Immunity business in corona times


About the medicines and substances, that  are consumed by masses under a false hope of immunity enhancement. Every substance, which claims to alter human physiological functions should undergo strict international neutral trials and not allowed to be sold by mere advertisements.

Tremendous misguidance is propagated by giving a false hope to people of doing some treatment.

Every day we read in media the various pronouncements claiming to enhance the immunity especially in the  days of Covid-19. It automatically implied  or interpreted that the said product will save  the people from Corona and hence a brisk business starts. No one has studied the real effectiveness, correct  doses or side effects of preparation in real sense.

 

A myth, that any plant extracted drug is useful, free of side effects, is a belief ingrained deep in the minds of people. Such unscrupulous  advice is followed blindly without even verifying the authenticity of the source. A hope of miracle is flashed to patients who perceive  a “no hope” by scientific medicine, are an  easy prey for such fraudsters.

Another major problem  is that medicines and syrups distributed in such manner often  are without name of drug, contents and doses. It is not uncommon to get lethal substances like steroids, hormones and heavy metals in dangerous doses.   Such acts  are  real crime to society, done with an intention to cheat rather than treating them.

Any one selling  medicines in name of alternative medicines, food supplements or medical advice of any kind, has to be registered with a council, for those particular medicines. advertisement of such drugs or products should be on some scientific basis and neutral trials.

 

Most of these are not validated at all by international or national authorities, not even considered as drugs. No impartial, neutral trials conducted about effects, side effects or toxicity. Mere media or social media words, which are paid, are considered as  Gospel  Truth  and substances are consumed by masses under a false hope of immunity enhancement. Most of them marketed as herbal or alternate medicines, which are advertised as harmless but beneficial. They are sold by propagated words of benefit  and advertisements rather than a solid proof.

Slowly these medicines become part of conventional wisdom rather than  considered as drugs and chemicals or heavy metals.  In reality, being a settled medical science issue, it remains a fake news at the basis.

There is no dearth of quacks, who sell unknown and unlabelled substances, merely  to earn money, but the dangers of such products are high and unassuming consumers remain oblivious to side effects.

   Any substance is considered effective only after rigorous testing through randomised clinical trials  and additional laboratory analyses.  The substances that are merely propagated on social media or claims of company or advised by quacks will not help and merely remain as part of immunity business. They provide a false hope and thereby earn money  because of fear in the minds of masses.

Times of India carries a report about the brisk business being done, while people are looking at ways to enhance their immunity.

Any substance which claims to alter the physiology of a person or patient, cannot be consumed  without undergoing rigorous, neutral and international  safety trials. If found to be good, all  homo sapiens in the world should be benefitted. If not,   let the gullible masses not be misguided and trapped into a false hope. There has to be a strict Government  control about the products to be consumed, which claim to alter human physiology.

Balancing immunity in Corona times

 

Who will treat people in next Pandemic?


Pandemic has unmasked the real risk to doctor and nurses. The occupational risk of being among the diseases, that was known to them, has been unveiled to everyone. That should have generated respect for health workers in a civilized society. What was actually desirable, was the encouragement and psychological support to these warriors. Good administrators were supposed to give some moral boosting and financial support, so that health staff should work willingly and inspire next generation for future catastrophe like this. Instead of armchair preaching to health care staff, there should have been robust rules and guidelines to protect health care staff and health systems as doctors and nurses are working under tremendous psychological pressure.

More importantly, among this chaotic situation, whether rules are being followed or not, how administrators are doing can be at the most a guess work, rather than following a uniform system. The possibility of chaotic management due to economical compulsions or just trying to be projected as an outstanding administrator may be a real possibility rather than exception.

Health care workers can be easily subjected to moral and legal blackmail or pressure to perform their duties in sub-optimal and below par conditions. They can be subject to moral, legal, financial or even pressure of physical assaults. Such pressures can be tremendous in health sector because of financial complexities.

Is the payment made to them is commensurate to the risk to their life and work they do? Who will pay them and how much in case harm or death of health care worker, every one refrains to discuss?

Are they given the real respect, what they deserve and are worthy of?

Every day when doctors and nurses, while going to work have this thought in mind. But still they continue to work amid their own tensions, worries about families. While it is clear to them that administrators refrain to discuss the issues, which matter to them the most.

Times of India carries a report that the interns will be punished, if they become positivefor Covid, while doing duties. Although possibly the circular is withdrawn, but it reflects the deep seated and hidden mental frame of administrators, about the intention, how they wish to behave with doctors. Why such punishments are not for other Government functionaries or officials or even public, who test positive. It is just an example, but there are numerous examples of such kind.

MUMBAI: The department of community medicine at KEM Hospital issued a circular on Thursday asking interns to give a written explanation on how they had been exposed to the Covid-19 infection, after an increasing number of interns went into quarantine. It further said they will be liable to repeat their internship for the duration period of the quarantine if there was any negligence in following “Covid-19 discipline”. The circular was withdrawn within a few hours, after it faced criticism from many. Doctors and students termed the circular “insensitive” and “unwarranted” during a pandemic. Dr Sagar Mundada, psychiatrist and former president of Maharashtra Association of Resident Doctors, called the circular insensitive. “It is a pandemic. Why medical interns should be asked about the source of the infection?” An intern said some of them have been working for three months without stipend while their duty hours have been increased to 12. They collect swabs, blood and insert IV. 6/6/2020 Mumbai: KEM questions interns over quarantine, then backs off – dean Hemant Deshmukh said he had not signed the circular and it will not be implemented. Dr Gajanan Velhal, who signed it, said it was misunderstood. “No such action will be taken against any interns,” he said. Rajvi Bheda, a representative of the Association of State Medical Interns at KEM, said it seemed to be an attempt to ensure interns stay safe. “But it was unfair to the interns too, as it is difficult to identify the source of infection.

As Corona has unmasked the real risk to health workers and society has dealt with heath workers shabbily. Next younger generation of aspiring doctors, who is a witness to the cruelty shown towards health staff, may be forced to think about their decisions to become health workers. Possibly the administrators need to ponder now, who will treat people in next pandemic.

Corona unmasks the risk to doctor and nurses, administrators refrain

Altruistic professions are not cherished in present era

21 occupational risk to doctor and nurses

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Plight of nurse in Covid ward

Balancing Immunity in Corona Times


Any substance is considered effective only after rigorous testing through randomised clinical trials with Covid-19 patients, and additional laboratory analyses.  The substances that are merely propagated on social media or claims of company or advised by quacks will not help and merely remain as part of immunity business. They provide a false hope and thereby earn money  because of fear in the minds of masses.

  As there is no definite treatment or prevention against Covid-19, people need to depend upon their own body resistance and preventive strategies. There are advisory in respected papers about the same in The Hindustan times and The Wall Street Journal, that may be helpful.

 

 

Scientists bust myths about ‘immunity-boosting’ substances in fighting Covid-19

Indian scientists on Thursday released a statement against the promotion of “immunity-boosting substances” to protect oneself from being infected with the novel coronavirus. Citing lack of scientific evidence, scientists said consuming mustard oil or tea, homaeopathic solutions or ayurvedic preparations, or modern medicines like hydroxychloroquine that are claimed to provide either immunity or cure “do not provide any known and/or validated protection against Covid-19”.

Additionally, drinking cow urine, wearing talismans, exposure to ultraviolet light or injecting disinfectants are harmful to the human body, while excess consumption of supplements such as zinc or datura seeds can prove to be fatal.

Aniket Sule, astrophysicist at Homi Bhabha Centre for Science Education and one of the signatories, said, “Since the beginning of Covid-19 epidemic, several statements have propagated ‘immunity-boosting’ substances. Some assertions were also supported by a few government functionaries at the Centre and in various states; and we, therefore, wanted to place scientific facts in the public domain.”

The most severe cases of Covid-19 are made worse by an overreaction of the immune system. So trying to boost general immunity using untested methods may be risky.”

Facts (and Myths) About Boosting Your Immune System

It’s crucial to stay healthy as the threat of coronavirus spreads. Here are the best strategies.

As the new coronavirus continues to spread across the country, having an optimally functioning immune system is more important than ever.

Medical professionals say it is important not to rush to buy supplements and vitamins that promise to enhance your immune system; there isn’t much evidence that such products do any good. Instead, they say, stick with the more mundane, but proven, approaches:

  • Keep your stress levels down.It’s a bit of a vicious cycle, of course: The more you stress about the virus, the more likely you are to suffer from it. “Stress can certainly hurt your immune system,” says Morgan Katz, an assistant professor of infectious diseases at Johns Hopkins University. “Do not panic, try to minimize stress.”

Andrew Diamond, chief medical officer of One Medical, a nationwide network of primary-care providers, says the stress hormone cortisol turns off cells in your immune system. He recommends engaging in activities that people find relaxing, such as meditation.

  • Exercise.Low- and moderate-intensity exercise naturally lowers cortisol levels and helps with immune-system function, says Dr. Diamond. One Medical recommends 30 to 60 minutes of exercise a day. If you’re apprehensive about germs in the gym, walk or run outside.

But it is important not to go overboard. A recent study found high-performance athletes have an increased risk of infection, says Elizabeth Bradley, medical director of the Cleveland Clinic’s Center for Functional Medicine. “Exercise helps boost the immune system, but we have to be careful not to overexercise because it can weaken your immune system,” she says.

  • Get adequate sleep.For adults, that means getting seven to eight hours of sleep a night. Children should get more, depending on their age.
  • Make sure your vaccines are up-to-date, especially the flu vaccine.
  • Eat plenty of plain yogurt every day.“It’s really an easy way to boost your probiotics and help support your microbiome,” Dr. Katz says. “It helps to support the good bacteria that live in your body, which help to fight bad bacteria or viruses.”

Dr. Katz also suggests avoiding antibiotics unless you must take them because they deplete the good bacteria in the system, leaving you more vulnerable to other infections.

Other foods that can help support the microbiome include garlic, onion, ginger, sauerkraut and fermented foods, says Dr. Bradley.

 Watch your diet. Stick to a healthful, balanced diet filled with lots of colorful fruits and vegetables to ensure you’re getting enough zinc and vitamin D and other important vitamins and minerals. Most experts say you should be able to get enough of these vitamins and minerals through your diet, and extra supplementation isn’t necessary. But because vitamin D deficiency is relatively common, experts do recommend supplementation if levels are low.

Dr. Bradley recommends eating lots of dark green, leafy vegetables and berries, as well as nuts and seeds, and to minimize foods with sugar and trans fats, which aren’t as nutrient-dense.

Your immune system needs fuel, so avoid ultralow-carbohydrate diets, experts say. In addition, drink lots of water and reduce alcohol consumption, which can disrupt your sleep.

  • Stop smoking or vaping.Smokers and those with respiratory disease have a higher rate of serious illness and complications from coronavirus. “Anything that is challenging to your lungs is going to work in the wrong direction,” says Dr. Diamond.

 

 

 

Disbelief to grief & hypocrisy# Doctor’s death in Mumbai #Covid-19


 

Covid-19 has unmasked the real danger to medical professionals, doctor and nurses while doing their duties. But it has also laid bare the hypocrisy, the denial of dignity by society to doctor and nurses, even to those who lost their lives in service of patients.  Medical professionals had signed for the occupational hazard willingly, but not to be an object of violence, undignified, and ignoble behaviour.

At this time, if anyone is there and surrounded by patients, with or without appropriate PPE,  it is the only doctors, nurses, and front health care workers. Even in non-COVID hospitals or outdoors, it is impossible to differentiate which one patient is carrying the deadly virus.

There were countless reports of health care workers being assaulted, all over before Covid-19, as well.  It was being taken as a routine. Covid-19 has not only helped to unmask the real danger to doctors and nurses but also sounded them of being an object of the undeserving ignoble attitude and hypocrisy of the society.

Mumbai: 36-year-old doctor dies of multiple organ failure, samples test positive for Covid-19

A 36-year-old general physician, who consulted at two private hospitals in Mumbai’s Govandi, succumbed to the novel coronavirus infection on Thursday. He is likely to have contracted the virus from a patient at the hospital.

“My brother had to be shifted on oxygen to Raheja as no cardiac ambulance was ready to transport a Covid-19 patient,” said the doctor’s brother.

The doctor did not have any co-morbid conditions and died of Acute Respiratory Distress Syndrome due to Covid-19 along with multiple organ failure. He was declared dead at around 1:55 am on Thursday at SL Raheja Hospital. The doctor started showing symptoms such as loose motions and breathlessness on April 13.

He was admitted to the Sion Hospital in the wee hours of April 15 where he was tested for Covid-19. As his condition was deteriorating and an ICU bed was not available at Sion, he was shifted to Somaiya Hospital in Vidyavihar. At Somaiya hospital, his breathing improved but he needed dialysis.

As he was a suspected Covid-19 patient, Somaiya hospital administration said that he will have to be shifted to Raheja hospital as they have dialysis for Covid-19 patients.

“My brother had to be shifted on oxygen to Raheja and no cardiac ambulance was ready to transport a Covid-19 patient. He was on a ventilator. After looking at his deteriorating condition, we shifted him using a normal ambulance. His samples have returned positive for Covid-19,” said the deceased’s brother who is also a doctor.

The doctor’s condition kept deteriorating. He had a multi-organ failure with deranged liver function test, acute renal failure, and bleeding disorder. His condition further worsened on Wednesday night. Despite multiple efforts of resuscitation, he could not survive and was declared dead.

“We did not get a chance to speak with him to understand how he contracted the virus. Before going to Sion, we tried to get a bed at Kasturba hospital, but we were told no beds are available,” the doctor’s brother added.

“This is something we need to be very careful about. If healthcare workers are infected like this, we should be able to provide them with the best of care,” said Epidemiologist Dr Om Shrivastava.

21 occupational risk to doctor and nurses

Covid-19 unmasks the risk to health workers

Noble doctor-ignoble death

What is plasma therapy for Covid-19


 

As the world is suffering from pandemic by Covid-19, the effort to find an effective treatment is on a war footing.  Few drugs like HCQS, Remdesvir, and Tocilizumab are being tested, vaccines are being developed. A vaccine may be a mainstay in the future , but till that time, how to control mortality.  Convalescent plasma therapy has been found to be useful in China.

Convalescent plasma is an antibody-rich plasma product prepared from the blood donated by the patients, who have recovered from Covid-19 infection recently. These patients are tested twice negative and ELISA can also be done to check for antibodies. The antibodies are proteins with the capability to fight infection in the body and are important component of the immune system

  Antibody rich plasma can be taken after two weeks after  the patient has recovered. The plasma of such patients has the potential to treat or lessen the severity of Covid -19. Plasma taken from one patient may help three to four patients. A donor can again donate after one week. The subsets of patients who may benefit are sick patients in ICU, on the ventilator and are having a risk of death.

The plasma therapy was used for diphtheria and tetanus  about 120 years ago and  used for viral infections like EBOLA

ICMR has permitted  for clinical  trials  of plasma therapy for Covid -19

FDA  has also permitted to pool the donor volunteers.

Reclaim of Lost Territory by Mighty Nature #COVID-19


 

         For thousands of years, humans have achieved tremendous progress and evolution, which was reflected in advancement and modern science. The evolution was used to acquire natural wealth and the environment to the materialistic advantage of mankind. From butchering animals to control sea waters and skies, humans tried to control everything around. Modern medicine was discovered to attack the germs, bacteria, and viruses in a pursuit to prolong life and interfered severely in natural processes of nature without knowing the bigger picture. A sense of holding masterly gained by possessing superior intelligence prevailed in the modern world.  Except for humans, everything living or non-living was being considered as a captive resource to be exploited and consumed. Animals and birds were farmed, tormented and mercilessly killed in uncountable numbers.

        In a few weeks of invasion by COVID-19, the world looked changed. Greener plants, no air pollution, transparent waters, and clear sky looked, no traffic on roads, as if nature claiming back the lost territory without being even seen.

         All living and non-living elements form an ecosystem. Birds, animals, plants, sea life, the environment on earth, non-visible germs and bacteria form an ecosystem and form a balance. How we have affected this balance, that is still unknown.  Germs have been there before humans and are armed with strange powers to mutate and attack humans if balance is disrupted. The real barriers between deadly nano predators and human beings are still undiscovered. When we pollute and destroy the hills and jungles, deserts and oceans, icy glaciers and lush rain forests, use antibiotics to kill micro- and nano-life for our evolved requirements, we force the barriers to be broken.

     The rapidly recurrent coming pandemics may be warning for the behavior of the human race, and point towards a need for more sustainable evolution. The mighty nature deserves more respect to be kind to humans.

     Human beings need to prove that they are truly evolved. Considering that the current invasion by COVID -19 is not the last one that befell us, there can be many more in future, we need to check our pattern of choices to suit the nature and not vice-versa.

21 occupational risk to doctor and nurses

reel heroes vs real heroes

Lock-down essential to prevent knock-down


Imagine what would have happened if religious functions, social functions, conferences, marriages and birthday functions,  social gatherings or normal transport would have continued for many more days.

Social distancing is the key element to prevent the Coronavirus spread.  But not everyone among the masses has the ability to understand the urgency from the very beginning and own up responsibility for social distancing. It is the responsibility of each and every human being to prevent the spread. But a significant number of people failed to do it from the time that was crucial. The time for basic understanding and wisdom to prevent at individual level varies from person to person.

Social distancing to be successful has to be strict and imposed in a totality. Police patrolling, drone surveillance, camera surveillance may be needed for a longer duration in view of the current crucial phase that may lead to community transmission.

Online consultation or teleconsultations need to be strengthened to avoid unnecessary contact.

Doctors and nurses need to be protected as they can be crucial links for treatment.

As it is a totally preventable disease, so lock-down has to be more complete and strict. It cannot be left to individual wish to quarantine. Once it happens, doctors can not treat it, whereas people can prevent it from happening.

So strict Lock-down is much needed to prevent Knock-down from community spread.

How to implement strict lockdown

Global clap-doctor and nurses

Myths about medical-Ventilator; Corona may help to burst


Unfortunately, celebrities and media have most of the time fuelled the myths and common allegations against the medical profession and ventilator. The myths have been propagated rather than disseminating the truth. This is no truth in such projected and perceived hearsay.

Someone who is drowning, a small boat can save his life, till sea storm settles or the victim reaches a safe land. The boat will not settle the sea storm, but enough to save a person from catastrophe. In reality, a ventilator is the invention, which should be worshiped. But contrarily, due to wrong projections and misguided perceptions, it has been hated despite saving lives.

Although doctors and ventilators are in a similar situation, projected in the wrong way, hated in spite of doing good work and saving lives. They are hated and despised, despite the only ones of help in life and death situations. The following are a few myths and facts about the ventilator.

  1. Myth: Once on a ventilator, patients do not survive: the common myth is that once the patient is placed on a ventilator, he will not survive. The human body, when it gets severely diseased or under stress, heart and lungs need to be supported for saving the life, till ailment So, when the battle for saving a life is ongoing, almost all the patients will have to be placed on the ventilator. It is a last-ditch attempt made to save the patient’s life. However when the patients do not survive people feel that it’s the ventilator that has caused death, rather than a rational thought about the severe disease as a cause.

In reality, it is the severity of disease and the possibility of death, when the ventilator is required. It is necessary to support life.

  1. Myth: Ventilator is a modality for the mere prolongation of life: every disease has a spectrum. Every disease can progress from a reversible to an irreversible state. As an effort is ongoing while waiting to reverse the process, the patient will need ventilator to sustain life. Unless the disease reaches a stage of irreversibility, the ventilator is indispensable for an absolute need to maintain life. Since in serious condition, it is an uncertain prognosis. In retrospect, combined with the application of average wisdom, the time of uncertainty and institution of the ventilator can be interpreted as a mistake. As the whole exercise is labeled as futile and expensive by relatives. it’s a grey area and the negative thoughts are fuelled because of retrospective wisdom in hindsight. The real prognosis cannot be predicted in real-time.

In reality, Ventilator is a machine which just supports respiration and not responsible for heart beating. Therefore it buys time for healing and treatment of primary disease.

  1. Myth: Ventilator will cause death:

one can understand this simple logic on the basis that patients are placed on dialysis when kidneys fail. Patients are placed in the cast when bones are fractured for a fixed predefined period of time. Similarly, patient is placed on a ventilator when the lungs fail. The ventilator is used till the time lungs recover and become fully functional.

In reality; Risk is because of disease, which needs ventilator and not vice versa. Ventilator is a friendly machine which helps people who have failed lungs.

  1. Myth : Doctors and hospitals keep dead patients on ventilator for financial gains

Fact: placing patient on ventilator is a very critical decision, taken in best interest of patient to buy time, to so as to treat the disease. A patient needing on ventilator is actually so sick, that not instituting ventilator will risk the patient’s life. Knowing all these facts, doctors take a decision to keep the patients on a ventilator.

Once the patient is on ventilator, it is a stress for the doctor to take the patient off the ventilator. As such ventilator is a SANCTUM SANCTORUM lifesaving machine, to be used only in life and death situations.

  1. Myth : Its a miracle if the patient placed on ventilator survives.

Given the fact that placing the patient on ventilator on scientific facts. There are clear indications for putting the patient on ventilator. A much larger patients put on ventilator are actually saved and go home.

Fact: Everyday thousands of patients are placed on ventilator and sent home to lead a normal life: Any patient who is given general anesthesia is placed on ventilator in the operation theater and then taken off the ventilator at the end of the surgery. In these cases patients are placed on ventilator so as patient can be put to deep sleep (called anesthesia) during which surgery on desired part can be carried out. Soon after the surgery patient are taken off the ventilator and soon thereafter discharged for home after few days of healing.

  1. Myth :Doctors place patients on ventilator at their own will:

Fact: there are scientific parameters which decide when the patient should be placed on the ventilator and when the patient should be taken off the ventilator. So the decision to place the patient is scientific and based on objective parameters.

Contrary to this popular myth, it is a compulsion for the doctor to put patient on ventilator to prevent death in serious situations. Doctors are usually thinking several steps ahead of lay person about medical science.

  1. Myth :All patients placed on ventilator are unconscious:

Fact: this is not necessary. Usually patients are sedated for their comfort. they can be made to walk, write and even perform small tasks when on ventilator, depending upon their lung condition.

Patients are also put on ventilator in case of airway failure when unable to protect their airway for various reasons. Another reason why patients are placed on ventilator is inability of the patients to protect his or her airway. Conscious and alert patients can swallow normally formed mouth secretions. When patients consciousness level is dulled the ability of the patient to protect his airway is lost or compromised. This causes secretions from mouth to enter into the lungs through the airway i.e. trachea causing infections in the lungs. The only way to prevent this and protect the patient’s lungs is to place a tube in his airway and then place them on the ventilator.

  1. Myth: Patients can be kept alive by placing on the ventilator:

General masses have a feeling that patient can be kept alive by keeping them on the ventilator. Even a dead person can be kept alive by placing on the ventilator, which is not true.

In reality: It is machine used only for breathing and not heart and brain.

  1. Myth : Ventilating the dead patients:

this is a common allegation on medical profession. This is no truth in this projected and perceived hearsay.

Facts: Assumptions are based on thoughts of lay persons. Patients on ventilator, may look like dead, because of the disease, sedation and paralyzed by drugs. But their heart and brain are working, so they cannot be declared dead.

If there is some incident, it needs to be proved by medical personnel. In reality, it can be a very rare and remote exception. These untrue projection are creating lots of mistrust about life saving machine.

The problem is about correct projection and majority of people without knowledge of medical science do not even know the large number of lives been saved by the ventilators.

In nutshell: serious conditions and life threatening situations need higher technical interventions, to save a life. If correct projections are made, ventilators are lifesaving machines.

About ventilator

History of ventilator

How to achieve “Effective Lock-Down” to prevent community spread @Corona pandemic


  To identify communities at  risk

“Battle of Corona” Only people can win this war, not doctors or Governments

         Preventing Community spread at this time  is the key to  control  the  Corona pandemic.  Strict  Lock down needs to be effective to achieve the desired objectives. Therefore it is necessary to identify the communities at  risk, where lock-down is not complete and hence these may be need to identify the weak points to achieve effective lock-down.

   These communities can be:

  1.    Surveillance in high population density zones: India  and specially large cities have areas with thick population density.  There is a tendency to come out of houses for  informal chatting.  People need to understand that effective lockdown is more than just not attending to the office work.  Such collections of people can be  prevented by strict enforcement:

A.   Police patrolling in thickly populated residential or good administrative control.

B.   Drone surveillance

C.   Camera surveillance and administrative control

  • Medical needs: people may come out of houses for medical needs. This can be minimized by
  1. Online consultations
  2. Telephonic consultations

These tele-consultations to be used  to differentiate whether it is an emergency or not. The emergencies should be guided to attend hospital, that may be different from Covid 19. So these consultations will help to segregate these patients from  Covid patients.

3.Strengthening of Ambulance service- Network of ambulances can be used to assess at homes and hence  the need for hospitalization may be minimized.  Besides it may help in preventing gathering of relatives and guiding the patient  to appropriate hospital.

4. Providing PPE’s to doctors to prevent loss of work force.

  • Need for essentials: System for community delivery  or   decongestion at market places need to be checked and gathering to be discouraged.

                   Effective Lock-down  can be a key  for winning the “Battle of Corona”. Only people can win this war, and not doctors or Governments.

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