Tar-heating at house-shed triggers fire, Kandatpalli residents spend anxious time

Bengaluru, Mar 31: With many departmental stores, shops and establishments insisting on people to wear masks, Karnataka government on Tuesday clarified that as a rule every one need not wear a mask.

The Commissionerate of Health and Family Welfare Services in an advisory said a person is suppose to wear mask only when he or she has symptoms of cold or cough or fever or any other respiratory problem.

It said a person who is caring for COVID-19 suspect or confirmed patient should wear mask. Also, a health worker who is attending to a patient with respiratory symptoms should wear a mask.

The advisory also noted that those treating or handling COVID-19 suspects or patients need to wear N95 mask, while others can wear triple layer surgical mask.

The advisory from the Commissionerate has come amid shops and establishments, also police on road insisting people to wear masks when they venture out.

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.

Kasaragod, Apr 2: Kerala reported 21 new cases of coronavirus with eight from the worst affected Kasaragod district, taking the tally of active patients to 256, Chief Minister Pinarayi Vijayan said on Thursday.

Besides, Kasaragod, five positive cases have been detected from Idukki, two from Kollam and one each from Thiruvananthapuram, Pathnamthitta, Thrissur, Malappuram, Kozhikode and Kannur, he told reporters here.

At least 1.65 lakh people are under survillence in the state, 643 in various hospitals.

Presently, 256 people are under treatment for the virus in the state where two fatalities have occurred, Vijayan said.