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Background. There is insufficient data in Pakistan and in South Asia regarding paediatric COVID-19 demographics and related parameters. The main aim of this study was to assess the paediatric population exposed to SARS-CoV-2 infection, their clinical parameters, risk factors, and outcome. Methods. This was a descriptive retrospective study conducted at the Pakistan Institute of Medical Sciences and Federal General Hospital Islamabad from 23rd July 2020 to 22nd August 2020. All paediatric contacts (≤13 years) of one hundred adult COVID-19 patients were included. Data of the index cases was taken from the medical records. Paediatric data was collected on the phone using a predesigned proforma. Results. There were 137 paediatric contacts of 100 adult COVID-19 index cases. The index cases were predominantly males (67%) and belonged to the middle socioeconomic class (89%), and 14% succumbed to the disease. Females had more paediatric contacts. The mean age of contacts was 6.6 years, and the majority (80%) developed no symptoms. Among the symptomatic contacts, fever and cough were the most common symptoms. None of the contacts developed dyspnoea or required hospitalization. Majority of the contacts had been vaccinated with the BCG vaccine. Testing for COVID-19 was done in only 77 (56%) contacts, 25 (32%) by the government team, and 52 (67%) privately. A higher number of symptomatic contacts were positive (15/17 (88%)) as compared to that of the asymptomatic contacts (6/60 (10%)) (p = 0.002). Development of symptoms in the contacts was associated with the history of respiratory illnesses, recurrent infections, use of hematinics, a positive COVID-test result, and health professionals being index cases (p ≤ 0.01). Parents with higher education and in the health profession and the families of symptomatic contacts reported better compliance with quarantine regulations. Conclusion. A significant number of children were exposed to adult COVID-19 patients. Most paediatric contacts remained asymptomatic. Children with preexisting medical conditions and with parents in health profession were susceptible to infection. [ABSTRACT FROM AUTHOR]

Introduction: The SWOC (strengths, weaknesses, opportunities, and challenges) analysis of e-learning at Rawalpindi Medical University during the period of the COVID-19 pandemic was conducted. Methods: This cross-sectional survey-based study using a mixed quantitative and qualitative approach was conducted at Rawalpindi Medical University in June 2020 through an online survey. Data were collected electronically from 400 undergraduate medical students and faculty members using online Google forms. The study was carried out after obtaining ethical approval from the Institutional Review Board of Rawalpindi Medical University. Anonymity and confidentiality of data were maintained. Results: The salient features of e-learning at RMU was the establishment of prospect for remote learning in unprecedented circumstances and promotion of learner-centered, self-directed lifelong learning while the unavailability of internet and professional isolation was reported as a potential weakness, an opportunity provided by this platform was the introduction of blended learning programs and digital competence while potential challenges reported were conduction of valid, reliable and feasible e-assessment and strategies for teaching, learning, and assessment strategies for psychomotor and soft skills. Conclusion: In-depth analysis of e-learning during the midst of COVID-19 has made this evident that RMU is fully equipped and ready to cope up with any unforeseen event with regards to undergraduate medical education. There is startling need to develop infrastructure for long term sustainability and acceptability by availing opportunities, improving strength, and overcoming potential weaknesses and challenges. [ABSTRACT FROM AUTHOR]