CHENNAI SUNDAY JUNE 14, 2020 `8.00 PAGES 24 LATE CITY EDITION CENTRE ADDS LOSS OF SMELL, TASTE TO COVID SYMPTOMS MUSCLE PAIN, DIARRHOEA ALSO RED FLAGS Apart from loss of smell and taste, the health ministry added muscle pain, mucous formation in throat, sore throat, clogged nasal cavity, and diarrhoea to the list of Covid-19 symptoms, in a revised clinical management protocol released on Saturday. This means, those with the above symptoms could soon be considered eligible for coronavirus testing In a revised protocol, the health ministry also advised against using hydroxychloroquine tablets in critically ill cases CENTRE CHANGES STANCE ON HCQ ■ The revised protocol says anti-malarial drug hydroxychloroquine (HCQ) should be used in the early stage for meaningful results and should be avoided in pa tients who are critically ill ■ The new documents says the evidence base behind the use of hydroxychloroquine remains limited as with other drugs | P7 ECG SHOULD BE DONE BEFORE A PATIENT STARTS TAKING HCQ TABLETS 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 India may have to spend 6.2% of GDP to manage Covid: ICMR Report submitted to government recommends intensification of public health surveillance measures; infections expected to peak in October-November S U M I S U K A N YA D U T TA @ New Delhi A whopping 6.2% of the country’s GDP, or about `12.5 lakh crore, is required to fight the Covid-19 pandemic in India with intensified public measures, a report by the Indian Council of Medical Research (ICMR) has said. Considering that the Union health budget is 1.3% of the GDP and the Centre has pledged `15,000 crore towards the public health crisis so far, this means that the cost of Cov- id-19 care could be nearly five times the annual allocation on health and 75 times the fund dedicated towards the disease management yet. The report, A Model-Based Analysis for Covid-19 Pandemic in India: Implications for Health Systems and Policy for Low- and Middle-Income Countries, has also noted that “in the event of a lockdown for eight weeks, the peak of the epidemic shifts by 34-76 days, and the number of cases at the end of the 8-week lockdown reduces by 69% to 97% with varying effectiveness of locdown. “However, the cumulative long-term cases remain the same,” it said. The study has been prepared by public health specialists and health economists attached with the ICMR, PGIMER-Chandigarh, the London School of Hygiene and Tropical Medicine and a member of the National Task Force on Covid-19. The 25-page report submitted to the government also underlines that intensification of public health surveillance 2023 25.0% Other 8.3% The lockdown factor The report pegs the health system cost of managing Covid-19 in the absence of interventions such as the nationwide lockdown at `11,31,300 crore. “This is nearly 4.5% of the GDP. These estimated costs increased by 2.25 times with an intervention of eightweek lockdown and public health measures with 60% effectiveness,” it says How CEOs look at the pandemic 2022 52.4% measures with 60% effectiveness is estimated to reduce the cases at peak and cumulative number of infections by 70% and 26.6%, respectively . Strengthening the health system response in terms of enhanced testing, isolation of cases, treatment and contact tracing, as is being done currently, would have to be the mainstay to reduce the impact of the pandemic in terms of reduction in infected population and Covid-19 deaths in India until a vaccine becomes avail- It could take up to three years to heal the economic injury caused by Covid-19, says a recent survey of global CEOs MY O ONO TURN T How the EC RE employee EN TO LS strength may WH LY VE look like KE EMIC LE IS LI AND next year -P PRE 2021 14.3% Whether workers were laid off to reduce expenses 13.1% 19.0% 2 3 Less than 5% 1 5 4 53.6% 10.7% 3.6% 5–10% 8.3% 22.6% More than 10% Slightly less Significantly less Roughly the same Slightly more Much more Asia 11.5% (other than China) 13.1% 48.9% No layoffs Been hiring India 2.6% Europe 2.6% China 9.0% U.S. 74.3% Source: Fortune EXPRESS READ BOUNDARY DISPUTE New lockdown in Beijing as Covid-19 resurfaces INDIA RED-FACED AS NEPAL HOUSE CLEARS BILL TO REDRAW MAP Beijing: China on Saturday put a wholesale market and 11 residential areas in Beijing under a strict lockdown after more than 50 people tested positive for Covid-19. The new outbreak comes over 50 days after the last local case in the city | P9 PM Modi takes stock of pandemic situation New Delhi: Prime Minister Narendra Modi on Saturday reviewed the country’s response to the Covid-19 pandemic and the mid-term likely scenario with senior ministers and bureaucrats. Home Minister Amit Shah and Health Minister Harsh Vardhan were among the attendees | P7 WITH THIS ISSUE SMALL IS THE NEW BIG PLUS 12 PAGES talks on outstanding boundary issues.” The Bill will now be sent to the Upper House. Once cleared by the Upper House, it would be sent to the Nepali President for ratification. The formal clearance of the new map is likely to close any chances of Indo-Nepal talks on the border issue. P U S H K A R B A N A K A R @ New Delh THE Nepal Parliament, in a special session on Saturday voted in , favour of a constitutional amendment Bill to include disputed territories of Lipulekh, Limpiyadhura and Kalapani in Uttarakhand in its new political map and emblem. The Bill, introduced by Nepal Prime KP Sharma Oli on Wednesday in the House of Representatives, or the Lower House of Nepal’s Parliament, was cleared with a two-thirds majority after all 258 votes went in favour of the amendment. The overwhelming majority was achieved after the main opposition party the Nepali Congress, , decided to back the amendment. The strength of the House of Representatives is 275. India described the development as untenable and “violative of our current understanding to hold talks on outstanding boundary issues.” The Ministry of External Affairs said: “We have already made our position clear on this matter. This artificial enlargement of claims is not based on historical facts or evidence and is not tenable. It is also violative of our current understanding to hold Ladakh situation under control, troops disengaging: Army chief V I N E E T U PA D H YAY & M AYA N K S I N G H @ Dehradun/New Delhi IN the first public statement after Indian and Chinese troops clashed in eastern Ladakh last month following which the Chinese army has occupied areas near the Pangong lake, Army Chief General M M Naravane said on Saturday that the situation was under control and both the sides were “disengaging” in a phased manner. “We have started from the north, the area of the Galwan River. A lot of disengagement has happened. We have had a fruitful dialogue with the Chinese, it will continue and by and by the situation will improve,” Gen Naravane said. “It started with corps commander level talks on the sixth of this month which has been followed up by a number of meetings at the local level between commanders of equivalent ranks and as a result of this lot disengagement has taken place,” the Army chief said. While there have been reports of minor disengagement of troops from the Galwan Valley and Hot Spring areas, there has been no change in the standoff at Finger4 of the Pangong lake. LOVE BLEEDS ‘Honour’ killing claims yet another victim in State? J AYA K U M A R M A D A L A @ Tiruchy IN a suspected ‘honour’ killing incident, a 20-year-old girl who was in love with a youth belonging to another caste in the same BC grouping, died under mysterious circumstances at Idiyanvayil in Pudukkottai on Wednesday. Earlier in that week, the girl and her boyfriend had tried to elope, but were detained by police for want of e-pass and sent back to their homes. The incident came to light only on Saturday after the girl’s boyfriend lodged a police complaint against her parents, who allegedly cremated her without informing the police, seeding the doubt about an ‘honour’ killing. EXPRESS Cops forced her to return Kulithalai police confirmed that despite Savithiri’s objections they made her go with her parents, as otherwise they would have had to send her to a government home The victim, Savithiri (20), was in love with Vivek (20), a painter. In his complaint, Vivek said they had decided to elope after Savithiri’s parents tried to marry her off. “We were going to Coimbatore, but were stopped at Kulithalai check post as we did not have epasses. Our parents were called and we were sent back home. Savithiri’s parents assured the police that they would get us married. Now, they claim that she committed suicide. Savithiri would surely not have killed herself. Her parents might have murdered her because we belong to different communities,” the complaint stated. Vivek further said Savithiri had expressed fear that her parents would kill her and refused to go with them. However, police officers in Kulithalai “convinced” her to return home. The youth, meanwhile, has alleged that the girl’s parents made a vain bid to kill him on Wednesday . When contacted, police confirmed that Savithiri had indeed r e f u s e d t o g o b a c k h o m e. “In cases like this, we convince the girl to go with parents, as otherwise we have to send her to a government home. We convinced Savithiri to go back with her parents,” an officer said. Pudukkottai SP Arun Sakthikumar said, “We are inquiring from angles of suicide and honour killing. We are also looking into why the parents tried to conceal her death.” dra Arora, chair of the operations research group of the national Covid 19 task force, told this newspaper. “While some modellers and scientists sitting in the US and UK were predicting doom for India in May-June, we have done much better and the main cornerstone of our Covid-19 strategy would be effective cluster management,” he said, pointing out that the country was better prepared to deal with infections now than it was in March. Biggest surge of 30 deaths in TN, Chennai cases breach 30K mark 2,071 Cases among 1,92,632 returnees from outside TN 7.1% Which country will attract most investment next year able, the experts said. A main highlight of the report is that without the lockdown and public health measures such as testing and contact tracing, the peak would have come in mid-July but has now been shifted to November and the total number of infections at the peak would be lower. “The first two weeks of the lockdown were most effective in containing the spread of the disease and as per our analysis, the peak could be expected in October-November,” Dr Naren- 17,911 Samples tested. Cumulative figure is 6,91,817 2,000 nurses recruited for Covid duty The State has inducted 2,000 nurses on contract basis for Covid duty in government hospitals at Chennai and its three neighbouring districts EXPRESS NEWS SERVICE @ Chennai IN the biggest single-day spike in reporting of Covid-19 deaths in the State so far, 30 more victims were added to the list on Saturday taking the toll to 397. , The day also witnessed 1,989 fresh cases being added to the State’s kitty, driving the tally up to 42,687. Meanwhile, Chennai breached the 30,000 mark on Saturday by adding 1,487 cases, taking the city’s tally to 30,444. The death toll in the city stands at 316. Among the fatalities reported on Saturday, 23 had comorbidities, especially diabetes and hypertension. The victims included a 27-year-old female from Chennai with diabetes and a 29-year-old patient from Vellore with no underlying conditions. Among the victims, 24 were aged above 50. As many as 1,362 people were discharged on the day taking the total number to , 23,409 which is higher than the 18,878 active cases. Another MLA tests positive AIADMK’s Sriperumbudur MLA K Palani (57) has tested positive and is being treated at the Miot hospital in Nandambakkam. He is the second MLA in the State to contract the virus. Hospital PRO Hariharan said the MLA was admitted with slight fever on Friday and is stable. Meanwhile, the wife and daughter of DMK MLA Karthikeyan, from Rishivanthiyam, were tested positive on Saturday, according to a statement from the Dr Rela Institute and Medical Centre in ChenP3 nai.
Express Network Private Limited publishes thirty three E-paper editions of The New Indian Express newspaper , thirty two E-paper editions of Dinamani, one E-paper edition of The Morning Standard, one E-paper edition of Malayalam Vaarika magazine and one E-paper edition of the Indulge - The Morning Standard, Kolkatta.