Dr Kafeel Khan made a ‘scapegoat’ by UP govt, say AIIMS doctors

coastaldigest.com web desk
August 14, 2017

Gorakhpur, Aug 14:  Dr Kafeel Khan, a paediatrician who saved lives of countless children at a hospital in Uttar Pradesh's Gorakhpur, where more 70 children died last week, has been made a the "scapegoat" by the government, according to doctors at Delhi’s AIIMS.

Dr Khan, who was head of paediatrics and the children's encephalitis wards at the hospital, was removed on Sunday amidst the visit of chief minister Yogi Adityanath’s visit to the hospital.

Parents of children admitted to the hospital said that had it not been for Dr Khan, the number of fatalities could have been far higher. Dr Khan borrowed three oxygen cylinders from other nursing homes when the oxygen supply at BRD Hospital and even withdrew Rs 10,000 from his personal account to purchase 17 oxygen cylinders in order to save as many infants as possible.

"Doctors are being made scapegoats," said Dr. Harjit Singh Bhatti, who heads an association of resident doctors at the All India Institute of Medical Sciences or AIIMS. The association has written a letter condemning Dr Kafeel Khan's sacking, accusing the state government of "gross neglect of public health." By blaming doctors for the death of the children, the association said, "politicians are hiding their incompetency," and asked, "Who is responsible if oxygen, gloves, equipment not available?"

Last Thursday, at the BRD Medical College and Hospital, Gorakhpur's largest hospital filled with premature newborns and children suffering from encephalitis which plagues the area, the supply of liquid oxygen dipped to a critical low. 23 children died at the hospital that day and parents and others have blamed the oxygen shortage for some of the deaths.

Amid calls from opposition parties for his resignation, UP CM has promised "standard setting punishment" for those found guilty of negligence in an investigation into the large number of child deaths at the hospital, as his government denies emphatically that the shortage of oxygen led to deaths.

The hospital maintains that there was a shortage of oxygen only for about two hours on Thursday, after the hospital's regular vendor stopped supply over non-payment of bills, but that liquid oxygen was soon sourced from other places.

The head of the hospital Dr Rajeev Mishra was suspended on Saturday, while Dr Kafeel Khan, on whose watch oxygen supply dipped to a critical low at the hospital on Thursday, was removed yesterday.  Government sources said he was sacked for failing to take action on a letter that was written on Thursdaymorning by those in charge of the hospital's oxygen supply, warning that that there was only enough to last till the evening and asking for emergency supplies.

"We are not saying that the doctor can't be responsible, but he's not the only one responsible. We want a proper enquiry, government officials are also involved and even they should be held accountable. Not just a single doctor," said Dr Bhatti of AIIMS, who emphasised that hospitals lack infrastructure and basic facilities.

Adityanath said yesterday that he was at the hospital in Gorakhpur, his parliamentary constituency for almost 20 years, just a day before supply was disrupted, but no one informed him that there was a crisis. "I was here on the 9th and I categorically asked about encephalitis but no one informed me. We made payment (to the oxygen vendor) on August 7. Why didn't the hospital administration make the payment?" he said.

The state government says that while it has released funds to hospital to settle the oxygen vendor's dues, his bills were not paid by the hospital administration till Friday, August 11. Dr Rajeev Mishra, who resigned after he was suspended, has blamed red tape.

While Prime Minister Narendra Modi has been regularly briefed, the Centre has turned down demands for a separate investigation.  

Union Health Minister JP Nadda announced that an 85-crore regional medical centre would be set up in Gorakhpur for research on diseases that afflict children.

Also Read: 

Meet Dr Kafeel Khan who saved countless children amidst tragedy in UP hospital

Dr Kafeel Khan who saved hundreds of infants sacked amid Yogi’s visit

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News Network
August 8,2020

The Kozhikode International Airport located at Karipur is not safe for the landing of flights in rainy season, according to an air-safety expert, who had warned the aviation ministry and the civil aviation regulator about this in 2011. 

The warning was particularly about the dangers of permitting passenger aircraft to land on runway 10 of the airport during rains and unfavourable wind conditions. 

Nine years later, on August 7, 2020, the warning became a reality when an Air India Express pilots landed in tailwind conditions and the aircraft overshot the tabletop runway to drop off the end and crash.

 “An aircraft landing on runway 10 in tailwind will experience poor braking action due to heavy rubber deposits … All such flights … are endangering the lives of all on board,’’ said Capt Mohan Ranganathan, in a letter sent on June 17, 2011 to then director general of civil aviation Bharat Bhushan and Nasim Zaidi, chairman of a civil aviation safety advisory committee, which was formed after the May 2010 Mangaluru air crash which killed 158 people.

“My warning issued after the Mangaluru crash was ignored. It is a table-top runway with a down slope. The buffer zone at the end of the runway is inadequate,” Capt Ranganathan said. Given the topography, he pointed out, the airport should have a buffer of 240m at the end of the runway, but it only has 90m (which the DGCA had approved). “Moreover, the space on either side of the runway is only 75m instead of the mandatory 100m,” he added.

Capt Ranganathan said there is no guideline for operations on a table-top runway when it is raining. “Runway 10 approach should not be permitted in view of the lack of runway end safety area (RESA) and the terrain beyond the end of the runway. RESA of 240m should be immediately introduced and runway length has to be reduced to make the operations safe,” his letter said.

If an aircraft is unable to stop within the runway, there is no RESA beyond the end. The ILS localiser antenna is housed on a concrete structure and the area beyond is a steep slope. “The Air India Express accident in Mangalore should have alerted AAI to make the runway conditions safe. We have brought up the issue of RESA during the initial Casac-sub group meetings. We had specifically mentioned that the declared distances for both runways have to be reduced in order to comply with ICAO Annex 14 requirement,” Capt Ranganathan said.

He said the condition of the runway strip was known to DGCA teams that have been conducting inspection and safety assessments. “Have they considered the danger involved? Did the DGCA or the airlines lay down any operational restrictions or special procedures?”

The letter also refers to Approach and Landing Accident Reduction (ALAR) training, which is supposed to be mandatory before every monsoon, but airlines don’t follow it, he said. “70% of accidents take place during approach and landing and that is why this training is essential,” he added.

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News Network
March 13,2020

Belagavi, Mar 13: Former Karnataka Minister and Senior Congress leader H K Patil on Thursday alleged that the ruling BJP government headed by Chief Minister B S Yediyurappa has shown negligence towards completion of the irrigation projects in North-Karnataka region.

Mr. Patil said that no sufficient provision was made in the Budget for 2020-21 presented by Yediyurappa on March 5.

North Karnataka region people, farmers, and leaders expected more fund allocation to complete the pending and ongoing irrigation projects, but they are disappointed.

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News Network
June 16,2020

Bengaluru, Jun 16: Karnataka Pradesh Congress Committee (KPCC) chief DK Shivakumar's daughter Aishwarya and Cafe Coffe Day founder late VG Siddhartha's son, Amarthya Hegde got engaged at SM Krishna Residence, Sadashivanagar in Bengaluru on Monday.
Only family members were present in the event. Amarthya Hegde is also the grandson of former Union Minister SM Krishna.
Last year in July, the body of Cafe Coffee Day (CCD) founder Siddhartha was unearthed on the banks of Netravati river.

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