BackgroundReliable epidemiological information on injury burden and pattern is essential to formulate effective injury control and prevention strategies. Injury surveillance systems are globally gaining ground as a tool for collecting such systematic data on injuries, but less so in low and middle income countries. This study describes the experience of setting up a District Level Hospital-Based Injury Surveillance System in India and the pattern of injuries encountered therein.MethodsA prospective study was conducted during Jan-Dec 2012 at the emergency department of a District Hospital in Fatehgarh Sahib in a North Indian state of Punjab. A comprehensive injury proforma was devised to record information on all injury cases reporting to the hospital. Emergency Medical Officers were trained to record data.ResultsA total of 649 injuries were reported in 2012. The surveilance system used the existing resources at the hospital to collect data without the need for additional manpower, equipments etc. About 78 % of injuries reported were unintentional in nature. More than half (52.9 %) of the patients had injuries due to Road Traffic Crashes. Head (29.7 %) was the most common site of injury. Incised injury (50.2 %) was the most common type of injury and most of the injuries occurred while travelling (61.8 %).ConclusionDeveloping better and sustainable systems of routine injury surveillance or trauma registries is essential to generate reliable information for formulating effective intervention policies.

Globe is going through a never seen devastating pandemic of COVID-19 since December, 2019. Now, after a span of six months, COVID-19 is no more new and many characteristics of the virus, it’s path physiology, clinical features, disease progression and management came forth. This is truly remarkable and we salute to the global fraternity. We learnt a many. Disease course is defined as of continuous 10 days, if everything else is normal. Third to eighth day is the defined risk period and ninth to twelfth day is the period of deterioration in symptomatic. Symptoms developing after 21 days defined to be recurrence and no such definite incidents is yet detected. To the contrary of all the cases we find in our day to day practice in different COVID centers, here is an anecdote case report of an elderly doctor with two definitive peaks of symptoms within the defined disease course of 10 days, which is unique and not reported elsewhere till date. Sore, wet and tingling nose along with night sweat with or without fever are the earliest and most consistent features of covid-19 as we found in this case report and later confirmed by analyzing in all other cases where most of the cases reported these symptoms.

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