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Early detection of black fungus cases should be ensured – CM Shri Chouhan

 


 Chief Minister Shri Shivraj Singh Chouhan has said that there is an urgent need to launch a widespread campaign in the entire state for the early detection of cases of black fungus. Advisory should be issued by developing necessary strategies for immediate identification of cases of black fungus at each ward and at village level. This will ensure immediate treatment in such cases. Chief Minister Shri Chouhan has directed to create special wards in five medical colleges of Bhopal, Jabalpur, Gwalior, Indore and Rewa for the treatment of black fungus.

 Chief Minister Shri Chouhan was addressing the discussion with experts and group of officers on future action plans for strengthening Covid control and health services through video conferencing from his residence. Chief Minister Shri Chouhan said that the campaign against Corona in the state was conducted with the cooperation of the public. The fight against Covid fought with the help of public through disaster management groups and other means has been successful and the infection has been controlled in the state from the district to the village level. A long fight remains in this direction. The state government considers suggestions and discussion necessary to improve its strategy at every level. This meeting of experts and officials has been convened with the objective that Madhya Pradesh should ideally control Covid.

Chief Minister Shri Chouhan invited suggestions from experts and group of officers related to increasing participation of society in the management of Covid-19, make habits and behaviour necessary for Covid control a permanent part of our lives, better management of private and government hospitals, strengthening of health services, motivating citizens to adopt healthy living practices, expansion of traditional medical practices and relevance of other states and countries to the best practices and their states and their relevance to the state. Besides, he also invited suggestions regarding the process of post Covid care, the status and prevention of black fungus, necessary preparations keeping in mind the third wave of Corona, and how we should behave after Corona. Additional Chief Secretary Health Shri Mohammad Suleman gave a presentation on the management of Covid-19 in the state.

Participants in this discussion included Senior Consultant of NITI Aayog. Dr. K. Madangopal, Director General at Delhi-based Think Tank Research and Information Systems in Development Countries (RIS) and member of Board of Governors of the Reserve Bank of India Prof. Sachin Chaturvedi, Dr. Abhishek Jain of World Health Organization, Dr. Jyotsna Srivastava, Member of Gandhi Medical College Bhopal, Sushri Vandana Bhatia of UNICEF, Dr. Rahul Khare, Dr. Nishant Khare, Dr. Devashish Vishwas of AIIMS Bhopal, Dr. Lokendra Dave and Dr. Mahesh Maheshwari of Gandhi Medical College and Dr. PK Pandey of National Hospital. Those who gave suggestions during the discussion included Additional Chief Secretary Shri Rajesh Rajaura, Shri S.N. Mishra, Shri Malay Srivastava, Principal Secretary Shri Manoj Govil, Shri Neeraj Mandloi, Shri Sanjay Dubey, Dr. Pallavi Jain Govil, Shri Prateek Hajela, Secretary Shri Sukhvir Singh, Commissioner Jabalpur Shri B.R. Chandrashekhar, Commissioner Indore division Shri Pawan Sharma, Collector Rewa Shri T. Ilaiyaraja, Collector Burhanpur Shri Praveen Singh Adhayach The suggestions are as follows: -

Prof. Sachin Chaturvedi –

  • Special cases will have to be adopted where there are more cases including Bhopal, Indore.

  • Community efforts should be presented on a special portal.

  • Documentation of efforts to connect the community must.

  • To adopt testing, tracing as well as micro containment approach at state level.

  • Efforts to secure the economy essential.

  • Develop future strategy by coordinating Digital Data for Health, e- Sanjivani and Ayushman Bharat.

  • Better coordination between private, government hospitals and insurance companies.

  • Need to follow the discipline of AYUSH along with the use of AYUSH kit, decoction and steam.

  • Recruitment of rural health workers to increase testing in rural areas.

  • State should negotiate for the value of vaccine together.

  • Entrepreneurs should be encouraged to set up oxygen units while taking advantage of Rs 50 crore package after talks with the Reserve bank.

  • Creation of an economically prosperous Madhya Pradesh is possible only from a healthy Madhya Pradesh, so entrepreneurs should be encouraged to set up medicines and oxygen production units.

Dr. K. Madan Gopal

  • Necessary to maintain the enthusiasm and morale of the front line workers.

  • Strategy should be implemented only through public participation and public cooperation.

  • Special attention needs to be paid to districts adjoining Mandsaur, Umaria, Damoh and adjoining states.

  • Take care even in districts with low number. Tests should continue to be conducted.

  • AIIMS, ICMR, NITI Aayog should have same health protocol, not different.

  •  Connect hospitals to medical colleges. Medical colleges should play the role of mentor of hospitals.

  • Special attention should be paid to comorbidity. There should be a proper system of review for how to prevent deaths.

  • Cooperation of voluntary organizations should be sought in tracing and other non-medical activities.\

Dr. Abhishek Jain, World Health Organization

  • Dedicated call number must for cases of children’s illnesses.

  • Teachers should be given priority in vaccination.

  • It is necessary to make a guideline to prevent black fungus.

  • Capacity development of ASHA, Anganwadi worker required.

Dr. Jyotsna Shrivastava

  • Provision for vaccination of children up to 16 years.

  • Telecommunication facility should be strengthened for the treatment of children below the age of 05 years.

  • Need for special awareness among hospital staff on infection and cleanliness for the control of black fungus.

Dr. Vandana, UNICEF

  • Expansion of drive in vaccination facilities required.

  • Need to formulate an effective strategy in collaboration with the Department of Women and Child Development to provide immediate protection to the children whose parents are no more.

  • Arrangements for vaccination and home isolation of tribal migrants.

  • Special activities to ensure wearing of masks and mutual distance in offices, hospitals, resident associations and other crowded places essential.

Dr. Rahul Khare

  • Arrangement of medicines for children in view of impending third wave must.

  • Measures and treatment to protect people living in home isolation from black fungus must.

Dr. Mahesh Maheshwari

  • It is important to pay attention to increase awareness in rural areas.

  • Necessary arrangements for immediate identification and treatment of diseases.

  • It is necessary to develop appropriate arrangements to refer patients to the right places from small hospitals.

  • Death audit should be arranged.

Dr. Lokendra Dave

  • Initiation of vaccination in the younger age group on trial basis. Gradually it should be increased.

  • Nursing homes should perform an informal audit of their tasks, this will help them prepare for the challenges ahead.

  • Monitoring and guidance of patients, including psychiatrists, cardiac and respiratory doctors, is essential for post Covid rehabilitation.

Dr. Devashish Biswas

  • Audit of steroid use must to help in preventing black fungus.

  • Perform a rapid antigen test of the families of home isolation patients.

Shri SN Mishra

  • It is necessary to create a positive environment to deal with unexpressed doubts.

  • To prevent infection, necessary content must be included in school syllabus.

Shri Rajesh Rajaura

  • State Rapid Response Team including technically skilled people should be formed.

Shri Manoj Govil

  • Human resources and material etc. should be planned and implemented as per requirement of health department for the next two-three years.

  • Steps will have to be taken to maintain the morale of all government employees.

  • Implementation of health insurance scheme for government employees.

Shri Sanjay Dubey

  • Efforts to strengthen institutions in the health sector.

  • Separate health management and treatment in hospitals.

  • Connect nursing training institutes to larger hospitals.

  • More attention needed to prevent disease.

  • Create a wellness index.

  • Indexing of hospitals based on treatment protocols and accessibility of doctors.

Smt. Pallavi Jain Govil

  • Separate cadre of public health management must.

  • Health Regulatory Commission should be formed.

  • There should be a system for tracking of medicines from the factory to the patient.

Shri Sukhbir Singh

  • Distribution of vitamin pills along with ration to protect against diseases.

Shri Pawan Sharma, Commissioner, Indore

  • Activities that require the removal of masks, such as restaurants, etc. should be closed first.

  • Doctors who are engaged in administrative or managerial tasks, should be engaged in treatment works.

  • There have been no exit exams of about 8 to 10 thousand doctors who have returned after education from abroad. Due to this, they are not able to provide services in the country. MCI is urged to conduct their exit exams and use their services.

Shri Chandrashekhar, Commissioner Jabalpur

  • Developing potential checklist and make it available for treatment of Corona.

Shri Praveen Singh Adhayach, Collector Burhanpur

  • Creation of a competitive environment at village, urban level for vaccination and Covid appropiate behaviour. There should be exemption for development works on this basis.

Sandeep Kapoor

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