Remissness cause spike in Covid-19 cases in Kerala : Kerala CM Pinarayi Vijayan

Kerala has reported 962 new cases and 2 deaths on Monday. As there is a hike in Covid-19 cases, chief minister Pinarayi Vijayan on Monday said there was negligence on part of everyone. There has been a steep hike in new Covid-19 cases in the last two weeks. Whereas, state reported 10,000 cases in more than 5 months but now it took less than three weeks to cross 25,000 cases in Kerala.

The CM, while launching 100-odd family health centres across the state through video conference said, ”At initial stages there was a strict vigil and results were really stimulating but gradually people lowered their guard which resulted in big spike in cases”.

CM clarified later, his intentions was not to criticise the health care workers whor are toiling day in and out but about the general perception of the people. He also took a dig at the Opposition saying it was more interested in toppling the ongoing drive against the pandemic.

At the initial stage, we effectively dealt with the situation. After this, some sort of laxity crept in. Some people thought it is only the duty of the government machinery. This remissness cost us dearly,” he said. The chief minister said that those who violated quarantine will be dealt with heavily and police will be given more powers to deal with them.

But the Opposition said that the chief minister at least admitted to his muffs, even if it came at the eleventh hour. “When we cited pitfalls he said we were sabotaging the ongoing drive. The state’s testing rate is still poor,” said Opposition leader Ramesh Chennithala Meanwhile, In Kerala, Covid-19 cases increased to 26,872 adding 962 new cases on Monday. Out of these, 15,282 have recovered and 11,484 are active cases. With two more casualties, the state’s death toll rose to 86 on Monday. There are 506 containment zones in the state and capital Thiruvananthapuram topped the list with one-third of the active cases.

BCG vaccine can control coronavirus spread: ICMR Study

According to a study conducted by The Indian Council of Medical Research-National Institute for Research in Tuberculosis (ICMR-NIRT)to see if the BCG vaccine can reduce the severity of Covid-19 among people aged 60 and above residing in hot spots for the coronavirus outbreak.

”A significant effect of mandated BCG policies on the growth rate of both cases and deaths after controlling for median age, gross domestic product per capita, population density, population size, net migration rate, and various cultural dimensions (e.g., individualism), revealed the analysis. Our analysis suggests that mandated BCG vaccination can be effective in the fight against Covid-19,” said the researchers from University of Michigan in the study published on July 31 in the American Association for the Advancement of Science (AAAS) journal.

But,it has been seen that substantial variation in Covid-19 growth rates even among BCG-mandated countries, suggesting that additional societal variables are likely have an effect on mandatory BCG vaccination’s effect on the spread of the coronavirus. Thus, “BCG is by no means a magic bullet that assures safety against Covid-19,” the authors added.

According to the statement, the study involved around 1,000 healthy volunteers above 60 years of age in six states that have reported a high Covid-19 disease burden so far. “A lot is being talked about the protective effect of BCG vaccine in terms of Covid-19. This study was in the pipeline for some time and now we have begun the process. It is being done to generate India-specific evidence,” said an ICMR official, who did not wish to be identified.

The study took three specific approaches to rule out external bias, the researchers added. “Firstly, we focused on the rate of growth of both cases and deaths, which should be uninfluenced by reporting biases as long as these biases are stable during the period of study. To meet this requirement, we focused on a short period (either the first 30 days or 15 days). Second, we used the best available estimate of country-wise reporting biases and used this as a weight in our analysis. Third, we controlled for testing availability,” they said.

Some countries reported fewer Covid-19 infections as well as deaths in the first month of their outbreak where people have been mandatorily immunised with the Bacillus Calmette–Guerin (BCG) vaccine to prevent childhood tuberculosis. According to a new, peer-reviewed study that offers fresh insight into why some countries such as India may be doing better than some major countries in tackling the coronavirus.

The role of the BCG vaccine has been linked to milder Covid-19 infections previously, but the study reviewing infection and fatality numbers from over 130 countries shows for the first time that regions with no BCG immunisation policy since 2000 recorded an exponential increase in deaths due to Covid-19.

Children since 1949 and in 2019, at least 97% of the 26 million babies born that year received BCG vaccine.  The vaccine protects against disseminated TB and meningitis in childhood, but doesn’t offer protection from adult pulmonary TB, which has led to several countries discontinuing its use.

The researchers note that the benefits were seen in countries that had the policy in place till about the year 2000. “Notably, the growth curves were as steep in countries that mandated BCG policies only during the 20th century as in those that never mandated the vaccine… That is to say, the spread of the virus may be slowed only when there is “herd immunity” that prevents the virus from spreading easily across the population,” they added.

(ICMR-NIRT) announced on On July 18, it has initiated a multi-centric study to see if the BCG vaccine can reduce the severity of Covid-19 among people aged 60 and above residing in hot spots for the coronavirus outbreak.

Ongoing Vital railway infrastructure projects to continue amid Covid-19 pandemic

Indian railways’ vital infrastructure projects including high speed corridors, the dedicated freight corridors, signalling projects or projects for launching new trains will not be impacted by the Railway Board order to keep all new work sanctioned for 2020-21 fiscal in abeyance in a bid to rationalize cost in the wake of COVID-19 pandemic.

In the light of Railway Ministry order issued, Hindustan Times reported that the national carrier plans to put on hold new infrastructure projects sanctioned in the current financial year other than those related to safety work, according to a Railway Board order issued on Tuesday. The ministry clarified that the order will not affect any ongoing vital infrastructure projects of the railways. “Ministry of Railways has to abide by the instructions of the ministry of finance. However, sufficient resources exist and have been provisioned with assurance that wheels of progress and modernization will continue to move at rapid pace.

It is not going to impact our mission of 100% electrification of routes, doubling tracks, any of railway high speed corridors or DFCCIL, vital signalling projects, projects to launch new modern trains/locomotives, passenger amenities or any project to enhance safety,” the ministry told HT.

“It may be noted that there is no deficiency in capital expenditure for infra works. The full capex would be utilised. Ministry of finance order will not to impact railways’ massive infrastructure development program,” the ministry added. The order issued by the railway board refers to a directive issued by the finance ministry in June on government spending in the year.

The railway board said projects that were previously approved but have made insignificant progress “shall be kept frozen till further orders except those which are essentially required for safe running of trains”, In a communication sent to all zones and public sector undertakings (PSU) on Tuesday.

France donates COVID-19 medical equipment to India

In a bid to boost Indian fighting corona virus cases, France has announced that it will donate high end –ventillators and test kits to India. It will delivered on Tuesday, a day before 5 Rafale jets (also made by France) will land in India.

A French aircraft will fly with equipment and personnel on Tuesday. The Airbus A330 MRTT aircraft is equipped with a “Morpheus” kit that enables the transport of critically ill patients. India will receive 120 ventilators and 50,000 test kits to counter the Covid-19 epidemic

French specialists are also being sent to India for inter-hospital transfer by military methods. France gained specialists in this field because it made many transfers between hospitals.

The French medical aid package includes 50 Osiris-3 ventilators, which can be used easily and portable, and portable, and 70 Yuwell 830 ventilators with “bilevel positive airway pressure” (BiPAP mode), which are non-invasive hospital ventilators for mild Covid- 19 patients.

Osiris ventilators are very useful for emergency transport, intra-hospital transfer, and recovery, and have various modes including non-invasive ventilation.

Yuwell 830 ventilators use BiPAP to supply oxygen to the lungs without intubation.

The French government will also donate 50,000 high-quality serological IgG / IgM test kits and 50,000 nasal and throat swabs and means of medical transport.

Earlier this year, India has also supported France with medical supplies.

In a letter written on 24th July, President Emmanuel Macron thanked PM Narendra Modi for India’s support for France with medical supplies.

Emmanuel Macron: “When France was going through a critical phase of this public health crisis earlier this spring, India was by our side. It played a very important role in relation to medicines. I would like to thank you once again for authorizing the export of medicines required to treat critically ill patients. This gesture reflects the extraordinary nature of the partnership between our two countries.

He continued, “India is going through a difficult period of crisis. In these painful times for your nation, I gave France the desire to stand fully on your side. To this end, I directed that we are able to respond to the needs identified by your administration which is exceptional in its scope and modalities.

“I believe that it is during tough times that historic ties are forged and strengthened between nations.”

French companies have contributed more than six million euros to India’s National Relief Fund as part of their Covid-19 crisis response. Many companies have also supplied essential medical equipment and others are providing support to weaker sections of the society.

Government ensures efficient supply chain for Covid-19 vaccines

With the development of Covid 19 Vaccine entering the final phase, government is determined to leave no stone unturned ensuring availability of the vaccines even in the remotest village of India. They have started dicussions on a wide range of issues, from logistics to ethical questions, to set the stage for a smooth supply and effective use of a vaccine when it is ready.

A government official who is involved in the discussions said that there have been at least two meetings on preparing the ground for the first vaccine. There will be more talks in the next few weeks. There are complex issues.

The person aware of this matter has said that officials of several ministries as well as the concerned department have held extensive discussions. Also, he said that the Corona management team hopes that by next year the manufacture of its vaccine will be possible.

The authorities are tracking and carefully gauging the development of at least nine Covid-19 vaccines – of which the brightest hope is the candidate of Oxford AstraZeneca.

Officials of the concerned department have started discussing further plans in India, with positive results coming up about the vaccine being prepared to prevent corona infection in the world. Once the vaccine is ready, plans are being made for its storage to use.

Officials are closely watching the development of at least nine vaccines – including two Chinese – of which the brightest hope is the Oxford AstraZeneca candidate. Pune-based, Adar Poonawala-led Serum Institute has partnered with AstraZeneca to manufacture the vaccine in India. Human trials (combined phase 2/3 trials) on this vaccine are to begin in India next month.

“Internal consultations have started so that we are fully prepared and can avoid any last-minute mess. One of the major issues is distribution in remote areas like North East India and how we have to set up large scale cold storage facilities in such areas, ”the official said.

Officials are closely following the progress of two indigenous vaccines, Covaxin and ZyCov-D, developed by Bharat Biotech and Zydus Cadila, respectively. Both are in Phase 1 of the trial.

Covid-19 cases in India crossed the 50,000-mark mark in a single day for the first time on Sunday, taking the total number of infections in the country to 1,434,476.

Center does not support Itolizumab medication for Covid-19 treatment

The biopharmaceutical company, Biocon, saw a huge sell-off on Monday following the announcement by the Union Ministry of Health to not include Itolizumab drug for Covid-19 treatment.

The Health Ministry said in a note that the National Task Force on Covid-19, constituted by the ministry, had said “there is little evidence in favour of this drug.” Biocon’s use of just 30 patients was also questioned by several independent experts. But Biocon noted that it is a drug that was previously approved for psoriasis, and was only a label extension. It also stated that emergency procedures to obtain approval for use on Covid-19 patients were following international norms.

Allegedly, Biocon also responded to the ministry’s announcement, stating that the National COVID task force needed to see more evidence and that the company will provide them large real-world data to enable the committee to reconsider its decision on the inclusion of Itolizumab in the protocol.

According to Biocon, approximately 1,000 patients have reportedly used the drug Itolizumab across India.

About two weeks ago, the Drug Controller General of India allowed the use of the drug for severe coronavirus patients, raising the company’s share price.

ICMR approves first ‘Made in India’ antigen kit for COVID-19 testing

Second rapid antigen test kit developed by My lab Discovery Solutions has been approved to diagnose coronavirus disease (Covid-19) by The Indian Council of Medical Research.

According to the reports, Mylab Discovery Solutions said in a statement, the product named Pathocatch Covid-19 Antigen Rapid testing kit will be immediately available for orders and will be priced around Rs 450.

‘’My lab team has put their best effort to fight this pandemic in every possible way and also looking forward to deliver their best to help people come up with this situation. After launching an affordable RT-PCR test to reduce the dependency on foreign kits, we developed Compact XL to whole coloration of Covid-19 testing and leave no stone unturned to fight this pandemic,” said Hasmukh Rawal, managing director, My lab Discovery Solutions.

The real time reverse transcription polymerase chain reaction (rRT-PCR) test kit was also the first indigenous test kit developed by My lab that received ICMR approval for use in India.

To keep up with the pace of infections, India need India needs a combination of both antigen and the more reliable but slower RT-PCR testing, suggested Health Experts.
rRt-PCR should be used alongside Antigen-based to keep an eye on the country’s overall testing and treat patients early.

Meanwhile, the total number of confirmed COVID-19 cases in India surpassed 1.24 million with the highest single-day spike of 45,720 cases and 1,129 deaths, according to the Ministry of Health data. The total number of cases now stands at 1,238,635.

14-year-old girl raped at India’s largest Covid Care Centre

As the country grapples to provide healthcare services amid the rising coronavirus cases, there comes a shocking and a sad development from India’s largest COVID-19 care centre.

A 14-year-old girl admitted to a 10,000-bed Covid Care Centre in south Delhi’s Chhatarpur — the largest in the country — was raped last week inside the facility by a 19-year-old man who was housed there, the police said on Thursday.

The incident took place on the night of July 15, when the girl, who was getting treatment there, had gone to the washroom, they said.

The 19-year-old man, who allegedly sexually assaulted her, was arrested along with one of his associates, the police said, adding that both have been sent to judicial custody.

The girl narrated her ordeal to one of her relatives, who is also undergoing treatment at the centre. The matter was then reported to an ITBP official, who informed the police, an official at the centre said.

According to the police, in her complaint, the girl alleged that she was sexually assaulted by the man. She also accused the man’s associate of capturing the act of sexual assault on a mobile phone.

The 10,000-bed COVID care centre at the Radha Soami Satsang Beas, which was inaugurated earlier this month by Delhi Lieutenant Governor Anil Baijal, has been set up in Chhatarpur for treating mild and asymptomatic coronavirus patients.

When the facility was opened on July 5, the ITBP said it will deploy 1,000 personnel for security arrangements. But with only a small section of the facility currently occupied, about 100 ITBP personnel work in shifts here to provide security.

Amarnath Yatra called off due to coronavirus Pandemic

Spike in corona virus infections has caused the cancellation in Amarnath yatra. The Shri Amarnathji Shrine Board (SABS) on Tuesday cancelled the annual Amarnath yatra due to rise in COVID-19 epidemic, which has taken a grasp on over 1.19 million people across India and affected more than 14,650 people in Jammu & Kashmir.

The decision was taken at the 39th video conference meetings of SABS by lieutenant-governor of J&K, Girish Chandra.

The Amarnath is recognized as one of the Hinduism’s holiest Sanctuaries in the south Kashmir Himalayas, where almost all devotees wish to visit for the annual pilgrimage.

Keeping an eye on the prevalent occurrence, the board decided with a heavy heart that it is not preferable to go ahead with the Shri Amarnathji Yatra this year and conveyed its regret to announce the cancellation of Yatra 2020. However, he also announced that the board shall continue the live telecast/ virtual Darshana of the morning and evening aarti. Further, the traditional rituals shall be carried out as per past practice. Also, the Charri Mubarak shall be facilitated by the government,” said an official spokesman.

Charri Mubarak is a ritual in which the holy mace of Lord Shiva is taken from Dashnami Akhara temple in Jammu to the holy cave, marking the beginning of pilgrimage.

SAB’s CEO Bipul Pathak, and senior officers of board also attended the meeting along with chief secretary BVR Subrahmanyam. They considered the Supreme Court order on July 13 that left the decision to conduct the Yatra was left to the state administration after assessing the ground realities; the arrangement for the annual pilgrimage; and how the pandemic has pushed the health care system to the limit, people aware of the proceedings said.

According to the reports, religious places and places of worship is closed for the public since the announcement of the nationwide lockdown in the month of March, J&K. Cases has taken a grasp in the region this month, with around 49% of the state’s total coming since July 1, 2020.

Bhagalpur battles coronavirus amid staff crunch, stressed doctors and disillusioned families

Jawaharlal Nehru Medical College and Hospital in Bhagalpur was confident of tackling the cases when the district had 245 cases and one death till June 8. But now with the sudden spike in cases with several senior officials testing positive, including the District Magistrate and other important officials, Bhagalpur is now second in Bihar’s Covid tally with 1,601 cases, and 16 deaths.

According to Dr Hemshankar Sharma, who is in charge of the Covid isolation ward and ICU of the 800-bed hospital in Mayaganj doctors are in severe strain. Sharing his plight Dr. Sharma says, “I am 65 years old and suffer from high blood pressure. But I am still working in ICU. We are doing all we can with what we have. ”

Many patients have shared instances of the medical negligence as well. “They just lock and leave, there is no monitoring. There were relatives of patients sleeping on the floor. We got him shifted to the ICU, but there is very little care. The toilet is so unsanitary and barely cleaned. I saw a woman tell nurses that there was a need for an oxygen cylinder. There was no response. Even if patients survive, this is taking a heavy mental and emotional toll” said the son of a 60 year old patient admitted due to Covid Pandemic.

Another 55 year old patient’s relative reports that there are delays in testing while some patients were also turned away from the hospital. The families are disillusioned about how to tackle the patients as doctors are not paying visits regularly and medical staffs are not equipped appropriately to handle the sudden surge in coronavirus cases.

There are instances where there are shortage of Oxygen Cylinders to fight this mighty pandemic. Relatives are scared as a son was quoting “There has been no check for four days… The system has collapsed. My father now wants to die,” Another family says “his father was admitted to the Medicine Ward on July 15, which was “neat and clean” but had one key element missing — a compounder to administer injections. “We then shifted him to the ICU,” he said.

Doctors on the other hand are explain that they are trying their best and working day and night. Dr Sharma on video call from the ICU says “I want to show you how hard we are trying, the work we are doing,” he said. He walked the halls, showing nurses in masks and doctors, including several heads of department, in the ICU. “We are working day and night, and people are still complaining and making videos. Everybody here is risking everything,” he said. However, they admit that manpower problem is there.  “What I need are junior doctors…at least 50-60 dedicated to this crisis. The junior doctors are not reporting for duty properly. Action should be taken, they should be warned,” he said.

Further, complaining that junior doctors not reporting he says Since the COVID crisis began, as many as 14 junior residents have quit, with four others resigning after their duty roster was “tightened”. “Their duty is only three days a week. They were asking for one day,”

“The junior doctors either say they are unwell or complain about PPE kits. We say this is the same kit that is being supplied all over the state. This is the kit that AIIMS-Patna is working with. On OPD duty, what do you need? Two gloves, one set inside and elbow gloves.

Two masks, surgical and N 95, and a face shield. And a head cover. These are provided. Moving into the ICU is a different issue, but how many percent are in the ICU? Ten per cent,”

This is the plight of the 800 bed hospital in Bhagalpur. Bhagalpur is now second in Bihar’s Covid tally after Patna. Centre is also closely monitoring the Bihar’s Covid situation however on the ground the reports are not as satisfactory as it portrayed.