लंदन। सार्स-सीओवी-2 वायरस के संपर्क में आने पर एक अजन्मा बच्चा कोरोना से संक्रमित हो सकता है। यह दावा एक नए अध्ययन में किया गया है। यूनिवर्सिटी कॉलेज, लंदन के शोधकर्ताओं के नेतृत्व में किए गए अध्ययन में पाया गया कि कुछ भ्रूण के अंग, जैसे कि आंत, दूसरों की तुलना में संक्रमण के प्रति अधिक संवेदनशील होते हैं।
हालांकि, शोधकर्ताओं ने कहा कि भ्रूण को संक्रमित करने वाले कोरोना वायरस के अवसर बेहद सीमित हैं, क्योंकि प्लेसेंटा अत्यधिक प्रभावी और सुरक्षात्मक ढाल के रूप में कार्य करता है।
यूसीएल के सर्जरी और इंटरवेंशनल साइंस और रॉयल फ्री हॉस्पिटल के डिवीजन से डॉ मटिया गेरली ने कहा, "हमारे निष्कर्ष बताते हैं कि गर्भावस्था के दौरान भ्रूण का क्लिीनिकल संक्रमण संभव है। हालांकि, यह असामान्य है और यह माता-पिता के लिए आश्वस्त करने वाला है।"
अध्ययन के लिए बीजेओजी - एन इंटरनेशनल जर्नल ऑफ ऑब्सटेट्रिक्स एंड गायनेकोलॉजी में प्रकाशित, शोधकर्ताओं ने यह समझने के लिए निर्धारित किया कि नवजात शिशुओं में कोरोना एंटीबॉडी कैसे विकसित हो सकते हैं, जैसा कि बहुत कम मामलों में बताया गया है।
यह पता लगाने के लिए, शोधकर्ताओं ने मानव विकास जीवविज्ञान संसाधन (एचडीबीआर) बायोबैंक के माध्यम से उपलब्ध कराए गए कई भ्रूण अंगों और प्लेसेंटा ऊतक की जांच की, जो भ्रूण अनुसंधान में सहायता करता है।
टीम ने प्रोटीन रिसेप्टर्स एसीई2 और टीएमपीआरएसएस2 की उपस्थिति की जांच की और सार्स-सीओवी-2 वायरस को संक्रमित और फैलाने के लिए आवश्यक पाया।
शोधकतार्ओं ने पाया कि आंत और किडनी ही भ्रूण के एकमात्र अंग थे जिनमें एसीई2 और टीएमपीआरएसएस2 दोनों शामिल थे।
जन्म के बाद एसीई2 और टीएमपीआरएसएस2 रिसेप्टर्स को मानव आंत के साथ-साथ फेफड़ों में कोशिकाओं की सतह पर संयोजन में मौजूद होने के लिए जाना जाता है। यह भी कोरोना संक्रमण के लिए मुख्य मार्ग होने का संदेह है, लेकिन छोटे बच्चों में वायरस के संक्रमण के लिए आंत सबसे महत्वपूर्ण है।
गेरली ने समझाया, "गर्भावस्था के दूसरे भाग में भ्रूण को एमनियोटिक द्रव निगलना शुरू करने के लिए जाना जाता है। संक्रमण का कारण बनने के लिए, सार्स-सीओवी-2 वायरस को भ्रूण के चारों ओर एमनियोटिक द्रव में महत्वपूर्ण मात्रा में मौजूद होने की आवश्यकता होगी।"
उन्होंने कहा, "हालांकि, मातृत्व देखभाल में कई अध्ययनों में पाया गया है कि भ्रूण के चारों ओर एमनियोटिक द्रव में आमतौर पर सार्स-सीओवी2 वायरस नहीं होता है, भले ही मां कोरोना से संक्रमित हो।" (एजेंसी)
यह भी पढ़े► मधुमेह की दवा कर सकती है किडनी की कार्यक्षमता में सुधार : लैंसेट
Gurugram, Aug 18 (IANS) The ongoing political unrest in Afghanistan and the Covid-19 pandemic have had a huge economical impact on Gurugram's medical tourism.Prominent hospitals in Gurugram have claimed that a huge dip in admission of foreign nationals have been witnessed due to the ongoing Covid pandemic, while the latest political tussle in Afghanistan will also have a huge impact on medical tourism in Gurugram.Hospital managements are claiming that due to the current unrest in Afghanistan, they are not getting any new Afgan patient and even the few who were admitted to their facilities were discharged a week ago."Before the pandemic, around 40 to 50 patients from Afghanistan used to get admitted to our hospital with diverse health issues. However, during the current pandemic, this number has significantly come down to about 10-15. But ever since the political turmoil began in Afghanistan, we have not received any new patient from the country," Amit Bhura, Facility Director, Narayana Superspeciality Hospital, Gurugram, told IANS.Sources in the hospitals said that in India, foreign nationals get quality medical facilities at a cheaper rate as compared to the US and other developed nations, for which several patients, including from Afghanistan, visit the country regularly."Currently, we don't have any patient from Afghanistan. We do get many patients from Afghanistan but owing to Covid, the numbers dipped from 33 per cent last year to 16 per cent till the beginning of August," Sameer Kulkarni, Regional Director, Paras Hospitals, Gurugram, told IANS.Medical tourists from Bangladesh, Iraq, Afghanistan, Maldives and African nations visit Gurugram's hospitals for better healthcare facilities.For the Afghans, India is a cheap healthcare destination where hospitals offer quality treatment at reasonable rates.The present Covid-19 pandemic has already impacted medical tourists' footfalls and now the political instability in the war-torn Afghanistan is hurting medical tourism further."Over the last decade, Indian hospitals have witnessed a significant inflow of patients from Afghanistan and adjoining countries, who sought medical treatment and care available in India. Fortis has treated Afghan patients for different ailments, and some have even undergone organ transplants. But since the past year, medical tourism in India has come to a complete halt due to the pandemic and restrictions on commercial flight movements," said Anil Vinayak, Group COO, Fortis Healthcare Ltd."However, from June 2021 onwards, we were seeing initial signs of recovery and patients from middle eastern countries and Afghanistan had gradually started to come to our hospitals," he said."There is already a dip in the footfall of patients arriving from overseas. At present, the hospital doesn't have any patient from Afghanistan. Also, it is early to say that the ongoing political unrest would affect the footfall of patients coming from Afghanistan," said the spokesperson of a city-based private hospital."Once the situation stabilises, we are hopeful that patients will be able to travel for medical assistance to India," he added.Apart from this, Afgan nationals who were staying in Gurugram as PG and in guest houses located in Sector 38 or its adjoining areas have also left for Lajpat Nagar in Delhi, which houses a significant Afghan population."Afghan nationals who used to live in Gurugram to look after the patients have left for Lajpat Nagar in the national capital as several Afgan nationals live there. They were in tension and were worried about their relatives in Afghanistan," a PG operator told IANS, requesting anonymity.--IANSstr/arm
New Delhi, Aug 16 (IANS) The Delhi Government on Monday again sent the file seeking to form a committee to probe oxygen shortage deaths in Delhi during the second Covid wave to Lieutenant Governor Anil Baijal, Deputy Chief Minister Manish Sisodia said at a press conference here.Sisodia said that he has also written a letter to Union Home Minister Amit Shah about the committee formation to probe such deaths during the second Covid wave and has urged him to direct Baijal to expedite the formalities to clear the file."It is essential to know the oxygen related deaths in the city. We are hopeful that LG will return the file soon after giving nod", said Sisodia.He added, "I have written in the file that it is not good for any nation to have deaths due to oxygen crisis in the 21st century. We need to know this so that we can improve our system.""I have written to the Union Home Minister to inform him about the steps taken by the Delhi Government. I have informed him about the 5 lakh compensation announced by Delhi Government", said Sisodia.The Centre and the court want to know about the number of deaths due to the oxygen shortage in Delhi. We also want to know how many people died of oxygen shortage in Delhi. But it is not possible to ascertain the exact number of such deaths during the second Covid wave without forming a high level committee, added Sisodia.--IANSavr/bg
New Delhi, Aug 10 (IANS) The health ministry on Tuesday said that no states have reported any deaths due to the oxygen crisis during the second Covid wave.In a press conference held here on Tuesday, Health Ministry Joint Secretary Luv Agrawal said, "Only one state has till now reported a suspected death due to oxygen crisis during the second Covid wave. No other states have reported deaths due to oxygen crisis." Luv Agrawal added, "States were asked if there have been oxygen-related deaths. According to reports we have got till now, one state has referred to a suspected case, other states have not said if there have been any oxygen-related deaths".Speaking on the current pandemic situation, Agrawal said, "We have achieved a substantial decline in daily Covid caseload. India was reporting around 40,000 daily Covid cases from last some days, but we have seen a major cut in the daily cases from last three days. Today 28,204 new cases of Covid-19 have been reported which is the lowest in the last 147 days."Agrawal added that out of these total cases, around 51.51 per cent have been reported from Kerala. "There are a total 37 districts presently in India where we have observed increasing trends of daily Covid cases which includes 11 from Kerala, 7 from Tamil Nadu, and 6 from Himachal Pradesh." Around 44 districts have over a 10 per cent positivity rate. Out of the total active caseload at present, Kerala contributes 43.77 per cent and has 1,77,091 active cases. At the same time, Maharashtra has 18.48 per cent of active cases and stands at 74,944 total active cases." Both states contribute over 62 per cent of total active cases.Talking about Kerala's Covid trends, NCDC Director Dr Sujeet Kumar Singh said that the demarcation line between rural and urban is not as visible in Kerala as it is in north India which also contributed to transmit the infection in the state. He said, "They stressed more on passive surveillance to detect new cases but not to cut the chain of transmission". Another reason, he said that contributed to the infection, is the prevalence of diabetes which is over 30 per cent in the state.Niti Ayog Member Dr V K Paul said that we can achieve herd immunity only through vaccination to prevent transmission.--IANSavr/bg
As the threat of third Covid wave continues, the Delhi government has prepared a roadmap to ensure no death from the lack of oxygen, including several other measures like augmenting beds in hospitals, number of health workers, development of PSA oxygen plants and pediatric task force. The roadmap also includes bed management in hospitals, arranging medicines and the early completion of vaccinations program in Delhi.The Delhi government has started installing oxygen generation plants and increasing hospital beds to accommodate 37,000 cases a day, as per estimate. However, the cases can go up to 45,000 a day in worst condition.To ramp up the oxygen supply in Delhi, the Kejriwal government recently approved the Medical Oxygen Production Policy with incentives. He tweeted, "Approved Medical Oxy Prodn Promotion Policy. It provides several incentives to pvt sector to set up oxy prodn plants, invest in Oxy tankers n set up oxy storage facilities. This will help improving oxy availability in Del which became a huge bottleneck in handling the last Covid wave".Preparation to prevent oxygen crisis:<br>A total of 42 PSA (pressure swing adsorption) plants have been installed in hospitals by the Delhi Government that may generate 50.08 metric tonnes of medical oxygen to prevent repeat of the oxygen crisis in Delhi. Out of 42 PSAs, 13 plants which include seven in Delhi government hospitals and six in Centre-run hospitals have been set up using the PM Cares fund. However, other plants have been set up under CSR initiatives. At least 18 more PSA plants are likely to be set up in Delhi government hospitals by August 31 and three by October 15.Apart from PSA plants, the Delhi government has worked towards maintaining the oxygen storage capacity. Three oxygen storage tanks have been built with a capacity of 57 metric tonnes per tank. A total of 18 oxygen tankers will be brought from Bangkok for uninterrupted oxygen supply. Two cryogenic bottling plants with 12 MT capacities have been established.Special Task Force:<br>The Delhi Government has constituted two special task forces - pediatric special task force and state-level expert committee to efficiently handle the third Covid wave.The pediatric special task force with 8 members in the committee, headed by IAS Satya Gopal, will see the covid management keeping in view its impact on kids during the third wave. The 13-member state-level expert committee, headed by the same Satya Gopal, will prepare an action plan for health infrastructure in Delhi, oxygen supply, medicines and other requirements during the third wave.<br>Community based Health Assistance:<br>Including the medical oxygen supply, the national capital Delhi also hugely suffered the crisis of health workers during the peak in the second wave. Kejriwal has announced that to train 5,000 community health assistants who can be used as health workforce in the time of crisis. These health assistants are undergoing the training at nine hospitals in Delhi to handle the critical situation of pandemic, life-saving, first aid and home care treatment.Graded Response Action Plan:<br>The national capital Delhi has prepared a Graded Response Action Plan (GRAP) to handle the third Covid wave. Under the plan, four types of levels and color-coded alerts systems have been approved. The four colour codes - Yellow, Amber, Orange and Red - have been identified to differentiate situation based on the Covid positivity rate (on two consecutive days), cumulative number of new cases (over a week) and average oxygenated-bed occupancy (for a week). Likewise, Yellow alert will be issued if the positivity rate over 0.5 per cent continues for two consecutive days along with 1,500 new cases in one week or 500 oxygen beds occupied in seven days.(Avinash Prabhakar can be reached at [email protected])--IANS<br>avr/skp/
Jaipur, Aug 4 (IANS) Addressing a webinar on ‘Fighting nutrition crisis in India during Covid-19, especially for women and children in India', several experts on Wednesday raised concern over the adverse effects of the pandemic which are affecting millions of children and women due to lack of intake of quality food and micronutrients.Speaking on the occasion, Sudhir Bhandari, Principal, SMS Medical College, Jaipur, said, "India initially faced physical challenges during Covid-19. However, over time, we realised how nutrition affected the lives of many. Around 9.3 million children would be affected by 2022 out of which 20-25 per cent might suffer due to stunted growth. "Children experiencing under-nutrition are more likely to suffer from pandemic complications as it may cause more sickness and mortality due to Covid-19 and other infectious and inflammatory diseases, including pneumonia.""In countries with the 1st and 2nd waves of Covid-19, obesity and non-communicable diseases have been associated with the more severe outcome of the virus. Covid-19 has had a severe effect on maternal and young children's nutritional status. We must strengthen the food security and functioning of the food supply chain to the population."Bhandari added that last year, almost 58 million children between the age group of 6 months and 23 months did not develop the right eating habits.D.K. Mangal, advisor, SD Gupta School of Public Health at IIHMR University, said, "India bears a disproportionate burden of malnutrition. Response to the pandemic has disrupted routine nutrition programmes such as the ICDS and the Mid-Day Meal programme. This has adversely affected the nutrition status of millions of children and women." The webinar was organised by the NGO Saksham Sanchar. --IANSarc/arm