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Author Archives: alejandro
CERER > Artículos de: alejandro
Oct24
00

They additionally belief these vendors

By alejandro - Uncategorized

Pretend Chloe Bag Retailer

However, many shoppers simply can’t afford or choose to not pay such costs in order to acquire the standing of a designer purse. I personally only care concerning the precise duplicate bag in and of itself. So it’s crucial to remember that replicas aren’t authentic objects, and minor differences could exist. It is completely essential to have realistic expectations and perceive that even the creme de la creme of replicas may not be 100 percent equivalent to their authentic counterparts. This record highlights tried & true sellers for various designer reproduction merchandise and types. Not solely does Dwatch Global assure high quality, however the costs of its Fake handbags are also very cheap.

However, in reality, both the duplicate and the genuine stamp look equally clear and clean. The duplicate is in gold hardware and the authentic is in palladium hardware. Machine stitching is quicker and prices much less, however it’s not as powerful as hand stitching.

Familiarize your self with the shipping rules and customs requirements when promoting replicas internationally. Pay special consideration to the primary points and strive to develop duplicates which are precise copies of the original merchandise. Websites like Instagram, Facebook, and TikTok offer you the chance to promote your replicas and easily join with potential consumers. Buyers often visit these platforms to buy almost every thing they need. They additionally belief these vendors, making them perfect for on-line purchases.

With sixteen registered patents and a devoted 20-person R&D staff, we are a frontrunner in the luxurious items business. Our premium replicas are sold in over 23 nations worldwide, showcasing our world reach and commitment to quality. Not everyone can afford the hefty price tag of a Chanel bag; that is comprehensible with consistent worth increases. I recognise why it could be tempting to some to show to the duplicate market to get their (illegal) repair but it’s something many would refuse to do, especially within the High End Facebook Page neighborhood.

This article is devoted to you in case you have been searching for wholesale replica distributors. If you’re beginning with zero experience and undecided what to purchase or promote replica bags, this information has all the solutions you want. It is house to the largest luggage distribution centre in the Northwest Region replica bags online, which makes it a popular vacation spot for this objective. In the 1980s more than 1,000 businesses, with staff sizes starting from 500 to 1,000, have been established in coastal Guangdong.

This small shoulder bag is an elegant and compact satchel that positive aspects its luxurious seems from the strikingly stunning hardware. But for its heavy worth fake bags online, this is an irresistible model from Chloe to fashionable customers. A great reward for Christmas fake bags, Valentine’s Day, Mother’s day and Easter, this shoulder bag will swimsuit any lady you admire.

We provide a variety of traditional kinds that you can carry with confidence for daily use or on your special occasions. The highest quality leather-based, the exact metals within the equipment on the purse, and even the position of logos and stamps shall be precise. The hardware on the newest bags both has a simple replica bags, sanded matte end or comes with an nearly tarnished look that pays homage to the vintage BV hardware fashion.

You should buy products from registered manufacturers to ensure you get good-quality replicas. DIY Trade is a sort of reproduction websites designed to attach buyers with low prices and an intensive product selection with Chinese producers and wholesalers. Driven by pursuits, some workers contained in the contract manufacturing facility steal sample sneakers or design drawings and sell them to unscrupulous businessmen at excessive prices. Coupled with the local low uncooked supplies and labour prices, gave delivery to a hot excessive imitation shoe trade. One cause is their standout branding fake bags, appealing to dedicated fans and on an everyday basis buyers. Furthermore replica bags, the Dubai reproduction market online usually acts as a litmus take a look at, gauging the popularity of particular manufacturers and fashions.

Oct7
00

You’ll understand how bonuses and payments on the platform

By alejandro - Uncategorized

Casino utan Svensk Licens guide 2023 Casinon utan Spelpaus

A 100 free spins no deposit bonus is something you should definitely take advantage of if you like to play slots. You should weigh the bonus’s benefits and drawbacks before deciding whether it is a good fit for you. To help you recognize them when you see them casino utan svensk licens, a brief description of each is provided here. CasinoTop.com is world’s trusted and independent resource to online casino.

This guarantees your overall safety when playing on these websites. You don’t have to cash in real money to play your favourite games on the site. If you’d like to experience exclusive gaming, Qbet offers a Qrewards VIP program. As a member ジョイカジノ, you’ll enjoy several benefits, including high withdrawal and deposit limits. Fortunately, casinos without a Swedish license come to the rescue. MetaSpace casino utan svensk licens casino utan svensk licens, the emerging P2E NFT blockchain game—built by Indian developers—is now officially licensed by RAK DAO as a Gaming Studio…

More importantly, only select bonuses with reasonable wagering requirements. All casinos without a Swedish license have well-outlined terms and conditions. You’ll understand how bonuses and payments on the platform work. Smartphones are quite popular in Sweden, considering there are more than 8 million smartphone users in the country.

They also use SSL encryption and have their live casino games regularly tested by independent authorities. In short, if you stick to a reputable casino website, you shouldn’t run into any safety concerns. There is a significant distinction between casinos that have a Swedish license and those that do not. Time limits are required in licensed Swedish casinos, thus these establishments must include self-control measures. These time constraints are applied more loosely by casinos who do not hold a Swedish licence.

At the end of our review process, we only recommend casinos that meet all our criteria and pass our rigorous tests. This allows Swedish players to confidently choose from a list of safe and reputable non-Swedish licensed casinos. We strive to be your trusted guide through the complex world of international casinos.

Also, there is an interesting topic to explore – pay and play casino utan svensk licens. Our team are always cautious when adding casinos licensed in Curacao to our list of recommended sites deneme bonusu veren siteler, as we prioritize player safety and security above all else. However casino utan svensk licens deneme bonusu veren siteler, there are plenty of reputable casinos licensed by Curacao that have earned our seal of approval. EMTA is the regulatory body responsible for licensing and regulating online gambling in Estonia. Casinos licensed by EMTA undergo regular audits to ensure fair gaming practices and player protection. The MGA is one of the top regulatory bodies in the online gambling industry, known for its strict regulations and player protection measures.

Oct4
00

That’s why we made a list of the highest websites instead

By alejandro - Uncategorized

Best Online Casinos 2025 7,000+ Real Money Sites Rated

If you need to make certain you select a mobile-friendly option, select from our listing of best mobile on-line casinos. With over 600,000 registered members within the Casino Guru community, players worldwide contribute their critiques and ratings of online casinos. These reviews are scored on a scale from 1 to five and are used to calculate an overall User Feedback Score ranging from Terrible to Excellent. By far the biggest and most commonly found sites that supply prepaid cards are PaysafeCard casinos. There are other options ジョイ カジノ, like Visa Vanilla and Neosurf, but PaysafeCard has the most important share of the market ベラジョン, making up around 12% of deposits.

Take your decide of three,000+ online on line casino games from the industry’s premium suppliers. The newest and best online slots like Play’n GO’s Book of Dead and Playtech’s Age of the Gods are solely a contact away. Take a seat at certainly one of our online blackjack tables or strive your luck with on-line roulette.

The easy approach to decide which are the highest 10 on-line casino sites is to go by revenues. This part picks out ten casinos, six of which soak up probably the most cash in their states. Popularity brings in the cash, but that doesn’t imply they’re mechanically one of the best.

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Mobile casino gaming in 2025 contains dedicated apps and optimized websites for seamless gaming experiences on Android and iOS devices. At SlotsandCasino, you’ll be able to play on line casino games, having fun with a combine of popular on line casino video games, together with a number of both slot machines and conventional table video games. The on line casino additionally prides itself on its reliable customer service, which plays a vital position in guaranteeing a optimistic consumer expertise. Navigating by way of the multitude of on-line casinos to search out the best one can typically look like a daunting task. It’s not solely about the games on provide but also the security, bonuses, and person expertise. We’ve completely reviewed and compiled a list of the most effective online casinos where real money play is an choice.

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All you may have to do is register for a web-based account and deposit funds via your chosen banking technique, then you can begin to play real cash versions of your favourite online slot machines. There are so many amazing casinos online offering nice free slot machines right now. If you’re new to online slots check out our beneficial slot casinos to get began. The Czech Gambling Act of 2017 has opened up the web casino market, which now has numerous legal and controlled online casinos for Czech gamers to select from.

Sep20
00

To ensure you are enjoying the finest option

By alejandro - Uncategorized

The Brook Sportsbetting And Casino

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Bitcoin casino is an internet gambling platform that accepts cryptocurrency. On such sites ビットカジノ ボーナス, gamblers might play various sorts of video games using BTC. The main advantage of Bitcoin casinos over ordinary platforms is 100 percent safe, anonymous, and hassle-free playing. We often enlarge our foyer with high-tech on-line games to offer a mind-blowing Bitcoin playing experience to all players.

Sep5
00

In 1971, artificial leather purses and other products were

By alejandro - Uncategorized

Luxury Fake Designer Bags Store

However, unlike the Hermès icon, the larger leather tote zips up, with a middle compartment big enough for a 13-inch laptop. A slightly more paired back take on the Hermès classic, this Birkin-inspired bag is a more accessible alternative. However, it’s not just a good Birkin alternative, the Prada Galleria is an icon in and of itself. Rooted in tradition, the Prada bag was first introduced in 2007 and is named after the affluent label’s flagship store in Milan. Characterized by its unique replica birkin bags, layered look with framed compartments, the sumptuous leather exterior is lined with a soft suede interior.

Unfortunately, the market is flooded with counterfeits that may look genuine at first glance but fail in quality and craftsmanship. This guide will walk you through the most reliable ways to authenticate a Gucci bag, covering everything from materials to hardware affordbag, packaging, and seller verification. Are you looking for the style and sophistication of a Goyard tote bag, but don’t want to break the bank?

One can definitely see the difference in the serial number font. To prevent the counterfeiters from copying serial numbers, Chanel introduced several technologies. First of all, the French fashion house elaborated a unique font for the digits. Next, they manufactured a sticker with the double cross X lines that would have prevented the sticker to be removed. There are also two lines to the left and right sides of the serial.

Early products for the Nantai market were mostly made of textiles, synthetic leather, and chemical fibers in small local family enterprises. There are both big and small wholesale leather products businesses in Guangzhou’s Sanyuanli, Tangxia, Huadu, Tangxi, and Shiling replica bags, among other localities. Since then, the leather goods business has exploded all over, fueling the rapid growth of hardware manufacturing.

If these are missing, there’s a possibility somebody ripped them out, but the more likely explanation is that the bag is fake. The shipping method of replica products is the same as normal, but you need to confirm how the customs of your country/region determines whether the products are replica products. We have met some customers who are looking for the original factories of brand cosmetics in China, and they hope to purchase cosmetics from the original factories of these brands. This not only guarantees the quality of cosmetics, but also obtains a lower price. Many brands have foundries in China, which provides a lot of convenience for making bags. The price of a branded bag is usually several thousand dollars, but in China you can buy a copy for several tens of dollars.

Baginc is made up of a team of fashion enthusiasts who have a passion for celebrity style and fashion handbags. Aliexpress carries a variety of products that include everything from clothing to home improvement tools. It’s a great designer dupes website, but it does require some hunting. There are also plenty of designer-inspired items that you can’t miss out on too.

When it comes to choosing a dupe over the original Louis Vuitton product, there are a few reasons to consider. Shopping at physical stores for dupes has its benefits, as you can see and feel the quality of the products in person. In terms of where to find physical stores with quality Louis Vuitton dupes replica birkin bags, popular retailers like Walmart offer a variety of options. When selecting dupe products in physical stores, it’s important to keep a few tips in mind.

Replica purses are not produced according to the quality standards of the original luxury designer items. The craftsmanship will not be as precise and flawless as a designer purse. There are many terms used for handbags that simulate designer styles. Inspired-by replicas have a slightly different graphic, pattern, or design than the original. Colors and accent details may also differ from the inspiring design.

The history of this manufacturing spot dates back to the early 70s. In 1971, artificial leather purses and other products were first produced in Baigou Town’s Gaoqiao Village. Gaoqiao Village is the reason for the explosion of factories in the townships around. This chapter will talk about the top 5 local Chinese markets where retailers can get high-quality products in bulk.

A global survey by Boston Consulting Group (BCG) and Vestiaire Collective suggested widespread consumer support for buying secondhand products directly from brands. Some 70 per cent of 12,000 respondents supported the idea – and 50 per cent of secondhand shoppers surveyed said they had purchased brand items at full price. Sarah Willersdorf, BCG’s global head of luxury, says that consumers who buy secondhand goods usually go on to buy full-priced goods from the same brand. One category of consumers has ample purchasing power, shops casually and accepts fast fashion and luxury goods. These consumers see a clear distinction between “worthy” classic items and “unworthy” fads or perfunctorily purchased items. They are willing to pay for classic pieces and the most brilliant new models.

Sep1
00

There are many international licenses that accept Swedish

By alejandro - Uncategorized

Topp 10 casino utan svensk licens Jämför casinon utan Spelpaus

Apart from Spelpaus casino utan svensk licens, Sweden provides a number of additional gambling responsibility resources and services that can help players successfully manage their gaming. The player is often in charge of declaring and paying taxes on earnings from gambling. You cannot do this (as effectively) at casinos operating under a Swedish license. Furthermore, there is no assurance that any potential winnings will be tax-free. You may be subject to 30% tax if you play at a casino that has a licence from a gambling regulator outside of the EU or EEA.

It can take up to three banking days before the money is returned to your card, for example. Despite this, many people prefer to play casino games using debit or credit cards rather than Spelpaus. This is true for all government games, including lotteries, scratch cards, Vegas slots deneme bonusu veren siteler, and Casino Cosmopol.

The material is as complete as possible and contains a lot of useful information that will answer most of your questions and help you make informed decisions. As a new player from Sweden casino utan svensk licens, you’re eligible for a welcome bonus. Reload bonuses and cashback offers are promotions available to regular Swedish patrons. In most online casinos without a Swedish license casino utan svensk licens deneme bonusu veren siteler, you can’t play live games for free.

Still, you stand a good chance of winning considering their number. Usually, to do this, you need to register, replenish your balance, and register a unique code. If this does not work, contact the support staff to have the issues fixed. It is necessary to enter this code into the field that has been set aside just for it. Consequently, your balance will be credited with additional rewards. No, you can absolutely rely on this information as it is trustworthy.

It’s important to stay safe when playing at online casinos and betting sites without Swedish license. There are many international licenses that accept Swedish players, and they all offer a varying degree of player protection. Our team of experts have carefully reviewed and tested each casino on this page to ensure that they meet our high standards for safety, security, and fairness. A casino without Swedish license does not have to adhere to the strict regulations and limitations set by Spelinspektionen.

There is no geo-blocking and it is permitted for Swedish players to play at casinos with this licence. However, because Anjouan is located outside of the EU/EEA casino utan svensk licens, winnings are subject to 30% tax. Because the licence is affordable and simple to obtain, operators of all skill levels are drawn to it. Despite being less well-known than other licenses, players who are open to testing out new options can find it appealing.

Men and women share their experiences, help one other solve difficulties, and encourage one another in their efforts to overcome gambling addiction. BetBlocker is a free tool that allows you to restrict access to thousands of sports betting websites. 99,496 Swedish citizens were prohibited from gambling on Spelpaus.se in September 2023.

Ago31
00

It’s a simple, no-frills intercourse toy for dudes, making it

By alejandro - Uncategorized

India’s #1 Sex Toys On-line Viva Awa Adult Toys Store

You might by chance hit the incorrect button throughout play, but switching again to the correct mode is simple sufficient. Unlike lots of the other toys we’ve examined, the Magic Wand Rechargeable just isn’t waterproof. This makes it a bit harder to scrub, as you can’t submerge it, although you possibly can simply wash the silicone cap. If you understand and love the sensations that a Magic Wand provides but want that you could use the toy within the bath or underneath operating water, this mannequin may be well well value the improve for you. But in distinction to our high decide, the Rechargeable mannequin, the Waterproof version can’t be used while charging. This suction vibrator has a mix of suction and vibration settings and an progressive “liquid air” characteristic.

In order to search out the best sex toys, we looked at reviews lesbian toys, recommendations, and … did tons and many private testing. I’ve written about salacious things prior to now, so I have no shame in my coworkers figuring out too much about my personal life. Additionally, we checked out versatility in each options, use, and the kinds of bodies they can be utilized on. In this case, we do believe a toy that may be a jack of all trades could be finest, however there’s also nothing incorrect with being a master of none. This elegant steel toy has a lot to offer for each cis and trans guys, says Richards. “For myself and my different vulva-having companions armbinder, curved metal wand toys are almost universally a guaranteed orgasm gode rabbit,” he says.

Once in place, switch it on and the vibrator starts delivering rumbly vibrators right to the glans (tip) of your penis. Other perks of the Arcwave Ion include the fact that it has an open top for easy clean-up, is completely waterproof, which keeps bathtub masturbation on the table, and is lighter-weight than many competitor strokers. The Tenga Flip Orb is a masturbation sleeve that engulfs your penis absolutely, for optimum pleasure. It consists of what Tenga calls a stable finish orb, cross rampart, geared edge, and dynamic flick orb. Put simply, it’s lined with 4 distinctive textures and completely different shapes, which make for distinct pressures and sensations. «LONG JOHN (one size) gave Me the most important orgasm squirt of My life! It hit My face viberators, My submissive’s face and sprayed all round the bed.»

Thanks to a swiveling mechanism at its middle, this versatile vibrator can rework from a dual external and inside stimulator into three other toys. Once twisted, one finish of the toy sports a nozzle that may provide tongue-like licks or clitoral suction, while the other has a curved, bulbous head for inner or exterior stimulation. The versatility of this progressive toy, as nicely as its cheap price level, make it perfect for pleasure-seekers still exploring their sexual tastes.

Rather than using vibration or pulsation to stimulate the penis armbinder bondage, sleeves often function textured nobs and nodules on their inside. Are you seeking to add somewhat (or a lot) of excitement to your life? Hankey’s Toys manufactures and sells the finest quality, excessive finish, adult novelties for the discriminating customer. We offer the best, customizable, handcrafted toys that may be discovered on-line or for sale anywhere. We concentrate on uber practical and fantasy designs and have something for everyone.

Most importantly, we respect the fantastic factor about diversity, and our team contains folks with totally different beliefs, expertise, and experiences. «The day hasn’t dawned but when some other toy outdates this basic. Its large head, versatile neck, and its sturdy vibrations have put orgasm in reach for countless seekers,» Dr. Queen says. Tyomi Morgan is an authorized sexologist, pleasure coach sex toys for lesbians, and the creator of The Cowgirl Workout lesbian toys0, a exercise that helps people feel extra assured within the cowgirl intercourse position. Jessica O’Reilly, PhD, is a sex and relationship professional at sex toy manufacturers Womanizer and We-Vibe.» Not all penis sleeves are designed to make the dick greater or longer, they’re also for erotic enhancement within the bedroom and a few are for adding girth solely.

Fleshlight is probably essentially the most well-known name in male intercourse toys and is now synonymous with masturbation sleeves (like Band-Aid to adhesive bandages). As the name implies, Fleshlights are masturbation sleeves disguised as flashlights, scoring points in phrases of discretion. The inside is far more exciting than a lightbulb, sporting a like-life entrance and a good lesbian sex toy, ribbed inside. It’s a simple, no-frills intercourse toy for dudes, making it nice for novices and occasional sex toy customers. Toys “can improve the possibility of reaching orgasm, whilst also lowering the time it takes to orgasm,” explains medical sexologist and sex therapist Ness Cooper. The alternative of this high-grade material offers safety in use and the choice to warmth or chill the toys.

With over 40 years in the adult industry, Simply Pleasure is always evolving. Our brand-new intercourse toys rejoice advances in fashionable expertise while our enthusiastic staff has grown to over one hundred members. We have additionally struck up exclusive deals with luxurious brands, giving our clients first entry to fantastic new intercourse toys at unimaginable prices. You’ll discover favorite manufacturers like Doc Johnson, Main Squeeze, b-Vibe, Bodywand inflatable didlo, Bathmate, Oxballs sex machine attachments, Satisfyer and more. You will find every little thing you need to boost your intercourse life in our online drug store.

Womanizer has a five-year warranty for all of its toys, for a lot longer than most different firms on this listing. For these in search of clitoral stimulation, this 4.7-inch vibrator has 12 depth levels and a battery life of four hours after a cost time of two hours. The Womanizer Pro W500 makes use of Pleasure Air Technology, which stimulates the clitoris with gently pulsing air strain. Like different panty vibrators, Moxie+ isn’t essentially the most powerful sex toy out there. Consider getting a wand vibrator if you’re seeking intense sensations. Both toys share so much, together with the silicone finish, highly effective vibrations, and a magnetic clip to keep them in place.

Abr13
00

Recomendaciones para pacientes con Lupus y Artritis ante la epidemia Covid-19

By alejandro - Artículos para Pacientes

 

Abr13
00

RECOMENDACIONES PARA PACIENTES CON OSTEOPOROSIS ANTE LA EPIDEMIA COVID-19

By alejandro - Artículos para Pacientes

Mar18
00

INFORMACIÓN DEL COVID-19

By alejandro - Artículos para Pacientes

¿Qué es un coronavirus?

Los coronavirus son una extensa familia de virus que pueden causar enfermedades tanto en animales como en humanos. En los humanos, se sabe que varios coronavirus causan infecciones respiratorias que pueden ir desde el resfriado común hasta enfermedades más graves como el síndrome respiratorio de Oriente Medio (MERS) y el síndrome respiratorio agudo severo (SRAS). El coronavirus que se ha descubierto más recientemente causa la enfermedad por coronavirus COVID-19.

¿Qué es la COVID-19?

La COVID-19 es la enfermedad infecciosa causada por el coronavirus que se ha descubierto más recientemente. Tanto el nuevo virus como la enfermedad eran desconocidos antes de que estallara el brote en Wuhan (China) en diciembre de 2019.

¿Cuáles son los síntomas de la COVID-19?

Los síntomas más comunes de la COVID-19 son fiebre, cansancio y tos seca. Algunos pacientes pueden presentar dolores, congestión nasal, rinorrea, dolor de garganta o diarrea. Estos síntomas suelen ser leves y aparecen de forma gradual. Algunas personas se infectan pero no desarrollan ningún síntoma y no se encuentran mal. La mayoría de las personas (alrededor del 80%) se recupera de la enfermedad sin necesidad de realizar ningún tratamiento especial. Alrededor de 1 de cada 6 personas que contraen la COVID-19 desarrolla una enfermedad grave y tiene dificultad para respirar. Las personas mayores y las que padecen afecciones médicas subyacentes, como hipertensión arterial, problemas cardiacos o diabetes, tienen más probabilidades de desarrollar una enfermedad grave. En torno al 2% de las personas que han contraído la enfermedad han muerto. Las personas que tengan fiebre, tos y dificultad para respirar deben buscar atención médica.

¿Cómo se propaga la COVID-19?

Una persona puede contraer la COVID-19 por contacto con otra que esté infectada por el virus. La enfermedad puede propagarse de persona a persona a través de las gotículas procedentes de la nariz o la boca que salen despedidas cuando una persona infectada tose o exhala. Estas gotículas caen sobre los objetos y superficies que rodean a la persona, de modo que otras personas pueden contraer la COVID-19 si tocan estos objetos o superficies y luego se tocan los ojos, la nariz o la boca. También pueden contagiarse si inhalan las gotículas que haya esparcido una persona con COVID-19 al toser o exhalar. Por eso es importante mantenerse a más de 1 metro (3 pies) de distancia de una persona que se encuentre enferma.

La OMS está estudiando las investigaciones en curso sobre las formas de propagación de la COVID-19 y seguirá informando sobre los resultados actualizados.

¿Puede transmitirse a través del aire el virus causante de la COVID-19?

Los estudios realizados hasta la fecha apuntan a que el virus causante de la COVID-19 se transmite principalmente por contacto con gotículas respiratorias, más que por el aire. Véase la respuesta anterior a la pregunta «¿Cómo se propaga la COVID-19?»

¿Es posible contagiarse de COVID-19 por contacto con una persona que no presente ningún síntoma?

La principal forma de propagación de la enfermedad es a través de las gotículas respiratorias expelidas por alguien al toser. El riesgo de contraer la COVID-19 de alguien que no presente ningún síntoma es muy bajo. Sin embargo, muchas personas que contraen la COVID-19 solo presentan síntomas leves. Esto es particularmente cierto en las primeras etapas de la enfermedad. Por lo tanto, es posible contagiarse de alguien que, por ejemplo, solamente tenga una tos leve y no se sienta enfermo. La OMS está estudiando las investigaciones en curso sobre el periodo de transmisión de la COVID-19 y seguirá informando sobre los resultados actualizados.

¿Es posible contagiarse de COVID-19 por contacto con las heces de una persona que padezca la enfermedad?

El riesgo de contraer la COVID-19 por contacto con las heces de una persona infectada parece ser bajo. Aunque las investigaciones iniciales apuntan a que el virus puede estar presente en algunos casos en las heces, la propagación por esta vía no es uno de los rasgos característicos del brote. La OMS está estudiando las investigaciones en curso sobre las formas de propagación de la COVID-19 y seguirá informando sobre los nuevos resultados. No obstante, se trata de un riesgo y por lo tanto es una razón más para lavarse las manos con frecuencia, después de ir al baño y antes de comer.

¿Qué puedo hacer para protegerme y prevenir la propagación de la enfermedad?

Medidas de protección para todas las personas

Manténgase al día de la información más reciente sobre el brote de COVID-19, a la que puede acceder en el sitio web de la OMS y a través de las autoridades de salud pública pertinentes a nivel nacional y local. Se han registrado casos en muchos países de todo el mundo, y en varios de ellos se han producido brotes. Las autoridades chinas y las de otros países han conseguido enlentecer o detener el avance de los brotes, pero la situación es impredecible y es necesario comprobar con regularidad las noticias más recientes.

Hay varias precauciones que se pueden adoptar para reducir la probabilidad de contraer o de contagiar la COVID-19:

 

  • Lávese las manos a fondo y con frecuencia usando un desinfectante a base de alcohol o con agua y jabón.

¿Por qué? Lavarse las manos con agua y jabón o usando un desinfectante a base de alcohol mata los virus que pueda haber en sus manos.

  • Mantenga una distancia mínima de 1 metro (3 pies) entre usted y cualquier persona que tosa o estornude.

¿Por qué? Cuando alguien tose o estornuda, despide por la nariz o por la boca unas gotículas de líquido que pueden contener el virus. Si está demasiado cerca, puede respirar las gotículas y con ellas el virus de la COVID-19, si la persona que tose tiene la enfermedad.

  • Evite tocarse los ojos, la nariz y la boca

¿Por qué? Las manos tocan muchas superficies y pueden recoger virus. Una vez contaminadas, las manos pueden transferir el virus a los ojos, la nariz o la boca. Desde allí, el virus puede entrar en su cuerpo y causarle la enfermedad.

  • Tanto usted como las personas que les rodean deben asegurarse de mantener una buena higiene de las vías respiratorias. Eso significa cubrirse la boca y la nariz con el codo doblado o con un pañuelo de papel al toser o estornudar. El pañuelo usado debe desecharse de inmediato.

¿Por qué? Los virus se propagan a través de las gotículas. Al mantener una buena higiene respiratoria está protegiendo a las personas que le rodean de virus como los del resfriado, la gripe y la COVID-19.

  • Permanezca en casa si no se encuentra bien. Si tiene fiebre, tos y dificultad para respirar, busque atención médica y llame con antelación. Siga las instrucciones de las autoridades sanitarias locales.

¿Por qué? Las autoridades nacionales y locales dispondrán de la información más actualizada sobre la situación en su zona. Llamar con antelación permitirá que su dispensador de atención de salud le dirija rápidamente hacia el centro de salud adecuado. Esto también le protegerá a usted y ayudará a prevenir la propagación de virus y otras infecciones.

  • Manténgase informado sobre las últimas novedades en relación con la COVID-19. Siga los consejos de su dispensador de atención de salud, de las autoridades sanitarias pertinentes a nivel nacional y local o de su empleador sobre la forma de protegerse a sí mismo y a los demás ante la COVID-19.

¿Por qué? Las autoridades nacionales y locales dispondrán de la información más actualizada acerca de si la COVID-19 se está propagando en su zona. Son los interlocutores más indicados para dar consejos sobre lo que debe hacer la gente de su zona para protegerse.

  • Consulte las noticias más recientes sobre las zonas de mayor peligro (es decir, las ciudades y lugares donde la enfermedad se está propagando más extensamente). Si le es posible, evite desplazarse a estas zonas, sobre todo si su edad es avanzada o tiene usted diabetes, cardiopatías o neumopatías.

¿Por qué? Estas precauciones se deben adoptar en estas zonas porque la probabilidad de contraer la COVID-19 es más elevada.

 

Medidas de protección para las personas que se encuentran en zonas donde se está propagando la COVID-19 o que las han visitado recientemente (en los últimos 14 días)

• Siga las orientaciones antes expuestas (Medidas de protección para todas las personas)

• Permanezca en casa si empieza a encontrarse mal, aunque se trate de síntomas leves como dolor de cabeza, fiebre ligera (37,3 oC o más) y rinorrea leve, hasta que se recupere. Si le resulta indispensable salir de casa o recibir una visita (por ejemplo, para conseguir alimentos), póngase una mascarilla para no infectar a otras personas.

¿Por qué? Evitar los contactos con otras personas y las visitas a centros médicos permitirá que estos últimos funcionen con mayor eficacia y ayudará a protegerle a usted y a otras personas de posibles infecciones por el virus de la COVID-19 u otros.

• Si tiene fiebre, tos y dificultad para respirar, busque rápidamente asesoramiento médico, ya que podría deberse a una infección respiratoria u otra afección grave. Llame con antelación e informe a su dispensador de atención de salud sobre cualquier viaje que haya realizado recientemente o cualquier contacto que haya mantenido con viajeros.

¿Por qué? Llamar con antelación permitirá que su dispensador de atención de salud le dirija rápidamente hacia el centro de salud adecuado. Esto ayudará también a prevenir la propagación de virus y otras infecciones.

¿Qué probabilidades hay de que contraiga la COVID-19?

El riesgo depende del lugar donde se encuentre usted y, más concretamente, de si se está produciendo un brote de COVID-19 en dicho lugar.

Para la mayoría de las personas que se encuentran en la mayor parte de los lugares, el riesgo de contraer esta enfermedad continúa siendo bajo. Sin embargo, sabemos que hay algunos lugares (ciudades o zonas) donde se está propagando y donde el riesgo de contraerla es más elevado, tanto para las personas que viven en ellas como para las que las visitan. Los gobiernos y las autoridades sanitarias están actuando con determinación cada vez que se detecta un nuevo caso de COVID-19. Es importante que todos respetemos las restricciones relativas a los viajes, los desplazamientos y las concentraciones multitudinarias de personas aplicables a cada lugar en concreto. Si cooperamos con las medidas de lucha contra la enfermedad, reduciremos el riesgo que corremos cada uno de nosotros de contraerla o de propagarla.

Como se ha comprobado en China y en otros países, es posible detener los brotes de COVID-19 y poner fin a su transmisión. No obstante, la gran rapidez con que pueden aparecer nuevos brotes nos obliga a ser conscientes de la situación en los lugares donde nos encontramos o donde tengamos intención de ir. La OMS publica cada día actualizaciones sobre la situación de la COVID-19 en el mundo, que se pueden consultar, en inglés, en la página https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports/.

¿Debo preocuparme por la COVID-19?

Por lo general, los síntomas de la COVID-19 son leves, sobre todo en los niños y los adultos jóvenes. No obstante, también pueden ser graves y obligan a hospitalizar a alrededor de uno de cada cinco infectados. Por consiguiente, es bastante normal preocuparse por los efectos que el brote de COVID-19 puede tener en nosotros y en nuestros seres queridos.

Esta preocupación debe servirnos para adoptar medidas de protección para nosotros, nuestros seres queridos y las comunidades donde vivimos. La medida principal y más importante es la higiene regular y completa de las manos y de las vías respiratorias. En segundo lugar, es importante mantenerse informado y seguir los consejos de las autoridades sanitarias locales, como los relativos a los viajes, los desplazamientos y los eventos donde se pueda concentrar un gran número de personas. Puede consultar los consejos sobre protección en la página https://www.who.int/es/emergencies/diseases/novel-coronavirus-2019/advice-for-public.

¿Quién corre riesgo de desarrollar una enfermedad grave?

Todavía tenemos mucho por aprender sobre la forma en que la COVID-2019 afecta a los humanos, pero parece que las personas mayores y las que padecen afecciones médicas preexistentes (como hipertensión arterial, enfermedades cardiacas o diabetes) desarrollan casos graves de la enfermedad con más frecuencia que otras.

¿Son eficaces los antibióticos para prevenir o tratar la COVID-19?

No. Los antibióticos no son eficaces contra los virus, solo contra las infecciones bacterianas. La COVID-19 está causada por un virus, de modo que los antibióticos no sirven frente a ella. No se deben usar antibióticos como medio de prevención o tratamiento de la COVID-19. Solo deben usarse para tratar una infección bacteriana siguiendo las indicaciones de un médico.

¿Existen medicamentos o terapias que permitan prevenir o curar la COVID-19?

Aunque algunos remedios occidentales, tradicionales o caseros pueden proporcionar confort y aliviar los síntomas de la COVID-19, no hay pruebas de que los medicamentos actuales puedan prevenir o curar la enfermedad. La OMS no recomienda la automedicación, en particular con antibióticos, para prevenir o curar la COVID-19. Hay varios ensayos clínicos en curso con medicamentos occidentales y tradicionales. La OMS facilitará información actualizada tan pronto como los resultados de los ensayos clínicos estén disponibles.

¿Existe alguna vacuna, medicamento o tratamiento para la COVID-19?

Todavía no. Hasta la fecha, no hay ninguna vacuna ni medicamento antiviral específico para prevenir o tratar la COVID-2019. Sin embargo, los afectados deben recibir atención de salud para aliviar los síntomas. Las personas que presentan casos graves de la enfermedad deben ser hospitalizadas. La mayoría de los pacientes se recuperan con la ayuda de medidas de apoyo.

Se están investigando posibles vacunas y distintos tratamientos farmacológicos específicos. Hay ensayos clínicos en curso para ponerlos a prueba. La OMS está coordinando los esfuerzos dirigidos a desarrollar vacunas y medicamentos para prevenir y tratar la COVID-19.

Las formas más eficaces de protegerse a uno mismo y a los demás frente a la COVID-19 son: lavarse las manos con frecuencia, cubrirse la boca con el codo o con un pañuelo de papel al toser y mantener una distancia de al menos 1 metro (3 pies) con las personas que tosen o estornudan. (Véase ¿Qué puedo hacer para protegerme y prevenir la propagación de la enfermedad?).

¿Son lo mismo la COVID-19 y el SRAS?

No. El genoma del virus que causa la COVID-19 y el del responsable del síndrome respiratorio agudo severo (SRAS) son similares, pero no iguales. El SRAS es más letal pero mucho menos infeccioso que la COVID-19. Desde 2003, no se han registrado brotes de SRAS en ningún lugar del mundo.

¿Debo llevar mascarilla para protegerme?

Si no se presentan los síntomas respiratorios característicos de la COVID-19 (sobre todo, tos) o no se cuida de una persona que pueda haber contraído esta enfermedad, no es necesario llevar puesta una mascarilla clínica. Recuerde que las mascarillas desechables solo se pueden utilizar una vez y tenga en cuenta también que, si no está usted enfermo o no cuida de una persona que lo esté, está malgastando una mascarilla. Las existencias de mascarillas en el mundo se están agotando, y la OMS insta a utilizarlas de forma sensata.

La OMS aconseja hacer un uso racional de las mascarillas clínicas para no derrochar innecesariamente ni usar indebidamente unos utensilios que son valiosos (véase el apartado Cuándo y cómo usar mascarilla).

Las medidas frente a la COVID-19 más eficaces para protegerse a uno mismo y a los demás son: lavarse las manos con frecuencia, cubrirse la boca con el codo o con un pañuelo de papel al toser y mantener una distancia de, al menos, 1 metro (3 pies) con las personas que tosen o estornudan. Para más información a este respecto, pueden consultarse las medidas básicas de protección frente al nuevo coronavirus.

Cómo ponerse, usar, quitarse y desechar una mascarilla

1. Recuerde que solo deben usar mascarilla los trabajadores sanitarios, los cuidadores y las personas con síntomas respiratorios como fiebre y tos.

2. Antes de tocar la mascarilla, lávese las manos con un desinfectante a base de alcohol o con agua y jabón.

3. Inspeccione la mascarilla para ver si tiene rasgaduras o agujeros.

4. Oriente hacia arriba la parte superior (donde se encuentra la tira de metal).

5. Asegúrese de orientar hacia afuera el lado correcto de la mascarilla (el lado coloreado).

6. Colóquese la mascarilla sobre la cara. Pellizque la tira de metal o el borde rígido de la mascarilla para que se amolde a la forma de su nariz.

7. Tire hacia abajo de la parte inferior de la mascarilla para que le cubra la boca y la barbilla.

8. Después de usarla, quítese la mascarilla; retire las cintas elásticas de detrás de las orejas manteniendo la mascarilla alejada de la cara y la ropa, para no tocar las superficies potencialmente contaminadas de la mascarilla.

9. Deseche la mascarilla en un contenedor cerrado inmediatamente después de su uso.

10. Lávese las manos después de tocar o desechar la mascarilla. Use un desinfectante a base de alcohol o, si están visiblemente sucias, láveselas con agua y jabón.

¿Cuánto dura el periodo de incubación de la COVID-19?

El «período de incubación» es el tiempo que transcurre entre la infección por el virus y la aparición de los síntomas de la enfermedad. La mayoría de las estimaciones respecto al periodo de incubación de la COVID-19 oscilan entre 1 y 14 días, y en general se sitúan en torno a cinco días. Estas estimaciones se irán actualizando a medida que se tengan más datos.

¿Pueden los humanos contraer el virus de la COVID-19 por contacto con un animal?

Los coronavirus son una extensa familia de virus que son comunes entre los murciélagos y otros animales. En raras ocasiones las personas se infectan por estos virus, que luego pueden propagarse a otras personas. Por ejemplo, el SRAS-CoV iba asociado a las civetas y el MERS-CoV se transmite a través de los dromedarios. Todavía no se ha confirmado el posible origen animal de la COVID-19.

Como medida de protección al visitar mercados de animales vivos o en otras situaciones parecidas, evite el contacto directo con los animales y las superficies que estén en contacto con ellos. Asegúrese de que en todo momento se observen prácticas adecuadas de higiene de los alimentos. Manipule con cuidado la carne, la leche o los órganos de animales crudos para evitar la contaminación de alimentos no cocinados y evite el consumo de productos animales crudos o poco cocinados.

¿Mi mascota me puede contagiar la COVID-19?

Aunque ha habido un caso de un perro infectado en Hong Kong, hasta la fecha no hay pruebas de que un perro, un gato o cualquier mascota pueda transmitir la COVID-19. La COVID-19 se propaga principalmente a través de las gotículas producidas por una persona infectada al toser, estornudar o hablar. Para protegerse a sí mismo, lávese las manos a fondo frecuentemente.

La OMS se mantiene al tanto de las últimas investigaciones a este respecto y otras cuestiones relacionadas con la COVID-19 y proporcionará información actualizada de las conclusiones que se vayan obteniendo.

¿Cuánto tiempo sobrevive el virus en una superficie?

No se sabe con certeza cuánto tiempo sobrevive el virus causante de la COVID-19 en una superficie, pero parece comportarse como otros coronavirus. Los estudios realizados (incluida la información preliminar disponible sobre el virus de la COVID-19) indican que los coronavirus pueden subsistir en una superficie desde unas pocas horas hasta varios días. El tiempo puede variar en función de las condiciones (por ejemplo, el tipo de superficie, la temperatura o la humedad del ambiente).

Si cree que una superficie puede estar infectada, límpiela con un desinfectante común para matar el virus y protegerse de este modo a usted mismo y a los demás. Lávese las manos con un desinfectante a base de alcohol o con agua y jabón. Evite tocarse los ojos, la boca o la nariz.

¿Es seguro recibir un paquete de una zona en la que se hayan notificado casos de COVID-19?

Sí. La probabilidad de que una persona infectada contamine artículos comerciales es baja, y el riesgo de contraer el virus causante de la COVID-19 por contacto con un paquete que haya sido manipulado, transportado y expuesto a diferentes condiciones y temperaturas también es bajo.

¿Hay algo que no deba hacer?

Las siguientes medidas NO SON eficaces contra la COVID-2019 y pueden resultar perjudiciales:

  • Fumar
  • Llevar varias mascarillas
  • Tomar antibióticos (Véase  ¿Existen medicamentos o terapias que permitan prevenir o curar la COVID-19?)

En cualquier caso, si tiene fiebre, tos y dificultad para respirar, trate de obtener atención médica lo antes posible para reducir el riesgo de desarrollar una infección más grave, y asegúrese de informar a su dispensador de atención de salud acerca de sus viajes recientes.

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