**13. Minor ailments**

Apart from the chronic and existing disease there are certain acute conditions which does not require emergency management but certainly require treatment as the symptoms can be boresome to the patient. In the absence of an appropriate diagnosis patient feel scared about the new onset symptoms. Certain such symptoms like abnormal uterine bleedings, acute abdominal pain, new onset headaches, ear infections, trauma remained untreated in the absence of routine care. Postponement of appointments for these non COVID or non-emergency conditions cause frustration and unrest to many.

### **14. Neuropsychiatric sequelae of COVID-19**

None of the countries were prepared for such pandemic. Even the countries with best of health care system faced shortage of beds, ventilators during the first and second peak. Millions of people died due lack of effective management. Fear, anxiety about contracting the disease, uncertainty about future, disruption in work and social isolation affected psychological wellbeing of people. Since SARS-CO -V-2 also affects the central nervous system many studies have shown acute neuropsychiatric

symptoms like cerebrovascular accidents/stroke and encephalopathies [16]. Patients presented with symptoms like headache, dizziness, myalgia, loss of smell and loss of taste. A lot of people experienced mood changes, anxiety disorders and sleep disturbances because of it. Those who contracted COVID-19 also suffered post-traumatic stress disorder (PTSD) [17, 18].

COVID 19 Pandemic had a significant impact on the existing health care system. As per WHO dashboard around 564,126,546 patients have been infected and around 6,371,354 died because of COVID- 19 virus till 22nd July 2022. Since Majority of the health care system was over-burdened due to the COVID 19 cases there was no place and arrangements which were made for non COVID patients. COVID-19 pandemic brought major challenges to the existing health care system through-out the world. Countries with underdeveloped digital healthcare system suffered the most. Due to the delay in treatment for new onset medical conditions and follow up and continued management of those on long term treatment adversely affected patients existing medical condition. As a lot of patients developed psychological issue and sleep disturbances. While a lot of effort was being made to curtail the transmission of COVID-19 and prevention and management of the complications because of it no separate arrangements were made to manage the longstanding disease and no effort was made to address the mental health issues of such patients [19].
