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Tuesday, June 30, 2020

FDA spells out guidelines for approving Covid-19 vaccines

The agency also left open the possibility it would issue an emergency use authorization for a vaccine.

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Trump officials suggest some states skipped over reopening guidelines

“I am quite concerned about what we are seeing evolve in four states,” Anthony Fauci told the Senate health panel, without naming the states.

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Bengaluru reports 503 new cases, contacts of all patients not known yet

Coronavirus
Karnataka reported 20 more COVID-19 deaths, taking the state’s death toll to 246.
Medical professionals working for COVID management
Representational image/PTI
Karnataka reported 947 new COVID-19 cases on Tuesday according to the state health bulletin taking the total number of cases in the state to 15,242. More than half of the new cases reported in the state came from Bengaluru city. With 235 discharges across the state and 20 more deaths, the number of active patients undergoing treatment across the state stands at 7,074. The statewide COVID-19 death toll as of Tuesday is 246. In another day of high cases for Bengaluru, 503 new cases were recorded in the capital city Bengaluru. With 10 discharges and four more deaths recorded in the day, the number of active patients in the city stands at 3,916.  For the first time since Saturday, the infection history column in the new case details section of the bulletin has resurfaced. Incidentally, all cases reported in Bengaluru were designated as “contact under tracing,” suggesting that the patients had no known source of infection either by travel history or contact with already infected patients. Other than Bengaluru, no other district reported more than 100 cases in the state. Ballari (61), Haveri (49) Dakshina Kannada (44), Uttara Kannada (40) and Vijayapura (39) are the other districts which reported more than 30 cases on Sunday. Shivamogga district reported 22 cases while Bengaluru Rural reported 21 cases.  Dharwad and Bidar reported 17 cases each. Hassan reported 16, while Kalaburagi and Raichuru districts reported 15 cases each. Chikkaballapura (13), Davanagere (12), Ramanagara (12), and Chikkamagaluru (10) were the other districts which reported more than 10 cases. All other districts reported less than 10 cases for the day. Patients under critical care A total of 271 patients in the state suffering from COVID-19 have been admitted to the intensive care units (ICU) of which Bengaluru had 171 patients. Dharwada is treating 17 patients in ICUs, while Kalaburagi has 14 patients who are on ventilator support. Other districts reported less than 10 patients currently in ICUs. Case fatalities Among the 20 patients whose deaths were registered on Tuesday, two persons were in their early thirties. Eight of them were 60 years of age or above. One 31-year-old woman in Ballari who had diabetes and complained of breathlessness and another 32-year-old man in Belagavi who had Severe Acute Respiratory Infection (SARI) succumbed to the disease. A 36-year-old man in Mysuru who was diagnosed with Influenza-like Illness (ILI) was also among the 20 deceased. Other than a 44-year-old man from Kolar and a 45-year-old man from Bengaluru, both of whom were diagnosed with SARI, the rest were all either 50 years of age or above. 
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Bangalore Uni students left in lurch as govt converts hostels into COVID Care Centres

Coronavirus
The move has left the students angry about the sudden development forcing them to pack up and leave without any prior arrangements made for their stay or transportation.
two hostel beds visible with a window in the middle
Representative image
The administration at Bangalore University asked its students staying in two women’s hostels to vacate. There are about 550 students currently staying in the hostels - one for Northeast students and one SC/ST students. TV9 reported that this sudden announcement to move the hostel dwellers from their accommodations comes as the government has asked Bangalore University to convert its hostels into a COVID Care Centre(CCC). These COVID Care Centres will be used to house those who test positive for the novel coronavirus but are asymptomatic. The move has left the students angry about the sudden development forcing them to pack up and leave without prior arrangements made for their stay or transportation. Though the number of students currently staying in the women’s hostels is less, many have left behind their belongings in their rooms and have returned to their hometowns, TV9’s report said. The students who are currently still staying in the hostels may not have a place to go, or have come from far flung places and are left in the lurch. Students alleged that they were threatened by the police with cases if they refused to leave. They also said that the locks of the doors were broken. Kataria, an official with the Bruhut Bengaluru Mahanagara Palike (BBMP) said that they had requested the students to vacate the hostels, with one already having been converted into a CCC. The official also claimed that there was no one in the girls hostel. “It was locked, and there are about 200 rooms in the hostel. Each room has two beds, and we have to only add two additional beds into each room, as the rooms are quite spacious.” Students, who had been forced to vacate the hostel, however said that there is no transportation arranged for them to return to their native places, with neither the BBMP nor the Bangalore University Registrar helping.
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Videos from Ballari raise 'mass burial' suspicions of COVID-19 patients

Coronavirus
“Let us put it in one hole and close it. Put it slowly,” says one man heard in the video that emerged from Ballari.
Ballari video suggesting mass burial
Screengrab
Two videos showing five men wearing personal protective gear and throwing four body bags, one after the other, into two large pits have emerged from Ballari district in Karnataka.  “Let us put it in one hole and close it. Put it slowly,” says one man heard in the video.  Another voice can be heard saying, “Two(bodies) have been already...” To this, the first man responds saying, “Let us put it in this and then close it.” The five men in PPE are accompanied by a man in a mask standing by a black van (seemingly referred to in the video as 'driver sir'). Another man is seen walking away, presumably taking a video on his phone. One video shows the men dropping three black body bags into a pit. In another video from the same spot, four of the men are seen running towards another pit. They drop the body bag that they are carrying into the pit and two of them return with another. In both the videos, an earthmover equipment is also seen in the frame. While the district administration said that the site resembles a designated burial site for COVID-19 patients, a probe has been initiated to verify the authenticity of the video and the incident depicted in the video. Sources however say that there has been immense pressure to bury bodies immediately and the administration has faced stiff resistance over choice of place. Till Monday evening, Ballari has reported 23 deaths due to COVID-19 since the onset of the pandemic, and more than a dozen deaths of this total was reported in the last two days alone. Health Minister Sriramulu told the media, “By any chance, if the burial has not happened according to the Centre’s rules, I will serve them notice. I am given to understand that it has not happened that way. I will ensure it is examined and action is taken." Reports however say that the burial was conducted with the government’s permission and the place was chosen in a hurry as local residents had objected at the first site that the administration had chosen. Ballari Public Information Officer Ramalingappa said the site seen in the video resembles the land behind Maramma Temple in the Ballari Industrial Area.  He said the last burial activity for COVID-19 patients by the district administration took place on Monday evening.  “We have seen the viral video. A committee headed by Additional Deputy Commissioner PS Manjunath has been formed to probe the incident as directed by the Deputy Commissioner today. So they will investigate the matter and send a report to the DC,” Ramalingappa told TNM. The Ballari DC could not be reached for a comment. Opposition party JD(S) has also tweeted the video and questioned the ruling party's management of the COVID-19 crisis in the state. In the tweet it said, “BEWARE! By chance, if you or your family members die because of COVID-19, this is how the BJP Govt. in Karnataka throws away your body with many others into a single pit! This is the 'well-planned COVID management' that the Govt. talks about everyday in the media!.”   BEWARE! By chance, if you or your family members die because of COVID-19, this is how the BJP Govt. in Karnataka throws away your body with many others into a single pit! This is the 'well-planned COVID management' that the Govt. talks about everyday in the media! pic.twitter.com/jwIfhrcjN1 — Janata Dal Secular (@JanataDal_S) June 30, 2020   There were others too who shared the video on Twitter and outraged how the dead were denied dignity.   This is how dead #Corona victims bodies are being disposed in #Ballari #Karnataka. No dignity. #DC has now ordered an inquiry. Sad, when the end cometh. #COVID #COVIDIOTS @CovidKarnataka @kappansky @writetake @GauthamMachaiah @nimmasuresh @vinaysreeni #death pic.twitter.com/ZVkXROVqRA — anil lulla (@anil_lulla) June 30, 2020  
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IMD issues yellow warning for three coastal Karnataka districts

Weather
Winds blowing at speed of 40-50 km per hour are expected on the coast and the Met department warned fishermen against venturing into the sea.
picture of an urban road with traffic and pedestrians during a downpour at night
Courtesy: PTI
The Meteorological Department has issued a yellow alert and forecasted heavy rains for three coastal districts and 12 more in the south interior Karnataka region, an official said on Tuesday afternoon. "Thunderstorm with lightning is likely to occur at isolated places over south interior Karnataka from Tuesday to Wednesday," said a Met official. For Bengaluru city, the Met department has forecast a generally cloudy sky with light rain for the next three days. Coastal Karnataka -- Dakshina Kannada, Udupi and Uttara Kannada districts have been issued a yellow alert for the next two days with thundershowers and gusty winds. Winds blowing at speed of 40-50 km per hour are expected on the coast and the Met department warned fishermen against venturing into the sea. Meanwhile, heavy showers on Sunday night in Vijayapura district gave rise to flash floods in the Doni river and Sogali stream. An overflowing Doni river submerged the Talikote - Hadaginal bridge, a remnant from the colonial era, and also submerged some agricultural lands. Only recently, these agricultural lands were sown with toor dal plants. Similarly, many SSLC students also struggled to cross the bridge to reach their examination centres on Monday. Many houses were also flooded due to the rainfall at Nalatwad and Talikote taluk. Muddebihal, Basavana Bagewadi and Sindagi taluks also witnessed heavy rainfall. A 40-year-old farmer from Dharwad district was washed away in the Tuppari Halla stream, which is prone to flood during the monsoon season. Likewise, a truck carrying cotton also got washed away in a stream in Yadgir district. "There is an offshore trough and a circulation, because of which rain will continue in the coastal area. Only Malnad has not got sufficient rain this year. Probably after two days, Malnad may get some rains," Karnataka State Natural Disaster Monitoring Centre (KSNDMC) Director Srinivas Reddy told IANS. Otherwise, entire state got normal rainfall, said Reddy, though it is not active over Malnad.
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Bengaluru’s recent spike in COVID-19 due to flaw in accounting cases?

Coronavirus
Sources told TNM that at least 1200 COVID-19 cases from mid June have been added to the last three bulletins.
covid testing in bengaluru
Representational image/PTI
Bengaluru reported over 2100 COVID-19 cases in the last three days alone, a sharp rise compared the previous weeks. The Bruhat Bengaluru Mahanagara Palike (BBMP) Commissioner BH Anil Kumar conceded that a portion of the rise in numbers was due to to some 'accounting issues' and a reconciliation process. Sources in the state government however told TNM that the BBMP did not reconcile numbers for quite a few days, leading to the backlog. Bengaluru recorded a 75% increase in the number of COVID-19 cases from June 26 to June 27, going from 144 new patients to 596. On June 28, Bengaluru saw another jump, with 783 new cases reported. On Monday, Bengaluru Urban recorded 738 new COVID-19 cases, with the total number of patients in the district crossing 4000.  Speaking with TNM, Commissioner BH Anil Kumar said a change in the window of recording newly detected cases earlier this month had led to some “accounting problems” in BBMP updating the daily numbers. He, however, emphasised no COVID-19 patient was delayed hospitalisation or left untraced. “This is because some days back, we have changed our format (window of reporting) of reporting in line with the Indian Council of Medical Research (ICMR),” said Anil Kumar. He explained that ICMR’s COVID-19 data is uploaded from 12 midnight to 12 midnight. While BBMP changed their format from June 15, the Commissioner said that earlier new cases would be tallied up to 9pm. As a result, he said, “Between 9pm to 12am in the night, ICMR used to receive slightly around one-third of the cases of the day. So that would have to be carried forward to the next day. There were some kind of accounting problems for this transition period.” Anil Kumar explained, “We realized our problem around June 20 and that has led to some amount of reconciliation and this has led to the rise of the numbers. We have not missed any patient or delayed their hospitalization. All the patients were shifted, only the data reconciliation had not been done in line with the ICMR accounting.” On June 15, when BBMP changed their format, Bengaluru had recorded a total of 725 COVID-19 cases, while five days later, 1076 patients had overall tested positive in the city. The city had recorded an average of 70 COVID-19 cases between the five days.   The BBMP Commissioner, however, did not specify how many reconciled cases were added to the recent bulletins.  Two independent sources within Karnataka's COVID-19 management team told TNM that the BBMP had started reconciling the data only after being prompted by the state government. The sources confirmed that around 1200 patients who had earlier tested positive for the coronavirus have been included in the last three COVID-19 bulletins. While one source told TNM that these 1200 COVID-19 patients had tested positive over a 10-day period beginning June 15, another source was unable to confirm the exact timeline of these cases.  “They are now being stage managed by putting data of 300 such patients on average for the last 3-4 days,” the source said. One source told TNM that state Chief Secretary TM Vijaya Bhaskar is aware of the matter.  Sources in the Chief Minister’s office denied knowledge about the incident and claimed that the CM BS Yediyurappa has not been apprised about the issue.  No source of infection in daily bulletins In another significant development, between June 27, June 28 and June 29, the state COVID-19 bulletin had no mention of the source of infection for the new COVID-19 patients reported on those days.  This was not restricted to patients from only Bengaluru but the entire state. There was no clarification by Health Commissioner Pankaj Kumar Pandey or Additional Chief Secretary, Health, Jawaid Akhtar why this was done.  Until then, all bulletins had details on the source of infection, whether a patient had travel or contact history. 
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