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Published on: May 15, 2020
4 minute read
By: Dr Rajan Choudhary

Living With COVID And Returning To BAU!

Hurdles to Business As Usual – Hurdles to Life as Usual – Living with COVID!

Obstacles to re-open the country

As we come to the 2-month mark of lockdown, its effect on the populous is becoming apparent. The extreme restrictions have had a significant impact on people’s physical health, mental health, and general livelihood, and many people are itching for life to get back to normal. Many countries including New Zealand, Germany, Italy, and Spain have seen the first peak of COVID infections pass, and some have already begun reopening parts of their economy. This has led to concerns from public health officials that relaxing the lockdown too early and too liberally will lead to a rapid increase in infection rates. Indeed, Germany has already seen an increase in R0 above 1 (one infected person will infect more than one person, causing the disease to propagate).

Trying to work out how to reopen a country without causing another spike in COVID deaths is probably the biggest issue faced by public health officials across the world. And trying to convey clear instructions to the public is an issue some countries are currently struggling with. In the next few blogs we will look at the issues faced, what has worked and what needs improvement, and what we as the public can do to keep ourselves safe.

THE MASKS WE WEAR

We have discussed masks at the start of the pandemic, and we have discussed masks as the pandemic has progressed. Why are we bringing it up again?

Masks have been a heated point of contention, but their role in public health has matured over the past few weeks. At the beginning of the pandemic, masks were a rare commodity, with DIY stores running dry of masks, stories of people stealing masks from clinical environments, and very confusing advice on whether the public should wear masks in public.

At that time the WHO had recommended only infected patients and those working with infected people wear masks, to save on the precious PPE for medical professionals. N95 respirators are seen as the gold standard in protective equipment, and hospitals are still struggling to provide staff with enough respirators, let alone the public. Concerns have also been raised on whether using masks will provide a false sense of security, especially if they stop washing hands or touch the infected parts of the masks.

But now we are past the first COVID peak, and advice on masks has changed. People should wear a mask if they are in public. Germany has implemented this advice, as has Austria for its public markets. In the US many stores are requesting public wear masks before entry. Rather than surgical masks or respirators, the use of homemade or purchased cotton masks has been encouraged.

LET’S LOOK AT WHY

Surgical masks and respirators aim to protect the user from inhaling microscopic aerosolized COVID particles. Cotton masks do not function this way. Instead, they prevent the wearer from spreading COVID by catching much larger droplets that is coughed/sneezed or generally breathed out.

The majority of people with COVID-19 are able to spread the infection to others up to 3 days before they show symptoms. Indeed as many as 50% of infections seem to occur from pre-symptomatic individuals. During this time they produce the greatest amount of viral particles, and these particles can stay in the air for several hours. Someone with asymptomatic COVID walking around in public or in a shop could infect lots of people.

So wearing a mask, even if you are not symptomatic or around infected patients helps prevent the spread of the infection. We know already just how infective COVID-19 is, so any measures that reduces infection even a little will end up reducing spread drastically on a population level. It has been compared to seatbelts – one person might not feel the benefits, but they save thousands of lives across the country on a yearly basis.

IS THERE ANY EVIDENCE?

In our blogs, we often talk about the importance of evidence. We look at the quality of evidence, how different types of research gives good and bad evidence, and why we should always give evidence-based advice.

So is there any evidence supporting masks? We have evidence that cloth masks can stop 99% of droplets that are coughed up, and whilst it doesn’t block aerosols or actual viral particles it still has a significant impact on transmission. We also have strong evidence from high infectivity in choir groups and at call centers that the majority of transmission is via the air, rather than from surfaces.

But what about the highest level of evidence? Comparing people who do or don’t wear masks is not a study that can be easily performed or one that has been performed adequately. But why should you wait? There is minimal to no risk associated with wearing a cloth mask, it offers some protection to you and a lot of protection to the public. In these cases, we should take a precautionary approach.

We don’t have any high-quality evidence looking at hand washing or physical distancing. But precautionary measures enforced have helped reduce infectivity. The same applies to masks. The best we can offer is an Australian study looking at mask use during influenza. They found observational data suggest that transmission of viral respiratory infection was significantly reduced during the SARS epidemic with the use of face masks as well as other infection control measures” and “in an adjusted analysis of compliant subjects, masks as a group had protective efficacy in excess of 80% against clinical influenza-like illness.”. In compliant users, masks were highly efficacious.

So that’s our advice. If you're going to go out in public, wear a mask.

If you don’t have a mask, you can order one online. Or be adventurous. Make one out of an old T-shirt or sock. Here are some ways to make one without needing to sew.

https://www.theguardian.com/us-news/2020/may/11/make-non-medical-coronavirus-face-mask-no-sewing-required masks

https://www.youtube.com/watch?v=r51YroAFPds DIY Face Mask

MORE INFORMATION

https://www.fast.ai/2020/04/20/skeptics-masks/#mightnt-people-handle-their-masks-wrong-and-make-things-worse Masks - FAQ

https://www.bmj.com/content/369/bmj.m1435 face masks for the public

https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30918-1/fulltext wearing face masks in the community during the COVID-19 pandemic: altruism and solidarity

https://twitter.com/trishgreenhalgh/status/1253244613927874560 twitter trisha

Dr Rajan Choudhary, UK, Chief Product Officer, Second Medic Inc

www.secondmedic.com

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Best Home Remedies for Glowing Skin

Glowing skin is not simply a cosmetic goal. It is a visible reflection of skin health, hydration, and cellular repair. While the market is flooded with serums and treatments, dermatologists consistently observe that the most sustainable skin glow comes from consistent, simple, and evidence-supported practices. The good news is that many of the most effective ingredients are already available in an Indian kitchen.

Why Skin Loses Its Natural Glow

Before applying any remedy, understanding the root cause of dull skin is essential. Dermatologists identify the following as the most common triggers in the Indian context:

Cause	Effect on Skin
Pollution and sun exposure	Oxidative stress, pigmentation, uneven tone
Dehydration	Reduced elasticity, dryness, dullness
Poor diet and nutrient deficiency	Slowed cell renewal, loss of radiance
Disrupted sleep	Impaired skin repair, dark circles, puffiness
Hormonal imbalance	Acne, oiliness, pigmentation
Harsh skincare products	Damaged skin barrier, redness, sensitivity

Identifying and addressing the underlying cause is as important as applying any topical remedy. Skin that appears dull despite consistent care often signals an internal factor requiring dietary or medical attention.

Which Home Remedy is Best for Glowing Skin?

Among all widely used natural ingredients, raw honey combined with aloe vera gel is considered the most universally effective home remedy for glowing skin. Honey acts as a humectant, drawing moisture into the skin, while its antibacterial and antioxidant compounds protect against environmental damage. Aloe vera complements this by delivering vitamins A, C, and E directly into the skin, supporting collagen synthesis and reducing inflammation.

This combination works across all skin types, requires no preparation time, and demonstrates consistent results in clinical observations relating to skin hydration and barrier repair. Applied three times a week for 15 to 20 minutes, this remedy produces visible improvement in skin texture and brightness within two to three weeks of regular use. For individuals with oily or acne-prone skin, aloe vera used alone without honey is the preferred option as it is non-comedogenic and lightweight.

Top Home Remedies for Glowing Skin by Skin Type

One of the most significant gaps in standard advice is that remedies are rarely matched to skin type. Applying the wrong ingredient can worsen the skin condition rather than improve it. Dermatologists recommend the following skin-type specific approach:

Skin Type	Best Remedy	Key Benefit	Frequency
Dry Skin	Raw honey and milk paste	Deep hydration, lactic acid exfoliation	3 times per week
Oily Skin	Multani mitti with rose water	Sebum control, pore tightening	2 times per week
Combination Skin	Aloe vera gel	Balances moisture without clogging pores	Daily
Sensitive Skin	Oat flour and plain yogurt pack	Soothes inflammation, gentle exfoliation	2 times per week
Normal Skin	Turmeric and honey mask	Antioxidant boost, brightening	2 to 3 times per week
Dull or Pigmented Skin	Potato juice or tomato pulp	Natural kojic acid, reduces pigmentation	3 times per week

Matching the remedy to skin type is the single most important factor in achieving consistent results from any natural skincare routine.

Which Kitchen Ingredients Work Best for Skin Glow?

Several common Indian kitchen ingredients carry clinically recognised skin benefits. The mechanism behind each ingredient matters as much as the application method:

Turmeric (Haldi): Contains curcumin, a potent antioxidant and anti-inflammatory compound. Curcumin inhibits melanin synthesis, which helps reduce pigmentation and uneven skin tone over time. Used as a paste with milk or honey, turmeric is one of the most researched natural brightening agents.

Raw Milk: Contains lactic acid, a naturally occurring alpha hydroxy acid (AHA) that gently exfoliates dead skin cells, stimulates collagen production, and improves skin luminosity. Applying raw cold milk with a cotton pad and leaving it for 15 minutes is a simple and effective brightening practice.

Besan (Gram Flour): Functions as a mild physical exfoliant and oil absorber. Mixed with turmeric and rose water, besan-based face packs have been used across Indian households for generations and remain dermatologically appropriate for most skin types.

Aloe Vera: Rich in polysaccharides that support skin hydration and mucilaginous compounds that form a protective barrier. Clinical data supports its use in reducing UV-induced skin damage and accelerating epidermal repair.

Potato Juice: Contains catecholase, an enzyme with mild skin-lightening properties. Particularly useful for reducing dark circles, tan lines, and post-inflammatory hyperpigmentation.

How to Get Glowing Skin Naturally in One Week

Most competitors list remedies without telling readers how to actually use them together. The following 7-day routine is structured to progressively address cleansing, exfoliation, hydration, and brightening within a single week:

Day	Morning	Evening
Day 1	Raw milk cotton pad cleanse	Aloe vera gel application
Day 2	Rose water toner	Honey and aloe vera mask (15 min)
Day 3	Raw milk cleanse	Turmeric and honey mask (10 min)
Day 4	Rose water toner	Aloe vera gel application
Day 5	Raw milk cleanse	Besan, turmeric and rose water pack (15 min)
Day 6	Rose water toner	Potato juice on dark spots (20 min)
Day 7	Raw milk cleanse	Honey and aloe vera mask (15 min)

This routine uses no more than three to four ingredients across the entire week, minimising the risk of ingredient overload or skin irritation. Always perform a patch test on the inner forearm before applying any new ingredient to the face.

Lifestyle Habits That Support Glowing Skin From Within

Topical remedies address the surface. Skin glow that is deep and lasting is primarily determined by internal health factors that all four competitor articles fail to address:

Hydration: Dermatologists observe that inadequate water intake is the single most common and most overlooked cause of dull skin among Indian adults. A minimum of 2.5 to 3 litres of water daily supports cellular metabolism and maintains skin turgor.

Diet: Skin cells require vitamins C, E, and A along with zinc and omega-3 fatty acids for repair and renewal. Indian dietary staples such as amla (Indian gooseberry), carrots, spinach, walnuts, and flaxseeds provide these nutrients in bioavailable forms. Reducing refined sugar intake is equally important, as excess glucose triggers glycation, a process that breaks down collagen and accelerates skin ageing.

Sleep: The skin's repair cycle peaks during deep sleep between 11 PM and 3 AM. Chronic sleep deprivation elevates cortisol, which degrades collagen and increases inflammatory skin conditions. Clinical specialists recommend seven to eight hours of uninterrupted sleep as a non-negotiable component of any skin improvement plan.

Gut Health: Emerging dermatological research on the gut-skin axis confirms that dysbiosis (imbalance of gut bacteria) is linked to acne, rosacea, and dull skin. Incorporating fermented foods such as curd and buttermilk into the daily diet supports gut microbiome balance, which in turn improves skin clarity.

Home Remedies to Avoid: What Dermatologists Warn Against

This section exists in none of the competing articles and represents the most clinically important addition to this topic. Several widely promoted "natural" skin remedies are actively harmful:

Lemon juice directly on skin: Lemon juice has a pH of approximately 2, far too acidic for direct skin application. It disrupts the skin's natural acid mantle (pH 4.5 to 5.5), causes photosensitivity, and can result in chemical burns or permanent pigmentation when skin is exposed to sunlight post-application.

Baking soda: Despite its popularity on social media, baking soda has an alkaline pH of 9, which severely disrupts the skin barrier, strips natural oils, and causes microbial imbalance on the skin surface.

Toothpaste on pimples: Toothpaste contains fluoride, menthol, and hydrogen peroxide, none of which are formulated for skin. It causes contact dermatitis, dryness, and post-inflammatory hyperpigmentation, particularly on Indian skin tones.

Undiluted essential oils: Applying undiluted tea tree oil, lavender oil, or any essential oil directly on the face without a carrier oil causes irritant contact dermatitis and skin sensitisation.

Dermatologists advise that if a remedy causes stinging, redness, or visible irritation, it should be discontinued immediately regardless of how widely it is recommended online.

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