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Business Insight Are we in danger? Daily news brings us up-to-date with the fast spreading coronavirus and we cannot stop thinking: Are we in trouble? Is it going to be a global epidemic? Coronavirus is not new and uncommon; it is actually quite familiar to all of us as a common cold. The problem is that there are hundreds if not thousands mutations of it and some are very much dangerous, causing serious complications like pneumonia. The fact that there are so many variations of it is one major factor of making it unfriendly. There is another factor that relates to the casiness of spreading it. Let's think about how it started. Wuhan in China is the original source where coronavirus started. Wuhan is 11 million people industrial center, with one of the higher congestion and density of population. Further, it is extremely diversified in social, cultural, economic, and employment areas, making it almost impossible to identified who and how might have started the problem. Wuhan's food markets are known for wild types of food, including snakes, bats, various birds and even wolf cubs. For an average American it is impossible to even imagine the food market with live wild creatures, hanging around and being slaughter on the existing. Agencies normally monitoring spot if a purchase is planned. We already know that coronavirus started in the food market, we do not know and only suspect it might have been from snakes or bats. In other words, it was animal to human virus that eventually spread to humans. As of today, there are more than 100 deaths and thousands of cases, including 5 in the US. Even though Wuhan was closed off from the world and no longer allows for any in or out travels, the number of among states might be delayed due to undetected cases who managed to migrate around the world is unknown. The virus may be asymptomatic but contagious so there are people around who were exposed to it, carry it for a while and do not know about it. Some cases can be caught very timely and treated successfully. Others may be detected too late and be life threatening. happen again and again. Just for that We just do not know. Like always with public health, rapid country-wide information system like response and further prevention are crucial. China took some preventive steps but many think it was too late to really prevent a massive problem. Currently, with multi-state health agencies, yet better Wuhan is building 2 additional hospitals one federal agency, may be what we really just to respond to fast-growing demand for medical treatment. Chinese healthcare agencies educate population in and around Wuhan, and examine everyone, even those with no symptoms. Streets and public places are empty. The huge industrial center looks like a city of death. Is the USA ready to respond if needed? Our public health is currently almost non- similar events were closed a couple of years ago and the federal government truly does not have any leading executive who would be taking preventive and planning actions. To make it worse, we do not have public insurance so many people who potentially might be sick, may decide not to seek help due to cost. State by state, we may have different rules and communication lack of uniformity of information systems. And finally, we may have a shortage of medication to treat massive crowds if needed. I strongly hope this will not become out of control problem but, if you think hypothetically, if not this time, it might reason, having a central database and Medicare, might be a perfect solution for stopping any potential epidemic. Public access for free and uniform communication need. Give it a thought, please. Michael Bukhalo, MD Arlington Dermatology 5301 Keystone Court Rolling Meadows, IL 60008 Tel. 847 392 5440 | www.arlingtondermatology.net Business Insight Are we in danger? Daily news brings us up-to-date with the fast spreading coronavirus and we cannot stop thinking: Are we in trouble? Is it going to be a global epidemic? Coronavirus is not new and uncommon; it is actually quite familiar to all of us as a common cold. The problem is that there are hundreds if not thousands mutations of it and some are very much dangerous, causing serious complications like pneumonia. The fact that there are so many variations of it is one major factor of making it unfriendly. There is another factor that relates to the casiness of spreading it. Let's think about how it started. Wuhan in China is the original source where coronavirus started. Wuhan is 11 million people industrial center, with one of the higher congestion and density of population. Further, it is extremely diversified in social, cultural, economic, and employment areas, making it almost impossible to identified who and how might have started the problem. Wuhan's food markets are known for wild types of food, including snakes, bats, various birds and even wolf cubs. For an average American it is impossible to even imagine the food market with live wild creatures, hanging around and being slaughter on the existing. Agencies normally monitoring spot if a purchase is planned. We already know that coronavirus started in the food market, we do not know and only suspect it might have been from snakes or bats. In other words, it was animal to human virus that eventually spread to humans. As of today, there are more than 100 deaths and thousands of cases, including 5 in the US. Even though Wuhan was closed off from the world and no longer allows for any in or out travels, the number of among states might be delayed due to undetected cases who managed to migrate around the world is unknown. The virus may be asymptomatic but contagious so there are people around who were exposed to it, carry it for a while and do not know about it. Some cases can be caught very timely and treated successfully. Others may be detected too late and be life threatening. happen again and again. Just for that We just do not know. Like always with public health, rapid country-wide information system like response and further prevention are crucial. China took some preventive steps but many think it was too late to really prevent a massive problem. Currently, with multi-state health agencies, yet better Wuhan is building 2 additional hospitals one federal agency, may be what we really just to respond to fast-growing demand for medical treatment. Chinese healthcare agencies educate population in and around Wuhan, and examine everyone, even those with no symptoms. Streets and public places are empty. The huge industrial center looks like a city of death. Is the USA ready to respond if needed? Our public health is currently almost non- similar events were closed a couple of years ago and the federal government truly does not have any leading executive who would be taking preventive and planning actions. To make it worse, we do not have public insurance so many people who potentially might be sick, may decide not to seek help due to cost. State by state, we may have different rules and communication lack of uniformity of information systems. And finally, we may have a shortage of medication to treat massive crowds if needed. I strongly hope this will not become out of control problem but, if you think hypothetically, if not this time, it might reason, having a central database and Medicare, might be a perfect solution for stopping any potential epidemic. Public access for free and uniform communication need. Give it a thought, please. Michael Bukhalo, MD Arlington Dermatology 5301 Keystone Court Rolling Meadows, IL 60008 Tel. 847 392 5440 | www.arlingtondermatology.net