 Hello everyone, I am Dr. Sukha Saksena and I am a consultant pediatric gastroenterologist and epidemiologist at Manipa Hospital, Dhwarka. So, May month is celebrated as C-lec disease awareness month and as you all know that C-lec disease is an autoimmune disorder in which you have sensitivity or intolerance to gluten protein. Now, during this pandemic, parents of the children are really worried about their kids and they have a lot of apprehension and anxiety in their mind about any risk or problems associated with children who have already been suffering from C-lec disease. So I would like to share that till there has been no study or reports to confirm that children who are suffering from C-lec disease are more prone to risk of severe illness from COVID-19 as compared to normal children. The C-lec disease foundation medical advisory board also states that patients who are suffering from C-lec disease are in general not immunocompromised except for the small number of kids who might be severely malnourished or have significant weight loss or have any other associated condition. So there are several important points that you need to remember in terms of what needs to be learned during this pandemic time and what is very, very important. First thing is regarding vaccination. So there appears to be an increased risk of pneumonia and healthy social infection in the kids who are suffering from C-lec disease. Also there is increased risk of worse outcome if you get an influenza infection and decreased response to vaccination with hepatitis B. So it is being recommended that children in the age group of 15 to adults 64 years of age who has not received their primary immunization of the above vaccine should get their vaccination done. Also an annual influenza vaccine is advised to all these people in this age group. Now what do you need to do when you are at home in quarantine or at the lockdown? First of all ensure that you have enough supply of gluten-free diet or gluten-free food. You can try new recipes with your child for example, you know if your child likes a lot of paste and you can make paste in the chila, khamar, khanu, different things. So you can plan your day that what the child would like to do in breakfast, lunch, dinner. Please make sure that the physical activity of the child is not hampered because they are in the long term state. So they need to be physically active because they are more, having celiac disease they are more prone to constipation. So keeping them physically active doesn't make them more constipated. Finally you know it's very important to take care of their mental health. So it's important to tell them what's going around. It's important to teach them about social distancing, wearing masks, cleaning surfaces, regular hand washing. You can do an exercise with them in which you can clean their room or clean their toys. Discuss what is being going around to relieve any anxiety or stress that the kids might be having. If you see that your child is having symptoms of COVID-19 for example if they have cough, high fever or difficulty feeling, headache, loss of smell or taste then you should consult your specialist immediately. Stay home, stay safe. Thank you.