Positivity rate dips to 2 pc, recovery rate crosses 92 pc in Jammu Distt
STATE TIMES NEWS
JAMMU: Jammu and Kashmir on Wednesday recorded 1,098 fresh COVID-19 cases that took its tally to 3,03,769 while 17 more fatalities pushed the death toll to 4,118, officials said.
New Delhi: The government has come out with comprehensive guidelines for the management of COVID-19 among children in which Remdesivir has not been recommended and rational use of HRCT imaging has been suggested. The guidelines issued by the Directorate General of Health Services (DGHS) under the health ministry also said that steroids are harmful in asymptomatic and mild cases of infection.The DGHS recommended steroids only in hospitalised moderately severe and critically ill COVID-19 cases under strict supervision.“Steroids should be used at the right time, in the right dose and for the right duration. Self-medication of steroids must be avoided,” it said.The guidelines also said Remdesivir (an emergency use authorization drug) is not recommended in children.“There is lack of sufficient safety and efficacy data with respect to Remdesivir in children below 18 years of age,” the guidelines said.The guidelines suggested rational use of High-resolution CT (HRCT) for seeing the extent and nature of lung involvement in patients with COVID-19.“However, any additional information gained from HRCT scan of the chest often has little impact on treatment decisions, which are based almost entirely on clinical severity and physiological impairment.“Therefore, treating physicians should be highly selective in ordering HRCT imaging of the chest in COVID-19 patients,” the guidelines said.They said COVID-19 is a viral infection, and antimicrobials have no role in the prevention or treatment of uncomplicated COVID-19 infectionFor asymptomatic and mild cases, the guidelines said antimicrobials are not recommended for therapy or prophylaxis while for moderate and severe cases antimicrobials should not be prescribed unless there is clinical suspicion of a superadded infection. Hospital admission increases the risk of healthcare-associated infections with multidrug-resistant organisms.For asymptomatic infection among children, the guidelines recommended no specific medication and promoted COVID-appropriate behaviour (mask, strict hand hygiene, physical distancing) and suggested giving nutritious diet.The guidelines said that for mild infection paracetamol 10-15mg/kg/dose may be given every 4-6 hours for fever and throat soothing agents and warm saline gargles in older children and adolescents have been recommended for cough.In case of moderate infection, the guidelines suggested initiating immediate oxygen therapy. “Corticosteroids are not required in all children with moderate illness; they may be administered in rapidly progressive disease and anticoagulants may also be indicated,” the guidelines said.For severe COVID-19 among children, the guidelines said if Acute Respiratory Distress Syndrome (ARDS) develops, necessary management to be initiated. “In case shock develops, necessary management should be initiated. Antimicrobials to be administered if there is evidence/strong suspicion of superadded bacterial infection. May need organ support in case of organ dysfunction, e.g. renal replacement therapy,” it said.The guidelines also recommended a six-minute walk test for children above 12 years under the supervision of parents/guardians. “It is a simple clinical test to assess cardiopulmonary exercise tolerance and is used to unmask hypoxia. Attach a pulse oximeter to his/her finger and ask the child to walk in the confines of their room for six minutes continuously,” it said.
Of the fresh cases, 324 were reported from the Jammu division and 774 from the Kashmir division of the union territory, they said.Srinagar district recorded the highest number of fresh cases at 254, followed by 113 in Budgam. While Baramulla district recorded 54 cases, Pulwama reported 65, Kupwara 75, Anantnag 69, Bandipora 23, Ganderbal 41, Kulgam 64, Shopian 16, Jammu 97, Udhampur 22, Rajouri 46, Doda 41, Kathua 18, Samba 8, Kishtwar 10, Poonch 35, Ramban 37 and the Reasi District reported 10 cases.Of the 17 fatalities, 10 were reported from the Valley and seven from the Jammu Division. While three deaths occurred in SMHS Srinagar, two each were reported from Government Medical College Hospital, Jammu and SKIMS, one each in GMC Rajouri, GMC Kathua, District Hospital, Kishtwar, District Hospital Reasi, MH Satwari, District Hospital Pulwama, JLNM Hospital Srinagar, GMC Baramulla, CHC Tangdar and GMC Anantnag.The number of active COVID-19 cases in Jammu and Kashmir stands at 19,852 while 2,79,779 patients have recovered so far, the officials said.They said there are 18 confirmed cases of mucormycosis or black fungus in the union territory, with one fresh case reported since last evening.According to the daily Media Bulletin, out of 8985138test results available, 8681389 samples have been tested as negative till9th June, 2021.Till date 2194151 persons have been enlisted for observation which included 79267 persons in home quarantine including facilities operated by government, 19852 in isolation and 143463in home surveillance. Besides, 1947451 persons have completed their surveillance period.Meanwhile, the positivity rate of the COVID-19 cases has dropped to nearly 2%, while the recovery rate has crossed 92% in Jammu district.Briefing the media here, the Deputy Commissioner Anshul Garg said that recoveries continue to outnumber the daily new cases and the decreasing trend in positive cases continues. He informed that as recovery rate is better than rate of new active cases, the bed capacity has been reduced to 170 patients in GMC.The Deputy Commissioner also said that 3,000 people in 45+ and Divyang category have registered themselves in an online survey for vaccination in Jammu district, and they will be inoculated at their door steps.He also informed that 5 vaccination sites have been designated for the second dose and 3 sites are available for the first dose. He urged people to make online slot booking and get vaccinated.The Deputy Commissioner said that under COVID morality survey SAKSHAM, 70 families have been identified so far who will be provided with pension/scholarships after the verification procedure is completed.The Deputy Commissioner also informed that the District Administration has distributed 70 thousand quintals to the beneficiaries for the month of May and five thousand quintals so far in the month of June under PMGKAY.“To provide continuous services to the people at their door steps, District Administration has launched four new online services including certificate for SC/ST, Legal Heir and certificate for Dependent” he said. He also informed that village level camps have also been started in which Sehat card enrollment and routine revenue services will be provided to the people at their door steps.He again appealed to the people to keep following the restrictions and SOPs/guidelines issued by the Administration as they are for their own benefit and protection from COVID-19.He informed that people can also share their grievances on official Twitter account of Deputy Commissioner “@dcjammuofficial” or through Facebook “District Administration Jammu ” and “District Information Center Jammu”.
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