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Mum team to look at city’s corona surge,  mayor kept out



Nagpur: Five-member team from Mumbai is all set to visit city on Friday for studying surge in number of Covid-19 deaths and cases in the district and suggest ways to check it.
Home minister Anil Deshmukh and guardian minister Nitin Raut have taken the initiative. Mayor Sandip Joshi is reportedly not invited for meeting. He held his own meeting at Nagpur Municipal Corporation (NMC) and finalized some steps.

A press release from Deshmukh said a meeting has been organized at 12.30pm at the office of divisional commissioner. The team comprises Mumbai commissioner IS Chahal, surgeon Dr Mufazzal Lakdawala, Ear Nose Throat specialist Dr Gaurav Chaturvedy, nephrologist Dr Hemal Shah and intensivist Dr Rahul Pandit.
“Chahal and experts have controlled corona in Dharavi, Koliwada and other parts of Mumbai. They will suggest measures to control infection in the district,” he said.

Raut told TOI, “Main motive was to control deaths. The team will analyze works being done here and suggest if any improvements are needed,” he said.
Dr Chaturvedy, who is managing Covid care facility at Marine Lines, said, “Chahal will advise on the administrative side. We four doctors are frontline Covid experts and working in Covid care in Mumbai and Navi Mumbai. We will give recommendations on medical infrastructure, jumbo facility, ICU set up, breaking chain of transmission and how to trace, track, test and treat for containing covid situation.”
Divisional commissioner Sanjeev Kumar, municipal commissioner Radhakrishnan B, collector Ravindra Thakare, CEO of ZP Yogesh Kumbhejkar, district civil surgeon VD Paturkar, other officials and deans of GMCH, IGGMCH etc will be present.
Joshi said, “Suggestions from all especially experts are welcome if they are to benefit the city. I would have attended the meeting if I had been invited. It is for the entire city so I should have been invited. Excluding one meeting, guardian minister did not invite me for any,” he said.
Joshi along with civic chief held a meeting with doctors of GMCH, IGGMCH, AIIMS and private hospitals for chalking out and implementing measures to control Covid-19 on Thursday.
It is for the second time the local administration will be seeking advice from experts. The administration has been constantly taking suggestions from Dr Sanjay Zodpey, director of Public Health Foundation of India (PHFI), New Delhi, and member in one of the committees of ICMR.

Problems
* Number of tests below 5,000 per day
* No monitoring of asymptomatic and mild symptomatic positive patients in home isolation
* Tracing and testing of high-risk contacts became negligible
* Special testing and monitoring of ILI, COPD, cancer, HIV, diabetes, hyper tension, obesity etc patients stopped
* Symptomatic patients reporting hospitals after 6-9 days or more from onset of symptoms
* No beds available in GMCH and IGGMCH despite 43% beds being vacant
* Private hospitals giving around 30% of total beds for Covid-19 that too without facility of ICU, dialysis, operations, chest diagnosis through CT scan etc so no beds available, especially for critical patients
* 4% patients are in CCCs and over 62% in home isolation
* No ambulance service from localities to hospitals
* No sero-surveillance for early identification of hotspots
* Lack of control and action on violators of social distancing, spitting, not wearing masks etc
* Shortage of some injections like tocilizumab
* Many patients avoiding hospitalization for fear of high charges, denial of cashless treatment under insurance, and in government fearing improper treatment and unhygienic conditions

Source : India times

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