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Last week’s Dresden Drop looked to the future, revealing the long-awaited trailer for Peace Talks and the bombshell announcement that there will be TWO Dresden novels this year. This week, we’ll look to the past, celebrating the 20th anniversary of the publication of Storm Front on April 1st, 2000. Paranoid? Probably. But just because you’re [...]

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Members of the Raj Thackeray-led Maharashtra Navnirman Sena (MNS) today attacked a government office in adjoining Navi Mumbai, to vent their ire over potholes dotting the 39-km stretch between Sion and Panvel. Accidents on pothole-riddled roads have claimed five lives in adjoining Thane region since last month. The victims lost balance and fell as their two-wheeler hit potholes.

The MNS workers stormed in the office of the Public Works Department (PWD) at Turbhe claiming that the Sion-Panvel road is dotted with potholes and has endangered lives of commuters. The protesters shouted slogans, smashed office equipment, threw chairs, pulled down cupboards and smashed window panes, computer terminals, CPU and printers in the office, police said.

They shouted slogans against public works minister Eknath Shinde of Shiv Sena and demanded registering of offences against those responsible for the "shoddy" condition of roads. The demanded that officials concerned be booked for murder in cases of pothole related deaths. An official of the APMC police station said offences have been registered against the protesters.

"If people are dying due to poor condition of roads, MNS will continue to undertake such actions. If the roads are not repaired, the next target will be Mantralaya, the state secretariat in south Mumbai," Navi Mumbai MNS unit chief Gajanan Kale said.

Reacting to the incident, Raj Thackeray said, "If the government can't see potholes, it will at least see this protest". Meanwhile, a video of the PWD office attack has gone viral on social media.

On Saturday, Maharashtra PWD minister Chandrakant Patil appeared to make light of deaths due to potholes, when he said,
"When you talk about a death in such an accident, you forget that five lakh other people have travelled on the same
road. You can not put the entire blame on the (condition of) roads alone."

The MNS protest came a day after Congress workers in Mumbai counted potholes in suburban Bandra as part of its "Aao Potholes Giney" (Come, let us count potholes) campaign, accusing the Shiv Sena-ruled Brihanmumbai Municipal Corporation of not being prepared for the monsoons.

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From smallpox, the bubonic plague, swine flu or the Coronavirus epidemic, Kasturba Hospital at Chinchpokli, has been at the forefront each time the city has faced an infectious disease outbreak. And though around it, swanky new hospitals have emerged, little has changed at this heritage structure—it underwent a restoration in 2014-15—which continues to be the only designated government hospital for infectious diseases.

Built as Arthur Road Plague Hospital, historians are not certain when the name changed to Kasturba. Over the years however, what hasn't changed is its role. Manjiri Kamath, an associate professor with the Department of History at the University of Mumbai and a member of the Mumbai Heritage Conservation Committee, says, "There was an outbreak of the bubonic plague in Bombay in 1896. At the time, there was no vaccine and patients of the plague were being treated at the Arthur Road Hospital."

The hospital has been constructed to serve as a space for infectious diseases. It consists isolation wards, a luxury that modern-day hospitals haven’t been able to afford. Pic/Bipin Kokate

She adds, that the plague had major implications for the economy and was a big crisis for the British government. Back then, Kamath says, people were in a state of panic and they wanted to leave the city. Going to the hospital wasn't an option. "Initially, people were reluctant to go to a hospital since it was a new institution for Indians and there were apprehensions about different castes and communities being kept together. There were reports that, for this reason, separate caste-wise and community-wise wards were set up," she adds.

Starting with small pox
Medical historian and former head of the history department at SIES College, Dr Mridula Ramanna, says that Arthur Road Hospital was first created to tackle smallpox patients in 1892. In her book, Western Medicine and Public Health in Colonial Bombay, 1845-1895, she writes that it was constructed as a branch of another hospital for infectious diseases at Grant Road run by the municipal corporation between 1888-1891. "There was a dispute between the municipality and the government over who should bear the expense of maintaining the hospital, which eventually led to its closure. The hospital had to be reopened after the outbreak of small pox in 1892. Since the accommodation proved insufficient, a branch hospital was opened at Arthur Road and, after the epidemic passed, the infectious diseases hospital was permanently shifted to Arthur Road," she says. Before the plague, 1,438 patients were treated at the hospital.

Manjiri Kamath

In her book, Dr Ramanna mentions that the municipal corporation had approved of cholera hospitals in every ward and a permanent smallpox hospital to be built at Arthur Road to accommodate 75 patients. "It was suggested that while the structures could be similar, the smallpox hospital could have a thatched roof covered with matting so that after each use, all articles capable of retaining infection could be destroyed. It, however, later became the only hospital for infectious diseases in the city for treating people suffering from the plague and the first patient was admitted on September 4, 1896."

In her second book titled, Health Care in Bombay Presidency, 1896-1930, Dr Ramanna mentions that the hospital complex comprised open sheds with a stone plinth and earthen flooring. "Each shed had a tiled roof with ridge ventilation supported by iron columns. Each shed had two self-flushing closets, and the compound had surface drains. The Vehar Lake supplied water through pipes to the hospital." Between 1892-1912, Dr Ramanna says more than 29,000 patients were treated at Arthur Road Hospital, primarily suffering from smallpox, plague, cholera, chickenpox and measles.

Dr Mridula Ramanna

An ideal design
According to a paper published by the Journal of the Royal Society of Medicine, Arthur Road Hospital was first led by Nasarwanji Hormusji Choksy who was the first medical superintendent and served at the hospital until 1922.

During the plague, Choksy investigated more than 4,000 cases in detail. In 1897, however, he himself contracted the disease. But was saved due to the use of the Alexander Yersin serum. To recognise his brilliant work, he was even awarded the title Khan Bahadur by the ruling Britishers. Choksy, served as President of the Bombay College of Physicians and Surgeons and he was a member of the Bombay Medical Council from 1912 to 1932. Dr Shivkumar Utture, current president of the now Maharashtra Medical Council Mumbai, says members still laud his work almost 100 years later.

Dr Hemal Shah, nephrologist

Dr Umesh Aigal, former medical superintendent of Kasturba Hospital, who worked at the hospital from 1982 till 2014, says the hospital's design makes it ideal for treatment of infectious diseases. "The hospital has a separate entry and exit to avoid spread of infection. During my tenure, I have seen cases of leprosy, SARS (severe acute respiratory syndrome) and swine flu," he adds.

At present, the hospital compound comprises 30 wards, of which 16 single-storeyed buildings are considered to be heritage structures. Civic officials said that the heritage structures have sloping two-part roofs with Mangalore tiles and large ventilators to keep the rooms cool. The BMC had taken up a restoration project back in 2014-15. Wajid Shaikh, an official with the Hospital Infrastructure Cell of the civic body, says, "The walls are made out of brick and the structure supported by wooden pillars. The large ventilators allow sunlight and flow of air in the wards."

While the civic body doesn't have information about when the other two storeyed RCC (cement) structures came into existence, Dr Aigal estimates them to have been constructed in the early 1960s.

Old hospital, new value
Dr Hemal Shah, nephrologist at Bhatia and Saifee hospitals, says, "As an alumnus of Topiwala National Medical College and Nair Hospitals in Mumbai, I was posted in the nearby Kasturba Hospital. I spent some time at this facility between 1990 and 1991. I remember a one-month posting distinctly. It was the most relaxed one month of our curriculum. The hospital itself was beautiful and spacious. It has multiple single-storied buildings for different diseases. They had wards for measles, chicken pox and mumps."

Dr Shah remembers very "few patients and most of them were asymptomatic and kept for isolation". "As young doctors, we always wondered, what a waste of space. And we discussed amongst ourselves—why is Nair Hospital so crammed and Kasturba so empty and why can't we shift some departments there?" he adds, continuing, "Almost cocky about the recently acquired knowledge of microbiology and pharmacology, we wondered why would patients need isolation when appropriate drugs are available? But later we found out that the original design of the hospital was from the pre-antibiotic era or to correctly put—before all anti-microbial agents were available. The only resort then was to isolate the patients and hope for natural immunity to help them fight that infection. In the 1990s, as an intern, I scoffed at this idea. Till now, most of the world felt invincible."

But with the Coronavirus outbreak, people have realised the significance of the old Kasturba Hospital all over again. "The general public and medical fraternity felt that the science of medicine has reached a certain level of nirvana. We felt we could fix everything. Now in 2020, I realise how vulnerable we are. Now I know why an infectious disease hospital—away from regular patients—is always needed."

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Amid the rising number of coronavirus cases in Maharashtra, the India Meteorological Department (IMD) issued a thunderstorm warning in several parts of the state for the next five days till May 1. IMDs Mumbai centre issued warning for 15 state across Maharashtra include places such as Kolhapur, Pune, Raigad, Satara, Sangli, and Latur among others.

WEATHER INFO-
Nowcast warning issued at 1515 Hrs IST Dated 28/04/2020
Thunderstorm accompanied with Lightning, Rain and Gusty winds with speed reaching 30-40 kmph likely to occur at isolated places in the district of Nanded and Hingoli during next 4 hours.

-IMD MUMBAI pic.twitter.com/Z70XbHQNeT

— K S Hosalikar (@Hosalikar_KS) April 28, 2020

While speaking to Mumbai Mirror, K S Hosalikar, deputy director general of meteorology, India Met Department said that the thunderstorms warning predicted by IMD is for the next five days until May 1. According to IMDs weather bulletin, thunderstorms accompanied by lightning, aand rains will occur in several parts of Maharashtra amid the COVID-19 crisis.

Thunderstorm warnings by IMD today for Maharashtra for coming 5 days.
29 & 30 April, watch for severe TS in Madhya Maharashtra, south side with possibilities of hailstorms in some areas.
Pl Watch for all weather updates & nowcast warnings further daily.
Take appropriate care pl. pic.twitter.com/fK9HIsnr3P

— K S Hosalikar (@Hosalikar_KS) April 28, 2020

"Nowcast warning issued at 1515 Hrs IST Dated 28/04/2020. Thunderstorm accompanied with Lightning, Rain and Gusty winds with speed reaching 30-40 kmph likely to occur at isolated places in the district of Nanded and Hingoli during next 4 hours. - IMD," Hosalikar tweeted.

The IMD also stated that on April 29 and 30, there will be severe thunderstorms in Madhya Maharashtra, south side with possibilities of hailstorms in some areas. In an earlier tweet, Hosalikar urged people to follow all necessary safety guidelines during lightning/thunder issued by DM GoM and NDMA. He also urged farmers to look after their crops.

Thunderstorm warnings in Maharashtra for coming 5 days by IMD.
Keep watch on updates & pl follow up Nowcast warnings that would be issued daily afternoon onwards.
Request follow all necessary Safety Guidelines during lightning/thunder issued by DM GoM and NDMA.
TC of Crops too. pic.twitter.com/7bzT3rIO0D

— K S Hosalikar (@Hosalikar_KS) April 27, 2020

He said that the quality of air during the lockdown in Mumbai and Pune has been good. Throwing light on Mumbai's weather, IMD said that the maximum temperature in Mumbai on Tuesday was 35 degree Celsius, while the minimum temperature was 26 degree Celsius. IMD also stated that Mumbai will witness clear skies with a relative humidity of about 74 percent in Santacruz and 88 percent in Colaba.

While the total number of coronavirus cases in India reached 29,435, Maharashtra continues to remain the worst state with nearly 9,000 cases in the state.

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