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The covid-19 pandemic has led to rushed guidelines for doctors making treatment decisions, and has encouraged more people to make advance decisions on CPR and ventilation

Two weeks after liberation, 95 London medical students arrived at Belsen to help care for survivors.

India badminton star Jwala Gutta posted this picture to her 1.5 million Twitter followers on Wednesday as she distributed food items and medical supplies near her Hyderabad home.

“During these unprecedented times we chose to contribute some basic essentials like rice, pulses, oil, sugar, masks n more to daily wage migrants near our residence!! #lockdown #migrantworkers ##coronavirus #unitedindia #standtogether #wewillgetthroughthis #WeAreOne,” the World Championships medal-winner captioned her post.

 

 

 

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During these unprecedented times We chose to contribute some basic essentials Like rice,pulses,oil,sugar,masks n more to daily wage migrants near our residence!! #lockdown #migrantworkers ##coronavirus #unitedindia ##wewillgetthroughthis #wewillgetthroughthistogether

A post shared by Jwala Gutta (@jwalagutta1) onApr 21, 2020 at 9:28pm PDT

The 36-year-old badminton player has been a prominent player in the sport over the past two decades. Jwala Gutta is known for her fierce gameplay and even fiercer attitude.

Jwala Gutta formed a dominant force alongside Ashwini Ponnappa in women's doubles over the years. At the Commonwealth Games, Jwala has won a gold, two silver and a bronze medal. She also has a bronze medal at the Asian Championships. Gutta has won 5 gold medals at South Asian Games.

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Actress Raveena Tandon has come up with a social media campaign #JeetegaIndiaJeetengeHum to stop the spread of rumours amid the COVID-19 crisis, and also urge people not to attack the frontline workers.

Several healthcare workers in India have been attacked as they battle to stop the spread of the novel coronavirus. So, Raveena has made a special video in which she is seen appealing people to understand the severe health crisis and also appreciate the crucial role of doctors amid the COVID-19 outbreak.

"I feel it's extremely important for all of us to do our bit by encouraging the real heroes, our doctors and nurses who are stepping out everyday and fighting this deadly coronavirus. They haven't met their families to keep us and our families safe and that's why through my campaign -- #JeetegaIndiaJeetengeHum -- I request everyone to give these medical forces their due respect and at the same time not spread false rumours. I'm hopeful we will all see the light sooner together," she said.

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The civic body is bracing for the Centre's projection of a high number of COVID-19 cases in the coming days and to ensure full preparedness, it has beefed up work on new facilities to treat patients and has started recruiting additional medical staff to run these centres.

Senior BMC officials said that a major recruitment drive is underway to hire over 3,000 doctors, nurses and ward boys on a contractual basis. BMC is planning to rope in medical staff from the city and the green zones across the state. A senior civic official said a circular has been sent out to deans of medical colleges and ward officials for the recruitment.

Civic officials said they are preparing for around 70,000 COVID-19 cases over the next two weeks. "We will hire doctors who are part of the Indian Medical Association as well as interns, post graduate students from private medical colleges for the COVID Care Centres (CCC). Since the centres are meant for asymptomatic patients, there is no need for specialised medical equipment and can be run by a basic medical staff," the senior BMC official said. He added that the doctors, nurses and ward boys will be hired for a period of three months.

Additional Municipal Commissioner Suresh Kakani, however, said there will be some restrictions for doctors. We will only allow specialists who aged below 55 years as a precautionary measure, he said, adding, "The new recruits will work in three shifts."

The BMC is setting up CCCs for asymptomatic patients in various schools and colleges. Besides, city's largest centre, with a capacity of 1,000 beds, is coming up at the MMRDA grounds at BKC. "The work is underway and we are trying to complete it by next week. The centre will have beds and oxygen supply, but no ventilators," said an MMRDA official, adding that Jupiter Hospital in Thane is helping with designing the centre.

It will also have a laboratory that will be the primary testing centre for complete blood count and haematology. The MMRDA official said they will bear the cost of construction while the BMC will provide the staff and other support to run the facility.

The decision on who will run the facility is yet to be taken, said a civic official, adding, "The state government may ask a medical college to handle it."

3
Total no. of months the doctors, nurses and ward boys will be hired for

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Encouraging everyone around him to stay indoors, Mayur Jadhav himself has been visiting various containment zones in Lokhandwala and Oshiwara wearing a PPE suit for three to four hours daily. A frontline worker, Jadhav does the risky job of collecting bio-medical waste from residential buildings and COVID-19 quarantines.

Amid the Coronavirus-caused lockdown, people are asked to put household waste in black bags and bio-medical waste — gloves, masks and items touched by COVID-19 patients, staffers at a quarantine facility — in yellow bags.

Like Jadhav, conservancy workers dealing with bio-medical waste are trained for the task. Jadhav, 30, resides at Durgadevi Chawl, Vakola and after weeks of practice, he is comfortable with the job. "Initially, I was worried as I had heard many were getting sick. But once we get the hang of it, we do the work without problems. Every day, we put sanitiser and spray disinfectant on the yellow bag and wait for five minutes before loading it on the vehicle meant only for yellow bags," he said. In K West ward, there are over 650 COVID-19 cases and over 300 containment zones.

'Made wife understand'

Rishikesh Dhotre, 43, is among the workers residing far from his workplace and spends over 10 hours outdoors. He leaves his Nalasopara residence 4:45 am for Worli and returns home around 3:30 pm. "I was nervous as we were visiting places everyone was asked to avoid. My wife would fight and ask why I am the one to go. But gradually, I understood the precautions we have to take and explained them to my wife. She is worried but understands the importance of the job," Dhotre said.

While Dhotre is glad to have access to fresh PPE kits every day, he also has to contend with how hot it gets during the three-hour collection.

Worried about family

Conservancy workers constantly worry about their family members, especially senior citizens at a higher risk of infection. Sarthak Chandramani, 29, works in G North ward comprising Dharavi. He takes extra precautions once he reaches home as he has a two-and-a-half-year-old daughter and 63-year-old father.

"I don't touch my phone after wearing the PPE and I call my family before I reach home. They have strict instructions to leave the house and keep a bucket of hot water and soap near the door. They are only allowed to enter after I have soaked my clothes in the bucket and gone for a bath," he said.

Chandramani often picks up medical waste falling out of the garbage bags with his hands. "People often overstuff garbage bags and then they can't be tied. Waste falls out from overflowing bags and we have to disinfect it, put back in the bag and disinfect the bag again," he said. Chandramani lives in BDD chawl, another high-risk area.

After the recent death of a civic official on food-distribution duty in Dharavi due to COVID-19, the BMC is screening all staffers. Kiran Dighavkar, assistant municipal commissioner, G North ward, said, "We have around 900 labourers collecting waste and there are 200 containment zones in this ward. We conduct screening once a week and check for fever with infrared thermometers. We have also counselled staffers to immediately report symptoms," he said.

Where is biomedical waste taken?

Medical waste is taken to a biomedical facility managed by the Maharashtra Pollution Control Board at Deonar. Amar Supate, principal scientific officer with MPCB said that since March 29, the facility has processed 11 tonnes of COVID-19 waste from Containment Zones and other biomedical waste.
"The yellow bags are directly put into the incinerator. Other kinds of plastic waste, glass vials, injections or syringes and scalpels are sterilised with sodium hypochlorite and then shredded for recycling," Supate said.

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Actor Neetu Kapoor on Monday shared a post expressing gratitude to the medical staff for their efforts at the hospital where legendary actor Rishi Kapoor passed away.

The 61-year-old actor took to Instagram and shared two monochromatic pictures along with the post. The first featured the late star smiling, while the second one is an adorable picture that showed Neetu and Rishi sharing a smile. Along with the post she penned the message thanking the hospital and the staff who treated the late star like their family. She wrote, "As a family, we have a deep sense of loss.." (sic)

Have a look at the post right here: 

 

 

 

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As a family we have a deep sense of loss.. when we sit together and look back at the past few months what we also feel is immense gratitude - gratitude towards the doctors at HN reliance hospital! The whole team of doctors, brothers and nurses headed by Dr Tarang Gianchandani treated my husband like he was their own - they advised us like we were their own.. and for all that and more I thank them from the bottom of my heart..🙏 @rfhospital

A post shared by neetu Kapoor. Fightingfyt (@neetu54) onMay 3, 2020 at 8:40pm PDT

She added, "...when we sit together and look back at the past few months what we also feel is immense gratitude - gratitude towards the doctors at HN reliance hospital! The whole team of doctors, brothers and nurses headed by Dr Tarang Gianchandani treated my husband like he was their own - they advised us like we were their own.. and for all that and more I thank them from the bottom of my heart.. @rfhospital"

The gratitude post received more than 10 k likes within an hour of being posted. Celebrity followers including Manish Malhotra and Richa Chadha left heart emojis on the post.

Rishi Kapoor passed away peacefully on Thursday morning, Apirl 30, after a two-year-long battle with leukaemia, his family said in a statement. In September 2019, the veteran actor returned to Mumbai after staying in New York for almost a year for cancer treatment.

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The Railways has decided to produce over 30,000 Personal Protective Equipment coveralls in April and also plans to manufacture 1,00,000 of the same in May 2020 for medical and health-care personnel who get directly exposed to the COVID-19 disease when working amongst infected patients.

To provide protection to healthcare professionals in the fight against #COVID19, Indian Railways plans to produce over 30,000 coveralls (Personal Protective Equipment) in April 2020. Railways plans to manufacture 1,00,000 of the same in May: Ministry of Railways pic.twitter.com/PrBfG5AsQ1

— ANI (@ANI) April 15, 2020

"The Railways has been able to procure and distribute to its workshops and other units sufficient raw material for manufacturing more than 30,000 PPE coveralls in April. The Railways has set the target of manufacturing another 1,00,000 PPE coveralls in May and sourcing of appropriate raw material has been started," said the Ministry of Railways in a statement.

The Railways has recently started manufacturing of PPE coveralls. The prototype coveralls have already cleared the prescribed tests with the highest grades at the authorised Defence Research Development Establishment Laboratory of DRDO at Gwalior. The Railways has also converted over 5,000 of its passenger coaches into mobile quarantine or isolation facilities to deal with COVID-19 patients.

According to the Union Health Ministry, a total of 11,439 people have detected positive for coronavirus, including 1306 cured and discharged and 377 deaths. Currently, the country has 9,756 active corona cases.

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In a significant move, the Union cabinet on Wednesday amended the Epidemic Diseases Act, 1987 through an ordinance in order to ensure safety of health workers at a time when there has been a spate of attacks on them. Any violence against health workers may now bring steep fines and even imprisonments of up to seven years.

#Cabinet approves promulgation of Ordinance to amend the Epidemic Diseases Act, 1897 making such acts of violence as cognizable and non-bailable offences and to provide compensation for injury to healthcare service personnel or for causing damage or loss to the property

— K.S. Dhatwalia (@DG_PIB) April 22, 2020

This move comes hours after Home Minister Amit Shah addressed Nina Medical Association through a video conference, assuring them of safety and urging them to withdraw the symbolic protest scheduled for later this month against incidents of violence on health workers pressed into CVID-19 duty.

From now on, not just such violence is cognizable but also non-bailable offence. Additionally, it has provisions to provide compensation for injury to healthcare service personnel or for causing damage or loss to the property, the government said on Wednesday.

K.S. Dhatwalia, Principal Spokesperson for the government, tweeted: "Ordinance would help protect healthcare service personnel and their living/working premises against violence".

"This actually helps protect the entire health fraternity including doctors, nurses, paramedics up to ASHA workers, " said Union I&B Minister Prakash Javadekar. The Minister said the amendment was necessitated after incidents of violence were witnessed against them while discharging their crucial duty for the country.

The amendment has ensured that the investigation takes place in a time-bound manner. A special provision is also made in the ordinance in case vehicles or clinics are damaged. In such cases, two times the cost will be recovered from assailants.

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Doctors, nurses and healthcare workers have become the unwitting heroes of the coronavirus pandemic, winning applause from balconies and streets around the world. From Yaounde to Rome to New York, hospital workers are dealing with a huge influx of patients, while also facing a lack of equipment in many cases and the fear of becoming infected themselves. Often, they face heartbreaking decisions while treating their patients.

AFP journalists spoke to healthcare workers around the world to find out what it's really like to be on the frontline in the pandemic. In Italy, one of the worst affected countries, dozens of doctors and nurses have died from COVID-19 and thousands of healthcare workers have become infected.

Silvana de Florio, nursing coordinator in the COVID-19 intensive care unit of the Tor Vergata Hospital in Rome, underlined the importance of being appropriately kitted out with masks, visors, gloves, scrubs and suits to avoid contagion.

"We don't set aside a specific amount of time for it, but we have estimated that for a seven-hour shift, about 40-50 minutes is spent just on getting dressed," she said. "In terms of hand washing and hand decontamination, we are talking about 60-75 minutes per day," she said after scolding a care worker for not wearing a mask. "Medical staff can't get sick — not so much because of their ability to work, but because it would not be fair."

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Doctors and nurses in England will be asked to treat Coronavirus patients without fully protective gowns and to reuse equipment due to shortage fears, a media report said on Saturday.

The decision came in a reversal of guidance to hospitals from Public Health England (PHE) on Friday. Earlier this week, it was reported that the plan was being considered as a "last resort". It comes as National Health Service (NHS) providers warned some hospitals' supplies could run out in 24 hours. Chris Hopson, head of the association, which represents healthcare trusts across England, said in a tweet: "We have now reached the point where the national stock of fully fluid repellent gowns and long-sleeved laboratory coats will be exhausted in the next twenty-four to forty-eight hours."

He said that national leaders have left "no stone unturned" —but gowns that were ordered weeks ago are currently only arriving in "fits and starts". PHE changed its guidance, which until now required long-sleeved, disposable, fluid-repellent gowns for people treating COVID-19 patients. Now it says that if these gowns were not available, staff can wear washable medical gowns or non-fluid- repellent equipment. At least 50 NHS workers have died after contracting the virus. The UK has recorded a total of 1,04,769 Coronavirus cases with 14,607 deaths.

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