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Smokers are more likely to die of COVID-19: Expert

 


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(Kevin Antao / BCCL Ahmedabad)

Doctors say people with co-morbidities such as heart disease and liver disease and smokers are more likely to be prey to COVID-19. The World Health Organization (WHO) lists smoking as one of the major risk factors for coronaviruses that suppress the body’s immune functions.

Smokers are more susceptible to infections due to high expression of ACE2 (angiotensin converting enzyme 2), which signals inflammation, and more secretory cells.

ACE2 attaches to the outer surface of cells in the lungs, arteries, heart, kidneys, and intestines and also functions as an entry point for coronaviruses, including SARS-CoV-2 (COVID-19).

“Research suggests that the Covid-19 virus interacts with a specific human receptor called hACE2 (human angiotensin converting enzyme 2) that infects the lungs and nasal mucosa. It is highly recommended to avoid smoking.” Lha Sharma, a respiratory specialist at KIMS Hospital.

Smokers are 1.45 times more likely than nonsmokers and non-smokers to have serious complications, according to a study at University College London.

In addition, severely ill COVID-19 patients with chronic obstructive pulmonary disease (COPD) had a 63% risk of severe illness and a 60% risk of death, whereas severe patients without COPD had a 33.4% risk of severe illness and a mortality risk. Percent of.

“For more than 60 years, diabetes and hypertension have been seen as possible comorbidities in patients with COVID-19, but a review of studies by public health experts convened by WHO found that COVID-19 We also found that it could become more severe-smokers,” he said.

“Smoking impairs the ability to fight ciliary damage, infections caused by small hair-like structures in the respiratory tract. Tobacco smoke is a major cause of non-communicable diseases such as cardiovascular and respiratory diseases, cancer and diabetes. Coronavirus infections are serious in people with these illnesses,” he said.

“Smoking adversely affects lung health, suppresses the body’s response to infections, and suppresses immunity. Epidemiological evidence suggests that smoking increases the risk of viral lung and throat infections. Researchers speculated that there was a high risk of 19. Smoking is at increased risk for virtually all other respiratory infections.” Dr. Ravindra Nallagonda, senior consultant for respiratory and emergency medicine at Asta Prime Hospital, said.

According to him, smoking destroys important defenses such as airway cilia that help move particles out of the airways. Excessive and thick mucus will prevent splinters, germs and viruses from exploding. Over time, it degrades vital lung tissue that is vital to life.

“Many suspect a particularly strong correlation between smoking and the second COVID-19 of smoking’s effect on increased ACE2 receptors in the lung,” he said.

Tobacco smokers (tobacco, water pipes, bidis, cigars, heated cigarettes) must be used because smoking involves contact between the fingers (and possibly contaminated tobacco) and the lips, increasing the potential for viral infections from the hands. Products) may be more vulnerable to COVID-19 infection. In the mouth.

According to a study published in February in the New England Journal of Medicine, smokers were 2.4 times more likely to enter an intensive care unit than nonsmokers, requiring mechanical ventilation or dying.

According to doctors, electronic and non-nicotine delivery systems, commonly referred to as electronic cigarettes, are harmful and increase the risk of heart and lung disease.

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