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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.

New Delhi, Jun 20: As part of measures to check the spread of covid-19, Indian Railways is likely to stop distributing blankets and pillows in trains to AC passengers in coming days and it will make arrangements for sale at stalls on platforms.

The railways already stopped distributing blankets and pillows in 15 pair Special Rajdhani trains and 100 pair of fixed timetabled special trains, which is being operted at present. The system of not distributing blanks and pillows may continue in future once train operations normalise, said the official.

Passengers are encouraged to bring their own blankets and pillows. However same will be made available for purchase at shops so that if passengers want they can buy it, said an official.

The railways also made arrangements to sell sanitisers, masks and gloves at shops. The national transporter also said sale price should not exceed maximum retail price.

As per the Railway Board circular to zonal railways, " Amongst the items which fulfill the needs of travelling public and in keeping with the emphasis for providing safe and hygine travel facilities to passengers, it must be ensured that take away bedrolls kits/items other COVID-19 related protective items such as masks, sanitiser, gloves etc are also made available for sale through multi purpose stalls."

All items should be in good quality and will be sold only at MRP rate, circular said. The railways has also permanently removed curtains inside the AC coaches.

Davanagere, Jan 9: Residents of SVR colony of Channagiri Taluq here on Thursday built a temple in the memory of a male monkey, who died here 'unexpectedly'.

A group of monkeys entered the SVR colony around three months back. The monkeys have never disturbed anybody in the area and they used to play with children living in the colony.

Locals said that the monkeys are very obedient to them.

Unfortunately, one of the monkeys died suddenly on Wednesday, causing distress among people who were very fond of him.

Showing their love for the deceased monkey, locals performed his final rite according to Hindu tradition.

Later, the residents approached the president of the village Panchayat to allot funds to build a temple in the monkey's memory.

The construction of the temple has already begun in the area at the same place where the monkey's funeral was conducted.