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Published on: Apr 04, 2020
2 minute read
By: Dr Rajan Choudhary

COVID-19 LOCKDOWN !

As the cases continue to increase worldwide more and more countries have begun to take drastic measures to prevent the spread of COVID-19. In some places it is clear containment is no longer achievable, as too many people have become infected and the natural exponential increase in number of cases is inevitable. Now the focus switches to damage mitigation.

We first saw this in Wuhan, with city wide quarantine measures. Then Italy enacted similar measures, now extending across the country with all non-essential services and businesses closed for the foreseeable future. The Italian health service has become strained with the rising patient load, with reports of drastic measures taken in hospitals including conversion of operating theatres into intensive care bays. We have previously discussed the effect this has had on the Italian economy.

A NEW EPICENTRE

With Europe now seen as the “epicentre” of the pandemic, other countries have begun following suit. Spain is the second hardest hit country in Europe, with 6,000 infections and nearly 200 deaths. After a lengthy meeting of the government cabinet, the Spanish PM has enacted a partial lockdown of the country, with the use of armed forces on standby to assist. This includes closure of all shops except those selling food and basic necessities, reduction in medium-distance rail traffic to stem the spread of people around the country, and economic measures to support business workers.

France has also shut down all non-essential businesses, with food shops, chemists, banks and petrol stations remaining unaffected. The PM urged a reduction in travel amongst the population, and to enact “social distancing”. Germany has 3,800 cases but remarkably has only had 8 deaths so far. Berlin has banned all public and private events with more than 50 participants, with similar bans occurring in other cities across the countries.

So what do they hope to achieve with such measures? At first people were advised to take measures to wash hands, practice basic hygiene, self-quarantine if developing symptoms. But it became apparent this was not enough. Social distancing and lockdowns further reduce the spread of the virus by drastically reducing the number of people out in public, the number of interactions they can have. Schools and universities act as breeding grounds for infections, large congregations amongst which respiratory infections can spread like wildfire.

SHUT DOWN EVERYTHING

Lockdown also carries great political power. People respond well to drastic action, rather than soft recommendations to slightly change their daily habit with washing hands and increased hygiene. This is why masks have been so popular amongst the populous. It is decisive, it is visible. It is however NOT recommended by the WHO and most governments to wear as it is unnecessary unless around infected patients, and increased demands is straining supply for medical professionals and those who truly need it.

Similarly, Lockdown is a decisive action. It reassures the population that something is being done, that the government is taking the IT seriously. But it is not a cure to COVID. It is a plaster, a temporary stopping measure, one that cannot continue indefinitely. Shutting businesses can seriously affect the economy, affect people’s income and subsequently prevent them from paying off mortgages or loans. Forcing children to stay at home can affect their education, parents have to choose whether to work or look after their unsupervised kids.

It’s true that lockdown is now a necessity in some countries, and the lockdown of the Hubei province and parts of China was credited with significantly slowing down the spread of COVID. But it will not stop the viral spread completely. For this reason the UK has adopted an alternate strategy, one that we will discuss in our next blog.

Dr Rajan Choudhary, London UK

Head Of Products, Second Medic Inc

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Heat Exhaustion Warning Signs: Symptoms You Should Never Ignore

Heat-related illnesses are common during hot weather, particularly in tropical countries like India where summer temperatures can become extreme. Heat exhaustion is a serious condition that occurs when the body overheats due to prolonged exposure to high temperatures and inadequate hydration.

Recognizing heat exhaustion warning signs early can prevent life-threatening complications such as heatstroke.

What Is Heat Exhaustion?

Heat exhaustion is a heat-related illness caused by:

Excessive heat exposure
Dehydration
Loss of electrolytes through sweating

It often occurs during outdoor work, exercise or travel in hot environments.

If untreated, it may progress to heatstroke — a medical emergency.

Common Heat Exhaustion Warning Signs

1. Heavy Sweating

Excessive sweating is one of the earliest signs.

The body attempts to cool itself through perspiration, leading to fluid loss.

2. Dizziness or Lightheadedness

Low blood pressure due to dehydration may cause:

Feeling faint
Blurred vision
Weakness

3. Fatigue and Weakness

Muscle weakness and exhaustion occur as the body struggles to regulate temperature.

4. Nausea and Vomiting

Digestive discomfort is common in heat-related illnesses.

5. Headache

Dehydration and heat stress can trigger throbbing headaches.

6. Muscle Cramps

Electrolyte imbalance may cause painful muscle cramps, especially in legs.

7. Rapid Heartbeat

Increased heart rate helps circulate blood for cooling but may indicate strain.

8. Cool, Clammy Skin

Despite hot weather, skin may feel cool and moist due to heavy sweating.

Who Is at Higher Risk?

Certain groups are more vulnerable:

Outdoor laborers
Athletes
Elderly individuals
Children
People with chronic illnesses
Individuals on certain medications

Urban heat exposure increases risk during peak summer months in India.

Heat Exhaustion vs Heatstroke

Heat exhaustion is serious but manageable if treated promptly.

Heatstroke symptoms include:

High body temperature (above 40°C)
Confusion or disorientation
Dry, hot skin
Seizures
Loss of consciousness

Heatstroke requires immediate emergency medical attention.

Immediate Steps to Take

If heat exhaustion is suspected:

Move to a cool, shaded area
Loosen tight clothing
Drink water or oral rehydration solution
Apply cool cloths to body
Rest until symptoms improve

Seek medical care if symptoms persist beyond one hour.

Prevention Tips

Stay Hydrated

Drink water regularly, even if not thirsty.

Avoid Peak Sun Hours

Limit outdoor activity between 12 PM and 4 PM.

Wear Light Clothing

Choose loose, breathable fabrics.

Use Sun Protection

Wear hats and sunglasses when outdoors.

Take Frequent Breaks

Rest in shaded or air-conditioned areas.

Maintain Electrolyte Balance

Use oral rehydration solutions if sweating heavily.

Heat Illness in the Indian Context

India frequently experiences heatwaves, especially in northern and central regions. Public awareness about hydration and heat safety is essential to reduce hospitalizations and fatalities.

Community-level education can significantly improve prevention.

When to Seek Medical Help

Immediate medical attention is required if:

Symptoms worsen
Body temperature rises significantly
Confusion develops
Fainting occurs
Vomiting persists

Early treatment prevents severe complications.

Conclusion

Heat exhaustion is a preventable but potentially dangerous condition. Recognizing warning signs such as heavy sweating, dizziness, nausea and muscle cramps allows timely intervention.

With rising summer temperatures, especially in India, proactive hydration and heat safety measures are essential. Preventive care and awareness can protect vulnerable individuals and reduce health risks.

Staying cool and hydrated is the simplest way to safeguard your health during hot weather.

References

Indian Meteorological Department – Heatwave Reports
World Health Organization – Heat-Related Illness Guidelines
Indian Council of Medical Research – Public Health Advisory
National Disaster Management Authority (India) – Heatwave Action Plan
Lancet Planetary Health – Climate and Health Research

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