Lockdown Boredom in COVID-19 Pandemic: As a Cause of Pediatric Foreign Bodies

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Lockdown Boredom in COVID-19 Pandemic: As a Cause of Pediatric Foreign Bodies Rabia Arora1 • Satinder Pal Singh1

Received: 23 August 2020 / Accepted: 3 November 2020 Ó Association of Otolaryngologists of India 2020

Abstract COVID-19 has been impacting a large number of people worldwide. In this lockdown has restricted people to stay at home which is likely to impact their physical and mental health especially children can result in a high prevalence of psychological distress. Long term home isolation has potentially increased the risk of domestic accidents in children like lodgment of foreign bodies in Ear, Nose and Throat. Otolaryngologists are at increased risk of getting the infection due to their direct exposure to the airways of the patient, while removing foreign bodies. Preoperative planning and SARS-CoV2 testing is of particular importance for the pediatric population and if testing cannot be performed, patients in all age groups should be handled as though they are positive for COVID-19, and appropriate precautions should be taken. Keywords COVID-19 pandemic  Otolaryngology  Pediatric foreign bodies  Personal protective equipment Abbreviations COVID-19 Coronavirus disease 2019 PPE Personal protective equipment SARS-CoV-2 Severe acute respiratory syndrome coronavirus-2

& Satinder Pal Singh [email protected] Rabia Arora [email protected] 1

Department of Otolaryngology and Head Neck Surgery, Government Medical College, Amritsar, Punjab, India

The World Health Organization (WHO) on March 11, 2020, has declared the novel corona virus (COVID-19) outbreak a global pandemic [1]. COVID-19 has been impacting a large number of people worldwide. As of August 4th, 2020, there are 18,576,446 cases worldwide and 1,893,078 cases in India reported according to the Center for Systems Science and Engineering (CSSE) at John Hopkins University. India took the historic decision of a 21 day national lockdown on March 25th, which was further extended with different restrictions as per the need of the situation. This lockdown has restricted people to stay at home which is likely to impact their physical and mental health. Especially vulnerable to this are the children they can’t go out for playing and also their schools are closed. It has been found that children staying at home due to lockdown spend more time in using phones, sitting in front of TV and internet which can lead to psycho-social problems, like lower self-esteem [2]. Excess use of internet can lead to internet addiction disorder, which can affect their mental health. Moreover, spending more time inside the house makes children vulnerable to effects of indoor pollution which can affect their brain development leading to limited development of cognitive abilities [3]. As learned from experiences with SARS, quarantine can result in a high prevalence of psychological distress, manifested most frequently by low mood and irritability [4], with emotional disturbances and exhaustion, anger, anxiety, boredom, insomnia and depressive s