Thursday, April 30, 2020
Wednesday, April 29, 2020
#Ramadan 2020 6 :#Fasting delay the onset of autoimmune diseases, atherosclerosis, cardiomyopathies, cancer,diabetes, renal diseases, neurodegenerative diseases,& respiratory diseases ரமலான் ஆறாவது நாளில் தௌராத் வேதம் நபி மூஸா அலைஹிஸ்ஸலாம் அவர்களுக்கு அருளப்பட்டது - M.A.Aleem Neurologist #Trichy #Tamilnadu #India
Tuesday, April 28, 2020
Monday, April 27, 2020
Sunday, April 26, 2020
Saturday, April 25, 2020
COVID-19 And Ramadan 2020 - M.A.Aleem BMJ 2020;369:m1605
BMJ
British Medical Journal
Editor's Choice
Paying the ultimate price
BMJ 2020; 369 doi: https://doi.org/10.1136/bmj.m1605 (Published 22 April 2020)Cite this as: BMJ 2020;369:m1605
Friday, April 24, 2020
COVID-19 PANDEMIC AND RAMADAN 2020 - M.A.ALEEM NEUROLOGIST #TRICHY
COVID-19 PANDEMIC And RAMADAN 2020
- M.A.Aleem
Neurologist
Trichy
The holy month of Ramadan is marked by social and religious gatherings where Muslim families and friends unite to break their fast together, after sunset during iftar or before dawn during suhour. Many Muslims increase their attendance at mosques during the month and congregate for longer prayers for taraweeh a and qiyam. Some Muslims also spend consecutive days and nights at mosques during the last 10 days of Ramadan (i’tikaf) for prayers. These traditional and religious practices are regularly observed throughout the month. This year Ramadan falls between late April and late May as the COVID-19 pandemic continues.
The transmission of COVID-19 is facilitated by close contact between people, as the virus is spread through respiratory droplets and contact with contaminated surfaces. To mitigate the public health impact, several countries have implemented physical distancing measures aimed at interrupting transmission by reducing interaction between people. These measures are fundamental control mechanisms to control the spread of infectious diseases, particularly respiratory infections, associated with large gatherings of people. Physical distancing measures, including the closing of mosques, monitoring of public gatherings and other restrictions on movement, will have direct implications for the social and religious gatherings central to the month Ramadan.
Countries around the world are taking different measures to control the spread of COVID-19. This write up highlights public health advice for social and religious practices and gatherings during the month of Ramadan
WHO, therefore, recommends that any decision to restrict, modify, postpone, cancel, or proceed with holding a mass gathering should be based on a standardized risk assessment exercise. These decisions should be part of a
comprehensive approach taken by national and health authorities to respond to the outbreak.
Health authorities should be considered the primary source of information and advice regarding physical distancing and other measures related to COVID-19 in the context of Ramadan which is already carried out by our government and health Authorities.
Compliance with these established measures are discussed with the religious leaders by government and they should be involved early in this events connected with Ramadan.
Advice on physical distancing
• Practice physical distancing by strictly maintaining a distance of at least 1 metre (3 feet) between people at all times.
• Use culturally and religiously sanctioned greetings that avoid physical contact, such as waving, nodding, or placing the hand over the heart.
• Stop large numbers of people gathering in places associated with Ramadan activities, such as entertainment venues, markets, and shops.
Advice to high-risk groups
• Urge people who are feeling unwell or have any symptoms of COVID-19 to avoid attending events and follow the Goverment and health Authorities guidance on follow-up and management of symptomatic cases.
• Urge older people and anyone with pre-existing medical conditions (such as cardiovascular disease,diabetes, chronic respiratory disease, and cancer) not to attend gatherings, as they are considered vulnerable to severe disease and death from Covid -19
In Ramadan 2020 please note that it is better your all fasting related activities and prayers at home. There by you can help to prevent COVID-19 .
Encourage healthy hygiene
Muslims perform wudu before prayers, which helps maintain healthy hygiene. The following additional measures should be considered:
• Ensure that handwashing facilities are adequately equipped with soap and water and provide alcohol- based hand-rub (at least 70% alcohol) at the entrance to and inside mosques.
• Ensure the availability of disposable tissues and bins with disposable liners and lids, and guarantee the safe disposal of waste.
• Encourage the use of personal prayer rugs to place over carpets.
• Provide visual displays of advice on physical distancing, hand hygiene, respiratory etiquette, and general messages on COVID-19 prevention.
Frequently clean worship spaces, sites, and buildings
• Enforce routine cleaning of venues where people gather before and after each event, using detergents and disinfectants.
• In mosques, keep the premises and wudu facilities clean, and maintain general hygiene and sanitation.
• Frequently clean often-touched objects such as doorknobs, light switches, and stair railings with detergents and disinfectant .
Charity
When the faithful give special attention to those who may be adversely affected while distributing their sadaqat or zakah during this Ramadan, consider the physical distancing measures in place. To avoid the crowded gathering associated with iftar banquets, consider using individual pre-packaged boxes/servings of food. These can be organized by centralized entities and institutions, which should adhere to physical distancing throughout the whole cycle (collecting, packaging, storing and distribution).
Well-being
Fasting
No studies of fasting and risk of COVID-19 infection have been performed. Healthy people should be able to fast during this Ramadan as in previous years, while COVID-19 patients may consider religious licenses regarding breaking the fast in consultation with their doctors, as they would do with any other disease.
Physical activity
During the COVID-19 pandemic, many people are restricted in their movements; but, if restrictions allow, always practice physical distancing and proper hand hygiene even during any exercise activity. In lieu of outdoor activities, indoor physical movement and online physical activity classes are encouraged.
Healthy diet and nutrition
Proper nutrition and hydration are vital during the month of Ramadan. People should eat a variety of fresh and unprocessed foods every day and drink plenty of water.
Tobacco use
Tobacco use is ill-advised under any circumstances, especially during Ramadan and the COVID-19 pandemic. Frequent smokers may already have lung disease, or reduced lung capacity, which greatly increases the risk of serious COVID-19 illness. When smoking cigarettes, the fingers (and possibly contaminated cigarettes) touch the lips, which increases the likelihood of the virus entering the respiratory system. When waterpipes are used, it is likely that mouth pieces and hoses are shared, which also facilitates transmission of the virus.
Promoting mental and psychosocial health
Despite the different execution in practices this year, it is important to reassure the faithful that they can still reflect, improve, pray, share, and care – all from a healthy distance. Ensuring that family, friends, and elders are still engaged in light of physical distancing needs to be considered; encouraging alternate and digital platforms for interaction is paramount. Offering special prayers for the sick, alongside messages of hope and comfort, are methods to observe the tenants of Ramadan while maintaining public health.
Thursday, April 23, 2020
Wednesday, April 22, 2020
Free *Tele-Consultation* For *Neurological Problems* offered by *Dr M A Aleem* during this Lockdown period.Dr.M.A.Aleem senior Neurologist, Trichy has announced free tele-consultation for Neurological problems till May 3, 2020 to help ease the living for people with neurological conditions, without visiting hospital.For people with any queries , doubts or consultations for Neurological illness can contact Dr M A Aleem through whats app (No. 9944241270 ) 24*7Stay Home ! Stay Safe ! Stay Healthy
Tuesday, April 21, 2020
Monday, April 20, 2020
Sunday, April 19, 2020
Lockdown throws up interesting statistics on death rate - The Hindu Trichy 20.4.2020
The Hindu Trichy
20.4.2020
C. Jaisankar
TIRUCHI, APRIL 20, 2020 00:00 IST
UPDATED: APRIL 20, 2020 04:15 IST
79 deaths reported in K. Abishekapuram zone from March 24 to April 18 as against 139 deaths during the corresponding period in 2019
Though surprising, the extended curfew in force to contain the spread of COVID-19 virus has reflected in notable decline in usual death occurrences.
According to the official data available with the Tiruchi Corporation, which registers birth and death in its jurisdiction, 79 deaths have been reported in K. Abishekapuram zone up to April 18 from March 24 as against 139 deaths during the corresponding period in 2019. Thus revealing that the death rate is down by 44%.
Similarly, the number of dead bodies being brought to Karumandapam gassifier crematorium, the second busiest crematorium next to the Oyamari crematorium in the city, has also come down drastically. A total of 16 dead bodies were burnt from March 24 to April 18 except for eight days from March 27 to April 3, when the crematorium was closed temporarily due to technical issues.. It was 39 bodies during the corresponding period in 2019.
K. Abishekapuram zone comprises more than 70% of geographical areas of erstwhile Tiruchi municipality. Thillai Nagar, Cantonment, Puthur, Kumaran Nagar, Woraiyur and others come under K. Abishekapuram zone. Besides a number of residential localities, the zone accounts for many hospitals. “It is an interesting statistics. We are really surprised to note down the drastic decline in number of deaths in the city. It is undoubtedly a major positive aspect of the lockdown,” S. Sivasubramanian, Commissioner, Tiruchi Corporation, told The Hindu .
Citing a field report, he said that patients visiting the hospitals too had come down drastically. Most of the hospitals in the city had restricted their functioning since the start of the curfew period. The sharp decline in overall death rate would throw up a number of questions on figuring out the reasons.
M.A. Aleem, former Vice Principal, K.A.P. Viswanatham Medical College, Tiruchi, said both communicable and non-communicable diseases had come down significantly. It could be mainly because of positive and welcome lifestyle modifications by the people during curfew. The people were confined to their homes, thereby protecting themselves from communicable diseases. Moreover, they had been forced to eat home-made food. It meant that they ate food prepared in a better hygienic manner without unwanted ingredients.
“Patients seeking medical help have come down during the lockdown period. Some have begun to manage with minimum medical help and medicines,” Dr. Aleem added.
We are surprised to note the drastic decline in number of deaths. It is undoubtedly a major positive aspect of the lockdown
S. Sivasubramanian
Commissioner, Tiruchi Corporation
Saturday, April 18, 2020
Friday, April 17, 2020
BRAIN And COVID-19- M.A.Aleem Neurologist #Trichy #Tamilnadu #India
COVID-19 and BRAIN
-PROF DR.M.A.ALEEM M.D., D.M.,(NEURO)
EMERITUS PROFESSOR OF NEUROLOGY
THE TAMILNUDU DR.M.G.R. MEDICAL UNIVERSITY
PAST PRESIDENT TAMILNADU PONDICHERY ASSOCIATION OF NEUROLOGISTS
FORMER OF VICE PRINCIPAL HOD& PROFESSOR OF NEUROLOGY KAPV GOVERNMENT MEDICAL COLLEGE& MGM GOVERNMENT HOSPITAL
CONSULTANT NEUROLOGIST AND EPILEPTOLOGIST (TRAINED AT INSTITUTION OF NEUROLOGY QUEEN`S SQUARE . LONDON.UK.) ABC HOSPITAL, ANNAMALAI NAGAR , TRICHY -620018
SECRETARY NEUROLOGIST ASSOCIATION TIRUCHIRAPPALLI
DIRECTOR ABC HOSPITAL TRICHY
drmaaleem@hotmail.com
COVID-19 is the infectious disease caused by the most recently discovered coronavirus. This new virus and disease were unknown before the outbreak began in Wuhan, China, in December 2019 . It predominantly affects the lungs and the direct evidence of this viral infection in the nervous system is rare. But the nonhuman coronaviruses that they are capable of being neurotropic.
However COVID-19 can affect anyone whose neurologic condition causes breathing problems, such as amyotrophic lateral sclerosis (ALS), Parkinson’s disease, and some muscular dystrophies. People whose immune systems are compromised or who take immune-suppressing drugs—such as those with multiple sclerosis (MS), myasthenia gravis, and neuromyelitis optica—are also vulnerable. Other than this patients with neurological disorders like epilepsy , headache and dementia should also need some attention with COVID-19 infection
A. Neurological symptoms in COVID-19
The most common symptoms of COVID-19 infection are fever, tiredness, and dry cough. Some patients may have headache,body pain, nasal congestion, runny nose, sore throat or diarrhea. These symptoms are usually mild and begin gradually.
Some people become infected but don’t develop any symptoms and don't feel unwell. Most people (about 80%) recover from the disease without needing special treatment. Around 1 out of every 6 people who gets COVID-19 becomes seriously ill and develops difficulty breathing. Older people, and those with underlying medical problems like high blood pressure, heart problems or diabetes, are more likely to develop serious illness.
Neurological complications in COVID-19 infected patients have not been widely reported. Since elderly patients with chronic medical conditions are at an increased risk of altered mental status in the setting of any acute infections like COVID-19.
COVID-19 infected patients can have other neurological symptoms, manifested as acute stroke (6%), consciousness impairment (15%), and skeletal muscle injury (20%) . Elderly patients with chronic conditions are at an increased risk of altered mental status in the setting of acute infections. Since COVID-19 affects more the elderly and those with preexisting conditions, patients with prior neurological conditions and acute respiratory symptoms are at an increased risk of encephalopathy on initial presentation.
Alterations in mental status in 15% of severe cases and nonspecific symptoms, including headache and dizziness, in nearly 20% of cases are reported.
In the coronavirus epidemic most of the patients fall into high-risk categories that include older persons (generally 60 or older) and those with underlying medical conditions such as heart disease, lung disease, and diabetes.
People with neurologic conditions such as multiple sclerosis (MS), Parkinson's disease, Alzheimer's disease, amyotrophic lateral sclerosis (ALS), and myasthenia gravis, could also be on high risk side.
At the end stage of the coronavirus infection patients can get multi organ failure with brain involvement and the deaths attributed to respiratory failure with COVID-19 infection may due to brainstem involvement .
B. Epilepsy and COVID-19
Epilepsy is a common chronic neurological disorder, as such it doesn't increases the risk of getting COVID-19 infection and it will not increases the severity of COVID-19.
Until now, there is no evidence of a direct effect of COVID-19 on seizures or epilepsy. However, patients may experience worsening of seizures due to systemic illnesses, drug interactions, decreased access to antiseizure medications and increased stress. People with epilepsy require appropriate counselling and attention in these areas.
There are a few factors which may increases the risk from COVID-19 for a person with epilepsy
Some people with epilepsy regardless of their seizure control may have other health conditions and that may put them at higher risk from COVID-19. Sometime epileptic patients may take the medicines to control the seizures that can affects their immunesystem (for example, ACTH ,steroids, Everolimus and immunotherapies).
It is important to note that the most seizure medicine as such do not affect the immune system.
Some people with epilepsy may have other neurological or developmental issues that may affect their immunity. People in these situations are at greater risk of developing more severe symptoms with viral illnesses.
In some other situations, people with epilepsy may have other medical problems and that could place them at higher risk of developing more severe symptoms with COVID-19
For example, people who have problems of swallowing or frequently inhale food or liquids into their lungs (aspiration) are at higher risk for pneumonia. This may also sometime happen during seizure episode.
Epileptic patients with diabetes or underlying heart or lung problems are also appear to be at a higher risk for severe COVID-19.
C. Parkinson's disease and COVID-19
Parkinson's disease (PD) is the one of the common neurological problem in aged population. Symptoms of Stress and anxiety due to COVID-19 infection definitely increases both the motor- and non-motor symptoms can be exacerbated the PD symptoms.
If a PD patient is on a ventilator due to COVID-19, medications for PD should be given through a endotrachial tube which is placed through the nose and into the gastro-intestinal tract for delivery of medication and food.
Sometime in patients with PD , hallucinations may start in a person who never experienced that symptom before in the presence of viral infection like COVID-19.
In addition, people with PD may have the restrictive lung disease which refers to an inability of the lungs to fully expand with air. Restrictive lung disease can occur in PD because of rigidity of the muscles of the chest wall as well as due to bradykinesia, or slowness of the muscles responsible for chest wall expansion and contraction. People with PD may also have abnormalities in the posturing of their trunk including head drop, stooped posture, tilting of the trunk and bending at the waist. These postures can restrict the amount that the lungs can fill up. PD can also predispose a person to dysfunction of swallow and difficulty in clearing the secretions from their airway. These issues could contribute to development of complications during a respiratory illness like COVID-19 pneumonia.
People with more moderate PD can also start to experience decreased mobility, with more risk of falls with viral infections. As PD advances it can also cause additional problems including urinary dysfunction and weight loss. All of these elements can contribute to general frailty and increased risk of infection, including increased risk from COVID-19.
D. Dementia and COVID-19
Dementia is a common neurological disorder with memory loss in elderly and which does not increases the risk for COVID-19,
However, dementia-related behaviors, increased age and common other health conditions that often accompany dementia may increases the risk.
In addition, diseases like COVID-19 may worsen the cognitive impairment due to dementia.
For example, people with Alzheimer's disease and all other dementia in addition to cognitive impairment may forget to wash their hands or take other recommended precautions to prevent the COVID-19 illness.
E. Stroke and COVID-19
With COVID-19 infection the risk for cerebrovascular events, including both the ischemic and the hemorrhagic strokes are high . It's not surprising to see that the incidence of these disorders in direct proportion to COVID-19 disease severity.
F. Headache and COVID-19
Those living with migraine and other disabling headache disorders will continue to require care in the presence of COVID-19 infection.
As mentioned above, each patient with headache should work closely with their health care provider to determine the optimal treatment for their acute migraine attacks. This includes options for ‘rescue therapies’ for headache pain that doesn’t respond to their usual first-line acute treatments. Having first-line, second-line, and rescue treatment options may prevent the need to visit an emergency department or urgent care where the risk of exposure to and transmission of COVID-19 is increased.
Anyone taking non-steroidal anti-inflammatory (NSAID) drugs (for example, ibuprofen) should know that no evidence suggests NSAIDs will worsen COVID-19 infections, but they might suppress a fever thus masking one of the warning signs of COVID-19, according to the World Health Organization
G. Smell and taste
COVID-19 could target the central nervous system, possibly infecting neurons in the nasal passage and disrupting the senses of smell and taste.
loss of sense of smell or taste may also be clues to COVID-19
As of now the data are still limited on whether coronaviruses have a significant neurologic component.
H.Facts About COVID-19
1.COVID-19 virus can be transmitted in areas with hot and humid climates
2. Cold weather and snow CANNOT kill the new coronavirus.
3.Taking a hot bath does not prevent the new coronavirus disease
4.The new coronavirus CANNOT be transmitted through mosquito bites.
5. Hand dryers not effective in killing the new coronavirus.
6.An ultraviolet should not be used asdisinfection lamp to kill the new coronavirus
7. Spraying alcohol or chlorine all over your body will not kill the new coronavirus
8. Regularly rinsing your nose with saline will not help to prevent infection with the new coronavirus
9. Eating garlic have no evidence to help toprevent infection with the new coronavirus
10.Wash your hands frequentl
11. Maintain social distancing
12. Avoid touching eyes, nose and mouth
13.Practice respiratory hygiene
COVID-19 world status 17.4.2020
People are more infectious a day before a COVID-19 infected person develop symptoms. So please keep social distancing.
One of the sad news is US on 14.4.2020 halts its funding to World Health Organisation during the bad shape of COVID-19 Pandemic 2020.
Mean time yesterday on 15.4.2020 G20 countries approved a debt relief for poor countries to takle the situations arises out of COVID-19 spread
United International cooperation is the need of the hour to fight against COVID-19 globally.
The COVID-19 Pandemic Outbreak spreaded as of now today in 210 world countries and territories in all the continents and 2 international conveyances there are
Over 2.2 Million ( 2206676 with India 13835) confirmed cases.Recovered cases are 558440 (79%) and 148663 (21%) were deaths as of now April 17.4.2020.
Thursday, April 16, 2020
Wednesday, April 15, 2020
ஊரடங்கு காலத்தில் இலவச தொலை தொடர்பு மூளை நரம்பியல் மருத்துவ ஆலோசனை வழங்குகிறார் டாக்டர் எம்.ஏ.அலீம்திருச்சி பிரபல மூத்த மூளை நரம்பியல் நிபுணர் டாக்டர் எம்.ஏ.அலீம் தொலை தொடர்பு மற்றும் காணொளி மூலம் மே 3, 2020 வரை பாதிப்பு உள்ளவர்கள் மருத்துவமனைக்குச் செல்லாமல் மூளை மற்றும் நரம்பியல் தொடர்பான பிரச்சினைகளுக்கு ஆலோசனை இலவசமாக வழங்க உள்ளார். ஊரடங்கு நிலைபாடுகளில் நரம்பியல் பாதிப்புகளுக்கு எளிதில் தக்க ஆலோசனை பெற இது உதவும் .இதை மக்கள் பயன்படுத்திக் கொள்ள ,கேள்விகள், சந்தேகங்கள் உள்ளவர்கள் வாட்ஸ் ஆப் (எண் 9944241270) 24 * 7 மூலம் டாக்டர் எம் ஏ அலீமை தொடர்பு கொள்ளலாம். விழித்திரு!விலகி இரு! வீட்டில் இரு!ஆரோக்கியமாய் இரு!
Tuesday, April 14, 2020
The COVID-19 Pandemic Outbreak spreaded as of today in 210 world countries and territories in all the continents and 2 international conveyances.Over 1.9 Million ( 1925224 with India 11487 and 1204 in State of Tamilnadu, Trichy 43 Thuvarankurichi 9) confirmed cases.Recovered cases 478659 (79%) and 126604 (21%) ( India 393 Tamilnadu 12)deaths as of April on 15.4.2020. Yesterday Tamilnadu CM Edappadi k has extended the state lockdown till Apirl 30th . But to prevent the interstate spread of coronavirus today India Prime minister Modi has announced a Pan- India lockdown till May 3rd to control the COVID-19 spread in each and every state of India . Prime minister has also added the life is important than economy. Masks become compulsory for any person coming out of home on any ground - M.A.Aleem Neurologist Trichy Tamilnadu India
Monday, April 13, 2020
Saturday, April 11, 2020
Cloth Masks And COVID-19 - M.A.Aleem BMJ 2020;369:m1422
BMJ
British Medical Journal
News
Covid-19: What is the evidence for cloth masks?
BMJ 2020; 369 doi: https://doi.org/10.1136/bmj.m1422 (Published 07 April 2020)
Cite this as: BMJ 2020;369:m1422
Responses
Re: Covid-19: What is the evidence for cloth masks?
Dear Editor
Cloth Masks And COVID-19
It is found that homemade masks had filtration rates ranging from 1% to 79%—compared with 97% for N95 masks and 62% to 65% for surgical masks.
The best-performing face masks were made of two layers of heavyweight “quilter’s cotton” with a thread count of 180 or more. Also performing well were fabrics with thicker thread and tight weave, such as batiks. Double-layer masks made with a cotton outer layer and a flannel inner layer also did well.
Single-layer masks or double-layer masks made of lightweight cotton didn’t perform well.
It’s unclear how often masks need to be washed. But experts say if you are wearing them for brief periods, wash them with a dilute bleach solution or soap and water weekly, at minimum.
Cloth masks can be washed with other laundry. If you’re wearing them for extended periods—like grocery-store employees do—clean them daily. Don’t share masks, even with family members.
Experts say masks can’t be a substitute for other more effective virus-prevention strategies such as social distancing in preventing the spread of COVID-19.
Competing interests: No competing interests
10 April 2020
M.A. Aleem
Emeritus Professor of Neurology * Visiting Specialist in Neurology ** Consultant Neurologist ***
The Tamilnadu Dr.M.G.R. Medical University * Dhanalakshami Srinivasan Medical College ** ABC Hospital ***
Chennai 600032* Perambalure 621212** Trichy 620018*** Tamilnadu India
@drmaaleem
COVID-19 Pandemic And India ‐ M.A.Aleem, A.M.Hakkim BMJ 2020;369:m1434
BMJ British Medical Journal
The scandals of covid-19
BMJ 2020; 369 doi: https://doi.org/10.1136/bmj.m1434 (Published 09 April 2020)
Cite this as: BMJ 2020;369:m1434
Rapid Response
Re: The scandals of covid-19
Dear Editor
COVID-19 Pandemic And India
As of today, 10.4.2020, the coronavirus COVID-19 Pandemic is affecting 210 countries and territories around the world and 2 international conveyances.
The total number of cases in 48 European countries are 792 028 with 67 054 deaths and maximum deaths in Italy.
In 39 North American countries the confirmed cases are 500 902 and 17 694 deaths. In this region the USA top the table in both the number of cases confirmed and in the death list.
In Asia total positive cases reported are 267 773 and deaths in 10 096 in 48 countries.
In 14 South American countries there are 39 662 confirmed cases and about 1620 deaths.
In 55 African countries there are about 13 112 positive cases and 653 deaths.
In Oceania about 7573 total cases with the least number of 55 deaths in 6 countries in this region. In the world there are 1 621 771 confirmed COVID-19 cases. In this 366 281 (79%) cases were recovered and deaths were reported in 97185 (21%) cases.
In India maintaining social distance is showing good results in preventing the spread of COVID-19 in its 2020 Pandemic.
In India there are about 6,725 confirmed cases and 229 deaths as of today
According to a study by the Indian Council of Medical Research (ICMR), if the lockdown had not been announced in the country, the country would face an Italy-like situation. By April 15, the total number of cases in India would have been 8 lakh 20 thousand. While currently the number of infected cases is six thousand plus due to lockdown, more than 80 percent of the total cases are confined to only 78 districts.
The ICMR estimate is based on the principle of R0–2.5. According to this theory, if a lockdown is not done, a person affected by coronavirus can infect 406 people. Whereas due to the lockdown, its capacity remains only to infect 2.5 people.
The country 's lockdown ends on 14.4.2020. But a few states in India have extended the lockdown till May 1st. Some more states like Tamilnadu may also extend the lockdown for 2 weeks like in other states in India till May 1st.
On 4 April, export of Hydroxychloroquine (HCQ) was banned through a notification, without exemptions on humanitarian or other grounds. India has also tightened control over the exports of 13 active pharmaceutical ingredients (APIs), including paracetamol, certain vitamins and antibiotics, and formulations as the covid-19 pandemic in China was seen to be affecting their supply.
On 7.4.2020, India 's announcement, however, opens the doors for exports of Hydroxychloroquine (HCQ) and other drugs to India’s close neighbours, and strategic partners such as the US.
Following the spread of covid-19, around 36 countries have requested India for HCQ.
Our Prime Minister of India, Mr.Narendra Modi, has told Israel and Brazil that India is ready to do whatever is possible to help its friends in the fight against the novel coronavirus, after the leaders of the respective countries thanked him for the HCQ supply.
COVID-19 afflicts the richest princes and the poorest migrant workers with no discrimination — at least, until the moment they begin to seek testing or treatment. So prevention is better than cure. So keep social distance, have self hygiene, practise respiratory hygiene and stay at home till the war against coronavirus is over in every country.
Competing interests: No competing interests
10 April 2020
M.A. Aleem
Emeritus Professor of Neurology * Visiting Specialist in Neurology ** Consultant Neurologist ***
A.M.Hakkim
The Tamilnadu Dr.M.G.R. Medical University * Dhanalakshami Srinivasan Medical College ** ABC Hospital ***
Chennai 600032* Perambalure 621212** Trichy 620018*** Tamilnadu India
@drmaaleem
Friday, April 10, 2020
Thursday, April 9, 2020
Tuesday, April 7, 2020
Monday, April 6, 2020
Time Line of COVID19 - M.A.Aleem Neurologist #Trichy #Tamilnadu #India
Time Line of COVID19 (lab wise); a very useful must know for all docs
Day 0: infected
Upto Day 5: Onset of symptoms
Day 7: IgM positive (D7- D 21)
Day 14: IgG positive
Days 1-28: SARS CoV2 RNA & Antigens will be positive
Day 21: IgM disappears
Day 28: SARS CoV2 RNA & Antigens disappear
D0 - D5: ASYPMPTOMATIC PHASE
D0 -D7: WINDOW PERIOD (ONLY PCR IS POSITIVE IN THIS PHASE)
D 14- D21: DECLINE PHASE (STILL INFECTIVE)
D 21- D28: CONVALESCENCE PHASE (STILL INFECTIVE)
Sunday, April 5, 2020
Friday, April 3, 2020
#Covid-19: risk factors for severe disease and death Re. Need For World/International Infectious Diseases Day By WHO - M.A.Aleem BMJ 2020;368:m1198
Bmj British Medical Journal 26th March 2020
Editorials
Covid-19: risk factors for severe disease and death
BMJ 2020; 368 doi: https://doi.org/10.1136/bmj.m1198 (Published 26 March 2020)
Cite this as: BMJ 2020;368:m1198
Rapid response
Re: Covid-19: risk factors for severe disease and death
Dear Editor
Need For World/International Infectious Diseases Day By WHO
As of today, 3.4.2020, the coronavirus COVID-19 is reported in 204 countries and territories around the world and 2 international conveyances: the Diamond Princess cruise ship harbored in Yokohama, Japan, and the Holland America's MS Zaandam cruise ship. Globally over 1 Million (1 039 922) people were reported positive for this rapidly spreading COVID-19 infection through contact and by air borne route.
United states of America tops the list of the number of people (245 442) infected with COVID-19. Italy as of today lead the table with greatest number of death (13 915) in the world due to COVID-19 infection.
The death rate of this 2020 coronavirus Pandemic infection is 20% (55 170) and the recovery rate is 80% (222 240) as of 3.4.2020.
From this week the number of infected people started declining in Asia, Africa and Australasia.
More cases are reported in America and in a few countries in the European continent.
Risk factors for getting the COVID-19 infection and its progression may differ from individual to individual and country to country.
Acquiring the COVID-19 infection and its progression may depend on climatic conditions, individual 's genetic factors, immunological status, nutritional status, behaviours, habits, addiction to substances, drug intake and other associated comorbid diseases status.
We hope that personal hygiene and keeping the social distance are really giving benefits in preventing the COVID-19 spread in the community.
At this juncture I want to request the World Health Organisation, the apex body for Global Health, to consider and declare JANUARY 11th (When the first death was recorded from Wuhan, China, due to COVID-19 Pandemic) as "INTERNATIONAL INFECTIOUS DISEASES DAY". Every year a theme can be adopted on this day to increase awareness of infectious diseases globally.
Each and every country in the world has started the fight against COVID-19 from January 1st, 2020. So WHO should also consider announcing the year 2020 as the YEAR FOR INFECTIOUS DISEASES to continue the mitigation measures and fight against coronavirus throughout this year in every country.
Competing interests: No competing interests
03 April 2020
M.A. Aleem
Emeritus Professor of Neurology * Visiting Specialist in Neurology ** Consultant Neurologist ***
The Tamilnadu Dr.M.G.R. Medical University * Dhanalakshami Srinivasan Medical College ** ABC Hospital ***
Chennai 600032* Perambalure 621212** Trichy 620018*** Tamilnadu India
@drmaaleem
PM Modi ’s 9 numerology to root out #coronavirus #COVID19#COVID19- M.A.Aleem Neurologist #Trichy #Tamilnadu #India
PM Modi ’s numerology
1. Came at 9:00 am
2. Spoke for 9 mins
3. 5th April i.e. 5+4=9
4. 9:00 pm for 9 mins
5. 9 days of lockdown today
6. 9 days will be left on 5th April
5 Apr (5+4) = 9*
9* pm
9* Mins
9* number is Mars (मंगल)
Light, Fire = Mars
Modi ji Activating energy of planet.
Also
5+4=9, 9 pm, 9 mins.
3 multiplied by 9 = 27 i.e. 2+7 = 9.
Navgruha aaradhana means pleasing the nine planets to save life.
மோடிஜீ அறிவித்த தீபவழிபாட்டின் தத்துவம் இதுதானோ...திருக்கோயில் சார்த்தபட்டிருக்கிறது, நவகிரக பாதிப்பால் இந்த கொரானாவிற்கு சம்பந்தஇருப்பதாக தெரியவருகிறது...இந்தியா முழுவதும் ஏற்றும் கோடிகணக்கானதீபத்திற்கு ஒருபலன் உண்டு எனநம்புவோம்.... ஔிவிளக்கு நமக்குநாமே செய்து கொள்ளும் பரிகாரமே... இதனை யாரும் கிண்டல் அடித்து மீம்ஸ் போடாதீர்கள்... நாம் வாழும் பூமி ஆன்மீகபூமி
கோவில்களிலும், வீடுகளிலும் நாம் அகல் விளக்கு வைத்து வழிபடுகிறோம். அந்த அகல்விளக்கில் நவக்கிரகங்களும் வீற்றிருக்கின்றன. அது எப்படி? அறிந்து கொள்வோம்.
அகல் விளக்கு - சூரியன்
நெய்/எண்ணெய் - சந்திரன்
திரி - புதன்
எரியும் ஜூவாலை - செவ்வாய்
கீழே விழும் ஜூவாலையின் நிழல் - ராகு
ஜூவாலையில் உள்ள மஞ்சள் நிறம் - குரு
ஜூவாலையால் பரவும் வெளிச்சம் - கேது
திரி எரிய எரிய குறைந்துகொண்டே வருவது - சுக்ரன்
தீபம் அணைந்ததும் அடியில் இருக்கும் கரி - சனி
இதில் சுக்ரன், ஆசையை குறிப்பதாகும். ஆசையை குறைத்துக் கொண்டால், இன்பம் வந்து சேரும். ஆசை தான் நம்மை அழிக்கிறது. அந்த ஆசை தான் முக்தி கிடைக்கவிடாமல் நம்மை மீண்டும் மீண்டும் பிறவி எடுக்கச் செய்கிறது. இதுவே அகல் தீபம் நமக்கு உணர்த்தும் தத்துவம். (இன்றைய காலகட்டத்தில் நமக்கு வெளியில் சுற்றுவதுதான் ஆசை)
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Re: Paying the ultimate price
Dear Editor
COVID-19 and Ramadan 2020
At present in the middle of the COVID-19 Pandemic as of today 24.4.2020 there are about 2,754,506 confirmed cases with a 20% (192,377) death rate and an 80% (762,128) recovery rate. These cases are reported in 210 countries and territories around the world and in two international conveyances. This week the global death rate is reduced 1% from 21% to 20% as of today.
This year for world Muslims, Ramadan falls in the middle of the COVID-19 Pandemic.
After nearly 4 months of this Pandemic, countries which were under lockdown are reopening slowly to improve their economy.
The USA is feeling that the economy is important and wants to reopen its states soon.
In Europe, countries are slowly in a phased manner managing to reopen smaller shops to help the day today living of people.
India is feeling life is more important than the economy. It is relaxing the Curfew to supply the Government's help to reach people through ration shops and by continuing the 100 days job scheme to poor people in rural areas.
The current devastating COVID-19 Pandemic has exposed the inadequate health care capacity and capability of developed countries like the USA.
The current war of spreading COVID-19 infection has dismantled the life and economy of more than 200 countries without use of a single weapon.
COVID-19 Pandemic has shattered the pillars of health infrastructures in each and every country in the world.
The loss of even a single American or a solider of Allied countries is precious and a great loss.
Now a natural organism like a virus kills 50000 Americans and thousands of Europeans.
To date, testing facilities are inadequate in many developing and in many underdeveloped countries. The number of ICU beds, Respiratory ICUs and ventilators are also inadequate in many hospitals globally.
Discrimination and stigmatision of COVID-19 infected people and the dead bodies of the COVID-19 victims are also not uncommon in this Pandemic. Even Churches or crematoriums are refusing to allow the burial of doctors who succumbed to COVID-19 in metropolitan city.
Preventive measures are only in the hands of people. They should maintain social distancing till the Pandemic is over. Personal and respiratory hygiene is also important.
In this year the month of Ramadan, Muslims should cooperate by doing fasting, fasting related activities and all prayers including night prayers at home and do charity in a hygienic way to prevent COVID-19 spread. We need to stay home to help to slow and break the chain of COVID-19 propagation. By doing this together, we will all save lives and the world survives the ill effects of coronavirus.
So cooperative mitigation measures are the need of the hour between the countries and WHO to root out COVID-19 from the globe.
In Ramadan 2020 as per WHO advice we Muslims should also cooperate by avoiding group prayers, gathered for fast breaking activities in mosques or anywhere. Please do all Ramadan fasting related activities at home to keep social distancing and help to prevent coronavirus spread in any level.
Competing interests: No competing interests