Editor in Chief Dr KK Aggarwal, Padma Shri Awardee                                                                               Dated:08 July,2020

One in 4 infected individuals sent to hospital in New Delhi

NEW DELHI: In terms of percentages, 12% of the 2,935 people who tested Covid positive in New Delhi district in the last 23 days needed to go to Covid care centres, while 24% required hospitalisation in the relatively upscale district.
At the same time, a significantly high 63.3% proved either asymptomatic or only exhibited mild symptoms of Covid-19 and are recovering in home isolation
Data after the testing and management process for Covid cases was revamped on June 14 shows that the district had a positive case rate of just 10.4% in this period. A senior official involved in the disease surveillance in the district revealed that 28,202 individuals tested positive in this period, roughly a tenth of all those tested. ....read more

CMAAO Coronavirus Facts and Myth Buster: D-Dime

965: Predicting factors for pulmonary embolism in non-critically ill COVID-19 patients - D Dimer > 5000
A Spanish study published in the Journal of Thrombosis and Thrombolysis has reported a high rate of pulmonary embolism (PE) in non-critically ill hospitalized patients with COVID-19 despite the use of standard thromboprophylaxis. B. Mestre-Gómez, Internal Medicine Department, Infanta Leonor University Hospital, Madrid, Spain, and colleagues stated that they had found 29 patients with established PE and COVID-19 pneumonia out of 91 CTPA (computed tomography pulmonary angiography tests) performed among 452 patients admitted over the study period. This points to an incidence of 6.4% in a medical ward and one-third of positive CTPA despite prophylactic doses of LMWH (low-molecular-weight heparin). ....read more

World Covid Meter 7th July: India Number 3, 213 Countries Affected

Cases: 1M April 2, 2M April 15, 3M April 27, 4M May 8, 5M May 20, 6M May 30, 7M June 7, 8M June 15, 9M June 22, 10M June 29, 11M July 4
Ground Zero: Wuhan - in live animal market or cafeteria for animal pathogens: 10th January; Total cases are based on RT PCR, 67% sensitivity
Doubling time India 20 days, USA 33 days, Brazil 13 days, Russia 18 days, Spain 47 days, UK 35 days, Italy 55 days, France 49 days, Turkey 37 days , Likely minimum deaths (540618 + 57979 x 15 == 8696) = 549314,Coronavirus Cases: 11,737,955,Deaths: 540,618,Recovered: 6,641,602,ACTIVE CASES 4,555,735 ....read more

Prayer for Inner Happiness

Stress is defined as the physical and mental reaction to the interpretation of a known situation. In absence of a known situation, there cannot be stress. One cannot be stressed for a person who has just died in New York in an accident unless he/she is a person known to him.
There has to be a right, conscience-based interpretation of the situation as the same situation can bring happiness to one and stress to the other. The most important consequence of stress, whether physical or mental, therefore, depends on the right interpretation of the situation. ....read more

Leading National NGO HCFI launches-Mediation Cell to enable out-of-court & pre-litigation dispute resolution

The Heart Care Foundation of India (HCFI), a leading national non-profit organization inaugurated the HCFI e-Mediation Cell on 7 th July 2020. The e-Mediation Cell will use technology to virtually help people across the country in resolving their disputes amicably, thereby maintaining their relationships and also saving time, energy and money.
Hon’ble Justice AK Sikri (Retired) Former Supreme Court Judge, International Judge, Singapore International Commercial Court, was the Chief Guest and Mr Siddharth Luthra, Senior Advocate, Supreme Court of India, Former Additional Solicitor General of India was the Guest of Honor. The event was moderated by Padma Shri Awardee, Dr K K Aggarwal, President, HCFI and CMAAO, and the panelists included Mr Nikhil Rohatgi, Advocate, Supreme Court of India and Mr K K Mukhija, Advocate and Certified Mediator....read more

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Three ways to protect doctors from COVID 19



Healthcare News Monitor
Indian pharma compliance standards improving, regulatory risks here to stay: Ind
Live mint

MUMBAI : Indian pharmaceutical companies have built a strong abbreviated new drug application (ANDA) pipeline since FY12 through scaling-up of investments in R&D but this will increase the inspection intensity, India Ratings and Research (Ind-Ra) said on Tuesday.
Ind-Ra said there will be an increase in the number of inspections and re-inspections of pharma facilities to clear the overall backlog. The US Food and Drug Administration (US FDA) had postponed facility inspections from April due to the Covid-19 led lockdown which will impact new approvals and clearance for facilities. ,While a significant number of plants received US FDA clearances during March and April for the inspections conducted in previous months, Ind-Ra does not see it as a clear trend.

Central Drug Agency Warns Of Black Marketing Of COVID-19 Drug Remdesivir

New Delhi: The Drug Controller General of India (DGCI) has raised concerns over black marketing and profiteering of Remdesivir, an antiviral drug prescribed for treatment of suspected or severe lab-confirmed cases of COVID-19. The DGCI has written to all states and union territories asking them to keep "strict vigil" and prevent sale of the drug above MRP.
"Immediate enforcement is needed to stop the sale of COVID-19 drug Remdesivir above MRP (maximum retail price)," the agency said, noting that unscrupulous persons were indulging in black marketing and over-pricing of the drug.
DGCI chief Dr VG Somani said complaints had been received from an Uttar Pradesh-based community engagement and social media platform via the Ministry of Health.

Karnataka: As Covid-19 cases rise, doctors say need more contact-tracing, ICU beds, ventilators
The Indian Express

With Covid-19 cases and fatalities in Karnataka on the rise, doctors in Bengaluru say the state government needs to restructure its strategy to fight the pandemic, with enhanced contact-tracing, more oxygen beds, Intensive Care Unit (ICU) facilities and ventilators the need of the hour.
“While asymptomatic cases may not need beds and can be treated at home, most symptomatic cases need facilities like adequate oxygen supply, ICU, and ventilators for effective treatment,” Dr Suriraju V, Managing Director (MD) of Regal Hospital in Chokkanahalli, said.,Dr. Taha Mateen, MD of HBS Hospital in Shivajinagar, said the per capita ventilator number in government hospitals remains “shamefully low.”

Rahul Gandhi not a doctor, retorts firm AgVa Healthcare after allegations of substandard, faulty ventilators
The print

Days after Congress leader Rahul Gandhi alleged that the Centre is procuring "substandard" ventilators from a private firm amid the coronavirus COVID-19 pandemic, ventilator-manufacturer AgVa Healthcare on Tuesday slammed him stating that he is not a doctor.
Professor Diwakar Vaish, the owner of AgVa company claimed that the ventilators of the company are much better and cheaper than other companies. He told a news agency ANI that, "LNJP Hospital in Delhi did not reject our ventilator. We are in talks at Mumbai's JJ Hospital and St George's Hospital. These hospitals had third parties install our ventilators which could not be installed properly and doctors could not use them."