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Thursday, July 23, 2020

‘Beneficial for donors too’: Karnataka urges COVID-19 recovered to donate plasma

Coronavirus
Plasma therapy is currently used for people with moderate to severe COVID-19 infection.
Recovered COVID patient in Bangalore shows a thumbs up sign while lying down and donating plasma. In his hand is a yellow smiley face ball, and the person is hooked to a plasma extraction machine
The Karnataka government inaugurated its first plasma bank in Bengaluru on Tuesday evening, run by the HCG Cancer Centre. At the inauguration, Deputy Chief Minister Ashwath Narayan said, “All hospitals can benefit from this plasma bank and all people can benefit from this plasma therapy bank. Donors are most important for plasma therapy, and we encourage them to come forward. The government is also giving an encouragement of Rs 5,000 to all those who donate their plasma.” However, one need not only go to the hospital to donate their plasma, but can go to several hospitals in the city, including Manipal Hospital, or Victoria Hospital. Dr Sreelatha, Professor and Head of Department of Transfusion Medicine (Blood Bank) at the Victoria Hospital, the nodal hospital for plasma donation in the city, said that donating plasma is, in fact, beneficial to the donor.  “It is good for their health, as some amount of toxins will be released from the body, and tests worth Rs 20,000 will be conducted on the person free of charge. Each donor will be helping two patients,” Dr Sreelatha explained. Plasma therapy is currently used for people with moderate to severe COVID-19. It is an experimental therapy, and officials have noted that it has been effective. Trilok Chandra, the senior IAS officer heading the COVID-19 Critical Care Support Committee told TNM, “Plasma therapy has been tried on six patients so far. It has been effective on three patients and they have recovered. The others —  it didn’t work as they were already in distress, out of which two were on ventilators.” With a few exceptions, those who have recovered from the disease can donate their plasma, said Dr Sreelatha. People aged between 18-60 years of age, who weigh a minimum of 55 kilograms and have a negative COVID-19 test at the time of discharge can donate plasma. There should be a gap of 28 days after recovery. However, women who have given birth, or have ever been pregnant, are not eligible to donate. Dr Sreelatha said that nulliparous women — women who have never given birth--- don’t have certain antibodies which may be present in women who have given birth. Dr Sreelatha added that even women who have not had children but had miscarriages may not be eligible to donate. Dr Sreelatha urged people to donate at government hospitals. “Since the Bangalore plasma blood bank is a government plasma bank, the plasma is given free-of-cost to the COVID-19 patient when there is a requirement. If plasma is given to private hospitals, the patient will be charged,” she said. Mohammad Saqlain Thaha, a 24-year-old resident of Kengeri who donated his plasma on Tuesday, said that he was treated very well by the staff and was appreciated for donating his plasma. Since he lives far away from HCG Hospital in Sampangiramnagar, Saqlain said, “They picked me up and dropped me. The doctors were around me during the entire process. At the end, I even got some snacks.” “I was discharged from hospital on June 23 so when I heard about it, I got in touch with the hospital. It is my duty to donate plasma if someone’s life is going to get saved. In another fourteen days, I can donate plasma again. They will do a small test and if I’m still eligible, I’ll donate again,” he said. However, Saqlain noted that there was no information about when he would get the ‘encouragement money’, as the doctors did not say anything about it. The helpline number for donating plasma in Bengaluru is 080-47190606. A recovered COVID who donated his plasma at HCG yesterday, speaks about his experience donating. You can also see how the machine extracts plasma from the blood while the person is attached to it. The non-plasma components of the blood are usually put back into the bloodstream. pic.twitter.com/3yvILj5k6E — Alithea Stephanie Mounika//ಅಲಿತ್ಯ ಮೌನಿಕಾ (@alitheasm) July 23, 2020 (With inputs from Soumya Chatterjee)
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In new decentralisation push, Bengaluru wards to monitor COVID-19 response

Coronavirus
Even as the BBMP is overwhelmed with COVID-19 cases in the city, it is finally taking the help of local bodies to curb the spread of coronavirus.
People are seated indoors at a meeting while wearing masks and maintaining distance, while the mayor addresses the gathering in bangalore
Credit: Srinivas Alavalli on Twitter
Following the rising number of cases in the city, local governing bodies in the form of disaster management cells have been pressed into service to monitor and report the ground-level situation of the battle against COVID-19 in Bengaluru. Bengaluru on July 22 reported that there were 22,969 active cases of the coronavirus in the city, with 2050 new cases reported in the Wednesday evening bulletin. For the first time, the Bruhat Bengaluru Mahanagara Palike (BBMP) ward committee members met on Monday morning to discuss COVID-19 preparedness in their respective wards. Principal Secretary, Rural Development and Panchayat Raj, LK Atheeq held a call for ward committees on Monday morning to discuss with their elected BBMP corporator the steps that they were taking to combat COVID-19. In a tweet, the Principal Secretary said, “A call was given on Friday requesting #WardCommittees & WDMCs to meet and discuss #COVIDー19 on Monday 10:00 am. I am overwhelmed by the response. A large number of wards have met & discussed. We will continue to handhold the WCs (Ward Committees) & WDMCs (Ward Disaster Management Cells).”(sic) A call was given on Friday requesting #WardCommittees & WDMCs to meet and discuss #COVIDー19 on Monday 10:00 am. I am overwhelmed by the response. A large number of wards have met & discussed. We will continue to handhold the WCs & WDMCs@mla_sudhakar @BBMP_MAYOR @BBMPCOMM https://t.co/OIMteuJUbX — ಎಲ್ ಕೆ ಅತೀಕ್ L K Atheeq (@lkatheeq) July 20, 2020 The move is aimed towards decentralisation of powers from the BBMP Commissioner’s office which handles everything from contact tracing to tracking bed numbers in hospitals in their wards to making individual ward committees more responsible for their own wards, LK Atheeq said to TNM. “We want Ward Committees to keep track of the situation on the ground, and we want the volunteers to see if the contact tracing is done, keep a check on the door-to-door monitoring of temperatures of people under home quarantine, and see if there are hospital beds vacant and keep a track on this (among other responsibilities). We want the ward to take responsibility for the health of the people in their ward, and find solutions locally,” said the bureaucrat. Incidentally, citizens have been petitioning the government to activate disaster management cells at the ward level for months now, arguing that a decentralised approach was best when dealing with a crisis of this magnitude. Read: Activists blame Bengaluru’s migrant labourer crisis on lack of disaster management cells The Bengaluru Urban district has 197 wards in the city. Several ward committees said that they had met and discussed various issues. Chitra Venkatesh, one of the ward committee members of Ward 93 (Kumara Park West), said that they met and discussed facilities available in the ward including a new fever clinic, which opened on Queens Road. Chitra said that the corporator was “planning a 100-bed quarantine centre in the ward with the help of the MLA.” “We also raised the issue of equipment for our pourakarmikas as nine people in the layout tested positive for the virus but were asymptomatic, and have been asked to stay home. We only found out because we insisted that the pourakarmikas be tested, and 31 were tested. They have not been given proper gloves— old and torn gloves are being used. We have asked that gloves, masks and shoes be provided to the pourakarmikas. Containment wards have been given money, but so far, it has not been spent on these facilities,” said the ward committee member. Poornima, a member of the ward committee of Ward 113 (Konena Agrahara), said that they were given charge of contact tracing and tracking hospital beds in the area. Besides, “We found out that there is a new war room for the ward on Old Madras Road, and that there is a Rs 20 lakh budget for the ward as it is affected by the coronavirus. Sixty-seven cases have been reported in the ward with 47 active cases.” Poornima said that the committee discussed how to hold further meetings. “We have been mandated to meet each week, but it is not safe to meet during the pandemic. We have given recommendations regarding online streaming of the meeting through a Google Meet link for the ward members who cannot attend physical meetings.” Speaking to TNM, Principal Secretary LK Atheeq said, “I haven’t seen the entire data yet, but we think that about 70 ward committees met out of 197. It’s a good response, but there is definitely room for improvement.”
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Of 4764 new cases in Karnataka, over 2000 are from Bengaluru

Coronavirus
Of the 1,780 recoveries in Karnataka on Wednesday, 812 patients are from Bengaluru.
Person wearing oversized personal protective in a bengaluru residential area walks while people wearing masks watch and keep a safe distance
PTI in Bengaluru
The Karnataka on Wednesday reported 4,764 cases of the novel coronavirus, which takes the total cases in the state to 75,833. This is the highest single-day spike in the state. A total of 47,069 patients are under treatment for COVID-19 in Karnataka. Meanwhile, Bengaluru reported the highest number of cases in the state with 2,050 new cases. This takes the total reported cases in the city to 36,996. The total active cases in Karnataka’s capital city stands at 27,969. The government has recently decided against imposing lockdowns in any part of the state, following a week-long lockdown in Bengaluru Urban and three other districts in the state following rising cases of COVID-19 in these districts. Other districts reported less than 300 cases each on Wednesday. Udupi reported 281 cases, taking the total positive cases in the district to 2,686. Udupi reported 281 cases taking the active cases to 910, while Balagavi reported 219 new cases, taking total cases in this district to 1,315. With 175 new cases, the total COVID-19 cases in Kalaburagi stands at 3,991. The other districts that reported over 100 cases are Dakshina Kannada (162), Dharwada (158), Mysuru (145), Bengaluru Rural (139), Raichur (135), Ballari (134) and Chikkaballapura (110). The other districts reported less than 100 cases. Karnataka reported 55 deaths on Wednesday. With this, 1,519 people who have succumbed to the deadly disease in the state. Of the 55 fatalities, 15 were reported in Bengaluru, while Mysuru and Dharwada each reported five deaths. Haveri reported four deaths in the district. A total of 618 people are on ventilators while undergoing treatment. In Bengaluru, 336 patients are in intensive care units (ICU). In Kalaburagi, 37 patients are in ICU, while 35 are in Dharwada. Ballari reported 21 patients in ICUs. Other districts reported that there were less than 20 people in ventilators in the district. A total of 1,780 people were discharged on Wednesday, taking the total recoveries in the state to 27,239. Bengaluru reported most of these discharges, with 812 discharges. Bidar reported 182 recoveries. On Wednesday, the government decided to do away with the system of publishing the details of patients who test positive for the virus. With the demographic details, the bulletin used to run more than 100 pages. Previous bulletins used to have the contact history of the patient. However, the recent bulletins mostly had information stating that the ‘contact under tracing’, implying that the government was yet to find the source of infection.
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Republican governors of Indiana and Ohio issue mask mandates, joining more than half of U.S. states

The announcements come a day after President Donald Trump threw his support behind facial coverings to help stop the spread of coronavirus.

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Wednesday, July 22, 2020

In Bengaluru, 16,000 volunteers sign up as civil police wardens during lockdown

Policing
The volunteers accompanied policemen in night patrolling, managing checkposts, answering questions of the general public and assisting station house officers.
Bengaluru civil wardens
Civil wardens/ Photograph via Hemant Nimbalkar
More than 16,000 volunteers signed up as civil police wardens to work with the Bengaluru police to help manage the city during the lockdown. The civil police wardens were mainly deployed at checkposts to check the identity cards of people commuting in the city during the week-long lockdown, at a time when the strength of the police force has been reduced.  Around 940 police officials have tested positive for coronavirus in Bengaluru while many others were quarantined. Bengaluru Police Commissioner Bhaskar Rao has also asked police officials over the age of 55 to stay at home. "More than 16,000 volunteers registered and they are being deployed in checkposts and station work by inspectors at the police station. This depends on what the volunteers have shown an interest in. The work hours are flexible but their shifts are managed directly by inspectors," says Isha Pant, DCP, Command Centre. The volunteers accompanied policemen in night patrolling, managing checkposts, answering questions of the general public and assisting station house officers.  They are also required to assist in documentation and computer work at the police station level, enforce physical distancing and wearing face masks among the public.  She added that the police were overwhelmed by the response of the public in helping the police manage the lockdown. "The reaction has been good and slowly, we are utilising all of them. We can't utilise them in one go. It's going on so far and we have not faced any issues. The response has been really good," Isha Pant added.  "There are three shifts in my station and I report to one of the sub-inspectors. Most of us who signed up are deployed in checkpost duty. We are made to sign an attendance sheet everyday," a volunteer deployed to check identity cards at checkposts in Bengaluru's Rajagopal Nagar told TNM.  "We would even do night shifts and would help the station inspector with any other work that came up," says the volunteer.  With the lockdown having been lifted on Wednesday, the volunteers will continue helping the police in other work.  As some people were misunderstanding that the voluntary work would be a paid duty, Bhaskar Rao clarified last week that people volunteering as civil police wardens with the city police department will not receive any remuneration. The Karnataka government has also deployed a citizen quarantine watch squad in the last four months to check the status of people supposed to be in home quarantine. The citizen-government initiative is headed by Manivanan, an IAS officer who was transferred from his role in the Labour Department to the Department of Animal Husbandry. 
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Increase in overtime and work shifts: Karnataka unions oppose proposed labour reforms

Labour Rights
The draft policy proposes increase in overtime hours to 125 hours per quarter, and increase in shift timings as well as in the number of shifts for women employees.
Garment workers at a factory
IMAGE FOR REPRESENTATION. TAREQ SALAHUDDIN/WIKI COMMONS
Labour unions in Karnataka criticised the labour reforms proposed by the Karnataka government in the Draft Industrial Policy 2020-25. The draft policy, which TNM has accessed, proposes an increase in overtime working hours to 125 hours per quarter, and an increase in shift timings as well as in the number of shifts for women employees.  Prathiba R, President of the Garment and Textile Workers Union (GATWU), told TNM that the proposed changes will increase the burden on women workers employed in the garment industry in Karnataka. “It will increase the burden on workers. The overtime in the (garment) industry is currently 48 hours over a period of 3 months and this is with the consent of workers. At the moment, the companies have already removed the concept of consent, increasing the overtime will add to the work done by the workers,” Pratibha said.    The draft proposes increasing overtime working hours to 125 hours per quarter. At present, section 64 of the Factories Act, 1948 states that overtime hours should not exceed 50 hours per quarter. Section 65 of the Act states that overtime hours should not exceed 75 hours if the factory has a higher workload. However, while the draft proposes increasing the overtime hours it does not specify the pay scale for this. The draft also suggests a change in the overtime work process. At present, procedure dictates that prior approval should be obtained from the Department of Factories for overtime hours done by employees. The changes proposed state that instead of prior approval, periodical submissions of overtime reports to the department will suffice. Sathya Mukund, member of the All India Trade Union Congress (AITUC), said that many companies are already skirting the process of obtaining prior approval. “The proposed changes will not make a big difference since many companies are currently making employees work overtime hours without prior approval requests submitted to the Department of Factories,” he said. Sathya has worked with unions in many factories in industrial areas on the outskirts of Bengaluru. A senior official with the Labour department official told TNM that discussions are underway to determine the feasibility of making changes to the existing labour laws. “The department is in the process of carrying out a feasibility report to determine what changes can be made to the existing labour laws. The idea is to amend the Factories Act and also bring in amendments for contract workers. We cannot reveal what we’re looking at at this point,” the official said. Responding to the proposed increase in overtime working hours, the official maintained that such reforms were necessary to bring investment into the state. “We’ve not held talks with labour unions yet, but we plan to do so before bringing in any amendments,” the official added. The draft policy also proposes an increase in shift timings and an increase in the number of shifts for women employees. The existing shift is between 6 am and 7 pm, while the draft proposes that women can be put on shifts between 6 am and 10 pm on multiple shifts. “The shift timings in the (garment) industry currently are 9 am to 5.30 pm, but if this proposal is accepted the workers may be asked to work multiple shifts or in different shift timings. Many workers in garment units in Peenya, Nelamangala and Madanayakanahlli travel more than 20 km to reach their workplace. Will factories and companies take the responsibility of arranging safe travel conditions for workers?” Pratibha asked.  The garment industry has been hit heavily by the coronavirus pandemic. A garment factory unit of Gokaldas Exports in Mandya district laid off its employees in June without any notice, citing lack of manufacturing activity due to the pandemic. The factory, which is a major exporter in India, manufactured clothes for international brands like H&M. Read: Sudden closure of Karnataka garment factory stitching H&M clothes leaves workers stranded Activist and advocate Vinay Sreenivasa questioned the basis for the proposed changes to the labour laws. “The industries themselves have not asked for the proposed changes and this is not good for anybody. What is the premise for this? If you’re making workers work so much, what will happen to their health? They are not pieces of equipment that are to be used till their utility is done. The state has to discuss with worker unions and reconsider the changes,” Vinay said.  In May, the Karnataka government was criticised for a controversial notification that extended the maximum working hours from 8 to 10 per day and from 48 to 60 per week for factory workers in the state. The notification was withdrawn on June 12 in a submission made in the Karnataka High Court. Read: Karnataka govt withdraws notification allowing for longer working hours
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K'taka govt says staff not at fault for birth of stillborn baby outside KC General Hosp

Coronavirus
The incident had led to former Chief Minister Siddaramaiah and other opposition leaders asking the government to take action against the hospital staff.
KC General Hospital building
Representational image
A day after a 22-year-old Bengaluru woman delivered a stillborn baby inside an autorickshaw, parked at the KC General Hospital in Bengaluru, the state government issued a statement denying any wrongdoing on part of the hospital staff.  Dr Om Prakash Patil, Director of Health and Family Welfare Services Department on Tuesday issued a rejoinder on the issue reacting to the “adverse media reports” over the incident. He said that upon inquiry it was found that doctors or staff at the hospital were not at fault and there was no negligence on their part. The government rejoinder said, “An eight and a half months pregnant woman had visited the KC General hospital, at around 3.00 am on 20/7/2020 citing labour pains. The doctors & staff at KC General hospital have attended the pregnant women and found out that the baby inside the womb had no foetal heart sound implying intrauterine foetal demise. The same matter has been conveyed to the pregnant woman and her attendant.” It added, “However, they were not ready to believe it and proceed to Vanivilas Hospital for a second opinion, only to return back to KC General Hospital at 9.00 am in an advanced stage of labour. Doctors and staff have conducted the veginal delivery of the dead foetus. The paediatrician at KC General hospital who attended the labour call has opined that the baby has died at least two days prior to the time of delivery.” TNM on Tuesday had reported how Nivedha, a resident of Srirampura, had visited KC General Hospital at 2 am on Monday morning and was told by doctors there that her foetus was dead.  The family has however alleged that when they returned later in the morning after taking a second opinion, Nivedha and her mother were made to wait outside even though she was in unbearable pain and she was forced to deliver inside the autorickshaw. Venkateshiah, Medical Superintendent of KC General Hospital had told TNM that the doctors had observed fetal maceration, a sign that the baby died days ago. He also confirmed that the delivery had taken place in the autorickshaw.  The incident had led to former Chief Minister Siddaramaiah and other opposition leaders asking the government to take action against the hospital staff.
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