Expectations high in Dakshina Kannada as SSLC exams begin

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.

Thiruvananthapuram, Mar 30: With suicide cases being reported from various parts of the state after liquor sales were stopped in Kerala following the lockdown, Chief Minister Pinarayi Vijayan has directed the Excise Department to provide liquor to those with a prescription from a doctor.

The move comes after many reportedly showed acute withdrawal symptoms and suicide cases were reported in the state.

On Saturday, in Kodungaloor in Thrissur district, a youth committed suicide by jumping into the river after suffering from withdrawal symptoms.

In another incident, a 38-year-old man working in a barbershop in Kayamkulam consumed shaving lotion after he didn't get alcohol. Though he was taken to hospital after he developed uneasiness, he died.

The Kerala government has also asked the Excise Department to provide free treatment and admit people with withdrawal symptoms to the de-addiction centres.

The Chief Minister has said the government is also considering the option of online sale of liquor as the sudden unavailability of alcohol may lead to social problems.

Mangalore, Mar 11: There everybody busy in hailing ‘Padmashree’ Harekala Hajabba. They wondered how an orange seller turned into an educationist with his grit and high objectives. However, the center of attraction- Harekala Hajabba was thinking how to transfer a cheque of rupees one lakh to a current account of his school!

Dakshina Kannada District Kannada and Culture Department had an interaction program with Harekala Hajabba at Ravindra Kalabhavana of University College Mangaluru on Wednesday. The department, as well as Dakshina Kannada District Bus Owners’ Association felicitated the achiever. They also honored Hajabba with a cash of rupees one lakh. Instantly, the man decided to utilize the amount for his school! 

In his address, Guruvappa N T Balepuni, who introduced Harekala Hajabba to society opined that with his simplicity, humbleness, moreover his service without any expectation, Hajabba is being respected everywhere. Though he is an illiterate, three universities have made his life as lessons for students. “He has kept around Rs 50-55 lakh, including his award money for the development of school. January 25, the day on which ‘Padmashree’ award has been declared to Hajabba is a memorable day for me too,” he added. 

Dakshina Kannada District Bus Owners’ Association President Dinram Alva and former president Jayaram Shekha opined that there is lot to learn from Hajabba and he is a model for the society. Recalling his old- harsher days, Hajabba said, “Parents should make mind to save government schools. A literate can achieve anything, he can lead the society,” he said and called upon for the communal harmony. 

Presiding over the function, Principal Dr. Uday Kumar M A said that Harekala Hajabba is best example how a pure-hearted man achieves any height, simplicity can make someone so rich. In his welcome speech District Kannada and Culture Department Deputy director Rajesh G, depicted Hajabba as ‘modern time Mahatma Gandhi’. Economics PG Coordinator Dr. Jayavantha Nayak and M.Com Coordinator Dr. Abobakkar Siddiq were present on the occasion.