[Building COVID-19's semiology: The blind wise men and the elephant]. / Construyendo la semiología de la COVID-19: los sabios ciegos y el elefante.

OBJECTIVE: Construction of mild and moderate COVID-19's semiology between patients and professionals in primary care. METHOD: Qualitative investigation in a phenomenological theoretical frame, from an epistemic justice position, settled in Catalonia, primary care settings, during the first wave of COVID-19 pandemic (April-May 2020). 15 patients and 9 professionals participated. Data collection was done through semi-structured phone interviews to patients with a microbiological confirmed diagnostic of COVID-19 and followed at primary care and semi-structured narratives of professionals. Data were triangled by the three authors. RESULTS: We described the most common symptoms (fever, cough, shortness of breath, fatigue, loss of appetite, muscular and joint pain, and high airways symptoms), those that worry them the most, hesitancy about symptoms and semiology's temporality according to the descriptions done by patients. CONCLUSIONS: Official protocols should include other symptoms as fatigue, loss of appetite, muscle and joint aches and high airways symptoms as frequent symptoms of COVID-19 attending to the stories of patients. Those unspecified symptoms can be unnoticed by patients and professionals and can delay the detection of disease and the contact tracing in primary care. It is necessary to obtain a detailed description of the symptoms and avoid translating them into pre-established medical terms that with their meaning substitute and make the patients' report invisible, turning professionals deaf and blind to a new disease and making more difficult for them to build the narration of disease.

Elephants in Nepal: Correlating disease, tourism, and welfare.

Asian elephants and humans have long shared their lives, but recent changes in human perspectives on animal use have created ripples through the small country of Nepal. Captive elephants are caught in the crossfire between local communities, elephant owners, mahouts, and NGOs in debates over their treatment, health, welfare and use in tourism. In addition, zoonotic disease, natural disasters and political strife affect the lives of captive elephants and mahouts. For example, during the COVID-19 pandemic, elephants, caregivers and owners found themselves facing income loss, decreased welfare from housing and husbandry issues, and food shortages. Many owners sold elephants, fired mahouts, and "quit" the tourism industry. Others sought help from outside organizations, community members, and governmental agencies to retain ownership of what they viewed as valuable commodities. NGOs and grassroots organizations assisted in the hopes of keeping elephants in Nepal, thus preventing them from long, treacherous walks across the border and into situations where they might face further welfare decreases. This article combines elephant stable visits and interviews with mahouts, owners, NGO, and government staff between January 2019 and December 2021. It highlights the ongoing health and welfare challenges faced by elephants and mahouts in Nepal.