NEW DELHI 27 june 2021 SUNDAY `12 PAGES 24 facebook/TheMorningStandard twitter.com/TheMornStandard https://epaper.morningstandard.in PLUS: 12 PAGES MAGAZINE Exclusive Voices Love, Actually T J S George Shankkar Aiyar Pinak Ranjan Chakravarty Ravi Shankar The Company of Women Pushpesh Pant Shinie Antony S Vaidhyasubramaniam Madhulika Liddle Greeks Bearing Gifts The Big Picture of Well-being The Law in Black and White Soon, get vaccinated at your doctor’s clinic Govt set to tweak inoculation rules, aimed at removing hesitancy & speeding up vax drive s u m i s u k a n ya d u t ta @ New Delhi The Union government is planning to allow single doctor clinics across India to offer Covid-19 vaccines, in yet another tweak in its vaccination policy , this newspaper understands. As per the Centre’s existing strategy 25% of vaccines avail, able in the country are to be procured by private hospitals and offered to recipients at a price — `150 administrative cost plus the actual price of the vaccine per dose — while in government hospitals, jabs are to be given free of cost. However, in terms of actual vaccinations carried out so far, the role of private hospitals has remained limited and private hospitals only in cities in some states have been able to participate in a big way . In the populous states without the presence of many corporate hospitals, such as Bihar and Uttar Pradesh, inoculation against coronavirus has largely been conducted in government facilities, data provided by the Centre show. As on Saturday, there were 2,417 private hospitals carrying out vaccinations accounting for less than 5% of 54,977 vaccination centres across India. “The proposal of permitting single doctor clinics to carry out vaccinations has been made in-principal, after many states suggested this and bodies of private hospitals also recommended that this move will raise their participation,” said a senior official in the Ministry of Health and Family Welfare. “This will allow people to access vaccines at their trusted doctors next door and help remove the hesitancy, which is emerging as an issue in many towns,” the official added. “However, there is a concern related to the monitoring of adverse events following immunisation and detailed guidelines for it are being worked out.” Another source in the ministry said in some states, aggregators have started asking doctors practicing independently to raise the demands which will then be conveyed to vaccine makers via the Centre. Representatives of private hospitals, meanwhile, welcomed the proposal. “It is a much-needed step as vaccination has now reached almost a saturation level in big cities while a large population in smaller towns are yet to get the shots,” said Girdhar J Gyani, director general of the Association of Healthcare Providers of India, a body of private hospitals. Gyani added if the vaccination service is offered by regular doctors people see in their neighbourhood, it will help overcome the vaccine hesitancy to a great extent. The government has been emphasising that it wants more private hospitals, especially those in remote and smaller areas, to come forward and take part in the vaccination drive. It has said that this scaling up is required to remove the regional inequity in access to vaccination. This will allow people to access vaccines at their trusted doctors next door and help remove the hesitancy, which is emerging as an issue in many towns Health ministry official to encourage participation As on Saturday, there were 2,417 private hospitals in India carrying out vaccinations accounting for less than 5% of 54,977 vaccination centres across India. Allowing private clinics to push the jab is expected to prompt more citizens to take the shot A woman takes the shot inside a vaccination van in New Delhi on Saturday. Over 2.05 lakh doses were administered in the national capital in the last 24 hours| Shekhar Yadav Johnson & Johnson jabs likely to be available in private hospitals from July e x p r e ss n e ws s e r v i c e @ New Delhi Covid-19 vaccines from the US-based Johnson & Johnson’s subsidiary Janssen could be available in private hospitals in India next month in limited quantities, for about `2,000 per dose, if efforts by a private hospital association work out. The advantage of this viral vector-based vaccine is it is a single shot vaccine and can be stored in regular refrigerators Fatality higher in group under 50: AIIMS study Daily cases dip to lowest this year New Delhi: The national capital recorded 85 new Covid-19 cases on Saturday, the lowest daily count this year. On Monday, there were 89 cases — the first day since February 16 that the daily count was below 100. On that day, the figure was 94. January 27 was another day when figures were low — 96. Now, daily positivity rate has dipped to 0.12 per cent. Since April 19, daily cases and single-day deaths count had been rising alarmingly, with over 28,000 cases and 277 deaths recorded on April 20. On May 3, the city registered a record 448 deaths. e x p r e ss n e ws s e r v i c e @ Lucknow Apr 4-Jul 24 (2020) 654 ICU admissions (adults) 247 Fatalities 34.8% 51-65 42.1% 23.1% 18-50 Above 65 69% Of the deceased were men with median age of 56 Cause of death 7 Hemorrhage Pulmonary embolism 1 0.4 Stroke/cerebral bleed 17 (%) 2.8 9.3 23 6.9 63 Cardiogenic shock Severe ARDS Number Delhi Covid watch june 25 june 26 Positive cases Recovery Active cases Deaths Containment zones Tests Positivity rate 115 198 1,680 04 2,048 77,477 0.15% “We are trying to procure this for some private hospitals in India and the idea is to establish and verify a supply channel for this vaccine in India before the vaccine can be imported in a big way,” said Girdhar J Gyani, director general of the Association of Private Healthcare Providers in India. He said that this may be particularly apt for India, given that it is a single dose vaccine and can be stored easily . Ailing woman caught in President traffic jam dies report findings 25.5 Patients under the age of 50 succumbed to Covid-19 more than those above 65, suggests a study by the All India Institute of Medical Sciences, Delhi. It reveals that sepsis with multiorgan dysfunction was the most common cause of death. The recent study published in the Indian Journal of Critical Care Medicine, authored by Dr Randeep Guleria and Dr Rajesh Malhotra, is a retrospective one covering adult deceased patients admitted to ICU from April 4 to July 24, 2020. It looks at comorbidities, complications and causes of death. “Very few studies have documented similar features of the deceased. This study was aimed to describe the clinicoepidemiological features and the causes of mortality of patients admitted in a dedicated Covid-19 centre in India,” it reads. In all, 654 adult patients were admitted to ICU during the study period. Of them, 247 died and mortality was 37.7%. Adult patients were further divided into age-groups of 18-50, 51-65 and above 65. The study shows 42.1% were between 18-5, 34.8% from 51-65 and 23.1% above 65. “Among the adult deceased, 65.9% were males with a median age of 56 years (between 41.5-65) and 94.7% had one or more comorbidities,” the study says. It finds that the most common cause of death was sepsis with multi-org an f ailure (55.1%) followed by severe acute respiratory distress syndrome (ARDS) (25.5%). Pre-existing hypertension was the most frequent comorbidity in 107 (43.32%) patients, followed by diabetes in 86 (34.82%) and chronic kidney disease in 51 (20.6%). Among patients with other ailments, 39% had one comorbidity 27.5% , had two, 21% had three and 6% had more than three comorbidities. “Percentage of deceased having multiple comorbidities (two or more) was significantly higher in the age-group above 65 as compared to younger agegroups. Multiple comorbidities were seen in 68.4% of patients above 65, as compared to 59.3% in the age-group of 51–65 and 44.2% in patients between 1850,” the study notes. There were 46 pediatric admissions during this period, of which six died of Covid. ICU mortality in the pediatric group was 13%. Age-group of the deceased varied from 6 months to 16 years and all these patients had comorbidities including congenital heart disease, tubercular meningitis, endocrine disorders and hematologic maP4 lignancies. 55.1 Sepsis with multi-organ dysfunction 136 S o m r i ta G h o s h @ New Delhi for up to three months. Price of this vaccine is $25 per dose or `1855. Private hospitals will also charge an administrative cost of `150, apart from GST, for every dose administered. As per the US Centre for Disease Control and Prevention, this vaccine was 66.3% effective in efficacy trials at preventing laboratory-confirmed Covid-19 infection and people had the most protection two weeks after getting vaccinated. 85 158 1,598 09 1,817 72,920 0.12% Stuck in traffic following diversions to facilitate the visit of President Ram Nath Kovind, the 50-year-old chairperson of the Indian Industries Association’s (IIA) local wing died on Friday evening. She had Covid-19 a few months ago and was going to the hospital after complaing of complications. According to IIA sources, her name is Vandana Mishra. Apolo gising over Twitter for the incident, the Kanpur police commissioner has ordered a probe. A sub-inspector and three constables have been suspended. Mishra headed the local unit of the IIA women’s wing. She was infected with Covid in April, but nearly two months after testing negative, was still experiencing complications. She had been taken to hospital multiple times since. “In the afternoon she had gone for tests and returned at around 4.30 pm. After a couple of hours, she complained of nausea. On way to the hospital, the vehicle got stuck in traffic. With her condition becoming critical, her kin, who included a doctor, tried to revive her. On reaching the hospital, doctors declared her dead. They said she could have been saved had she been brought to the hospital earlier,” an IIA-Kanpur office-bearer said. The car she was travelling in was stuck in traffic for nearly 50 minutes. A senior police officer, while regretting the incident, said traffic was diverted and stopped to ensure smooth passage for the Special Presidential Train between Eyra and Kanpur Central railway stations. The President is on a three-day visit. The Proverbial Inquisitor amma speaks Not OTT, ATTaboy! Remote Control of the Mind Squatter Nagaland evicts two widows for guv’s bungalow S i dd h a n ta M i s h r a @ New Delhi The Nagaland government had to ask two of its women employees posted in Delhi, both widows, to vacate their official quarters so that governor R N Ravi is allowed to retain his bungalow here that was allotted to him in his capacity as the chairman of the Joint Intelligence Committee. The two widows were allegedly “evicted” as the Nagaland government had to surrender two flats from its quota of property in Delhi in lieu of Ravi being allowed to retain the bungalow. When contacted, T Mhabemo Yanthan, the governor’s commissioner and secretary, did not deny the incident and said if there was any resentment over the action, it was up to the state government to deal with it. Ravi was allotted the flat in tony New Moti Bagh in March 2015 following his appointment to the JIC earlier in 2014. He was simultaneously made the interlocutor for the talks between the government and the Naga rebel outfit, the National Socialist Council of Nagaland-IM. But although even he retired from the intelligence panel in August 2018, he continues to occupy the premises to date. Sources said the ground on which he made a case for retaining the bungalow was that he continues to be the interlocutor for the Naga talks even after his appointment as the governor in August 2019. Even the Nagaland government has argued that as Ravi has to often travel to Delhi in his role as the interlocutor, he should be allowed to keep the flat from the state’s quota of central government property . Interestingly Ravi is yet to , Nagaland Governor R N Ravi pay nearly ` 64 lakh towards rent for the bungalow for which he has been issued a notice under the Public Premises (Eviction of Unauthorised Occupants) Act, 1971. According to a “provisional rent report” sent to Ravi, a copy which has been accessed by this newspaper, he has been asked to appear before the Directorate of Estates, Ministry of Housing and Urban Affairs, for a “personal hearing” on July 15 “or through a duly authorized representative” to hear the dispute over the dues. Every state government is allotted property under the General Pool Residential Accommodation to house its employees posted in Delhi. They are mostly located in central Delhi and managed by t h e D i re c t o r at e o f Estates. Under the GPRA rules, Nagaland is entitled to six quarters, which have been allotted to the chief minister and additional chief secretary among others. The governor is not in the list of beneficiaries as he has a separate suite reserved at the Nagaland House for his stay in the capital. But as Ravi and the Nagaland government pressed for retaining the bungalow, the matter was referred to the Cabinet Committee on Accommodation headed by the Prime Minister. Continued On Page 7 elixir Lawyer teaches yoga free of cost for inner peace Down physically and mentally after meeting with an accident, this resident of Rajasthan’s Udaipur found a way to get better and has been trying to spread the message since to help people from all walks of life lead a healthy life | P5 Vaccination, farm stir worry BJP before 2022 polls MA N I S H A N A N D @ New Delhi With the West Bengal verdict making the BJP go on the back foot, party chief J P Nadda on Saturday hosted senior ministers for a brainstorming session for Assembly elections coming up next year, with thrust on stepping up the Covid-19 vaccination drive to showcase achievements, even as unrelenting far m agitations remain a top concern for leaders of the saffron outfit. Union ministers Rajnath Singh, Amit Shah, Narendra Singh Tomar, Nirmala Sitharaman took part in talks with Nadda. The BJP president held another brainstorming session Assembly elections in 2022 State Goa Manipur Punjab UP Uttarakhand Himachal Gujarat Govt BJP BJP/NPP/NPF Cong BJP BJP BJP BJP with party vice-presidents and national general-secretaries to chalk out plans for the electionbound states, particularly UP, Uttarakhand, Goa, Manipur and Punjab, where polls are scheduled early next year. It has been reliably learnt that BJP will soon roll out senior ministers for a tour of the districts in these states to build the narratives in favour of the party on the basis of the achievements of the Central government and the respective state dispensations. BJP is worried at the prospects of the farmers not relenting against the Central government, with Jat mobilization against the saffron outfit potentially being remaining the key electoral risk for the Yogi Adityanath-led government in UP . BJP is banking on Rajnath, seen as a farmer leader within the party, to help the party counter the anger of the farmers. Besides western UP BJP is , also staring at the risk of being on the electoral sidelines in Punjab, where its oldest ally Shiromani Akali Dal is chartering an independent path with Bahujan Samajwadi Party . “While the government is aiming to cover the eligible people with vaccination against Covid-19 by December, party leaders stressed the need to advance it to October so that there’s time to build the narrative in favour of Brand Modi, which took a hit due to the second wave, which cost the party in the last phases of polls in Bengal. Also, farmers need something concrete to calm them down ahead of elections, which could be additional benefits under the existing schemes,” sources said.
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