Coronavirus or just a common cold? What to do when your child gets sick this winter



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Nicholas Wood, University of Sydney and Philip Britton, University of Sydney

It’s Sunday night, around 8pm, when your ten-year-old tells you she has a sore throat. She doesn’t have any other symptoms, and feels OK. You tell her “let’s see how you feel in the morning” and she happily goes off to sleep.

But you’re left wondering what you’ll do if her throat is still sore the next day — or if she’s developed other symptoms by then. Should you get her swabbed for COVID-19?

Like most Australians, you haven’t recently travelled overseas or been in contact with anyone with COVID-19. And like most kids, your children often get coughs and colds during winter.




Read more:
Worried about your child getting coronavirus? Here’s what you need to know


COVID-19 symptoms in kids resemble other respiratory infections

Generally, in their first 12 years, children can experience up to four to eight respiratory tract infections, or “colds”, per year. This number is highest among the youngest children.

One-quarter of all GP visits in children under five in Australia are for respiratory tract infections.

A recent review showed COVID-19 symptoms in children were typical of most acute respiratory infections and included fever, cough, sore throat, sneezing, muscle aches and fatigue.

In general, COVID-19 in children is less severe than in adults.

In children, the symptoms of COVID-19 might appear like the symptoms of any cold or flu.
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So how do I know if I should get my child tested?

If your child is unwell you can check their symptoms using healthdirect’s coronavirus symptom checker.

It will ask you questions based on what we know to be common symptoms of COVID-19, including whether you or the person you’re caring for have:

  • a fever of 37.5℃ or more; or

  • symptoms suggesting fever (such as night sweats or chills); or

  • an acute respiratory infection (for example, cough, shortness of breath, sore throat); or

  • loss of smell or taste.




Read more:
Coronavirus and Kawasaki disease in children: it’s an intriguing but unproven link


It’s possible these could also be symptoms of a different respiratory infection. But if your child is displaying any of these symptoms, the current federal government guidelines recommend they stay at home and get tested.

You can also ask your GP if you’re not sure whether your child needs a test.

How likely is it my child will test positive to COVID-19?

Although Victoria is currently experiencing a spike, Australia has largely “flattened the curve”. In the past month there have been less than 40 new cases nationally each day.

Around the country, since the pandemic began, we’ve performed more than two million tests and identified 7,521 cases.

This means fewer than 0.5% of tests have been positive. And only a small proportion of confirmed cases have been in children.

So in our current situation it’s much more likely your child’s fever or runny nose is caused by one of the common respiratory viruses, such as rhinovirus, that we see each winter.

How sustainable is all this testing?

We’re now performing more tests each day than we were at the height of the pandemic in late March.

Australia’s high level of testing has undoubtedly played a significant role in our successful response to the COVID-19 pandemic.

But we now must ask ourselves whether, with potentially diminishing returns, it’s sustainable to keep testing every child with a cold for the foreseeable future.

Let’s remember there are 4.7 million children in Australia under 15 and each of them, particularly the younger ones, are likely to get multiple respiratory infections each year.




Read more:
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One of the risks of a continued emphasis on COVID-19 testing is that when a child returns a negative result, the parent thinks “all good, my child doesn’t have coronavirus, they can go back to school”.

This risks spreading non-COVID-19 viruses to others, who then develop respiratory symptoms and need to be tested. Many of these viruses spread easily among children, especially where they’re in close contact, such as in childcare centres.

This may lead to an upward spiral of respiratory infections, particularly during winter when colds and the flu are traditional foes.

Viral infections can spread easily among children.
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Keep sick kids at home

While testing is important, physical distancing and hygiene measures have been instrumental in flattening the curve.

And as a bonus, these measures may have led to decreased incidence of other viral infections in the community.

In our hospital in Sydney, we’ve seen fewer hospitalisations for respiratory syncytial virus this year, a common cause of infant hospitalisations.

Nationally, in the first five months of 2020 there were 20,569 influenza notifications, compared to more than 74,000 at the same point last year.




Read more:
Kids are more vulnerable to the flu – here’s what to look out for this winter


Although restrictions are easing, Australians should continue to focus on physical distancing and hygiene throughout winter.

We need to see this pandemic as an opportunity to shift to a new normal: that is, staying at home when you’re sick, and keeping your child at home if they’re unwell (until their symptoms resolve).

We know it’s not always practical, but hopefully this “new normal” will see more flexibility from employers in these circumstances.

Finally, yes, follow public health advice around getting tested for COVID-19. But let’s not view this as the only thing that matters.The Conversation

Nicholas Wood, Associate Professor, Discipline of Childhood and Adolescent Health, University of Sydney and Philip Britton, Senior lecturer, Child and Adolescent Health, University of Sydney

This article is republished from The Conversation under a Creative Commons license. Read the original article.

Health Check: should I take vitamin C or other supplements for my cold?



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Once you have a cold, taking vitamin C supplements won’t do anything.
From shutterstock.com

Clare Collins, University of Newcastle

Last week I had a shocking cold. Blocked nose, sore throat, and feeling poorly. This made me think about the countless vitamins and supplements on the market that promise to ease symptoms of a cold, help you recover faster, and reduce your chance of getting another cold.

When it comes to the common cold (also called upper respiratory tract infections) there is no magic cure (I wish) but some supplements may deliver very minor improvements. Here is what the latest research evidence says.




Read more:
Health Check: can you treat the common cold?


Vitamin C

For the average person, taking vitamin C does not reduce the number of colds you get, or the severity of your cold.

In terms of how long your cold lasts, some studies have looked at people taking vitamin C every day, while others have focused on participants taking it once they develop a cold.

In 30 studies comparing the length of colds in people regularly taking at least 200 milligrams of vitamin C daily, there was a consistent reduction in the duration of common cold symptoms.

However, the effect was small and equates to about half a day less in adults, and half to one day less in children. These types of studies also found a very minor reduction in the amount of time needed off work or school.

Among studies where vitamin C was only started once a cold had developed, there was no difference in duration or severity of a cold.

There are some risks to taking vitamin C supplements. They can increase the risk of kidney stones in men, and shouldn’t be taken by people with the iron storage disease haemochromatosis, as vitamin C increases iron absorption.




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Special considerations

Although in the general population vitamin C has no impact on the number of colds people get, there is an exception. For people who are very physically active – such as marathon runners, skiers and soldiers exercising in very cold conditions – vitamin C halved their chance of getting a cold.

Many people take vitamin C supplements in hope it will treat their cold.
From shutterstock.com

A few studies have also found some benefit from vitamin C supplements of at least 200 milligrams a day for preventing colds among those with pneumonia.

However, taking vitamin E supplements in combination with a high intake of vitamin C from food markedly increased the risk of pneumonia.

Zinc

A review of studies testing zinc supplements in healthy adults found starting daily supplements of at least 75 milligrams within 24 hours of the onset of a cold shortened the duration by up to two days or by about one-third. It made no difference to the severity of the cold.

There was some variability in the results across trials, with insufficient evidence related to preventing colds. Researchers suggested that for some people, the side effects such as nausea or a bad taste from zinc lozenges might outweigh the benefits.

Take care to stop zinc supplements as soon as your cold resolves because taking too much zinc can trigger a copper deficiency leading to anaemia, low white blood cell count, and memory problems.

Garlic

Only one study has tested the impact of garlic on the common cold. Researchers asked 146 people to take garlic supplements or a placebo daily for 12 weeks. They then tallied the number and duration of their colds.

The group that took garlic reported fewer colds than those who took the placebo. The duration of colds was the same in both groups, but some people had an adverse reaction to the garlic, such as a rash, or found the garlic odour unpleasant.

Because there is only one trial, we need to be cautious about recommending garlic to prevent or treat colds. We also need to be cautious about interpreting the results because the colds were tracked using self-report, which could be biased.




Read more:
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Probiotics

In a review of 13 trials of probiotic supplements that included more than 3,700 children, adults and older adults, those taking supplements were less likely to get a cold.

Their colds were also likely to be of shorter duration and less severe, in terms of the number of school or work days missed.

There is some evidence that probiotics, which can be found in yoghurt, may reduce the incidence of colds.
From shutterstock.com

Most supplements were milk-based products such as yoghurt. Only three studies used powders, while two used capsules.

The quality of the all the probiotic studies, however, was very poor, with bias and limitations. This means the results need to be interpreted with caution.

Echinacea

Echinacea is a group of flowering plants commonly found in North America. These days you can buy echinacea products in capsules, tablets or drops.

A review of echinacea products found they provide no benefit in treating colds. However, the authors indicated some echinacea products may possibly have a weak benefit, and further research is needed.

Chicken soup

Yep, I’ve saved the best until last.

In a novel experiment on 15 healthy adults, researchers measured the participants’ nasal mucus flow velocity – our ability to break down and expel mucus to breathe more clearly. They tested how runny participants’ noses were after sipping either hot water, hot chicken soup or cold water, or sucking them through a straw.

Sipping hot water or chicken soup made participants’ noses run more than cold water, but sipping chicken soup worked the best. The researchers attributed this to the chicken soup stimulating smell and/or taste receptors, which then increased nasal mucus flow.

Another study on chicken soup found it can help fight infection and recovery from respiratory tract infections.

The ConversationOther researchers have shown comfort foods, such as chicken soup, can help us feel better.

Clare Collins, Professor in Nutrition and Dietetics, University of Newcastle

This article was originally published on The Conversation. Read the original article.

Christians Suspect Cover-Up in Pastor’s Death in Orissa, India


Police refuse to follow leads pointing to murder.

NEW DELHI, January 21 (CDN) — Relatives of a pastor who was found dead in a secluded area in eastern Orissa state’s Kandhamal district last week have accused local police of a cover-up.

The body of Saul Pradhan, a 45-year-old independent pastor whose house was burned by Hindu extremists two years ago, was found near a pond in Pakala village in Kandhamal’s Raikia Block on Jan. 11 and bore marks of assault, Catholic activist Ajay Singh told Compass.

“I spoke to the widow of the pastor, and she told me that the hands and legs of the deceased looked twisted, and there was blood in his mouth. His pants were also torn,” Singh said by phone from Orissa’s capital, Bhubaneswar. “Why should it not arouse suspicion when Pastor Pradhan was last seen with two Hindu men, Marda Pradhan and Baiju Mallick, who were among the rioters who burned houses of Christians in 2008?”

A local activist with the Evangelical Fellowship of India said he visited the site after the body had been removed and saw blood stains on a stone.

Kandhamal witnessed two of India’s deadliest waves of anti-Christian violence in December 2007 and August-September 2008; the latter killed over 100 people, destroyed thousands of homes and displaced more than 60,000 others after a Hindu nationalist leader was killed by Maoists; Hindu nationalist groups blamed it on local Christians.

Christian residents of Kandhamal say the antagonism toward them by those who engaged in the attacks under the influence of extremist Hindu nationalists remains strong.

Singh said that the two Hindu men who burned houses of Christians in 2008, Marda Pradhan and Mallick, came to Pastor Pradhan’s house the evening of Jan. 10 and asked him to come out.

“The pastor’s wife was about to serve dinner and so asked him to wait,” he said. “But he said he wouldn’t take long.”

When the pastor did not return the next day, his wife went to the house of Marda Pradhan with a few villagers. Marda Pradhan’s wife told them her husband had been in the jungle for three days because of a leg injury, Singh said.

That afternoon, the pastor’s wife and the villagers again went to the house of Marda Pradhan, whose wife claimed he was not there. They could see him inside the house, however, and asked him to take them to the spot in the jungle where he had taken Pastor Pradhan the previous night. After walking for around half an hour, Marda Pradhan ran away, Singh said.

“The villagers got suspicious and began to look around,” he said. “That’s when they found the body lying near a pond.”

Some area residents told the villagers that they had heard loud quarreling the previous night.

Police, however, say they have found little reason to suspect foul play.

“There were no injury marks on the body of the man,” Inspector Ravi Narayan Barik told Compass, refuting the claims of the dead man’s family. “The doctor who performed the autopsy said it was just an unnatural death.”

According to police, Pastor Pradhan and two other men got drunk on the night of Jan. 10. The two others were able to return to their homes, Barik said, while the pastor could not and died in the cold.

“Drinking country-made liquor is normal behavior here,” said Barik, of the Raikia police station. “We called one of the two men who was with the deceased for interrogation but did not find anything suspicious.”

An official autopsy report was still awaited at press time.

Asked what sections of the Indian Penal Code or the Criminal Procedure Code were mentioned in the First Information Report or the formal police complaint, the official said, “None.”

“The family is spreading rumors about murder in hope of receiving compensation from the government, as many victims of the 2008 violence got compensated,” the inspector said.

Activist Singh said when the family went to police to report the suspected murder, officers were unwilling to listen.

“The police scolded them,” Singh said. “They said he must have died from the cold. When the family asked for an autopsy, the police asked them to collect the body, take it to the village and bring it to the police station the following day.”

But after the family insisted, the police asked them to bring the body the same day, he said.

“So the family and friends carried the body on a bicycle and brought it to the police station,” Singh said. Asked why police did not go to collect the body, Singh said, “This is how it happens here.”

Singh also said he heard that some local politicians from the Hindu nationalist Bharatiya Janata Party (BJP) visited the Raikia police station after the death was reported, though he added that he “could not confirm if that actually happened.”

Until March 2009, the BJP was a ruling party in Orissa in coalition with a regional party, the Biju Janata Dal, for 11 years.

Dr. Sajan George of the Global Council of Indian Christians called for an investigation by the Central Bureau of Investigation, the Press Trust of India (PTI) news agency reported on Monday (Jan. 17).

“The killing of Saul [Pradhan] seemed to be an organized crime by a section of people who had threatened him a few months ago, his family members alleged, adding that his house was also torched during the Kandhamal riots in 2008,” George told PTI.

Report from Compass Direct News

Plinky Prompt: 100 Word Story with No E's Allowed


Blowing a Gale

It was a cold morning this mid-Spring morning. Wind blowing strongly in harsh gusts – far too cold for Spring this wind chill factor. Still, good away from it – soaking up amazing rays from a blazing sun if cold wind blasts allow.

What a start for this day away from work. Two days now cold. Why is it this wind blows so cold in Spring? Could warm days front again this Spring? No cold days can long stay in the midst of Spring I maintain. Still, as cold as it is today, warmth will again proclaim.

My story – Cold as it is.

Powered by Plinky

Muslim Mob Targets Christian, Family in Murder Case


Villagers beat young man and his relatives, as well as burn their crops and press charges.

SHEIKHUPURA, Pakistan, October 11 (CDN) — A young Christian has been jailed for nearly eight months and his family was attacked after a Muslim friend framed him for murder, he said.

Yassir Masih, 18, has been locked up at Sheikhupura District Jail since his arrest in late February. In an interview at Narang Mandi police station at that time, Masih said that on Feb. 17 his Muslim friend Muhammad Mubashir came to his house late at night and asked him to accompany him on “an urgent piece of work.”

Residents of Pandori village in Sheikhupura district, Mubashir and Masih went to the home of Muhammad Imran, who was in love with the same girl as Mubashir; Masih said the two one-time friends often quarreled over her, with bitter enmity eventually developing between them.

“Being a friend, I went with him, reluctantly, and we soon arrived at the door of Muhammad Imran,” Masih said. “Muhammad Mubashir knocked on the door, and as soon as Muhammad Imran opened the door, Muhammad Mubashir opened fire with his pistol, killing Muhammad Imran on the spot.”

The gunfire awakened villagers, who gathered and began to search for the killer, Masih said. Frightened of the mob and not wanting to put his family in danger, Masih did not return home but fled with Mubashir. The two young men hid in a field of crops, where they decided to leave the village until passions cooled, he said. As Masih left the village, however, he was unaware that Mubashir had melted into the mob that was looking for the killer, he said.

“Later Muhammad Mubashir went to his house and slept in his warm bed that shivering cold winter night,” Masih said.

The next day villagers discovered Masih was missing and therefore accused him of killing Imran, he said.

They didn’t stop at that, said Khalid Gill, chief organizer for Punjab Province of the All Pakistan Minorities Alliance. Gill said that in order to deprive the wealthy Christian family of their profitable strawberry, wheat, corn and other crops, Mubashir’s father, Muhammad Gulfam, filed murder, arms possession and terrorism charges not only against Masih but also against his 50-year-old father Abid Masih, as well as brothers Khalid Masih, 30; Asif Masih, 23; Ashir Masih, 15; Faisal Masih, 13; and two others unnamed.

“Most of the Muslims in the area harbored jealousy against the prosperous Christian family,” Gill pointed out, explaining why Gulfam also pressed charges against members of Yassir Masih’s family.

Additionally, the angry villagers on Feb. 18 overran the property of Masih’s grandfather, Rehmat Masih, where four of the late patriarch’s sons lived; the mob beat women and children with clubs and looted appliances, clothes and other household items, Gill said.

“Nothing was left of use for the Christian family,” Gill said.

He added that the villagers ransacked Yassir Masih’s home and burned 20 acres of his fields on Feb. 18. The village comprises about 2,000 Muslim families and only 15 Christian homes, he said.

Officers from Narang Mandi police station arrested Yassir Masih later than month. He and his family members told officers that Mubashir shot Imran, but police listened only to the lies of the plaintiff, Masih said.

On Feb. 19 Yassir Masih’s mother, Shamshad Bibi, went to the Narang Mandi police station to file a complaint against the Muslim villagers for attacking and looting their house and burning their crops, Gill said. Police filed a case against the attackers but so far no one has been arrested, and “all the Muslim leaders who instigated the Muslim mob to attack are still at large,” Gill said.

At the same time, Narang Mandi police have arrested not only Yassir Masih but his brothers Ashir Masih and Asif Masih, 15 and 23 years old respectively, Gill said. While Yassir Masih has been incarcerated at Sheikhupura District Jail, Ashir Masih and Asif Masih were interrogated by Criminal Investigation Agency officers and have been kept at an undisclosed location since Feb. 18.

The accused Christian’s father, Abid Masih, as well as Khalid Masih, were still in hiding at press time. Police exonerated young Faisal Masih of all charges on Sept.1. Gill said that the 13-year-old boy had moved to an undisclosed location.

Report from Compass Direct News