|India is struggling to keep an eye on its migrants|
Even as the Indian Railways struggled to meet the huge demand to bring back India’s internal migrants, inefficiencies in tracing and monitoring continue to haunt health officials. In Karnataka, hundreds of migrants returned between 7 and 12 May are not identified times of India
. In Kerala, where contact tracing is considered the best – thanks to an army of health workers, mostly women – officials estimate that 3,896 people arrived from other states without registering themselves. Even at a national level, the number of “unsigned” confirmed cases of Kovid-19 has increased to 2,970. Indian Express
It has not yet been confirmed whether these people – some of them, truck drivers – are the states that were tested or in the destination states, according to official reports.
The monitoring gap is a concern, especially for states witnessing the mass return of migrants. For example, in Bihar, the number of confirmed cases of Kovid-19 has increased to around 3,000, 80% of them being among migrants. That many desperate migrants are returning by hiking or riding on commercial trucks or even crossing rivers on the Meshift Buoys makes surveillance a nightmare. To add to the challenge, healthcare infrastructure in many of these states is weak.
Authorities are finding it difficult to keep an eye on the returners of trains. Last week, officials in Haridwar in Uttarakhand realized 167 passengers who boarded a special train from Surat, Gujarat, who did not arrive at the destination; They may have clashed somewhere in the middle.
Haphard policies only worsen the situation. Take Karnataka, for instance, where until 12 May there was no guideline on institutional quarantine for people coming from other states, although inter-state agitation was allowed on 7 May. Now we do not know how many people entered the state, a senior state official said, a valid pass in those six days times of India.
Lack of coordination between the railways and state governments has led to more problems. In the past few weeks, there have been several reports of the arrival of special trains, port passengers and state authorities pulling into stations notified as ports. The railways say this was done to avoid traffic congestion, but states that such final minutes hamper their preparedness and ability to account for all arriving passengers.
- The Ministry of Health of India has confirmed 151,767 Kovid-19 cases (83,004 active cases) and 4,337 deaths. On Tuesday, 6,387 new cases were registered.
- The worldwide mortality rate is 350,531 (about 5.6 million infections).
The number is on Wednesday, noon to 12:30 IST. See the latest data here
|Tell me one thing|
|Not a killer virus but an immune response?|
- The current epidemic is unique not only because it is caused by a new virus that puts everyone at risk, but also because the range of innate immune responses is diverse and unpredictable. In some it is strong enough to kill. In others, it is relatively mild. Read an overreaction of the body’s immune system called a Cytokine storm. Derived from the Greek words for cell (‘cyto’) and movement (‘casino’), cytokines are small proteins released by many different cells in the body, including the immune system where they respond to the body’s response against infection. Coordinate and trigger the transition.
- Sometimes the body’s response to an infection can go away In overdrive. For example, when SARS-CoV-2 enters the lungs, it triggers an immune response, attracting immune cells to the area to attack the virus, resulting in local inflammation. But in some patients, excessive or uncontrolled levels of cytokines are released which then activate more immune cells, resulting in hyperinflammation. It can seriously harm or even kill the patient.
- Cytokine storms are a common complication not only of covid-19 and flu but also of other respiratory diseases caused by corsaviruses such as SARS and mars. They are also associated with non-infectious diseases such as multiple sclerosis and pancreatitis. The phenomenon became more widely known after the 2005 outbreak of avian H5N1 influenza virus, when higher lethality rates were associated with an out-of-control cytokine response.
- In addition to severe and mild reactions, cytokine storms may also explain why young people are less affected by Kovid-19, as their immune systems are less developed and therefore produce lower levels of inflammatory-driving cytokines. So when we blame coronovirus for death, in some cases, it may actually be a hyperactive immune response that causes it.
|When you are on the mask…|
- Doctors say that running with facial mask is almost like running at high altitude. TOI Associate Professor of the Center for Sports Sciences Drs. “The mask stops the amount of oxygen you breathe, which is at higher altitudes,” says KA Thiagarajan.
- They say, “There is only one reason why you will need to wear masks to exercise for external reasons, when it is mandated by other governments to please other walkers in the neighborhood or to make it mandatory by the government.” “Also, if you sweat in a mask, it loses its antimicrobial property anyway.”
- Talked to TOI, an infectious disease specialist, discouraging the use of masks while exercising. They hardly breathe when a person is exhaling physically, he says, but a mask reduces the amount of oxygen coming in and can lead to hypoxia, which can cause dizziness or breathlessness. Thrombosis may occur. “He does not participate in groups, or may choose routes where there are fewer people,” he suggests.
- A respiratory medicine specialist, however, says: “If someone is just like you or walking or walking 10 feet away, you are likely to be on your side for several seconds. In this case, on the mask It is better to be. “.
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. times of India
Will seek answers from concerned authorities and include a select few in the newspaper.
|Punjab is turning|
- For a state that was worst affected in the early days of the spread of Kovid-19, the script of a sharp change in its fight to prevent transmission of the virus in Punjab appears. As of Wednesday, its Case doubling rate is more than 6 times slower Compared to the national average – 94.8 days for Punjab, which is the slowest in India, is 15.1 days for the whole country. In fact, the gap between Punjab and the next best state, Gujarat, is also staggering – the latter situation doubling at 24.5 days, or about 4 times faster than Punjab. Part of the reason could also be a change in its testing criteria last week – so this novel will test only symptomatic carriers of coronaviruses while asymptomatic carriers and indirect contacts are monitored only.
- Punjab, which was perhaps the first to be wreaked havoc by spread super-spreaders – an infected person who passed through the virus to many people, the first fatal disease in the state, killed 27, including his own family – First curfewTwo days earlier, in national lockdown, in a desperate bid to stop the spread. The curfew was repeatedly extended and currently stands until 31 May, although some leeway has been granted during the day.
- The state, which saw a spate of new cases when pilgrims were stranded in other states when Lockdown 1.0 was announced, returned home, A. Early adopter of technology – Its COVA app not only enables users to self-assess about their Kovid-19 status, but also allows them to seek medical help, in addition to enabling them to purchase daily provisions. It has managed to achieve a recovery rate of over 91%, while its fatality rate is 1.89%, with 2,106 cases, 1,918 recoveries and 40 deaths, while Gujarat is the second slowest state with a double rate of recovery. The rate is recorded at 14,840. Rate of 48.2% and fatal count of 917, or 6.2%. According to estimates, the epidemic will end in Punjab by the first week of July.
Your state or union territory has a list of helpline numbers. here
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written by: Rakesh Rai, Judhajit Basu, Sumit Sudhakaran, Tejesh N.S. Behl
The research: Rajesh Sharma