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Thiruvanathapuram, Mar 27: The state is heading for its worst ever crisis with coronavirus cases increasing rapidly and Kasargod district the worst hit. On Friday alone 39 positive cases were reported in the state of which 34 are from Kasargod.

Chief minister Pinarayi Vijayan said the situation is grave and Kasargod has been the worst hit. More than the positive cases reported in the district, the worrying factor is that many people have come into contact with these positive cases.

The chief minister warned that the government will be forced to declare the names of the people who are defying the quarantine guidelines in the district. More people have been put under risk in the district and the district administration is much concerned since the results of 215 samples are yet to come.

There is no other way but to tighten the restrictions imposed in the district against the people coming out of their houses. The government has decided to provide more facilities to the hospitals in Kasargod and Kannur to meet an emergency.

The medical college hospital in Kannur will be converted into a coronavirus hospital with 200 bed strength. Steps have been taken to equip the medical college hospital with more facilities. The Central University at kasargood will be converted into as a temporary coronavirus treatment centre. 

The state has also requested permission from ICMR to begin the testing facility here, said the chief minister.

The total number of positive cases reported in the state have now become 176 of which 12 have been discharged after testing negative. At present 164 positive people are admitted in several hospitals of the state.

On Friday of the 39 positive cases, two are from Kannur and one each from Thrissur, Kollam and Kozhikode. With this all the districts in the state have been now affected with coronavirus.

Bengaluru, Jan 21: A private hospital in Bengaluru, the capital of Karnataka, on Tuesday claimed that it has successfully performed a live liver transplant on a Jehovah's Witness from Nigeria, by not using blood or blood products, in order to protect the patient's religious beliefs.

It is said that Jehovah's Witnesses are followers of a Christian faith that prohibits the use of blood or blood products during their treatment. Gehojadak (37), a Jehovah's Witness follower, had developed decompensated liver disease and visited more than three countries seeking treatment over the last four years but was turned away by most doctors due to the highly risky nature of surgery, Aster CMI Hospital said.

The surgery was challenging compared to a normal liver transplant because in order to protect the patient's religious beliefs, the medical team could not use blood or blood products (Fresh frozen plasma, Cryoprecipitate, Platelets etc), it said in a release, adding that very few such surgeries have been successfully conducted worldwide.

The patient's brother was the donor, the hospital said, adding, without a liver transplant, Gehojadak's chances of survival were less than 10 per cent over the next two years. A team of liver specialists from the Hospital thoroughly reviewed the patient's medical history before recommending a bloodless liver transplant and charted out a feasible pathway to make the surgery a success.

"This transplant was especially challenging as we did not have the safety net (of using blood) even if the patient's life was at risk due to their advance directive. We have performed other non-transplant liver surgeries in Jehovah's Witnesses and this gave us the confidence to take on Gehojadak's transplant," Dr Rajiv Lochan, Consultant Liver Transplant Surgeon, said.

The critical surgery took a 12-hour period to complete where two teams of specialists with close to 25 doctors including anaesthetists, intensivists worked in absolute sync with each other and Gehojadak finally received a life-saving liver transplant, the Hospital said. In a period of two weeks, the patient and his brother were fit enough to go home and were discharged from the hospital.

"Even if their haemoglobin levels dropped to life-threatening levels, the patients were clear that they would not accept a blood transfusion. Keeping the limitations in mind, the most effective treatment path was planned, and we spent close to two months preparing the patients for surgery," Arun V, Consultant Anesthesiologist said. The hospital arranged customised artificial products like synthetic drug molecules, to conduct a bloodless liver transplant, he added.

Mangaluru, May 8: Dr Arathi Krishna, former deputy chairman of Karnataka NRI Forum, today called on Karnataka chief secretary Vijaya Bhaskar and urged him to exert pressure on the Centre through chief minister to expedite evacuation of Kannadigas stuck in Saudi Arabia amidst covid-19 lockdown. 

She also conveyed the message from labourers in Gulf countries requesting for free quarantine facility upon their arrival. Positively responding to the demand, Mr Bhaskar said that free quarantine facility will be arranged at BSF base in Bengaluru apart from paid quarantine facility in different hotels and guest houses.

Dr Arathi Krishna told coastaldigest.com that she also spoke to the officials in-charge of Gulf in the Ministry of External Affairs  and requested them to take necessary steps to add more special flights from Gulf countries to Karnataka. 

The officials have promised to consider operating flight from Riyadh to Mangaluru via Dammam in the second wave of evacuation, the schedule of which is expected to be announced in a few days, she said.