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MAY MAY 20202020 VOL. XIV NO. 05 Single Copy : Rs. 50 Niti Ayog Unique ID No : DL/216/20102111 e-mail : [email protected] RNI REGD. NO. DELBIL/2006/17678 website : www.pensionersmedia.in OFFICIAL MONTHLY ORGAN OF THE BHARAT PENSIONERS SAMAJ, NEW DELHI - 110 014 (Federation of All India Pensioners’ Associations) (Associate NGO, INTERNATIONAL FEDERATION ON AGEING, TORONTO, CANADA) DIRECT SUCCESSOR TO “PENSIONER” ESTABLISHED IN 1955 INCORPORATING ‘PENSIONERS’ COUNSELLOR’ DDR Jitendera Singh MOS (PP) PMO INDIA addressing Video conference with pensioners on 09.04.2020 BHARAT PENSIONER 1 AUR AAP MAY 2020 AAP AUR HUM Index that mortality is higher in older population and mor- 1. Dr jitendera Sigh MOS in webinar . 01 bidity is higher in younger people. However due to weaker immune system older people are 2. video conference report . 02-05 morevulnerable to Covid 19. Good hygienepractices 3. Ordinance, 2020 No. 3 of 2020........... 05 are important to fight against this pandemic. He 4. Corona advisory for sr citizens.. 06-07 urged pensioners to download Aaroygaya Setu 5. BPS writes .. 08 app which provides relevant updated information on 6. RTI reply 09 Covid 19 and also alert you if come into contact of 7. Govt.orders 10-17 any Covid-19 positive person. i) Repealing of Pensions’ Act, 1871. 10 ii) Reimbursement of OPD Medicines- 10 He lauded doctors as Corona warriors for putting iii) Rly hospitals 11 all efforts by stretching their limits in order to en- sure safety of people. He assured pensioners that iv) Treatment of Timeline under CCA India’s health sector is expanding itself to take up & pension Rules 11 v) PCDA Circulars 632 & 633 12-13 its responsibility and Government of India is taking vi) RELHS &CGHS 13-17 all action to ensure safety of people as well as to vii DA/DR freez order 17 maintain smooth supply of all essential things. 8. Protest against DA/DR freez 18-21 The session ended with the vote of thanks by Shri 9. Court Judgements 23-44 Ruchir Mittal, DS/DoPPW, duly 10.Corona precautions 44 acknowledging valuable inputs from Dr Randeep 11 BPS Management 45-46 Guleria, Director AIIMS and Dr Prasun Chatterjee, 12 Affiliates activities 46 Associate Professor Geriatric Medicine . 13 Thanks 47 Questions on COVID answered by Experts in 14 Corona advice & DR 48 Video Conference & Meeting of Pensioners Ministry of Personnel, Public Grievances & Associations On fight against COVID 19 held Pensions: Dr. Jitendra Singh conducts Webinar on April 9, 2020 Department of Pension and with pensioners to spread awareness on Pensioners’ Welfare organised a Video Confer- COVID-19.Top Physicians from AIIMS also ence on April 9, 2020 regarding fight against share their expert advice Posted On: 09th APR ÇOVID 19. Nearly 100 representatives of 2020 -4:15PM by PIB Delhi Central Government Pensioners’ Associations, Department of Pension and Pensioners’ Welfare which are identified under the Pensioners’ (DoPPW) has organised a webinar for awareness and Portal, participated in this Conference. related issues on Covid-19 today under the guidance Dr. Jitendra Singh, Hon’ble Minister of State – De- of Dr Jitendra Singh, Minister of State (Independent partment of Pension and Pensioners’ Welfare, Sri Charge) Development of North Eastern Region Kshatrapati Shivaji, IAS, Secretary, Department of (DoNER), MoS PMO, Personnel, Public Grievances, Pension and Pensioners’ Welfare, Dr. Randeep Pensions, Atomic Energy and Space as a measure to Guleria, Director, AIIMS and Dr. Prasun Chatterjee, fight COVID-19. In the webinar, around 100 pen- Associate Professor, Department of Geriatric Medi- sioners from 22 cities interacted with Dr.Randeep cine, AIIMS, New Delhi, addressed the representa- Guleria, Director, AIIMS and Dr PrasunChatterjee, tives of pensioners.The Video Conference, was very Associate Professor Geriatric Medicine, AIIMS. informative and lasted for nearly 2 hours. While in- These experts deliberated in detail on spread of Co- teracting with the representative of pensioners, Dr. rona virus, present health scenario, Dos’and Don’ts Prasun Chatterjee, requested the pensioners to refer with precautionary measures and remedial course. to his article published on 30.3.2020, which answers During the Q&A sessions, many Pensioners from most of the questions raised by the pensioners. This different parts of the country raised their concerns article, which has been passed on through Whatsapp which were elaborately addressed by Dr. Randeep by the DoP& PW), is Title as “Coronavirus Guleria and Dr PrasunChatterjee. Outbreak” Dr Prasun Chatterjee on elder care, said: Dr Jitendra Singh, while addressing pensioners stated BHARAT PENSIONER 2 MAY 2020 HUM AUR AAP best hygiene practices and boosting immune admission.Why the higher mortality rate among systemAs a locked down India watches the uptick in elderly?Possible explanations for the observed coronavirus cases with a growing sense of anxiety, higher morbidity and mortality rates among older the elderly have cause for concern. The statistics are patients due to COVID-19 include the following:a. disturbing: more than 80 percent of deaths due to Low physiological reserves due to the biologic COVID-19 — 14 out of 17 (till the time of filing the changes that accompany agingb. Frequent presence copy) — are elderly. This is roughly in line with glo- of multi-morbidity (presence of more than two bal numbers.As the infections grow in India at a chronic diseases)c. Fading immune system. The higher rate, it’s time to take utmost care of the older number of white blood cells that find and help elimi- members of our families. We may be one of the nate infections can decline. When there is a chal- younger nations of the world — with 63.6 percent lenge by the virus, an older person’s immune sys- of our population between the age of 15 and 64 and tem faces a higher chance of an overreaction known only 5.3 percent above 65 — but the sheer numbers as Cytokine Storm. Cytokines are proteins that serve of the elderly are overwhelming.This underscores the as signals to the body to mount its infection-fight- urgency of the situation in India. Dr Prasun ing machinery.The two main reasons for death due Chatterjee, associate professor, Department of Ge- to the SARS-CoV2 virus are respiratory failure and riatric medicine, AIIMS Delhi and consultant, WHO septicemia due to the Cytokine Storm.This is also SEARO, also a founder president of Healthy Aging flu season. Should older people go for testing for India, and an author, speaks to Firstpost on various COVID-19 if they have fever, cold and cough? If aspects of COVID-19 with a special emphasis on they can’t get tested, what are the options?Initially, the elderly.The elderly seem to be most vulnerable if an elderly person is suffering from any of symp- to COVID-19. What are the main symptoms people toms such as fever, dry cough and throat congestion should be on lookout for? The older people, espe- without any contact history, they should only take cially who are above 80, not vaccinated against flu rest, stay home, maintain cough etiquette (coughing or pneumonia, who are residing in old age homes or and sneezing into tissues), sanitise their hands fre- long-term care facilities are at high risk of getting quently with a sanitiser containing 60 percent alco- COVID-19.Main symptoms for COVID-19 are fe- hol, and call the helpline provided by the govern- ver, cough (dry and persistent) and shortness of ment. Don’t panic.However, if they have any alarm- breath, not due to a known chronic disease like ing signs related to organ failure, shortness of breath, COPD (Chronic Obstructive Pulmonary Disease), decrease in urine, chest discomfort, diarrhea with bronchial asthma or heart failure. The other atypical fever they should immediately visit a hospital. The symptoms could be headache, sore throat, nausea, elderly shouldn’t visit a hospital for routine follow- diarrhea, muscle pain or joint pain, nausea or vom- up for chronic, non-communicable diseases such as iting, nasal congestion, haemoptysis conjunctival hypertension, coronary artery disease, knee congestion. Approximately, 90 percent of patients pain.What is the impact of COVID-19 on their men- have more than one symptom, and 15% of patients tal health?Social distancing will puts older adults at have fever, cough, and dyspnoea.The most impor- greater risk of depression and anxiety. Besides films tant consideration is detailed contact history with and TV programmes, online technologies can be someone who has travelled to countries where harnessed to provide social support networks and a COVID-19 has already been a pandemic. However, sense of belonging. More frequent telephone con- anyone who is 65 or above with disproportionate tact with close family and friends, voluntary respiratory symptoms should contact a doctor.Which organisations, or health-care professionals may be a groups are in most danger?Elderly 80-plus are the solution.What are the best practices that the senior most vulnerable, followed by 60-plus with diabetes, citizens should follow? How best to take care of lung problems or kidney disease. Next are the pa- them?Some precautions include disallowing any tients of any age group with TB, cancer or HIV. A visitors to long-term care centres or old age homes patient with other respiratory diseases needs as only visitors would carry infections inside. As BHARAT PENSIONER 3 HUMAUR AUR AAP AAP MAY 2020 HUM AUR AAP most inhabitants of old age homes are frail and epidemic.For example, X is exposed to a case, know- cognitively impaired with multiple diseases, they are ingly or unknowingly. If he is quarantined at home at a high risk of contracting this fatal disease.Old- for 14 days, there are two possibilities: first, if he age homes should be well ventilated and physical develops significant symptoms like dry cough, fe- distance of more than one metre should be main- ver and specially breathlessness, then he must con- tained.