Since the discovery of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the coronavirus disease (COVID-19) pandemic has become the most important health-care crisis globally, having spread to millions of people worldwide. Patients who recover from COVID-19 are still susceptible to reinfection. In this report, we present the case of a patient who had recovered from COVID-19. Recovery was defined as the resolution of symptoms accompanied by two consecutive SARS-CoV-2-negative real-time reverse transcriptase-polymerase chain reaction (RT-PCR) test results. Two months after the first infection, the patient tested positive for anti-SARS-CoV-2 antibodies. Three months after this test, the patient presented with mild COVID-19 symptoms that was confirmed by RT-PCR. These findings indicate a possible reinfection case. If the occurrence of reinfections is demonstrated to be true, then it may change the strategy of community-based disease prevention. More research is needed to confirm the concept of reinfection.

Groundwater has never been heavily relied on as a water source in Northern Iraq as it has been in the last two decades due to the rapid and often unplanned urbanization, industrial and agricultural projects. This paper attempts to present a concise groundwater vulnerability assessment of Rania basin to the local and regional planning authorities to ensure a more sustainable development in the area. The focus of the study is the Rania basin, which is a part of Dokan subbasin in northeast Iraq. The initial groundwater vulnerability assessment is mapped with standard DRASTIC model. It is then modified by adding \"lineament density index\" to the original seven DRASTIC parameters due to the previously established close relationship between flow and yield of groundwater with lineament. The area is categorized into five vulnerability index zones of very low (26%), low (32%), medium (31%), high (11%), and very high (0.012%). The modified model offers a slightly different vulnerability classification of very low (16.61%), low (35.45%), medium (30.32), high (17.57), and very high (0.05%). Measured nitrate concentration is used to validate the assessment results. A progressive increase in nitrate level somehow reflects the different vulnerability zones identified by both DRASTIC models. Average nitrate values of samples taken in wet season show 14.99 mg/l, 17.94 mg/l, and 18.63 for very low vulnerability, low vulnerability, and medium vulnerability zones in the standard DRASTIC model. However, when the area is mapped by the modified DRASTIC model, the vulnerability classes of very low and medium show slightly higher nitrate values of 15.96 mg/l and 20.1 mg/l and a lower value of 17.68 mg/l for the low vulnerability class. This is despite a noticeable increase in nitrate level between wet and dry seasons due to the rise in water table in the wet season.

BACKGROUND: Asthma is a heterogeneous disease characterised by chronic inflammatory airways, and is affected by several immunological factors. One of the most discussed and researched hypotheses is the relationship between vitamin D serum levels with asthma. This study aimed to investigate the relationship between vitamin D serum levels with asthma and pulmonary functions in children in Kurdistan province, Iran.
METHODS: In this case-control study, 120 children ranging from 6 to 18 years were referred in summer for investigation. Participants were divided into two groups: asthma group, N=60; and control group, N=60. After serum separation, samples were analysed using vitamin D ELISA kit. Additionally, pulmonary function test and serum IgE levels were measured in both groups. Data were analysed using Chi-square test and multiple regression analysis in SPSS15.
RESULTS: No difference was shown between the groups in terms of gender composition (male: 57.5; female: 42.5) (P>0.05). Average Vitamin D serum level in the case group (17.98±8.68) was less than in control group (22.35±6.26) (P<0.01). In addition, the difference of vitamin D deficiency in level of suboptimal between the asthma (17.77±6.41) and the control group (24.9±3.18) was statistically significant (P<0.0001). Positive correlation existed between vitamin D levels with FEV1, FVC, and FEV1/FVC. Multiple regression analysis showed a reverse relationship between vitamin D levels with IgE serum levels; this remained after adjustment for potential confounders (e.g. age, sex, BMI, FEV1, and FVC).
CONCLUSIONS: The results showed that serum levels of vitamin D in asthma patients were less than in healthy people, and also reduced lung function in these patients. So, the serum levels of vitamin D in asthma patients must be checked continuously.