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Tuesday, June 30, 2020

House Democrats approve health bill, seeking contrast with Trump’s Obamacare assault

The vote was aimed at shoring up Democratic support in swing districts that fueled the party's House takeover in 2018.

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Monday, June 29, 2020

Bengaluru reports 738 COVID-19 cases on Monday as spike continues

Coronavirus
The state health department's daily bulletin also stated that the 738 cases in Bengaluru accounted for 66.7% of the 1,105 cases reported in Karnataka.
The Karnataka Health Department reported 738 new COVID-19 cases in Bengaluru on Monday, continuing the spike in cases in the city. The state health department's daily bulletin also stated that the 738 cases in Bengaluru accounted for 66.7% of the 1,105 cases reported in Karnataka.  This takes the total number of COVID-19 cases in Karnataka to 14,295 and the total active cases is now 6,388.  In the previous two days, Bengaluru reported 783 and 596 cases prompting officials to announce a lockdown in the state on Sundays starting from July 5. The curfew in the state from 9 pm to 5 am was changed and it is now from 8 pm to 5 am every day.  Bengaluru has reported 4,052 COVID-19 cases so far of which 3,427 are active cases. Nineteen deaths were reported in the state on Tuesday including 12 deaths in Ballari district, three in Bengaluru and one each in Hassan, Ramanagara, Bagalakote and Dakshina Kannada. The state health department reported eight of the patients had known comorbidities. Six deaths in Ballari were reported among patients without comorbidities and between the ages of 31 and 56. The deaths reported on Monday took the total number of deaths in the state to 226 including 91 from Bengaluru. Two hundred and sixty eight patients in Karnataka are currently in the ICU including 178 patients in Bengaluru.  A total of 176 people recovered on Monday.  Elsewhere, 76 new COVID-19 cases were reported in Ballari while Dakshina Kannada (32), Bidar (28), Uttara Kannada (24), Kalaburagi (23), Hassan (22), Vijayapura (22) also reported an increase in cases. 
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Spat on, intimidated: Neighbour alleges harassment by B'luru IPS officer’s family

Controversy
Vandana told TNM that she has spoken to the CIty Police Commissioner Bhaskar Rao on the matter and has been assured of all assistance.
Amidst the COVID-19 pandemic, a Bengaluru-based IPS officer’s family has been accused of abusing power. The concerned officer is Ajay Hilori, who is facing probe by the Central Bureau of Investigation for the IMA Ponzi scheme scandal since 2019. Incidentally, the IPS officer is currently undergoing treatment for COVID-19 at a city hospital.  In a Facebook post, Bengaluru-based lawyer Vandana Sudha Venkatesh alleged that the IPS officer’s wife abused her and spat on her. She further said that the family called the police on her. This happened after Vandana – who lives in the same building as Ajay Hilori’s family – made a complaint to the family about their child making noise.  “Today while I was on a call and I was getting distrubed by the loud screeching of the child, so I called his mother whom I could see two floors below me along with the child. I politely asked her if she could manage to keep the child’s voice a little low. And after that around one hour later, around eight uniformed police staff came and rang the bell. They started shouting that they would book me for child abuse and started shooting video of me without my consent,” Vandana said.  “They asked me how I yelled at a kid. This is when I lost my temper and shouted at them back stating that this was intimidation and they can't have eight policemen coming and threatening us. I also asked them which child abuse law they were going to book me under,” she added. Vandana said after an hour after the police left, she decided to confront Hilori's wife which is when the wife allegedly spat on her.  Vandana told TNM that she spoke with CIty Police Commissioner Bhaskar Rao on the matter. “He was very receptive and said that the city police will help me and he will send an officer to my home to register a complaint,” she said. 
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NIOS postpones board exams again, leaving students in the lurch

Education
Most teachers and parents are demanding that the exams be cancelled, and students be judged on internal marks.
Student looking serious before an SSLC exam in Bengaluru
Representative image courtesy PTI/Bengaluru
When Rahul began preparing for his Class 10 board exams with the National Institute of Open Schooling (NIOS) in February this year, little did he know that he’d still be preparing for the exams even five months later. The practical exams have been postponed indefinitely, while it was announced that the theory exams will be held between July 17 and August 13. Rahul’s teacher Ambika says, “As children with disabilities, they need special training, and need to be continuously coached to write their exams. They have difficulty remembering things, and the constant postponements is adding to the stress of writing the exams.” She adds that this is the second time that the NIOS Class 10 and 12 board exams are being postponed, owing to the coronavirus pandemic. Ambika who is the Head of Centre for learning difficuties, Vidyaniketan Academy, adds that most of the children who opt to take the exams under NIOS have learning difficulties. “Usually, children with various challenges opt for NIOS. This means that the majority of the students writing under NIOS are children with disabilities. The postponement of exams is adding to their trauma,” she says. The teacher points out that other boards have chosen to cancel their board exams and are instead assessing their students based on internal marks. However, there has been no such announcement from NIOS, where the number of students is much smaller compared to other boards. Most teachers and parents are demanding that the exams be cancelled, and students be judged on internal marks. Ambika laments, “Everyone talks about inclusivity, but when it comes to the education of children with disabilities, nobody speaks up. There is no big lobby fighting for them.” Srinivas, a parent of a student enrolled in the NIOS system, says, “The board should look into averaging out the marks from the previous exams. Some students have already written certain exams and taken practical exams too. Supposing the exams get further postponed, our children lose out to students who are registered with ICSE and CBSE. Admissions will begin and all the seats will be taken. We don’t want our children to lose out an entire year,” pointing out that children with disabilities were already marginalised. According to official data, about 3,000 Class 10 and 12 students have registered to write the NIOS board exams in Karnataka this year. V Satish, the Regional Director of NIOS in Karnataka, says, “Deliberations are going on at the headquarters level. They have to make a decision jointly with the Education ministry. We’re hopeful that a decision will be reached soon.”
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Late care, comorbidities: Why Bengaluru’s COVID-19 fatality is more than rest of state

coronavirus
Experts have pointed out that where Bengaluru has failed, other districts in Karnataka have done remarkably well in limiting mortalities by using tele-ICU facilities.
Bengaluru’s COVID-19 fatality is more than rest of state
Image for representation
The case fatality ratio of COVID-19 patients in greater Bengaluru (rural and urban) is close to double, at a rate of 2.70, compared to the overall state tally of 1.60. As per the COVID-19 medical bulletin issued on Sunday, while the case tally of Karnataka is at 13,190 and the death toll is 207, the combined death toll of the Bengaluru Rural and Urban districts is at 92 with a total of 3,419 cases among them. This means 2.7 out of 100 or 2.7% persons testing positive for the novel coronavirus die in greater Bengaluru while for the rest of the state the fatality is 1.6 out of every 100 patients or 1.6%. Further analysis of data by the State COVID-19 War Room states that the mortality rate of high risk patients (aged above 60 years or with comorbidities or both) in Karnataka is at 7.9%. At present, there are 1,415 patients undergoing treatment in the state. Epidemiologist Dr Giridhar R Babu attached with the Public Health Foundation of India, who is working closely with the state government, said that Bengaluru has the third largest case fatality rate (CFR) in the country. This is worsening the picture of overall Karnataka in terms of COVID-19 indicators, he said. Only Tumakuru (6.7), Bengaluru Rural (3.8) and Bidar (5.4) had worse CFR than Bengaluru Urban. When it comes to COVID-19 deaths per million, Bengaluru fared second worst — Bidar was first at 9.80 deaths — at eight deaths per million. “In the cases of both Udupi and Kalaburagi, medical colleges have shown how they can reduce mortality with the help of experts but Bengaluru, having the highest number of medical colleges in the state, has failed to realise its potential so far,” Dr Babu told TNM. Dr Babu said that a tele-ICU (intensive care unit) protocol, devised by Dr Rangappa Pradeep and a team of doctors led by him, has maintained a case fatality rate of 0.54 in 13 districts across the state. Explaining the high cases of deaths, Dr Pradeep Rangappa stated that two prime reasons have emerged on the basis of interim data inference. One was the issue of patients reaching the hospitals late. The second was that, on average, patients from Bengaluru who succumbed to the disease had many more comorbidities, of which chronic kidney disease proved to be the most fatal. Dr Trilok Chandra, senior IAS officer heading the COVID-19 Critical Care Support Committee said now a team of specialist doctors from Narayan Hrudayalaya run by prominent cardiologist Dr Devi Shetty will look after Bengaluru’s critical patients. Acknowledging the issue, the IAS officer said, “Medical colleges are now hand-holding all the district health administrations now. Over the last three days, we have started the tele-ICU facility for Bengaluru patients too. Previously all districts, except Bengaluru, were already being monitored by the tele-ICU team.” He added, “In Bidar, there is a specific issue. There is a lapse in surveillance as many patients are being underreported or reported late from private hospitals. In Bengaluru, we are trying to be proactive in all aspects now, but there is also a high number of cases with comorbidities.” He said initially, it was thought not to use the tele-ICU facility for Bengaluru as it was deemed there would be enough specialists physically available. Top sources in the state’s Health Department and the Bengaluru city administration have told TNM there have been lapses in recent days. Dr CN Manjunath, Director of the Jayadeva Institute of Cardiovascular Sciences and Research, told TNM on Sunday that efforts are on to get things back on track in Bengaluru. He is also the nodal officer for COVID-19 testing in the state. He said that there have been issues with the Bruhat Bengaluru Mahanagara Palike (BBMP) and the state government has instructed officials to hire more ambulances. There is a need for BBMP to mobilise more man power, he added.
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Gilead sets price for Covid-19 treatment as HHS buys doses

That means that the cost of a five-day treatment course in the U.S. and other developed countries will jump to $3,120.

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‘Recipe for disaster’: Fauci urges Americans to buckle down on coronavirus preventative measures

"What has happened, I guess understandably, but nonetheless regrettably, [is] that people took the attitude in some places of either all or none."

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