```Did you notice that the alphabet "C" has shot to prominence in this Covid-19 era?

 

See the Sea of Change that the alphabet "C" has brought!

No one expected that the alphabet "C" would play a Completely overwhelming role compared with any of the other alphabets...

Cough (C)

Cold (C)

Corona virus (C) 

Covid-19 (C) 

Case (C) 

Confirmed (C) 

Confinement (C)  

Contamination (C) 

Containment (C)

Curfew (C) 

        Two most serious "C"s are,

Cemetery (C) 

Cremation (C) 

The possible remedial drug is, Covaxin, Covishield, Chloroquine (C) 

The beauty is, it started from China (C)....

      But at the same time,

GOD smiled, and said...

      Cleanliness (is the remedy...)

Courage (is the need of the hour...)

Compliance to the expert advice...

Contention to overcome the crisis...

Clarity of thought...

Cooperation with the fellow beings...

Caring for the needy... 

                          and finally....

"Clearance" is awaited and in a Short while..

        

"Cure" is definitely going to "Come"......

Till then take vitamin C.....```

UNDERSTANDING THE ROOT CAUSE OF SUDDEN SHORTAGE OF MEDICAL OXYGEN IN INDIAN HOSPITALS

 

Sharing below a post from Hanuman Mal Bengani the ex CEO of Linde India. 

Linde is one of the largest oxygen producers in India

“Having spent my life time of 45 years in oxygen industry and involved with setting up 50% of production capacities in india ( as business head of Linde) I can share few things which will probably clear some of your thoughts. First few facts 

1) Industrial and medical oxygen are same product produced in same plant, stored in same tanks and filled in same cylinders. For medical oxygen the gas company just have to analyse each batch and certify. No other difference. In fact for industrial we need 99.5% pure oxygen where as for medical as per pharmocopea all over world is 93+\-3%.

2) There is absolutely no shortage of oxygen product in india. You will be surprised to know that less than 1% of oxygen production capacity is used for medical purposes. Even in corona times it may go up to three times or even 5%. But that’s it.

2) I would estimate total oxygen production capacity in india to be around 100,000 tons per day ( or may be more) and around 80% of oxygen production capacities are with steel companies where oxygen gas is produced and used in iron making as well as steel making. Yes, Relinace Jamnagar has 22000 tons per day capacity for petcoke gassification. 

3) Most of captive plant are in East india, some in west ( Mumbai and Gujarat) and some in Karnataka. These plants typically produce 5-10% of product as liquid which is stored in large tanks. This liquid is used by them as back up when plant is down and also to meet peak demands. 

4) There are several stand alone liquid oxygen plants owned by gas companies like Linde and Innox where they produce liquid oxygen and sell to various customers through tankers and tanks. 5) Several refillers around country buy liquid from gas companies and fill gas cylinders after vaporising liquid 

6) Oxygen is generally delivered to end user by three means. Directly through pipe line from plant to end user which is say 80% of product. 15% or so is delivered in liquid form through tanks and tankers and less than 5% through cylinders 

*So why are we facing crisis today ?* I think combination of followings 

1) Shortage of distribution assets ie road tankers, storage tanks and cylinders. Mind you these are expensive. Each road tanker costs 45 lakhs on road and a cylinder costs around 10,000 in which you sell oxygen just worth Rs 300. These assets have been built by gas companies based on normal times. There is only that much one can do with these assets 

2) Logistics management. Most of Plants are located in select geographies. So distribution assets travel fair distance ( 200-1000 kms) to deliver to customer. Now even with good roads a tanker takes around 7-10 days to make a round trip and a cylinder also takes that much turn around. 

3) Desire of gas companies to focus on what maximises their profits 

Last but not least this wave came so quick it took our government administration with pants down. Had they thought of this impending danger and prepared, a major crisis could have been avoided. But that’s easy said than done knowing our democratic set up. Now Govt are taking steps. In hindsight I think Govt could have planned followings 

1) Strict advisory to gas companies to use all distribution assets for medical purpose only from day one. They could provide compensation to gas companies for this just like MSP for food grains.

2) Advise all captive plants owners not to use a drop of liquid oxygen from plant / tank for their process use until they are full.

3) Using rails to transport through green door track 

4) All hospitals could have installed PSA captive plants. PMO had announced 200 crores for all district hospitals and they could have around 500 plants. In usual public sector tendering process not even 15% of that has been used 

5) CEO of large hospitals are also equally responsible. When they charge such huge money from public, they should have better prepared them selves. For what they get fat salaries and bonuses. Once this crisis is over I think some heads of CEO of large hospitals must roll.

Can we take one dose of Covaxin and another dose of Covishield? Answers to some frequently asked questions.

 

By

Siddharth Prabhakar TNN :-The Economic Times 

(This story originally appeared in  on Apr 22, 2021)

Greater Chennai Corporation joint commissioner (health) Dr Alby John Varghese, city health officer Dr M Jagadeesan and experts from National Institute of Epidemiology, Dr Prabhdeep Kaur and Dr P Ganesh on Tuesday held a seminar to answer frequently asked questions on Covid-19 vaccination.

Here are their answers to some of the questions

Which is best vaccine -- Covaxin or Covishield?

Both have undergone research, and both are effective. Citizens should get either of the two as they will prevent severe disease and Covid death.

Can I take one dose of Covaxin and another dose of Covishield
No. Both doses have to be of the same vaccine?

Can heart bypass patients take vaccine?
Yes.

Can people get Covid-19 after taking vaccine?
We have limited data in India. But as per US agency Centre for Disease Control, 99.99% did not get infected after taking the vaccine.

What if there is no stock of vaccines in Urban Primary Health Centre (UPHC)?
Vaccines are available in 400 centres in Chennai. If stock is unavailable on a particular day, it will be made available on subsequent days.

Can patients with history of allergies take vaccine?
Consult your doctor. There are different types of allergies; if you have gotten an allergy earlier, go to hospital setting for vaccination. If there is a reaction, they can manage.

What are symptoms after vaccination?
Fever, chills, body pain and tiredness. If these come, please take simple paracetamol. It will be ok in 2-3 days. There won't be any major side effects. There will be redness and pain at injection point.

What if a family member gets Covid-19 after I have taken my first dose? What precautions to be taken for second dose?
Take the second dose as per schedule.

Can people with previous medical history take vaccines?
When you go for vaccination, ask the doctor present.

Can patients on thyroid medication take vaccines?
Yes. There will be no issues.

Is there any test required before vaccination?
No test is required. Not only in India. across the world no such test is necessary. If you have Covid-19 symptoms, take a test before getting vaccinated.

Do I need to take second shot at the same place I took the first shot
No. You can take it anywhere.

Can Covid-19 vaccine give me infection?
Definitely not. None of vaccines in India contain live viruses and hence can't cause Covid infection. However, once you take vaccine, don't get false courage. Maintain precautions like wearing masks and distancing. Full immunity will set in only 14 days after second dose.

Is there any difference in the vaccine content of first and second dose?
No.

Should I stop my regular medicines like blood thinner before taking vaccines?
No. Please take medication.

What if I get Covid-19 before taking my second shot of vaccine?
Take the second shot 1-2 weeks after recovery. If you get Covid-19 before first dose, take it 28 days after full recovery.

Can feeding or pregnant mothers take vaccine?

As per latest regulations, it is not advised.

Can heart patients take vaccine?
Yes.

Can those on non-allopathic medication take vaccines?
Yes.

I took one dose of vaccine. I got Covid-19. After recovery should I take only second dose or two doses of the vaccine?
You need to take only the second dose.

Can cancer survivors take vaccine? 

Yes. Patients with any previous illness can take the vaccine.

After second dose, I had leg pain. Is it common?
Consult your doctor as there can be many reasons for leg pain

Can Covid vaccine-generated antibodies give immunity against other viruses?
It is specific to that disease only. It won't give to other diseases. We give multiple vaccines to children.

My father fears taking the second dose. Can he stop with one dose?
Full effect of the vaccine can be obtained only after you take both doses and two weeks later. One dose won't be enough.

Will natural antibodies be destroyed after vaccination?
No. Vaccine will only add new antibodies. Natural antibodies will continue to exist in the system. No harm will be done to immune system.

I have already recovered from Covid-19. I have antibodies. Can I avoid vaccine?

No. Antibodies will not remain for a long time. It is necessary to take vaccine.

What if the second dose is delayed due to some reason?
No issues. Take it when convenient. But best to take 4 weeks and 6-8 weeks. But the second dose has to be taken.

My father has high blood pressure, diabetes and heart issues. Can he take vaccine?
Yes. These comorbidities are at higher risk. So they must take.

First dose was taken overseas (Covishield equivalent). Can second dose be taken in India?
Yes. That is possible. If same option is available here.

Is vaccine effective if no side effects is seen?
Yes.

Is home vaccination available?
No. If 50-100 people available in any apartment complex, a temporary camp can be held.

How effective are leading Covid vaccines

Estimated Covid-19 prevention effectiveness based on interim data from late-stage clinical trials

Manufacturer/Vaccine	Efficacy rate
Pfizer	95% 95%
Moderna	94% 94%
Sputnik V	92% 92%
Novavax	89% 89%
Covaxin*	78% 78%
Oxford-AstraZeneca	70% 70%
Johnson & Johnson	66% 66%
Coronavac	50% 50%

 *Covaxin's efficacy based on results from phase 3 study Source: Statista

USED HERE FOR EDUCATIONAL PURPOSES ONLY

HOW REMARKABLE IS THIS COUNTRY ISRAEL ?

*Israel has once again shown countries how clever leaders think in the 2nd and 3rd order (thinking beyond the obvious).*

Last week Israel became the first country to inoculate its entire adult population over age 18. Yesterday, all schools and colleges were opened and mask requirements were removed all across the country (barring a few congested public places).

Here's how this remarkable country did it.

Israel's leaders are all well educated and many of them have advanced degrees in science and medicine. Their PM graduated at the top of his class at MIT, and started (but didn't finish) a PhD at Harvard. 

They realized at the onset of the pandemic last year that the only way to beat a virus was through herd immunity, and that vaccination was key to expediting this process. They immediately zeroed in the two companies that were ahead of the pack in vaccine development--Pfizer and Moderna. The Israeli PM immediately developed a personal friendship with the CEOs of these companies (using his Harvard and MIT connections). 

As soon as Pfizer announced successful Phase 3 trials Israel made a deal with Pfizer to pick up their first 8 million doses for twice the price ($30 per dose) of what Pfizer was eventually aiming to sell the vaccine. Israel also agreed to provide Pfizer with data on the efficacy of the vaccine on its population. By November 2020, Israel had already acquired the vaccines it required to immunize its people. 

The Israeli PM was asked two weeks ago why they agreed to pay $15 per dose extra, and his response was classic 2nd order thinking. He said that, just in pure economic numbers, the total amount they overpaid was a miniscule fraction of what it costs to lockdown the country. This is not counting the extra medical costs of Covid and the incalculable price of losing a loved one. The economic loss from just three days of lockdown was more than the overpayment for all the vaccines they bought.

This is how smart people think.

Post Credit:

Sanjiv Bhatia

A LITTLE KNOWN FACT ABOUT PLAYING SAFE CRICKET

 

Arvind Kejriwal, Rahul Gandhi, Mamata Banerjee.. सब Modi चालीसा क्यों गा...

CASE POSITION VODAFONE IDEA LTD WITH SCI-TETATIVELY CASE MAY BE LISTED ON APRIL 19 , 2021

 

• Diary Number
• Case Number
• Party Name
• AOR
• Court / Tribunal
• Free Text

4839

Diary No.	Year
	202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950

Diary No.- 10021 - 2021

VODAFONE IDEA LTD. vs. UNION OF INDIA

Case Details

Diary No.	10021/2021 Filed on 12-04-2021 11:46 AM PENDING    [SECTION: XVII]
Case No.	MA 000633 - / 2021  Registered on 15-04-2021
Tentatively case may be listed on (likely to be listed on)	19-04-2021 (Computer generated)
Petitioner(s)	1 VODAFONE IDEA LTD.   THR. ITS AVP LEGAL AND REGULATORY AFFAIRS, MR. GAURAV MALHOTRA 6TH FLOOR, SAKAR - II, ELLIS BRIDGE ,AHMEDABAD , GUJARAT
Respondent(s)	1 UNION OF INDIA   THROUGH ITS SECRETARY MINISTRY OF COMMUNICATIONS AND IT, SANCHAR BHAWAN 20, ASHOKA ROAD ,NEW DELHI , DELHI
Pet. Advocate(s)	BY COURTS MOTION
Resp. Advocate(s)