May 12: Children suffering from non-respiratory disease symptoms like diarrhea and fever, or those with a history of exposure to the novel coronavirus, should be suspected of having COVID-19, a new study says.
According to the research, published in the journal Frontiers in Pediatrics, gastrointestinal symptoms first suffered by some children hints at potential infection with SARS-CoV-2 through the digestive tract.
"This case series is the first report to describe the clinical features of COVID-19 with non-respiratory symptoms as the first manifestation in children," the scientists from Tongji Hospital in China wrote in the study.
They explained that the gastrointestinal symptoms could be arising since the type of receptors in lung cells targeted by the virus can also be found in the intestines.
Most children are only mildly affected by COVID-19, and the few severe cases often have underlying health issues, the researchers said.
"It is easy to miss its diagnosis in the early stage, when a child has non-respiratory symptoms, or suffers from another illness," said study co-author Wenbin Li, who works at the Department of Pediatrics, Tongji Hospital.
"Based on our experience of dealing with COVID-19, in regions where this virus is epidemic, children suffering from digestive tract symptoms, especially with fever and/or a history of exposure to this disease, should be suspected of being infected with this virus," Li said.
In the study, the scientists described the clinical features of children admitted to hospital with non-respiratory symptoms, who were subsequently diagnosed with pneumonia and COVID-19.
"These children were seeking medical advice in the emergency department for unrelated problems, for example, one had a kidney stone, another a head trauma," Li said.
The study noted that all the children had pneumonia, which was confirmed by chest X-ray scan before or soon after admission.
These children were then confirmed to have COVID-19.
While their COVID-19 symptoms were initially mild or relatively hidden before their hospital admission, four out of the five cases had digestive tract symptoms as the first manifestation of this disease, the researchers said.
Li hopes that doctors will use the findings to quickly diagnose and isolate patients with similar symptoms, which may aid early treatment and reduce transmission.
According to the researchers, the children's gastrointestinal symptoms, which have also been recorded in adult patients, could be an additional route of infection.
"The gastrointestinal symptoms experienced by these children may be related to the distribution of receptors and the transmission pathway associated with COVID-19 infection in humans," Li explained.
Since the virus infects people via the ACE2 receptor, which can be found in certain cells in the lungs as well as the intestines, COVID-19 might infect patients not only through the respiratory tract in the form of air droplets, but also through the digestive tract by contact or fecal-oral transmission, the study noted.
While COVID-19 tests can occasionally produce false positive readings, Li said all the five children assessed in the study were infected with the disease.
However, he cautioned that more research is needed to confirm their findings.
"We report five cases of COVID-19 in children showing non-respiratory symptoms as the first manifestation after admission to hospital. The incidence and clinical features of similar cases needs further study in more patients," he said.
In a release issued here, he said that some people were spreading false messages regarding the functioning of customs, immigration, security and airlines at the airport. But all operations were running smoothly, he said.
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NOT AT ALL WELL ... if someone want to experience the Truth then just Go to Mangalore Airport and see how they treat Burka and Beard Clad commuter, and the Emigration and CISF / Security personnel attitude which is very pathetic and too bad and sometime they make their Security DOG to snip the luggage and also sometime snip the said passenger.
you find lots of discriminate and bias right from luggage porters to the Emigration personnel...
....
I have seen officials at Mangalore Airport abusing Muslim men and women (Kerala) arriving from Gulf. If it is not for their hard earned money of these young men and women working in Gulf and spending in India. India would have become another Somalia.
Guys it is time to hit them were it hurts their wallet. Soon you guys can fly to Kannur Airport until then fly Cochin International Airport or Bombay International Airport ( they have improved their customer service) You have the power to stop the abuse...
Dear Airport Director,
Please install CC camera on each and every counter and all the places, then you will realize that your these INNOCENT staff's rude behaviour. They are making problems only for one community and blind for others. Please treat us also Indian, we are not from any other country. Please ask your people to behave with us atleast we are humans and we do have our self-respect. Hope you could do this. Tnx.
Bribery is very common in customs
All is not well,
I will share my experience when I traveled from Mangalore to Dammam.
We were 3 friends together travelling, along with us there was a guy travelling first time to KSA. One of my known friend told me that to take care & help his relative because he is first time to Saudi. We started together & we 4 got boarding pass. Then we 3 finished emigration check & 4th one was new guy, emigration staff didn't process his emigration work, I was waiting for him to come for 10 min. Then I went back to emigration counter & asked what is the problem. And our conversation was like below
Emigration staff :new guy was mentioned his profession as driver in the form.
Me : what is the problem with that ?
Emigration Staff : he don't have Indian driving license
Me : so what ?
Emigration Staff : Without Indian driving license how he will work in Saudi, I wont allow him to travel
Me : with Indian driving license he cannot drive in Saudi, he has to get Saudi license to drive
Emigration staff : no way
Me : Pls allow him,
Emigration staff : no way, you go away or give me your passport I will fix you the case against you
Then I left from & another guy from our group went & same conversation happened with them.
Flight was ready to take off, we are waiting for him, at last minute he came. He told us Emigration staff was demanding for money about 10,000 rupees, he had only 1,000 rupees & he gave him.
First thing to do is terminating Radhakrishna is the best solution & Emigration, custom staffs.
I request the authorities please donot be partial to one community. Donot give communal colour to customs checking atleast. Of course we love our city and would like to travel via mangaluru only. As you said we rely on your words. Kindly do the needful assistance for the travellers
I traveled many times from Dammam to mangalore I want to share my experience here tooo please airport authority take seriously ..
when we go to the immigration line .. there is one guy for stamping go out he behaves like we are coming from central jail .. he treats us like we are his slave and he behaves like a boss
asking wen u came last time y u r coming every 6 month this is none of his business his job is once we reach there check in his pc if the passport is matching to indian authority
after that wen I went to collect language realy very bad asking wt is that wt is this they are sreening if they have doubt they have to open and tie it properly and give back if any muslim ladies looking for gold wt they wear ...
but mom muslim men if he wear chain no question....
soon kannur airport is going to open.. then mangalore will learn soon..
Mumbai airport is better then mangalore as by my experience because I dnt want o say everyone need to take their own experience as specially muslim...
All is not well, CBI should inquire about this situation....harassing innocent people is not at all acceptable....custom officers have different kind policy towards Muslims....even if they carry authorized amount of gold still they check every parts of body....it is obnoxious...should not be allowed....it is better airport director come and see what is going on around at the time of arrival and till all passengers left from airport....
Ibrahim Hussain Udupi, CISF personnel are not kept for communicating in local languages but to look after the security of the Airport and us. It is very good that they have not kept local personnel. The immigration officers have to ask the new recruits many questions as there is lot of fraud visas being issued and they turn up at the Gulf countries and have to be put in jail or have to be deported back (many cases in the papers) for which I think you do not contribute (you would have know if you had contributed). Why bring religion into this as we know that educated Muslims are not targeted as myself and my family members have not faced any such questions in any of the Airports in India. I have flown out of Mumbai, Bengaluru,Delhi, Kochi, Calicut. How come you were scared to request muslims to stand against the comment of the MP from North Kanara but jump to comment on this subject. Do not be selective in standing up to issues of muslims. We do not require support who have double standards and double speak.
There must be some problem. Otherwise, the passengers would not have expressed their anger over social media.
The main reason for this is, losing faith in system or with the concerned authorities. They are still not sure that the authorities will help them for their smooth travel.
1st thing we need to understand that, all those who travel trough the airport are not smugglers or thieves. Yes security should be tightened but should not look at them with some prejudice. And the truth is that, smugglers keep very good relationship with the airport authorities and they will make sure that, they have hassle free travel. No question of religion/caste/creed comes here.
What the Director should do now is that, instead of wasting the time with media persons, Call the entire Airport staff and give them an excellent 2 day customer service training, So that, they will learn how to deal with the passengers who spend a lot and come there. And ofcourse , as you know the long journey in flight is really tiring for most of them.
Most of the complaints read and read, looks sending Free of cost 'WHATS APP\ really most of the Patience gone out of order, very, simple example to say After long struggling at least we Mangaloreans got International Airport, which we passengers or Public using a lot by Mr Ibrahim Hussian's community is saying nonsense, Language, The question to Him Why Your speaks, not Joining this Job?? you are always Job less Job Likers!!!!! at least wake up, and 99% of Gold Smugglers in your Great Group Mr Ibrahim, Question in Emigration is required getting afraid baseless, sure Uneducated cannot understand then complaining????.
Be perfect first then look others man!!!!
Jai Hindustan
Jai Siddaramanna
Jai Radhakrishna."
As far as my experience is concerned, I don't have much concerns about the security checking. But, in terms of maintenance, the authorities need to pay attention. Here, I would like to share my experience;
Few days back when I had to travel via Mangalore Airport, I was desperately searching for a dustbin to throw a coffee cup. I was running from counter to counter for at least three places thinking that the Emigration officers might have such an arrangement to throw a waste paper. Unfortunately I didn't find anything. Finally I was directed towards restroom.
I just wonder why Airport Authority of India fails to meet a traveler's basic needs despite being collecting huge amount in the name of airport maintenance.
look at the below fare details in rupees for a ticket from Kuwait to Mangalore;
Economy class Air fare 2000
Fuel Surcharge 5233
user Development Fee 856
passenger Service Fee 237
Passenger Service Charge 74
Development Charge 300
Total 8700
Now, my fellow CD readers have to tell; Are we enjoying the equal benefits for what we pay? Most of them might have traveled through Mangalore Airport. For me, All's not well these!
There are lots of ambiguity in Mangalore Airport. The CISF personnel are from north India, except Hindi they cannot speak no other languages. Their attitude in security checks at the departure is horrible. Insulting passengers specially aged people deplorable. At Immigration counter at departure, they ask many questions to the new recruits where they were harassed without any faults. For Muslim passengers there is double standard in immigration and security checks as they treat very badly.
Recently, during my travel back from Saudi Arabia, a Muslim girl was detained for several questions at customs check. She was so afraid of these customs officials. Later she was allowed to walk free. I think and propose Mr. Radhakrishna, must have a look at these counters solving agony of the passengers. The NRI's coming from the gulf countries are not thieves or smugglers. They work hard and bring lots of foreign exchange to the nation that cannot be ignored. To their contribution to the country, in return they do get no facility example is recent budget. From their earnings thousands of families living with peaceful life. Comparing to Mangalore airport, Mumbai airport is better these days for international passengers, only the problem is transit for Mangaloreans.
Because of problems only now most of the Gulf passengers like to travel via Bombay airport. They don't like to travel FROM Mangalore Airport directly. Who said don't have problem???
Dear Sir, are you sure that people will get help???
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