In good news to tipplers in Mumbai, the BMC has allowed home delivery of liquor via e-commerce platforms in the city as coronavirus-enforced lockdown guidelines have been relaxed by the municipal authorities.
The Brihanmumbai Municipal Corporation (BMC) has issued guidelines for sale of liquor in the city except in COVID-19 containment zones.
The sale will be limited to home delivery and over-the-counter sale of liquor will not be allowed yet, it said.
“E-commerce platforms may be utilised by the liquor shops permitted to do home delivery,” the BMC said in an order.
Sale of liquor was banned among other non-essential things as the nationwide lockdown was imposed on March 25. The lockdown was further extended thrice till May 31.
As the sale of liquor started in different parts of the country after the relaxation in guidelines on May 4, huge crowds were seen at liquor shops, including in Mumbai following which the civic body withdrew the relaxation.
While the online sale and home delivery of liquor started in various parts of the same was not permitted in Mumbai.
However, with the new order, tipplers in Mumbai will be able to enjoy drinks in the comfort of their homes.
Mumbai is the worst-affected city in the country with 34,107 positive cases and 1,027 deaths so far. On Friday alone, 1,751 new cases and 27 deaths were recorded in the state capital.
Maharashtra has so far recorded 44,582 COVID-19 cases and 1,517 deaths.
Written by Mallica Joshi
, Somya Lakhani
| New Delhi |
Published: May 22, 2020 2:06:31 am
The Delhi government is using services of a call centre to make calls to those under home isolation, and a team is sent to assess if the house is fit for isolation. (Representational Image)
A call each day to ask about symptoms, reminders to check body temperature regularly, detailed instructions on isolation, and government monitoring to ensure guidelines are followed — this is what the option for isolating at home means for Covid-19 patients, who are either asymptomatic or have mild symptoms.
Sidhartha Agarwal, a 22-year-old MBA student, tested positive for Covid-19 on May 4 and was placed in home isolation. The Central Delhi resident has no idea how he got the disease. “I had a slight fever and got tested. I got my reports on May 4 and the district administration contacted me a few days later. By then, I had already isolated myself in my room. The district health officer asked me about symptoms; since I only had a slight fever, I was asked to isolate at home,” he said.
Delhi has seen 11,659 Covid cases so far, of which 5,898 are active. While only 1,802 are admitted in hospitals, 2,739 have been advised home isolation. Another 630 are in Covid care centres.
For those under home quarantine, daily monitoring is key.
Agarwal’s sister also tested positive and is in isolation in a different room. Their mother has not contracted the infection and is their designated caregiver.
“District administration officers ask about my symptoms every day. I had a fever for a couple of days but nothing more than that. I was asked if there was a separate room in my house, with an attached toilet, where I could isolate myself. I am lucky that I had those facilities and was allowed to stay at home. After a couple of days, my sister also tested positive and she is also under home isolation. We get calls every day, asking us about our health. We have been assured that if we develop moderate or severe symptoms, we will be taken to the hospital,” he said.
A poster, which declares that a patient is in isolation, has been pasted on the door of the house. As per guidelines issued by the state and centre, patients are allowed to self isolate only if they have a separate room with an attached toilet. Utensils and clothes of patients have to be washed separately, and numbers of officers have to be given to the patient and the caregiver to reach out in case they need anything. No family member is allowed to go outside the house.
A Delhi government spokesperson said checks and monitoring are rigorous.
A 33-year-old nursing officer, posted at a Covid-19 ward of a government hospital who tested positive May 11, has received calls from an ICMR official, two dispensaries, Health Ministry helpline 1075, a control room set up by Delhi government in Dwarka Sector 10, and the civic body.
“I am under home-isolation as I am asymptomatic. I finished my Covid-19 ward duty on May 3, and returned home to my family of 10, including my 85-year-old grandmother and two nieces aged 5 and 8 years. I have been in isolation since,” said the Bijwasan resident, over the phone.
When she got her test results, she visited the government hospital and met the CMO and was advised home isolation. “In the form, I filled in my 29-year-old sister’s name as my primary caregiver. I have an attached bathroom with my room, and my sister brings in everything for me, including meals,” she said.
On May 11, she got a call from a 1075 helpline official, who inquired about how she is managing to isolate at home. “Then someone from a dispensary in Dwarka called too, then another dispensary also called. I get a call daily about my health update, and finally I told them that if I feel sick I will let them know. An ASHA worker also called. Once, an official also came over to check my temperature,” she said.
After a Covid-19 sticker was posted outside her house, the woman said her house and the area around it was sanitised: “I feel good there is a mechanism in place and I am being looked after. It’s a huge relief mentally.”
The Delhi government is using services of a call centre to make calls to those under home isolation, and a team is sent to assess if the house is fit for isolation.
“We are not relying only on calls made by the call centre but also on our own officers since there aren’t so many cases of home isolation right now. We had developed an app to track if patients are home. We also ask them to send us photos to ascertain they are home,” said South Delhi District Magistrate B M Mishra.
Working from home can be quite an adjustment initially. There are some significant pros, like no longer having to wake up earlier to commute or no longer driving back during rush hour. However, at the same time, it can be challenging to find the motivation to work, and it can also lead to feelings of being cooped-up in ways that can affect our mental health. This post will go over a few ways to keep an eye on your mental health during this time and what to do if you start feeling overwhelmed.
The first tip would be to create a visually appealing workspace. This can promote feelings of productivity and motivation. According to the field of neuroaesthetics, our minds are wired to appreciate beauty as it can stimulate feelings of calmness in the mind and body.
Surrounding ourselves with a clean and organized workspace can allow the mind to stay focused, and if possible, try to make a designated “work from home” area in your home. It’s a plus if this area has a lot of natural light, but you can also try making the space visually appealing and cheerful by adding pops of colors with indoor houseplants, candles, or flowers.
The second major tip would be to take breaks to nourish the body and stretch whenever you start to feel tense. Try to take a mindful moment every hour to unclench your jaw, loosen your shoulders, take a deep breath (inhale for four seconds, hold for seven seconds, and exhale for eight seconds), and take a sip of water. To make sure that you’re drinking enough water, try to keep a water bottle on your desk and infuse it with lemon or fresh mint leaves for additional health benefits.
The next tip has to do with increasing your intake of an amino acid called L-theanine. There is a high content of L-theanine in matcha (which is why it is known to promote a zen feeling), and it is also known to support levels of GABA (an inhibitory neurotransmitter that allows the body to fall asleep), support for cognition, a healthy sleep cycle, and support for the management of stress and anxiety. To maintain healthy levels of L-theanine, try taking a supplement from a company like SunTheanine from Tomorrow’s Nutrition Pro, or consume a matcha latte!
Finally, try to get some fresh air (even if it’s as simple as opening your window) or by taking a walk in your neighborhood while listening to a conference call. All in all, although working from home can be an adjustment initially, there are ways to make sure that you’re still putting your mental health first.
Thirty-year-old Lallan who works as a plumber in Chandigarh and hails from Ambedkar Nagar in Uttar Pradesh says he is not facing any problem in the city as the situation will be normal soon but emotional appeals from his family members are compelling him to return home.
“My wife, children and parents live in Ambedkar Nagar. They are asking me to come home as this is an important reunion after the lockdown. They are worried as there is no vaccine to cure the coronavirus,” says Lallan who has been living in Chandigarh from quite some time.
Shankar Yadav of Gonda, Uttar Pradesh just wants to go home to meet his family as there has been a dispute between his relatives and his neighbours recently.
“I want to go home as there has been a fight between my family and neighbours. It is very urgent but I am not getting a bus seat as the police officials are asking me to bring Aadhar card with a local address. I belong to Uttar Pradesh and my Aadhar card bears the UP address,” laments Shankar Yadav.
A sizeable chunk of stranded migrants had come to visit their relatives in Chandigarh and surrounding areas.
Some like Nagender, who belongs to Sant Kabeer Nagar in Uttar Pradesh, wanted to send medicines to his wife who underwent major heart surgery sometime back. He wants to come back after meeting her and dropping the medicines.
“She is not well and urgently requires medicines. Her follow-up was also due. I just want to drop the medicines and come back,” says Nagender who worked as a mason in Chandigarh.
Four migrants from Madhepura in Bihar including Diwakar, Dilkhush, Ranjeet and Deepak who are currently moving on bicycles were sole breadwinners of their family but left Punjab as there was a lockdown.
The suspension of the construction work together with the panic triggered by the coronavirus deaths created an emotional trauma and they decided to go back despite knowing that there are no jobs in their village and they will have to face serious hardships.
Migrants unhappy as police is using force
The harsh treatment meted out to the migrants by the police in Punjab, Haryana and Chandigarh has also created a sense of panic and despair among the migrants who complained that the humane face of the police was not visible when they approached them for help in the tough times.
“The behaviour of the cops in Chandigarh is bad. They are using abusive language and did not treat us well, particularly those who went for screening with Aadhar Cards bearing UP and Bihar addresses and without a ticket booking,” says Pramod Kumar who hails from Hardoi, Uttar Pradesh.
We met dozens of migrants who complained about the brutality of the police and other government officials who were involved in their screening.
Though senior police officials deny the allegations but the Haryana Police’s crackdown in Yamunanagar on migrants who were protesting against the administration is still fresh in people’s minds.
Haryana’s home minister Anil Vij was forced to issue an advisory to the cops not to use force against the innocent migrants.
Just days after arranging busses to for migrant workers to reach their homes in the state of Karnataka, actor Sonu Sood has now ensured that workers from states of Uttar Pradesh, Bihar and Jharkhand also reach home safely.
We got a video of the star wearing the necessary protective gear as he waved busloads of workers goodbye as they commenced their journey home.
Over the last couple of months, the star has been proving that he has a heart of gold by offering his Juhu hotel for healthcare workers, distributing food among the underprivileged, and of late, helping daily wage workers reach home. According to reports, Sonu has been doing his bit to get the necessary permissions in place to ensure these stranded workers reach home safely.
“God bless you, take care,” Sood can be heard saying in the video.
In a statement to IANS, the actor said, “I feel it is my duty to help the migrants, the heartbeats of our country. We have seen migrants walking on the highways with their families and kids. We just can’t sit in the AC and tweet and show our concern till we don’t go on the roads, till we don’t become one of them. Otherwise, they will not have the trust that there is someone standing there for them. So I have been coordinating for their travels, for permissions from different states.”
He further claimed, “Now I get so many messages and hundreds of emails every day saying that they want to travel and I have been coordinating non-stop from the morning till the evening. This has become my only job during this lockdown. It gives me so much satisfaction that I can’t express in words. When I see these migrants and all those who are suffering, I feel that we have lost the respect of being a human. I can’t sleep properly in the night because the thoughts keep coming in my mind. The entire day I am reading emails, noting down their phone numbers, trying to call them. There are hundreds of them. I wish I could drive them personally to their villages day and night and reunite them with their families.”
Calling the labourers the ‘real face of India’, he said, “They are the real face of India who have worked hard to build our houses. They have left their homes, their parents, their loved ones and worked so hard just for us. Today, if we are not there to support them, I think we don’t have any rights to call ourselves human beings. We have to come forward and help them with the best of our abilities. We can’t leave them on the streets, we can’t see them dying on the highways, we can’t let those little children walking with them think that there is no one for their parents.”
The actor also vouched that he will do everything in his ability to make sure these migrants reach their destination.
The year 2020 has already made its mark in history. When a worldwide pandemic hits, it is unexpected, so we are not mentally or physically prepared for what was in store. It is entirely normal to sense any feelings of fear or anxiety during these hard times. It is very important to recognize any signs and symptoms of mental or physical health issues. Here are a few different suggestions on how to keep safe and healthy while staying home.
Some might think that there is not a way to stay active while staying home, but they are wrong! There are so many different types of indoor exercises that people of all age groups can do. If you are not familiar with YouTube, YouTube is a social media platform where people can upload videos. So, if you are on a hunt for an online workout, YouTube can be your go-to! You can type in “full-body workout,” and then you will have an abundance of full-body exercises for free.
During a time of quarantine, outside exercise is not prohibited but actually recommended. If you stay 6-feet apart from other pedestrians, you can take a walk outside and enjoy the fresh air. If you have any light weights at home, bring the weights on your walk with you, and you can receive an upper-body workout, as well. Planting a garden or doing some yard work is especially good for burning calories. Try pushing a lawnmower, shoveling, or raking leaves and see how great of an arm, leg and back workout it can be!
During the COVID-19 pandemic, cleaning your home is essential. While in quarantine, you can create a cleaning schedule to keep yourself busy and to ensure you are not leaving anything out. To ensure a clean, tidy home is to clean as you go. While cooking, clean up your countertops and put dishes in the dishwasher as you cook and see how your time in the kitchen declines.
One way to help ensure a clean home is by not wearing your shoes around your home. When walking in your home, you should leave your shoes by the door! Walking in your house with your shoes on, you can track soil, toxins, germs and other forms of bacteria into your home.
Cleaning and disinfecting highly touched surfaces is essential during the coronavirus era, that being your doorknobs, remotes, light switches, sink, etc. Whether you like to clean your home in a day or spread it out in a week’s span, following a consistent cleaning schedule is the key to keeping your home safe and healthy.
Take Care of Mental Health
What matters most of all is how you are doing mentally during a crisis like we have been experiencing. A major way to take care of your mental health is by giving yourself breaks from the news and social media. While it is essential to stay informed during these times, the constant stream of news reports about outbreaks can cause anyone to feel distressed, anxious and uncertain on the days to come – This is normal!
Removing distractions such as your phone and computer can benefit your mental state and sanity in a very positive way. Instead of posting what you are doing every day on the internet, look into investing in a hobby such as crafting or puzzles. Also, meditation is a way to clear your mind and help reduce stress. Practicing meditation helps promote emotional awareness, helps control anxiety and can help generate happy, positive thoughts. Trying to stay optimistic during a pandemic might seem difficult, but understanding and recognizing your emotions is an excellent way of taking care of your mental health.
There are many ways to keep safe and healthy while staying home. It is important to recognize if you are becoming ill physically or mentally. If you are starting to feel mentally unstable, reach out to a family member, friend or doctor and talk to them. Remember that you are not alone during these hard times. If you are showing any symptoms of COVID-19, seek medical assistance as soon as possible.
Disclaimer: The statements, opinions, and data contained in these publications are solely those of the individual authors and contributors and not of Credihealth and the editor(s).
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Mutations in the APOB, LDLR, LDLRAP1, or PCSK9 gene cause familial hypercholesterolemia. Changes in the LDLR gene are the most common cause of this condition. The LDLR gene provides instructions for making a protein called a low-density lipoprotein receptor. This type of receptor binds to particles called (LDLs), which are the primary carriers of cholesterol in the blood. By removing LDLs from the bloodstream, these receptors play a critical role in regulating cholesterol levels. Some LDLR gene mutations reduce the number of low-density lipoprotein receptors produced within cells. Other mutations disrupt the receptors’ ability to remove low-density lipoproteins from the bloodstream. As a result, people with mutations in the LDLR gene have very high levels of blood cholesterol. As the excess cholesterol circulates through the bloodstream, it is deposited abnormally in tissues such as the skin, tendons, and coronary arteries.
Less commonly, familial hypercholesterolemia is caused by mutations in the APOB, LDLRAP1, or PCSK9 gene. Proteins produced from these genes are essential for the normal function of low-density lipoprotein receptors. Mutations in any of these genes prevent cells from making functional receptors or alter the receptors’ function. Hypercholesterolemia results when low-density lipoprotein receptors are unable to remove cholesterol from the blood effectively. Some people with familial hypercholesterolemia do not have a mutation in one of these genes. In these cases, the cause of the condition is unknown.
Both genetic and environmental risk factors play roles in familial hypercholesterolemia. Lifestyle choices including diet, exercise, and tobacco smoking strongly influence the amount of cholesterol in the blood and the risk of coronary artery disease. Additional factors that impact the outcome of the condition include a person’s gender, age, and health problems such as diabetes and obesity.
Familial hypercholesterolemia accounts for only a small percentage of all cases of high cholesterol. Researchers are working to identify and characterize additional genes that may influence cholesterol levels and the risk of heart disease in people with other forms of hypercholesterolemia.
Adenine phosphoribosyltransferase (APRT) deficiency is an inherited condition that affects the kidneys and urinary tract. The most common feature of this condition is recurrent kidney stones; urinary tract stones are also a frequent symptom. Kidney and urinary tract stones can create blockages in the urinary tract, causing pain during urination and difficulty releasing urine.
Affected individuals can develop features of this condition anytime from infancy to late adulthood. When the condition appears in infancy, the first sign is usually the presence of tiny grains of reddish-brown material in the baby’s diaper caused by the passing of stones. Later, recurrent kidney and urinary tract stones can lead to problems with kidney function beginning as early as mid- to late childhood. Approximately half of individuals with APRT deficiency first experience signs and symptoms of the condition in adulthood. The first features in affected adults are usually kidney stones and related urinary problems. Other signs and symptoms of APRT deficiency caused by kidney and urinary tract stones include fever, urinary tract infection, blood in the urine (hematuria), abdominal cramps, nausea, and vomiting.
Without treatment, kidney function can decline, which may lead to end-stage renal disease (ESRD). ESRD is a life-threatening failure of kidney function that occurs when the kidneys are no longer able to from the body effectively.
The features of this condition and their severity vary greatly among affected individuals, even among members of the same family. It is estimated that 15 to 20 percent of people with APRT deficiency do not have any signs or symptoms of the condition.
CLN5 disease is caused by mutations in the CLN5 gene, which provides instructions for making a protein whose function is not well understood. After the CLN5 protein is produced, it is transported to cell compartments called lysosomes, which digest and recycle different types of molecules. Research suggests that the CLN5 protein may play a role in the process by which lysosomes break down or recycle damaged or unneeded proteins within the cell.
Most of the CLN5 gene mutations alter the structure of the protein so that it cannot get to the lysosomes where it is needed. A lack of functional protein within lysosomes probably impairs the breakdown of certain proteins, which then likely accumulate in cells throughout the body. While these accumulations can damage any cells, nerve cells appear to be particularly vulnerable. Widespread loss of nerve cells in CLN5 disease leads to severe signs and symptoms and early death.
In the cases in which CLN5 disease develops in adolescence or adulthood, it is thought that the CLN5 gene mutations lead to a CLN5 protein with reduced function that is broken down earlier than normal. Because the altered CLN5 protein can function for a small amount of time, some damaged or unneeded proteins may be broken down in lysosomes. Since it takes longer for these substances to accumulate and cause nerve cell death, the signs and symptoms of CLN5 disease in these individuals occur later in life.