Karnataka mulls compulsory rural service for medical students who opt for free seats

Mangaluru, May 20: In a gut-wrenching tragedy, a Class 10 student who was preparing for the final examinations drowned in Adyapady dam on the outskirts of the city yesterday.

The victim is Mallik, 17, a resident of Mulur village in Gurpur. The tragedy occurred when Mallik along with some others had come to the dam to catch fish.

According to the police, he accidentally slipped into the waters and drowned. His body was recovered later. 

Jurisdictional Bajpe police have registered a case of unnatural death and investigations are underway.

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 23: The Karnataka government on Monday decided to purchase 1,000 ventilators from medical devices company Skanray Technologies and five lakh Personal Protective Equipment (PPE), amid rising COVID-19 cases.

Health Minister B Sriramulu convened a meeting with officials to review the situation in the wake of the coronavirus outbreak, and with the Mysuru-based firm through a video conference.

"In the meeting, it was decided to buy 1,000 ventilators immediately", the Minister tweeted.

He said the government has already taken steps to buy ten lakh masks, and decided to purchase five lakh PPE.

"The Health Department has been working on a war- footing to halt the spread of the (COVID-19) infections", Sriramulu tweeted.

The Minister appealed to the citizens to strictly follow social distancing.

Six new COVID-19 cases were confirmed in Karnataka on Sunday, taking the total number of infections to the respiratory disease to 26 -- the highest number of positive cases in a single day in the State.

The Karnataka government has announced shutdown of all commercial activities barring essential services in nine districts, where COVID-19 cases have been reported, till March 31.

They are: Bengaluru city, Bengaluru Rural, Mangaluru, Mysuru, Kalaburagi, Dharwad, Chikkaballapura, Kodagu and Belagavi, Home Minister Basavaraj Bommai said.