, there is evidence that the coronavirus bypasses smokers and it is not easy for the smoker to get the coronavirus. Why this happens remains a mystery. Toli tobacco smoke neutralizes the virus, felts nicotine itself somehow blocks the virus and its reproduction.
Let me remind you, this is about traditional smoking, and not about analogues and electronic versions.
Further there is no less interesting studies according to the Pity-Salpetriere Hospital in Paris. Of the 340 hospitalized patients, 4,1% were smokers (14 patients), and of the 139 outpatients, 6,1% were smokers (8 patients). The average age of hospitalized patients was 66 years, ambulatory patients 44 years.
For smokers, it looks soothing. However, the World Health Organization (WHO) clearly indicates that smoking cannot protect against coronavirus, on the contrary, it provokes the development of a severe stage of the disease COVID-19. https://twitter.com/WHO/status/1259868599428108288
My opinion is that smokers have no benefit over coronavirus infection. Neither in the possibility of infection, nor in the possibility of a mild course of the disease. There are smokers who smoke little, but for many years and decades, there are people who combine smoking and physical activity, among smokers there are people who lead a lifestyle similar to a healthy lifestyle, including proper nutrition and who do not have excess body weight. Of course, such smokers have a much higher chance of getting COVID in a mild form than heavy smokers with existing chronic smoking-related diseases, especially among obese people.
The possibility of reducing the infectious dose of the pathogen SARS-CoV2, of course, is. The theory of the “benefits of smoking” in coronavirus is apparently based on that. Due to toxic chemical compounds contained in tobacco smoke, the pathogen concentration decreases and the infectious dose of the coronavirus becomes minimal, which in some cases does not cause disease or COVID19 is asymptomatic or mild. However, in a pandemic and highly contagious (contagious), such statements are more like a one-time winning lottery ticket than permanent protection against infection. Also, a winning ticket with a growing number of diseases can be considered an individual feature of the perception of a new coronavirus, and smoking here has almost no effect on the course of the disease.
And finally, about smoking and coronavirus - look at smoker's lungs in google images. As they say (no commets).
What is the harm from second-hand smoke and what actually makes a person breathe in other people's tobacco breaths? If a person does not smoke, respectively, he will either not be in a smoky room, or he will still receive a dose of intoxication, which is certainly harmful to the body, but not as much as direct smoking.
Based on the practice, a non-smoking person is unlikely to endure all the hardships of a smoked room for a long time - firstly, he will not be able to stay there for a long time due to deterioration, secondly, non-smokers have a much better sense of smell than smokers and as a result it is unlikely to get smoked clothes, hair, and personal items whether anyone needs it and if it’s impossible for some reason to leave, then the next time a non-smoker will in every way avoid getting into such a situation, and he will be right!
Of course, there is the possibility of “grabbing” a dose of tobacco smoke in a smoky room, but now smoking is prohibited almost everywhere in public places and even in parks and squares, which significantly reduces the risk of secondhand smoke.
One can compare the harm from a smoked cigarette and the inhalation of smoke from a nearby smoker, but no one forces you to breathe these exhalations. Accordingly, the harm from second-hand smoke is practically negligible, unless of course the smoker intentionally smokes in your presence.
Do not fall for the trick!
Many smokers who smoke you begin to tell you about the dangers of secondhand smoke, that being near them and breathing their tobacco exhalations is much more harmful to health than not smoking at all or smoking a regular cigarette. To smoke a cigarette is less harmful than breathing someone else's cigarette smoke ... Particularly “advanced” in this matter, specialist smokers say that when inhaling tobacco smoke when smoking, about 4000 different chemical compounds, including carcinogens, are inhaled, and when exhaled, this amount increases by 3 (three!) Times. This is thought up so that people continue to smoke, it is easier to smoke, buy cigarettes and tobacco, and therefore less harm to themselves than inhaling other people's smoke. If we adhere to such a doctrine, then the idea of inhaling automobile exhaust directly from a pipe is quite normal than being close to a car with a working engine. And why do you need to inhale something and think about how to reduce the harm from this?
According to constantly updated and researched data on COVID19, coronavirus infection is a systemic disease.
This means that the whole body can be affected, not just the lungs, and with inflammatory processes of the upper respiratory tract as with respiratory diseases, the infection can develop further throughout the body. The new virus is so unpredictable that any course of the disease depends on the immune system and the characteristics of the body. The mild and moderate course of the disease is largely associated with immunity and general condition, along with the absence of diseases in which the possibility of complications increases many times.
Diseases in which the risk of complications increases (chronic diseases: hypertension, vascular disease, diabetes, asthma, oncology, obesity). People with cardiovascular disease are at increased risk for tolerance to this infection.
In one of the possible complications of coronavirus infection, blood cells responsible for oxygenation (oxygenation) of the body are affected, the virus absorbs hemoglobin in red blood cells - red blood cells. As a result of this, it becomes impossible to transport oxygen to cells and tissues, then a negative process, due to the impossibility of gas exchange, leads to an inflammatory process in the lungs, and this can develop rapidly, with a sharp deterioration of the condition, which can lead to death. On CT (computed tomography), a decrease in airiness and the development of pulmonary fibrosis may appear as a “frosted glass” effect.
The situation with complications and the course of the disease COVID-19 is so unpredictable and individual that any outcome is possible, recovery from asymptomatic and unnoticed to severe complications and the most sad.
All negative processes caused by the SARS-CoV-2 coronavirus can develop before the appearance of irreversible consequences completely, without any special symptoms and an increase in temperature above 38.0 °. Symptoms of COVID19: fatigue, palpitations, dyspnea, drowsiness, headache, muscle pain with a general low-grade temperature of 37.1 ° -38.0 °. Coronavirus damage to the lungs that occurs after the middle and mild course of the disease is difficult to track due to the satisfactory condition of the infected person, as well as due to the similarity of symptoms with coronavirus infection and sensations after smoking in particular - shortness of breath, increased heart rate and headache, weakness, decreased and a weakening or even loss of smell and taste (one of the most frequently occurring symptoms, but not an obligatory symptom of coronavirus infection). Particularly problematic can be diagnosed and lead to an advanced stage of a new disease, its wave-like course. After mild symptoms of malaise, the improvement phase begins, lasting on average several days, while body temperature can normalize, after elevated, then health can rapidly deteriorate due to viral infection of the focal inflammation. If the condition worsens, you should immediately consult a doctor. So, as with a viral infection of the body, immunity is significantly reduced, in addition to a viral infection, a bacterial infection in the form of pneumococcus and other “cocci” - staphylococcus, streptococcus, can join. and others, which can cause bacterial pneumonia.
Coronavirus penetrates and develops in the body through the ACE2 and CD147 proteins. The virus enters the cell through the membrane proteins ACE2, there is also research that SARS-CoV2 can bind to the recombinant protein CD147 by triggering its processes leads to viral inflammation of the affected organ. Lesions can cause acute respiratory distress syndrome (lung infiltration - the accumulation of cellular elements in the body tissues mixed with blood and lymph together with hypoxemia - a decrease in oxygen content), pulmonary edema and myocarditis (damage to the heart muscle - myocardium, sepsis). These are possible complications of a new coronavirus infection (COVID-19) which for a non-smoker who leads a healthy lifestyle is really difficult and requires significant body forces to recover and suppress the infection, together with the right treatment. An effective treatment for coronavirus today is plasma transfusion with antibodies to coronavirus to a patient from a sick and recovered person.
For optimists who think that they “disinfect” the airways by smoking and (despite its harm) smoke the surface of their lungs with a “nicotine coating” that “disinfects” and that the virus cannot attach. Think about these facts:
Smokers are more likely to have respiratory problems.
Smokers have reduced immunity (even people with good health from birth, immunity can “walk” depending on the amount smoked)
Smokers usually have concomitant diseases caused by smoking and most likely diseases in the chronic stage that they “transferred” due to smoking from the acute stage to the chronic one.
Smoker's bronchitis, predisposition to emphysema, COPD (Chronic Obstructive Pulmonary Disease), cancer, and not only lung, do not add health and resistance to infectious diseases. especially viral!
Hypoxemia - oxygen deficiency of the body, a decrease in the functioning of vital functions and, as a result, forcing the body to work in an increased, compensatory mode to replenish homeostasis (self-regulation of the body to normalize functioning).
Also an indirect indicator is mortality from COVID19, where the male part predominates, even in South Korea, where women account for about 60% of the total number of cases, more men than women died from COVID-19.
Men smoke more than women, which contributes to an increase in the incidence of respiratory diseases. According to Business Insider
The hypothesis that nicotine - reduces the risk of infection with COVID19 and can weaken the course of the disease. Source Open science platform
And another opposite hypothesis on European Respiratory Journalthat smoking and lung diseases (usually caused by smoking), increase the level of ACE2 enzymes (membrane proteins) in the airways, which allow the coronavirus to access lung cells, which can cause complications of the disease. Source European Respiratory Journal
In any case, you do not need to be an expert to understand. that in the situation with coronavirus infection, with all the possible advantages of nicotine and “smoking,” the likelihood of complications is much higher than in a non-smoker person, taking into account concomitant diseases caused by smoking.
Three-dimensional visualization of lung lesions (shown in yellow), coronavirus infection (COVID-19) in a patient. Dr. Keith Mortman at George Washington University Hospital.
Why play roulette - on the one hand, reassure yourself that nicotine helps to cope with coronavirus, on the other hand, realize the possibility of infection due to smoking years of lungs. Common sense dictates that if a smoker picks up a coronavirus, what are his chances of getting off easily compared to a non-smoker?
When is that? At any moment starting right now! Right now!
I explain why. Now - when you read this, what happens is that you can get rid of smoking, and it happens without fail. It can be anything, some kind of obstacles from the side of the law - prohibitions, restrictions, for example, fines for smoking in places where before you could smoke without even thinking. Constant price increases for cigarettes and nicotine analogues of smoking. There may even be interruptions in the supply of smoking products. It is even possible that there is an outbreak of the appearance of an infectious disease on the earth, which can occur with complications or cause a critical condition, up to a fatal outcome, due to a weakened smoking body or already received negative changes obtained due to smoking, and you can not even guess about it! Whether it is considered a sign or a signal from above to reflect on your health or continue to smoke and hope for a proverb: what to be, not to be avoided. It’s even possible to constantly look at your life line on your hand and reassure yourself that it is long, that I feel great and that’s all, bad things that can happen will bypass me, because all the prerequisites for a long life are already checked and taken into account .
But even if you adhere to an optimistic scenario, relying on a life line and some personal signs that everything will be fine, they do not say anywhere that a long life can pass with a health defect, for example, get a stroke due to a thoughtless attitude to your health , or to save not the full volume of the lungs after an infectious disease. Accordingly, after that, immediately and immediately, quit smoking and continue to live and count the years on your recovery? Why wait and aggravate dramatic events for your health. If you delay and wait for an opportunity to quit smoking - this moment has come right now. You read it. You already know that. Do you think it will be easier to quit further and for this there will be some special conditions under which, as if by a wave of a magic wand, you stop smoking? This will never happen. Then you will smoke more cigarettes, vapes or any other electronic analogues of smoking than at the moment, which you understand will not improve your health, and you yourself understand, the more time passes from the moment you read this post, the more you will fill your lungs with smoke and nicotine, you will receive regular carbon monoxide poisoning (CO) and experience oxygen deficiency.
Most people, being optimists, take into account any, even the most insignificant and essentially meaningless signs and signals of a positive and favorable future, despite the constant and frivolous attitude to their health.
The real optimism lies in the fact that even the most negative and “unrealistic” prerequisites for quitting smoking are actually passing and not worth the experience and possible fear that they cause. All these horror stories and “impossibilities” to quit smoking so much remain in the past and are not remembered at all, do not disturb and do not make itself felt that any person who quit smoking always regrets why he did not do it before.
If you think that there are some deadlines, that you need to take courage and plan some time for preparation in order to quit smoking, then I will tell you - you can do without preparation. You can quit smoking right away without preparation and regrets.
You need the last cigarette smoked at midnight, in memory of the past smoking, or the ritual of the last pack, or something else ... Why? After some time, maybe even in a month, will you need this last smoked cigarette in your memory? You will remember her brand, how you lit her, how you savored the last blue smoke? Are these “memorable events” really important to you?
Another important point. Suppose you are mentally ready to quit smoking right now. Throw away cigarettes and a lighter, breathe deeply and live on enjoying all the charms of life without smoking. But physically, nicotine addiction makes itself felt every hour, every half hour. You constantly delay the moment of failure, plan it for a week, a month in advance, and so on. You are ready to quit smoking, but you want to do it smoothly, without the torment of weaning, it seems to you that something is about to happen and you just don’t want to smoke, but before that you need to smoke, smoke tomorrow, buy the last block of cigarettes, the last pack and etc. and so on. I want to do something, play it safe, be confident and prepared for the fact that quitting smoking will be easy and carefree. Well, imagine quitting smoking would be very painful - but doable!
Life without smoking and remaining health cost more than even the most excruciating withdrawal without cigarettes. Which occurs extremely rarely and lasts in the longest period of no more than 4-5 days.
April 2020. The world will forever remember this time. Viral infection of SARS-C0V-2 caused by COVID-19 disease.
The complications caused by a coronavirus infection are not limited to atypical pneumonia, there is evidence that the virus causes brain damage, can penetrate the gastrointestinal tract while remaining there, causing deterioration and various ailments. There is already evidence that coronavirus does not cause pneumonia, as is commonly believed, but a more specific lung lesion that literally destroys lung tissue. There are confirmed cases of recovery after COVID-19, when the lungs are preserved at 60% of the initial volume. One recovered lung volume remained at 30% of the original.
The new strain of coronavirus that appears is quite unpredictable and still poorly understood. At the same time, what will be the course of the disease when infected with coronavirus, it remains only to pray and believe in a favorable outcome. There are no prerequisites for predicting the course of the disease. Long-livers have cases of recovery, and unfortunately there are facts of the death of quite young people who do not suffer from any pathologies.
And where is smoking?
Any smoker understands that smoking is poisoning the body with various poisons. The first intoxication and poisoning is taken by the respiratory system: throat, vocal cords, bronchi, trachea, lungs. Coronavirus infection occurs in most cases into the body by airborne droplets, settling mainly in the nasopharynx. It is enough just to take a breath to be infected (there are other options for infection with coronavirus, we are considering an airborne droplet). It would seem that everything is so bad, and publicly available statistics indicate that smoking does not affect the incidence of COVID-19 so much. According to the European Journal of Allergy and Clinical Immunology Of the 140 infected with coronavirus infection (COVID-19) in Wuhan, only two were smokers. And according to the history of the first patients with coronavirus infection in Wuhan and Guangzhou 12,6% were smokers, and 1,9% were former smokers, the remaining 85,4% of those infected were non-smokers.
What does all this mean? What are smokers less likely to get coronavirus? According to the statistics currently presented, this seems to be true. However, there is still a lot of unaccounted data:
1. The above statistics, although official, are insufficient for the final conclusion about the effects of smoking and the incidence of coronavirus infection. For example, those infected at the beginning of the outbreak of the epidemic, out of 50 people infected, 10 will die, this is 20% mortality, and with an increase in infected to 1000, the mortality rate will be 50, resulting in a mortality of 5% for the same disease.
To obtain accurate data, larger statistics are needed.
2. Smokers in China, according to the most minimal estimates of about 350 million people, this is the fourth part of the country's population, the number tested on COVID-19 in China based on public statistics is not. Accordingly, it is impossible to present a real threat to smokers. However, common sense suggests otherwise.
3. The actual numbers of patients can be 10 times higher than in official statistics on morbidity. Moreover, this can be for various reasons, from hiding real data, to testing only severe and moderate cases of the course of the disease, which falls into the statistics. Asymptomatic patients are most likely not taken into account, again due to the excessive workload of medical facilities. There are simply no time left for asymptomatic patients. Also asymptomatic and patients of moderate and even severe severity, most are at home and treated / recover at home. Most likely, such patients are not taken into account, since the coronavirus infection in them passes as usual ARVI.
4. Mortality statistics in different countries are markedly different. For smokers and former smokers, there is also no clear understanding and separation, even if such records are kept while it is not in the general statistics of morbidity. Somewhere they test everyone without exception, somewhere selectively, somewhere only with symptoms.
3d visualization of a lung lesion (shown in yellow), coronavirus infection (COVID-19) in a patient.
Dr. Keith Mortman at George Washington University Hospital.
Smokers are in a special risk zone, former smokers too, although of course to a lesser extent from real smokers. Moreover, there is no need to wait for special statistics, common sense says that there is no smoke without fire. Moreover, smokers include not only smokers of cigarettes, but also smokers on a regular basis of vapes, electronic cigarettes, hookahs and other tobacco heating systems to obtain a personal dose of nicotine.
During the outbreak in China, no one believed in such an outcome. You never know what viruses are, especially when patients are estimated at ten people.
November 17, 2019 - the first patient
December 15, 2019 - 27 patients
December 17, 2019 - 60 patients
January 1, 2020 - 381 cases
March 11 2020
WHO announces worldwide pandemic of coronavirus infection COVID-19 caused by SARS-CoV-2 coronavirus.
Most countries on earth are infected, in some European countries the number of infected people is growing exponentially, while the number of deaths due to coronavirus infection is increasing.
April 3, 2020 - a figure of 1.000.000 one million infected with COVID-19 is recorded worldwide
April 17, 2020 - 2,223,240, more than two million two hundred twenty three thousand infected around the world
November 17-April 17, over 5 months more than 2 million infected, more than 152 thousand dead, only according to official statistics. Real data can be much more.
Why quit smoking now and it should work out.
In fact, you can give a lot of reasons, I will describe those that are your trump cards right now.
Quarantine and self-isolation. Smoking is problematic anywhere, and in conditions of limited mobility, toxic compounds are retained in the body for a longer time. You also smoke less or less, and there is more harm to the body.
Quarantine as an opportunity to endure nicotine hunger is the most difficult option. After going through the abstinence phase of dependence on nicotine, you most likely will not want to smoke, the desire to smoke will be minimal. This desire can be dealt with without much effort. Such a cessation of smoking is quite difficult, but real.
And if you can not smoke while the nicotine withdrawal has gone, you will appreciate your abstinence, and later negative memories will fade and you will simply be happy that you finally got rid of the destructive habit.
Think about what will happen next if you suddenly become infected with a coronavirus (I strongly wish you to avoid this). At
it is not recommended to smoke any respiratory diseases, acute respiratory viral infections and influenza for a quick recovery, and with coronavirus infection I think everything is clear.
What to do if after throwing, some people begin to clear the body and cough, shortness of breath, in some cases bronchitis, etc. After all, you can confuse these symptoms with a coronavirus infection. Yes it is.
But if there is a risk of getting infected, it is better to stop smoking during the course of the disease, treatment, and after recovery?
All negative consequences after quitting smoking are temporary. The appearance of such consequences is strictly individual and depends on the length of smoking, the number of cigarettes smoked, lifestyle, age and general condition of the body.
Everyone decides for himself when he should stop smoking and whether it is worth it. If you are unable to quit smoking, do not want to, are afraid, put it off, or for whatever reason put it off, try to smoke less.
See how to recover from quitting smokingtaking into account quarantine measures and isolation.
Moreover, on self-isolation, the risk of infection is minimized, and recovery will be soft and smooth.
The origin of the virus is still in question. Also, new data constantly appear on the virus damage not only to the lungs but also to other organs, the appearance of new symptoms of coronavirus (rash, diarrhea, lack of temperature during lung damage), obviously this is due to the mutation of the virus and individual human immune responses to infectious invasion. From now on, the possibility of the emergence of new viruses and the emergence of pandemics or even syndromes in humanity will always be associated with the fear of contracting a deadly disease.
But in any case, the first to meet and try to block the infection is immunity. It is impossible to have good immunity and smoke. Even if you smoke and try to lead a lifestyle close to healthy.
I decided to quit smoking, but did NOT light it again.
This topic is not new, already quite a lot of people who quit smoking, are bored, but have not lost their relevance. I am writing this post now and I think that I have not smoked for a long time, I am not attracted to smoking, I don’t even think about cigarettes, but for someone this is a whole problem, the fight against the desire to smoke again. I will try to help you no longer return to tobacco.
So, when I used to smoke, and I smoked a lot, sometimes a lot (I will have to make a separate post about it). Naturally, I tried to quit smoking, in my early attempts I unconsciously quit, I just realized that it would be worse if I did not stop smoking. Later, the understanding and awareness of throwing still intensified, but at some point I still returned to the cigarette.
How not to smoke after you quit or plan to quit.
You can smoke in two cases: 1. With physical dependence on nicotine for the first time after giving up a cigarette. This is different for everyone, but on average 2-10 days. 2. When there is no physical dependence, but the habit remains, there is an interest in checking yourself after a while, various situations when it is usually accepted to smoke.
If you smoke at these moments, then later you will want to smoke more, while you may think that these are “test” cigarettes or puffs that in no way connect you with further smoking. That's all. You lit up again. Slow. Neatly. Unaware.
Even if you have iron will and nerves of steel and you endure the continued desire to smoke - why force yourself and mock yourself? Such smoking is not worth the torture.
Variations of smoking after quitting, and how to get out of them.
If you tried to smoke after a long time, you may not start smoking again. I know one person who tried this way to smoke one cigarette a year (for a holiday) after quitting. Why he smoked, I don’t know. Perhaps he was trying to test himself - whether he had completely quit smoking, or tried to experience pleasant feelings from smoking, as he used to be a heavy smoker. But I remember very well that such experiments ended for the first time with bronchitis, and the second time also with some kind of respiratory disease. From one smoked cigarette. After that, he stopped such experiments. Looking at this, I decided not to smoke even once a year. The more time has passed since the failure, the less will be the desire to smoke again. But this is all very individual. You can continue to not smoke without any effort, but this also has a catch. Smoked - nothing bad happened, you can smoke again, even after, for example, a week. There can be no way back, in this way you can return to smoking without noticing it. This is especially true for the use of various smoking novelties, which are considered less harmful and do not exude stench. Do not start smoking and do not test yourself.
Now let's move on to the case if you recently quit. The less time has passed from your last cigarette, the more you will want to smoke. And you can find yourself various excuses and reasons to smoke again. What to do in such a situation? Or experiencing physical cravings a second time, trying not to smoke. Or, start again and plan the next quit smoking when it seems to you that you are ready for it. Because of such moments, people are afraid to quit smoking and begin to associate quitting smoking with something tough, unpleasant and painful, and sometimes impossible! In this case, I think it is better to try not to smoke, helping myself with various means that facilitate smoking cessation and nicotine addiction. The choice here is wide - these are pills to facilitate smoking cessation, nicotine patches, sprays, and chewing gum, etc. You can choose the option for yourself. But smoking while taking these drugs, trying to drown out the nicotine need - is impossible. No need to justify yourself with what is written on the package, they say it is necessary to stop smoking after so many days. You had the negligence of smoking when it was not necessary. You need to get out of nicotine addiction as soon as possible - these drugs will help you. No need to try to smoke. This option, even with the desire to smoke, is preferable to health than to start smoking again and plan to quit later.
If you have heard enough or think that quitting pills, nicotine patches, and other drugs do not help much when you quit smoking, then they will help you alleviate smoking abstinence. But do not rely only on them. Remove physical dependence, it will be easier further - day after day. This is a real chance to quit smoking.
Knowing all this - give yourself a setting in advance so that it does not happen - you will not light it. Under no circumstances. Not a single puff of a cigarette, nor an electronic analogue, nor a hookah, nor a cloud of smoke next to a smoking person, no nicotine and tobacco. Take care of your lungs - they will still come in handy.
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