Healthcare workers (HCWs) are at higher risk of contracting severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) infection. Information regarding co‐infection of SARS‐CoV‐2 with vector‐borne diseases (malaria and dengue) is crucial especially for the countries wherein malaria and dengue are endemic. The objective was to study the prevalence, demographic, clinical presentations among HCWs with coronavirus disease 2019 (COVID‐19) and to compare the viral clearance in HCWs with COVID‐19 and co‐infection of malaria and dengue. This retrospective study was conducted at a dedicated COVID‐19 hospital, BYL Nair Charitable Hospital (NH), Mumbai, India April 6th–October 31st 2020. The SARS‐CoV‐2 infection in HCWs was confirmed by reverse transcription‐plymerase chain reaction. Out of 491 HCWs infected with SARS‐CoV‐2, analysis of viral clearance was carried out in 467 HCWs over seven month periods, The prevalence of SARS‐CoV‐2 infection in HCWs was 13% (491 out of 3711). Out of the HCWs with COVID‐19, prevalence of SARS‐CoV‐2 infection was higher among security guards (25%) with 1% mortality. The co‐infection of malaria or dengue was reported in 31 HCWs (6.3%). The mean duration of virus clearance was longer (12 days) in symptomatic HCWs as compared to asymptomatic (8 days, p < .005). The recovery of SARS‐CoV‐2 infection in HCWs was faster (mean 8 days) with co‐infection of malaria than without malaria (p < .005). We recommend universal testing of HCWs, to optimize staffing levels during the current pandemic as HCWs are the most precious resource. There is a need to effectively implement standard protocols for prevention of vector‐borne diseases, especially in the hospital settings.

Objective: To provide a descriptive account of the challenges and administrative preparedness for establishing and sustaining safe obstetric services during the COVID-19

No abstract

Antiphospholipid antibody syndrome is a very important cause of cerebral infarction, myocardial infarction, and repeated pregnancy losses in women. We present an extremely rare case of a 44-year-old man with antiphospholipid syndrome who collapsed and died suddenly. At autopsy, he was found to have both cerebral and myocardial infarction. In all young patients with cerebral infarction, myocardial infarction, pulmonary embolism, recurrent miscarriages, and unexplained low platelet count, one must consider the strong possibility of antiphospholipid antibody syndrome.

Investigation of a complex suicide is a challenging task, particularly when the combination of modalities adopted is rare and unplanned. There is often a significant likelihood of labeling the case as a homicide. We present an interesting case of unplanned complex suicide with self-stabbing and head injury resulting from intentionally being struck by a train. There were also hesitation cuts evident over the neck and left wrist. This case highlights the importance of studying the nature and characterization of the wounds, examination of clothes, and examination of the scene to safely conclude the cause and the manner of death.