COVID-19 behavioural fatigue: A cause for concern


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


By Dr Edward Nazareth

Sep 15: Nearly 70 members of an elite club met in Mangaluru for a celebration followed by dinner recently. Of these, more than 25 people turned out to be positive for COVID-19 infection within a few days; one senior member succumbed to the infection and six of them are still in the hospital. It is now believed that one of the members who had fever and given the sample for testing on the same day had attended the celebrations; his report came positive on the next day. The members of this club are well educated and well informed.

A group of Catholic priests were tested positive a few weeks ago. They all had gathered for the birthday celebration at a parish house. It was later known that one of them had attended an engagement ceremony a few days ago where many guests were present. Fortunately all the priests recovered without complications.


Release phenomenon?

When lockdown was announced in India by our Prime Minister on March 24 this year, there were only five positive cases in the Dakshina Kannada district and Udupi had one. The first death due to COVID-19 infection in Dakshina Kannada was reported on April 19 - a lady aged 50 years from Kasaba, Bantwal died at Government Wenlock Hospital.

Once the lockdown was announced, though there were a few positive cases the people were extremely alert. Everyone was wearing mask and people used to chase away anyone without mask. Social distancing was strictly followed - it was a common scene, people waiting even in the hot sun in front of the super markets maintaining strict social distancing by standing at the previously marked places. There were no celebrations, no parties - people were extremely vigilant. Almost everyone was carrying hand sanitizers. The public transports were not used, even if it was available, people were scared to travel in auto-rickshaws.

As I prepare this write up in the second week of September, we have more than 400 positive cases reported in Dakshina Kannada almost every day and total deaths due to COVID-19 related complications are nearing to 430. In Karnataka total positive cases have crossed 4,40,000 and deaths have crossed 7,000.

The number of positive cases and the number of deaths are increasing in almost every city of the country. Though through statistics we are trying to give low death rate compared to many other countries, we have to accept that we are not able to contain the deadly virus. We are almost reaching the mark of one lakh positive cases per day in the country, which were barely 500 total cases with 10 deaths in the entire country when the lockdown was announced on 24th March 2020. Our total tally of positive cases now is nearing to 50 lakhs with deaths reaching to 80 thousands.

But the common people seem to be least bothered. Once the lockdown was relaxed in phases, people were feeling the importance of freedom-freedom from banned travelling, freedom from restricted shopping, freedom for public gatherings etc. Though the authorities are warning frequently, most of the people seem to be care free. It appears, people wear masks in public as if it is a statutory requirement. Masks are most often seen on the chin than covering the nostrils and mouth. Social distancing is hardly seen, people are crowding everywhere. The public transport like city buses are overcrowded during peak hours. It appears that the common people have reached the threshold of behavioural fatigue; they do not want to follow the restrictions any more. Wearing the masks, maintaining social distancing and hand washing- which are not difficult to follow, but cannot become part of our natural human behaviour. This seems to be the main reason for increase in the number of positive cases; though we give the excuse that our testing rate is far more superior to many other countries.


Why everyone has to take care?

When the pandemic started, people were cautioned about the infection through all possible means. News papers, television and all the social media were used to educate the people. This in turn created phobia among the people and people were so scared, even the dead bodies of COVID19 victims were not allowed decent funeral in the burial grounds.

To alleviate the fear, the campaign started that the virus was not deadly. Elderly and people with co-morbidities only may get the complications. This campaign has resulted in false confidence in common people. Now most of the people believe that the COVID19 virus won’t affect them as they are healthy. Some people quote some elderly politician who had no problems even if infected. Many of the politicians and celebrities have survived the infection and are perfectly healthy. But, unfortunately it is not true in every one.

A young doctor in Mangaluru who had started his postgraduation about ten days prior to the fateful night died suddenly. He developed chest pain and collapsed in the intensive care unit. He was tested positive and was on treatment. He is not the only one. It is now reported that of the total deaths in India, about 15% are below the age of 45 years. In Karnataka more than a quarter of COVID 19 related victims are younger than 50 years and without any known co-morbidities. It is believed that these people develop either acute myocardial infarction due to clotting of the blood or acute myocarditis. Heart related complications seem to be the main cause of death in young population without known co-morbidities.

Many healthy young individuals who had severe illness due to COVID19 infection have survived and are suffering from breathing difficulties, which is attributed to post-covid lung damage. The after effects of the infection are not fully known and it is not known whether they will ever recover from it.

At the beginning of the pandemic and even now the complications of COVID19 are more common in people with co-morbidities. It doesn’t mean that the virus won’t infect the young and healthy. Many of these remain asymptomatic and pass on the infection to the vulnerable in their families or in the neighbourhood, but a few get the illness and develop complications.


Silent spreaders

As believed at the beginning of the pandemic, the virus is spread mainly by asymptomatic and the people in the pre-symptomatic stage. It is now almost impossible to trace the source of infection in many people. Asymptomatic carriers of the virus are everywhere. It was initially thought, only young individuals are asymptomatic. Now it is clear that asymptomatic people can be at any age. ICMR had suspected (not yet approved) that more than 15% people in the hot spots had contacted the virus, but many did not have the disease-they were asymptomatic. More than 80% adults and 95% children are asymptomatic when infected. Of the remaining more than 10% to 15% of adults and 2% to 3% children have mild symptoms; many of them may not go for testing. It means that for every positive symptomatic case, there may be 8 asymptomatic infected people. These asymptomatic people are there everywhere in the community. They can spread infection like any other person having the symptoms.


Infection and re-infection

It was initially thought, the people who get infected would develop immunity for re-infection. Recently four junior doctors working in COVID wards in Mumbai are tested positive due to re-infection. The reports of re-infection are also coming from different parts of the world. It was earlier reported that the antibodies developed after an infection by COVID19 virus disappear in many people within three months. This has disappointed many who trusted an effective vaccine to protect from infection. More details are awaited and we are not sure whether we will get an effective vaccine and if we get how frequently we may have to take it to remain protected.

We have not conquered the virus, it is around us. The possibilities of infection are quite high. We have to take care, we have to be vigilant. To protect from infection we have to inculcate the ‘Covid Behaviour’ as a part of our daily life. There are three important parts in this, wearing the mask and wearing it properly, maintaining social distance and hand hygiene.
Though these are at times irritating, these are now essential to save our life from the deadly virus and life of others who come to our vicinity.


Wear the mask, wear properly

When we are in a group we have to remember that we may be surrounded by people who may be able to spread the virus to us. Therefore, it is important for everyone to wear the mask and wear it properly.

If one is not working as a health care professional or not in the hospital for whatever reason, ordinary cloth mask may be enough. The advantages of the cloth masks are that they can be washed and re-used. The surgical masks are better than the cloth masks, but a surgical mask has to be disposed off after a single use or using continuously for 6 hours. N 95 masks, which are expensive, are especially needed for health care workers who work with COVID19 positive or suspected individuals.

It is proved that the masks slow the spread of COVID 19 virus by reducing the infected people spraying the virus into the environment around them when they cough, sneeze or talk. If you are close to a person wearing the mask who is having the virus(with or without symptoms), the chances that person transmitting viruses on to you are far less. Therefore it is important for you to insist all the people closer to you to wear the mask, wear it properly irrespective of whether they are sick or not.

When you wear a mask – even a cloth mask – you typically are exposed to a lower dose of COVID19 virus than if you do not. If the virus load is less, even if you are infected you may not become sick or may have mild symptoms. It is now clearly known that the COVID19 virus enter human body through nose and mouth and rarely through eyes. Therefore wearing the mask and spectacles (plain glasses also) can protect you substantially from infection.

The viruses are normally spread on the common surfaces like tables, chairs, door knobs, lift buttons, railings of the steps that we touch. The viruses are transmitted to our hands from these surfaces. We frequently take the hands (involuntarily) near the nose or mouth, from where viruses get entry into our body. If we wear the mask continuously and do not touch the nose or mouth, transmission of the virus is avoided.

No mask is perfect, and wearing one might not prevent from getting infected totally. But the mask definitely reduces the risk and even if infected, reduces the viral load (the amount of viruses). The mask can reduce the intensity of infection - a person who would have gone to the ventilator if infected without a mask, may get mild infection with a mask and may not even perceive it, may remain asymptomatic.


Maintain social distance

COVID-19 virus spreads mainly among people who are in close contact (within about two meters or 6 feet) for a prolonged period. The possibility of contacting the virus by a healthy person from an infected person depends on two factors- the distance between the two and the duration of exposure.

The virus spreads when an infected person coughs, sneezes, or talks, and droplets from their mouth or nose are launched into the air. These may land in the mouths or noses of people nearby. This is more so in closed rooms like cabins, chambers with air conditioners. The studies have shown that the viruses can thrive in the air in closed rooms for several minutes and spread to others and the droplets can be inhaled into the lungs from the air. This must be the main reason why many guests in the celebrations and parties are infected from one or two infected person(s).

The time duration a healthy person spends in the vicinity of an infected person is also an important factor in spreading the virus. Using the ‘exposure to virus x time’ formula, the studies have shown that anyone who spends more than 10 minutes with in a face-to-face situation is potentially infected. Anyone who shares the space with an infected person (for example, an office) for an extended period is potentially infected.

Coughing and sneezing release hundreds of millions of viruses that travel at a great speed (80-320 kmph) and have high chances of infecting the people. A healthy person can get infected just by exposure for a few minutes to the infected person who has been coughing or sneezing.

• When going out in public, it is important to stay at least 2 meters (6 feet) away from other people. It is very important to follow this in public places like public transport, offices, banks, places of worship etc.

• Whenever possible, avoid using public places. Most of the shopping may be done online or go to the market places when they are less crowded. Only visit stores selling household essentials in person when you absolutely need to, and stay at least 6 feet away from others who are not from your household while shopping. Please insist politely to the people around you to wear the mask and wear it properly, when you also wear the mask properly. Finish the shopping at the earliest and move out from the place.

• If possible avoid public transport, use your own vehicle. Faster mode of transport is better- if you can travel by air, it is better than using a bus or train. Consider social distancing options to travel safely when running errands or commuting to and from work, whether walking, bicycling or using public transit, rideshares, or taxis. When using public transport, try to keep at least 6 feet from other passengers or transport operators – for example, when you are waiting at a bus station or selecting seats on a bus or train. When using rideshares or taxis, avoid pooled rides where multiple passengers are picked up.

• It is safest to avoid crowded places and gatherings where it may be difficult to stay at least 6 feet away from others who are not from your household. If you are in a crowded space, try to keep 6 feet of space between yourself and others at all times, and always use mask and use it properly. Masks are also important in times when physical distancing is difficult.

• When you go for a walk or exercises out in the park consider how many other people might be there and choose a location where it will be possible to keep at least 6 feet of space between yourself and other people who are not from your household.


Hand hygiene

The hands have a crucial role in the transmission of COVID-19 virus. The COVID-19 virus primarily spreads through droplet and contact transmission. Contact transmission means by touching infected people and/or contaminated objects or surfaces, the hands get infected. These hands can spread virus to other surfaces and/or to the mouth, nose or eyes if the person touches them.

The hand hygiene is one of the most effective actions that can be taken to reduce the spread of pathogens and prevent infections, and is considered as the No. 1 tip for preventing the spread of COVID-19 virus. It is common sense and it works. However, it must be done properly and with soap and water. It is recommended that copious amount of soap has to be applied and hands should be rubbed together for at least 20 seconds and washed with running water. They may be dried using fresh tissues or personal hand kerchief. The hand dryers, commonly found in public bathrooms are also effective.

• Using clean, running water is important. Never wash the hands by submerging them in a basin or bowl of standing water. This water could contain germs that continue to live there. Avoid touching doorknobs, toilet flush handles, and faucets after washing the hands.

• When soap and water are not available, the next best option is to use an alcohol-based hand sanitizer. The sanitizer should have at least 60% alcohol.

• Alcohol-based hand sanitizer (containing at least 60% alcohol) is helpful in protecting against the spread COVID 19 viruses. However, hand washing with soap and water is still the best. The hand sanitizers can be an alternative when soap and water is not available. This includes when taking public transportation and when it is difficult to get to a bathroom (airplane, train, bus). Carrying a travel size bottle of hand sanitizer makes it easy to disinfect the hands in these situations. Some people use it when they sit down to eat at a restaurant. Others use it when they are in the presence of crowds (games, church service, school meetings).It is important to apply generous amount of hand sanitizer to the palm of the hand and rub it across both hands, front and back, and fingertips till it evaporates.

• The hand sanitizers should not be used at homes and offices where soap water is available.


Let us not get tired

A few weeks ago, the head of the World Health Organization, Tedros Adhanom Ghebreyesus said, he hoped the COVID 19 pandemic would be over in less than two years, especially if we could pool our efforts. He probably was hoping to get an effective vaccine.

Now a few researchers are keeping the fingers crossed as there are multiple reports of re-infection. It supports earlier studies that the antibodies developed in infected people would disappear within three months. It means that the conventional vaccines would be of no use.

If vaccines do not work and if the people do not develop lasting immunity, then how this pandemic will end?

Till we get an answer, it is prudent to learn to live with the virus. We have to live with it and have to take care that it doesn’t infect us. We have to change our behavior and should not get tired of it.

The deer and tiger live in the forests. The deer always remains alert about the tiger attacking it. If at all it is chased by the tiger, it runs and runs because it knows that if it gets tired and stops that would be its end.

That is how we have to live with COVID 19 virus at least for now.


Editor's Note: Readers may post their questions on COVID-19 to Dr Edward Nazareth on 'Ask Your Doctor' column. Your questions will be answered by Dr Nazareth.

 

Read more on COVID-19 by Dr Edward Nazareth:

 

  

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Comment on this article

  • Donald Maxim Saldanha, Derebail/Belman

    Tue, Oct 06 2020

    Yet another very informative and enlightening article by the renowned Doctor. Doctor, I have a query: Many people are resorting to 'Steam Inhalation'. Doctors too are advising this to covid patients. My question is: Does steam inhalation kill the virus in the lungs? How far is this effective in preventing/curing covid? Kindly enlighten me sir. Thank you

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  • Eric Dsouza, Mangalore, Bendore

    Tue, Sep 22 2020

    As always excellent informative article from Dr Edward. We wait to read his articles. Keep it coming dear Dr.

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  • Rudolf Rodrigues, Mumbai

    Wed, Sep 16 2020

    One should just visit the crammed filthy slums of Dharavi, Malwani, Govandi in Mumbai & just see whether any of the above protocol is applicable; the same is applicable to all cities including Mangalore!
    These children are so much exposed to all sorts of viruses, bacteria, fungi et al early in life that they develop strong resistance power or loads of them would have succumbed daily; this may be the hygiene hypothesis at work!

    BTW, economic condition is so precarious that many people are already starving & many will come on the roads soon? There will be an avalanche of psychological & other problems like bankruptcy, burglaries etc!
    CORONA conundrum is nothing compared to all
    the problems we will face!
    God save my country!

    DisAgree [4] Agree [7] Reply Report Abuse

  • Alwin, Mangalore

    Tue, Sep 15 2020

    The article provides good education. If it reaches our people in Konkani it will serve better and our elderly people come out from emotions and will be able to decision making. The parish council can take initiative.we have online mass and the confession can also be done in similar manner with in church rules. Our lord Jesus desired prosperity and peace. Every house is a domestic church. The God is word of God bible and any doubts can be clarified from CCC and the Jerome biblical commentry. As community is well disciplined and must be same time kept out side fear of spirituality.There sufficient book s for clear our doubt.our lord is merciful so we need to save our community in mass gathering. The pillars of our community is the faith of our aged people and it survive under any circumstances because of their faith in lord Jesus. So people must take decision of their own and not by any notification of few. The recent notification and invitations should be analysed and stopped in future to save community

    DisAgree [3] Agree [12] Reply Report Abuse

  • J.F.D SOUZA, Attavar, Mangalore

    Tue, Sep 15 2020

    The facts and figures shown are very genuine. But many people are not adhereing to the instructions issued by Govt. and other authorities from time to time. Many are careless also. Thats why number of Corona cases increasing day by day. very informative and very effective article.

    DisAgree [3] Agree [17] Reply Report Abuse

  • Rudolf Rodrigues, Mumbai

    Tue, Sep 15 2020

    Don't believe in TV publicity; now since so many weeks, CORONA is gone to dustbin & Sushant Singh case is going on 24/7 in media; all attention diversion tactic! Why deadly CORONA conundrum is forgotten now??

    DisAgree [6] Agree [13] Reply Report Abuse

  • C.G.Sequeira, Valencia, Mangalore

    Tue, Sep 15 2020

    It's another valuable article by Dr.Edward Nazareth in the sereis of Covid-19. Prevention is better than cure. This type of informative articles on health issues would help us to be more careful.

    DisAgree [6] Agree [10] Reply Report Abuse

  • Fr. Vincent V. Menezes, St. Zuze Home Jeppu

    Tue, Sep 15 2020

    Thank you Dr. Edward for your well written article. Useful guidelines. May the Lord bless you.

    DisAgree [5] Agree [12] Reply Report Abuse

  • Nishad TP, Kerala

    Tue, Sep 15 2020

    Sir.... as your previos article. It is also a valuable one. Nowadays everybody have well experience how to prevent spreading of COVID-19.In this article it state about a club and parish programmm. Even they are educated they show any sort of responsibility to this society!!!!

    DisAgree [5] Agree [12] Reply Report Abuse

  • Rudolf Rodrigues, Mumbai

    Tue, Sep 15 2020

    The same extreme panic and phobia was created when HIV was at it's peak, today nobody is talking about it!!


    When the bank moratorium ends, the fatalities will be much more than CORONA due to failure of paying back the creditors!!

    DisAgree [7] Agree [12] Reply Report Abuse

  • Rudolf Rodrigues, Mumbai

    Tue, Sep 15 2020

    First of all WHO has goofed the CORONA episode up by giving contrarian statements & misguiding general public, they also had a spat with big brother for all the mess!

    It is now known that this virus is also airborne, variant of influenza virus & only time will tell when it'll go away! It's imperative it'll not spare anyone in a densely populated & poor country like India!

    The above protocol looks good on paper, but I wonder how many people would be follow so many precautions & conditions, except the super rich!
    BTW, the present economical situation is highly depressed; many people are on the verge of starvation & coming on the roads! In this context, what social distancing can you expect? If you stay at home, unemployed, you will die of starvation; so, both ways end is same!
    Also so many slum pockets w/o basic amenities should have died in large nos by now!
    Also how many people can afford bills running.into lacs for a few weeks treatment??
    Such type of rigid protocol cannot be applied at.ground levels in a country like India!

    DisAgree [7] Agree [10] Reply Report Abuse

  • Naveen, Mangalore

    Tue, Sep 15 2020

    If these ground rules aren't followed the people who are suffering will suffer further!! What do you mean by rigid rules? Wash hands (which should be done with or without Corona), keep distance and avoid crowded places. Apart from the soap one purchases, the rest is at the cost of one's wisdom and awareness. The problems you mentioned haven't been rightly addressed. The whole menace caused by the pandemic is the tip of the iceberg. The problems beneath have been there for a long time., they would have surfaced anyway with or without the pandemic.!!

    DisAgree [9] Agree [11] Reply Report Abuse

  • Rudolf Rodrigues, Mumbai

    Tue, Sep 15 2020

    You didn't understand the host of my post!

    If u are using public transport for work, standing in the bus Q, buying fish in a fish Mkt, or in a mall what all criteria of this protocol can you follow! Social distancing of 1 mtr would be a diamtrical area of 2mtrs??
    What about densely populated areas where there is no money to buy food, what do you expect?
    IMHO, this is an airborne infection and nobody will escape! Unlucky will succumb!
    Do you how infectious is TB? 70% of population has latent TB; do you know how many people die of TB every year, why nobody talks of it?

    DisAgree [10] Agree [7] Reply Report Abuse

  • Naveen, Mangalore

    Tue, Sep 15 2020

    If TB has been an issue so is Cancer, global warming, human trafficking, deforestation, flooding, etc. The word 'PRIORITIZE' is coined for a reason. Corona is like a wildfire. It has caused enough destruction and will continue to if taken for granted. Be it in public transport, fish market, slums the rules are the same. It doesn't spare the rich or the poor. We (including you) have to follow them to avoid being infected. This is called 'PREVENTION'. Arguing over the other 100 other existing problems doesn't help, rather tackling the utmost important one helps. This is called 'BEHAVING IN CRISIS SITUATIONS'. The doctor did his job by reminding us to continue to follow the rules. It's our turn to create awareness amongst others who are ignorant. The media can report 100 things, but it is our choice to process the information we need the most. The rules may look impractical at some places, in that case, care has to be taken on how to make it function. Arguing doesn't help. Just do a reality check and ask a person who has suffered from the virus!! He/She will not talk about other issues other than the one that affected them and will avoid getting infected again. It is for us to decide either- We get Infected and learn or follow the rules and avoid the suffering!! PRIORITIZE, PREVENT; ACT IN CRISIS SITUATIONS ; FOLLOW RULES; SPREAD POSITIVITY!

    DisAgree [9] Agree [12] Report Abuse

  • Rudolf Rodrigues, Mumbai

    Tue, Sep 15 2020

    Naveen,
    Please understand it's an airborne virus & nobody can control it's spread!

    TO FULFIL ALL THE CONDITIONS ABOVE YOU WILL HAVE TO SIT IN A STERILE CAPSULE!
    WHICH MEANS OF YOU FAIL TO MEET ANY OF THE ABOVE CONDITIONS U ARE EXPOSED TO THE VIRUS! SO CAN YOU FULFIL SO MANY CONDITIONS IN A POOR & DENSELY POPULATED COUNTRY LIKE INDIA??

    DisAgree [8] Agree [9] Report Abuse

  • Rudolf Rodrigues, Mumbai

    Tue, Sep 15 2020

    Naveen,
    TB like CORONA is an highly infectious disease; today there is TB which is highly resistant to antitubercular drugs; it's 8x more infectious than CORONA & most of us are already having latent TB!
    FYKI TB infection is much more powerful than an airborne infection like CORONA!!

    DisAgree [4] Agree [7] Report Abuse

  • Dr Erel Diaz, Mangalore

    Tue, Sep 15 2020

    People are under the impression that the Pandemic is setting down , Dr Edwards article has mentioned clearly that this is not so and we have to be extra cautious at this stage. Relaxation of the lockdowns does not mean we have to relax and have parties and functions. Masks , sanitizers and physical distancing are most important at this phase of the pandemic. We are nowhere near the peak !!!!

    DisAgree [4] Agree [14] Reply Report Abuse

  • Rudolf Rodrigues, Mumbai

    Tue, Sep 15 2020

    Doc,
    Just go out and see, as an ordinary person, in vegetable Mkt, fish market or mall whether it's physically possible to maintain SOCD and then reply??

    DisAgree [5] Agree [5] Reply Report Abuse

  • Dr Erel Diaz, Mangalore

    Wed, Sep 16 2020

    With India’s population I guess what your saying is true .Anyway the Government has now put the onus of taking precautions on the public , so we should all do it part to see that this pandemic is contained.

    DisAgree [1] Agree [7] Reply Report Abuse

  • Rudolf Rodrigues, Mumbai

    Wed, Sep 16 2020

    Doc,
    Even N95 masks are not capable of preventing CORONA virus; it's a myth; how can you expect a poor country populace , starving for food, to buy high quality masks & costly hand sanitizers or even get copious amounts of fresh.water to wash their hands?????r
    EVEN AFTER FOLLOWING ALL THESE PROTOCOLS, CORONA HAS ATTACKED THE RICHEST ROYAL FAMILIES IN THE WORLD,HOW AND WHY???

    DisAgree [3] Agree [2] Report Abuse

  • D. F. Lobo, Vamanjoor, Mangalore

    Tue, Sep 15 2020

    Dear Doctor Edward,
    Thank you for this valuable article. Very timely and excellent, which is the need of the hour.

    DisAgree [3] Agree [12] Reply Report Abuse

  • John, Mangalore

    Tue, Sep 15 2020

    When Doctors are helpless or clueless they usually suggest or to seek Divine assistance. Following is a very handy information for believing Doctors on this corona

    Jesus on hydroxychloroquine, why vaccines are not very effective and how to build your immune system in a message to John Leary dated Wednesday, April 15, 2020:
    ...
    Jesus said: “My people, this virus epidemic is a biological weapon that was started in China as a means of controlling people all over the world. I have warned My people to build up your immune system with elderberry extract, Hawthorn, vitamin C, and holy water. The deep state people have been trying to put down the use of hydroxychloroquine and azithromycin because they have a plan to bring out a vaccine which could be made mandatory. I am warning My people as I have in the past, not to take any flu shot or vaccine because this could harm your immune system, and make you vulnerable to the corona virus, especially when it returns in the fall. These vaccines are not very effective besides, because the virus is constantly mutating. If your authorities make any flu shot or vaccine mandatory, then this will be like mandatory chips in the body, and you will need to come to My refuges to avoid being killed for not taking them. You are on the verge of being called to My refuges...

    Ref: http://www.johnleary.com/index.php/2020/04/page/2/?cat=3&order=ASC

    DisAgree [12] Agree [18] Reply Report Abuse

  • John, Mangalore

    Wed, Sep 16 2020

    Those who looking for Holy Water, Fr Jose, Logos Bangalore blesses it everyday online service (1500 to 1730 hrs), following link. Also for those having faith or for those looking for miraculous healing (with lots of testimonies and healings specially from covid.)

    https://youtube.com/watch?v=QSPsUz-KZaU

    DisAgree [4] Agree [9] Reply Report Abuse

  • Victor Dsouza, Moodubelle

    Tue, Sep 15 2020

    Very informative article and contains all necessary tips and guidance on how to prevent it. People are taking things lightly. The analysis in this article gives us the clear picture on how serious it is and it is really a cause for concern. Thank you Dr. Edward for this wonderful article. Let us live watchfully like the deer without being tired so that we can survive.

    DisAgree [6] Agree [14] Reply Report Abuse

  • John, Mangalore

    Tue, Sep 15 2020

    This virus is airborne that WHO acknowledged after leading scientists confronted them.

    Like seasonal flu infection will spread as it is airborne till everyone gets immunity.

    This social distance seems to be Bill Gates, elites, communists brainwash through WHO for their vaccine check who has got the shot or not and to eliminate errors or miss out while scanning for it, or used while travelling, shopping or for business purpose and requirements.

    Following video depicted in cartoon on how it will work, using Luciferase illuminating protein tatoo (as in firefly ) mark to those who have been vaccinated.

    Basically these communists Chinese and elites want to control everyone in name of queue or order to avoid chaos and anarchy in the same time seems enslaving humanity, making them controlled robots through this predictive programming mind controlling system in the name of Virus and Vaccine. And with advanced bio, nano, 4G/5G technology and mobile apps, advanced surveillance system everything is possible in this age.


    Ref

    'Quantum Dot LUCIFERASE Tattoo Predictive programming'
    https://youtube.com/watch?v=ie--wOXqzMU by Jeremiah K

    (Also, Chinese scientist says Covid came from government lab in Wuhan, yesterday's news report...,

    https://www.ndtv.com/world-news/chinese-virologist-li-meng-yan-claims-coronavirus-was-made-in-wuhan-lab-report-2295323?pfrom=home-topscroll )

    DisAgree [15] Agree [21] Reply Report Abuse

  • Rudolf Rodrigues, Mumbai

    Tue, Sep 15 2020

    It's a big game played by the super powers that's all!

    DisAgree [6] Agree [5] Reply Report Abuse

  • John, Mangalore

    Tue, Sep 15 2020

    Jesus on emerging viruses and how to build up immune system in a message to John Leary dated Monday, August 4, 2014
    ...
    Jesus said: “My people, I have talked about a deadly pandemic virus that would be purposely spread among the people to reduce the population. This concept of reducing the population is a plan of Satan, who hates man, and he has the one world people carrying this out because they worship Satan. This statement about reducing the population is also in the Georgia Guide stones, which is part of their ten commandments that contradict My Commandments. For those who want to learn more about AIDS and ebola as laboratory creations, there is a book called ‘Emerging viruses, AIDS and ebola’ by Dr. Leonard Horowitz. This book shows you all the background for how these viruses were made and distributed. When the swine flu became pandemic, these evil ones behind it, tried to force everyone to have a flu shot which actually impairs your immune system. This same scare with ebola, will precipitate the same mandatory flu shots that will again compromise your immune system. It is better to refuse these flu shots, and take Hawthorn, herbs, and vitamins to build up your immune system. If you see a contagious deadly virus that is transmitted in the air, then I will advise My faithful to come to My refuges, where you can look on My luminous cross in the sky or drink the healing spring water to heal any disease. This pandemic virus is one of the conditions to come to My refuges. Other signs are a world famine, a bank failure, a division in My Church, and mandatory chips in the body. You may even see people persecuted because they refused these flu shots. Have trust in My protection, as your lives will be in danger, when I will call all of My faithful to My refuges.”

    Ref: http://www.johnleary.com/index.php/2014/08/?cat=3&order=ASC

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  • Kishore Kumar, Devarachikkanahalli

    Tue, Sep 15 2020

    A very detailed article and an eye opener. After doing all the hard work if we give up now everything will be a waste. Government and the doctors are doing their best. There are limitations to what they can do. But on our part we need to follow the three simple things suggested by the doctor. Hope people will understand the seriousness of the situation and be careful. Also everyone should take the responsibility of spreading the awareness rather than criticizing the system, and stop spreading the misinformation that Corona is not dangerous. Thanks Doctor.

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  • Naveen, Mangalore

    Tue, Sep 15 2020

    Dear Doctor,
    Thank you for this article. Having read all your articles which are well articulated, it has definitely helped so many people. Please continue with the good work. We have all seen, read, and are aware of the reality around us, but many a time fail to adhere to the basic rules causing danger to people who faithfully follow them. Your article is a reminder that the virus will be around us and we have to deal with it and live with it. Let us all not lose hope but stay strong through this phase. To gain perspective remember that our situation is far better than the countries affected by war, drought, deadly effects of climate change, and also simultaneously battling against this pandemic. We have to be grateful for what we have and the least we can do is to follow the hygiene rules and protect ourselves and the community around us.

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  • Cynthia, Kirem

    Tue, Sep 15 2020

    Dr. Eddu, once again a very beautiful article from you. As usual, it can be reached out to everyone because of its simplicity. We should be cautious all the time and each one has to educate their surroundings. Then we can succeed. We maintain safe distance but, those who come after us, fill in the space and get their work done and run.... We have to wait longer especially medical stores/shops etc. Some will never never follow the instructions..Sir, I too have observed the behavior exactly same to same that you have mentioned in your article. I humbly request you, if you could write for us some important vitamins which are available in the medical shop. For home kashayas, we don't get ingredients. The names of different medicines are being mentioned by different sources which is causing confusion. Just for our clarification... Wish you every success and craving for god's blessings upon you and your family..all the time...Thank you so much.. 🙏🙏

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  • Rohan, Mangalore

    Tue, Sep 15 2020

    Dear Dr.,
    Very timely and excellent article which is the need of the hour. Your caution I suspect will fall to deaf ears as there are not many deer around as they decided to be unwise through their behaviour as rightly pointed out by you. This article is a ray of hope for someone like me who will adhere to all your suggestions strictly at all times(now, before and future) and seems foolish to others. I would not mind the insult until I keep myself and family safe than regret later. If after all this the virus catches up then it is destiny and had to be... But the providence of God gives us the choice to choose our destiny to some extent...

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  • DR.VASANTH, moodbidri

    Tue, Sep 15 2020

    AGAIN A GOOD WRITEUP ON COVID PANDEMIC BY DR.EDWARD. HE RIGHTLY POINTS THAT THE END IS NOT VISIBLE YET FOR THE RISK OF COVIDINFECTION..COMMUNITY SPREAD CAN ONLY PREVENTED BY PROPER FOLLOWING OF THE SUGGESTION GIVEN BY THE AUTHOR. GOOD ONE DOCTOR... LET US KEEP OUR FIGHTING SPIRIT AGAINST COVID INFECTION STRONG..

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  • M. A. RAHIM, Moodbidri/mangalore

    Tue, Sep 15 2020

    Dr Edward’s article is very informative, as his all previous articles. I know this doctor since he was with Alva’ s hospital, Moodbidri. I have been reading all his articles. Thanks doctor for educating the lay people. Please keep writing such articles on health for the benefit of lay peoples.

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Title: COVID-19 behavioural fatigue: A cause for concern



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