Saturday, June 27, 2020

26th week of COVID-19 Pandemic - M.A.Aleem Neurologist #Trichy #Tamilnadu #India

At the end of the 26th week of the COVID-19 Pandemic total cases of COVID-19 has reached the new peak of first  10 Million cases on 27.6.2020 at now at 10,080,224. The number of COVID-19 related deaths has crossed 5 lakh on 27.6.2020  and now at 501,262.

India has recorded a single-day peak  over 20k (20131) on 27.62020 and total number of cases are now at 529,577 and the deaths at 16,103.

Among COVID-19 cases which had outcome showed 92% recovery rate and 8% death rate for first time as of today on 27.6.2020 during this COVID-19 Pandemic 

India has recorded so far a highest  single day spike of 18276 COVID-19 cases for the first time during this Pandemic and the total number of cases has   crossed 5 lakh in India on 26.6.2020


Global single day reported cases are steadily maintaining over 1.5 lakh and it was at 193974 for the first time during this COVID-19 Pandemic on 26.6.2020  and the total global cases of COVID-19 are nearer to 10 Million today

Tamilnadu has recorded a highest single day spike of 3713  COVID-19 cases and ends up with the total of  78335 cases and the death numbers (1025) crosses the first 1000 today 27.6.2020 Trichy  has recorded 34 cases and  the total number (503) of  cases crossed 500 mark today

As of now today on 28.6.20 in 213 countries and territories in all continents and in 2 International conveyances  over 10 Million  cases (10,080,224) with India over 5.2 lakh (529,577) and 78335 in State of Tamilnadu , and in  Trichy  503 were reported with  COVID-19 infection . Recovered cases were over 5.4 Million (5 457,945) and over 5 lakhs ( 501,262)  deaths which include 16103 in India and 1025 in Tamilnadu  and 4 at trichy has been recorded   as of June 28.6.2020.
 

- M.A.Aleem Neurologist Trichy Tamilnadu India

Friday, June 26, 2020

Testing is a Window to look Into the COVID-19 Pandemic - M.A.Aleem Trichy BMJ 2020;369:m2518

BMJ

British Medical Journal 

Editor's Choice


Covid 19: Where’s the strategy for testing?


BMJ 2020; 369 doi: https://doi.org/10.1136/bmj.m2518 (Published 26 June 2020)


Cite this as: BMJ 2020;369:m2518

Rapid response  

Testing is a Window to look Into the COVID-19 Pandemic


Testing for COVID-19 is an important window to look into the current COVID-19 Pandemic.

It is also an important tool to plan a fight against COVID-19 spread. 100% testing is not possible even in the developed countries and it is impossible in the under developed and in the developing countries.

The WHO has suggested a positive rate of around 3–12% as a general benchmark of adequate testing for COVID-19.

It also has suggested that around 10 – 30 tests per confirmed COVID-19 case is a general benchmark of adequate testing.

As of today in the 26th week of the COVID-19 Pandemic, testing only confirmed that the O.12 per cent of the world population are infected with COVID-19 infection

Among the currently infected active cases 1% (57,483) of the COVID-19 cases are critically ill and 99% (3,923,380) cases are milder form of infection.

As of today ( 26.6.2020 ) globally over 9,555,317 people are infected with COVID-19. Deaths were reported in 485,572 cases and recovery was recorded in 5,195,810 cases.

Among total number of world cases, 24.76% of the cases were reported from Europe.

About 30.01% of the cases were reported from North America which include 25.77% of cases from America.

Out of the total number of cases in the world, Asia has recorded 21.39% of cases which includes 23.39% of cases from India.

South America has registered 20.17% of the COVID-19 cases with a major contribution of 61.85% of the cases from Brazil.

The African continent has recorded 3.55% of global cases which include 32.94% of cases from South Africa.

Oceania has recorded a least number of 0.096% of global COVID-19 cases with maximum 82.27% of cases from Australia.

Competing interests: No competing interests

26 June 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

Online classes in a health friendly manner uniformly for all private and government students is useful in Trichy Dinakaran on 25.6.2020 M.A.Aleem Neurologist #Trichy #Tamilnadu #India

News on COVID-19 situations should not be commercialised - M.A.Aleem BMJ 2020;369:m2456

Bmj

British Medical Journal 

Editorials


Commercial Influence in Health: From Transparency to Independence
Commercial influence and covid-19


BMJ 2020; 369 doi: https://doi.org/10.1136/bmj.m2456 (Published 24 June 2020)


Cite this as: BMJ 2020;369:m2456
 


 
Rapid response




Re: Commercial influence and covid-19

Dear Editor

News on COVID-19 situations should not be commercialised

In recemt days News reporting about the COVID-19 situations are making the public panic more about it.

Sometimes biased news on COVID-19 situations can also influence hospital laboratories Pharmaceuticals and other commercial establishments.

Some journalists are reporting the facts about COVID-19 as such.

Some others give the same news as spicy with additional information about COVID-19.

Certain news on COVID-19 is given in an imaginary manner

Some of the COVID-19 news is given as speculative news

A few news stories are fake news about COVID-19.

News on COVID-19 often goes viral.

Many times news is given as half truths on COVID-19 situations.

News on COVID-19 is sometimes a cover up

Edited news is many times given according to the prevailing situation of COVID-19.

Sometimes COVID-19 news is given in a question and answer format (citizen journalism)

Most of the time COVID-19 news is given as analysis/ explainers

In some circumstances news on COVID-19 is given as suggestions to government, to the public and to health and other policy makers

News on COVID-19 situations should not be biased and it should not promote any hospital labs medical products or any commercial establishments.

News on COVID-19 should not be discriminated the countries which are fighting against COVID-19.

COVID-19 news also should not be given with a racist basis and also should not stigmatise and insult people and communities

Competing interests: No competing interests

26 June 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

Tuesday, June 23, 2020

The US government’s Centre for Disease Control (CDC) has made official the emerging scientific evidence on Coronavirus transmission:*

*The US government’s Centre for Disease Control (CDC) has made official the emerging scientific evidence on Coronavirus transmission:*

1. *Very low risk* of transmission from surfaces. 
2. *Very low risk* from outdoor activities. 
3. *Very HIGH risk* from gatherings in enclosed spaces like offices, religious places, cinema halls, gyms or theatres. 

These findings that have been emerging for a while need to be applied by people to manage the situation in the best possible manner. Time to reduce panic about surface transmission, and not be too eager to go back to office. 

*LINK:*
https://www.washingtonpost.com/health/2020/05/21/virus-does-not-spread-easily-contaminated-surfaces-or-animals-revised-cdc-website-states/

*LATEST FROM CDC, USA*

*Q - Who is expected to catch CORONAVIRUS?*
*Q - What does it take to infect?*

TO SUCCESSFULLY INFECT A PERSON, THE VIRUS NEEDS A DOSE OF ~1000 VIRAL PARTICLES (vp)

The typical environmental spread of activities:
😷 Breath: ~20 vp/minute
😷 Speaking: ~200 vp/minute
😷 Cough: ~200 million vp (enough of these may remain in air for hours in a poorly ventilated environment)
😷 Sneeze: ~200 million vp

*FORMULA*
SUCCESSFUL INFECTION = (Exposure to Virus x Time)

*SCENARIOS*
1. Being in vicinity of someone (with 6 ft distancing): Low risk if limit to less than 45 minutes

2. Talking to someone face to face (with mask): Low risk if limit to less than 4 minutes

3. Someone passing you by, like walking/jogging/cycling: Low risk

4. Well-ventilated spaces, with distancing: Low risk (limit duration)

5. Grocery shopping: Medium risk (can reduce to low by limiting time and following hygiene)

6. Indoor spaces: HIGH RISK

7. Public Bathrooms/Common areas: HIGH FOMITE/SURFACE TRANSFER RISK

8. Restaurants: HIGH RISK (can be reduced to medium risk by surface touch awareness)

9. Workplaces/Schools (even with social distancing): VERY HIGH RISK, including high fomite transfer risk

10. Parties/Weddings: VERY HIGH RISK

11. Business networking/conferences: VERY HIGH RISK

12. Arenas/Concerts/Cinemas: VERY HIGH RISK

*RISK FACTORS*
The bottom line factors you can use to calculate your risk are: 
- indoors vs outdoors
- narrow spaces vs large, ventilated spaces 
- high people density vs low people density
- longer exposure vs brief exposure

The risks will be higher for former scenarios.

*STAY SAFE*
Pl have a look important and pl circulate

Saturday, June 20, 2020

COVID-19 Pandemic Have Power to Make or Break Leaders - M.A.Aleem BMJ 2020;369:m243

Bmj

British Medical Journal 

Editor's Choice


Rashford, racism, and bankrupt excuses


BMJ 2020; 369 doi: https://doi.org/10.1136/bmj.m2432 (Published 18 June 2020)


Cite this as: BMJ 2020;369:m2432


Rapid Response


Re: Rashford, racism, and bankrupt excuses

Dear Editor

COVID-19 Pandemic Have Power to Make or Break Leaders

The current COVID-19 Pandemic results in panic, political opportunism, racism, xenophobia and debates around public health versus the economy, along with the
loss of more than 463510 precious lifes all over the world.

This COVID-19 Pandemic also have the power to make or break political leaders. The successful politicians or health leaders will not deny or delay . They conveyed accurate, timely information and act in time to fight against COVID-19.

Good Government public co-operation is the need of the hour to tackle the current COVID-19 spread without any bias based on race , religion, or ethnicity .

Competing interests: No competing interests

20 June 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

Thank you everyone who consoled me in person by phone by messages for my father's demise and paid homage at home and took part in his last prayer burial and 7th day Dua on 14th, 15th ,17th. July 2020. Once again me and my families are thankful to your thoughts and prayers- M.A.Aleem #Thuvarankurichi #Trichy #Tamilnadu #India

6th International Yoga Day 21.6.2020- YOGA AND COVID-19 - M.A.Aleem Neurologist #Trichy #Tamilnadu #India

6th International Yoga Day 21.6.2020

YOGA and COVID-19 

M.A.Aleem 
Neurologist 
Trichy 
drmaaleem@hotmail.com 
9443159940

The 6th International Day  of Yoga on 21.6.2020 coming this year during the COVID-19 Pandemic.

Till today over 8.2 Million people are affected with COVID-19 infection associated with nearly 4.5 lakh deaths in 213 countries. 

Social distancing,  contactless greeting boosting immunity and lockdown helped the people to prevent the spread of COVID-19 

Yoga is our 5000 years old, body and mind involved exercises, which can help in many ways to keep us away from COVID-19 during this Pandemic. 


Now a days Yoga can also help people to deal with increased depression and anxiety due to disruptions caused by the COVID-19 pandemic

Contactless Greeting 

COVID-19 has brought attention around the world to many Indian traditions that promote and sustain good practices for mental, physical and spiritual health. Foremost among them is the  an Indian way of  greeting with folded hands (Namasta) that has been universally espoused by leaders worldwide.

The Indian way of greeting—Namaste—which is getting popular across the world has deeper spiritual and scientific meaning.

Scientifically, in 'Namaskar' which is Anjali Mudra of yoga in which various pressure points in palms and fingers are pressed which act as a healing power in various health problems.


Namaste'', a respectful greeting is conveyed when meeting a person or parting from him or her. This exclamation of salutation is derived from ''Namaskar'', an Indian tradition of greeting or showing a gesture of respect to others.

When doing so, we bring our palms together either before the face or chest, tilting our head slightly without coming into any physical contact at all.

 This system is derived from the Rig Veda, one of the four epics of an ancient Indian scripture.

An advisory has been issued not to shake hands, embrace, hug or kiss given that each of these greetings, compliments, good wishes is prone to the outbreak of the COVID-19  infection . 


In our Indian way of greeting 
 ''Namaste'' which asks you to maintain a distance of at least a meter and shower someone with your innermost feelings. Hence, a Namaste can never cause a contagion whereas the English greetings or any other contact associated greetings can.

The yogic Namaste, taken from Anjali Mudra of Pranamasana is used to mean ''I bow to the divine in you''. Such is the great philosophy of the Indian culture that holds you in the highest esteem and paves the way for cheerfulness and the wellbeing of mankind.

Anjali Mudra is performed as part of our yoga to achieve several benefits associated with it. 

One of them is to alleviate mental stress and anxiety. It takes to the meditative state of mind that controls our body, emotions, feelings and overall our thought process. 


 




Focus on Breath


COVID-19 has brought the focus right back to the breath, where modern science believes all things begin and end. Medical practitioners all over the world are finding ways to tackle the virus, which enters, stays and multiplies first in the upper respiratory system, and when fortified, attacks the lower respiratory system.

 


In yoga a simple technique is called square breathing. Visualize your breath traveling along a square. As you follow the instructions to inhale, hold your breath, or exhale, count slowly to three on each side. 




In yoga, nasal expiration and control of breath can help to improve your breathing capacity and help to withstand  respiratory distress related  illness. 

Boost immunity 

Yoga with meditation can also boost of immunity and it will help to prevent any viral infection

Holding breath in between inhalation and exhalation can not only change the genetic activity of white blood cells (immune cells), but it also appears to significantly increase white blood cells to help fight illness. 


Temperature control 


Yoga can help to control our body temperature. 


Sitali yoga can help to cools the body and affects important brain centres associated with biological drives & temperature regulation. It reduces mental and emotional excitation and encourages free flow of prana in the body.It induces muscular relaxation & mental tranquillity.

First #SmartCity work at #Trichy #Tamilnadu #Chathiram smart bus stand work at the estimate the of 17.34 crore by @TrichyCorp is in progress- photo on 19.6.2020 by M.A.Aleem Swachh Bharat Ambassador Tiruchirappalli city Corporation

Friday, June 19, 2020

World Is In The Grip of COVID-19 - M.A.Aleem in BMJ 2020;369:m241

BMJ 
British Medical Journal 

News


The Big Picture


World leaders in covid-19 control


BMJ 2020; 369 doi: https://doi.org/10.1136/bmj.m2411 (Published 16 June 2020)


Cite this as: BMJ 2020;369:m2411



Rapid responses


Re: World leaders in covid-19 control

Dear Editor

World Is In The Grip Of COVID-19

As of today (19.6.2020) about 0.1% of the world population is infected with COVID-19 during this Pandemic. About 8618656 are infected with COVID-19. The total death rate is 5.3% in 213 countries in all continents

In the 25th week of the COVID-19 Pandemic, the epicenter is shifting from USA to Brazil. Now Brazil is in the second place in the global list of COVID-19 reported countries. Among the number of deaths, Brazil is also in second place.

In India about 382497 are reported with COVID-19 and the deaths were recorded in 12616. The death rate is low in India at 3.33%.

In my state of Tamilnadu, about 54449 are recorded with COVID-19 infection and the deaths were reported as 666. The death rate in Tamilnadu is 1.22%.

In my district of Trichy, 207 are infected with COVID-19 with one death and the death rate is 0.48%.

For the past 2 months, the world is recording daily more than one lakh COVID-19 cases consistently.

So the strict adoption of social distancing, personal hygiene, and wearing of masks is mandatory to break the chain of COVID-19 spread.

Competing interests: No competing interests

19 June 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

Condolences to My Father K.M by Cauvery Times on 19.6.20 to 25. 6.20 issue- M.A.Aleem Neurologist #Trichy #Tamilnadu #India

First #SmartCity work at #Trichy #Tamilnadu #Chathiram smart bus stand work at the estimate the of 17.34 crore is in progress- photo on 19.6.2020 by M.A.Aleem Swachh Bharat Ambassador Tiruchirappalli city Corporation

Water in #Cauvery #Trichy #srirangam in #Summer2020 - photo on 19.6.2020 by M.A.Aleem Neurologist #Trichy #Tamilnadu #India

Tuesday, June 16, 2020

An article about the need of Fever clinic during current #COVID19Pandemic by @dkarthikTOI Deepak Karthik in the #Trichy Times of India @timesofindia on 15.6.2020 - M.A.Aleem Neurologist #Trichy #Tamilnadu #India

M.A.Aleem comment on Fever clinic during current COVID-19 Pandemic in the Trichy Times of India on 15.6.2020 - M.A.Aleem Neurologist #Trichy #Tamilnadu #India

 M.A.Aleem comment on Fever clinic during current COVID-19 Pandemic in the Trichy Times of India on 15.6.2020 - M.A.Aleem Neurologist #Trichy #Tamilnadu #India

Trichy: As Covid cases rise, demand for fever clinics up - http://toi.in/MP4k4a/a31gj

Use the TOI app to get Breaking news and headlines. Download now: 
https://timesofindia.onelink.me/efRt/ASmwebshare

M.A.Aleem letter in the Trichy The Hindu #ReadersMail Column "Greeting Without Physical Contact" to prevent #COVID19 on 15.6.2020

M.A.Aleem letter in the Trichy The Hindu #ReadersMail Column "Greeting Without Physical Contact" to prevent #COVID19 


Readers Mail https://www.thehindu.com/todays-paper/tp-national/tp-tamilnadu/readers-mail/article31830208.ece

 Greeting without physical contact

With COVID-19 virus being highly contagious, it is necessary to refuse handshake or physical contact to greet others. Fortunately, the country’s tradition of greeting people with folded hands will keep the people safe. It will be ideal if the people adapt to the method of greeting others by waving, nodding, or placing the hand over the heart. The traditional way of greeting with folded hand is slowly becoming the accepted norm the world over and replacing the conventional handshake.

M.A.Aleem 
Tiruchi 

Saturday, June 13, 2020

COVID-19 in India with lower Death Rate - M.A.Aleem BMJ 2020;369:m2294

BMJ

British Medical Journal 

News


Covid-19: Risk of second wave is very real, say researchers


BMJ 2020; 369 doi: https://doi.org/10.1136/bmj.m2294 (Published 09 June 2020)


Cite this as: BMJ 2020;369:m2294


Rapid response

Re: Covid-19: Risk of second wave is very real, say researchers

Dear Editor

COVID-19 in India with lower Death Rate .

As of now today on 12.6.2020 in India, COVID-19 cases surpasses 3 lakh (307049)
At present about 0.02% (307039)of population is affected by COVID-19 infection in India.

The lockdown and the containment measures helped to keep the virus in check at India

India's Covid-19 recovery rate showed an improvement amid the novel coronavirus cases rising in the country.

In India if you look at cases per million, it is at just 151 cases per
million as compared to over 5,000 cases per million for the US and Spain.

If we look at death per million population, India has recorded four deaths per million only.

The number of patients recovered presently exceeds the number of active patients in India.

As of 11.6.2020 in the global list of a single day COVID-19 case report , Brazil has recorded the maximum 30465 cases . Next to it is USA, which has reported 23300 cases and India is in the 3rd place with 11123 cases . This is the highest number of cases so far recorded in a single day for the first time in India during this Pandemic.

Now India is in 4th place with reported 298283 COVID-19 cases next to USA (First), Brazil (second), and Russia (Third) in the global list as of on 11.6.2020

It is projected that India to hit a peak of 1.92 lakh active COVID-19 cases on June 18.

Another, more dire, projection, based on the SEIR model, puts the peak at 2.78 lakh active cases on the same date in India .

Yet another projection says that the projected total deaths in India may be about 136148 around October 1st.

Competing interests: No competing interests

12 June 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

#Trichy city Anna statue Circle is going to be smaller than before to tackle the #traffic congestion. Work by @TrichyCorp in progress in a war footing manner - photo 12.9.2020 M.A.Aleem #SwachhBharat Ambassador #Tiruchirappalli city Corporation

How to use Face #Masks4All to Prevent #COVID19India Spread- M.A.Aleem Neurologist #Trichy #Tamilnadu #India

Sunday, June 7, 2020

Safe Bus Travel keep you away from COVID-19 - M.A.Aleem Neurologist Swachh Bharat Ambassador Tiruchirappalli city Corporation. Member Tiruchirappalli District Welfare Fund Committee Trichy Tamilnadu India

Safe Bus Travel keep you away from COVID-19 
 - M.A.Aleem Neurologist 
Swachh Bharat Ambassador Tiruchirappalli city Corporation.  Member Tiruchirappalli District Welfare Fund Committee 
Trichy Tamilnadu India 

In Tamilnadu public transport are reopened from 1st June in many districts.
The crowd are heavy in bus stops and in buses.
COVID-19 cases in Trichy yesterday 4.6.20 has touched the 100 mark with one death.
It is in people's hand to escape from COVID-19 during travel. 

 


We are having less than 1 bus for every 1,000 citizens which leads to overcrowding in buses.

In our places in buses highest number of daily passengers traveling per seat per day (from 10 to 14) which means high overcrowding and less social distancing per bus. This what we are noticing in recent days after reopening of public transport.


Public transport is a necessity for people , even during the COVID-19 outbreak. But special precautions are needed for commuters to prevent against catching the virus when travelling around.

Here are some tips that you can follow to better protect yourself when taking public transport such as the buses

- Wear a face mask and try to stay at least one meter away from other passengers.

Masks are better at containing virus exhaled by the wearer. If everyone wears masks, protection is two-way, containing your own virus and protecting you from others’ exhaled virus. If there is little or no ventilation present, the masks are even more effective, as virus will start to build up in the air, so distancing alone is not effective if the virus is distributed throughout the bus.

-Maintain social distance within buses and at bus stops


-Seating should be arranged and seats that are not available for the public, can be earmarked using stickers along with earmarking of limited standing spaces in side the buses


- Ticket transactions should be cashless or over the counter. It will minimise bus user contact with the conductors.

- Avoid direct contact with frequently touched objects, such as handrails and seats .


-The use of air conditioners in buses shall be avoided for short term as it can help the virus to survive for a longer period. Also, in a closed environment with air-conditioning, the transmission distance of the coronavirus can exceed the commonly recognised safe distance. As the virus can survive in the air for some time, therefore open windows for ventilation in buses.

-The longer they are exposed to one another during train buses the greater the risk. The more densely packed in they are, the greater the risk.

- During travel If you talk, you produce aerosol. If you talk louder, you produce more, so the loud-talking guys on the buses are possibly the worst spreaders of the virus.



- Avoid touching your eyes, nose and mouth.

- Carry an alcohol-based hand sanitizer with more than 60 percent alcohol to use on the go.

- Wash hands frequently.

-Avoid people who are openly coughing or sneezing and avoid spitting from buses while moving .

-Travel less if you can, especially if you’re more vulnerable


M.A.Aleem Neurologist #Trichy #Tamilnadu #India has taken pledge to break the #stigma related to #COVID19Pandemic #COVID19India and other #COVID19 related support activities in Trichy Tamilnadu India

#TravelTips to avoid #COVID19 "Be on guard" by M.A.Aleem Neurologist #Trichy #Tamilnadu #India in Readers Mail Column of the Hindu @the_hindu Trichy on 8.6.2020

,

Friday, June 5, 2020

The use of disposable #masks #gloves has become a serious threat during #COVID19Pandemic in an article with heading of BREATHLESS - The New Indian Express @NewIndianXpress on 6.6.2020 by @KrishnaChaitanya #Chennai, @sowmyamani10 #Trichy @Lalitha_Ranjani #Madurai - M.A.Aleem

COVID-19: A Hidden Danger in India - M.A.Aleem BMJ 2020;369:m2202

BMJ
British Medical Journal 

Editor's Choice


Covid-19: It’s too soon to lift lockdown


BMJ 2020; 369 doi: https://doi.org/10.1136/bmj.m2202 (Published 04 June 2020)


Cite this as: BMJ 2020;369:m2202



Rapid response  

Re: Covid-19: It’s too soon to lift lockdown

Dear Editor

COVID-19: A Hidden Danger in India

In the world a single day, maximum COVID-19 cases (129990) are recorded on 4.6.2020 during the current COVID-19 Pandemic.

The worldwide death rate due to COVID-19 has come down to 11% in the 23rd week of the current COVID-19 Pandemic.

India’s daily number of new Covid-19 cases crossed 9,000 for the first time when 9,651 fresh infections were reported on 4.6.20 along with 270 fatalities, the joint-highest death toll from the coronavirus in a single day. India reported the world's third highest number of new COVID-19 cases in a single day following Brazil (31890) and USA (22268) on 4.6.2020.

In India, increasing testing has yielded more COVID-19 positive cases. Each day, testing is revealing at least 9 to 10% of new COVID-19 confirmed cases among tested samples in major states in India

Reopening of air rail and road transport in India may also increase COVID-19 cases because of the lack of social distancing, self hygiene, unprotected coughing, sneezing and spitting in public places along with lack of awareness about the mode of spread of COVID-19.

In India many people are in living in rural areas with false confidence that they are away from getting COVID-19.

In India at present we know only the tip of the iceberg of COVID-19. People in India do not realise the hidden dangers of COVID-19 in their day to day movements and activities.

Competing interests: No competing interests

05 June 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

#Ramadan 2020 25 : During Ramadan #Fasting and in #Eid2020 The gatherings will be harmful during the Eid Al Fitr holidays, adding that the tradition is risky at the moment because of the #COVID19 Pandemic - M.A.Aleem Neurologist #Trichy #Tamilnadu #India

CLOTH MASKS AND CORONAVIRUS - M.A.Aleem Neurologist Trichy

CLOTH MASKS  AND CORONAVIRUS 

- M.A.Aleem Neurologist Trichy 

When an asymptomatic or a presymptomatic coronavirus infected person coughs, they can send showers of tiny droplets – known as aerosols – filled with the virus into the air where can be breathed in.

Use of face masks by the general public is  an approach to managing the spread of Covid-19 in the community. 





It is found that cost effective homemade cloth masks  had the 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.

Use of face masks by the general public as an approach to managing the spread of Covid-19 in the community. Even some city Corporation levies fine for not wearing masks  in public places. 


These can be  washable  with a dilute bleach solution or soap and water  and can be reusable. 


 Cloth masks or face covers  should not be share even with family members.

Our central  Government has also asked people to cover their nose and some  mouth with a face cover and In line with this, some states including Tamilnadu have made it mandatory for people to wear masks on road and work places. 

A cloth mask may provides very good protection, and is more comfortable to wear in this COVID-19 Pandemic. 

Please note that the wearing mask or face cover alone can’t be a substitute for other more effective virus -prevention strategies such as social distancing in preventing the spread of COVID-19.



Before putting on a mask, clean hands with alcohol-based hand rub or soap and water.
Cover mouth and nose with mask and make sure there are no gaps between your face and the mask.
Avoid touching the mask while using it; if you do, clean your hands with alcohol-based hand rub or soap and water.





Wear a mask if you are coughing or sneezing.
Masks are effective only when used in combination with frequent hand-cleaning with alcohol-based hand rub or soap and water in preventing the spread of COVID-19 .

Need Research  for
Antiviral medicated or long acting disinfectants   packed Face Masks to prevent COVID-19 



The need of the hour is  to speed up research and to make Covid-19 specific Antiviral medicated or long acting disinfectants (if health hazards free) packed Face Masks in a cost effective manner to prevent air droplets route of coronavirus spread in all countries in the world. World health  Organisation, United kingdom,USA, European  Union , and India should take initiative in this research along with vaccines  for COVID-19 .

#Ramadan 2020 6 :#Fasting delay the onset of autoimmune diseases, atherosclerosis, cardiomyopathies, cancer,diabetes, renal diseases, neurodegenerative diseases,& respiratory diseases ரமலான் ஆறாவது நாளில் தௌà®°ாத் வேதம் நபி à®®ூஸா அலைஹிஸ்ஸலாà®®் அவர்களுக்கு à®…à®°ுளப்பட்டது - M.A.Aleem Neurologist #Trichy #Tamilnadu #India

Day 15 (30.4.20) about 61 calls&48 messages from India&overseas in my free #Teleconsultation & their queries were answered for their #neurologicalproblems during this #lockdownindia in preventing the #COVID19 #coronavirusindia - M.A.Aleem #Neurologist #Trichy #Tamilnadu #India

For the consecutive 11th day including 3.5.2020 #Trichy #Tiruchirappalli District in #TamilNadu is #Covid19India #COVID19 new case free.Thank to people of Tiruchirappalli District maintaining Social distance and hygiene - M.A.Aleem Member District Welfare Fund Committee

#Ramadan 2020 10 : #Fasting is a powerful therapeutic process that can help people recover from mild to severe health conditions. - M.A.Aleem Neurologist #Trichy #Tamilnadu #India

M.A.Aleem Public Trustee Natharvali Dargha Trichy has done Recitation of Yasin in the name of His Highness Natharvali to mark his 1023th Birthday Anniversary on 15th day of Ramadan 2020 on 8th May

Wish you your family a rewarding Lailathul Qatru 2020 - M.A.Aleem NeurologistABC Hospital Trichy Tamilnad India

#Ramadan 2020 22: WHO, recommends that any decision to restrict, modify, postpone, cancel, or proceed with holding a mass gathering should be based on a comprehensive approach taken by national and health authorities to respond to #COVID-19 the outbreak.- M.A.Aleem #Trichy

#Ramadan 2020 29: During #Fasting and in #Eid2020 faithful give special attention top those who may be adversely affected while distributing their sadaqat or zakah during this Ramadan, consider the physical distancing measures in place - M.A.Aleem Neurologist #Trichy

#Ramadan 2020 30: #Fasting #Eid2020 it is better to avoid the crowded gathering associated with last day of Ramadan #iftar and Eid 2020 activities to help to prevent #COVID19 .- M.A.Aleem Neurologist #Trichy #Tamilnadu #India

Today 1.6.2019 is the 25th Silver jubilee day of our Tiruchirappalli city Corporation ( 1.6.1994 - 1.6 2019) wishes to Commissioner officials staffs workers & people of our city Corporation My request to adopt this day as" #TrichyDay "- M.A.Aleem Swachh Bharat Ambassador -Trichy

Today 1.6.19 is the 25th Silver jubilee day of our Tiruchirappalli city Corporation ( 1.6.1994 - 1.6 2019) wishes to Commissioner officials staffs workers&people of our city Corporation My request to adopt this day as" Trichy Day" - M.A.AleemRead more at:http://m.timesofindia.com/articleshow/69604953.cms?utm_source=contentofinterest&utm_medium=text&utm_campaign=cppst