Spring 2020 - Initial Thoughts On Covid 19

I have sat down to write and edit this article multiple times and the story keeps shifting.  My goal in reaching out to you is to inform you, empower you, and reassure you. I understand if you are afraid, and yes, the coronavirus is something to pay attention to, but mass hysteria and panic are not helpful.

Facts to consider:

·       Coronaviruses are a family of viruses that can lead to a variety of illnesses from the common cold to severe respiratory infections.  COVID-19 is this specific new virus originating in China at the end of December 2019.  

·       The Canadian government considers the risk LOW for the general population.

·       COVID 19 is not affecting pregnancies, is not passed through breast milk, and at this point seems to be sparing children.  At higher risk are elderly, those with known compromised immune systems, and those with chronic diseases (i.e. heart disease, diabetes, and lung disease).

·       Like most viruses, it is spread by inhaling respiratory droplets from someone coughing / sneezing, or by touching someone / something carrying droplets and touching your face before washing your hands.  

·       Signs may include fever, cough, and shortness of breath.  It may also include sore throat, nasal congestion, malaise, headache, and muscle aches.  However, it can have mild or no symptoms at all.

At this time, preventing infection, boosting immune function, and taming anxiety are all top of mind. This is truly where naturopathic medicine shines.  Remember, we are all continually exposed to a large variety of microbes on a regular basis and not all of them lead to an infection.  Our resilience is a big factor to whether we get sick, or the duration and severity of that sickness.  

You already know the basics:

·       Avoid contact with known sick people or large crowds.

·       Hand wash frequently for a minimum of 30 seconds with regular soap and water.

·       Avoid touching your face.

·       Get plenty of rest.

·       Move your body in fresh air more days on than off each week.

Spotlight:  Nasal irrigation!  Ever tried it?  Considering the nasal passage is one of the top ways we take in viral particles, flushing it out is a great option for prevention.  My allergy and sinusitis patients will all be familiar with recommendations for nasal lavage / neti, but this is a time where we can all practice it for overall infection prevention.  I recommend using the drugstore saline sprays or a neti pot with warm water salted to the taste of your tears.  

Nutrition: 

·       As always eating plenty of vegetables, healthy fats, and protein is key.

·       Limiting or avoiding processed foods is ideal, especially sugar.

·       Staying well hydrated is also important to keep those mucous membranes plump and healthy (like the lining of the nose, mouth, and throat – a great entry point for droplets).  

·       I love immune boosting broths, fermented foods, mushrooms, and extra culinary spices like garlic, oregano, thyme, ginger, and coconut oil.  This is truly a moment where food can be your medicine.

There are also many vitamins, nutrients, minerals, and herbs that can be wonderful immune boosters or act as anti virals and offer respiratory support.  You do not need to use all of these.  For a detailed individualized protocol, book in today: 

·       A vitamin C deficiency results in impaired immunity and higher susceptibility to infections. Vitamin C acts as an antioxidant, and is top of my list, especially in combination with bioflavonoids.  and 

·       Vitamin D is a common deficiency here in Canada and low vitamin D is also associated with more frequent infections.

·       Vitamin A plays a crucial role in the establishment and maintenance of our immune system and our mucous membranes.

·       Zinc shortens the duration of colds and is helpful for overall immune health.

·       Anti viral herbs: include echinacea, garlic, astragalus, reishi, elderberry.

·       Herbs for cough: include marshmallow root, licorice root, thyme, wild cherry bark, and slippery elm.

·       Omega 3s and probiotics are always a consideration to bring down inflammation and support the balance of beneficial to detrimental bacteria in the body.  Both increase immunity and decrease symptoms of infection.

And last, but certainly not least... self care in uncertain times.  

·       Know that you, yourself, do not need to track the daily numbers.  Let medical professionals and policy makers do this for you.

·       Be cautious about how much media you consume on this topic.  If you are feeling triggered or anxious, skip over articles, or turn off your device.

·       Dial up your normal self care practices.  Top of my list are meditation, gratitude practices, deep breathing, and time in nature.

·       Validate that yes, this is a scary time, and there is inherent uncertainty, but can you practice growing your comfort in the unknown (which is always a part of life)?

·       Create a plan with family and friends on how you can support each other should you need to stay home.

·       You may want to simplify your social life if your stress levels are feeling high.

·       The real threat right now might actually be fear versus this infection.  Keep that in mind.

If you think you have been exposed, or are exhibiting symptoms, don’t panic, stay home, and call your public health authority 1-866-797-0000 in Ontario, or 811 in BC.

I do believe knowledge is power, but fear and hysteria are detrimental.  Remember, new microbes will continually appear, it is part of the natural cycle of life.  Fortunately the vast majority of cases of COVID 19 are mild, some even undetectable.  Yes, this is a time of uncertainty, but let’s also look beyond the horizon.  Whether you are greeting your friends with the spock handshake, jazz hands, or an elbow bump, know we are in this together.  Remember I am available by phone or video consult if you are feeling sick or are nervous about coming in person.  I am absolutely here for you!  Please don’t hesitate to reach out if you are in need, even just for comfort and validation. Take good care in the ever evolving situation.

In health,

Dr. Stephanie Peltz, ND
Published Mar 12th 2020

Resources:
Government of Canada official page
Elisa Song, Pediatrician
Aviva Romm, MD, midwife, and herbalist
Johns Hopkins resource center
Talking to Kids about Coronovirus from NPR