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Mumbai: Masks made mandatory in all BMC hospitals from April 11 amid rise in Covid cases

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Starting from April 11, the Brihanmumbai Municipal Corporation has directed that it is compulsory for employees, patients, and visitors at civic or private hospitals to wear three-ply or N95 masks. BMC Commissioner Iqbal Singh Chahal has directed all hospitals to implement the directive with immediate effect. The directive has been issued in view of the current spike in Covid cases in the city.

Further, senior citizens have been advised to wear masks in public places and crowded spots. The advisory comes after the Union ministry of health has indicated the possibility of an increase in Covid cases in May.

IMA issued circular stating directives about physical distance

Meanwhile, the Indian Medical Association (IMA) has issued a circular stating that people should avoid hugging, kissing and shaking hands and maintain at least a metre of physical distance. The IMA has further said that doctors should avoid prescribing antibiotics since these have no role in the treatment of Covid.

Chahal’s directives

“It is mandatory for all employees, patients, and visitors in municipal hospitals to wear masks. All municipal employees should also wear masks as a precautionary measure. Meanwhile, guidelines on home isolation will be re-issued. Moreover, all aspects of Covid preparedness, such as Covid testing, ward war rooms, availability of oxygen and medicines and Covid preparedness in private hospitals, were also reviewed,” Chahal said.

Chahal also stated that although it was not mandatory, those above 60 years of age should wear masks as a precautionary measure, in crowded places. “We have also given strict instructions that patients admitted for surgery at the hospital will have to undergo RT-PCR testing and if such a patient tests positive and the surgery is not an emergency, then it must be postponed.

BMC Executive Health Officer Dr Mangala Gomare said, “We have been urging senior citizens and people with comorbidities to wear masks, so as to avoid contracting infections. We have been directed to increase Covid testing and also check stocks of testing kits.”

Essential equipment need to stock up as safety measure

The central purchase department should review the availability of gloves, masks, PPE kits, as well as the stock of medicines and other medical equipment required by all the hospitals of BMC and commence the purchasing process, if required. It should be ensured that there will be no shortage of any medical requirement

As the number of Covid patients increases, the need for intensive care may also increase. It is therefore important for all the hospitals to examine and audit their medical oxygen plants to ensure that these are functioning well and there is a balance between the demand and supply of oxygen, at all times

All ward war rooms, which have played a vital role in patient management during previous waves of Covid, should be urgently reviewed to ensure that they are functional with all the necessary manpower and machinery to deal with any situation.

The health department should re-issue guidelines regarding home isolation of Covid-19 patients. The assistant commissioners of the concerned wards should also review medicine stocks and the availability of manpower in HBT clinics.

Pre-monsoon works like desilting, road repairs, etc., should be completed before the onset of the monsoon. Coordination officers should be appointed at the ward-office level for the organisation of ‘Matrushakti Mahila Melava’ by the department of women and child welfare.

The additional municipal commissioner (projects) and deputy commissioner (infrastructure) should regularly review pre-monsoon works, including the concretisation of roads. The additional municipal commissioner (city) should review the appointment of ‘swachhtadoots’ and the construction of new public toilets.

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Mumbai: BMC To Launch India’s First Palliative Care Ward For TB Patients At Sewri Hospital

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Mumbai: BMC To Launch India's First Palliative Care Ward For TB Patients At Sewri Hospital

Mumbai: The BMC will soon start India’s first palliative care ward for tuberculosis patients at its hospital in Sewri. Palliative care is considered a necessary component in the global strategy against TB but was thus far missing in India, a senior health official said.

Sources informed the FPJ that the ward will be housed in the new building and will have an equal number of beds for both men and women. The official added that they are finalising the guidelines for eligibility.

Renowned pulmonologist and epidemiologist Dr Lancelot Pinto, PD Hinduja Hospital-Mahim, said palliative care across all disciplines in medicine is always a good idea, especially in diseases that leave patients “with a lot of disability and scarring”.

He said, “In India, we often see TB patients in an advanced stage, needing palliative care. The treatment is not just about curing or killing bacteria, but also taking care of symptoms like breathlessness.” He, however, clarified that palliative care does not mean end-of-life.

Pinto said palliative care is helpful when TB is diagnosed late and doctors know that the patient’s lungs are not going to heal and are badly scarred.

Lauding the BMC’s plan, public health specialist and convenor of Survivors Against TB, , Chapal Mehra, said such a centre is the need of the hour in a city like Mumbai where the TB burden is very high.

Sewri TB Hospital, which is officially called Group of TB Hospitals, is Asia’s largest TB hospital. It was inaugurated in 1942 and has 1,000 beds. At any given point, it has more than 800-bed occupancy; 240 beds are reserved for multi-drug resistant TB patients.

New TB cases in Mumbai have reached pre-pandemic levels for the second consecutive year, with 63,644 new cases recorded in 2023. The increase is attributed to better search and diagnostics efforts by health officials.

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Mumbai Air Pollution: City Wakes Up To Thick Layer Of Smog Shows Visuals; AQI Stands At 155

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Mumbai: The city woke up to a haze-filled atmosphere in the morning on Thursday (November 16). It is worth mentioning that Mumbai has been reeling under high air pollution in recent days due to the construction activities at various sites. The situation has also been aggravated by the use of fireworks during Diwali celebrations. A thick layer of haze lingered in the air in Mumbai this morning.

The Indian Meteorological Department (IMD) predicted partially cloudy skies in the city and suburbs in the morning today.

The weather agency also predicted that the city and suburbs will continue to see cloudy skies towards the afternoon and by the evening. The temperatures on Wednesday are likely to be between 26°C to 33°C.

Causes of pollution

The primary causes of outdoor air pollution are solid, liquid particles called aerosols & gase from vehicle emissions, construction activities, factories, burning stubble & fossil fuels and wildfire, etc.

The main causes of indoor air pollution are harmful gases from cooking fuels (such as wood, crop wastes, charcoal, coal and dung), damp, mould smoke, chemicals from cleaning materials, etc.

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Yogi tweaks Atal scheme to benefit Covid orphans

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Lucknow, April 21. The Uttar Pradesh government has approved a proposal seeking amendments in the Atal Residential School Scheme to help children affected by Covid-19.

The Atal Residential School Scheme aims to provide quality and free education to children of poor labourers, according to a government press release.

“Now, children who have lost one or both their parents during Covid-19 pandemic will also be able to benefit. The Women Welfare Department will make available the list of such children to us. Under the scheme, free quality residential education from Class 6 to 12 will be made available,” an official said.

In the order issued, it has been mentioned that the amendment in the present system of the Atal Residential School Scheme has been unanimously approved by the Uttar Pradesh Building and Other Construction Workers Welfare Board.

The maintenance and social security of registered construction workers will be fully ensured in the interest of eligible construction workers, an official said.

The eligibility conditions of the scheme have also been amended.

Admission will be given only to the children of the registered construction workers who have completed at least three years of membership of the board after registration.

Earlier this period was kept only for one year.

However, the eligibility of maximum two children of the registered working family to study in the school remains the same as before.

Every year the admission of children of construction workers and the children eligible for the Mukhyamantri Bal Seva Yojana will be made on the basis of the procedure laid down by the Atal Residential School Committee.

“The state government will make the payment of expenses related to destitute children and children eligible for the Mukhyamantri Bal Seva Yojana (general) to the Atal Residential School Committee, through which funds will be provided to the schools. For this, the Atal Residential School Committee will have to operate a separate account.

“Under the scheme, the same rule was prescribed earlier for orphans as well, but now the names of destitute children and children eligible for Mukhyamantri Bal Seva Yojana have been added,” an official said.

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