Srinagar Mar 31 (GCCurrentAffairs) Doctors Association Kashmir (DAK) on Tuesday urged health authorities in Kashmir valley to keep hospitals for patients, who have severe complications from the novel Coronavirus.
”Most people infected with the novel virus do not require hospitalization,” DAK President Nisar ul Hassan said here.
”We need to reserve hospital infrastructure and manpower for those who need them. We can’t pile up those who don’t need to be in hospitals and leave no beds for those who actually need them,”he further said.
Dr Hassan stated that patients who were positive for COVID-19 and have mild disease could stay in isolation at home for two weeks and contact their health care provider by phone for guidance about clinical management. These patients may just need a Paracetamol and they recover on their own.
”However, older patients and those with underlying medical conditions should be observed in hospitals, even if they have milder illness given the possible risk of progression to severe illness in them,” he further stated.
”Persons who have history of travel or contact with a confirmed case after screening should be quarantined either at home or at a designated community center. In no case should they occupy hospital beds,” he affirmed.
Dr Hassan observed only those patients who have severe disease should get admitted to a hospital so that the work force at hospitals can focus on the most critical cases.
He further observed that mild cases are those who have symptoms of fever and cough, but are stable and have no pneumonia or hypoxia. Severe cases have difficulty in breathing and are hypoxic, and critical cases have respiratory and other organ failure.
Quoting a large study of 44,000 patients from China, Dr Hassan maintained that 81 per cent had mild disease, 14 per cent had severe disease and five per cent had critical illness. ”In this study, all deaths occurred among patients with critical illness. While overall case fatality rate was 2.3 per cent, the case fatality rate among patients with critical disease was 49 per cent,” he said.
”Kashmir valley has, so far reported 43 laboratory confirmed cases and two deaths due to the novel coronavirus,”he added