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India records more than 4,000 COVID-19 deaths in a day

Supreme Court sets up a National Task Force to streamline oxygen allocation across the country

India records more than 4,000 COVID-19 deaths in a day

 

Coronavirus Tsunami swept through large swathes of India today infecting more than 400,000 and killing 4,187  people during the last 24 hours with several; states going for the weekend lockdown and Tamil Nadu announced complete lockdown for two weeks. Karnataka has already announced a tough lockdown from Monday.

 

With this, India’s total cases tally surged past  2,18,92,676 with an alarming death toll of 2,38,270. Supreme Court sets up a National Task Force to streamline oxygen allocation across the country

 

As state after state has decided to impose a complete lockdown, with a few Exemptions of business establishments, it is only a guess what impact will they have on the economy, Though, the economy was only limping back to a growth trajectory after the sledgehammer blow from the 21-day lockdown during the first phase of the Corvid 19, there is a palpable pressure on the economy to keep itself prepared for an eventuality of a severe impact.

 

Till not there was no indication of a national lockdown like the one imposed duringthe first phase, however, vacillation in taking a clear view of the impact of the current phase was reflected in the industry preparing itself for a complete lockdown. This comes at the back of several states in the last two days, resorting to complete lockdown, which impinges on the mobility of goods and services. This could severely affect the industry’s economic activities reflecting in its profit and loss accounting during the ongoing quarter of Fiscal 2021-22.

 

 

The Tamil Nadu government has announced a two-week “total lockdown” from May 10 amid a surge in COVID-19 cases. The order was issued a day after the state recorded its biggest day spike of over 26,000 new Covid infections. Chief Minister MK Stalin, in a statement, said that the lockdown was being enforced due to “unavoidable reasons”. The decision, Mr. Stalin added, was taken based on inputs received at a review meeting he had with district collectors on Friday, besides consultations with medical experts.“The total lockdown will be enforced from 4 am on May 10 to 4 am on May 24,” he said.

 

As COVOD cases are surging in the Karnataka state, the corona curfew was not successful. So, a complete lockdown will be imposed from 10th May 6 am to 24th May 6 am. All hotels, pubs, and bars will remain closed. Eateries, meat shops & vegetable shops can operate from 6-10 am, Karnataka CMB.S. Yediyurappa has announced on Friday, Revised Guidelines to break the chain of COVID-19 in the State, which will come into effect from 6 AM on 10/05/2021 to 6 AM of 24/05/2021 have been issued.

Delhi recorded-17,364  cases and 332  deaths  & UP 26,847 cases and 292  deaths in the last 24 hours.

  

The Karnataka government announced a 14-day total lockdown after resisting the move for a week as the state recorded a steep increase in the single day Covid 19 related death at 592 on Friday. As the state no let-up in the number of deaths from novel corona since April 23 when it was only 190, the government eventually decided to clamp the restriction to break the chain of transmission among people.

 

 People themselves were said to be responsible for the aggravation of the situation in the surge in Covid 19 cases which has been rising over 45,000 daily in the past week. Of the 592 deaths, 346 were from Bengaluru Urban alone. This figure also included 52 deaths at home and 12 declared brought dead at hospitals. With the day’s case fatalities rate, (CFR) for Karnataka stood at 1.21 percent.

 

The number of deaths has been rising since April 23, when the figure was a lowly 190. The overall daily cases hitting a record of more than 50,000 only on May 5 and the fatalities also scaling to a record 346, nearly half of the cases reported from Bengaluru Urban. Karnataka has been clocking over 45,000 Covid cases daily in the past week and people also not conforming to Covid- behavior rules and finding the earlier strategies to contain the spread of the transmission of the infection not quite effective, the government decided to impose the total lockdown, two days before the earlier limited clam down was to end on May 10.

 

It may be recalled that the Prime Minister, Mr. Narendra Modi, had ruled out a national lockdown starting such a measure could be taken only as a last resort. With the drastic curtailment of mobility, normal life is expected to be affected in several routine activities of the people.

 

Only restricted functioning of commercial activities would be allowed, while many small establishments like restaurants, metro services, taxis, auto-ricksha, except for emergency uses, cinema theatres, shopping malls, educational institutions, social and political and entertainment activities would be prohibited. Karnataka has witnessed a massive Covid surge since the last week of March and recorded over 50,000 positive cases on May 5 with 346 deaths. Out of the 50,112 positive cases and 346 Deaths on May 5, Bengaluru city recorded 23,106 cases and 161 deaths.

 

While Bengaluru has been the epicenter of the second wave, the rest of the state is also showing rising numbers with the 185 deaths reported in other parts on May 5 being the highest recorded outside the city. Meanwhile, the Revenue Minister, Mr. R. Ashoka, has issued a warning to private hospitals that if they did not comply with the direction of the government in sharing the beds with the government for treatment of Covid patients, then the Outpatient Department of the hospitals would be ordered to be shut down.

 

He said some hospitals were found to have blocked beds by using loopholes in the Bruhat Bengaluru Mahanagar Palike (BBMP) software that tracks admission and discharge of Covid patients.“There are cases where even though patients are discharged after treatment, they are logged to be undergoing treatment for a period of up to three months,” Mr. Ashoka said. After the patients are discharged, the hospitals admit new patients and thereby block beds meant for treating Covid patients referred by the government.

 

To stop this, the government has issued directions to remove entries of a patient from a hospital database on completion of treatment for 10 days. “The patients’ names will continue to be in the system only if hospitals submit relevant details about the patients’ condition,” he said. Ashoka said that an IAS officer, Mr. Tushar Girinath, has been made in charge of monitoring bed availability and was appointed the Chief Nodal Officer for Integrated Bed Allotment within BBMP limits. Another senior IAS officer N Manjunatha Prasad will be in charge of bed management. “

 

Tamil Nadu also emulated Karnataka and has announced a complete lockdown for two weeks from 10 May to 24 May. The state had reported a record high of 26,465 new coronavirus cases on Friday, with 197 fatalities. Tamil Nadu reported a record high of 26,465 new coronavirus cases on Friday, with 197 fatalities.

 

Amid the surge in COVID-19 infection in Kerala, the state imposed a nine-day statewide lockdown started on Saturday morning. The lockdown, which began at 6 am, will be effective till May 16. Only essential and emergency services are allowed. The police began a strict inspection on the roads and all roads wore a deserted look on Saturday. Vehicles will be allowed only if they are carrying ID cards of essential or emergency services and those who carry a pass issued by police and having a self-declaration affidavit.

 

Telangana logs 5,559 new COVID-19 cases, Telangana logs 5,559 new COVID-19 cases, 41 deaths in the last 24 hours. With the addition of fresh cases, the total number of Covid 19 positive cases stood at 4, 87, 199, including 362,160 recoveries and 2,666 deaths. The number of active cases currently stands at 71,309.

 

According to the Union Health Ministry,India reports 4,01,078 new cases, 3,18,609 discharges, and 4,187 deaths in the last 24 hours. Now, the total cases: 2,18,92,676 Total discharges: 1,79,30,960 Death toll: 2,38,270 Active cases: 37,23,446 Total vaccination: 16,73,46,544

 

Dr. Harsh Vardhan, Union Minister of Health & Family Welfare chaired the 25th meeting of the high-level Group of Ministers (GoM) on COVID-19 through video conference, here today

 

Dr. Sujeet Kumar Singh, Director, National Centre for Disease Control (NCDC) highlighted the COVID trajectory of India vis-a-vis that of other countries. He underscored the need and importance of significantly ramping up testing and hospital infrastructure in Tier-II/III cities in view of the surge in cases which has seen a shift to these regions/areas too.

States of Maharashtra (1.27%), Karnataka (3.05%), Kerala (2.35%), Uttar Pradesh (2.44%), Tamil Nadu (1.86%), Delhi (1.92%), Andhra Pradesh (1.90%), West Bengal (2.19%), Chhattisgarh (2.06%), Rajasthan (2.99%), Gujarat (2.40%), Madhya Pradesh (2.24%) were highlighted because of their high 7 day growth rate in cases.

The districts/metropolis of Bengaluru (Urban), Ganjam, Pune, Delhi, Nagpur, Mumbai, Ernakulam, Lucknow, Kozhikode (Calicut), Thane, Nashik, Malappuram, Thrissur, Jaipur, Gurgaon, Chennai, Thiruvananthapuram, Chandrapur, Kolkata, Palakkad are the top 20 contributors of Active Cases in the country.

 

Emphasis on the timely provision of clinical care in high transmission areas to reduce morbidity and mortality, advance preparedness in anticipation of rising in cases, increase in testing using RAT and tracing of those who might have contracted the infection, emphasis on the clinic-epidemiological linkage of genomic surveillance with transmission dynamics, clinical severity and age profile of new cases were highlighted as important steps ahead.

 

 

Dr. V K Paul, as Chairman gave a detailed report on the work of the Empowered Group-1. He highlighted the various efforts made towards ramping up hospital infrastructure for effective clinical management of hospitalized patients. Urgent steps to halt transmission by intensified containment through community-led effort and restrictions, improvement of messaging breadth and reach to curb panic and free flow of misinformation, promotion of home care in Covid and demystification of treatment to reduce the load on hospitals, rational use of Remdesivir, Oxygen and other drugs, the augmentation of railway coaches as isolation beds, enhanced focus on rural COVID care were presented. The progress on epidemiological evidence, new technical advisories for dynamic guidance and handholding of states/UTs, etc., through various stakeholders, were also enumerated.

 

 

The Government of India has so far provided more than 17.49 crore vaccine doses (17,49,57,770) to States/UTs Free of Cost. Of this, the total consumption including wastages is 16,65,49,583 doses (as per data available at 8 am today).

 

India’s cumulative recoveries stand at 1,79,30,960 today. The National Recovery Rate is 81.90%.3,18,609 recoveries were registered in the last 24 hours. Ten states account for 71.93% of the new recoveries.

 

 

A total of more than 30 crore tests have been conducted so far across the country while the cumulative positivity rate stands at 7.29%.21 States/UTs have lower cases per million population than the national average (15,864).15 States/UTs have higher cases per million population than the national average.4,01,078 new cases were registered in the last 24 hours. Ten States report 70.77% of the new cases.

 

 

 

Maharashtra has reported the highest daily new cases at 54,022. It is followed by Karnataka with 48,781 while Kerala reported 38,460 new cases. India’s total Active Caseload has reached 37,23,446. It now comprises 17.01% of the country’s total Positive Cases. A net incline of 78,282 cases recorded from the total active caseload in the last 24 hours.

 

Twelve States cumulatively account for 80.68% of India’s total Active Cases. The National Mortality Rate has been falling and currently stands at 1.09%.4,187 deaths were reported in the last 24 hours.Ten States account for 77.29% of the new deaths. Maharashtra saw the maximum casualties (898). Karnataka follows with 592 daily deaths.

 

 

 

Three States/UTs have not reported any COVID19 deaths in the last 24 hours. These are D&D & D&N, Mizoram, and A&N Islands. In a significant directive to the States, the Union Ministry of Health and Family Welfare has revised the national policy for admission of COVID patients to various categories of COVID facilities. This patient-centric measure aims to ensure a prompt, effective, and comprehensive treatment of patients suffering from COVID19. 

As per the Union Government directive to all States and UTs, hospitals under the Central Government, State Governments and Union Territory administration including private hospitals (in States and Union Territories) managing COVID Patients shall ensure the following:

  1. The requirement of a positive test for the COVID-19 virus is not mandatory for admission to a COVID health facility. A suspect case shall be admitted to the suspect ward of CCC, DCHC, or DHC as the case may be.

 

  1. No patient will be refused services on any count. This includes medications such as oxygen or essential drugs even if the patient belongs to a different city.

 

  1. No patient shall be refused admission on the ground that he/she is not able to produce a valid identity card that does not belong to the city where the hospital is located.

 

  1. Admissions to the hospital must be based on need. It should be ensured that beds are not occupied by persons who do not need hospitalization. Further, the discharge should be strictly in accordance with the revised discharge policy available at https://www.mohfw.gov.in/pdf/ReviseddischargePolicyforCOVID19.pdf

Union Health Ministry has advised the Chief Secretaries of States/Union territories to issue necessary orders and circulars, incorporating the above directions within three days, which shall be enforced till replaced by an appropriate uniform policy.

The Health Ministry has earlier enunciated a policy of setting up three-tier health infrastructure for appropriate management of suspect/confirmed COVID-19 cases. The guidance document issued in this regard on 7th April 2020, envisages setting up of:

  1. COVID Care Center (CCC) shall offer care for mild cases. These have been set up in hostels, hotels, schools, stadiums, lodges, etc., both public and private. Functional hospitals like CHCs, etc. which may be handling regular, non-COVID cases may also be designated as COVID Care Centres as a last resort.
  2. Dedicated COVID Health Centre (DCHC) that shall offer care for all cases that have been clinically assigned as moderate. These should either be a full hospital or a separate block in a hospital with preferably separate entry/exit/zoning. Private hospitals may also be designated as COVID Dedicated Health Centres. These hospitals would have beds with assured Oxygen support.
  3. Dedicated COVID Hospital (DCH) that shall offer comprehensive care primarily for those who have been clinically assigned as severe. These hospitals should either be a full hospital or a separate block in a hospital with preferably separate entry/exit. Private hospitals may also be designated as COVID Dedicated Hospitals. These hospitals would have fully equipped ICUs, Ventilators, and beds with assured Oxygen support.

The above-mentioned COVID health infrastructure has been aligned with clinical management protocol for admission of mild cases to CCC, moderate cases to DCHC, and severe cases to DCH.

ENDS 

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