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

Declaring A Pandemic — What Does This Mean ?

Its finally happened. Three months after the first case was reported in Wuhan, China, and after a 13 fold increase in cases in just two weeks, the World Health Organisation has designated COVID-19 a pandemic. This disease has resulted in over 121,500 confirmed cases across 114 nations, and 4,300 deaths, over 3,000 of them in China alone.

The WHO has shown alarm at some countries that have shown “alarming levels of inaction” and hope the new designation of pandemic will shock these nations into action. “This is not just a public health crisis, it is a crisis that will touch every sector,” said Dr. Tedros Adhanom Ghebreyesus, WHO director-general, at a media briefing. “So every sector and every individual must be involved in the fights.”

Despite this new update, it is not too late for nations to act, and countries can still impact the course of the outbreak by detecting, testing, treating and isolating patient, with further education to the public and contact tracing of cases.

WHAT IS A PANDEMIC

An epidemic is an increase in the spread of a disease within a community, and can be relatively common. Sometimes a single disease may spread rapidly in a small, unprepared community creating an epidemic. This is happening more often with the prevalence of the anti-vaxx movement, as immunity falters against preventable diseases like measles.

A pandemic on the other hand is the global outbreak of a serious new illness that is “sustainably transmitted throughout the world”. It is not a descriptor that is used lightly, as declaring a pandemic could “cause unreasonable fear, or unjustified acceptance that the fight is over,” if used incorrectly. There has been much discussion whether the declaration of N1N1 “swine flu” as a pandemic caused unnecessary panic, overwhelmed emergency services or caused excessive expenditure on antiviral medication.

Though they were concerned by the spread of the disease and came close by labelling it a “pandemic potential”, the WHO were reluctant to declare it one. Unfortunately, after 2 months of assessing the outbreak, members of the WHO were concerned “both by the alarming levels of spread and severity, and by the alarming levels of inaction.” There is no threshold, number of deaths, number of countries affected.

WHAT DOES THIS MEAN FOR THE COUNTRIES?

According to the World Bank, the annual global cost of a severe pandemic is around $570 billion, or 0.7% of the entire world’s income. This estimation is realised as more people stay at home and more authoritative measures are enforced by governments. At this time, Italy has not put in place nationwide quarantine with further closure of almost all shops and services bar food shops and chemists.

The UK is expected to move from the “containment” phase of the outbreak, aimed at halting the spread of the disease”, to “delay”. This instead accepts the disease cannot be contained, and instead looks to slow its progression. Measures such as “social distancing”, isolation of those showing minor viral symptoms and cancellation of social events. To prepare for the UK epidemic a £30bn package has been prepared to boost the economy during the COVID outbreak.

India has suspended all tourist visas and e-visas until April 15ht as a pandemic is declared. All incoming travellers including Indian nationals will be quarantined for a minimum of 14 days if they have visited China, Italy, Iran, Korea, France, Spain and Germany after 15ht February. Advice has also been given to avoid all non-essential travel abroad.

South Korea has ramped up testing, performing around 4,000 tests per million people between 3rd January and 11th March. In comparison to 1,000 per million in Italy, 400 per million in the UK and only 28 in the UK. This has been due to differences in government responses, the severity of outbreaks in each country and the nature of the healthcare system in each country.

The steady decrease in new coronavirus cases in South Korea has been attributed to this mass testing, improved public communications and the use of new technology to aid diagnosis and management. Interestingly it has been achieved without the drastic quarantine procedures in place in China and Italy.

WHAT SHOULD I DO

Washing your hands has been emphasised by almost all public health agencies and governments. And you should continue to follow this advice. Soap and water is one of the most effective ways to destroy the virus on your hands, and helps prevent its spread.

It is also important to avoid panic, and to not hoard soap, food and toilet roll. Do not trust forwards on WhatsApp or treatment advice suggested, as these can be ineffective or even dangerous. Recently 27 people died from alcohol poisoning after a myth was spread stating strong alcohol could cure coronavirus.

Similarly be wary of false cures being sold online or by un reputable stores. Currently there is no cure for COVID, and supportive treatment is required for those who fall extremely ill.

If you have symptoms of COVID-19, you should self-isolate and notify your local health authorities. Symptoms include fever, cough, sneezing, general lethargy and joint pain, symptoms similar to the flu.

If you have confirmed COVID and have been asked to quarantine yourself, PLEASE STAY INDOORS. There have been instances of infected people continuing to partake in everyday activities, resulting in the spread of the infection, sometimes to vulnerable children and the elderly.

Dr Rajan Choudhary, Product Head, Second Medic Inc, UK

www.secondmedic.com

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Health Risks of Sedentary Lifestyle: Why Sitting Too Much Can Harm Your Health

Modern lifestyles have become increasingly sedentary. With the rise of desk jobs, digital devices and long working hours, many individuals spend a significant portion of their day sitting. While technology and convenience have improved productivity, they have also contributed to reduced physical activity.

Understanding the health risks of a sedentary lifestyle is essential for preventing chronic diseases and maintaining overall wellbeing.

What Is a Sedentary Lifestyle?

A sedentary lifestyle refers to a pattern of behavior characterized by prolonged sitting or inactivity with minimal physical movement.

Common examples include:

Sitting at a desk for long hours
Watching television for extended periods
Spending significant time on computers or smartphones
Limited engagement in physical exercise

When the body remains inactive for long durations, various physiological functions may become impaired.

1. Increased Risk of Obesity

Physical inactivity reduces calorie expenditure.

When calorie intake exceeds the energy burned through activity, excess calories are stored as body fat.

This can lead to weight gain and increase the risk of obesity.

Obesity is a major risk factor for several chronic health conditions.

2. Higher Risk of Cardiovascular Disease

Prolonged sitting has been associated with increased risk of heart disease.

Sedentary behavior may contribute to:

Elevated blood pressure
Increased cholesterol levels
Reduced blood circulation

These factors increase the likelihood of cardiovascular complications over time.

3. Increased Risk of Type 2 Diabetes

Physical activity helps regulate blood sugar levels.

A sedentary lifestyle may impair the body’s ability to use insulin effectively, leading to insulin resistance.

Over time, this can increase the risk of developing type 2 diabetes.

4. Poor Metabolic Health

Metabolism refers to the body’s ability to convert food into energy.

Long periods of inactivity may slow metabolic processes and reduce the body’s efficiency in managing glucose and fat levels.

This can contribute to metabolic syndrome.

5. Musculoskeletal Problems

Sitting for extended periods can strain muscles and joints.

Common issues include:

Lower back pain
Neck stiffness
Shoulder discomfort
Poor posture

These problems are particularly common among office workers.

6. Reduced Mental Wellbeing

Physical activity plays a significant role in supporting mental health.

Sedentary behavior may contribute to:

Increased stress levels
Reduced mood
Lower energy levels

Regular movement helps improve mental wellbeing.

7. Increased Risk of Premature Mortality

Studies have shown that prolonged inactivity may increase the risk of early death due to chronic diseases.

Maintaining an active lifestyle significantly improves long-term health outcomes.

Sedentary Lifestyle in the Indian Context

Urbanization and technological advancements have led to more sedentary work environments in India.

Long commuting hours, desk-based professions and digital entertainment have reduced physical activity levels for many individuals.

As a result, lifestyle-related diseases such as diabetes and heart disease have increased significantly in recent years.

Public health initiatives now emphasize the importance of regular physical activity to counter these trends.

How to Reduce Sedentary Behavior

Take Frequent Movement Breaks

Stand up and stretch every 30–60 minutes during work.

Incorporate Walking into Daily Routine

Short walks during breaks can improve circulation and energy levels.

Use Active Workstations

Standing desks or adjustable workstations encourage movement.

Exercise Regularly

Engage in moderate physical activity such as walking, cycling or yoga.

Health guidelines recommend at least 150 minutes of exercise per week.

Limit Screen Time

Reducing recreational screen time encourages more active habits.

Benefits of an Active Lifestyle

Increasing daily physical activity provides several health benefits:

Improved cardiovascular health
Better weight management
Enhanced mental wellbeing
Stronger muscles and bones
Improved metabolic function

Even small lifestyle changes can make a significant difference over time.

When to Seek Medical Advice

Consult a healthcare professional if you experience:

Persistent back pain
Unexplained weight gain
Chronic fatigue
Signs of metabolic disorders

Early intervention can help manage health risks effectively.

Conclusion

A sedentary lifestyle may significantly impact physical and mental health. Prolonged sitting and lack of movement increase the risk of obesity, cardiovascular disease, diabetes and musculoskeletal problems.

Adopting an active lifestyle that includes regular movement, exercise and healthy habits is essential for maintaining overall wellbeing.

Simple changes such as standing frequently, walking regularly and engaging in physical activity can greatly reduce the health risks associated with sedentary behavior.

Maintaining an active lifestyle is one of the most effective ways to support long-term health and prevent chronic disease.

References

World Health Organization – Physical Activity Guidelines
Indian Council of Medical Research – Lifestyle Disease Reports
National Family Health Survey – Health and Lifestyle Data
Lancet Global Health – Sedentary Behavior Research
Journal of Preventive Medicine – Physical Activity Studies

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