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Infectious Diseases

COVID-19 for Beginners: Where to Start

COVID-19: the few things that matter most, and the mistakes that catch people out early.

Dr Amara Nwosu, PhD, RD Editor-in-chief and registered dietitian 4 min read 5 views
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Washing hands — Infectious Diseases
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A respiratory illness caused by the SARS-CoV-2 virus, ranging from a mild cold-like illness to severe pneumonia.

Key takeaways

  • Stay home and away from others: until symptoms are improving and you have had no fever for 24 hours without fever-reducing medicine
  • For the next 5 days: take extra precautions: a mask, distance, hand washing and cleaner air
  • Most useful single change: Keep a few FDA-authorized home tests on hand and check their expiration dates.
  • Commonest mistake: Going to work, school or gatherings while you still have a fever.
  • See a doctor if any of the signs under "When to speak to a doctor" below apply to you.

Why bother

It still causes many hospital stays each year, mostly among older adults and people with chronic conditions or weakened immune systems, and treatment works best when started early.

Start here

These two first. Everything else is easier once they are habit.

  • Keep a few FDA-authorized home tests on hand and check their expiration dates
  • Contact your doctor, a pharmacy or a telehealth service quickly after a positive test if you are 65 or older or have a chronic condition

Then add these

Next, once the first two have stopped feeling like effort.

  • Rest, drink fluids and use acetaminophen (Tylenol) or ibuprofen for fever and aches as the label directs
  • Open windows or use a portable HEPA air cleaner when someone at home is sick

The numbers, in one place

Published figures for COVID-19
MeasureFigure
Stay home and away from othersuntil symptoms are improving and you have had no fever for 24 hours without fever-reducing medicine
For the next 5 daystake extra precautions: a mask, distance, hand washing and cleaner air
Negative home antigen test with symptomstest again 48 hours later
Antiviral treatmentfor people at higher risk; works best started within 5 days of symptoms
Vaccineupdated each season; ask your doctor or pharmacist what is recommended for you

Common early mistakes

  • Going to work, school or gatherings while you still have a fever
  • Asking for antibiotics, which do not work against viruses
  • Visiting older relatives or someone with a weakened immune system while you are sick

Where to go next

When to speak to a doctor

Contact your doctor if symptoms get worse after starting to improve, or if you are at higher risk and test positive. Call 911 for trouble breathing, persistent chest pain or pressure, new confusion, being unable to wake or stay awake, or pale, gray or blue-colored skin, lips or nail beds.

Where this comes from

  • CDC — Respiratory Virus Guidance
  • CDC — Treatment of Respiratory Illnesses
  • FDA — At-Home COVID-19 Antigen Tests: Take Steps to Reduce Your Risk of False Negative Results

How this page was put together

Every figure, recommendation and warning above is taken from the guidance named in Where this comes from. Nothing on this page is inferred, summarized or generalized beyond what those bodies publish: where they give a number, it is their number, and where they are silent, so are we. Pages are rebuilt whenever the underlying record changes. Sign-off by a named clinician, where it has happened, is shown at the top of the page along with the date.

Medical disclaimer

This article is general information, not medical advice. It cannot account for your own history, medication or circumstances. Always speak to your doctor, pharmacist or another qualified health professional before making changes that affect your treatment, and never delay seeking medical advice because of something you have read here. In an emergency, call 911.

Spotted something wrong? Report an error on this page. We correct on the page and say what changed.

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Dr Amara Nwosu

Editor-in-chief and a registered dietitian of fourteen years. Spent six of them in NHS outpatient clinics, which is where she learned that the advice people actually follow beats the advice that is technically optimal.

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