Indian woman in UK forced to carry dead fetus in womb for two days

October 13, 2013

Indian_womanChennai, Oct 13: An Indian woman in the UK was forced to carry a dead fetus in her womb for two days after doctors at the hospital ignored signs of its death and sent her back home.

Niranjana Kumaresan, a 33-year-old woman hailing from Chennai, filed a complaint with UK's National Health Service (NHS) alleging that doctors and staff at Barnet and Chase Farm hospital in north London ignored her plea for help even after she repeatedly told them she had stopped feeling the baby's movement and doctors themselves confirmed the baby's heart beats were not detected.

"I first felt the baby had become still on September 18, three days after my due date. The previous day I felt my water had broken and reported to the hospital with intense pain. The midwife examined the baby's heart and felt its head position before sending me back home," Niranjana said over phone from their house in Middlesex.

Doctors say considering Niranjana's fetus was in oblique position and she underwent a caesarean for her first child, the delay risked not just the baby's life, but the mother's as well. "When a patient with history of C-section with oblique transverse lie comes with pain, show and leak, an emergency C-section should be done to save the baby and the mother," said noted obstetrician-gynaecologist Dr Kamala Selvaraj.

When Niranjana reported she couldn't feel the baby's movement, doctors allegedly tried to allay her fears saying it was because of the fever she had overnight. "She was advised to take a paracetamol without any examination," said Niranjana's husband Karthikeyan Kumaresan, a software engineer.

Twelve hours later the couple called for the antenatal team which found traces of blood in her urine. "We were moved to a ward, but Niranjana wasn't examined until three hours later," said Karthikeyan, who along with Niranjana moved to the UK from Chennai six years ago.

The midwife who came to examine Niranjana couldn't detect the baby's heart beat with the hospital's mobile scan and the couple were asked to return the next morning. "We were so hassled and upset by then. They so casually asked us to return the next day even after realising the baby's heart beat was missing. They tried downplaying our fear stating that the scan had probably stopped working which is why it failed to pick up the heart beat," said Niranjana, who has a 6-year-old daughter.

On September 19, by which time Niranjana was overdue by four days, she was moved to the delivery room. "I was in a lot of pain by then. But even then, the staff kept saying I wasn't ready as yet. When I went to the washroom the next day to relieve myself, I saw the baby's head. I quickly alerted my husband, who in turn rushed in the staff," said Niranjana. The stillborn baby was delivered.

According to Karthikeyan, the baby's head was squashed and broken. "When I asked the staff, I was told that the head usually becomes like that when babies die in the womb," he said. Struggling to come to terms with her baby's death, Niranjana realised her ordeal was far from over. "After my delivery when my husband was in the room I wanted to go to the toilet and called for help. The midwife told me I had to help myself. I was bleeding. When I came back from the toilet I found the midwife had gone. I couldn't return to the bed, barely managing to stand on my own and I had blood around me," she said.

The couple to their shock also discovered later that the baby's post-mortem was done four days after it was delivered. "When I inquired I was told that the delay was because the body can only be moved by an undertaker and they couldn't arrange for one immediately," said Karthikeyan. On September 24, the couple approached the metropolitan police and lodged a complaint and simultaneously filed a complaint with the NHS.

While the hospital administration wasn't available for comment, NHS acknowledged they had received the complaint. "We are looking into the complaint," said Alex Greenwood who is the facilitator between the couple and the national body. "Senior members of the staff will be involved in investigating the complaint," said Alex, who is part of patient advice and liaison service, a NHS body created to provide advise and support to NHS patients.

In December last year, a woman of Indian origin has died after doctors in Ireland refused to perform an abortion, telling her that "this is a Catholic country", sparking widespread outrage.

For Niranjana, it will take sometime before she musters the courage to step into a hospital again. "The story of my pregnancy has been marred with horror episodes of lack of proper care. My trust on midwives is completely shaken and I have doubts on the level of skills possessed to handle situations that are not quite the usual and need intervention. I may never bring myself to step into the hospital again," Niranjana said in her complaint.

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Agencies
April 20,2020

Hong Kong, Apr 20: Oil prices collapsed to more than two-decade lows Monday as traders grow concerned that storage facilities are reaching their limits, while equities were mixed, with some support coming from signs that the coronavirus may have peaked in Europe and the United States.

US crude benchmark West Texas Intermediate briefly plunged almost 20 percent to below 15 -- its lowest since 1999 -- as stockpiles continue to build owing to a crash in demand caused by the COVID-19 pandemic.

Analysts said this month's agreement between top producers to slash output by 10 million barrels a day was having little impact on the oil crisis because of lockdowns and travel restrictions that are keeping billions of people at home.

WTI was hit particularly hard as its main US storage facilities in Cushing, Oklahoma, were filling up.

ANZ said "crude oil prices remained under pressure, as projections of weaker demand weigh on sentiment".

"Despite the OPEC+ alliance agreeing to an unprecedented cut in output, the physical market is awash with oil," it said, referring to the Organization of the Petroleum Exporting Countries and non-OPEC partners.

And AxiCorp's Stephen Innes added: "It's a dump at all cost as no one... wants delivery of oil, with Cushing storage facilities filling by the minute.

"It hasn't taken long for the market to recognise that the OPEC+ deal will not, in its present form, be enough to balance oil markets." Stock traders were in slightly more buoyant mood as governments start to consider how and when to ease lockdowns that have crippled the global economy.

Italy, Spain, France and Britain reported drops in daily death tolls and slowing infection rates.

"We are scoring points against the epidemic," said Prime Minister Edouard Philippe, while insisting "we are not out of the health crisis yet".

Meanwhile, in the US, Andrew Cuomo, governor of badly hit New York state, said the disease was "on the descent", though he cautioned it was "no time to get cocky".

Mounting evidence suggests that the lockdowns and social distancing are slowing the spread of the virus.

That has intensified planning in many countries to begin loosening curbs on movement and easing the crushing pressure on national economies.

Adding to the sense of hope was a report indicating promising research on a drug to treat coronavirus.

Hong Kong, Shanghai and Seoul were each up 0.1 percent, while Wellington added 0.4 percent.

However, Tokyo went into the break 0.9 percent lower, while Sydney and Manila dropped one percent apiece. There were also losses in Taipei, Singapore and Jakarta.

"The longer investors have to contemplate future economic issues while they wait for more countries to be on the downward slope of the pandemic curve, the more scope there is of risk assets pricing in a difficult future," Chris Iggo, of AXA Investment Managers UK, said.

Investors are keeping an eye on Washington, where Congress and the White House are working towards a 450 billion economic relief plan for small business to add to the trillions already pledged to support the economy.

Big-name companies including IBM, Netflix and Coca-Cola are due to deliver their earnings reports.

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News Network
June 1,2020

Jun 1: The new coronavirus is losing its potency and has become much less lethal, a senior Italian doctor said on Sunday.

"In reality, the virus clinically no longer exists in Italy," said Alberto Zangrillo, the head of the San Raffaele Hospital in Milan in the northern region of Lombardy, which has borne the brunt of Italy's coronavirus contagion.

"The swabs that were performed over the last 10 days showed a viral load in quantitative terms that was absolutely infinitesimal compared to the ones carried out a month or two months ago," he told RAI television.

Italy has the third-highest death toll in the world from COVID-19, with 33,415 people dying since the outbreak came to light on Feb. 21. It has the sixth-highest global tally of cases at 233,019.

However new infections and fatalities have fallen steadily in May and the country is unwinding some of the most rigid lockdown restrictions introduced anywhere on the continent.

Zangrillo said some experts were too alarmist about the prospect of a second wave of infections and politicians needed to take into account the new reality.

"We've got to get back to being a normal country," he said. "Someone has to take responsibility for terrorizing the country."

The government urged caution, saying it was far too soon to claim victory.

"Pending scientific evidence to support the thesis that the virus has disappeared ... I would invite those who say they are sure of it not to confuse Italians," Sandra Zampa, an undersecretary at the health ministry, said in a statement.

"We should instead invite Italians to maintain the maximum caution, maintain physical distancing, avoid large groups, to frequently wash their hands and to wear masks."

A second doctor from northern Italy told the national ANSA news agency that he was also seeing the coronavirus weaken. "The strength the virus had two months ago is not the same strength it has today," said Matteo Bassetti, head of the infectious diseases clinic at the San Martino hospital in the city of Genoa.

"It is clear that today the COVID-19 disease is different."

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Agencies
March 28,2020

Canadian researchers are developing a DNA vaccine for SARS-CoV-2, the coronavirus that causes COVID-19 and has currently infected nearly 5,00,000 people worldwide and crippled the global economy.

Entos Pharmaceuticals, a health-care biotechnology company headed by a University of Alberta researchers, develop new therapeutic compounds using the company's proprietary drug-delivery platform and has begun manufacturing vaccine candidates against the novel coronavirus.

"Given the urgency of the situation, we can have a lead candidate vaccine within two months. Once we have that it's a race to get it into clinical trials," said John Lewis, CEO of Entos and a Professor at the University of Alberta in Canada.

Lewis said in comparison to a traditional vaccine, DNA-based vaccines hold several advantages.

Nucleic acids are introduced directly into the patient's own cells, causing them to make pieces of the virus--tricking the immune system into mounting a response without the full virus actually being present, the researcher said.

According to the company, the approach is recognised as being easier to move into large-scale manufacturing, offers improved vaccine stability and works without needing an infectious agent.

In the current absence of a vaccine for COVID-19, several companies around the world are mounting efforts to begin similar work.

The first clinical trial using a DNA-based vaccine developed by Moderna Inc.in the US on March 13.

Their approach allows for antibodies to be made in the human trial volunteers against a specific protein on the surface of the coronavirus that lets the virus enter human cells.

The hope is that the antibodies will stop the interaction.

Though this approach is designed to be effective against COVID-19 specifically, Lewis said Entos is taking a different tack.

The company plans to use plasmid DNA to amplify the production of key coronavirus surface and structural proteins with each injection, with an eye to the bigger picture.

"Many of the structural proteins in the virus are pretty well conserved across all the coronaviruses, including SARS and MERS," said Lewis.

"We're hoping that if we express more of the structural proteins that are common to most coronaviruses, we can inhibit the current COVID-19, and also potentially protect against all coronaviruses both past and future," Lewis added.

To move the project forward quickly, the company is seeking financial support from both provincial and federal levels of government.

"We have the opportunity to save a lot of lives, and I think it's really upon us and governments to find solutions for that," Lewis said.

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