Background: There is a global spread of Corona Virus Disease (COVID-19) with Severe Acute Respiratory Syndrome Corona Virus-2 (SARS-CoV-2) being identified as the causative organism. This pandemic has infected over 53 million people globally causing over 1.3 million deaths resulting in lockdowns being implemented across many countries in the world. Global travel has been severely restricted especially in the early phase with far reaching social, economic and emotional implications. In addition to local measures undertaken by each country to curtail the spread of the disease, many countries implemented entry restriction on flights to reduce the risk of importing the disease by potentially infected incoming travellers. The State of Qatar eased travel restrictions from 1st of September 2020 (Phase IV of reopening of pandemic restrictions) [1]. Incoming travellers from high risk countries had to have a mandatory COVID-19 Naso-Oropharyngeal swab negative result before boarding their flight to Qatar. Then they had to commit to two weeks of compulsory quarantine. Travellers from low risk countries had to be swabbed at Hamad international airport on arrival, followed by a week’s mandatory home quarantine. All travellers had to have COVID-19 RT-PCR nasooropharyngeal swab on day 6 after arrival in Qatar. Method: We looked at the data provided by Ministry of Public Health (MOPH), Qatar from 1st of September to 30th of November. This was retrospective observational study looking at the prevalence of COVID positivity of return travellers as compared to the total positive cases in the country [1]. Results: In our review, out of a total of 19,909 COVID-19 positive cases, 2692 were incoming travellers which amounts to about 14 % of total COVID positive cases in Qatar. It was also noted that with each passing day, the ratio of incoming traveller’s in comparison to the total cases have been increasing, with figures of 9% in September 2020 as compared to 21% in November 2020. Conclusion: This figure clearly shows how important it is to screen all return travellers for COVID-19 as travellers are generally asymptomatic and could potentially spread the disease in the local community. All countries should consider implementing similar policies to reduce the risks of importing COVID-19.

Most common presentation of spinal disc herniation is pain. Next common presentation is pain associated with neurological symptoms [1] . It is relatively unusual to present muscular weakness purely due to disc herniation in the absence of lower back or neuropathic pain and can be a diagnostic challenge. A male patient of 45 presented to his family physician with five days history of weakness in the left quadriceps. There was no pain in the back or leg or any sensory symptoms at this stage. There was no other significant past medical history apart of history of spontaneous disc prolapse when he was 26. (radiating pain to the left leg but no neurological symptoms at that time). Clinical examination revealed motor deficit of 4/5 in the left quadriceps and diminished knee reflex. There was no sensory deficit elicited at this stage. Patient was referred to neurologist (by this time patient had developed sensory deficit at medial lower leg) who arranged nerve conduction studies which revealed L4 radiculopathy. Patient was referred to spinal surgeon who after consultation arranged MRI of the lumbosacral spine which showed disc extrusion at L3-4 level causing root compression of L4 nerve root. Since the patient was active sportsman, it was decided to do discectomy. However, after case discussion in spinal team meeting, (and patient started to feel slight improvement in sensory symptoms after couple of weeks) it was decided to manage conservatively. Patient started physiotherapy for three months and gradually noticed complete resolution of sensory loss after a month and gradual improvement in motor weakness. Patient started light sporting activities after three months of orthopaedic consultation. Patient continued to recover and had complete resolution of motor symptoms within a year. Patient had a follow up MRI after about a year which showed subtle improvement of compression at the same level. Patient was discharged from outpatient follow up. This case illustrates diagnostic dilemma when symptoms are not typical. However, it is proven the ‘common things are common’ again. Conservative management seems to be way forward when neurological symptoms are mild especially in the absence of neuropathic pain, However, it needs to be decided on case-by-case basis