Bengal doctors are trying to help people how to handle the Covid19 situation. In a recent webinar meet of global health experts, Dr Sukumar Mukherjee, a member of state government Covid expert panel said that people should not panic.
The state government is improving infrastructure and increasing tests, but increased testes mean a spike in figures for which he asked not to panic. Dr Mukherjee said that the situation worsened with the huge population of migrant labourers returning home.
Dr Sujit Kar Purkayastha, MD of Peerless hospital speaking at the webinar organised by Bangla Worldwide an NGO headed by Justice Chittatosh Mookerjee said people have to know how the disease spreads, along with signs and symptoms, and how the spread of the disease can be contained.
“The proven treatment, update on vaccine development and role of civic society is our prime concern now,” Dr Kar Purkastha said and added that wear masking and washing hands is a mandatory thing now.
Dr Ishani Kar Purkayastha, a UK based public health consultant said that the major route of transmission was by droplet infection which could happen either directly from person to person or indirectly mainly through fomites.
“Aerosol producing procedures mainly in a hospital setting would be another important source of infection. There has been not yet any definite proof of this being an airborne infection but maintaining a safe distance is recommended. It has been a proven fact that longer the distance between individuals, lesser is the chance of the virus travelling to cause infection. In the UK two metres distance between two persons has been considered to be safe.”
Dr Malini Guha Majumdar, a hospital consultant from the USA outlined the most common symptoms of Covid 19.
Fever, dry cough, shortness of breath were the main symptoms but gradually it was noticed that newer symptoms like loss of taste and smell, fatigue, diarrhoea, muscle pain are not uncommon, said Dr Sujata Dutta, an obstetrician, mentioned that Covid 19 was affecting pregnant women too and many of them may have a complicated course.
But most pregnancy can be allowed to progress, she said and added that C section may be preferred. “Babies born of the infected mother should be tested for Covid-19 infection and kept away from mothers if they are negative on testing.
However, Dr Rajat Bhattacharya, a paediatrician from Singapore said that the severity of infection in the paediatric age group was less.
He mentioned of Vietnam, a country of 10 crore population, where there has been no death from this infection and attributed their success to their superior social behaviour and strong discipline.
Dr Imtiaz Ahmed, an oncologist in UK said less number of cancer surgeries were held now. Dr Bhaskar Narayan Chaudhuri, a microbiologist, said the main diagnostic test was RT PCR which takes about 6-8 hours before the result is available, but It was possible to do PCR testing by GeneXpert which shows the result in less than an hour.
He compared the efficacy of both the tests and found no difference in accuracy level.. “True NAAT was another option but rapid antigen and antibody tests were still not widely available in the country.”
Dr Rimita Dey, an Intensive care unit expert said that they had started with a combination of Hydroxy Chloroquine and Azithromycin, but there was no significant benefit and since have stopped using that combination.
Azithromycin is still used as a part of the antibiotic regime and anticoagulation has been used in all patients.
“A recent recommendation has come for using Dexamethasone in moderate to more seriously ill patients. Two antivirals, Remdesivir and Favipiravir have been also recommended for treatment of Covid-19 patients but neither of them has been associated with a definite cure or reduction,” Dr Dey said.
Dr Parnali Dhar Choudhuri, a research scientist and Clinical Epidemiologist at John Hopkins University, USA, felt that the vaccine will take time to come.
Source: Times of India