State by state, special Covid centers closed shortly before the second wave

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When the second wave hit India harder, states were just as ill-prepared as they were in the first few months of the pandemic last year.

Four  Temporary  hospitals set up in Delhi last year were dismantled in February as the number of cases fell to less than 200 a day and now needs to be reactivated.

In the first wave, Uttar Pradesh announced that it has opened 503 Covid hospitals, providing 1.5 billion beds. In the first week of February, only 83 hospitals with 17,000 beds treated Covid patients. Now there is a fight.

Karnataka, with the second highest Case load in the first wave, only added 18 ICU beds with fans during the first and second waves.

A huge 800-bed hospital in Pune, one of the worst hit cities, closed in January and had to be restarted in March.

The Rajendra Medical Sciences Institute in Ranchi, the largest public hospital in Jharkhand, does not have a high-resolution CT scanner.

Only 10 of Bihar’s 38 countries have more than five ventilators.

State by state, the health infrastructure created during the first wave of infections was dismantled earlier this year as it was mistakenly believed that the pandemic was about to end. Makeshift hospitals have been closed, hired health workers have been laid off, and little effort has been made. To improve critical health infrastructures such as ventilators and medical oxygen.

The result: when the second wave hit India even more violently, the states were just as poorly prepared as in the first months of the pandemic last year. While it is a fact that the ruling BJP’s February 21 political resolution was to congratulate itself on “setting the world an example of what can be done during Covid,” the center continues to warn states that Covid cases have increased.

Health is also a government issue, and several states are dropping vigilance.

Even now, however, the panic is essentially beds and oxygen, said a senior doctor at AIIMS in Delhi. All the signs of rebound were there and you could have saved lives if you didn’t have to waste valuable time restarting them looking for beds and cylinders. ”

Delhi: The state capital was the only city in which at least three very different waves of infection occurred in the past year. In its prime, Delhi had more than 8,500 positive cases in a single day, most in one city during the first wave.

In a similar situation to today with patients struggling to find hospital beds, four temporary facilities were installed in June and July, the largest of which, operated by ITBP in Chhattarpur, can accommodate more than 10,000 patients. Slightly smaller facilities were set up in Dhaula Kuan and the Commonwealth Games Village, all of which closed in February this year as the daily caseload fell below 200.

Almost 25,000 cases are now reported every day. In one day that number even exceeded 28,000, a record for any city. Amid a series of complaints from patients unable to find hospital beds and oxygen support, the government is currently in the process of reopening these makeshift hospitals.More than 300 deaths have now been reported in the past three days.

Karnataka: The state has reported more than 25,000 new cases, two-thirds of which can be traced back to Bangalore.The death toll has exceeded 200. Karnataka was also one of the hardest hit during the first wave after accumulating the second. However, in the months between the first and second waves, Bangalore’s state hospitals were only able to install 18 intensive care beds with ventilators.

According to Bangalore’s centralized hospital bed allocation system, there are currently 117 intensive care ventilator beds in state hospitals for Covid-19 patients: 47 in medical school hospitals and 70 in 13 other state hospitals. With central support, that number should rise to 300, but as the number of cases decreased between November and January, complacency began.

The result: The 117 intensive care units with ventilators in the state hospitals and 217 similar beds in the private hospitals in Bengaluru were fully occupied in the last week.

Uttar Pradesh: The state is currently only contributing the maximum number of cases after Maharashtra. About 38,000 cases were reported on Saturday, five times the peak of the first wave. the state claimed to have set about 1.5 lakh beds in more than 500 hospitals. In a three-shift system, 25 L-3 hospitals were to be equipped with all modern facilities, including ventilators, intensive care units, and dialysis machines. More than 400 hospitals that made up the first shift, L-1, should have at least 48 hours of oxygen. At least 75 hospitals have been designated L-2, with many beds with oxygen support and ventilators.

However, on February 2 of that year, as Covid19 cases continued to decline, the state government identified all but 83 of these hospitals, 15 L-3 and 68 L-2. Together, these hospitals had 17,235 beds, of which 7,023 had oxygen assistance and 1,342 ventilators.

Spike again, 45 hospitals have been notified again to treat Covid patients, bringing total bed capacity to around 25,000 in hopes that this will be enough to handle the sudden spike.

Jharkhand: A similar story developed in Jharkhand. The state had declared a hospital in each district to be a special facility in Covid. Twelve private hospitals in major cities such as Ranchi, Dhanbad, Bokaro and Jamshedpur have also been converted into similar facilities. Getting your bills back from the state government is difficult, but these extra facilities have helped save many lives. None of the private hospitals were cordoned off that year, resulting in a shortage of beds.

“A system was put in place, the infrastructure was expanded to cope with a crisis, but it was allowed to go away,” said a health ministry official. But there is more. The Rajendra Institute of Medical Sciences in Ranchi, Jharkhand Hospital, the largest government in the government, doesn’t even have a CT scan machine – a standard device for assessing lung damage in Covid patients. It required the intervention of the Supreme Court to begin purchasing a device. A great shortage of doctors and doctors other qualified medical staff.Bihar has around 5,000 job vacancies for doctors that could not be filled even during this pandemic.

During the first wave, the districts required that state facilities be equipped with at least 10 fans each. However, only ten district hospitals have more than five ventilators. The state does not have an oxygen system and relies on supplies from neighboring Jharkhand.

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