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Wednesday, April 1, 2020

Wife's texts, mental preparation: How this Bengaluru man survived COVID-19

Coronavirus
Venkat was admitted at the Rajiv Gandhi Institute of Chest Diseases, Bengaluru on March 9 and was discharged on March 23.
Nearly two weeks after battling the novel coronavirus (COVID-19) disease in hospital and currently home for a week, Bengaluru-based IT professional Venkat Raghava wants to stress on the mental health aspect of combating the illness. The 50-year-old had tested positive on March 9 after his return from the United States via London and was treated at the Rajiv Gandhi Institute of Chest Diseases (RGICD) in Bengaluru. He was allowed to return home on March 23 after he tested negative twice, as per the Indian Council of Medical Research (ICMR) protocol. Speaking to TNM, Venkat says, “When you are in isolation, you have to prepare yourself to survive on your own and your frame of mind is the most important part. There is consistent fever but that may not kill you. You have to be mentally ready for isolation and you need to call for help as and when required. This is not like regular hospital wards, there won't be anybody who will come to you (physically). Thankfully your phone is your only saviour. And once panic kicks in, you yourself speculate about what will happen to you. And this is when people slip and I was at that point of slipping myself.”  Venkat says that in addition to a spiritual guru whom he follows, text messages from his wife were saviours. “My wife wrote to me 'I do not want to lose you’. She said ‘I don't want to be alone and I want you back'. These are the things that kept me going,” he says. Apart from doctors treating him for fever and subsequent complications due to COVID-19, Venkat was also cared for by psychiatrists from The National Institute of Mental Health and Neuro-Sciences (NIMHANS) to deal with the stress associated with the disease. During his hospitalisation, despite having no diabetes, his blood sugar had shot up abnormally and subsequently, he suffered from stomach upsets as well.  “I was not very worried about the fever as I was constantly watching it and controlling the fever with the medications the doctor gave. The doctors were vigilant of any chest congestion and were judiciously administering antibiotics. Even the doctors from NIMHANS were very cautious to give me medicine for my stress. They feared it might worsen the chest condition. All these have contributed to my healing. I can only thank these people because they used their experience very well and controlled my varying conditions,” he says, as he recounts his journey to recovery.  Venkat narrates that once he landed in Los Angeles, he had a fever which shot up and this forced him to cut short his trip and cancel his appointments subsequently. He fears that he picked up the infection at the Heathrow Airport in London while returning to Bengaluru. “I landed at the airport on March 8 and asked to be tested. In my declaration form, I declared that I had fever and I told the airport officials that I wanted to be tested and did not want to meet my family. And at that time, they were not equipped nor did they have any test kit. In fact, I remember contacting the airport authorities and telling them 'what you are doing is not right'. Now I hear that they are doing it well,” Venkat recalls. The same day he went to get tested at RGICD and returned home. Fearing that he contracted the disease, he decided to isolate himself and chose to sleep on another floor of the house rather than sleeping on the ground floor with his wife and daughter.  “Things were very professional from the beginning; they screened me and because of my travel history, they took my test and the next afternoon, I got a call from the RGICD telling me that my virus load was very high. All this while at home, I made sure that my daughter and wife never came near me,” he says.  Stressing further on social distancing, he adds, “I am extremely happy that in the entire process, I never infected anybody. I consider this my achievement even though I could not avoid the fever. I want to spread positivity. You can isolate yourself, you can get through the fever and there are positions where you can slip so you have to keep your mind clear.” Recounting his experience at the hospital, Venkat says, “The room was set up well and it was very airy.” Up to March 19, Venkat had constant high fever which resulted in boils in his mouth for some time and he could not consume food orally and he had to rely on intravenous (IV) fluids. “I had days of gruelling fever and this was relentless. Owing to the medicines, I was sleeping all day and was awake mostly in the night and the fever would be back again at 3- 4 am,” he says.  Apart from his recovery, Venkat is also thankful to the Health Department for allowing his daughter to write her 10th standard exams even though her school had initially refused permission and asked her to write supplementary exams.
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Grocery shops in Dakshina Kannada to be open from 7 am to 12 pm

Coronavirus
After three days of stringent lockdown measures in the district, officials finally announced new timings for grocery shops.
Sahana/ Twitter
After reports of crowded grocery stores with very little physical distancing emerged from Dakshina Kannada district of Karnataka, the district administration decided to keep shops open from 7 am to 12 pm.  For the last three days, stringent lockdown measures were imposed in the district after a 10-month-old boy from Sajipanadu village in Bantwal taluk tested positive for coronavirus on March 27. On the same day, stringent lockdown measures were implemented in the district. Under these measures, milk supply was allowed and pharmacies were kept open. Grocery stores remained closed over the last three days in many parts of the district.  On Tuesday morning, panicked residents lined up to stock up on groceries as early as 7 am. "In our area, there was very little distancing followed. The queue was already long early in the morning even though shops remained open till later in the evening," says Jafar, a resident of Kalladka in the district.  The situation was similar in other parts of the district including Uppinangadi, Vittla and Mangaluru city. Long lines were seen outside popular grocery stores in the city including in Fathima Stores. In DK, there is a total chaos. Please don't change lockdown rules often!! Follow Bengaluru model. Why is it that only @DCDK9 suffering this? Does it look like some #lockdown for you?!! Why to limit buying hours?!!! people panic and rush!! @DIPR_COVID19 @CMofKarnataka @nistula pic.twitter.com/Vs3RsxzxSI — Sahana A (@SahanaA09) March 31, 2020 District Minister In-Charge Kota Shrinivas Poojary announced that shops will remain open from 7 am to 12 pm from Wednesday. "Today we had given permission to open the shops to buy essentials but we found that people failed to maintain distance. Keeping this in mind, the district administration has decided to keep the shops open from 7 am to 12 noon so that people can buy essentials every day," he said. One more case of coronavirus was reported in Dakshina Kannada on Tuesday taking the total number of cases in the district to 8. So far, 101 cases of coronavirus have been reported in Karnataka
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Why America is scared and confused: Even the experts are getting it wrong

The kaleidoscope of changing messages has created more fear, confusion and distrust.

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Testing blindspots will make it harder to slow the spread of disease

The next coronavirus hotspots are in states like Georgia, Oklahoma and Michigan, that aren’t testing enough.

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Tuesday, March 31, 2020

K’taka healthcare workers to be given antimalarial drug to prevent COVID-19 infection

Coronavirus
Hydroxychloroquine is an antimalarial drug that has shown to be effective in protecting against the coronavirus, but use of the drug has been debated.
Representative Image
Healthcare workers in Karnataka will now be given an antimalarial drug, hydroxychloroquine (HCQ), as a preventive measure against coronavirus disease, state health department officials said. “As per state guidelines, all health workers and contacts will be given this in the entire state. It has to be given weekly, for three weeks for family members and seven weeks for healthcare workers. We have stock for the first dose and we have put in order for large stock beyond our requirement. It will reach in a couple of days,” stated Karnataka Minister for Medical Education Dr Sudhakar during a press briefing on Tuesday evening. The Indian Council of Medical Research (ICMR) has approved the use of the antimalarial drug for individuals identified to be at a ‘high risk’ of possibly contracting coronavirus disease. This includes healthcare professionals and (currently) asymptomatic family members of those who have tested positive for COVID-19. As per the advisory issued by the ICMR, these two groups have been identified as ‘high risk’ groups. However, several concerns have also been raised about the use of the drug as a preventive measure, due to some of its more severe side effects. These include hypersensitivity, irregular heart rate and even retinal damage. Medical professionals have urged that the drug not be readily available over the counter, and have asked for the drug only to be sold with a prescription over fears that individuals may self-medicate. The death of an Assamese doctor who had started taking the drug in view of the novel coronavirus pandemic raised several concerns. Several medical professionals have also expressed their staunch disapproval of using HCQ to prevent COVID-19, stating that it could do ‘more damage than good.’ However, officials from the ICMR have stated that the drug is largely considered to be safe and that only those with certain heart conditions would develop such a severe reaction to the drug. Also read: Self-medicating with HCQ for COVID-19 dangerous, warn experts
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Karnataka farmers forced to dump produce, face heavy losses amid lockdown

Coronavirus
The lockdown is expected to have a lasting impact on crops being harvested for the next season as well.
The 21-day national lockdown to contain the spread of coronavirus (COVID-19) has created significant additional stress on farmers across Karnataka, who have been suffering from successive years of drought and floods.  Even though the lockdown included exceptions on all forms of agricultural and allied activities, police action and stringent imposition of the lockdown by district authorities have curtailed the farmers’ ability to arrange transport to ferry their produce. And even if they managed to get their produce to the markets, the lockdown has deeply cut down the number of wholesale buyers. Experts and farmers who spoke to TNM believe that the impact of the lockdown will not be temporary and will have a lasting impact on the crop being harvested for the next season as well. Speaking to TNM, Kodihalli Chandrashekhar, president of the Karnataka Rajya Raitha Sangha, a major farmers’ collective and political outfit, said, “Agricultural markets are closing abruptly and farmers are unable to sell their produce. Turmeric, grapes and pineapple are the major crops being harvested now in Karnataka. This is also the time that ginger is harvested and transported to north India.” He added, “Bananas need to be harvested by now and it is already two weeks late. They are rotting in the plantations. In the Tungabhadra belt, the rice harvest usually begins this week but for this, we need people to do it and even if it is harvested somehow, we need it to be sold in the market. Cotton needs to be extracted from the plants in northern Karnataka districts of Koppal, Ballari, Yadgir, Raichur, Belagavi. We need labourers to do this. How will this be done? What will be the condition of farmers who are facing losses due to this? Do the decision makers know the costs of cultivating these crops?” The lockdown has not only led to loss of income for farmers but also significant food wastage. With much of the produce unable to reach its destination due to major supply chain issues, vegetables, milk and the like have either been dumped into cattle feed or discarded. This kind of waste is occurring even as those who are economically disadvantaged, especially migrant workers, have been left to manage without two square meals a day in the state.  In a viral video, a milk producer is seen pouring a huge quantity of milk into a canal in Chikkodi taluk of Belagavi district. Mahesh Bhat, a photojournalist and documentary filmmaker closely following the agri sector in Karnataka, said the entire supply chain has been broken. He said, “I am in touch with many of the farmers directly and they have said produce worth lakhs of rupees are left on the farms. They are unable to do anything with it. There is no supply chain, and there is no way to send products to the market as not all district administrations have allowed movement of these vehicles. Many of the mandis are even closed or partially open. The truth is there is a lot of food that is stuck in the supply chain and this really needs to restart.” Reports said that the producer threw away around 1,500 litres of milk as he could not get any buyers. Usually, milk which is sold for Rs 30 per litre was being bargained for Rs 10, The Hindu reported. The Karnataka Milk Federation has also stopped taking milk from local producers in many places. The Deccan Herald reported that Rs 600 crore worth of grapes, grown less than 100 km away from Bengaluru in rural Bengauru, Chikkaballapura and Kolar districts, also are at the risk of being discarded.  A video from Mysuru of tomatoes left by a farmer for cows to feast on as he failed to get enough buyers in the wholesale market has also been shared widely. (With inputs from Prajwal Bhat)
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No workers, no markets: Losses loom for pineapple, paddy farmers in Kerala, Karnataka

Agriculture
Farmers in both states, who are already crores in debt, have called for interest rate deductions and an extension of repayment deadlines.
April is not harvest season for many crops in Kerala, but there are some farmers badly affected by the lockdown implemented by the government to contain the coronavirus outbreak. Few days ago, the Kerala government had said that harvesting would be considered an essential service and would be excluded from the lockdown. The ripe paddy in Kuttanad was harvested following the Government Order and the Agriculture Ministry undertook steps to procure the paddy. However, this is the season of pineapple-harvesting in the state. Though Chief Minister Pinarayi Vijayam has assured that harvesting in pineapple plantations would be done without any issues, farmers are struggling to find a market for the harvested fruits. The lockdown means that there is also a shortage of labourers in small-scale farms. Vazhakulam, the hub of pineapple cultivation in Kerala, will face huge losses if the present situation continues, say farmers. “We would face a huge loss if the fruits are not sent to other states. Usually, we have a huge market outside Kerala. They have said that lockdown rules are eased and some of our loads can be taken outside. Around 5,000 tonnes are ready for harvest in Vazhakulam,” Baby John of Pineapple Farmers’ Association told TNM. “In big plantations, the labourers will be living in the premises. So harvesting will not be a trouble. But for small scale farmers, who depend on daily wage labourers, it is difficult. For them, the marketing is also in trouble as the local markets are totally full,” he pointed out. Baby John said that pineapple farmers are already around Rs 700 crore in debt and the present situation will only worsen it. “There should be deductions in the interest rates and repayment time should be extended for farmers,” he suggested. A continued lockdown would mean only 10 percent of the production would be sold out, he added. Another major setback will be for cardamom farms, where labourers are unavailable for the harvest season. “The harvesting of cardamom in Idukki district is pending as most of the labourers are from Tamil Nadu and they are not available. The industry will incur a huge loss due to this. Apart from that, people in local markets buy only essential things and they don't even think about buying fruits. This also brings a huge loss to farmers,” said Joshy Joseph, General Secretary of the Kerala Farmers Federation. Meanwhile, Agriculture Minister VS Sunilkumar's office told TNM that the government has initiated measures to ensure the harvesting of crops, classifying it under essential services. The Minister has said that pineapples would be collected from farmers through the state's Kerala State Horticultural Products Development Corporation (HORTICORP) Mission. Karnataka In neighboring Karnataka though, the situation is slightly different for it is the harvest season of many crops and vegetables in the state. “It is the harvest season of turmeric, grapes and pineapple. This is the time ginger is also harvested and transported to north India. Bananas need to be harvested by now and we are already behind by two weeks. They are rotting in the plantations. In the Tungabhadra belt, rice harvest usually begins in the last week of March. But we need labourers and even if it is harvested, we need it to be sold in the market. Cotton needs to be extracted from plants in the northern Karnataka districts of Koppal, Ballari, Yadagiri, Raichur and Belagavi. How will this be done? What will be the condition of farmers who are facing losses due to this? Do the decision-makers know the cost of cultivating these crops?” Kodihalli Chandrashekhar, President, Karnataka Rajya Raitha Sangha, told TNM. “Agricultural markets are closing and farmers are unable to sell their produce,” he added.   
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