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

Anyone With Flu Like Symptoms Are Now Encouraged

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The Bold Strategy the UK has adopted against COVID-19

The UK government had outlined its Coronavirus strategy in three distinct steps. The first stage was to contain the virus. This was implemented when spread of the virus was primarily by infected patients from abroad. Public health advice was provided, campaigns on washing hands, not touching the face, practicing safe hygiene. Potentially infected individuals were informed to self-quarantine for 14 days whilst waiting for symptoms to develop and testing to occur. Now it is evident this is not enough. The virus has spread to enough people that transmission can now occur locally, between people who have never been abroad. Containment is not the aim, mitigation of number of cases to prevent burdening the health services. The second stage aims to reduce the epidemic’s peak, flatten it out so the number of cases do not occur at once.

Anyone with flu like symptoms are now encouraged to stay home for 7 days, and testing will only occur for hospital admissions. Beyond this little appears to have changed. Schools will remain open, social gatherings have not been cut yet (but is expected over the next week) and general life will continue as normal. This is a risky measure, one that suggests the government is not taking the issue seriously. France, Spain and Italy have enacted lockdown measures, Germany has begun cutting social gatherings. So why is the UK not following in step? Are people going to die as a result of this inaction?

DELAY THE SPREAD

The answer is of course complex. PM Boris Johnson has acknowledged that as a result of his decision people may die, especially the elderly who are seen as a very vulnerable population. But this plan has been discussed with multiple scientists, doctors, public health specialists, and there is method in the madness. Currently the UK is in the early stages of the epidemic. The number of infected are expected to rise sharply in 4 weeks, with a peak in 10–14 weeks. Implementing harsh restrictions too early can lead to “self isolation fatigue”, resulting in people not following the restrictions stringently or leaving their homes at the height of the epidemic. Restrictions also come with their own problems, and implementing them may lead to more harm than good. Simple measures such as hand washing and self isolation can itself reduce the peak of cases by 20%.

Schools have not yet been closed because COVID-19 does not appear to affect children as much. Closure of schools would also mean parents having to stay at home to look after their children (after all, nurseries, creches and other forms of childcare would still result in a spread of infection). In some cases these parents are also healthcare professionals, and the UK needs every single doctor, nurse and allied health professional to be on the frontline treating patients.

So what is the strategy? The NHS is currently full of patients due to the winter burden, one that is expected to taper off in the coming months. Slowing the onset of the epidemic’s peak to Summer, spreading it across the next few months so the maximum number of people can be treated in the hospital setting without overburdening. The aim is no longer to prevent the spread of infection but to protect the most vulnerable age groups. This model allows the young and healthy to become infected, almost encourages it.

INFECT YOUR CITIZENS

Now this sentence may sound ridiculous when said out loud. Allow infection. But why? The UK has acknowledged there is no way to stop the infection. Whilst the mortality in the elderly population and those with medical conditions are high, in the young and healthy it manifests as a mild illness with almost all infected cases recovering. More importantly, recovered patients have immunity against the virus, manifesting as antibodies in their blood. Immune patients cannot infect other people, so the more immune patients there are the slower the virus will spread. This is known as herd immunity, and the process is discussed in length in our blog on vaccines. Herd immunity needs to be achieved before the onset of winter in 2020, as winter admissions alongside COVID admissions would result in a disaster.

https://medium.com/@rajneesh.dwivedi/developing-a-vaccine-for-covid-19-part-1-f7263ae9bf88 Rajneesh secondmedic

The strategy is of course risky, and one that has not been implemented before. And since the infection will not be contained people will die. But by spreading the burden of the infection across a longer time period will allow those who require treatment to receive it in a far less burdened health system. And it has received support from health professionals, even those who are fierce critics of the PM and Conservative government. But it has resulted in confusion amongst the population, a population that looks at authoritative action taking place in other countries and not understanding why their own doesn’t follow suit. The issue is these draconian measures are not sustainable, and if implemented correctly the UK strategy may result in far less lasting damage on its health service and the economy.

Dr Rajan Choudhary, London UK

Head Of Products, Second Medic Inc (www.secondmedic.com)

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When Minor Symptoms Become Serious: Why Early Warning Signs Should Never Be Ignored

When Minor Symptoms Become Serious: Why Early Warning Signs Should Never Be Ignored

Most people associate serious illness with severe pain, dramatic symptoms or sudden medical emergencies. In reality, many life-threatening and chronic conditions begin quietly. A mild ache, occasional fatigue or subtle bodily change may seem harmless at first. Understanding when minor symptoms become serious is critical to protecting long-term health and preventing avoidable complications.

In India, delayed diagnosis remains a major contributor to disease burden. According to the Indian Council of Medical Research (ICMR) and National Family Health Survey (NFHS-5), a significant number of chronic diseases are detected only after complications develop. This delay often begins with ignoring early warning signs.

 

Why Minor Symptoms Are Often Ignored

People commonly dismiss early symptoms because:

  • they are mild or intermittent
     

  • busy schedules limit medical visits
     

  • fear of diagnosis leads to avoidance
     

  • symptoms are attributed to stress or ageing
     

Unfortunately, this delay allows underlying conditions to progress.

 

Why Serious Diseases Start Subtly

In early stages, many diseases:

  • affect small areas
     

  • cause minimal functional disruption
     

  • trigger compensatory mechanisms in the body
     

As a result, symptoms remain mild until damage accumulates.

Examples include:

  • hypertension causing no pain
     

  • early diabetes causing mild fatigue
     

  • early cancers causing vague discomfort
     

 

Common Minor Symptoms That Can Become Serious

Persistent Fatigue

Occasional tiredness is normal, but ongoing fatigue may signal:

  • anaemia
     

  • thyroid disorders
     

  • diabetes
     

  • heart disease
     

  • chronic infections
     

When rest does not relieve fatigue, evaluation is essential.

 

Unexplained Pain or Discomfort

Mild but persistent pain may indicate:

  • early joint disease
     

  • nerve compression
     

  • gallbladder or kidney issues
     

Pain that persists or worsens should not be ignored.

 

Changes in Weight or Appetite

Unintended weight loss or appetite changes may signal:

  • metabolic disorders
     

  • gastrointestinal disease
     

  • malignancy
     

These changes often precede more severe symptoms.

 

Breathlessness on Mild Exertion

Occasional breathlessness may progress into:

  • heart disease
     

  • lung conditions
     

  • anaemia
     

Early detection prevents sudden cardiac or respiratory events.

 

Digestive Changes

Persistent bloating, constipation, diarrhoea or acidity may indicate:

  • irritable bowel conditions
     

  • food intolerance
     

  • liver or pancreatic disease
     

Digestive symptoms are often early warning signs.

 

Frequent Infections

Repeated infections suggest:

  • weakened immunity
     

  • nutritional deficiencies
     

  • chronic illness
     

Ignoring this can allow serious conditions to progress.

 

How Delay Worsens Outcomes

When early symptoms are ignored:

  • disease progresses silently
     

  • treatment becomes more complex
     

  • complications develop
     

  • recovery takes longer
     

WHO and Lancet studies consistently show that delayed diagnosis increases morbidity and mortality.

 

Minor Symptoms and Chronic Diseases

Diabetes

Early signs include:

  • fatigue
     

  • increased thirst
     

  • frequent urination
     

Many people remain undiagnosed until complications arise.

 

Heart Disease

Early warning signs may include:

  • mild chest discomfort
     

  • breathlessness
     

  • unexplained tiredness
     

Ignoring these increases heart attack risk.

 

Cancer

Early cancer symptoms are often vague:

  • persistent pain
     

  • unexplained weight loss
     

  • changes in bowel or bladder habits
     

Early-stage cancers are far more treatable.

When to Seek Medical Advice

Minor symptoms require attention when they:

  • persist beyond a few days or weeks
     

  • worsen over time
     

  • interfere with daily activities
     

  • occur repeatedly
     

  • are accompanied by weight loss, fever or pain
     

Trusting bodily signals is a key preventive strategy.

 

Role of Preventive Health Checkups

Preventive checkups help:

  • identify hidden abnormalities
     

  • detect disease before symptoms escalate
     

  • track health trends over time
     

NITI Aayog emphasises early screening as a national health priority.

 

Psychological Barriers to Early Consultation

Fear and denial often delay care.

Common thoughts include:

  • “It will go away”
     

  • “I am too young for serious illness”
     

  • “I don’t want bad news”
     

However, early reassurance is far better than late intervention.

 

Benefits of Acting Early

Responding to early symptoms:

  • improves survival rates
     

  • reduces treatment complexity
     

  • lowers healthcare costs
     

  • preserves quality of life
     

Early care is almost always simpler and more effective.

Building Symptom Awareness

Developing awareness includes:

  • listening to the body
     

  • noting changes from baseline health
     

  • tracking symptom patterns
     

  • seeking timely advice
     

Self-awareness is the first step toward prevention.

 

Role of Digital and Preventive Healthcare

Modern healthcare tools support early action through:

  • easy access to consultations
     

  • report reviews
     

  • symptom tracking
     

  • follow-up reminders
     

Technology reduces barriers to early care.

 

Conclusion

Understanding when minor symptoms become serious can mean the difference between early recovery and long-term complications. Many life-threatening and chronic diseases begin with subtle warning signs that are easy to dismiss. Paying attention to persistent or unusual symptoms, seeking timely medical advice and prioritising preventive health checkups are essential steps toward safeguarding health. Early action does not create illness—it prevents it. In healthcare, listening early often saves lives.

 

References

  • ICMR – Early Disease Detection and Lifestyle Disorder Reports

  • National Family Health Survey (NFHS-5) – Disease Awareness and Diagnosis Data

  • NITI Aayog – Preventive Healthcare and Early Screening Strateg

  •  WHO – Early Symptoms and Disease Progression Guidelines

  • Lancet – Delayed Diagnosis and Health Outcomes Research

  • Statista – Preventive Healthcare Awareness Trends

  • EY-FICCI – Economic Impact of Late Disease Detection

See all

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