Health Evaluation and Promotion
Online ISSN : 1884-4103
Print ISSN : 1347-0086
ISSN-L : 1347-0086
Health Evaluation and Promotion Under the Spread of SARS-CoV-2 Infection
Pulmonary Structure and the Way of Infection, the Clinical Course and Risk Factors of Serious Condition in COVID-19
Ichiro Kuwahira
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JOURNAL OPEN ACCESS

2021 Volume 48 Issue 2 Pages 213-219

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Abstract

 SARS-CoV-2 invades a host cell through angiotensin-converting enzyme 2 (ACE2) receptor, and infection is established. A symptom such as a cold develops, but a digestive organ symptom, taste disorder and sense of smell disorder are seen. A latency period is 1-14 days (the most frequent is 5 days). Droplet infection and contact infection are the main infection course. 80% of patients are mild, and 20% of remainder needs hospitalization. Case fatality rate is 2-3%. The risk factors of the aggravation include advanced age (65 years or older), the malignant tumor, chronic obstructive pulmonary disease (COPD), chronic kidney disease, type 2 diabetes, high blood pressure, hyperlipidemia, obesity and a smoking custom. In the sex, a man is higher in the death rate than a woman. After having recovered, a variety of symptoms are prolonged, and the subsequent complications (aftereffects) are also problems.

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© 2021 Japan Society of Health Evaluation and Promotion
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