COVID-19: Can Vitamin D Protect You from an Infection?
Recently, mainstream media has been flooded with reports speculating on what role, if any, vitamin D may play in reducing the severity of COVID-19 infection. There have been numerous studies for and against the effects of vitamin D levels in bolstering our immune system.
 
Observational studies have compared outcomes from various countries to suggest inverse links between vitamin D levels and the severity of COVID-19 responses. Some studies have also correlated a reduced mortality rate during the pandemic with vitamin D levels and have suggested the effect of the vitamin on the immune response to the infection. 
 
Vitamin D is produced in the skin from UVB (ultraviolet B rays) sunlight exposure and is transported to the liver and then the kidney where it is changed into an active hormone that increases calcium transport from food in the gut and ensures calcium is adequate to keep the skeleton strong and free of osteoporosis. Vitamin D is also known to support the immune system through a number of immune pathways involved in fighting coronavirus. Many recent studies have confirmed the pivotal role of vitamin D in viral infections. 
 
“These studies are not without their statistical flaws, so cannot yet be regarded as certain, but they are not quackery like a lot of the stuff coming out of the supplements industry: they come from reputable medical scientists,” reports The Spectator in the UK.
 
One such study has shown, through observed data, that countries at lower latitude and typically sunny countries, such as Spain and northern Italy, had surprisingly low concentrations of vitamin D and high rates of vitamin D deficiency. As we know, these countries also experienced the highest infection and death rates in Europe.
 
This study claims that countries in the northern latitude—Norway, Finland and Sweden, have higher vitamin D levels, despite less UVB sunlight exposure, because supplementation and fortification of foods is more common. These Nordic countries have lower COVID-19 infection and death rates. The correlation between low vitamin D levels and death from COVID-19 is shown to be statistically significant.
 
The authors of this study, which is published in Irish Medical Journal, propose that optimising vitamin D levels, while certainly beneficial for bone and muscle health, is also likely to reduce serious COVID-19 complications. This may be because vitamin D is important in regulation and suppression of the inflammatory cytokine response which causes the severe consequences of COVID-19 and ‘acute respiratory distress syndrome’ associated with ventilation and death. 
 
Prof Rose Anne Kenny, one of the authors of this study, has said, "In England, Scotland and Wales, public health bodies have revised recommendations since the COVID-19 outbreak. Recommendations now state that all adults should take at least 400 IU vitamin D daily. Whereas there are currently no results from randomised controlled trials to conclusively prove that vitamin D beneficially affects COVID-19 outcomes, there is strong circumstantial evidence of associations between vitamin D and the severity of COVID-19 responses, including death."
 
This team of researchers has been calling on the Irish government to update guidelines urgentlyy to encourage all adults to take supplements during the COVID-19 crisis. 
 
But many scientists and researchers refute these findings, since they are purely based on observational data and not on controlled laboratory tests. Robust data supporting a role of vitamin D in prevention of COVID-19, or as any kind of ‘therapy’ for the infection, is currently lacking. “There’s no randomised controlled trial for sure, and that’s the gold standard,” said Dr Clifford Rosen, senior scientist at Maine Medical Center’s Research Institute, “and the observational data are so confounded, it’s difficult to know.”
 
While some researchers and clinicians believe people should get tested to see if they have adequate vitamin D levels during this pandemic — in particular frontline healthcare workers — most doctors say the best way to ensure that people have adequate levels of vitamin D during COVID-19 is to simply take supplements at currently recommended levels.
 
Matt Ridley from The Spectator in UK reports that, results are coming in from various settings and the main message seems to be that vitamin D deficiency may or may not help to prevent you catching the virus, but it does affect whether you get very ill from it.” So, while it is is not definite whether vitamin D can help prevent a coronavirus infection, it is certain that it does assist in reducing the possibility of any serious complications. 
 
In any case, readers should be prudent and not rely solely on vitamin D to protect themselves from COVID-19, as the research in this regard is still in its infancy. Moreover, even if it were to have a positive impact, vitamin D still will not be as effective as social distancing, good hygiene and proper disinfection of objects in preventing an infection. 
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    COMMENTS

    suketu

    1 day ago

    The solution of Modi govt for Corona is worst than the problem.Key is to build peoples immune system but Modi is using Corona for his own politics and the consequences are already fatal.

    Nahom

    6 days ago

    Indians suffer from lack of Vit D. due to darker skin colour and living inside flats and houses devoid of sunlight. It took me almost one year to bring up the level despite 30 MTS in Sun between 9 am to 5 pm and taking Lupin's Mighty (60,000 IU) once a week.

    Goverdhan Rao

    6 days ago

    Nothing wrong to maintain sufficient levels of vitamin D which is having other benifits

    kumarsrin

    7 days ago

    Yeah, only vaccines can protect one from the trillions of viruses around. So go get vaccinated against each and every virus. If not they will use military force to vaccinate you and prove that only vaccines are the cure but no preventative care like Vitamin D, Vitamin C, Zinc, Vitamin A and numerous ayurvedic and commonly used age old Indian traditional home remedies are good enough.

    Dont even bother to research the following:

    https://www.preprints.org/manuscript/202003.0235/v1?fbclid=IwAR1Dv6q5-eS2sABb8Imnxbb-rw-l9UfuMmJ45mU6w3QIg93XxxeOtvyjBss

    https://www.youtube.com/watch?v=AxdE7cSCfbw&feature=youtu.be&fbclid=IwAR0W-uJ77kENAfQ1n06bbFEdWlZiAnPgmZrXcus2x0sDSVYzsLDONVjth10

    https://www.amymyersmd.com/2016/06/vitamin-d/

    “Immune to Evidence”: How Dangerous Coronavirus Conspiracies Spread
    Conspiratorial videos and websites about COVID-19 are going viral. Here’s how one of the authors of “The Conspiracy Theory Handbook” says you can fight back. One big takeaway: Focus your efforts on people who can hear evidence and think rationally.
     
    Stephan Lewandowsky studies the way people think, and in particular, why they engage in conspiracy theories. So when the cognitive scientist from England’s University of Bristol observes wild speculation related to the COVID-19 pandemic, he sees how it fits into the historical pattern of misinformation and fake news.
     
    I recently wrote about the viral video “Plandemic” as an investigative reporter assessing the range of unsubstantiated COVID-19 allegations put forth by a controversial researcher. Lewandowsky comes at the video and others like it from a science-based perspective. He is one of the authors of “The Conspiracy Theory Handbook,” which explains the traits of conspiratorial thinking.
     
    Conspiracy theories related to the COVID-19 pandemic seem to be proliferating, and some may even be taking root. So I asked Lewandowsky to share how he identifies and understands them, and what we can do to sort through the confusion. The interview has been condensed for clarity and length.
     
    What’s the difference between a real conspiracy and a conspiracy theory?
    A real conspiracy actually exists, and it is usually uncovered by journalists, whistleblowers, document dumps from a corporation or government, or it’s discovered by a government agency. The Volkswagen emissions scandal, for example, was discovered by conventional ways when some engineers discovered an anomaly in a report. It was all mundane — normal people having normal observations based on data. They said, “Hang on, something’s funny here,” and then it unraveled. The same is true for the Iran-contra scandal. That broke via a newspaper in Lebanon. True conspiracies are often uncovered through the media. In Watergate, it was journalists not taking “no” for an answer.
     
    A conspiracy theory, on the other hand, is discussed at length on the internet by people who are not bona fide journalists or government officials or whistleblowers in an organization or investigative committees of regulators. They’re completely independent sources, individuals who self-nominate and put themselves forward as being in possession of the truth. In principle, that could be true. But then if you look at the way these people think and talk and communicate, you discover their cognition is different from what I would call conventional cognition.
     
    What are some differences between conventional and conspiratorial thinking?
    You can start with healthy skepticism vs. overriding suspicion. As a scientist, I’m obviously skeptical. I’m questioning anything people say. I look at my own data and other people’s data with a skeptical eye. But after skeptics have been skeptical, they are quite capable of accepting evidence. Once something has withstood scrutiny, you accept it. Otherwise you’re in a state of complete nihilism and you can’t believe anything.
     
    That crucial second step of acceptance is absent in conspiracy theorists. That is where conspiracy theorists are different. Their skepticism is a bottomless, never-ending pit of skepticism about anything related to the official account. And that skepticism is accompanied by extreme gullibility to anything related to the conspiracy. It’s an imbalance between skepticism for anything an official may say and complete gullibility for something some random dude on the internet will tweet out. It’s that imbalance that differentiates conspiracy thinking from standard cognition. Continue Reading...
     
    Courtesy: ProPublica.org
     
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    COMMENTS

    Ramesh Popat

    6 days ago

    conspiracy is there but who will bell the cat?!

    REPLY

    kumarsrin

    In Reply to Ramesh Popat 6 days ago

    That's totally different but blaming most of the alternative views from the mainstream media as conspiracy theory is just demeaning the human intelligence and communist like mentality of suppressing opposition.

    kumarsrin

    7 days ago

    And dont even bother to read this and research this further, dear readers. Let us bunk this as conspiracy theory. The author definitely seems to be a conspiracy theorist even though he seems to have done some research.
    https://kbforyou.blogspot.com/2020/05/heres-how-gates-money-manufactured.html

    kumarsrin

    7 days ago

    Yeah, if anyone refutes what the mainstream says, it is conspiracy theory. Anyone intelligent enough to question the mass hysteria and sheep like decision making skills of others is a conspiracy theorist.

    When a person without any valid background in virology can make a Nastradamous like prediction that there would likely be a global pandemic soon, people dont question how could he make such a statement. He is one of the world's richest businessman and renowned philanthropist to whom everyone should listen like a sheep. When the person without even a science degree (just a honorary doctorate in law) can talk about global public health and the need to vaccinate the entire world against all kinds of viruses (there are trillions of virus, so why not get vaccinated for all viruses for the entire global population - now that is some real business) he is not a conspiracy theorist but he is one of the most intelligent persons alive in the planet to dictate what is good for every human being in the world. Anyone who questions these are labelled conspiracy theorists and will be censored. Good narrative. Keep it up.

    rajoluramam

    7 days ago

    The conspiracy theory is utter false. No human being worth to be called, tries to spread this deadly corona virus into the world. Inspite of the best efforts by all the contries of the world, whether small or big, are not in a position to control the virus. The entire world's economy is in shambles. If at all, it is done, it is definitely un intentional. Let us not spread such inhuman rumors, let us fight unitedly to eradicate. Let the entire world share the information about invention of VACCINE to arrest the spread of virus.

    The Silence of the Lambs: Sion Hospital’s Cry in the Wilderness
    The thought of Sion Hospital brings back nostalgic memories! It has been a home away from home for all of us as medical students. We join at the young age of seventeen or eighteen. It takes five and a half years to acquire the basic undergraduate MBBS degree. Then, we spend three years doing post-graduation and a few more months or years for experience. So, one is at least 27 or 28 years old by the time our medical education is completed. The 10 to 12 years equal a whole school-life time, hence it is appropriately called the medical school!
     
    The innocent teenager who enters medical school is chiselled, honed, hammered and battered during the decade and emerges with rich experience of life, living, sickness, health…and even death. Young minds cocooned in the care and shelter of their secure upbringing, are suddenly exposed to the harsh realities of life and death.
     
    Sion Hospital is among those that bears the brunt of this trauma, being the first major tertiary care centre as you enter Mumbai. Since it is nearest to Dharavi, one of the five largest slums of the world, it was always crowded – even 40 years ago! The campus was always teeming with patients, their relatives and health personnel busily rushing around the place. Demand always out-stripped supply. 
     
    Since our childhood, (we are in our sixties now) we have had four major hospitals viz. the King Edward Memorial Hospital (KEM), the Lokmanya Tilak Municipal General Hospital (LTMGH, better known as Sion Hospital), the Topiwala National Medical College & BYL Nair Charitable Hospital, Mumbai (better known as Nair Hospital) and Sir Jamsetjee Jeejebhoy Group of Hospitals (better known as the JJ hospital at Byculla).
     
     
    With a five-fold population increase in the past 50 years, we ought to have had at least 20 such hospitals for the general public. But we still have only these four. One can only imagine the stress and workload that they bear, further compounded by the lack of space.   
     
    Yet, Sion Hospital has risen to every challenge. Whether it is a major railway accident when dozens of patients are wheeled in, or the series of bomb blasts that we lived through for nearly two decades after 1992 or victims of road accidents and other disasters -- all admitted and managed efficiently by the dedicated doctors. 
     
    Although medical advances, modern technology, expert medical skills and state-of-the-art facilities are welcome upgrades, the sheer population explosion has made the demands on the hospital supersede its capacity drastically. 
     
    Even before the COVID-19 pandemic, Sion Hospital has always been overcrowded, so much so that it was not unusual to have as many as four babies per cradle in the neonatal intensive care; the orthopaedic ward is usually so overflowing with patients that the corridors are converted into ward extensions, and there is even a floor bed between two cots.  The casualty is invariably bursting at the seams with patients waiting for a ventilator. That is the reality of public health care, which never came to the attention of the urban middle class, unless caught in an unusual situation. COVID-19 has changed all that.
     
     
     Young doctors in their early twenties have to deal with this day in and day out. They have to work with what they have, and cannot change the situation. We know who is responsible for improving the healthcare system, but who will tell them?  If the poor patient has no voice, neither do the doctors. These patients cannot afford private healthcare and most consider it a boon to get a bed and two free meals a day. They are not the ones who usually complain. They are relieved at being admitted.
     
    My husband (also a doctor in the same institute) often used to give money to poor patients for food and medicines. We knew about this. What we did not know is that he also used to donate blood to patients who had no relative to do so. My sister, who volunteers for Cancer care arranges food, toys, and medicines at Tata Cancer hospital, especially in the paediatric ward.
     
    Children on their death bed can melt the stoniest of hearts! She counsels the parents. She asked one such mother, “Do you have any complaint? Does your child need anything?” to which she promptly replied, “I am not worried about this child. He lies on a bed, gets free food and even toys! I am anxious of my other children at home. Who will feed them?”  
     
    Doctors are dealing with this poverty and helplessness in their own way every day. 
     
    So in the middle of a global pandemic, when a viral video, which was probably politically motivated, leads to a public backlash against doctors, actively fomented by a part of the media, it is utterly demoralizing to those who are described at ‘corona warriors’. 
     
    The pandemic is wreaking havoc by increasing the pressure on an already overstretched system. The number of beds has been further increased. A Fever OPD and a Smart COVID OPD have been installed (the latter to offer a degree of protection through contactless processes). Around 200 to 250 new patients are screened here for fever and associated symptoms. The number of admissions has skyrocketed, with the result that two patients are sometimes put on one cot and there are many more waiting for admission! What can doctors do about this? Incidentally, two patients on a cot during emergencies is not new – it has been going on for decades.
     
    What can doctors do about this, except to continue working round the clock to treat patients? Sion Hospital is not a COVID-19 centre, but has both COVID and non-COVID patients. The surgery department has operated 24 COVID positive emergency patients and conducted 98 COVID positive deliveries. Over 40 COVID positive babies have been treated, over 793 COVID positive medical patients and 210 patients with severe acute respiratory infections have been managed. 
     
     
    The brunt of this is borne by many doctors who turned COVID positive. Doctors from all departments have been put on COVID duty. They have to manage patients at Kasturba and Seven Hills hospitals too.  Each time a doctor tests positive, they have to be quarantined along with other support staff. This reduces the number of people available for work but has also been causing a lot of trauma among young minds, who are also dealing with calls from worried parents.
     
    In some departments, all residents and staff members have been absent due to sickness or quarantine, leaving the head of the department to manage the whole department. Such overwork and such trying times are completely unprecedented. In addition to this, these young doctors are deputed to go to a cramped Dharavi, which has been a COVID cauldron, knock on doors and take their throat swabs! This sometimes raises safety concerns.
     
    Very little of these heroic efforts are known to the general public. Instead, a motivated video led to so much of backlash and abuse that it hit the morale of almost everybody working at the hospital. The hasty action against the dean, was a further blow. The doctors looked up to their dean, who was approachable, sensitive, knowledgeable and co-operative and doing his very best in a crumbling health system. 
     
    Yes, COVID continued to spread and patients died, but that was not at his door. There were other problems too – the lack of body bags, paucity of employees to shift bodies to the morgue, extra procedures that were mandated due to COVID and finally the fact that relatives unable to collect their dead because of lack of transport or they themselves were quarantined!  How was the dean to blame for that? Yet, he was unceremoniously discharged and made a sacrificial lamb! 
     
    How has the action solved any problem? Sion Hospital has welcomed the new dean. He too will do his best, when he works in the same situation, he too has the sword of demotion /transfer and public humiliation dangling over his head.  Naturally, everyone is on tenterhooks and doctors are demoralized. Is this how the system wants to reward those who are sticking out their necks in trying circumstances? 
     
     
    The lack of medical protective equipment is another huge issue. Thankfully corporates, NGOs and many donors have come forward to help. The doctor is helpless. The budgets for health and education in our country is meagre. We have no idea when our public healthcare system will ever improve. 
     
    But doctors and healthcare workers are not responsible for any of this. They are mute workers carrying on their duty to the best of their ability and putting their lives at risk everyday – and that too without pay. Yes, resident doctors have not received their salary for a month and a half even while the government has been showering flowers and praise on them. 
     
    Many have not seen their families since the lockdown and cannot go home. They are mostly young doctors in their 20s dealing with an unprecedented situation. They are the sacrificial lambs! Their silence speaks volumes – but does anybody want to lend an ear?
     
    This is the Silence of the Lambs!
     
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    COMMENTS

    marydsouza312

    6 days ago

    Please provide food for covid patients as there members are quarantine and cannot visit them

    pujarissunil

    1 week ago

    We should prioritise the improvements of the existing Hospitals infrastructure and services , and setting up of new hospitals in order to take off the load from the existing hospitals.
    Health sector needs more serious reforms and funding to improve the infrastructure and services of the hospitals. Hope both the central and state Govt is listening.

    suneel

    1 week ago

    Thanks for bringing it to out attention. These are unsung warriors.

    shetyerb

    1 week ago

    We who are familiar with the Good Treatment we get at Sion or KEM Hospital inspite of their limitations will always be grateful to the staff of the Government hospitals' very good and HUMANE attention to the patients in spite of their limitations.
    It is the media, which mostly consists of the left over incompetent people , who is incapable of appreciating the Hospital Staff excellent service in spite of the limitations in the Govt hospitals under the Babus. And Media only wants to create sensation before another Channel comes in.
    And then another more senior, not necessarily more intelligent or competent, Babu comes in and thinks that a change in the Head of the Hospital will make all the Change.
    It is high time that our BABUs are trained to be making more INTELLIGENT decisions than just sacking someone and expecting the results.
    Incidentally my Father was a very successful IAS officer because he would go to the root causes of the problems/inefficiencies than just taking an off the Cuff decision and expect the miracles to happen.
    I will be very keen to learn the REASONING behind the removal of the Dean and appointing the new Dean, especially this particular one, who is now in charge.

    pravmara

    1 week ago

    Well written article and many of us who are hardcore Mumbaikars are aware of this reality. Thos who are new to Mumbai or 8gnorant will find it shocking. Yes this is the truth.
    Only Solution is to increase number 9f such hospitals. Munciple Corporation of Greater Mumbai is rich enough to do this if decides ( without corruption) What stopping them?
    There is No need to lecture on why statues and why not hospitals? etc. etc. and politicizing the matter ( I am not saying issue).

    homaielavia

    1 week ago

    This has opened our eyes to the sorry state of our medical system. New hospitals are the need of the hour. Not statues and temples. Land in Mumbai allotted to political parties for building fancy memorials to their leaders should be immediately requisitioned and COVID-19 Speciality Hospitals built. Even if such hospitals are just temporary warehouse type sheds. Example is the Indu Mills Complex at Shivaji Park. The adjoining Mayor's old bungalow can be used to house the doctors and nurses or become an isolation facility. There must be many such old mill/factory areas or other abandoned constructions under litigation which can be requisitioned.

    REPLY

    RJ

    In Reply to homaielavia 1 week ago

    Spot on. I entirely agree.

    Silence of the lambs, now that it is broken, arouses overflowing and much-deserved sympathy. But the absence of vision, criminal negligence, self-centeredness and sheer incompetence of the political leadership, to which it points, fills one with disgust and flaming anger.

    desouza

    1 week ago

    Thank you for such a soul-stirring issue. Shame on those who fail to understand, empathise and support these gallant warriors, instead of humiliating and disposing of them.

    REPLY

    bhatiahv

    In Reply to desouza 1 week ago

    Agree.

    RJ

    In Reply to desouza 1 week ago

    Ditto.

    glnprasad52

    1 week ago

    Then the focus of CM was getting qualified through the election. Now after a unanimous election, he is victorious. Maybe someone brings this article to his attention and the article may certainly serve the purpose.

    bhattacharjee.madhumita

    1 week ago

    we can't do this to our saviors.

    dsreepathi61

    1 week ago

    Difficult times. 3 to 4 old textile mills could have converted in to a new Government Hospital.

    glnprasad52

    1 week ago

    One realization is that when you want a solution, you have to project the issue that grabs the attention, and the author/doctor presented the issue in the correct tone required for solving the same. Kudos to Doctor for her lucid presentation. (Author/doctor has diagnosed, prescribed and let us wait as to who will provide those medicines for chronic sickness of such Govt Hospitals)

    valentine.barboza

    1 week ago

    A truly well written article and I can realise the immense suffering and agony Doctors go through.. who created this slum, why did all of us not vouch for a one child policy, why did we not get together and raise our voice against slums, why did we allow a corrupt BMC to loot all of us?
    As written the lady is worried about her other kids back home.. y Did she have more kids when she could not afford? This was all in our hands.. we always wanted the best for us , our kids and our family.. we were never concerned about our surroundings.. we allowed filth, garbage to get over us.. I really do not feel sorry for the patients.. I feel sorry for myself.. I did not raise my voice for the wrongdoings of the government and the politicians.. Covid 19 could just be the beginning.. let’s wait for some more..

    RJ

    1 week ago

    At last, a lamb has broken her silence. And how! Her cry has, no doubt, pierced thousands of hearts, aroused the conscience of some and galvanised a few others into action.

    Kudos to Dr Neela Patwardhan!

    REPLY

    shetyerb

    In Reply to RJ 1 week ago

    I also appreciate the lambs breaking the silence and coming to the public with the injustice done to them, and that too after they are working putting their own lives in danger.
    Kudos to the Medical Fraternity in General and the Govt Hospital Staff in particular. Not wanting to talk about the BABUs.

    skinbeautydoc

    1 week ago

    Extremely well written article. Being an alumnus of LTMMC, I realized that things have not changed even 3 decades after I left it. Shocking is a mild word, since I am unable to think of another, to know how the institution gets a bad name due to administrative apathy. Those working under such squalor get a bad name despite skipping meals and sleep, just to serve the helpless public. The mass media are also to blame for not balancing the bad news with the real facts. Please repost your article to multiple groups to let public know the reality. I'm an optimist who our system has converted to a pessimist.... and I stopped on writing issues like these. Perhaps I'm wrong.
    Dr Rajan TD, 1981 batch

    kocharbipin61

    1 week ago

    Over 75% of the COVID patients are asymptomatic or mild cases - which do not require hospitalization and typically discharged for home care and self quarantine.

    However, our hospitalization protocols have failed to quickly adopt these best practices resulting in heavy crowding and gross overload on the hospital staff.

    As self quarantine may not be feasible for many in Dharavi, the Government needs to open quarantine centers in nearby schools where the asymptomatic and mild patients can be transferred till they become non-infectious to others.

    This simple step will enable the doctors to focus efforts on serious cases and save valuable lives.

    Furthermore, Maharashtra Government should make it mandatory for all private doctors below 45 to serve in COVID hospitals and care centres as the mortality risk shoots up for those over 55.

    We are listening!

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