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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.

A pregnant elephant in Kerala ate a pineapple, which was filled with country-made bombs or dynamites. It led to a painful death as the elephant was pregnant and died standing in the Velliyar River in Palakkad in Kerala. People are venting out their anger and concerns all over social media about the gruesome incident.

Yesterday, it was reported that the pregnant elephant was killed after locals allegedly fed her a pineapple stuffed with crackers.

However, when International Business Times, India, reached out to Dr Ab Qayoom, who is an Indian Forest Service Officer, for his comments about what actually must have happened, we got to know that no one have fed the pineapple to the elephant.

Snares used for keeping animals away

Dr Qayoom stated that pineapples filled with firecrackers are used as a snare for catching wild boars. He said, "No one would have fed the pineapple to the elephant. The animal must have found it lying somewhere and must have consumed it herself not knowing what lies ahead for her."

He also stated a second possibility. He said, "Some people actually do such insane things as they consider wild animals as a threat to their property and life. Such incidents do happen at places where wild animals create problems for human beings."

Snares are often found around farms, coffee plantations

He added that wild boars often spoil crops and people use snares as a way to protect their farms and crops. This year, it was reported that the government would soon permit farmers with licensed firearms to shoot wild boars that wander into their lands. The problem is that people do not limit their snares to only wild boars and there have been several incidents when tigers, leopards and other animals have fallen prey to these haphazardly placed snares around farms, coffee farms and wildlife corridors.

Elephant kept standing in water before dying

The pregnant wild elephant originally belonged to Silent Valley National Park (SVNP), Palakkad. As the elephant died, she remained calm despite being in excruciating pain. The elephant kept standing and died at Velliyar River, Malappuram, with its trunk in the water.

The elephant was 15-years-old and was probably getting some relief as it stood in the water after her tongue and mouth exploded. Mohan Krishnan, Section Forest Officer, Nilambur, shared the sad incident on his Facebook page where he had acted as the Rapid Response Team official to rescue the elephant, which was in distress.

When a postmortem examination was carried out, it was learnt that the reason for the elephant's death was due to asphyxia where water had got into her lungs and trachea. Dr David Abraham, Assistant Forest Veterinary Officer, Thrissur, carried out the postmortem.

Dr David said, "I have so far done more than 250 postmortems of elephants alone in my more than two decades career. But this was the first time I was so moved as I could hold the foetus of the baby in my hands. Initially, none of us was aware that the elephant was pregnant. After seeing her heart, I spotted the amniotic fluid and realized that she was pregnant."

Claim reviewed :

Fact checking Palakkad elephant death

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Twitter, Facebook and Youtube posts.

Fact Check :

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