Kathua rape victim sank into coma due to overdose of sedatives: Forensic experts

Agencies
June 24, 2018

New Delhi, Jun 24: Overdose of sedatives, forcibly administered to an eight-year-old rape victim during her captivity in Kathua in January 2018, could have pushed her into coma before she was killed, forensic medical experts have said.

The Crime Branch of the Jammu and Kashmir Police, probing the gang rape and murder case, sent a sample of her viscera to a forensic laboratory earlier this month to examine the effect of “mannar” candies (believed to be local cannabis) and Epitril 0.5 mg tablets, administered to the girl by her captors.

According to the medical opinion received recently by the Crime Branch, the doctors said the tablet given to the eight-year-old girl could have pushed her into a state of shock or coma (loss of consciousness).

The Crime Branch had asked the medical experts to comment upon the plausible effect of the medicine on an eight-year-old girl with an empty stomach.

The Crime Branch decided to seek further medical opinion after it was claimed by the accused and their lawyers in the court, as well as on social media through their supporters, that it was virtually impossible that the girl could not have cried for help when such an alleged brutal attack was happening on her.

'Forcefully administered tablets'

The doctors, after examining the viscera, opined that the medicine administered to the victim contained Clonazepam salt and had to be administered under medical supervision keeping in mind the age and weight of the patient.

“Considering her [victim] 30-kg body weight, the therapeutic dose of 0.1 to 0.2 mg per day divided in three doses for patient [is recommended],” it said.

“She was forcefully administered five tablets of Clonazepam of 0.5 mg each on January 11, 2018 which is higher than the safe therapeutic dose. Subsequently more tablets were given… the signs and symptoms of an overdose may include drowsiness, confusion, impaired coordination, slow reflexes, slowed or stopped breathing, coma [loss of consciousness] and death,” according to the opinion of the medical expert.

The peak concentration of Clonazepam is achieved in the blood after one hour to 90 minutes of oral administration and its absorption is complete, “irrespective of administered either with or without food”, according to the concluding opinion of the medical expert.

No analysis on 'mannar'

The opinion would be submitted before the district and sessions court in Punjab’s Pathankot, hearing the matter, after the summer break next week.

The trial of the case was shifted from Kathua (in Jammu) to Pathankot on the directions of the Supreme Court.

The doctors said the risk is higher if Clonazepam is “concomitant used with other CNS [central nervous system] depressants like alcohol...”

The doctors, however, could not give any laboratory analysis of ‘mannar’ candies and said “it is difficult to comment on the effect its co-administration with Clonazapem” would have.

‘Mannar’ is locally available cannabis, which keeps a person sedated for a few hours.

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Hell watchman
 - 
Monday, 25 Jun 2018

GOD will never forgive them...the people who support these criminal will have the same fate.. 

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News Network
July 2,2020

Bengaluru, Jul 2: Karnataka Health Minister B Sriramulu on Thursday launched the ICU Telecard, developed by CISCO to address the concerns of doctors treating coronavirus patients.

Wi-Fi networks and Cisco Health platform help to protect the entire medical team dealing with the infected person by ensuring that doctors do not have to be inside isolation wards and COVID ICUs.

The ICU Telecard has been installed at Victoria and KC General hospital.

"This technology is a necessity to safeguard health of our doctors and it should be implemented in all hospitals. We will discuss about this in the task force meeting and decide regarding the use of this technology in all COVID hospitals in the state. For now, we have installed one at Victoria and KC General hospital" said the minister.

Addressing the complaints of non-release of dead bodies without coronavirus testing, Sriramulu said: "Experts have discussed the same in a meeting with the Chief Minister yesterday, who has ordered for an increase in the number of testing labs. This should resolve the issue. We are also contemplating the conduct of plasma therapy in all districts."

The minister said that the government has also decided to reserve two ambulances for every ward to address the issue of non-availability and will procure more ambulances on rent if the existing ones are insufficient.

He further informed that those who were seen dumping the bodies in a pit in Ballari have been suspended and notice has also been served to officials in Yadagiri.

"We will ensure such instances do not repeat in the state," he said.

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News Network
July 4,2020

Bengaluru, Jul 4: Amid the rising COVID-19 cases in the state, the Karnataka COVID-19 Task Force has decided to set up booth-level committees across the state including 8,800 here for effective monitoring and surveillance.

The task force also released detailed guidelines for home isolation for asymptomatic cases including 17 days ''home isolation'' for patients below 50 years of age. It also warned of legal action against those health workers for disrespect to the bodies.

Briefing reporters after the meeting on Friday, Medical Education Minister Dr K Sudhakar said the local management will be strengthened for effective monitoring and surveillance of COVID-19 cases. "There will be booth-level task force committees throughout the state right from the village to Bengaluru.

These task force committees will act at the ultra local level. The task force will act as a structural and functional unit of COVID-19 dealing with monitoring, surveillance, checking of all the ILI cases, ambulances and hospitals," he added.

He also said the committees will comprise one member each from the Health department, police department, municipalities or Panchayat, volunteers, valveman. The committee will have five to six members.

The principal secretary in the Village Development and Panchayat Raj department L K Ateeq has been appointed as the nodal officer to manage the task force in the rural areas whereas in the urban areas, the Urban Development secretary, the municipal administration directors and the municipal commissioner will form the local task force.

"In Bengaluru alone 8,800 teams will be formed, which will be coterminous with the 8,800 booths in the city. They will provide the real-time data. They will be imparted training," the minister added. Noting that there were about 8,800 electoral booths in Bengaluru city and each booth will have a task force committee, he said a nodal officer has been appointed to oversee this.

The state level task force also came out with a slew of conditions. As far as home isolation is concerned, it would apply for patients who are below 50 years and have no symptoms of any other disease, and their homes should have a toilet and have an attendant.

He also said home isolation duration has been increased from 14 to 17 days. "People should not get fever in the next three days after completing 14 days, else they will be quarantined for another seven days. If they don''t get fever then they will be freed to perform their personal activities," Sudhakar said.

Those who are above 50 years and have comorbidities, will be treated at the COVID care centres only and they will be under medical supervision and be subjected to regular tests. The state is also making arrangements for telecommunication for those who are asymptomatic but wish to speak to a doctor.

It was also decided to have at least two ambulances in each of the 198 wards of Bengaluru. The minister said the additional commissioner of police (traffic) will be the nodal officer to coordinate the movement of ambulances. The task force has also appointed a nodal officer to manage the hospitals based on the availability of beds and ventilators. The officer will provide real time information about beds.

"We want to make sure that no one has to run from one hospital to another," Sudhakar said. On the cremation of the bodies, Sudhakar said guidelines have been issued on how to handle bodies at mortuaries, taking them in the ambulances, human treatment to the deceased while performing the last rites and fumigation of the bed. "Legal action will be taken against those who treat bodies in an inhuman way," Sudhakar said.

The state-level task force has also decided to arrange for test reports within 24 hours. It has also been decided to increase the testing capacity from the existing 15,000 a day to 25,000. In view of the spurt in COVID-19 cases, the task force also recommended antigen tests in crowded areas to check whether there was community spread.

To a question on closing down the border, the minister said there is no question of lockdown. "We cannot hide from this disease. It is not a solution. We have to live with it now, yet maintain a distance from it," he added. Sudhakar, who is a doctor himself, said COVID-19 is not as deadly a virus as those he had seen in the past and asked people not to be scared of it.

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News Network
July 17,2020

Mysuru, Jul 17: Deputy Commissioner Abhiram G Sankar has ordered a partial lockdown in the City of Palaces Mysuru due to the increase in number of Covid-19 cases day by day.

As per the order, the lockdown will be in force from 0600 hours today till 0600 hours on July 24 at N R, Udayagiri, Lashkar and Mandi Mohalla Police limits in the city. In addition, it has decided to lockdown 400 meters from the house where Covid-19 patients have died.

The order further states that all the religious gatherings are prohibited and only parcel service is available to hotels.  Movement of vehicles is also prohibited but in emergency cases, it may be allowed.  Employees and people on essential services can go to work after producing their ID cards.

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