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Published on: Jun 10, 2021
1 minute read
By: Dr Rachana Choudhary

How To Travel Safely During COVID Times.

As more people are vaccinated for COVID-19, many are looking forward to being able to travel again. While many restrictions have been lifted, COVID-19 has not gone away. So how safe is it to travel?

Vaccination- So what is the most important step to ensuring safe travel Without a doubt, the most important thing people can do to protect themselves is to get vaccinated for COVID-19. I recommend that all eligible people get vaccinated for COVID-19. That is going to dramatically decrease your risk of getting infected with SARS-CoV-2, the virus that causes COVID-19, and also dramatically decrease the risk that even if you were infected, you could transmit it to others.

Masks – The most important thing is to know if fully vaccinated travelers still required to wear a mask on an airplane. Yes, because we still have a considerable number of people in who are not vaccinated yet. And on airplanes, people are in close proximity for a longer period of time.

Beyond getting vaccinated for COVID-19 and wearing a mask in airports, and on planes, buses, and trains it's also still important to practice good hand hygiene and keep your area clean with disinfectant wipes.

Monitor Symptoms & Quarantine - What steps should we take when you return from travel? When people return from travel, some may wonder whether they should be tested for COVID-19. The need to test depends on where they're traveling from. There's no need to be tested and there's need to quarantine. Most importantly we should continue to monitor for symptoms.

If at any time during or after travel people start to develop symptoms that are consistent with COVID-19, such as, fever, shortness of breath, or loss of taste or smell, they should be evaluated by a provider and likely be tested for COVID-19.

What should people who are traveling with children do?

For families looking to plan a summer getaway with children who are not yet eligible to be vaccinated for COVID-19, they can still travel safely. It just takes a little bit of thought and planning. If you have children who are unvaccinated, that is probably not the time to bring them to areas where lots of people are congregating because we know they're still at risk of getting infected with COVID-19 if other people in that area are not vaccinated for COVID-19 and can transmit the virus. Even if your children are fastidious masking, there's still a risk.

If you have unvaccinated children, I think it's still safe to fly. But of course, they will always be masked. If you go to places that are more outdoors in more open space, where you're not congregated with lots of other people, I think it's very safe. You just have to think through the steps of what's going to happen on the vacation and position things so that you're not putting your unvaccinated children at risk."

Whether traveling or just attending events with large amounts of people, the bottom line is precautions still need to be taken.

We still do have people getting infected with COVID-19. We still have people being hospitalized. And, unfortunately, we still have people who are dying, as well. So, we're not completely done with this. We still have to be careful.

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Yellow Eyes and Skin Symptoms: Causes, Warning Signs and When to Seek Care

Yellowing of the eyes and skin is one of the most noticeable physical changes a person can experience. Often referred to as jaundice, this symptom is not a disease by itself but a sign of underlying health conditions. Understanding yellow eyes and skin symptoms is essential because they frequently indicate problems involving the liver, blood or bile ducts and may require urgent medical attention.

In India, jaundice is a common presentation across age groups due to infections, liver disease and metabolic disorders.

What Does Yellowing of Eyes and Skin Mean?

The yellow colour appears due to excess bilirubin in the blood.

Bilirubin is:

a yellow pigment
produced from the breakdown of red blood cells
processed and removed by the liver

When bilirubin builds up, it deposits in tissues, causing yellow discoloration.

Why the Eyes Turn Yellow First

The sclera, or white part of the eyes, contains elastic tissue that binds bilirubin easily.

This makes yellowing:

more visible in eyes
detectable before skin changes

Yellow eyes are often the earliest sign of jaundice.

Common Causes of Yellow Eyes and Skin

Liver-Related Causes

The liver plays a central role in bilirubin metabolism.

Common liver causes include:

viral hepatitis (A, B, C, E)
fatty liver disease
alcoholic liver disease
liver cirrhosis
drug-induced liver injury

ICMR reports viral hepatitis as a major cause of jaundice in India.

Bile Duct Obstruction

Blocked bile flow prevents bilirubin excretion.

Causes include:

gallstones
bile duct strictures
pancreatic or bile duct tumours

This type of jaundice is often associated with itching and pale stools.

Blood Disorders

Excess breakdown of red blood cells increases bilirubin production.

Conditions include:

hemolytic anemia
malaria
inherited blood disorders

The liver may be overwhelmed despite being healthy.

Infections

Certain infections directly affect liver function.

Examples include:

hepatitis viruses
leptospirosis
severe sepsis

WHO data highlights hepatitis as a leading infectious cause of jaundice globally.

Newborn and Pregnancy-Related Causes

While common in newborns, jaundice in adults always needs evaluation.

Pregnancy-related liver disorders can also cause yellowing.

Associated Symptoms That Provide Clues

Yellow eyes and skin are often accompanied by:

dark yellow or tea-coloured urine
pale or clay-coloured stools
itching
fatigue
abdominal pain
loss of appetite

These symptoms help identify the underlying cause.

When Yellowing Becomes Dangerous

Seek urgent medical care if yellowing is accompanied by:

high fever
severe abdominal pain
confusion or drowsiness
vomiting
rapid worsening of colour

These signs suggest severe liver or systemic disease.

Jaundice and Liver Function

The liver normally:

conjugates bilirubin
excretes it into bile

When liver cells are damaged, bilirubin accumulates.

Lancet studies confirm jaundice as a key marker of liver dysfunction.

Diagnostic Evaluation

Doctors evaluate jaundice using:

blood tests for bilirubin levels
liver function tests
viral markers
ultrasound or CT scans
additional tests based on findings

Early testing identifies reversible causes.

Impact on Daily Life

Persistent jaundice can affect:

energy levels
digestion
mental clarity
work performance

Untreated liver disease can progress silently.

Treatment Depends on the Cause

There is no single treatment for jaundice.

Management focuses on:

treating infection
relieving bile obstruction
stopping harmful medications
managing chronic liver disease

Self-medication can worsen liver injury.

Role of Preventive Healthcare

Preventive measures include:

hepatitis vaccination
safe drinking water
limiting alcohol intake
regular health checkups

NITI Aayog emphasises liver health in preventive care strategies.

Lifestyle Factors That Affect Liver Health

Risk factors include:

excessive alcohol
obesity
high-fat diets
unsafe injections

Addressing these reduces jaundice risk.

Importance of Early Detection

Early diagnosis:

prevents complications
improves recovery
reduces hospitalisation

Delays increase the risk of liver failure.

Jaundice Is a Symptom, Not a Diagnosis

Understanding this distinction is crucial.

Treating the symptom alone:

does not resolve the disease
may mask serious conditions

Medical evaluation is essential.

Conclusion

Yellow eyes and skin symptoms are visible warning signs that should never be ignored. Most often linked to jaundice, they reflect underlying problems involving the liver, bile ducts or blood. Early medical evaluation, accurate diagnosis and timely treatment are critical to prevent serious complications. Recognising these symptoms and seeking care promptly can protect liver health and save lives.

References

Indian Council of Medical Research (ICMR) – Hepatitis and Liver Disease Reports
World Health Organization (WHO) – Jaundice and Hepatitis Guidelines
National Family Health Survey (NFHS-5) – Liver and Metabolic Health Indicators
Lancet – Liver Function and Bilirubin Research
NITI Aayog – Non-Communicable Diseases and Liver Health
Statista – Liver Disease and Hepatitis Trends

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