Kerala to Allow Restaurant Dining Till 7pm, Odd-Even Scheme in Non-Hotspots After Flattening Curve
The districts in the red zone - Kasaragod,
Kannur, Kozhikode, Malappuram - will not have any relaxations, the
guidelines said, and hotspots in each of them will remain sealed.
Kerala has greatly managed to flatten the curve as fresh daily cases have dropped to the single-digit level. (PTI photo)
Thiruvananthapuram: The Pinarayi Vijayan government
on Saturday released detailed guidelines to reopen Kerala in a
staggered manner from Monday as it divided the state into four zones –
Red, Orange A, Orange B and Green.
The districts in the red zone - Kasaragod, Kannur, Kozhikode,
Malappuram - will not have any relaxations, the guidelines said, and
hotspots in each of them will remain sealed and have only two entry/exit
points for supply of essential goods and services.
In other places based on the zone classification, private vehicles
will be allowed in odd-even scheme within the districts, and even
restaurants will be allowed dine-in facilities till 7 pm and takeout
till 8 pm. Bus travel for short distances will also be allowed within
districts. Strict social distancing norms will have to be followed for
all these services, officials said.
In Pathanamthitta, Ernakulam and Kollam, districts under Orange A
zone, partial relaxation from the lockdown will be given from April 24,
while Orange B districts Alappuzha, Trivandrum, Palakkad, Wayanad and
Thrissur will get partial relaxation from Monday.
The state has greatly managed to flatten the curve as fresh daily
cases have dropped to the single-digit level and number of people
getting discharged from hospitals greatly outnumbering new admissions.
In the last 7 days, there have been just 32 new cases, while 129
Covid-19 patients have been discharged in the same time period.
The government has classified two districts, Kottayam and ldukki,
in the green zone, that will greatly see restrictions being lifted from
Monday.
Here’s a lowdown of what will be allowed in Orange Zone districts:
- Movement of private vehicles with odd-even scheme. Vehicles
with odd numbers will be permitted on Mondays, Wednesdays and Fridays,
while vehicles with even numbers will be allowed on Tuesdays, Thursdays
and Saturdays.
- The exemption from the odd-even scheme would be only for
critical services and emergency operations. Women traveling solo or with
dependents are exempted from this restriction.
- Only two passengers besides the private vehicle driver can be
permitted in the backseat in case of four-wheelers and only one person
allowed on two-wheelers. A pillion rider is allowed if it’s a family
member.
- Bus travel for short distances permitted subject to a strict
discipline: no standing passengers, wearing masks compulsory and hand
sanitizers should be provided to the passengers as they enter the buses.
Total distance cannot more be than 50 to 60 km, limited to within the
district.
- Barber shops (no cosmetics/beauty therapies) allowed to open on
Saturday and Sunday but without AC. Only 2 people to wait at a time.
- Restaurants allowed to have dine-in services till 7 pm and takeout till 8 pm.
- All health services to remain functional.
- Authorized private establishments, which support the
provisioning of essential services, or efforts for containment of
COVID-19, including home care providers, diagnostics, and supply chain
firms serving hospitals to remain functional.
- Pre-monsoon sanitation and preventive activities by Health department and local bodies allowed.
- All agricultural and horticultural activities including farming
operations by farmers, ngencies engaged in procurement, marketing and
sale of agriculture/horticulture/horticulture products permitted.
- Operation of Anganwadis - distribution of food and nutritional items once in 15 days at the doorsteps of beneficiaries.
- MGNREGA and Ayyankali Employment Guarantee Scheme works to be
allowed with strict implementation of social distancing and face masks.
Priority to be given to irrigation and water conservation works. Not
more than 5 unskilled labourers in a team.
- Operations of utilities in water, sanitation and waste
management sectors including garbage collection by locaI bodies or
agencies authorized by Government for that purpose.
- Construction of roads, irrigation projects, buildings and all
kinds of industrial projects, including MSMEs in rural areas will be
allowed.
-No person with symptoms like fever, cough, shall be engaged to
work. Heath check-up of migrant workers will be the responsibility of
the contractor or employer.
In Green category districts, all activities, except the following will be permitted after April 20:
- No domestic and international air travel of passengers.
- No passenger movement by trains.
- Inter-district public transport of all kinds to remain banned.
- Metro rail services will remain closed.
- All educational, training, coaching institutions will remain closed.
- All cinema halls, malls, shopping complexes, gymnasiums, sports
complexes, swimming pools, entertainment parks, theatres, bars and
auditoriums, assembly halls will remain closed.
- All social, political, sports, entertainment, academic, cultural, religious functions and other gatherings are banned.
- All religious places shall be closed for public. Religious congregations are strictly prohibited.
- In case of funerals and marriages, congregation of more than twenty persons will not be permitted.
Aug 23, 2018 - Daily intake of eggs and egg products in US children and adults accounts for ... The nutrients to energy density ratio of one egg i
6.3. Effect of Egg Intake on Blood Cholesterol and CVD in Human Studies
The
effects of egg intake on blood cholesterol and CVD have been discussed
in several meta-analysis studies using research data collected over 60
years [15, 21–23, 180, 194].
Large epidemiological works have been conducted to investigate the
effect of egg intake on blood cholesterol levels and risk of CVD in
children [123], young people [16, 20, 47, 124], women [12–14, 125, 195, 196], men [12–14, 125, 195–199], and older adults [12–14, 125, 195–200].
Some have shown that egg consumption did influence the blood
cholesterol level but did not increase the risk of CVD in healthy
people. Meanwhile, other studies reported that high dietary cholesterol
intake due to egg consumption is a risk factor for CVD and diabetes [180, 194, 197, 199, 201–204].
The results of epidemiological studies and human intervention studies
on the relationship of dietary egg intake and CVD risks are summarized
in Table 3.
Even though AHA and DGAC have removed the restriction of dietary
cholesterol for healthy people in USA, there still are different
conclusions due to differences in race, genetic makeup, physical
fitness, and especially physiological status.
Among the
19 prospective studies investigating the effect of dietary egg intake
on CVD risks,6 studies reported positive correlation between egg
consumption and different types of CVD incidents or mortality in healthy
people [126, 195, 197, 205, 208, 209]. Pang (2017) reported the positive correlation with total cholesterol [211], and Spence (2012) reported the positive correlation with plaque area [212].However, other studies (11 out of 19) reported no difference on the CVD
risks affected by the amount of egg intake.The adverse effect of egg
consumption is observed in population with high risk of CVD, including
people with diabetes or hypercholesterolemia, and who are sensitive to
dietary cholesterol [12, 13, 126, 131, 210, 213].
Diabetic populations are in the high risk of CVD with two to four folds
higher than healthy people. These studies also showed that diabetic
people are more vulnerable to CVD after egg consumption [13, 208], with a doubling of coronary risk with an egg per day in US population [12, 13], and 5-fold risk in Greece population [213]. Meanwhile, some studies found that high egg consumption increased the risk of gestational diabetes mellitus [214], insulin resistance [215], and the risk of diabetes [202–204]. Therefore, the effect of egg consumption on CVD might be mediated by diabetes.
Almost
all human intervention studies showed the serum LDL and HDL cholesterol
levels increased in high egg consuming groups (1 to 3 eggs per day
comparing to no egg or with egg substitute), while the ratio of serum
LDL to HDL (LDL/HDL) is unchanged (Table 3).Most of these papers concluded that egg consumption is not a risk
factor for CVD, based on the fact that the LDL/HDL ratio is unchanged
because this ratio is thought to be a stronger risk factor for CVD.
However, serum LDL level alone should still be considered as a risk
factor for CVD. This is especially true for those people whose blood
cholesterol level is more sensitive to dietary cholesterol consumption. There are good reasons for the recommendation that persons at risk of
vascular disease limit cholesterol to 200 mg/day[186].
The very high cholesterol content of egg yolk (237 mg in a 65-gram egg)
is a problem in itself, and even one large egg yolk exceeds that limit.
Other studies reported the high cholesterol and high lipid diet could
induce the inflammation in plasma, which is thought to contribute to
atherosclerosis [216], and the susceptibility of LDL to be oxidized could be increased by dietary cholesterol [217].
Interestingly,
current studies have tended to show that the consumption of eggs is not
a risk factor of CVD in healthy people. However, people who are at high
risk of CVD such as those with diabetes or hypertension need to have
caution with dietary cholesterol intake, especially egg intake. Also,
some people seem to be more sensitive to dietary cholesterol whose blood
cholesterol level is highly correlated to dietary intake. Therefore,
even though the recommendation of restricting cholesterol and egg
consumption in AHA and DGAC has been eliminated, we still need to have
caution with them based on the physiological status of people. On the
other hand, the studies on the egg components impacting CVD risk showed
that some egg components have potential protective effects on CVD, while
others may have adverse effects. Due to the lack of complete data, the
components of eggs that regulate cholesterol absorption and metabolism
have not been extensively studied systematically. To solve the mystery
of the relationship between egg cholesterol and blood cholesterol,it is
essential to understand intestinal absorption of cholesterol from eggs
and study the effect of cholesterol in eggs, and nutrients and
cholesterol interactions in eggs. Also, the function of gut microbiota
needs to be taken into consideration as well. Overall, in order to
strengthen the basic research of egg functional components,
understanding of the nutritional value of eggs can provide theoretical
data for reasonable determination of the intake of eggs.
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