Drug menace spreading to rural areas in DK thanks to Cong leaders: Kateel

Mangaluru, May 23: Criticising the Karnataka government's fresh protocol for management of Covid-19 as expensive, a prominent physician in the city has demanded its withdrawal.

According to Dr B Srinivas Kakkilaya, the protocol released by the Health and Family Welfare Department on May 15 enlists unnecessary and unconfirmed tests and treatments. 

The protocol has classified Covid-19 cases into three categories and has provided for hospitalisation of all three categories of patients, from asymptomatic to the most severely ill.

In a letter to the government, Dr Kakkilaya said: "The protocol suggests several investigations to be done right on the day of admission, including blood counts, liver and renal function tests, chest X Ray, ECG, CT scan of the chest, and other special investigations, all of which, if done, will cost Rs 25,000 per patient."

"In the coming days when lakhs of patients are likely to be infected with SARS CoV2, is it necessary and feasible to hospitalise and test all these patients at Rs 25,000 per person," he questioned.

The treatment options suggested in the protocol are also surprising, he pointed out. "The protocol recommends choloroquine, azithromycin, oseltamivir, zinc and vitamin C for all patients, from asymptomatic to the severely ill, and also anti coagulant injections for many patients. All these would cost at least Rs 5,000 per patient. For severe cases of Covid-19, many unproven and experimental treatments have been suggested, which are very expensive and highly questionable," Dr Kakkilaya notes.

Therefore, this protocol, he asserted was not evidence based and likely to do more harm than good. He said these unnecessarily expensive tests and allowing private companies to conduct trials on Covid-19 patients is likely to be misused by vested interests and must be immediately withdrawn, and instead, a protocol that is evidence-based, simple and avoiding unnecessary expenses, must be developed.

Mangaluru, May 13: Karnataka revised its standard operating procedure (SOP) for international passengers to allow pregnant women, children and senior citizens to entre home quarantine if they test negative for covid-19. 

The development comes after former minister and Mangaluru MLA U T Khader urged the government to follow the Kerala model in handling the repatriates and take extra care of pregnant women and senior citizens at Mangaluru and Bengaluru Airports.

Passengers will be initially dived into two categories. Category A includes passengers symptomatic on arrival while Category B passengers are those asymptomatic on arrival. 

While category A passengers will be directly shifted to covid-19 hospital, category B passengers will be sent to 14-day institutional quarantine.

If there are pregnant women, children below 10 years of age and senior citizens in category B, they will remain in institutional quarantine until they obtain a negative report (after throat swab testing for covid-19). It may take one or two days to get the throat swab testing report.