BSY appeals HC to prevent media, Cong leaders from talking about his ‘past’

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.

Bengaluru, Mar 7: Karnataka on Friday announced that there are no positive cases of the novel coronavirus, COVID-19 in the state till date.

"To date, 717 persons have been identified for observation, of them, 236 persons have completed 28 days of observation and 469 persons are continuing under home quarantine. 8 persons are admitted to selected isolation hospitals, " the state government said in a release today.

"Around 343 samples of symptomatic persons are sent for testing and 296 samples are reported as negative. No positive cases of Coronavirus in the state to date," it said.

Karnataka Chief Minister BS Yediyurappa earlier in the week assured people in state about the preparedness to tackle coronavirus.

He said, "We have issued instructions to all hospitals. We have made all the arrangements. People in Karnataka should not worry."

Union Health Minister Harsh Vardhan earlier today held a review meeting with states over preparedness for coronavirus. State governments have been asked to keep the testing and quarantine facilities, isolation wards and labs in active readiness.

The country's total number of positive cases of coronavirus touched 31 today. COVID-19 has so far killed more than 3200 people globally.

Bengaluru, Jun 28: Criminal cases will be lodged against people for not adhering to the COVID-19 protocol in the city, said a top police official on Sunday.

"Deputy Commissioners of Police (DCPs) and BBMP (officials) are on the streets to enforce wearing of mask and social distancing. Warnings now, criminal cases will follow," said Police Commissioner Bhaskar Rao.

He exhorted people to insist on everybody wearing a mask and maintaining social distance.

"Urge every Bengalurean to enforce mask enforcement and social distancing. If people argue, call 100. We are ready to respond to your calls," said Rao.

Assuring the city residents, he said one should not worry about others being high and mighty while making sure everybody follows the Covid precautions.

"Don't bother about high and mighty factor, whosoever it is, just tell people around you to wear mask and not hanging around neck," said the Commissioner.

On Saturday, DCP Rohini Katoch Sepat conducted a special drive to ensure everybody is following the Covid rules.

"Conducted a special drive along with BBMP marshals, imposed fine for not wearing mask and social distancing," said Sepat.

The senior police officer had also sealed down some shops for not conforming to the social distancing directions.

Sepat personally made announcements through a megaphone, spoke to shopkeepers, pedestrians and walked the streets in enforcing the rules.

Similarly, Rao also warned commercial establishments of raids and legal action in the event of Covid rules violation.

"Shops, malls, banks, hotels, offices and establishments. All of you are already aware of precautions to be taken. If you do not implement mask wearing and ensure safe distance, city police will raid and initiate legal action," asserted Rao.

On Friday, Bengaluru North DCP Shashi Kumar closed down some shops which did not follow Covid rules and rewarded some shopkeepers who adhered to them with roses.