Asymptomatic COVID Infections – Are You Safe?

Asymptomatic COVID infections – are you safe?

Patients with COVID usually exhibit signs of coughing, fever, and fatigue. This can develop into further respiratory problems including difficulty breathing, pneumonia in both lungs, and in severe cases the need to ventilate a patient in an intensive care setting. But what if you are asymptomatic? Do you need to worry? Surely you get the benefits of immunity without the dangers of life-threatening symptoms.

In our previous blog, we discussed how a study showed 41% of people with COVID were asymptomatic. However, they had the same viral load as their symptomatic counterparts. This paper published in Nature Medicine suggests that even the asymptomatic patients developed signs of lung inflammation without showing any outward symptoms. Could asymptomatic patients still be damaged by COVID? It's not easy to study this subset of patients, as they do not get tested routinely or present to hospital for examination or investigation.

This study looked at 37 individuals in the Wanzhou District who were diagnosed with COVID via swab test but did not show any symptoms before the test or during hospitalization. These patients were found through the extensive contact tracing program set up in Central China. Whilst in hospital 57% showed abnormalities in the lung fields on a CT scan, including the “ground glass” appearance classic for COVID pneumonia. These changes could be due to fluid or blood in the area or due to inflammation caused directly by the infection.

What does this mean for the individual in the long term? This is difficult to say, especially since COVID has only been around for a few months so long term follow up is simply impossible to state accurately. Depending on the size and severity of the inflammation it may resolve spontaneously with no lasting damage, or the inflammation could cause scarring of the lung tissue that only becomes evident several years or decades down the line. It's difficult to tell.

The study also looked at two other factors in these patients. Compared to their symptomatic counterparts, asymptomatic patients were found to shed viral particles for several more days. It is unclear the significance of this, or whether this makes them more infective or prone to transmitting the infection for a longer period of time. It does add support to the theory asymptomatic people should not believe themselves exempt from spreading the infection.

Secondly, the study looked at the prevalence of antibodies present in the patient's blood. These antibodies can be used as a surrogate for immunity. In theory, after infection occurs our body has the ability to rapidly produce these antibodies against the virus in the event of a second infection. This would neutralize the infection before it could develop into a serious disease.

Looking at these antibodies the researchers found antibody levels against the SARS and MERS virus to last over 2 years. However, against SARS-CoV-2, the antibody levels fall within 2-3 months, providing only a short duration of immunity. This is worrisome for individuals and countries hoping to achieve herd immunity or at least immunity to the virus after a mild or asymptomatic infection.

So what should we take away from this? Perhaps an asymptomatic infection is not the perfect scenario. Damage does occur to your lungs, albeit temporary damage. You are still able to spread it to vulnerable people. And your immunity may not last as long as other infections.

Therefore be safe. Maintain social distancing, follow government advice on wearing a mask. And if you can, avoid excessive socializing or close contact with lots of other people. The virus hasn’t gone away, and it is still dangerous.

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National Dentist Day: Best Oral Hygiene Tips Shared by Experts

Every year, on March 6th, National Dentist Day is celebrated to recognize the invaluable contributions of dentists in maintaining our oral health. This special day also serves as a reminder of the importance of good oral hygiene habits. Whether you're looking to improve your daily dental routine or seeking expert advice, we’ve compiled the best oral hygiene tips shared by dentists to help you achieve a healthy and confident smile.

1. Brush Properly, Not Just Regularly

Brushing twice a day is essential, but how you brush matters just as much as how often. Experts recommend using a soft-bristled toothbrush and fluoride toothpaste. Follow these steps for effective brushing:

Use a gentle, circular motion rather than scrubbing.
Brush for at least two minutes twice a day.
Ensure you clean all tooth surfaces, including the back molars and gum line.

2. Flossing is Non-Negotiable

Flossing removes food particles and plaque from between your teeth where your toothbrush can’t reach. Dentists suggest flossing at least once a day to prevent cavities and gum disease. If traditional flossing is difficult, consider using:

Water flossers
Interdental brushes
Floss picks

3. Rinse with Mouthwash for Extra Protection

Using an antibacterial mouthwash helps reduce plaque, prevents bad breath, and protects against gum disease. Look for a fluoride-based or alcohol-free mouthwash, especially if you have sensitive gums.

Tip: Rinse for 30 seconds after brushing and flossing for best results.

4. Eat a Tooth-Friendly Diet

What you eat significantly impacts your oral health. Dentists recommend incorporating the following foods into your diet:

Dairy products (milk, cheese, yogurt) to strengthen enamel.
Crunchy fruits and vegetables (apples, carrots) to naturally clean teeth.
Nuts and seeds for essential minerals like calcium and phosphorus.
Green tea for its antibacterial properties.

Avoid excessive consumption of sugary snacks, acidic beverages, and sticky candies, which can erode enamel and lead to cavities.

5. Stay Hydrated and Limit Sugary Drinks

Drinking plenty of water helps wash away food particles and bacteria, keeping your mouth fresh and clean. Limit soda, sports drinks, and coffee, as they can stain teeth and contribute to decay.

Pro Tip: If you drink sugary or acidic beverages, use a straw to minimize direct contact with your teeth.

6. Replace Your Toothbrush Regularly

A worn-out toothbrush is ineffective at cleaning your teeth. Dentists recommend replacing your toothbrush every 3-4 months or sooner if the bristles are frayed. Using an electric toothbrush can also improve plaque removal.

7. Schedule Regular Dental Checkups

No matter how diligent your oral hygiene routine is, visiting your dentist every six months is crucial for professional cleanings and early detection of dental issues. Regular checkups can help prevent cavities, gum disease, and even serious health conditions linked to poor oral health.

8. Protect Your Teeth While Playing Sports

If you engage in contact sports, wearing a custom-fitted mouthguard can protect your teeth from injuries and fractures. This simple preventive measure can save you from costly dental treatments.

9. Avoid Smoking and Tobacco Products

Smoking and tobacco use are major contributors to gum disease, tooth loss, and oral cancer. If you’re looking for another reason to quit, your oral health is a great motivation. Talk to your dentist about resources to help you quit.

10. Teach Kids Good Oral Hygiene Habits Early

Children should learn proper oral hygiene habits from a young age. Encourage them to:

Brush their teeth with fluoride toothpaste.
Floss regularly.
Visit the dentist every six months.
Avoid excessive sweets and sugary drinks.

Setting a strong foundation for oral health can prevent future dental issues and ensure a lifetime of healthy smiles.

Conclusion

This National Dentist Day, take the opportunity to improve your oral care routine by following these expert tips. Good oral hygiene isn’t just about having a bright smile—it’s also essential for overall health and well-being. Show appreciation for your dentist by prioritizing your dental health and scheduling your next checkup.

For personalized dental care advice, consult a professional at SecondMedic, where expert guidance helps you maintain optimal oral health.