AJ Shetty, SL Bhyrappa, Dr Manjunath conferred honorary doctorate by MU

Kasaragod, Apr 19: Kasaragod, Kerala's COVID-19 hotspot, is the only district in the southern state lacking adequate health infrastructure.

In spite of treating the highest number of COVID-19 patients in the state with meagre infrastructural facilities and even without the support of a medical college in the north Kerala district, no deaths have been reported due to coronavirus.

The state health department views the performance of M Kunhiraman and his team, consisting of Janardhana Naik and Krishna Naik, at the General hospital in Kasaragod as a success story.

"Not only did they control the situation quickly with minimum infrastructure, they also started turning out a large number of negative cases within a few weeks and creditably ensured zero mortality.

This can be showcased as a best global model," Chairman of the Information Education and Communication (IEC) Committee and Project Director Kerala State Aids Control Society, R Ramesh said.

Recalling the ordeal, Janardhana Naik said his first major challenge was the physical examination of a patient with suspected COVID-19.

"Even with the PPE kit, nobody knew how effective they were and it took a whole 30 minutes to wear them properly.

But as time passed, we got accustomed to it," he said.

The traditional method of dealing with a patient involved knowing his or her history, observation and physical examination.

For hundreds of years, the hands-on body approach has been the soul of the doctor-patient relationship -- taking the pulse, tapping on and listening to the chest, feeling lumps.

With the onset of COVID-19 all that has changed.

"In fact, the whole exercise was fraught with grave risks because everything connected with COVID-19 was new.

Doctors have to keep a distance even though the physical examination wearing a Personal Protective Equipment (PPE) is difficult.

Sounds from the body are inaudible, vision is blurred through the smog-covered goggles and a stethoscope seldom has any use," Janardhana Naik said.

It was from March 15 that the hospital started receiving COVID-19 patients, primarily from Dubai.

By the time the first person came, the hospital was ready for him.

Soon, patient numbers began to swell and in a couple of weeks they reached about 91.

From then on, it was teamwork.

Committees were formed for each and every task, including the help desk, IT, treatment, medical board, training, food, waste disposal and data maintenance.

Initially, patients had many misgivings about the hospital.

"Some were disillusioned and even aggressive. Some were not happy with the facilities the hospital had to offer.

But gradually through good treatment and counselling by a psychiatrist, who visited the hospital on alternate days, the confidence and mood of the patients changed and they became friendly with the staff," Naik elaborated.

Counselling was also given to the concerned family members of the patients.

Besides treatment, the medical staff had to spend a considerable amount of time clearing the doubts of patients.

When they got discharged some patients insisted on seeing the faces of the medical staff, who till then were anonymous entities covered from head to toe.

Some even wanted to take selfies with them.

However, the medical team politely turned down their requests and preferred to remain hidden in their work attires.

The mood of the patients also rubbed off on the doctors and hospital staff.

All the physicians and hospital staff are now more confident of dealing with contagious diseases after treating COVID-19 patients.

"Our previous experience of treating H1N1, Chikungunya and Dengue cases helped us a lot.

Words of encouragement from the Health Minister K K Shailaja, Health Principal Secretary Dr Rajan N Khobragade and Health Services Director Dr Sarita R L gave us the impetus to build up confidence.

Moreover, the field health workers did a wonderful job in containing the viral spread," Naik added.

As the number of coronavirus cases rose, the state government on April 5 deputed a 26-member medical team from Thiruvananthapuram to set up a COVID-19 hospital in the district.

They turned a block of the under construction Government Medical College as a hospital-like facility, setting up a 200 bed facility to treat coronavirus patients.

Mangaluru, June 6: As many as 24 coronavirus positive cases reported in Dakshina Kannada in 24 hours (from 5 p.m. June 5 to 5 p.m. June 6). 

With this the total number of covid-19 cases mounted to 167, among which 88 are currently active. 

Among the newly detected 24 cases 11 are Maharashtra returnees, 6 are Dubai returnees, 1 is Arabia returnee, 1 is Ukraine/Turkey returnee. And source of 5 new cases still remained untraced.
 

Bengaluru, May 6: More than a month after international flights have been barred, Karnataka government is preparing to quarantine all 10,823 of the state''s people poised to return home from overseas amid the Covid pandemic, an official said on Tuesday.

"The state has planned to quarantine all 10,823 passengers coming back to Karnataka. The quarantine guidelines framed as below would be applicable," said Health Commissioner Pankaj Kumar Pandey in a statement.

According to the Government of India, 10,823 Karnataka residents have been stranded abroad by April 30, comprising 4,408 tourists, 3,074 students, 2,784 migrants and professionals and 557 ship crew.

Out of the 10,823 people, the state government is expecting 6,100 to return early as the government has decided to allow Indians stuck abroad to return.

"All the passengers arriving at points of entry (airports and seaports) will be compulsorily screened for symptoms of Covid-19," said Pandey.

Point of entry screening will include self-reporting form verification, thermal screening, pulse oximeter reading, briefing with instructions, categorisation, stamping for some and downloading of Aarogya Setu, Quarantine Watch and Apthamitra apps.

Arriving passengers are also required to declare existing comorbidities such hypertension, diabetes, asthma or any lung disease, organ transplantations, cancer, tuberculosis and other ailments.

Passengers will be categorised into three groups: Category A (symptomatic on arrival), Category B (asymptomatic with co-morbidity or aged above 60 years) and Category C (rest of asymptomatic passengers).

Depending on the category into which the people fall, their quarantine place and time will be determined.

Category A arrivals will be subjected to institutional quarantine for a fortnight, Category B one week quarantine at a hotel or hostel, followed by another week at home, and Category C home quarantine for a fortnight.

Karnataka government is making elaborate arrangements and logistical means, deploying healthcare, police and several other departments into action to handle the huge influx of Kannadigas and state residents.

Pandey has issued a 21-page elaborate standard operating procedure (SOP) guidelines on how to face the international returnees.