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Amid Spike In COVID-19 Cases, Jammu And Kashmir Government Issues Guidelines On Admission Of COVID-19 Patients

In Jammu and Kashmir, COVID-19 patients with mild or moderate symptoms will first be admitted in category 2 or 3 hospitals with basic amenities and will get admission in category 1 hospital, with better infrastructure, only on suggestion of the concerned district level hospital

Amid Spike In COVID-19 Cases, Jammu And Kashmir Government Issues Guidelines On Admission Of COVID-19 Patients

New Delhi: In an effort to ensure all critically-ill patients of COVID-19 are not bereft of the required treatment, the Jammu and Kashmir government has issued instructions regarding referral of patients to tertiary health care institutions. An order issued by the Department of Disaster Management, Relief Rehabilitation and Reconstruction on Tuesday (July 28) states that a sharp rise in the number of fresh COVID-19 cases is leading to a rise in bed occupancy of COVID hospitals across the Union Territory. As a result of this, critically-ill patients or people who require specialised care are unable to get admission in tertiary health care institutions like SKIMS (Sher – i – Kashmir Institute of Medical Sciences, SMHS (Shri Maharaja Hari Singh) Hospital, Chest Diseases Hospital and others.

Also Read: Coronavirus Explainer: Origins Of COVID-19 Is Still A Critical Missing Piece Of The Pandemic Puzzle

Further elaborating on the existing problem, the order states,

It has also been a practice that COVID positive patients are coming directly to these category 1 or tertiary hospitals and are admitted without their having a need for treatment in such hospitals; thus, causing lot of difficulty and inconvenience to the other more needy patients.

To resolve the issue, the executive committee has issued detailed instructions that are to be implemented across all districts of Jammu and Kashmir, with immediate effect. The new guidelines clearly state of that all COVID positive patients with mild/moderate symptoms shall first be admitted in category-2/3 hospitals, at sub-district/district level or any other hospital which is not a category-1 referral hospital.

The patients shall be admitted and treated in category-1 referral hospitals only if they are duly referred by a concerned district level hospital or a non-category-1 referral hospital. This will be ensured by all the chief medical officers and supervised by the deputy commissioners concerned, reads the order.

Also Read: Coronavirus Outbreak Explained: What Is T-Cell Immunity And How Does It Provide Defense Against COVID-19?

Explaining the difference between category 1 and category 2 or 3 hospitals and the reason behind the new guidelines, Dr Neeraj Mumalai from CD Hospital in Jammu said,

In simple terms, category 2 or 3 involves small hospitals whereas category 1 includes large hospitals. Category 2 or 3 hospitals are hospitals at sub-district or district level. They are the first line of care. For instance, someone has only mild symptoms of COVID-19 say fever and cough. Then this person can be treated at a smaller or a local (district level) hospital. If in case thecondition deteriorates, the doctors there can then refer the patient to a category 1 level or tertiary hospital for facilities like ICU, ventilators, pulmonologists, physicians, among others. This will ensure that people who need specialised care are not deprived of it owing to a shortage of beds.

The guidelines also list out the hospitals that have been designated as tertiary care-1 institutions and referred to as category-1 referral hospitals. It includes – SKIMS Soura, SMHS Hospital in Srinagar, Chest Diseases Hospital in Srinagar, and SKIMS Medical College and Hospital Bemina, Government Medical College in Jammu, CD Hospital, ASCOMS (Batra).

The government has ordered Divisional commissioner and the Director of Health Services to put in place a mechanism to monitor the compliance of the instructions at all the levels.

Also Read: Difficult To Predict If India Will See Second Wave Of COVID-19: Indian Council Of Medical Research Chief

Impact Of Coronavirus In Jammu And Kashmir

According to a news agency PTI, on March 9, Jammu and Kashmir reported the first case of COVID-19 after a 63-year-old woman who had a travel history to Iran tested positive. Jammu and Kashmir started to see a sharp rise in COVID-19 cases in late May with over 100 fresh cases being reported almost every day. As on July 27 (5 PM), the valley has recorded over 18,000 cases (18,390) of COVID-19 of which more than 10,000 patients have recovered.

On March 26, the first death due to COVID-19 was reported in Kashmir. The victim was a 65-year-old religious preacher from the Hyderpora neighbourhood of Srinagar, who tested positive three days ago. He had travelled around the country, visiting mosques in Delhi and Uttar Pradesh’s Deoband before returning home on March 16. So far, the union territory has reported 321 fatalities due to COVID-19.

Lately, there has been a spike in COVID-19 cases. On July 18, for the first time, over 600 fresh COVID-19 cases were reported in a single day. In the union territory, the maximum number of cases has been reported from Kashmir division.

In the light of a spike in COVID-19 cases, on July 22, the Jammu and Kashmir administration imposed a six-day complete lockdown in all red districts except for Bandipora district of Kashmir division.

In Kashmir, Srinagar district has the highest case load. 22.4 per cent of the total cases in the Union Territory are from Srinagar.

Also Read: Srinagar Based NGO Serves Daily Essentials To People During Coronavirus Pandemic

The Srinagar district administration is struggling to handle the cases. On July 18, on social media, Srinagar administration shared a clip which clearly stated that the hospitals are running out of space. “Hospitals are running short of beds. A huge number of cases are being detected each day. We are not finding enough place in our hospitals to accommodate all of them,” Dr Naveed Nazir Shah, Head of Department, Chest Disease Hospital and Medical College, Srinagar, says in the clip.

For backup, Srinagar district administration has created institutional facility with a capacity of 3,000 beds and plans to add 2,000 more beds.

Made good use of lockdown time for these fully equipped facilities. Please rest assured on this front, reads a tweet from Shahid Choudhary, District Magistrate and Development Commissioner, Srinagar.

Also Read: From Free Medicines To Financial Assistance, This NGO Is Helping People From Kashmir Valley Cope With The COVID-19 Pandemic

NDTV – Dettol Banega Swasth India campaign is an extension of the five-year-old Banega Swachh India initiative helmed by Campaign Ambassador Amitabh Bachchan. It aims to spread awareness about critical health issues facing the country. In wake of the current COVID-19 pandemic, the need for WASH (WaterSanitation and Hygiene) is reaffirmed as handwashing is one of the ways to prevent Coronavirus infection and other diseases. The campaign highlights the importance of nutrition and healthcare for women and children to prevent maternal and child mortality, fight malnutrition, stunting, wasting, anaemia and disease prevention through vaccines. Importance of programmes like Public Distribution System (PDS), Mid-day Meal Scheme, POSHAN Abhiyan and the role of Aganwadis and ASHA workers are also covered. Only a Swachh or clean India where toilets are used and open defecation free (ODF) status achieved as part of the Swachh Bharat Abhiyan launched by Prime Minister Narendra Modi in 2014, can eradicate diseases like diahorrea and become a Swasth or healthy India. The campaign will continue to cover issues like air pollutionwaste managementplastic banmanual scavenging and sanitation workers and menstrual hygiene

World

22,81,49,892Cases
19,07,93,163Active
3,26,71,167Recovered
46,85,562Deaths
Coronavirus has spread to 195 countries. The total confirmed cases worldwide are 22,81,49,892 and 46,85,562 have died; 19,07,93,163 are active cases and 3,26,71,167 have recovered as on September 19, 2021 at 3:52 am.

India

3,34,48,163 30,773Cases
3,32,1588,481Active
3,26,71,167 38,945Recovered
4,44,838 309Deaths
In India, there are 3,34,48,163 confirmed cases including 4,44,838 deaths. The number of active cases is 3,32,158 and 3,26,71,167 have recovered as on September 19, 2021 at 2:30 am.

State Details

State Cases Active Recovered Deaths
Maharashtra

65,18,502 3,391

51,472 530

63,28,561 3,841

1,38,469 80

Kerala

44,88,813 19,325

1,81,411 8,084

42,83,963 27,266

23,439 143

Karnataka

29,67,083 889

15,783 205

29,13,713 1,080

37,587 14

Tamil Nadu

26,43,683 1,653

16,893 50

25,91,480 1,581

35,310 22

Andhra Pradesh

20,37,353 1,174

14,653 144

20,08,639 1,309

14,061 9

Uttar Pradesh

17,09,652 9

193 2

16,86,572 7

22,887

West Bengal

15,61,014 728

7,967 41

15,34,406 757

18,641 12

Delhi

14,38,469 41

404 3

14,12,980 44

25,085

Odisha

10,19,621 695

5,929 689

10,05,564

8,128 6

Chhattisgarh

10,05,042 28

332 14

9,91,150 42

13,560

Rajasthan

9,54,246 8

102 2

9,45,190 10

8,954

Gujarat

8,25,715 13

143 11

8,15,490 24

10,082

Madhya Pradesh

7,92,386 6

97 12

7,81,772 18

10,517

Haryana

7,70,711 6

323 0

7,60,580 6

9,808

Bihar

7,25,881 10

65 0

7,16,158 10

9,658

Telangana

6,63,281 255

5,148 75

6,54,230 329

3,903 1

Punjab

6,01,236 30

316 7

5,84,453 23

16,467

Assam

5,97,709 365

5,063 102

5,86,856 465

5,790 2

Jharkhand

3,48,114 3

74 20

3,42,907 23

5,133

Uttarakhand

3,43,376 21

282 0

3,35,704 20

7,390 1

Jammu And Kashmir

3,27,773 152

1,479 39

3,21,878 113

4,416

Himachal Pradesh

2,16,813 174

1,610 30

2,11,554 142

3,649 2

Goa

1,75,414 123

771 40

1,71,351 81

3,292 2

Puducherry

1,25,384 128

924 5

1,22,631 122

1,829 1

Manipur

1,18,261 140

2,180 92

1,14,251 228

1,830 4

Tripura

83,840 31

367 37

82,665 67

808 1

Meghalaya

79,325 119

1,876 76

76,075 192

1,374 3

Mizoram

79,171 1,104

14,456 161

64,456 938

259 5

Chandigarh

65,176 4

35 1

64,323 3

818

Arunachal Pradesh

54,060 32

461 44

53,328 76

271

Sikkim

30,893 54

728 28

29,786 82

379

Nagaland

30,840 60

491 20

29,696 39

653 1

Ladakh

20,702

109 0

20,386

207

Dadra And Nagar Haveli

10,670

1 4

10,665 4

4

Lakshadweep

10,356

6 1

10,299 1

51

Andaman And Nicobar Islands

7,598 2

14 0

7,455 2

129

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