Coronavirus (CoV) disease 2019 (COVID-19) is defined as an illness caused by a novel CoV first identified amid an outbreak of respiratory illness cases in Wuhan, China. No drugs or biologics have been proven to be effective for the prevention or treatment of COVID-19 so far. It is believed that cytokine storms were responsible for many of the deaths during the 1918 influenza pandemic, which killed a disproportionate number of young adults. In this case, a healthy immune system may have been a liability rather than an asset. A cytokine storm is an overreaction of the body's immune system. The elderly and people with underlying diseases are susceptible to infection and prone to serious outcomes, which are associated with acute respiratory distress syndrome and cytokine storm. The present COVID-19 pandemic has long-standing implication in the society more so for the economically backward as this may create nutritional deprivation leading to subsequently poor immune system. There is also a need to build our body capabilities to resist the infections with greater focus on nutritional and lifestyle medicine.

Covid pandemic has irreversibly affected the practice of medicine. Hemodialysis population has borne the brunt of this disease by virtue of being immunocompromised, having multiple co-morbidities like heart disease, anemia, acidosis, renal osteodystrophy, protein energy malnutrition and state of persistent inflammation. To cap it they are exposed to risk of highly contagious covid 19 infection due to their repeated hospital visits. In this article we have described the initial experiences of covid 19 CKD patients in china and Italy along with our own experience. The measures taken to minimize infectivity among patients and dialysis personnel have been enumerated. Their nutrition is oft ignored so we have emphasized on their nutritional aspects also.

Limited data suggest that children often have mild and asymptomatic disease, but some do require hospitalization. In a report from China, of the total infections, 2.4% were children. Although most children infected with SARS-CoV-2 have either asymptomatic (4%), mild illness (51%), or moderate illness (39%), severe illness has been reported in 6% of pediatric cases. The incubation period is similar to that of adults. This article briefly outlines SARS CoV-2 Infection in Children.