Times of India | 6 days ago | 22-06-2022 | 04:42 am
NEW DELHI: While Delhi has mostly reported around 1,500 new Covid-19 cases every day in the last one week, the test positivity rate has seen a major spike. In the last one week, four revenue districts — East, Central, South and North West — have entered the “Red zone” with average weekly positivity rate of above 10%. South district has consistently seen the highest positivity rate, while last week East district witnessed a massive jump in the weekly positivity rate, which stands at 13.11%. Compared with the weekly positivity rate of 5.25%, in the second week of June the district recorded an increase of 7.86 percentage points, the highest in the city. TimesViewIn the past few weeks, the city’s Covid positivity rate has shot up. However, there is no reason to panic. The percentage of patients being hospitalized is still extremely low. Nonetheless, Covid appropriate behaviour must continue.The average weekly positivity rate for Delhi was 8.49% in the last seven days, compared with 3.79% in the second week of June and 2.17% in the first week. The average in the last one week has increased by 4.7 percentage points compared with the second week of June and by 6.32 percentage points when compared with the first week. During the first week of June, all districts were in the “Green zone” with an average weekly positivity rate of below 5%. However, South, East, Central, and North West districts entered the “Orange zone” with average weekly positivity rates above 5% between June 8 and 14. Even as four districts have recorded an average positivity rate of more than 10%, South West (9.46%) is close to sliding from the Orange to the Red zone. Apart from East, four other districts have seen an increase in the average weekly positivity rate by more than 5 percentage points. These include Central (6.55), South (5.88), North West (5.32), and Shahdara (5.08). Those that have seen an increase of close to 5 percentage points are New Delhi (4.9), South West (4.59) and West (4.48). North East district, which has consistently recorded the lowest positivity rate, has seen the lowest increase of 1.31 percentage points. However, the district has also recorded an average weekly positivity rate of more than 1% after a long period. However, it has the lowest share of more reliable RT-PCR tests (38%) than any other district. The overall average weekly positivity rate of 8.49% has come from 32% Rapid Antigen Tests and 68% RT-PCR tests. The share of RT-PCR tests has increased in the last one week compared with 36.5% RAT and 63.5% RT-PCR tests the previous week.
Kochi: Since June first week, when India saw re-emergence of new Covid cases due to sub-lineages of Omicron, Kerala has reported maximum new Covid deaths in the country. Between June 1 and June 25, Kerala reported 127 new deaths and 65,811 new cases. In other words, there were on an average five new deaths everyday. There were 78 backlog deaths during this period in the state.In contrast, Maharashtra, which has reported the maximum number of new Covid cases, 69,087, during this period, is reporting a much lesser number of Covid deaths 40. Delhi, which was among the first few states to see a spike in cases by mid April, in June, reported 22,611 new cases and 39 deaths. Even in neighbouring states of Karnataka, Tamil Nadu and Telangana, the new Covid cases as well as deaths remain very low. While Karnataka reported 12,600 new cases in 25 days of June, there were only seven Covid deaths, in Tamil Nadu only one death was reported after 11,398 persons tested positive and Telangana despite 5,344 new cases didn’t report a single Covid death during this period.“We have a huge vulnerable population elderly and people with non-communicable diseases (NCDs). Majority of deaths here now are because of comorbidities and Covid is coincidental. Purely Covid-19 deaths are less now in Kerala,” said Dr Jayakrishnan A V, chairman of Indian Medical Association’s (IMA) committee on Covid vaccines and vaccination. Public health experts believe that the Kerala government, to protect the vulnerable, should strictly implement SMS social distancing, masking and sanitizing. Also, symptomatic people should be encouraged to quarantine themselves. What is now happening is that the symptomatic are freely moving around and going to the office, market and spreading the infection to the vulnerable section of the society. Also, even the symptomatics who are testing now are either those who have comorbidities or those who want to avail sick leave. “What we are seeing now is cluster-based Covid spread that is limited largely to 10 states in the country. In a few states, new Covid cases have started to dip,” said Krishna Prasad N C, state health department official who has been analysing Covid-19 data since 2020.“The fatality rates are not alarming and much lesser than what we saw during the Omicron wave. Of course, at present Kerala has a high number of deaths when compared to other states, but even then it is not alarming,” he added.
Re-establishing the need for vaccination, the latest genome sequencing report of Brihanmumbai Municipal Corporation (BMC) has revealed that Covid-related mortality is higher among unvaccinated patients.Out of the 269 patients whose samples were taken for sequencing, 107 or 39.7 per cent were unvaccinated. Of these, five required admission in the Intensive Care Unit (ICU) and three lost their lives. On the other hand, among the eight patients who had taken one dose and 154 patients who were fully vaccinated, no death was recorded.The requirement of treatment in ICU was also found to be less among partially and fully-vaccinated patients. Only one patient who had taken both the doses of the vaccines needed admission in the ICU.“In the genome-sequencing report, we witnessed that the severity of infection was much higher among unvaccinated patients. This group of patients also needed more time for recovery. This again highlights the need for vaccination, especially among the elderly with comorbidities,” said Dr Mangala Gomare, Executive Health Officer, BMC.Echoing similar view, Dr Rahul Pandit, member of the Covid-19 task force, said that vaccines don’t provide shield against infection but lower the severity which contains the mortality rate. “Vaccines will confer sterilising immunity in everyone. They provide us immunity against severe diseases and mortality. These are generation one vaccines made from the ancestral strain; it has never been claimed that vaccinated people will never get infected. Also, if one gets infected, chances are that they will be asymptomatic or have minor symptoms,” he said.Since the surge in Covid-19, the civic body has been sending naso-oropharyngeal positive sample from hospitalised patients as well as people testing positive in dispensaries and laboratories for genome sequencing.As per the 13th genome-sequencing report, out of the total samples collected, 268 or 99.63 per cent were detected with variants of Omicron. Of these, six and 12 patients were detected with the new variant of Omicron—BA.4 and BA.5 — respectively.A total of 60.59 per cent (163) Covid-19 patients found positive with the Omicron variant were in the age bracket of 21-60 of which 40 per cent (108) were in the 21 to 40 age group. Around 10.78 per cent (29) were in the 0-18 age group.On Monday, the state registered a total of 2,369 new Covid-19 cases, of which Mumbai constituted 1,062 cases. The state capital registered five more deaths which pushed up the total mortality to 37 as of June 27.
Maharashtra, which is witnessing a surge in Covid-19 cases, recorded 46 fatalities in June, the most in a month since March. More than 70 per cent of these deaths — 33 — have been recorded in Mumbai.With the flattening of the pandemic curve, the state only reported 9,185 cases with five deaths in May — the lowest Covid-19 fatality rate reported since the beginning of the outbreak in March 2020. But as cases climbed, indicating the possible onset of a fourth wave, Covid deaths increased nine-fold compared to previous months in the state. As of June 26, the state registered a total of 74,499 new Covid-19 cases with 46 deaths.Although the number of deaths has climbed, public health officials say the trend isn’t concerning as the case fatality rate remains as low as 0.06 per cent.“Most of the deceased patients were elderly and had several underlying health issues like hypertension, diabetes, cardiac and kidney ailments, among others. Due to these health issues, their health condition deteriorates faster,” said Dr Mangala Gomare, executive health officer, Brihanmumbai Municipal Corporation (BMC).Though recent reports indicate the presence of new Omicron variants in a few cities across the country, they are unlikely to become ‘variants of concern’, say doctors.Anticipating further spread of the virus, as seen in the last three pandemic waves, the public health department is making logistic arrangements to handle increased flow of patients. But as the severity of the infection is mild, most patients are recovering in home quarantine.“The new variants of Omicron — BA.4 and BA.5 — are causing the spike in cases. It is expected that it will spread further but that’s the nature of a virus. But our focus should be on the hospitalisation and death rates, which are still under control,” said Dr Pradip Awate, state surveillance officer.
NEW DELHI: Though the number of Covid cases in the capital is witnessing ups and downs, experts believe that the daily infection figure could be much higher than reported. Dr Suranjit Chatterjee, senior consultant, internal medicine, Indraprastha Apollo Hospital, said: “Investigations are happening at home, people are conducting self-tests with new kits. I don't think the numbers are too low, but the good thing is that there are no serious cases. In Delhi, the vaccination coverage has been good," he said. On Sunday, the government hadn’t released the Covid data at the time of going to press. “We need to have more genome sequencing in government setups to understand the strain of Covid currently rampant. It will help the medical fraternity follow the cases in a better way. Once immunised, even the Delta variant doesn't act in a very dangerous way. However, now-a-days we hardly prescribe any medications. Most cases are settling down in 3-4 days,” Dr Chatterjee stated. On Saturday, six more deaths were reported due to Covid in Delhi while the positivity rate stood at 7.8%. “Delta caused severe pneumonia even among the younger people. We are not seeing that anymore. There are occasional cases, but those are becoming so rare that it is not remarkable to talk about. Covid can be a factor in bringing forward deaths. There are several organ systems working together in a body. When Covid strikes, the equilibrium is lost,” said D. Rajeev Jayadevan, co-chairman, national IMA Covid task force. “We don't have any record of new variants outside the Omicron family, whatever infections are happening now are all sub-variants of it. In Europe, some serious cases are coming in, but details are yet to be evaluated. In India, B.A.4 and B.A.5 are not yet dominant. Sampling has to be done in every cluster,” he said.
After repeated fire incidents in hospitals across Maharashtra amid the pandemic, over 500 government hospitals have been audited in the state. For the work related to the fire safety compliance in hospitals, the state government has, for the first time, approved a fund of Rs200 crore.Under the district planning and development committee (DPDC), 25 per cent of the funds have been reserved for the health sector. “Of the funds allocated for the health sector, Rs 200 crore has been sanctioned for ensuring compliance with fire safety measures in hospitals,” N Ramaswamy, commissioner, National Health Mission, Maharashtra, said.The state has already released Rs 19 crore for the purpose of ensuring fire safety in hospitals.Nearly 53 people lost their lives in fire outbreaks in hospitals amid the pandemic in 2021. Majority of the victims were Covid-19 patients. The string of such incidents started with a devastating fire at the Bhandara District Hospital on January 9 that led to the death of ten infants. It was followed by multiple fire incidents in Mumbai.The worst of the incidents took place on November 6, last year when a fire broke out at the ICU of Ahmednagar Civil Hospital, claiming the lives of 14 Covid patients. Preliminary investigation showed that most of the Covid care centers and hospitals in the state lacked adequate fire-fighting equipment.To gauge the violations of fire safety rules, Chief Minister Uddhav Thackeray, in April, instructed all the districts to audit the hospitals. With the audit now concluded, the government has set sights on plugging the holes and ensuring fire safety compliance at hospitals over the next six months.In the last three months, the state audited a total of 511 tertiary-care and peripheral hospitals other than primary health centres for implementation of fire safety rules. The inspection was conducted on the watch of the PWD department.“The fire safety gaps have been analysed for total compliance. Work has been initiated for the implementation of suggestions,” Ramaswamy said, adding, “Along with medical colleges and tertiary-level hospitals, we have also audited primary health care centres.”