Ministers may be changed every six months based on their performance: Dy CM

Bengaluru, June 27: In the wake of mounting covid-19 cases across Karnataka, the state government has decided to extend the night curfew hours and to re-impose Sunday lockdown. 

Chief Minister BS Yediyurappa held an emergency meeting on Saturday with the state's top officials to discuss measures to further contain the spread of the novel coronavirus. 

During the meeting, it was decided that a state-wide lockdown will be imposed on each Sunday starting July 5. Only essential services and supplies will be allowed on Sundays.

Timings of the night curfew have also been revised to 8 PM - 5 AM from the earlier 9 PM - 5 AM. “We have decided to impose a curfew starting Monday, June 29, from 8 pm to 5 am every day. Right now, the curfew timing is 9 pm to 5 am, but it’ll be advanced by an hour to 8 pm,” said Home Minister Basavaraj Bommai

Commissioner of Bengaluru's civic body, BBMP has been directed to set up more wholesale vegetable markets to deter large crowds.

Meanwhile, government offices in Karnataka will open only five days a week and the weekend will be off for government employees.

It was also decided during the meeting on Saturday that a centralized bed-allocation system for Covid-19 patients will be taken up to ensure that each patient gets a bed without overwhelming the healthcare infrastructure.

Yediyurappa has also instructed officials to increase the number of ambulances for Covid-19 patients to 250 apart from arranging separate vehicles to carry mortal remains of victims. The police control room will aid officials in identifying the location and easing the movement of ambulances.

Information about nodal officers working for COVID management will be published. Joint Commissioners of 8 regions will be given additional responsibilities and KAS officers will be appointed to assist them.

The services of 180 ESI doctors appointed by the Labour Department will also be relied on by the state government. CM Yediyurappa has also asked officials to reserve wedding halls, hostels and other institutions in Bengaluru as COVID Care Centres.

Bengaluru Urban DC, on the other hand, was instructed to identify more places for the last rites of patients and also to form more teams for this purpose. 

The BBMP Commissioner has been told to notify reservation of 50 per cent beds in medical colleges and private hospitals.

Bengaluru, Mar 23: Karnataka Home Minister Basavaraj Bommai had warned those who chose to defy the lockdown order clamped in nine districts, to prevent the spread of the dreaded COVID-19 virus in the state. 

Speaking to newsmen, he said, "We have ordered for a lockdown in nine districts in the state to prevent the spread of the coronavirus and issued guidelines to follow it."

The nine COVID-19-affected districts are Bengaluru, Bengaluru Rural, Mysuru, Kodagu, Dakshina Kannada (Mangaluru), Dharwad, Belagavi, Kalaburgi and Chikkablapur.

According to Mr. Bommai, the State government will put in place further measures next week depending on how the situation will unfold in the State and the neighbouring States.

"Government offices will be operational in the State, including in the nine COVID 19-affected districts. As per the current schedule, the legislature sessions will also continue. Pourakarmikas will be working at 50% strength," he added.

Bengaluru, Jun 20: The Karnataka Health Department has issued guidelines on the admission of COVID-19 patients in private hospitals after clinical assessment, mandating that the district surveillance officer (DSO) should be first informed to initiate further procedures, an official said on Friday.

"A health team sent by the DSO should visit the home or hospital where the patient is staying. The team should conduct a rapid assessment of his or her health condition," said Karnataka's Additional Chief Secretary Jawaid Akhtar.

In the rapid health condition assessment, the team should first check the patient's body temperature, followed by SpO2 (oxygen saturation) level and confirm if there are any comorbidities such as hypertension, diabetes, tuberculosis, HIV, cancer, stroke etc.

Depending on the health condition of patients, Akhtar said, two categories have been made.

"Those who have body temperature greater than 37.5 degrees Celsius, SpO2 level below 94 percent, elderly (above 60 years) and suffering from known comorbid conditions should be taken to a dedicated Covid hospital (DCH)," he said.

"All other patients, even if older but not suffering from co-morbidities, those below 60 and suffering from co-morbidities and asymptomatic cases should be taken to a dedicated Covid health centre (DCHC) or a private hospital as opted by the patient," he added.

Private hospitals have been asked to pitch in due to the rising number of cases in Karnataka. Currently, there are 2943 active cases in the state after 337 cases were reported on Friday.

"The patients are assessed clinically and evaluated at DCHCs or private hospitals with appropriate diagnostic tests. After evaluation, if the patients are asymptomatic, they are shifted to a COVID Care Centre (CCC) for further management," said Akhtar.

CCCs are expected to be equipped with ventilated rooms, pulse oximeters, handheld thermal scanners and blood pressure apparatus.

A nurse has to be present round the clock for every 50 patients and should visit each patient twice a day for assessment whereas the medical officer has to visit the CCC once a day. He should also be available on call in case of an emergency.

Staff serving food and others should wear personal protective equipment and an N-95 mask. Explaining the procedures at DCHCs, Akhtar said general examinations for medical conditions like body temperature, BP, pulse, oxygen saturation and urine output should be in place.

Investigations such as complete blood count, fasting blood sugar, random blood sugar, liver function tests, renal function tests, ECG and chest X-ray facilities should be available.

"DCHCs should ensure that above examinations are over in an orderly timeline of 24 hours and depending on the examination, the patient is continued to be lodged at the DCHC or sent to DCH or CCC," said the senior officer.

Likewise, the discharge policy should be done as per the protocols issued by the Health Department from time to time.

The Karnataka government is yet to fix an upper limit on the cost of treating COVID-19 patients in private hospitals. While reports indicated that this could be capped at Rs 5200 per day, health officials are yet to specify this is the case. Private hospitals in the state have asked the government to take a collaborative approach in deciding the fixed cap on treatment cost.