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Global Statistics

All countries
695,781,740
Confirmed
Updated on September 26, 2023 9:04 pm
All countries
627,110,498
Recovered
Updated on September 26, 2023 9:04 pm
All countries
6,919,573
Deaths
Updated on September 26, 2023 9:04 pm

Global Statistics

All countries
695,781,740
Confirmed
Updated on September 26, 2023 9:04 pm
All countries
627,110,498
Recovered
Updated on September 26, 2023 9:04 pm
All countries
6,919,573
Deaths
Updated on September 26, 2023 9:04 pm

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Pros Fabric wicks aways sweat and keeps odor at bay Versatile in terms of styling Comes unlined and with boxer-brief liner for extra support Available in a wide variety of colors Ease fit through hip and thigh Cons Sizes tend to run out quick I’ve gone through more athletic shorts than I can count, and

Risk for behavioral problems elevated for children with allergic rhinitis

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Jason Horowitz

ROME — When Morena Colombi tested negative for the coronavirus on March 16, the official tallies counted her among the Covid-19 recoveries, a success amid the tragedies overwhelming Italy. But she was nowhere near recovered, her cough and crippling fatigue nowhere near gone.

Five weeks later, on April 21, she returned to her job developing colors for a cosmetics company, but with shortness of breath and aching muscles, she found herself unable to take even short walks. Another test confirmed that she was no longer infected. But 11 weeks after testing positive, on the same day Italy first quarantined towns, she is still not back to normal.

“It takes a long time,” said Ms. Colombi, 59, who lives in Truccazzano, outside the northern city of Milan. “I can’t get back into my natural rhythms.”

Italy was the first European country to be hit hard by the pandemic — its intensive care units inundated and its elderly dying in droves before the tsunami reached Spain, France, the United States or Britain. And so Italy is also ahead in coming to grips with the long duration of the illness and the lasting consequences for some survivors.

Many Italians have grown painfully familiar with the way the infection can hang on for weeks, the symptoms can linger for weeks more, and full recovery can take longer still — if it ever arrives. Of the more than 218,000 people in Italy who have tested positive, more than 30,000 have died and the government lists more than 103,000 as recovered.

The stubbornness of the virus and the length of the convalescence have become topics of conversation in northern Italy where some of the longest-suffering Italians are finding themselves in physical and financial uncertainty, unable to shake sickness and fatigue and get back to work.

Their experience may also be instructive to other nations as struggling to get their economies moving again.

Image

Credit…Alessandro Grassani for The New York Times

“We have seen many cases in which people take a long, long time to recover,” said Alessandro Venturi, the director of the San Matteo hospital in the Lombardy town of Pavia, adding that the discomfort often seems to last even longer for people with lighter symptoms. “It’s not the sickness that lasts for 60 days, it is the convalescence,” he said. “It’s a very long convalescence.”

Most people who catch the virus have few symptoms or none, but some get very sick, most often with pneumonia. Any pneumonia damages the lungs, which can take months to heal, and doctors warn that the harm might not be completely reversible.

Studies also point to kidney, heart, liver and neurological damage, often from secondary infections, and no one knows what the long-term prospects are for those patients.

But even some of the infected who have avoided pneumonia describe a maddeningly persistent and unpredictable illness, with unexpected symptoms. Bones feel broken. The senses dull. Stomachs are constantly upset. There are good days and then bad days without apparent rhyme nor reason.

The afflicted find the simplest tasks taxing. Testing is still mostly reserved for the hospitalized, and so people suffering less severe but stubborn symptoms are trailed by doubt about whether they have the virus.

Dr. Annalisa Malara, an intensive care physician in Codogno, southeast of Milan, who diagnosed Italy’s first case of the outbreak in February, said there was still no clear understanding of why the virus and its effects lingered so long.

“Lack of energy and the sensation of broken bones” are common, she said, adding that fatigue often lingered “even after the more intense symptoms are gone.”

In the north of Italy, the epicenter of the contagion in that country, a partial lifting of the lockdown this month has allowed more family and friends to compare notes on their experiences.

“It never finishes,” said Martina Sorlini, a 29-year-old math and physics high school teacher who has been running a low-grade fever since the beginning of March. She said that the cough and sore throat eventually went away, and that after three weeks she got her sense of taste and smell back, and even found enough energy to run and tend vegetables in her garden.

Then came stomach aches, fatigue and the return of fever. And it hasn’t left, making it extremely tiring to teach her online high school classes.

Image

Credit…Alessandro Grassani for The New York Times

“I was convinced that I was better. They don’t know what happened,” Ms. Sorlini said. “They are seeing everything for the first time too.”

Some say the experience of the long-suffering, if not critically ill, deserves more attention.

Edmondo Cirielli, a member of Parliament with the right-wing Brotherhood of Italy party, has argued that the health ministry should pay more attention to cases like his.

On the weekend of March 7, Mr. Cirielli ran a fever and suffered cold-like symptoms, and became convinced he had picked up the virus by touching an infected surface in the Parliament chamber. He tested positive that week.

Almost immediately, he said, his fever and cough faded, and he thought he would be fine. Then he had what he called a “small respiratory crisis” that put him in the hospital.

But he had no pneumonia, so he went home to self-quarantine. There, he suffered debilitating fatigue, sore throat, diarrhea and intense pain at the base of his neck that made it impossible to concentrate.

“One day I was fine, the next bad. There was no building to a peak and then coming back down. It was up and down for a month,” he said.

Then things got stranger.

After 40 days of feeling lousy, he tested negative for the virus, but his eyes still burned and bouts of diarrhea continued, he said.

At the end of the month, he finally felt better, but another test result came back positive, forcing him to spend weeks more in isolation, where he kept busy watching “Versailles” on Netflix.

Testing has been imperfect, and not everyone has access to it.

Ingrid Magni, 44, got fever and chills on March 21.

“It never left me,” she said, adding that she started suffering intense headaches after about three weeks. Doctors could only recommend over-the-counter painkillers and bed rest. She got winded just making her bed.

“I had to sit down,” she said. “I was too tired.”

Image

Credit…Alessandro Grassani for The New York Times

Without the eligibility to receive a swab test, which is usually reserved for hospital patients, she told her boss at a chemical plant that she would get an antibody test, which could be used to trigger an official swab test for the virus itself if antibodies are detected.

But the results have not come back. She is eager to get back to work by the middle of the month and is not sure how many more sick days the doctor will sign off on.

Others just want to feel better.

Albertina Bonetti, 77, from Trescore Balneario, near Bergamo, developed nausea and fever on March 7, followed by dry heaves and diarrhea. After 10 days of fever, her legs began hurting so much that she could not put her feet on the ground.

She needed an oxygen tank from March 20 to the end of April, but when she went to a hospital, the staff refused to admit her — so she, too, remained untested.

Ms. Bonetti said that she still had shortness of breath and fatigue and that her senses remained out of whack. She misses normal life and the taste of her latte in the morning.

“It leaves something inside you,” she said of the virus. “And you never go back the way you were before.”

Emma Bubola contributed reporting from Milan.

  • Updated April 11, 2020

    • What should I do if I feel sick?

      If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others.

    • When will this end?

      This is a difficult question, because a lot depends on how well the virus is contained. A better question might be: “How will we know when to reopen the country?” In an American Enterprise Institute report, Scott Gottlieb, Caitlin Rivers, Mark B. McClellan, Lauren Silvis and Crystal Watson staked out four goal posts for recovery: Hospitals in the state must be able to safely treat all patients requiring hospitalization, without resorting to crisis standards of care; the state needs to be able to at least test everyone who has symptoms; the state is able to conduct monitoring of confirmed cases and contacts; and there must be a sustained reduction in cases for at least 14 days.

    • How can I help?

      The Times Neediest Cases Fund has started a special campaign to help those who have been affected, which accepts donations here. Charity Navigator, which evaluates charities using a numbers-based system, has a running list of nonprofits working in communities affected by the outbreak. You can give blood through the American Red Cross, and World Central Kitchen has stepped in to distribute meals in major cities. More than 30,000 coronavirus-related GoFundMe fund-raisers have started in the past few weeks. (The sheer number of fund-raisers means more of them are likely to fail to meet their goal, though.)

    • Should I wear a mask?

      The C.D.C. has recommended that all Americans wear cloth masks if they go out in public. This is a shift in federal guidance reflecting new concerns that the coronavirus is being spread by infected people who have no symptoms. Until now, the C.D.C., like the W.H.O., has advised that ordinary people don’t need to wear masks unless they are sick and coughing. Part of the reason was to preserve medical-grade masks for health care workers who desperately need them at a time when they are in continuously short supply. Masks don’t replace hand washing and social distancing.

    • How do I get tested?

      If you’re sick and you think you’ve been exposed to the new coronavirus, the C.D.C. recommends that you call your healthcare provider and explain your symptoms and fears. They will decide if you need to be tested. Keep in mind that there’s a chance — because of a lack of testing kits or because you’re asymptomatic, for instance — you won’t be able to get tested.

    • How does coronavirus spread?

      It seems to spread very easily from person to person, especially in homes, hospitals and other confined spaces. The pathogen can be carried on tiny respiratory droplets that fall as they are coughed or sneezed out. It may also be transmitted when we touch a contaminated surface and then touch our face.

    • Is there a vaccine yet?

      No. Clinical trials are underway in the United States, China and Europe. But American officials and pharmaceutical executives have said that a vaccine remains at least 12 to 18 months away.

    • What makes this outbreak so different?

      Unlike the flu, there is no known treatment or vaccine, and little is known about this particular virus so far. It seems to be more lethal than the flu, but the numbers are still uncertain. And it hits the elderly and those with underlying conditions — not just those with respiratory diseases — particularly hard.

    • What if somebody in my family gets sick?

      If the family member doesn’t need hospitalization and can be cared for at home, you should help him or her with basic needs and monitor the symptoms, while also keeping as much distance as possible, according to guidelines issued by the C.D.C. If there’s space, the sick family member should stay in a separate room and use a separate bathroom. If masks are available, both the sick person and the caregiver should wear them when the caregiver enters the room. Make sure not to share any dishes or other household items and to regularly clean surfaces like counters, doorknobs, toilets and tables. Don’t forget to wash your hands frequently.

    • Should I stock up on groceries?

      Plan two weeks of meals if possible. But people should not hoard food or supplies. Despite the empty shelves, the supply chain remains strong. And remember to wipe the handle of the grocery cart with a disinfecting wipe and wash your hands as soon as you get home.

    • Can I go to the park?

      Yes, but make sure you keep six feet of distance between you and people who don’t live in your home. Even if you just hang out in a park, rather than go for a jog or a walk, getting some fresh air, and hopefully sunshine, is a good idea.

    • Should I pull my money from the markets?

      That’s not a good idea. Even if you’re retired, having a balanced portfolio of stocks and bonds so that your money keeps up with inflation, or even grows, makes sense. But retirees may want to think about having enough cash set aside for a year’s worth of living expenses and big payments needed over the next five years.

    • What should I do with my 401(k)?

      Watching your balance go up and down can be scary. You may be wondering if you should decrease your contributions — don’t! If your employer matches any part of your contributions, make sure you’re at least saving as much as you can to get that “free money.”


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