Volume 02 Issue 07-2022
7
International Journal of Medical Sciences And Clinical Research
(ISSN
–
2771-2265)
VOLUME
02
I
SSUE
07
Pages:
07-12
SJIF
I
MPACT
FACTOR
(2021:
5.
694
)
(2022:
5.
893
)
OCLC
–
1121105677
METADATA
IF
–
5.654
Publisher:
Oscar Publishing Services
Servi
ABSTRACT
This article describes the global pandemic of coronavirus infection (COVID-19), the clinical course of the disease,
comparative monitoring of incidence in the Republic of Uzbekistan, preventive measures and measures taken against
the spread of coronavirus infection in the army during the pandemic. , development of proposals for further
improvement of its effectiveness.
KEYWORDS
Coronavirus infection, epidemic measures, isolation of patients, vaccination, medical evacuation, combinations.
INTRODUCTION
According to the analysis of the World Health
Organization on February 24, 2022, the number of
people infected with the Corona virus or Sars-CoV-2
virus disease since the pandemic was 430,205,987
worldwide, and those who recovered from the disease
were 358,808,674. and those who died from the
disease made up 5,936,879 people. On February 24,
2022, during the day, 1,077,762 people worldwide were
registered as infected, of which 5,853 died from the
disease. Current statistics on coronavirus in the
Republic of Uzbekistan as of March 30, 2022 Total
population 34,312,000 Total infected 237,710 people,
this indicator is 0.7% of the total population, death from
the disease is 1,637 0.7% of the total number of
Research Article
EFFECTIVE METHODS OF PREVENTING THE SPREAD OF DISEASE AMONG
TROOPS DURING THE COVID-19 PANDEMIC
Submission Date:
July 12, 2022,
Accepted Date:
July 19, 2022,
Published Date:
July 26, 2022
Crossref doi:
https://doi.org/10.37547/ijmscr/Volume02Issue07-02
X.E.Qulmirzayev
Lieutenant colonel of the medical service Military institute of information communication technologies and
communications, Uzbekistan
Journal
Website:
https://theusajournals.
com/index.php/ijmscr
Copyright:
Original
content from this work
may be used under the
terms of the creative
commons
attributes
4.0 licence.
Volume 02 Issue 07-2022
8
International Journal of Medical Sciences And Clinical Research
(ISSN
–
2771-2265)
VOLUME
02
I
SSUE
07
Pages:
07-12
SJIF
I
MPACT
FACTOR
(2021:
5.
694
)
(2022:
5.
893
)
OCLC
–
1121105677
METADATA
IF
–
5.654
Publisher:
Oscar Publishing Services
Servi
patients, recovery from the disease is 99 of the total
number of patients 235,559 .1%. Currently, there are 514
patients, which is 0.2% of the total number of patients.
The number of tests conducted to identify the disease
was 1,377,915.
THE MAIN RESULTS AND FINDINGS
T.F.N. on those suffering from coronavirus infection or
Sars-CoV-2 virus disease. In an interview with "Ura.ru",
immunologist Nikolay Kryuchkov said that the disease
is somewhat severe in patients with diabetes and
alimentary obesity. On February 23, 2022, 179,147 cases
were detected in the Russian Federation. 15,000 of
them were hospitalized. Since the beginning of the
pandemic, 15,199,720 cases have been registered in the
Russian Federation.
The Minister of Health of the Russian Federation,
Mikhail Murashko, has a teleconference with the
correspondent of the "Russia-24" TV channel, Naila
Asker-zoda.
Patients
suffering
from
chronic
cardiovascular diseases have a 5-7% increase in
mortality when infected with the coronavirus or Sars-
CoV-2 virus, heart rhythm disturbances, myocarditis
and blood clots in 50% of patients who have
experienced a coronavirus infection has developed,
patients without chronic comorbidities and infected
with the coronavirus are immediately taken to the
dispensary under control and drugs are used if
necessary.
A virus is a protein-encased particle of genetic code so
small that it cannot be seen under an ordinary
microscope. 100 million copies of the new coronavirus
fit easily into a sharp needle, and its very small size
makes it difficult to protect against the virus. When an
infected patient coughs, billions of viruses fly out with
saliva droplets.
On March 27, 2020, according to the BBC's medical and
science correspondent James Gallagher, scientists
have shared what they know so far about the new
virus's attack on humans.
During the latent period of the disease, which takes 5-
7 days, the virus settles well in our div, including the
coronavirus or Sars-CoV-2 virus. It damages the liver
and lungs, where it multiplies and infects other tissues.
During this period, the patient feels healthy and may
not feel any symptoms of the disease, the disease is
mild in 8 out of 10 people.
The two main symptoms of the disease are fever and
cough, sometimes the div (muscles), throat and head
ache, but not always, some patients have diarrhea
once or twice, sense of smell and complete temporary
loss of consciousness for 3-6 days, in some patients
there were cases where one of these senses was
preserved or the sense of smell was preserved, the
cough of the coronavirus is dry at the beginning, in
some patients, sputum is produced. This sputum is the
lung tissue that the virus has killed. However, in this
case, the person does not need to be treated in a
hospital, he can stay in bed at home, drink more fluids,
take paracetamol and do regular breathing exercises.
is recommended.
Factors influencing the severity of the disease include
obesity, old age, comorbidities, including diabetes,
hypertension, heart disease, chronic lung disease,
cerebrovascular disease, chronic kidney disease,
immunosuppression and cancer, and particulate
tobacco. the disease is very severe in smoking patients.
However, our understanding of the new coronavirus is
still insufficient. According to recent studies, if the
symptoms of the disease increase, then we can
conclude that our immune system has shown an excess
reaction (hyperreaction) against the virus. Chemical
Volume 02 Issue 07-2022
9
International Journal of Medical Sciences And Clinical Research
(ISSN
–
2771-2265)
VOLUME
02
I
SSUE
07
Pages:
07-12
SJIF
I
MPACT
FACTOR
(2021:
5.
694
)
(2022:
5.
893
)
OCLC
–
1121105677
METADATA
IF
–
5.654
Publisher:
Oscar Publishing Services
Servi
signals released in this process spread throughout our
div and inflammation begins. If it breaks down,
excessive inflammation can harm our div. "The virus
is throwing off the balance in our immune system's
response," said Dr Natalia McDermott from London.
Studies show that the main pathological changes are
manifested in the lungs, that is, pulmonary
thrombovasculitis in the form of diffuse specific
alveolar damage, microangiopathy, and alveolar-
hemorrhagic syndrome.
In Mur, the size and weight of the lungs increased, the
back-basal parts of the lungs are often damaged, and
the front parts are airy, light purple in color, and
crackling when cut. The macroscopic appearance of
the lungs gives the characteristic of "Shock lungs" (Fig.
1), that is, the lungs are diffusely dense, airless, and the
surface and cross-section are dark-cherry or red-
brown. colored, numerous atelectasis (distelectasis),
profuse bleeding, and foci of various sizes of
hemorrhagic infarction are determined. Obturating
thrombosis of the pulmonary artery and vein networks
(Fig. 2) is another characteristic sign, often the
thrombus penetrates into the right ventricle and
chambers of the heart. The presence of fibrin coatings
in the pleura is a characteristic sign if bacterial
superinfection is accompanied by fibrinous-purulent
pleurisy.
Figure 1
Figure 2
Histological examination of the lungs reveals two
different phase changes close to each other.
Phase 1 is exudative, that is, it develops on the 7th day
of illness.
Phase 2 - anti-inflammatory, starts on the 7th day of
illness.
Summary:
1)
S-protein of SARS-CoV-2 has a cytopathic,
destructive and coagulopathic effect on almost all
organs through polytropism with angiotensin-2-
forming enzyme (APF2).
2)
The main pathological changes in the lungs, i.e.
viral-toxic
damage
of
diffuse
alveoli,
thrombovasculitis
of
blood
vessels,
microangiopathy
and
alveolar-hemorrhagic
Volume 02 Issue 07-2022
10
International Journal of Medical Sciences And Clinical Research
(ISSN
–
2771-2265)
VOLUME
02
I
SSUE
07
Pages:
07-12
SJIF
I
MPACT
FACTOR
(2021:
5.
694
)
(2022:
5.
893
)
OCLC
–
1121105677
METADATA
IF
–
5.654
Publisher:
Oscar Publishing Services
Servi
syndrome, proliferative bronchiolitis, provoke
vasculitis.
3)
Almost all structural units of the lungs are
damaged: the alveolar epithelium is dystrophied,
necrotic, and shed. The wall of blood vessels
undergoes fibrinoid thickening, its permeability
increases, plasma and blood are poured into the
tissue of the alveolar cell space. Vascular
endothelium is damaged, coagulopathy and
thrombosis develop. In response to these, the
connective tissue cells in and around the walls of
the bronchi and vessels grow and become
proliferative inflammation.
4)
Necrobiotic changes of the parenchyma develop
as a result of vascular endothelium damage,
vasculitis, thrombovasculitis in internal organs.
6% of those infected with the virus are in a critical
condition, German scientists say that patients who
died from the disease observed blood clots
(thrombosis) when their bodies were dissected, septic
shock occurred, blood pressure dropped to a
dangerous level, the div a lungs may not work as
described in the brochure or may fail completely, acute
respiratory distress syndrome occurs due to excessive
inflammation of the lungs, as a result of which our div
cannot get enough oxygen to live.
The kidneys stop purifying the blood and the inner
walls of the intestines are damaged.
Military servicemen suffering from coronavirus
infection or Sars-CoV-2 virus disease are temporarily
unfit to serve in military service or combat units due to
health
complications
due
to
complications
(inflammation of the heart, circulatory system, urinary
organs, etc.) it was found that sometimes deaths
occurred. For this reason, for the purpose of early
detection of this disease among military personnel,
during the examination of the polymer chain risk (later
known as PCR), when military personnel are sick during
vacation, during the tour of duty, work was organized
in cooperation with local medical institutions.
In particular, when military servicemen, cadets and
servicemen of the Armed Forces are on vacation, when
symptoms of illness are observed, for PCR analysis and
specialist doctor's advice, laboratories established in
local hospitals in their permanent residences and
treatment courses approved by the decision of the
special commission of the Republic under the
supervision of qualified specialist doctors. they got
For the prevention of coronavirus infection or Sars-
CoV-2 virus disease, it is advisable to carry out the
following actions.
Everyone should strictly follow the epidemiological
measures established by the Republican Special
Commission on the preparation of the program of
measures to prevent the introduction and spread of
the coronavirus infection in the Republic of Uzbekistan
for the prevention of coronavirus infection.
Preventive and anti-epidemic measures from an
epidemiological point of view are divided into 3 parts.
1.
Preventive measures against the source of the
disease:
Isolation of the patient in a special hospital for
coronavirus infection or in a special ward (box) of the
department of infectious diseases;
To organize the treatment of those suffering from a
mild form of the disease at home in a prescribed
manner at the prescribed times and to prohibit
communication with other persons;
The patient wears a medical mask and changes the
mask every three hours;
Volume 02 Issue 07-2022
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International Journal of Medical Sciences And Clinical Research
(ISSN
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2771-2265)
VOLUME
02
I
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07
Pages:
07-12
SJIF
I
MPACT
FACTOR
(2021:
5.
694
)
(2022:
5.
893
)
OCLC
–
1121105677
METADATA
IF
–
5.654
Publisher:
Oscar Publishing Services
Servi
Transferring the patient to the department of
infectious diseases in a special vehicle (medical aid);
That the patient follows the rules of respiratory
hygiene;
Use of disposable medical equipment.
2.
Preventive measures against the ways of
transmission of the causative agent:
Observing hand hygiene (washing hands with soap or
using antiseptics, not touching the mucous
membranes of the face, nose and mouth with
unwashed hands, etc.);
Using a medical respirator or mask;
Use of personal protective equipment for medical and
other service personnel working with patients,
suspects, and contacts of COVID-19.
Carrying out preventive and preventive disinfection
measures;
Ensuring room air disinfection;
Follow social distancing rules;
Not to go to places where people gather a lot (market,
stadium, public events, etc.);
Disinfection and disposal of group V medical waste in
the prescribed manner.
3.
Preventive measures against groups prone to
infection:
Containment and observation measures;
To carry out permanent promotion work among the
personnel;
Vaccination with a vaccine against the infection of
COVID-19.
Getting a vaccine against a disease means reliable
protection against this disease. Vaccination is
organized in order to prevent the spread of the disease
in the future, to reduce complications and deaths.
Today, there are several vaccines against the infection
of COVID-19. Vaccines registered and approved for use
in the Republic of Uzbekistan are used for vaccination.
Vaccination against coronavirus infection is organized
on the basis of the decisions of the Special Republican
Commission and the relevant orders of the Minister of
Defense.
CONCLUSION
1. In my opinion, calling people not to be afraid of
extremely dangerous infectious diseases, including the
Corona Virus (COVID-19) disease, the depressed mood
can lead to a decrease in the human immune system,
but not to be indifferent to the disease, to constantly
follow the rules of personal and general hygiene If they
feel the symptoms of the disease (headache, diarrhea,
muscle aches, div temperature increase, dry mouth,
itchy nose and hakoza, etc.) Instilling in their minds
that they should submit the analysis, when the analysis
results are positive, they should take the analysis result
with them and refer to the doctor again for infectious
diseases. Those who are indifferent to the disease may
have complications from the disease, including
coxoarthrosis, thrombosis, and other diseases that
remain as complications. in newspapers and magazines
and on the Internet It is necessary to carry out
extensive publicity activities on the basis of photo and
video materials of people suffering from complications
of the disease.
Volume 02 Issue 07-2022
12
International Journal of Medical Sciences And Clinical Research
(ISSN
–
2771-2265)
VOLUME
02
I
SSUE
07
Pages:
07-12
SJIF
I
MPACT
FACTOR
(2021:
5.
694
)
(2022:
5.
893
)
OCLC
–
1121105677
METADATA
IF
–
5.654
Publisher:
Oscar Publishing Services
Servi
When cases of disease are observed among the local
population, people should spend their observation
time in the open air, their diet should be changed from
liquid food to boiled and digestible food rich in
vitamins. and in case of illness, it causes the disease to
pass easily.
REFERENCES
1.
Resolution No. 176 of the Cabinet of Ministers of
the Republic of Uzbekistan dated 23/2020 "On
additional measures against the spread of
coronavirus infection"
2.
Provisional methodological recommendations on
prevention,
diagnosis,
treatment
and
rehabilitation of coronavirus infection Eighth
revision 09/21/2020.
3.
Sanitary rules, standards and hygienic regulations
of the Republic of Uzbekistan No. 0372-20 "On
organizing the activities of state bodies and other
organizations, as well as business entities in the
context of the application of restrictive measures
during the COVID-19 pandemic temporary sanitary
rules and regulations"
4.
National guidance on COVID-19, Tashkent, March
26, 2020.
5.
Vremennye
metodicheskiye
rekomendatsii
prevention, diagnosis and treatment of novel
coronavirus infection (COVID-19) Version 10
(02.08.2021). Russian Federation
6.
Analysis of the World Health Organization on
February 24, 2022
7.
The Minister of Health of the Russian Federation
Mikhail Murashko in a teleconference with the
reporter of the "Russia-24" TV channel Naila Asker-
zoda
8.
Ministry of Health of the Russian Federation,
immunologist T.F.N. Nikolay Kryuchkov gave an
interview to "Ura.ru" about people suffering from
coronavirus infection or Sars-CoV-2 virus disease
9.
Statistics provided by James Gallagher, the BBC's
medical and science correspondent, on March 27,
2020.
10.
Information of the sanitary epidemiology control
center of the Ministry of Health on March 30, 2022.
11.
Analytical conclusions of the head of the
epidemiology department of the sanitary
epidemiology control center of the Ministry of
Defense of the Republic of Uzbekistan, Lt. Col.
