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.
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A woman does not have to go for Hajj unless she is able, and having a Mahram who can accompany her is one of the prerequisites for her to be able to go to Hajj. If it is not easy for her to find a Mahram to go for Hajj with her, then she is not able according to Shareeah, because in Islam a woman is forbidden to travel without a Mahram. Therefore Hajj is not obligatory for you unless you find a Mahram. So have patience until Allaah makes it easy for you to have a Mahram with whom you can go for Hajj. You have a valid excuse and there is no sin on you for this. As for going with a group without a Mahram, this is not permissible because of the hadeeth narrated by Ibn Abbaas (may Allaah be pleased with him) who said: The Prophet (peace and blessings of Allaah be upon him) said: No woman should travel except with a Mahram, and no man should enter upon a woman unless her Mahram is with her. A man said, O Messenger of Allaah, I want to go out with such-and-such an army and my wife wants to go to Hajj. He said, Go to Hajj with her.
(Reported by al-Bukhaari, 1729). The pilgrims used to go out from Madeenah in one caravan like a group but still the Prophet (peace and blessings of Allaah be upon him) did not allow women to travel without a Mahram.
And Allaah knows best.
my friend, first of all you must understand what is the concept of Mahram in Islamic perspective. If you don't know learn from the scholars to know the significance. Please don't utter such a rubbish statement in front of media before you understand from the authentic sources why mahram is mandatory for a women in her journey. if you are illiterate in this subject, then you learn first.
Dear Dont take the credit, this is done by SAUDI Authorities. Your party is famous for taking credit for some else work.
A dirty political Iblis a agent of rss terror group. Zero religious knowledge.
It turns out that the Saudi Arabia government had relaxed the mahram provision for women over 45 years of age, travelling in organised groups in 2014 itself.
So clearly, India has just caught up. It should also be noted that if India had altered the rules and Saudi’s visa guidelines had not, it still wouldn’t have been possible for Indian Muslim women to travel for Hajj without a male escort.
Saudi Hajj Rule "
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