Moral burden of poor quality PPE’s on doctor and nurses#Covid time


Medical industry has found an opportunity to do a brisk business. The norms of PPE are not well defined, from the end user’s comfort,  that is doctor and nurses. Any material is that is converted into PPE and dumped on health workers, adding enormously on their plight.  A moral burden to do their  work in every situation, is becoming difficult to carry on, while the opportunist in medical industry make merry. A sin, which  may look nonpunishable in current era, but should not be forgiven in a civilized society.

Possibly working as a doctor and nurse is going to be most difficult  profession. Working in life and death situations, excessive  documentation, unrealistic expectations from patients and administrators alike, working  under legal compulsions, prone to punishments and complaints on simple human errors,  poorly paid  and facing verbal and physical assaults. Above all despite doing all this, respect and gratitude is scant for the life savers in present era. Adding to all above issues, another problem has been added, the poor quality of PPE, which makes life of saviours a hell.

Times of India  publishes a report on the same, that brings out the plight of doctor and nurses.

‘Some PPEs feel like we’re wearing plastic rice bags  from. Trussed up inside a plastic bag in the summer heat with sweat pouring down the body but afraid to drink water as it is impossible to take a loo break. This is how a nurse described the experience of wearing a personal protective equipment (PPE) suit.

While there is no dearth of PPE any more, doctors and nurses say the quality is such that it’s like wearing a plastic bag. Doctors say hospitals are besieged by companies offering PPE kits. “The quality of most of what is offered is horrible. The fabric of many is like chawal ka thaila (RICE BAG). There is zero breathability and so health workers find it impossible to wear it for long. That reluctance could endanger them,” said a senior doctor. The WHO guidelines on PPE strike a balance between protection against infection and allowing health workers “ease, dexterity, comfort and minimal heat-associated stress”. However, the guidelines framed by the ministries of health and textiles only focus on the need to prevent blood or fluid penetration but have nothing about breathability. So, manufacturers focus on thickness of the plastic rather than the wearer’s comfort. “In the initial rush to overcome the shortage of PPE, it is understandable that the ministry did not think of all aspects. But it is unacceptable to allow people to use this opportunity to make money by supplying abysmal quality PPE and endangering the  lives of health workers.

The government should immediately issue clear-cut guidelines on quality of fabric and stitching and weed out the fake manufacturers cashing in on the sudden demand for PPE,” said a doctor in a Covid hospital. According to a manufacturer of protective wear, cheap plastic laminated fabric costs just Rs 150-200 per kilo. “So even with the cost of stitching, a poor quality PPE suit would cost only Rs 100- 200 to make but is sold for Rs 500-800. With such huge margins, getting even one small order for 10,000 PPE suits would mean a profit of at least Rs 30 lakh. This is why there is a such a huge rush of people getting into PPE making,” he explained Eight labs identified by the textile ministry to do quality checks on PPE have so far issued over 900 Unique Certification Codes (UCC), mandatory for PPE sellers, especially to land government contracts.

The government says there are 600 companies manufacturing 4.5 lakh PPE suits per day. Many with the UCC have little or no experience in making protective wear. They include chemists, lingerie and footwear manufacturers, tent or tarpaulin makers, wholesale traders of drugs, small-time pharma companies, and even a food company. “Anyone who has a garage to store the stuff can buy some fabric and organize some tailors to copy a PPE suit,” said an industry insider. “One PPE lot supplied to us had electrical insulation tapes used to seal the seams. Obviously, they started coming off when we moved around,” said a doctor in a private hospital. Another doctor in a government Covid hospital pointed out that the government only tested the coverall, but other components like face shields or goggles that came with it were substandard. Almost all hospitals seem to have PPE horror stories to narrate. The government is at pains to reiterate that its certification is only for the coverall and that only a Synthetic Blood Penetration Test (SBPT) has been conducted.

Every UCC states that the certificate is based solely on the sample submitted by the applicant. It goes on to state: “The procurement agency is advised to conduct prior due diligence before placement of supply agreement…including periodical sample tests.

 

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plight of nurse who died reusing PPE’s

 

Plight of a Covid-Nurse; who died Reusing PPE


The Covid 19 does not differentiate whether the health worker, who is at war  with the  virus,  is  in a government sector or private sector. Whether it is in Europe, USA or Asia,  although conditions of Covid warriors may differ. Their protective armour may differ from place to place, even hospital to hospital. But the enemy virus remains ruthless and attacks, whenever on slight opportunity.  Although there are plethora of rule and regulations dealing with health care workers and  many times health workers themselves do not know or aware about, what to do in a given situation?

But more importantly, among this chaotic situation, whether rules are being followed or not, how administrators or managers are doing can be any one’s guess rather than an  assumption that of  following a uniform  system. The possibility of chaotic and inept  management due to economical or intentional compulsions  may be a real possibility often rather than exception.

Health care workers may be subjected to moral and legal blackmail or pressure to perform their duties in sub-optimal conditions. Such pressures can be tremendous in private sector because of financial complexities.

Is the payment made to doctors and nurses is commensurate to the risk to their life and work they do? Who will pay them and how much in case harm occurs to saviors   themselves,  administrators refrains to discuss.

 

Nurse’s death: Colleagues say had to wear used PPEs

A senior nurse at   the Hospital claimed, “While the doctors were given fresh PPE, the nurses were asked to reuse PPE. If we raised objections, we were told that since this is not a designated Covid-19 hospital, we are at little risk, and can reuse PPE.”

 

A day after a 46-year-old nurse at a private hospital in Delhi succumbed to Covid-19, her colleagues have alleged that the hospital made nurses “reuse personal protective equipment (PPE), including gloves and masks”.

On Sunday afternoon, a nurse at the  Hospital, was admitted and  died at Delhi’s Safdarjung Hospital, where she was admitted on May 21. She is the first nurse to have died of the virus in Delhi.

The Indian Express spoke to 10 nursing staff at the hospital, where she worked as well as nurse’s son, and all of them spoke about PPEs being reused during duty.

A senior nurse at the Hospital claimed, “While the doctors were given fresh PPE, the nurses were asked to reuse PPE. If we raised objections, we were told that since this is not a designated Covid-19 hospital, we are at little risk, and can reuse PPE.”

The Indian Express spoke to the owner of the hospital, who denied the allegations and said that adequate PPE and hand sanitizers were being provided to all employees. “I have not received a single complaint from any staffer. If there is a single discrepancy, I will investigate and take strict action,” he said.

A senior nurse, who said she was close to the nurse, alleged that on her last day at the  Hospital a week ago,  she  got into an argument with the nursing in-charge about “not getting fresh PPE and masks”. Another senior nurse who worked in the ICU with her  confirmed this.

Her friend and colleague claimed that she was working until May 18, when she did a morning shift and refused to do the night shift as she was feeling sick. “At night, she had fever, a bad throat and body ache, so we advised her to rest. On May 19, too, she was sick, and on May 21, she had difficulty breathing, so she was taken to Safdarjung Hospital,” said the nurse.

She died on the afternoon of May 24.

Her son said “My mother’s condition deteriorated so rapidly… I couldn’t understand how to get here sooner. Over a week ago, she mentioned that the hospital was making her reuse PPE and charging money for masks. I got agitated and told her to just stay at home, but she didn’t listen to me. She continued working, and now she is dead.”

 

25 factors for expensive medical treatment

Altruistic professions are not cherished in present era

21 occupational risk to doctor and nurses

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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.

 

 

 

Grief : Death of AIIMS Covid warrior; raises questions


What happened to my father shouldn’t happen to anyone: Son of deceased AIIMS sanitation chief

 

Two days after his father, senior sanitation supervisor at AIIMS New Delhi, died of COVID-19 at the institute’s trauma centre, his son is still in shock.

Amid conflicting versions from the family and the institute administration, it’s unclear where the truth lies. What’s clear is, COVID warriors remain vulnerable to the disease and must do all they can to protect themselves.

The complexity associated spread and treatment  with Covid-19, is beyond the present day medical science. Although global efforts are being done on war footing, but it may take few months or a year to have some reasonable control over virus.

 

“My father got the infection on May 15 and passed away on May 24, within nine days.He was still on duty when he first developed uneasiness and illness. Routine checks were done at AIIMS on the morning of May 15. COVID test was not done and the doctors on duty suggested that my father should return for a COVID test after he develops symptoms. By the time visible symptoms developed around May 19, my father was already in need of a ventilator,” says his son urging asymptomatic people to get tested as soon as possible.

Every day is crucial in the fight against this disease as it doesn’t give you any time to respond, says the young man who, like his father, is a permanent staffer at AIIMS.

The son  also raises the question of quality of protective gear available to sanitation staff, cleaners, sweepers, ward boys and other workers at the institute.

While acknowledging the pressures of COVID management on AIIMS, the distraught son says that the N-95 masks provided to the sanitation workers at AIIMS were of low quality.

“We are all given four N-95 masks with four envelopes for 15 days and we a supposed to use one each day, store the others and then repeat the cycle. Since the COVID outbreak, I’ve only received eight masks till now. My father also had the same mask and its quality is very low as compared to the quality of filter N-95 masks you get in the markets. We do not get gloves. Sanitizers are also not freely available and we are mostly encouraged to use soap and water. But because the sanitation staffers’ job is prone to infection they should get the best quality masks, head caps, gloves and full disinfection kits. What happened to my father should not happen to anyone,” he  said, urging the government to increase testing of asymptomatic people.

Sudden demise of the front warrior has now brought the lens on the safety of cleaners and ward boys across top COVID hospitals.

Questions also arise on whether he had received Hydroxychloroquine preventive drug against COVID considering

ICMR recently revised its HCQ guidelines to include asymptotic COVID warriors in containment zones.

When contacted, AIIMS medical superintendent ruled out laxity on the part of AIIMS in handling the the case.

AIIMS medical superintendent also said AIIMS had issued HCQ for all its COVID warriors much in advance of ICMR’s revised guidelines covering all frontline staffers in containment areas and provided its staffers with all the necessary protection.

“Why wouldn’t we care for our own staff? We managed the case  the moment he came to us,” said  AIIMS medical superintendent

Amid conflicting versions from the family and the institute administration, it’s unclear where the truth lies.

What’s clear is, COVID warriors remain vulnerable to the disease and must do all they can to protect themselves.

21 occupational risk to doctor and nurses

covid 19 unmasks risk to health workers, administrators refrain

disbelief to grief

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

Noble doctor-Ignoble death #Chennai doctor death #Covid-19


 

Chennai Locals Pelt Stones at Ambulance Carrying Body of Popular Doctor Who Died Due to Covid-19.

Hercules, who ran the New Hope private hospital in Chetpet, battled against the disease for 15 days at the Apollo Hospital in Chennai before succumbing to it.

 

Chennai: Locals at an upmarket locality in Chennai pelted stones at an ambulance ferrying the body of popular doctor and medical entrepreneur Simon Hercules who died due to coronavirus after a 15-day struggle with the disease.

Hercules, who ran the New Hope private hospital in Chetpet, battled against the disease for 15 days at the Apollo Hospital in Chennai before succumbing to it.

The ambulance driver and a sanitation worker were wounded in the attack that happened late on Sunday night. Police sources confirm that 20 people have been arrested.

According to a relative of Hercules, locals opposed their attempt to bury the body despite the fact that permission was granted. “They refused to allow the cremation of the body. I make this teary-eyed post to all you that a sincere doctor who died treating Covid-19 patients does not have the space for a decent burial,” said Dr Bakiaraj.

This is the second incident of a doctor being disallowed a decent burial in Chennai. Recently, in Ambattur, a doctor from Apollo Vanagaram was not allowed space for burial by locals.

 

The incident at Chennai is not only disheartening for doctors but dissuades others to carry out the noble work and discourages many to take responsibilities of medical care. This brings forth the narrow-minded nature of public, without realizing their own loss.  Doctors are not  God and are simply human beings. They may become victims of the diseases, while they try to save the patients while putting their own life at risk. This incident not only unmasks their vulnerability to catch diseases, the adverse circumstances they have to work, but sadly victims of underserving public wrath.

If such is the behavior of the public towards doctors, why children should become doctors at all? Why doctors should put themselves at risk while in pursuit to save lives?

21 occupational risk to doctor and nurses

Altruistic professions not respected in the present era

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

Russian Doctor arrested for Challenging Virus data. Administrator’s refrain


The police held overnight an outspoken Russian doctor, Anastasia Vasilieva, who was trying to deliver masks to an impoverished rural town.

MOSCOW — Russian authorities detained the leader of an independent doctors’ union, an outspoken critic of the Kremlin who has dismissed as “lies” the country’s low official numbers for coronavirus infections.

Anastasia Vasilieva, the head of the Alliance of Doctors, was stopped by the police on Thursday and held overnight while traveling from Moscow to an impoverished rural town to deliver masks, gloves and other supplies to a local hospital, a colleague who was traveling with her said.

Earlier a Chinese doctor Li Wenliang, one of the eight whistle-blowerswho warned other medics of the coronavirus outbreak but were reprimanded by the police, died of the epidemic on Thursday, official media reported. Li, a 34-year-old doctor who tried to warn other medics of the epidemic, died of coronavirus.

       Administrators and regulators refrain to study data that would establish and quantify the occupational hazards of being a doctor and nurses. Some of these hazards may be known, but there is no comprehensive analysis of workplace risk for physicians and nurses, like those that have been done for other professions. Perhaps society prefers to remain blissfully ignorant of the sacrifice and risk their doctors  and nurses take on.  Perhaps we  all despise to let reality and data shatter the illusion

The detention of Dr. Vasilieva, an eye specialist who has been highly critical of Russia’s response to the pandemic, added fuel to already widespread skepticism, particularly among Kremlin critics, about the accuracy of official figures showing relatively few cases of the virus in Russia. Her detention also increased skepticism about the readiness of Russia’s health care system to cope with the pandemic.

A group of doctors at a hospital in St. Petersburg, Russia’s second biggest city, released a video on Friday appealing to the public for help in obtaining the protective equipment they said they needed to treat coronavirus patients.

Maria Bakhldina, the head doctor at the hospital, speaking to Fontanka, a news site in the city, dismissed the doctors complaints as “untrue.”

Views on how far the virus has really spread in Russia and how prepared the country is have been largely determined by political leanings. The general public, which mostly supports President Vladimir V. Putin, has voiced little concern while many of the Kremlin’s opponents suspect a cover-up.

Aleksei A. Navalny, Russia’s most prominent opposition leader, recently accused the authorities of lying about the number of tests carried out and suggested that, as a result, the number of cases could be much higher than reported.

Russia has sharply stepped up testing and now says it has conducted more than 575,000 tests, but this includes cases of multiple tests on the same person, lowering the head count.

In an address to the nation on Thursday, President Putin, holed up for most of the past week in his country residence outside Moscow, praised health workers for “holding the line of defense against the advancing epidemic” but acknowledged the worst is yet to come.

Dr. Vasilieva, the detained physician, set up the Alliance of Doctors last year in part to counter the Kremlin’s claims of dramatic improvements in funding and other support for hospitals. She has treated Mr. Navalny as a patient and affiliated her group with his. The authorities arrested her last year for rallying opposition to the closure of a tuberculosis clinic in a poor region of southern Russia.

Mr. Putin’s approval rating, according to a recent survey by the Levada Center, a respected Russian polling organization, fell from 69 percent in February to 63 percent in March, near to what it was in 2014 before a surge in the president’s popularity after Russia’s seizure of Crimea from Ukraine.

In his last public outing early last week, Mr. Putin visited a new state-of-the-art infectious diseases center, Hospital No. 40 in Moscow, escorted by its head doctor, who this week tested positive for the virus. The Kremlin said that Mr. Putin has been tested regularly and that “everything is O.K.”

Russia on Friday reported 601 new infections, down from 771 new cases reported on Thursday, bringing the total number to 4,419. This is a fourfold increase over the past week but still far fewer than the more than 245,000 cases reported in the United States and nearly 118,000 in Spain and 115,000 in Italy.

Critics of the Kremlin, however, have questioned the official figures. Dr. Vasilieva, the detained doctors’ union head, said in a video late last month that authorities were lying about the true number of infections, accusing them of deliberately misclassifying people who had developed the disease as victims of ordinary pneumonia.

A few days later, she said she had been called in for questioning over her comments, declaring defiantly in another video that “You can send whomever you want to get me — the Federal Security Service, the fire service — but the truth will not change.” The real number of coronavirus cases, she said, “is much higher than the authorities say.” She provided no evidence of any cover-up.

Her medical workers’ union, warning that Russian hospitals were desperately short of masks and other protective equipment, recently started a fund-raising drive online to raise money from the public to buy supplies for hospitals and clinics.

The government, too, seems worried that it may need to do more to control the virus. On Friday, it suspended the last remaining flights into the country, halting even special flights bringing Russians home from abroad, the Interfax news agency reported. All land borders have already been closed.

Moscow, St. Petersburg and many Russian regions this week ordered residents not to leave their homes except to buy food and medicine or walk their dogs close to their residence.

Dr. Vasilieva was stopped by police officers on Thursday while attempting to deliver supplies by car to a hospital in Okulovka, northwest of Moscow, according to Natalia Kolosova, a colleague who was traveling with her. “They were clearly waiting for us,” Ms. Kolosova said, noting that police officers had set up a check point at the entry to Okulovka but stopped no other vehicles.

Dr. Vasilieva appeared in court on Friday charged with disobeying police orders and violating quarantine restrictions. She was released on Friday evening after being ordered to pay a small fine.

Natalia Zviagina, director for Amnesty International in Russia, condemned the detention, saying in a statement that: “It is staggering that the Russian authorities appear to fear criticism more than the deadly Covid-19 pandemic” caused by coronavirus. By detaining Dr. Vasilieva, she added, the authorities show “they are willing to punish health professionals who dare contradict the official Russian narrative and expose flaws in the public health system.”

Okulovka hospital’s head surgeon, Yuri I. Korvin, also a critic of the authorities, had been ordered to stay away from the hospital and self-isolate for two weeks because he had had contact with Dr. Vasilieva, Mr. Sokolov said. Police officers involved in her detention, however, were allowed to keep working, he added.

Mr. Sokolov said “nobody knows the real number of infections” and added that residents in Okulovka were alarmed by a recent flood of people arriving from Moscow and St. Petersburg. Fleeing quarantine restriction and high infection rates in their home cities, urban residents have been fleeing to rural towns like Okulovka to take shelter at country homes.

“None of us know where these people have been or whether they have been tested,” he said.

reel heroes vs real heroes

21 occupational risk to doctor and nurses

administrators refrain to study  risk to doctor and nurses

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

History of Major Pandemics


Disease and illnesses have always been  catastrophe to  humanity since ancient times. The magnitude of the illnesses and death rates have shown a  marked shift. The more civilized humans became – with larger cities, more exotic trade routes, and increased contact with different populations of people, animals, and ecosystems – the more likely pandemics would occur.

Despite the persistence of disease and pandemics throughout,   one trend that has emerged over time is the gradual reduction in the death rate. As the germ theory is discovered and there is a better understanding of the causative agents has led to better control. Healthcare improvements and control of infections have been powerful tools in mitigating their impact.

In many ancient societies, people believed that spirits and gods inflicted disease and destruction upon those that deserved their wrath. This unscientific perception often led to disastrous responses that resulted in the deaths of thousands.

Brief timeline for the major known pandemics :

165  AD  –  Antonine plague-  thought to be small pox or measles  and caused

around   5 million deaths.

735 AD –     Variola major virus–  Japanese smallpox  –     around 1 million deaths

541  AD-     Plague of Justinian – Yersinia pestis/ rat, fleas –   30- 50 million deaths

1347 AD-    Black death (Plague) –- Yersinia pestis/ rat fleas –   200 million  deaths

1520 AD-   Smallpox —                  Variola major virus—                  56 million deaths

1665 AD  Great plague of London–- Yersinia pestis/ rat fleas –     One lac deaths

1629 AD-         Italian plague          Yersinia pestis/ rat fleas –     death 30- 50 million

1817  AD– Cholera pandemic (6) – vibrio cholera: over 100 years-death one million

1850 AD – Third plague     –         Yersinia pestis/ rat fleas –              death –12  million

1880 AD-  Yellow fever –           Viral /     mosquitoes                    death 1 lac to 1.5 lac

1889  AD-        Russian flu-                   H2 N2 (bird)                           deaths    10 million

1918 AD–      Spanish flu  –                 H1 N1 (Pigs)                          deaths 30-50 million

1958 AD  –         -Asian Flu                                  H2 N2                                        1 million

1968 AD  –     Hong Kong flu                        H3 N2                                              1 million

1981 AD- continued -HIV/AIDS               viral/  chimpanzees                     30 -40 million

2002 AD-            SARS–                         corona virus  Civets / Bats-                     770

2009 AD              Swine Flu                        H1N1 – (pigs)                                     200,000

2014 AD –           EBOLA                                 Ebola virus  –                                       11000

2015 AD-            MERS                          Corona virus/ bats, Camel         death count 850

2019 AD           -COVID -19                         Corona virus                            -still continued

 

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