The Agarwal Samaj, largely comprising members associated with the textile trade, has a network of about 65 to 70 people spread across 50 locations in the city. With monetary support, pouring in from within the community and from outside, they have been able to procure about 55 oxygen concentrators so far and is in the process of procuring another 100 to fight the acute scarcity.
Telangana is not among the 10 most-affected Indian states that have shown the steepest daily rise in infections over the past fortnight. However, the rise in cases has overwhelmed infrastructure. Over the fortnight before this spike in case numbers, many in the state who were due for their second dose of the vaccine say they have been sent home on arrival because supplies of vaccines had dried up. Others complain that even re-booked vaccination appointments are being cancelled. For its part, the state authorities say they have not received the promised doses of the vaccine on time.
The current capacity for daily vaccination is clearly inadequate. After the largest single-day spike in cases was recorded on April 16, the government said it would increase its medical care capacity to treat even up to 100,000 active cases at a time. On April 17, the state’s active cases stood at 33,514, the highest-ever active caseload in the Telangana. Of these, one third—a whopping 11,396 individuals—are hospitalised. The previous peak Telangana saw was on September 3, 2020, with 32,994 active cases. (This time, the active caseload is being recorded across the state—not predominantly in Hyderabad like during the first wave. The numbers are higher in districts bordering Maharashtra and those neighbouring the Hyderabad urban agglomeration.)
The state-owned Gandhi hospital in Hyderabad has again been declared a dedicated hospital for critical and terminally ill Covid patients, the decision coming the day after about 150 serious cases arrived in hospitals on the night of April 15. During the first Covid-19 wave, till September 3 last year, there were 18,232 hospital beds across the state (government and private) available to manage Covid-19 patients, with a bed-occupancy ratio of 40 per cent in the state. As on April 16, the overall number of beds has been increased to 38,752 and will be augmented to 53,556 in the coming days.
There are 116 government hospitals across the state available to treat Covid 19 patients, as well as five dedicated Covid hospitals in Hyderabad. During the first wave, there had been 240 private hospitals to provide treatment to positive patients. Now, with the second wave raging, the government has permitted 1,938 hospitals, including those with up to 10 beds, to treat patients across the state. These additional private hospitals bring a total of 5,000 oxygen beds, 1,500 ICU beds and another 1,500 beds with ventilator support to the support system.
Experts highlight that the shortages in the medical infrastructure are localised. “[Right now] only about 20 bigger private hospitals in Hyderabad are facing a shortage of beds. Patients must realise that we have decentralised Covid care services. They don’t have to rush to the city for everything,” says Dr G. Srinivas Rao, Telangana’s Director of Public Health. “We [are treating] cases in which the moment a person tests positive, their family members, without even consulting a physician, rush to hospitals in search of a bed. Let physicians take the call on hospital admission, based on the condition of the patient.” In the absence of this, Dr Rao says there has been a resulting scramble for hospital beds, leads to the impression of acute scarcity. “About 80 of every 100 patients will be asymptomatic, and won’t need treatment,” he says. “Another 10 are mild cases and can be treated at home or in the Covid Care Centres. It is the remaining 10 who fall under the moderate and severe categories who need hospitalisation, and we have enough hospital beds for them.”
“This time around, the virus seems to have gotten stronger and become more infectious,” says Jasdeep Singh, CEO of CARE Hospitals in Hyderabad. “It is also getting difficult to detect it through the Rt-PCR tests in the first go, and now requires additional clinical diagnoses like HRCT and evaluations to confirm its presence. Even the symptoms have evolved--gastrointestinal issues, conjunctivitis and ulcers, apart from colds, fevers and coughs.” He says that the hospital's home care packages, offered only to patients who are asymptomatic or those who have mild to moderate symptoms, have seen their popularity growing with the surge in case numbers in recent weeks.
However, public carelessness and the virus’ mutations have made it difficult to contain the spread of the second major wave of Covid-19 cases. A major concern has been the indiscriminate use of Remdesivir as though it were a magic bullet, despite the medicine being purely an experimental or trial drug in Covid treatment, so far only proving necessary in select cases. In most cases, viral diseases are usually self-limiting, which means the body can usually fight them off by itself. This medication will only help the body if the viral infection is of moderate to severe intensity, and even then, it should be administered only to those patients in whom there will be no adverse reactions.
“In the first Covid wave, the powerful steroid Tocilzumab was administered irrationally to a large number of Covid positive patients. They suffered [side effects] due to the use of this drug. The same mistake is being committed with Remdesivir which is not meant for all Covid patients,” cautions Dr Srinivasa Rao, adding, “At present it is being misused everywhere, from homes to hospitals.” Consequently, it is in short supply and some pharmaceutical companies have, therefore, constituted a task force to ensure streamlined distribution, based on confirming patient identities using Aadhar numbers to end the rampant black and grey marketing of the drug. Health authorities have also sensitised hospitals about the restrictions surrounding its use. Further, in pre-Covid days, the state needed about 1.3 tons of medical oxygen a day. The demand is now almost twice that, at 2.4 tons a day. To ensure supplies remain available, the government has ordered a stoppage of the supply of oxygen gas to industries, using it to meet the increasing demand for medical oxygen.
Though state health advisories have pushed for strict Covid19 protocols till at least the end of June, by when the government hopes to have vaccinated its targeted 10 million people, many people have been flouting these basic health measures by increasingly violating physical distancing and mask wearing rules, despite the state imposing a Rs 1,000 fine on those found in public without masks. However, there is also social pressure to contend with—in Hyderabad, after announcing that all people driving four-wheelers (read: cars) on public roads had to be wearing masks even when alone in their vehicles, the police have grown easier in their policing of this, reportedly under political pressure to do so.
Officials and doctors anticipate a sharper surge from May till mid-June. “To control the rising cases, we urge people to voluntarily stay indoors and only to venture out if it is very necessary. Please avoid or postpone celebrations such as family gatherings, birthday parties or any kind of religious events and political rallies for the next six to eight weeks,” says the public health official. If public support for the state’s health infrastructure—by self-enforcing of Covid rules, by wearing masks, maintaining social distancing—the state’s health services system could weaken and possibly collapse. Dr Rao warns, “If we leave the situation to fester, there is a risk that Telangana will become another Maharashtra. If Covid cases continue to rise at this rate, the state government’s attempts to add hospital beds will not be enough. The people of Telangana must rise to the occasion and adopt all preventive measures, at any cost.”
Today our Hyderabad is still facing crisis due to lack of oxygen cylinders, oxygen concentrator and Remdesivir Injection.So In this plight situation we are raising a fund for Gandhi Hospital, Chest Hospital and NIMS Hospital So Here by I Request you what ever you had just please raise some amount towards covid patients to save their lives.