Friday, May 7, 2021

The second Kovid wave of India is like a ‘tsunami’ which reduces weight in hospitals

Cemeteries are running out of space, hospitals are turning patients away, and desperate families are soliciting help on social media for beds and medicine.

According to CNN data from the Indian Ministry of Health, there were 295,041 cases of coronovirus and 2,023 deaths in India on Wednesday, the highest increase in its cases and the highest number of deaths a day since the onset of the epidemic.

“This volume is humble,” said Jaleel Parkar, a senior pulmonary consultant at Lilavati Hospital in Mumbai. “It’s like a tsunami.”

“Things are out of control,” said Ramnayan Lakshminarayan, director of the Center for Disease Dynamics, Economics and Policy in New Delhi.

He said, “There is no oxygen. It is difficult to find a hospital bed. Getting a test is impossible. You have to wait for a week. And every system that breaks down in the health care system is broken too much,” he said .

To prove his point, at least 22 Kovid-19 patients who were on ventilator support were waiting for the supply of oxygen on Wednesday which was lost in the accident, a senior official from Nashik district in the Indian state of Maharashtra said.

Prime Minister Narendra Modi on Tuesday addressed the nation acknowledging the country’s “very big fight” against Kovid-19.

He appealed to the states to “use lockdown as one last option”, even as the capital New Delhi entered the first day of the week-long lockdown.

On Monday, Delhi Chief Minister Arvind Kejriwal warned that failing to stop the agitation in the city could lead to “tragedy”.

Kejriwal said, we do not want to take Delhi to a place where patients are lying in the corridors of the hospital and people are dying on the streets.

On Tuesday, he warned that some hospitals in Delhi were “left with only a few hours of oxygen”, with the goal of adding 6,000 extra beds to sports complexes, banquet halls, hotels and schools in some complex hospitals. Within days.

Kejriwal said, “Our health system has reached its limit. It is now in a state of crisis. It is not yet cast, but it is in crisis,” Kejriwal said. “Every healthcare system has its own limits. No system can accommodate an unlimited number of patients.”

With the nationwide shortage reported, local and state leaders appealed to the federal government for more oxygen and medicine.

Modi appeared on Tuesday to answer calls that announced plans to distribute 100,000 cylinders of nationwide oxygen cylinders, new oxygen production plants, and hospitals dedicated to Kovid’s patients.

But experts fear that it is too little, too late, as positive patients compete for limited resources and collectively threaten to spread the virus even further.

In Wednesday’s incident in which 22 people died in the state of Maharashtra, India, senior officer Suraj Mandhare told reporters that the leakage from a tanker at Zakir Hussain Hospital caused oxygen to run out.

Maharashtra Health Minister Rajesh Tope told reporters on Wednesday, “There was a valve leak in the tankers in Nashik. It was a massive leak, certainly it would impact the hospital where the tankers were headed.”

Mandhare said that the district administration is coordinating with the hospital authorities to provide oxygen to the patients. Mandhare said that patients who needed oxygen had less “pressure” and that leakage from this shipment meant they did not receive supplies on time.

India’s Home Affairs Minister Amit Shah tweeted about the incident, saying: “I am distressed to hear the news of the accident of oxygen leak in a hospital in Nashik. I express my deep condolences on this irreparable loss of those who Have lost their loved ones. In this accident. I pray to God for the health of all other patients. “

Maharashtra currently has a daily demand of 1,550 metric tons of oxygen for Kovid-19 patients, but the state produces 1,250 metric tons of oxygen which is being used solely for medical purposes.

The remaining 300 metric tons are being supplied by other states, Tope told reporters on Wednesday. Maharashtra has 3,343,359 cases of coronovirus, including 685,552 active cases and 61,343 deaths, according to the Indian Ministry of Health on Wednesday.

Pleading for help online

With few official options available, families are turning to social media for help.

Anil Tiwari, a 34-year-old Mumbai resident, lost his father Kovid-19 in November last year. Last week, his 58-year-old mother tested positive. Tiwari said he was admitted to the hospital, but needed an intensive care unit (ICU) bed.

“I’m crying, running to get an ICU bed for my mother,” Tiwari Tweeted on monday. “Please help save my mother. I love them more than anything.”

Tiwari’s mother was finally given an ICU bed. But now, he needs oxygen, which the hospital is in short supply.

He is still able to walk, But having difficulty breathing, Tiwari said.

Demand for the drug Remedisvir and its active pharmaceutical ingredients increased during the second wave, prompting the government to temporarily ban export of the drug to increase its supply to the domestic market.

The Indian government has approved the drug for emergency use within hospitals, however World Health Organization (WHO) States that evidence does not suggest that the drug reduces the risk of dying from Kovid-19 or requires mechanical ventilation.

Abhijeet Kumar, a 20-year-old college student, took to Twitter to raise money to pay for Remedisvir injections for his 51-year-old uncle.

Kumar said that his uncle was in the hospital in Raipur in the central Indian state of Chhattisgarh from April 9 after a positive test by Kovid.

“Injections are very expensive,” Kumar said. “They are saying that it costs 12,000 to 15,000 rupees (about 160-200 dollars). They’ve got two doses of injections, but they need a third and we can’t afford it … from my uncle’s plumber. Work. “

Health workers rest on 19 April in New Delhi, India, amid the last rites of Kovid-19 victims.

According to a government memorandum on April 17, seven major manufacturers of Remedisvir have slashed prices between Rs 899 and Rs 3,490 (about $ 12-47) due to “government intervention”.

But many states have acknowledged that high demand and low supply have created a black market for Remedisvir and similar drugs.

Pulmonary specialist in Mumbai, Parkar said that even many doctors and nurses are openly searching for open beds and treatment options for their loved ones.

“Everyone is sick,” he said. “A time has come that there are no beds for our own colleagues, for our own parents, for our own extended family.”

Complacency and public gatherings

The second wave, which has long surpassed the first wave in both new cases and infection rates, “said Laxminarayana,” a condition which was made out of complacency. “ From the Center for Disease Dynamics, Economics and Policy.

After the first wave ended in winter, due to Kovid’s fatigue and false sense of security, the government and the public relaxed a lot, experts say.

In early March, weeks before cases were to climb again, the federal health minister announced that India was “In Endgame” Of epidemic.

Such victorious rhetoric meant that residents relaxed their Kovid-safe behavior, such as social disturbances or wearing a face mask, experts say. And, despite warnings of Kovid risks, large gatherings continued – sports matches resumed, elaborate weddings proceeded, and cinema cinemas reopened.

The largest gathering ever Kumbh Mela, An important Hindu festival and the largest pilgrimage on earth. Millions of Indians are traveling to Haridwar, an ancient city in the state of Uttarakhand, to attend ceremonies and prayers and take a holy dip in the Ganges River.
Hindu devotees take a holy dip in the Ganges River in Haridwar, India on 12 April.

The festival officially began on 1 April and ended later this month. There are Kovid-safe guidelines in place – visitors must register online and provide a negative Kovid-19 test to participate in the holy bath, and thousands of officials are monitoring – but experts believe it Risk would not be enough to join, given the sheer number of participants. Many lakhs are expected to go on “auspicious” days.

Lakshminarayan said, “The Kumbh Mela may go down as one of the largest mass super spreading events ever, due to the size of the number of people taking a bath in the Ganges.”

For weeks, Modi, who has an important Hindu base, refrains from commenting on the Kumbh Mela and its Kovid risks. But earlier this week, he finally appealed to the pilgrims to refrain from congregating in Haridwar.

Modi tweeted on Saturday, “Kumbh should be symbolically carried forward amid the ongoing Corona crisis.”

But for some, Modi’s message Hollowed, as the Prime Minister continued to hold large-scale political rallies in front of the parliamentary and local councils Elections in four states and one union territory.

Videos of Modi’s rallies, including one at Tamulpur in Assam state on April 3, show him speaking before a huge crowd, packed tightly together.

In the state of West Bengal, thousands of rallies were attended by Modi’s Bharatiya Janata Party (BJP) and the ruling Trinamool Congress Party, an important electoral ground.

Modi’s rallies have severely criticized many other political personalities including the former finance minister Called Mass rallies put Kovid in jeopardy.

In view of the increasing cases, the Indian National Congress, India’s main opposition party, has suspended all public rallies in West Bengal.

And on Monday, the BJP said it would hold a “small public meeting” with a cap of 500 people in the state only because of the “difficult phase of the epidemic”.

Hindu devotees take a holy dip in the Ganges River in Haridwar, India on 11 March.

Meanwhile, the Kumbh Mela has not been ordered to stop, Nor is a new rule imposed. The state of Uttarakhand has issued a series of new restrictions including a night curfew and cap at public ceremonies – but the festival is exempt.

The infection has been seen in Haridwar, more than 6,500 new cases have been reported since the Kumbh Mela started.

Several religious sub-groups, including Juna Akhara and Niranjani Akhara, have since asked their followers from outside the state to return home and follow the guidelines. Some states and cities require festival returns that are tested and quarantined.

But medical workers fear that it will be too late.

Lakshminarayan said, “It’s already gone for a couple of weeks. Now, of course, they are dispersed, but they can carry the virus back to their homes.”

Esha Mitra of CNN contributed to this report.


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