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Centre issues guidelines for management of Covid-19 among children, discourages use of Remdesivir

The Centre on Wednesday issued comprehensive guidelines to manage Covid-19 among children, according to which use of anti-viral drug Remdesivir has not been recommended and rational use of HRCT imaging has been suggested.
The Directorate General of Health Services under the health ministry issued the advisory which stated that use of steroids is harmful in asymptomatic and mild cases of infection in children.
The rational use of High-resolution CT (HRCT)has been suggested for seeing the extent and nature of lung involvement in patients with Covid-19. However, any additional information gained from HRCT scans of the chest often has little impact on treatment decisions, which are based almost entirely on clinical severity and physiological impairment, the guidelines stated.
For severe infection, a six-minute walk test is recommended for children above 12 years under the supervision of parents/guardians to assess cardiopulmonary exercise tolerance and is used to unmask hypoxia.
In case of moderate infection, the advisory suggested initiating immediate oxygen therapy. Corticosteroids are not required in all children with moderate illness, they may be administered in rapidly progressive disease and anticoagulants may also be indicated.
For mild infection, paracetamol 10-15mg/kg/dose can be given every 4 to 6 hours for fever and throat soothing agents. Warm saline gargles in older children and adolescents have been recommended for cough.
The new guidelines come as anxiety over the third wave continues, which claims to affect children specifically. Even top doctors in India, involved with the national coronavirus task force, have said that there is no data to suggest any such threat to children.
AIIMS director Dr Randeep Guleria has said that 60-70 percent of the children, who got infected and were hospitalised during the second wave, had either co-morbidities or low immunity, and healthy children recovered with mild illness without need for being admitted.
Dr VK Paul said that it is uncertain that a wave would affect children specifically. Till now, children have displayed similar seroprevalence as adults, which means, they are as much affected as adults, he added.
India News
Amritpal Singh case: Fugitive Khalistani leader’s gunman Gorkha Baba arrested by Punjab Police
Tejinder Singh aka Gorkha Baba, a notorious associate and former gunman of fugitive Khalistani leader Amritpal Singh was arrested by the Punjab Police on Thursday, officials said.

Tejinder Singh aka Gorkha Baba, a notorious associate and former gunman of fugitive Khalistani leader Amritpal Singh was arrested by the Punjab Police on Thursday, officials said.
A report quoted DSP Payal Harsimrat Singh of the Punjab Police as saying that Tejinder Singh, a resident of Punjab’s Mangewal village, was nabbed by the Khanna police.
DSP Harsimrat said Tejinder, who was a gunman for Amritpal Singh for a long period and often lived with the Waris Punjab De chief, is also involved in the Ajnala case. The officer said that Tejinder, also known as Gorkha Baba, was very active on social media and often posts pictures of himself brandishing different weapons due to which he’s wanted in a separate case registered against him at Malaud police station.
The official further said that Tejinder has been booked under sections 107/151 of the Indian Penal Code (IPC) and two other aides who accompanied him, have also been taken into custody and are being questioned.
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She said that Tejinder had several cases, including liquor smuggling and assault, registered against him prior to this and he had already served time for those.
Earlier in the day, seven aides of Amritpal Singh brought to Amritsar’s Baba Bakala court amid heavy police presence where they were remanded to police custody till tomorrow.
In a statement, Senior Superintendent of Police Rural Amritsar Zone, Satinder Singh said the seven accused were nabbed along with six illegal 12-bore weapons and were booked under the Arms Act along with their leader Amritpal Singh, who is still at large.
Earlier today, the Punjab Police said that Amritpal Singh—the notorious pro-Khalistani separatist leader—changed five vehicles in 12 hours to stay a step ahead of law enforcement agencies and evade arrest.
Last month, Amritpal Singh and his supporters armed with swords and guns, stormed a police station in Ajnala on the outskirts of Amritsar city and clashed with police for the release of one of his aides Lovepreet Singh.
Jharkhand: Policeman steps on 4-day-old baby while searching a house, baby dies
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India News
Tamil Nadu man throws acid at wife inside Coimbatore court complex
In a shocking incident, a man allegedly hurled a bottle of acid on his wife and her lawyers at court complex in Coimbatore in Tamil Nadu on Thursday, officials said.

In a shocking incident, a man allegedly hurled a bottle of acid on his wife and her lawyers at court complex in Coimbatore in Tamil Nadu on Thursday, officials said.
According to the police, the victim, Kavitha had reached the district court complex in Coimbatore in connection with a hearing of a case when her husband, Sivakumar, brazenly threw a bottle of acid at her face, injuring her and at least three others in the attack.
The victims, Kavitha and her lawyers, sustained burn injuries in the acid attack and were rushed to a nearby government hospital for medical attention.
An official said Sivakumar was overpowered and pinned down by some lawyers who witnessed the incident and later handed over to the police.
Giving details he said that police saved Sivakumar from a mob that gathered after the attack and wanted to thrash him, adding that the accused had carried the acid in a water bottle.
Read Also: Jharkhand: Policeman steps on 4-day-old baby while searching a house, baby dies
The official further said that the accused has been arrested and a case registered against him under relevant sections of the Indian Penal Code (IPC), adding that further investigation is underway to determine Sivakumar’s motive behind the attack.
In a similar incident, a shocking video emerged back in January, where a man from the Cooperganj area of UP’s Kanpur claimed that his wife threw acid on his face.
As per reports at the time, a heated argument broke out between the couple, where the husband asked her why she came so late home, and the agitated lady lost her temper and threw acid from the bottle on his face.
A video of the incident had gone viral on social media platforms.
With an injured face, the victim went to the police station and registered his complaint about the incident. After investigating and questioning him, police arrested the woman for the offense.
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India News
Jharkhand: Policeman steps on 4-day-old baby while searching a house, baby dies
Bhushan’s family members allege that the child was trampled to death by the policemen.

A horrific incident has come to light from Jharkhand’s Giridh district where a policeman allegedly stepped on a 4-day-old baby while searching a house to nab the accused. The incident took place in Kosogondodighi village in the district on Wednesday.
The reports state that while searching a house for the accused, who is also the child’s grandfather, the police allegedly stepped on a newborn who was asleep in one of the rooms.
State Health Minister Banna Gupta said, Such kinds of incidents will be criticized and strict action will be taken. This country runs according to the Constitution thus action will be taken against the police officials as well.
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The locals claim that a team headed by Sangam Pathak, in charge of the Deori police station, reached the accused, Bhushan Pandey’s, house to catch him after a non-bailable warrant was issued against him. However, seeing the police, all the family members of Bhushan’s family left the house, leaving the infant alone.
The mother of the deceased newborn Neha Devi alleged that the baby was sleeping inside the house when the police were searching the nook and corner of the house. Upon reaching the house, after the police team had gone, she found her child dead.
Bhushan’s family members allege that the child was trampled to death by the policemen.
Deputy Superintendent of Police Sanjay Rana said that an investigation into this matter is underway and the body has been sent for postmortem. Action will be taken after the proper investigation.
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