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      "body": "Congratulations @ruthalas! You have completed the following achievement on the Steem blockchain and have been rewarded with new badge(s) :\n\n<table><tr><td><img src=\"https://steemitimages.com/60x60/http://steemitboard.com/img/notifications/firstcommented.png\"></td><td>You got a First Reply</td></tr>\n<tr><td><img src=\"https://steemitimages.com/60x70/http://steemitboard.com/@ruthalas/voted.png?202003061712\"></td><td>You received more than 10 upvotes. Your next target is to reach 50 upvotes.</td></tr>\n</table>\n\n<sub>_You can view [your badges on your Steem Board](https://steemitboard.com/@ruthalas) and compare to others on the [Steem Ranking](https://steemitboard.com/ranking/index.php?name=ruthalas)_</sub>\n<sub>_If you no longer want to receive notifications, reply to this comment with the word_ `STOP`</sub>\n\n\n\n**Do not miss the last post from @steemitboard:**\n<table><tr><td><a href=\"https://steemit.com/steemitboard/@steemitboard/use-your-witness-votes-and-get-the-community-badge\"><img src=\"https://steemitimages.com/64x128/https://cdn.steemitimages.com/DQmTugCUsoXX762vg1CuHRrpnPbfnjPogp8iCGv7F2kSVuj/image.png\"></a></td><td><a href=\"https://steemit.com/steemitboard/@steemitboard/use-your-witness-votes-and-get-the-community-badge\">Use your witness votes and get the Community Badge</a></td></tr></table>\n\n###### [Vote for @Steemitboard as a witness](https://v2.steemconnect.com/sign/account-witness-vote?witness=steemitboard&approve=1) to get one more award and increased upvotes!",
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      "body": "Hello folks! Just wanted to stop by and drop a link to a document I am compiling.\n\n[COVID-19 Helpful Information](https://docs.google.com/document/d/1HQvw85-BoRngPO8qzSUHuZHDmgPhFLzh3up84iajGcg/edit?usp=sharing)\n\nIt's a google doc in which I have collected useful information about the outbreak, such as:\n* Severity and Spread\n* Prevention\n* Symptoms, Treatment\n* Protective equipment\n* Guides\n* Official News Sources\n* News articles\nand more!\n\nI'll be updating it over time as I find content.\n\nIf you have content you feel would be appropriate to add, please let me know here (or request comment access to the google doc). I am particularly interested in new developments in spread or treatment, and steps people can take to protect themselves.",
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      "body": "[![coffeea](http://c0ff33a.uk/coffeea.jpg)](http://bit.ly/2YbNaET)  Lucky you @ruthalas here is your COFFEEA, view all your tokens at [steem-engine.com](https://steem-engine.com/) [Vote for c0ff33a as Witness](http://bit.ly/2YbNaET)",
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      "body": "Thanks a lot for your translation!\n\nBest regards.\n\n!COFFEEA",
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      "body": "English translation:\n\nDear friends of peace and freedom,\nDear friends of love and happiness,\nDear readers,\n\nThe socialist epidemic prevention policy in the EU, and in particular in Germany, is a nightmare. For weeks now, serious mistakes have been made by those responsible for politics - above all by the Health Minister Jens Spahn. These mistakes have been, and continue to be, criticized by me aggressively because, due to the premature entry of the virus into the broad strata of the population, they result in death and damage to human health - and thus damage to the right to life and physical integrity expressed in Article 2 GG massive damage.\n\nThe refusal to ban the landing of flights from China in Germany at the beginning of the pandemic and to introduce temperature controls at the airports, to order respiratory protection for the entire population and to consistently cancel mass events has significantly increased the risk to life and limb in the German population and thus represents a serious violation of Article 2 (2) GG - the fundemental right to life.\n\nI have already asked the State Minister for Health of NRW, Mr. Laumann, via email at the end of January  to close Düsseldorf Airport for Chinese returnees and introduce temperature controls, regardless of the directive from Berlin in NRW. As early as 5 weeks ago I asked Mr. Laumann to convert the empty but near completed wet research center into a 500-bed infection clinic so that the clinic is reasonably able to cope with the upcoming mass incidence of infected people in Düsseldorf and the surrounding area - also isolating the most seriously ill from the Regular care - to manage the care of SARS sufferers.\n\nNothing has happened in this direction so far. Yesterday I took the liberty of informing the Düsseldorf Health Department of the need to close schools and daycare centers - and of the criminal liability for failing to take such an epidemic measure. This email also went to Minister of Health of NRW Minister Laumann.\n\nAs a reminder, Article 2 (2) GG:\n\n> (2) Everyone has the right to life and physical integrity. The freedom of a person is inviolable. These rights may only be interfered with by law.\n\nThose who do not close schools and day-care centers, do not consistently cancel mass events, do not recommend respiratory protection among the population and do not use existing infrastructure to expand bed capacities, as decision-makers in office and in politics, violate the fundamental right to everyone's life in an unacceptable manner Citizens of this country.\n\nI also pointed this out to the health department in Düsseldorf and its management yesterday, and also to the State Ministry of Health in North Rhine-Westphalia in the person of Mr. Laumann.\n\nCitizens who suffer health damage due to failure in fundamental questions of epidemic prevention should try to assert health and economic damage to the country in the event of survival, as well as possibly try to assert civil law against the officials.\n\nBecause, as far as the failure in terms of sensible and urgently needed disease prevention measures is concerned, I am entirely on the side of Professor Kekulé, who, like myself, is continuously calling for the cancellation of mass events and the closure of schools and daycare centers. A measure that can, if necessary, be extended beyond a period of more than two weeks.\n\nThose who fail to take these measures, even though they are authorized to do so, willfully act against the state of scientific knowledge in a punishable manner by violating the law as a public official as a public official's right to life and physical integrity.\n\nSuch grievances in epidemic prevention in Germany mean that a potentially fatal virus spreads all the faster in the population and the health systems collapse earlier than necessary.\n\nThe catastrophic disease management of the socialist government in Germany and its local rulers is likely to endanger the lives and health of countless people and will ultimately result in more deaths than necessary.\n\nSomething like that is a perfect (though in every respect unacceptable) expression of an attitude towards life (contrary to the law!) in which the life of the individual and his right to life are subordinated to the collectivist ideological worldview of socialist madness for the purpose of maintaining his own power.\nHere, authorities and governments at federal and state level violate the Basic Law and violate the scientific knowledge of the past decades in central questions of a necessary and immediately required disease prevention.\n\nAnyone who is harmed by the fallout of the deliberately caused risk increase for a SARS infection, the government, cities and municipalities that are characterized by inadequate measures to combat epidemics should sue for health-related damages, as well as economic damages - possibly also in private law against the heads and officials of authorities who continue to violate basic rules of epidemic prevention despite better knowledge and keep daycare centers and schools open.\n\nIt is more than frightening to see how badly and inadequately disease prevention is apparently practiced and implemented in many places. Especially as they allow more than a month pass while they do not prepare hospitals, create beds and ventilation places for the seriously ill, etc.\n\nIn the meantime, the disinfectants are stolen at the local university clinic and no recognizable measures are yet being taken to isolate the mass incidence of infected and critically ill patients in a separate infection clinic - separately from standard care.\n\nFood for thought.\nSend with love!\nPeace!",
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      "body": "[Image Subtitle] Viral conjunctivitis can precede general symptoms such as fever, cough or muscle pain in the case of COVID-19 disease - Image source: wikipedia\n\nDear friends of freedom and peace,\nDear friends of love and happiness,\nDear readers,\n\nIn the following paragraphs, I would like to deal in several sections with the specific case of the COVID-19 risk situation when visiting an ophthalmologist in a clinic or practice. These sections will be based on the recommendations of the ophthalmologists in Hong Kong, which were published a few days ago. Because of the high relevance for the health of the old and multimorbid (suffering frequent or chronic illnesses) patients, and thus particularly vulnerable patients and ophthalmologists, this article will be a bit extensive.\n\n**Background on SARS-CoV-2 or COVID-19 disease**\n\nThe experience of the ophthalmologists at the eye clinics in Hong Kong, together with the local epidemic experts, worked out recommendations for ophthalmological care that focus on avoiding infection risks for patients and ophthalmologists.\n\nA three-stage infection control system was established in the knowledge that ophthalmologists who work without personal protective equipment, as persons in risk class 1, with more than 15 minutes of contact with infected people, are highly at risk of being infected even by asymptomatic or symptomatic virus eliminators when performing their work and caring for patients.\n\nThe virus, now officially known as SARS-CoV-2, is capable of severe disease courses\nwith massive damage to the lungs and consecutive lung failure in the form of acute respiratory distress syndrome (ARDS), which leads to death from multi-organ failure in a large number of such patients (around half of the cases).\n\nBecause of the severity of the illness, around 30 percent of the patients admitted to a hospital require intensive medical treatment, which, in addition to the direct virus-related damage to the patient, can also result in secondary and consequential damage such as paralysis, etc. in the case of such serious illnesses.\n\nThe incubation period for COVID-19 is 2-14 days - in rare cases up to 24 days. Doctors and medical personnel who - even unknowingly - had unprotected handling of SARS-infected patients have to be quarantined at home for 14 days and are no longer available for health care and are absent for at least two weeks, even possibly becoming ill themselves and suffering the consequences of a SARS infection as well.\n\nCommon symptoms in the run-up to such a severe course of the disease are fever, cough, runny nose, fatigue, muscle and body aches, shortness of breath as well as diarrhea and possible heart problems as a result of viral involvement of the heart muscle. The average mortality rate is stated at 2.3 percent, but has so far been 4.3 percent in Wuhan.\n\nThe likelihood of dying from infection with the new SARS virus COVID-19 increases significantly with age. The mortality of infected people increases significantly, particularly from the age of 40 and is around 1-2 percent among the group of over 50 year olds, between 3.8 and 8 percent for over 60 year olds and over 8 percent for over 70 year olds\n\nFrom the age of 80, more than 15 percent of all infected COVID-19 patients die.\n\n**The threat situation and the risk of the uncontrolled spread of the new corona virus from person to person continues to increase**\n\nIn the coming weeks and months, a further increase in the threat and risk situation is expected worldwide, which is associated with considerable risks for the health of both patients and doctors.\n\nOphthalmologists and patients are particularly affected by such a heightened risk of the threat situation, since, as a rule, due to the close visual examination by the ophthalmologist, the safety distance between patient and ophthalmologist drops to a few centimeters and thus a direct transmission of the highly contagious SARS virus to the doctor (or vice versa to a patient) is likely.\n\nIn addition, ophthalmologists in particular often serve a largely elderly clientele, who belong to the risk group for a fatal outcome of the SARS-CoV-2 infection, since they not only are older, but also often exhibit a variety of existing illnesses. However, since young people can also die from a COVID-19 disease, and the risk of a fatal outcome is also significantly increased for cancer patients, diabetics and lung patients, a maximum reduction in the risk of infection is essential.\n\nHuman-to-human transmission of the new corona virus occurs through droplet infection, smear infection or contaminated areas in in cases of self-infection (auto-infection). Therefore, all measures must be taken to prevent such infection chains, as effectively as possible.\n\nBy February 14, 2020, 1,716 health care workers in China were infected, 6 of whom have since died. The first of these was the ophthalmologist Dr. Li Wenliang, who at the time of his infection contracted the SARS-CoV-2 virus in the control of an asymptomatic glaucoma patient and died at the end of January of the effects of Covid-19.\n\nThe ophthalmologist [Dr Li Wenliang](https://de.wikipedia.org/wiki/Li_Wenliang) became famous worldwide because he was the first to publicize the suspicion of a new SARS virus and report it to the WHO, dying shortly afterwards due the consequences of the infection.\n\nHis wife, who is pregnant with his second child, and his son, as well as his parents, survived the SARS infection they got. His tragic death exhorts us even more than ophthalmologists and patients, as well as citizens, to pay more attention than ever to the basic tenets of infection protection for the well-being of patients and the general interest for fellow human beings, as well as for our own life.\n\nNobody is helped if a doctor who does not protect himself is infected with COVID-19, like Dr. Li Wenliang, and possibly passes this virus on to other patients unnoticed during his work.\n\nThe new corona virus can also, in the form of an aerosol, infect a person's conjunctiva as part of a droplet infection and in this way trigger the potentially fatal COVID-19 disease, especially for older people over 50 years of age.\n\nAccording to reports from Hong Kong, COVID-19 disease can manifest itself clinically as solitary conjunctivitis (conjunctivitis) before symptoms such as fever, cough, and symptoms appear before symptoms such as fever or cough become apparent. There is currently no therapy for viral conjunctivitis initiated by the SARS-CoV-2 virus - although in my opinion the topical administration of gamma interferon in the form of eye drops can be discussed for unofficial use- though it is currently not possible due to the lack of such a preparation.\n\n**Clinically asymptomatic virus carriers are particularly capable of infecting ophthalmologists**\n\nThere is increasing evidence that doctors and medical staff have also contracted the new Coronavirus from undiagnosed and asymptomatic patients.\n\nSeveral scientific papers indicate that an infection with the new corona virus was caused by air transmission, through contact with contaminated aerosols with the surface of the eye if full protective glasses were not worn with the personal protective equipment and further measures to protect against infection have been taken.\n\nBecause of this situation, the AAO - the American association of ophthalmologists - has recently been forced to issue an alarm and an instruction for ophthalmologists in America, which will affect ALL PATIENTS with conjunctivitis and / or suspected COVID-19 disease. Use of personal protective equipment including full safety glasses.\n\nBasically, patients with suspected COVID-19 conjunctivitis should only be examined by ophthalmologists after the disease has healed in order to keep the risk for fellow patients in the clinic and practice, as well as for the medical staff on site, as low as possible and thus to maintain the health care of other patients.\n\nIt is now certain that the new coronavirus is also infectious via a person's tear fluid and can therefore be transmitted via direct contact with the patient. Therefore, all direct manipulations such as eye pressure measurements, and contact glass examinations should be avoided if possible. This also includes the contactless measurement of the eye pressure, since micro-aerosols with infectious SARS viruses can be released into the environment by the measuring mechanism.\n\nA complete ophthalmological examination is often associated with time-consuming additional examinations – often including pupil dilation. In the case of the COVID-19 pandemic, this constitutes an increased risk of infection of the SARS-CoV-2 pathogen.\n\nLanguage barriers, old age, and limited mobility of patients simply make matters worse. Because of the additional time and complexity involved, these factors can all further increase the risk of infection of people in the immediate vicinity of an infected person, especially if the person is not wearing a face mask or protective equipment.\nThe risk of cross-transmission of the new coronavirus is therefore significantly increased in ophthalmological practices and treatment centers as well as eye clinics with particularly long waiting times compared to other medical disciplines.\n\nIn the context of a SARS pandemic, the number of doctor-patient interactions must be limited to the absolutely minimum in order to protect patients and medical personnel, and normal routine examinations and illnesses that do not require urgent clarification should be postponed to a later date - especially when it comes to routine checkups of no urgency.\n\nThe basic requirement is that every patient – for their own safety - must wear respiratory protection when visiting a clinic, doctor's office, or emergency center in order to reduce the risk of infection for others.\n\n** Patients with proven contact with SARS / COVID-19 patients should also not go to a clinic or a practice without consulting a doctor. This is all the more true if they show clinical signs such as conjunctivitis, fever, cough, runny nose, etc. and an outbreak of COVID-19 disease is therefore likely.\n\nIn this case, hotline 116117 should be called outside of normal office hours in Germany, or sick patients should first call their doctor or contact the local health office immediately to rule out the presence of SARS-CoV-2 disease and the like to discuss therapeutic diagnostic procedures ...\n\nPart 2 to follow ...",
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