VILLUPURAM WEDNESDAY APRIL 08, 2020 `7.00 PAGES 12 CITY EDITION GERMAN FOOTBALL STARTS KICKING AROUND A LITTLE For the first time since COVID-19 caused suspension of the Bundesliga, all clubs were back in training on Tuesday BAYERN’S UNUSUAL TRAINING METHODS DIFFERENT REGIONS, DIFFERENT RULES German champions Bayern Munich, who returned to training with seven other clubs on Monday, are training in groups of five. They are not allowing any contact between players, which rules out making tackles and hugs. Training began with a warm-up routine, followed by running and shooting drills. Players asked to take showers at home instead of locker-rooms. ■ ■ The clubs are following the respective regulations in the regions they are from. For example, Wolfsburg and Borussia Dortmund are only allowing their players to train in pairs All clubs had to apply to their respective state governments for permission to train. Bundesliga is suspended until April 30 1,00,000 COVID-19 CASES IN GERMANY ALREADY CROSSED THE ONE-LAKH MARK CHENNAI ■ MADURAI ■ VIJAYAWADA ■ BENGALURU ■ KOCHI ■ HYDERABAD ■ VISAKHAPATNAM ■ COIMBATORE ■ KOZHIKODE ■ THIRUVANANTHAPURAM ■ BELAGAVI ■ BHUBANESWAR ■ SHIVAMOGGA ■ MANGALURU ■ TIRUPATI ■ TIRUCHY ■ TIRUNELVELI ■ SAMBALPUR ■ HUBBALLI ■ DHARMAPURI ■ KOTTAYAM ■ KANNUR ■ VILLUPURAM ■ KOLLAM ■ WARANGAL ■ TADEPALLIGUDEM ■ NAGAPATTINAM ■ THRISSUR ■ KALABURAGI Lost his mother, but continued to nurse patients tending on coronavirus patients. So, loaded with grief while pushing back his tears, he continued offering patient care at the hospital and let his brother perform the last rites. Remember, SMS is the state’s biggest government hospital where the first bunch of infected Italian tourists were admitted and later cured. “My mother passed away but I felt those who are alive and struggling need me more at this time,” Meena told this newspaper. “I can’t leave the patients. R A J E S H A S N A N I @ Jaipur WORKING at a hospital that is at the centre of providing advanced healthcare facilities to coronavirus patients comes with its share of responsibilities. Ramamurthy Meena, intensive care unit (ICU) in charge at the SMS hospital in Jaipur, is well aware of it. So caught up was he with work at the hospital that he couldn’t even participate in the last rites of his mother, but managed to view her cremation through a video call. His mother Bholi Devi passed away on March 30 at the ripe age of 93. But the call of duty was stronger, as Meena was at- My three brothers and father supported me saying ‘you serve the corona patients without grieving.’ That gave me the courage to continue to work despite the bereavement Ramamurthy Meena, SMS Hospital, Jaipur We all have to fight in unison against the epidemic. My wife and children are all in the village in my native Karauli district. My three brothers and father supported me saying ‘you serve the corona patients without grieving.’ That gave me the courage to continue to work,” he added. Fellow nurses lauded Meena’s sense of commitment. “This is exemplary devotion to duty If Meena wanted to go for . the funeral, the administration would have helped him attend the last rites, but he never left the ICU as there are many seri- TN reports 69 new COVID-19 cases; tally up to 690, two die EXPRESS NEWS SERVICE @ Chennai TWO persons died of COVID-19 in Tamil Nadu while 69 fresh cases were reported on Tuesday taking the State tally to 690. So far, eight persons have died of the virus in the State and 19 patients have been discharged after they fully recovered. Vellore recorded its first death on Tuesday a 45-year-old, , who was admitted to the CMC three days ago. The man, District Collector A Shanmuga Sundaram confirmed, had no travel history. He was a resident of Saidapet in Vellore. Earlier, talking to reporters, Health Secretary Beela Rajesh said the test result of a 64-yearold woman who died at the Rajiv Gandhi Government General Hospital on Monday showed she too was positive. She had comorbid conditions of diabetes and hypertension and died within one and a half Vellore records its first death In Vellore, a 45-year -old man died of COVID-19 on Tuesday, confirmed Collector A Shanmuga Sundaram, The man has no travel history, and it could be a case of contact transmission, the Collector said late on Tuesday evening. hours of being admitted. A senior doctor said the woman had severe respiratory issues when admitted. Of the 69 fresh cases, 63 are linked to a ‘single source event’, the Health Secretary said referring to the Tablighi Jamaat conference in Delhi. Till date, 637 people who attended the Delhi event have tested positive in the State. “We have tested samples of 1,630 attendees and their contacts. As many as 1,431 Triaging for management Latest govt guidelines suggest creating three categories of suspect coronavirus patients instead of bunching them together FEVER/ UPPER RESPIRATORY TRACT INFECTION of them have been traced and isolated,” Beela Rajesh added. About the six other cases, she said three were from the same family one has a history , of inter-state travel, one has had contact with a person who had travelled abroad. “We are tracking the source of infection of one case,” she said. Beela Rajesh said, “We are also auditing deaths. We have an expert committee. Today we held a detailed meeting on strengthening treatment protocols and monitoring of patients. So, we are all working together to prevent deaths.” She also said that so far three doctors had tested positive for COVID-19 in the State. Of the 69 cases reported on Tuesday, Chennai district had 39 cases, Tirupur had 13, Thoothukudi six, Madurai five, Thanjavur three, Ranipet two and Coimbatore one. MILD, VERY MILD Admit to suspect case section of covid care centre (hotel/lodge/hostel/stadium); test them If Negative: Discharge & symptomatic management If Positive: Shift to confirmed case section; monitor health twice daily PNEUMONIA BUT NOT SEVERE Admit to suspect case section of dedicated covid health centre; run tests MODERATE If Negative: Shift to non-covid hospital/block; discharge as per clinical assessment If Positive: Shift to confirmed case section, monitor for severity SHORTNESS OF BREATH Admit to dedicated covid hospital with ICU facility; run tests SEVERE If Negative: Manage according to clinical assessment; shift to non-covid hospital/block when patient becomes stable If Positive: Keep patient in ICU; discharge as per clinical assessment Govt harps on social distancing; aggressive cluster containment strategy is paying off al. But curbing the spread of the infection will become difficult if lockdown measures WHILE the Centre is prepar- for social distancing are not ing a roadmap for the next followed, he emphasised. steps after the current phase While 352 patients have of lockdown ends on April 14, been discharged after recovhere is a sobering piece of ering from the infection, the data: just one coronavirus pa- country now has a total 4,421 tient could potentially infect confirmed coronavirus cases. 406 people in 30 days if the In the last 24 hours, 354 new person does not practice so- cases have been reported and cial distancing. On the toll has reached the flip side, the No decision 124 with 15 fatalities transmission rate since Monday . yet on can be brought down In India, the curlockdown in a big way if social rent R0 or R naught distancing is studi- “No decision on — the unit to measextending ously followed durure the rate at which lockdown as yet a person can infect ing lockdown. (taken), please “If we follow propothers — is someer measures and so- don’t speculate,” where between 1.5 Lav Agarwal said, and 4.5, the ICMR cial distancing, the adding the infection rate can be study said, and suggovernment’s cut down to just 2.5 gested that the R0 be decision would people per patient in contained at 2.5, 30 days,” said Lav be conveyed soon which means the inAgarwal, joint secrefection rate should tary in the Union Ministry of not exceed 2.5 persons over a Health and Family Welfare, 30 day span. “Hence, again reciting an ICMR study, which quest you all to follow social was also the source of the dra- distancing. It is social vaccine matic 406 infections figure. in the management of Cov“The government is adopt- id-19,” Agarwal said. ing a strategy for cluster conThe government, he added, tainment, which is producing was looking at strengthening positive results, especially in dedicated hospitals for treatAgra, Gautam Buddh Nagar, ment of Covid-19 cases and Pathanamthitta, Bhilwara the strategy has been shared P5,6,7,8,9,12 and East Delhi,” said Agarw- with all states. EXPRESS NEWS SERVICE @ New Delhi RBI relaxes overdraft facility norms for states, UTs To help state governments facing cashflow mismatches, RBI on Tuesday allowed states to be in overdraft continuously for 21 working days, up from 14. Similarly, the No of days for which a State/ UT can be in overdraft in a quarter has been raised to 50 from 36. The arrangement will be in force till September 30 Don frowns, India relents on drug ban CM announces new concessions for farmers PUSHKAR BANAKAR & BALA C H A U H A N @ New Delhi / Bengaluru EXPRESS NEWS SERVICE @ Chennai CHIEF Minister Edappadi K Palaniswami on Tuesday announced fresh concessions for farmers to ensure availability of essential commodities to people during the lockdown. If farmers face any difficulty in transporting their produce, they can contact the Deputy Director of Agriculture (Agri Business) in their districts. Officials will assist them in contacting traders, getting permission for transporting produce and guiding them to cold storage facilities. Considering the present situation and with mango yield expected to go up in the next 15 days, the fee being collected for keeping vegetables and fruits in cold storage facilities will be completely waived till April 30. Palaniswami said the government would provide loans up to `10 lakh to select farmer producer companies which are procuring directly from farmers and supplying vegetables and fruits to the public at reasonable rates besides ensuring fair price to the cultivators. The Horticulture Department will also arrange for vehicles to take vegetables and fruits to consumers in urban areas. Farmers need not pay the market fee while selling their produce through markets P4 till April 30. ous patients admitted there. We are sad he wasn’t able to join his family in their time of grief but he is an inspiration for all the medical professionals of the country. We are proud of him.” said Rajendra Rana, state president of the All Rajasthan Nursing Association. Rajasthan on Thursday had 27 fresh cases, taking the state’s total to 328. Of them, 103 cases are from Jaipur and many of them are admitted at SMS hospital, where people like Meena are holding fort, one reason why over 40 have already recovered in the state. Just one patient can infect 406 in 30 days: Study WITHERED HOPES A floriculturist near Manur in Tirunelveli clearing Marigold plants from his field owing to lockdown | V KARTHIKALAGU A day after US President Donald Trump threatened to ‘retaliate’ if India did not supply hydroxychloroquine, an inexpensive anti-malaria drug believed to be effective in treating Covid-19, New Delhi on Tuesday relaxed the ban on the export of the drug. Trump had spoken to Prime Minister Narendra Modi on Sunday and requested him for the drug. To a reporter’s query about India’s export ban, Trump said, “I know that he (Modi) stopped it for other countries... If he doesn’t allow it to come out. That would be OK. But of course, there may be retaliation.” Sources said India decided to export paracetamol and hydroxychloroquine depending on availability of stock after meeting domestic requirements. The decision to export the drug was taken after Modi got calls from Trump and Brazilian President Jair Bolsonaro requesting the drugs. India is the largest manufac- turer of hydroxychloroquine in the world. Currently, IPCA, Zydus, Microlabs, Cipla and Wallace manufacture this drug. However, India gets the active pharmaceutical ingredient (API) used to manufacture the drug from China. Pharma companies want the government to expedite API import, which was hit because China was dealing with its own health crisis. Two Karnataka firms have also got the licence to produce the drug but they are yet to begin manufacturing. CURED & BACK HOLDING FORT LESSONS EN ROUTE THE BATTLE WITH COVID-19 Lav in the time of the coronavirus pandemic Recovered woman gets hero’s welcome Chennai: A 25-year-old woman from Coimbatore, who managed to bid adieu to COVID-19, went home to a hero’s welcome after 17 days in isolation. The treatment was not made easy by a few, who were constantly trying to find out who she was and where she lived. Purported photos of her apartment, and rumours about her family’s health kept popping up online adding to her stress. ‘Do not blame source of infection’ Erode: Among those discharged from ESI Hospital in Coimbatore on Monday was a 29-year-old member of medical fraternity. Her 10-month-old baby, mother, domestic help and husband had also tested positive. The woman, her baby and domestic help were also discharged. Back home, she has a message for society: do not blame the person you may have contracted the virus from. ‘Social stigma is worse than infection’ Tirupur: A 48-year-old businessman who recovered and returned home on Monday is now under home quarantine. However, a malicious campaign against him and his family on social media in this connection has left their hearts scarred for life. “Some persons posted pics of our house calling it ‘evil house.’ We can never forget this for a lifetime,” his wife said | P4 S U M I S U K A N YA D U T TA @ New Delhi THOSE interacting with the health ministry on a regular basis have known 1996-batch Andhra Pradesh cadre IAS officer Lav Agarwal as someone who prefers working quietly and delivering results to being in the limelight. That’s why the metamorphosis of the 48-year-old as the face of the government during the Covid-19 crisis, putting out information on the outbreak progression, handling queries from an ever-inquisitive press deftly and defending the government’s actions to boot — day-afterday — has surprised many . Agarwal got the task to brief the media on coronavirus for the first time simply because the panel addressing the press had all joint secretary rank officials, but his ability to answer questions efficiently while revealing only what was needed tipped the scales, sources said. In the ministry, he is in charge of digital health, international health and communicable diseases. “As a colleague, I would say I am impressed with his ability to handle the kind of pressure that his profile has now thrown at him. Probably the fact that he is a strict disciplinarian and does a lot of exercise, including Yoga, is also helping him a lot,” said another JS. Hailing from UP’s Saharanpur district, Agarwal did his B Tech in mechanical engineering from IIT-Delhi before joining the IAS. He worked extensively in education and health sectors in his cadre state before being posted as JS, in the Union health ministry in 2016. Those who know him closely says he may seem unapproachable and hard to please in the beginning but all that changes once people gain his trust. “He takes time to trust people but he is passionate, committed He sees the big picture very early in the game and then gets an army of people around him to drive towards that goal. He values and weighs suggestions from the junior-most team member Dr Oommen John, public health researcher, George Inst of Global Health and target-oriented,” says one of his subordinates. According to another official, Agarwarl works up to 15-16 hours at a stretch and goes home only to catch sleep. “He is in office till very late and is also the earliest to check in.” His colleagues saywhile the general perception is that bureaucrats are not flexible and often find ways to maintain the status quo, Agarwal loves innovations and disruptive ideas. Dr Oommen John, a public health researcher with George Institute of Global Health who has worked with Agarwal, says this quality of his has helped India put its best fight forward in fighting the pandemic as there is not a single day when some innovative approach is not introduced.
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