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Professor V. Kasiulevičius writes that depending on the chronic diseases a person has, they should protect themselves as much as possible and due to some diseases the person should stay at home.
„Stay in the group at home
The following groups should protect themselves from any contact with Covid-19 (high risk):
Patients after a solid organ transplant (liver, kidney, pancreas) (recipients) receiving treatment that causes long-term suppression of the immune system.
Cancer:
Chemotherapy is currently available
Radiation therapy for lung cancer
Blood / bone marrow cancer at any stage of treatment
Immunotherapy or antibody treatment
Cancer treatments that affect the immune system are used.
Bone marrow or stem cell transplant in the past 6 months or immunosuppressive therapy
Immunosuppressive conditions that significantly increase the risk of infection.
Severe respiratory disease:
Severe asthma (≥3 steroid cycles in 12 months)
Severe COPD (≥3 steroid cycles in 12 months)
Cystic fibrosis, interstitial lung disease, sarcoidosis, bronchiectasis, or pulmonary hypertension.
Rare diseases or congenital metabolic diseases:
Severe combined immunodeficiency
Homozygous sickle cell disease (sickle cell disease)
Pregnancy is when you have severe congenital or acquired heart disease.
Strict social distance group
People with these conditions should avoid Covid-19 infection, keep their distance, and wear masks, as they are at medium risk:
Mild chronic respiratory disease:
Asthma
COPD (emphysema and chronic bronchitis)
Alveolar allergies
Chronic kidney disease:
Stage 3 or 4
End-stage kidney disease requiring dialysis
End-stage renal disease when transplant is scheduled
Heart disease:
Congestive heart failure
Heart valve disease
Chronic liver disease:
Chronic infectious hepatitis (hepatitis B or C)
Alcohol-related liver disease
Primary biliary cirrhosis
Primary sclerosing cholangitis
Hemochromatozė
Chronic neurological conditions:
Epilepsy
Parkinson’s disease
Motor neuron disease
Cerebral palsy
Dementia (Alzheimer’s disease, vascular or frontotemporal)
Down’s Syndrome
Diabetes:
Type 1
Type 2
Conditions or treatments that may increase the risk of infection (for example, steroid treatment):
Rheumatoid arthritis
Systemic lupus erythematosus
Ankylosing spondylitis or other inflammatory arthropathy (eg, psoriatic arthritis)
Connective tissue disease (eg, Ehlers-Danlos syndrome, scleroderma, Sjögren syndrome)
Polymyositis or dermatomyositis
Vasculitis (eg, giant cell arteritis, polyarticular nodule, Bechett syndrome)
Other health conditions associated with an increased risk but not assigned to a specific group. However, it is also recommended to avoid contact with COVID-19 in these conditions. The list of such diseases includes:
Cardiovascular diseases:
Atrial fibrillation
Diseases: myocardial infarction, stroke, angina pectoris, transient ischemic attack
Peripheral vascular disease
High blood pressure has been identified and treated
Hyperthyroid
Chronic pancreatitis
Nonalcoholic liver disease
Malabsorption:
Celiac Disease
Steatorėja
Peptic ulcer (stomach or duodenum)
Osteoporosis and fractures of the hip, spine, shoulder or wrist.
Serious mental illness:
Bipolar affective disorder
Psychosis
Schizophrenia or schizoaffective disorder
Gusty depression
LIVE infection
Hypersplenism
Sphingolipidosis (pvz., Thai-Sachso League)
Thromboembolism in the past
Tuberculosis “, writes Professor V. Kasiulevičius.
The news portal tv3.lt recalls that in the last day 415 new cases of coronavirus have been confirmed, and about 5 deaths have been announced.
More than half of the new coronavirus cases have been detected in Kaunas and Vilnius counties, the circumstances of a third of the infections remain unclear.
According to data from the National Public Health Center (NVSC), out of 415 COVID-19 cases, 120 were detected in Kaunas and another 115 in Vilnius county. In addition, 51 cases were recorded in Šiauliai, 44 in Telšiai, 31 in Klaipėda, 27 in Tauragė, eight in Panevėžys and Utena, seven in Marijampolė and four in Alytus counties.
Experts have failed to investigate in detail about 100 other new cases.
There were also three import cases, one each from France, Finland and Norway.
Most of the new cases are in the Kaunas grandparents’ house
The virus is spreading in welfare homes, medical institutions, and schools.
11 cases were confirmed per day in the “Akacijų Užuovėja” nursing home operating in Kaunas, seven cases were confirmed in the outbreak of the Kuršėnai Nursing Hospital.
Epidemiologists also recorded six cases in the outbreak at Kelmė Hospital and Palanga Rehabilitation Hospital. Outbreaks were reported in four cases each at Jurbarkas Hospital and at the Širvintos District Municipality Social Support Division.
Yesterday three cases were registered during the outbreak of the Klaipėda Republican Hospital and the Blinstrubiškės Welfare Home in Kaunas County. Two cases were confirmed in the outbreak at Samogitian Mental Health Center, and two new cases were identified, which are related to outbreaks at Joniškis Center for Education and Social Support and Telšiai Center for Social Services.
Yesterday, three cases were confirmed in educational institutions in the outbreaks of the Mažeikiai Merkel Račkauskas Gymnasium and the Švenčionys Pabradė District Gymnasium “Žeimena”.
Four new cases were confirmed in outbreaks in Kaunas, associated with the “Baltų ainiai” winter sports school and the Kaunas Rio sports stadium. Three cases are related to the outbreaks of the Šilalė “Bočiai” ensemble and the Pasvalys police station , two cases: the outbreaks of October 16 in Prienai district, Sodra Šiauliai section, Telšiai news, “Norenot Baltic”, Plungė, Švenčionėliai district.
Five people also died from COVID-19 last day.
A total of 9,993 COVID-19 cases were confirmed in Lithuania, 5,740 people were still ill, 4,073 recovered, and 134 people died.
Coronavirus deaths are older people with other diseases
Five people who died from coronavirus in the last day were older and had other illnesses.
Two of the dead were residents of the city of Šiauliai; Deaths were also recorded in Klaipėda, Kaunas and Marijampolė counties.
One of the deceased from Šiauliai was in the 80-90 age group and suffered from other illnesses. He got infected from a family member. Another Šiauliai resident was in the 60-70 age group and also suffered from chronic illnesses. Epidemiologists do not know the circumstances of this person’s infection.
In Klaipėda County, a person who belonged to the age group 70-80 years died and had other comorbidities. According to the NVSC, this person may have been infected at the Republican Hospital in Klaipėda, and an epidemiological study on people in close contact in hospitals is continuing.
Another deceased is a Marijampolė County resident between the ages of 70 and 80 who also suffered from comorbidities. It is believed that he may have been infected at the Marijampolė special welfare home.
Epidemiologists were also unable to determine the circumstances of the infection of a 90-100 year old person who died in Kaunas County, this person also suffered from other diseases.
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