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**Summary:**

The Indian Medical Association (IMA) in Karnataka has issued a COVID-19 advisory for doctors due to a rise in cases across India. Kerala, Maharashtra, Delhi, and Karnataka are identified as hotspot states, with Kerala reporting the highest number of active cases. Telangana is monitoring the situation closely. New Omicron sub-variants, NB.1.8.1 and LF.7, have been detected, though JN.1 remains the dominant strain. The advisory urges caution, recommends stocking up on basic medicines, and outlines symptoms and when to seek medical attention.

**News Article:**

**IMA Issues COVID-19 Advisory as Cases Rise in India**

**Bangalore, India -** The Karnataka branch of the Indian Medical Association (IMA) has released a COVID-19 control advisory for doctors amidst a renewed uptick in cases across the nation. The advisory highlights Kerala, Maharashtra, Delhi, and Karnataka as current COVID-19 hotspots.

Kerala is experiencing the most significant surge, accounting for over 40% of India’s active COVID-19 cases. Health Ministry data shows 430 active cases in Kerala as of Monday, with 335 new cases reported since May 19th and two COVID-related deaths. Maharashtra and Delhi follow with 210 and 104 cases, respectively. Mild increases have also been observed in Tamil Nadu and Gujarat. Currently, India has 1,010 active cases.

In Telangana, authorities are closely monitoring the situation, emphasizing public education on preventative measures and vigilance regarding respiratory illnesses and vector-borne diseases.

While the JN.1 Omicron variant remains prevalent, two new sub-variants, NB.1.8.1 and LF.7, have been detected. Both are classified as variants under monitoring by the World Health Organization (WHO). The JN.1 variant typically presents with symptoms such as loss of appetite, mild fever, sore throat, nasal congestion, dry cough, headache, fatigue, gastrointestinal issues, and vomiting.

The IMA advises individuals experiencing a fever above 102°F for more than three days, breathing difficulties, chest pain, or an oxygen level below 94% to seek immediate medical attention. Doctors are urged to exercise caution, and the public is encouraged to stock up on paracetamol and cough suppressants.

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