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New Delhi, Jun 13: Loss of smell or taste has been added to the list of COVID-19 symptoms, according to the revised clinical management protocols released by the Union Health Ministry on Saturday.

The ministry said that coronavirus-infected patients reporting to various COVID-19 treatment facilities have been reporting symptoms like fever, cough, fatigue, shortness of breath, expectoration, myalgia, rhinorrhea, sore throat and diarrhea.

They have also complained of loss of smell (anosmia) or loss of taste (ageusia) preceding the onset of respiratory symptoms.

Older people and immune-suppressed patients in particular may present with atypical symptoms such as fatigue, reduced alertness, reduced mobility, diarrhoea, loss of appetite, delirium, and absence of fever, the ministry said.

Children might not have reported fever or cough as frequently as adults.

The US's national public health institute, the Centers for Disease Control and Prevention (CDC), had in early May incorporated "a new loss of taste or smell" in the list of COVID-19 symptoms.

According to the data from Integrated Health Information Platform and Integrated Disease Surveillance Programme, portal case investigation forms for COVID 19 (n=15,366), the details on the signs and symptoms reported are (as on June 11), fever (27 per cent), cough (21 pc), sore throat (10 pc), breathlessness (8 pc), Weakness (7 pc), running nose (3pc ) and others 24 pc.

According to the health ministry, people infected by the novel coronavirus are the main source of infection.

Direct person-to-person transmission occurs through close contact, mainly through respiratory droplets that are released when the infected person coughs, sneezes, or talks.

These droplets may also land on surfaces, where the virus remains viable. Infection can also occur if a person touches an infected surface and then touches his or her eyes, nose, or mouth.

The median incubation period is 5.1 days (range 2–14 days). The precise interval during which an individual with COVID-19 is infectious is uncertain.

As per the current evidence, the period of infectivity starts 2 days prior to onset of symptoms and lasts up to 8 days.

The extent and role played by pre-clinical/ asymptomatic infections in transmission still remain under investigation.

Bengaluru, Mar 5: Amulya Leona, the 19-year-old woman who captured a nation’s attention by shouting full-throated slogans, allegedly in support of Pakistan, at a rally in Bengaluru, has reportedly held her composure under grilling by the Special Investigating Team (SIT).

The woman was arrested after her speech to an audience of protesters against the Citizenship Amendment Act on February 19, and was slapped with sedition charges.

Sources in the police said Amulya Leona seemed to be absolutely normal during interrogation by senior cops, unlike most other persons in such circumstances.

Not once throughout the grilling nor in judicial custody did she break down.

Amulya is said to have defended herself on charges that she shouted pro-Pakistan slogans. She made it clear that by speaking out at the rally at Freedom House, she did not mean to support the enemy country and that she was not against India.

Lower-rung officers said Amulya Leona seemed to be considerably influenced by the late firebrand activist Gowri Lankesh, who was shot dead in 2017.

In fact, the policewomen to whose charge she was entrusted right after she was arrested are said to have heaved a sigh of relief when she handed over to custody of prison staff.

An urban legend going around in lower-rung police circles is that Amulya Leona attended the funeral of Gowri Lankesh and fainted near where the late activist was buried. “It’s impossible for a 19-year-old to show such grit. We have seen hardcore criminals breaking down in custody. Forget about breaking down, Amulya Leona is becoming stronger,” they explain.