No Global Tender, Assam CM Bets on Indian Pharma Majors to Get
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@guwahatiplus | /c/gplusguwahati www.guwahatiplus.com Volume 08 | Issue 30 May 22 - May 28 , 2021 Price `10 Essential goods worth Rs 2000 for Oximeter prices jacked as demand Chaos at centres, vaccine shortages & poor residents in containment zones: rises in Assam public anger: the Guwahati vaccination CM story INSIDE PG 03 PG 05 PG 07 Rise of ‘Black No global tender, Fungus’ and Assam CM bets what we know on Indian pharma about the PG No majors to get disease - 02 maximum vaccines G Plus News vaccines to inoculate its entire vaccines in the country. @guwahatiplus population. Those vaccines cleared by drug regulators in the US, UK, The Chief Minister said that the European Union, and Japan or t a time when several state has to spend an amount of those approved by the World states are floating approximately Rs 600 crore to buy Health Organisation (WHO) have global tenders to the vaccines. By any measure that been made eligible for use in India procure vaccines from amount is lucrative for any global without the need to conduct a local international markets to pharmaceutical major who are in bridging trial, as per the recent tideA over the crisis within their the business of vaccines. Union Health Ministry statement. respective jurisdictions, Assam But, the newly appointed chief The Russian vaccine Sputnik V Chief Minister Himanta Biswa minister of the state is of the view has been approved for use in India. Sarma has placed his bet on the that the vaccine market of will In addition, the process of three Indian pharmaceutical open up in next two months when approving the emergency use of majors to get most of the vaccines international COVID 19 vaccines other vaccines is underway. The to inoculate the nearly 3.20 crore will make their entry into the current move is expected to clear population of Assam. Indian markets. the hurdles for the use of Pfizer, Sarma is of the opinion that the It may be mentioned here that Moderna, Novavax, and Johnson global tendering will not yield the Modi government liberalised & Johnson vaccines in India. any result for the states, when the the vaccine policy on April 19 According to a report, Moderna’s centre is not being able to procure allowing states in India to directly COVID-19 Vaccine which has 94% the vaccines at large numbers buy COVID-19 vaccines from efficacy, a single dose of vaccine from the international market. manufacturers. can cost between Rs 1125 - Rs 2475. According to government In the face of an acute shortage Pfizer-BioeNTech’s COVID-19 statistics so far in Assam out of doses of Covishield and vaccine comes around Rs 506-Rs of the approximately 3.20 crore Covaxin, the two India-made 1800. Johnson & Johnson, single population, more than 36 lakh vaccines currently approved Shot COVID Vaccine will cost in people have taken the first dose for emergency use, some state the range of Rs 638-Rs 750. of either Covishield or Covaxin governments have now floated Whereas the Serum Institute of vaccine. “global tenders” shots. India, the world’s largest vaccine Of the total population, cost of Maharasthra , Uttar Pradesh, manufacturer, is now going to vaccination for the above 45 years Rajasthan and Kerala are trying conduct human testing of the which makes up about one crore of to directly buy vaccines from Novavax vaccine. The Novavax the total population, will be borne international vaccine makers, in vaccine has been found to be 89.3 by the centre. the hope that these shots would percent safe in human trials in the Lockdown blues return as unregulated Within 18-44 age group, the be given a fast-tracked approval UK. After which an application has population size is of 1.20 crore for in India. been made to the local authorities price rise hits Guwahati city the which state governments have The central government has fast for conducting human testing at to bear the cost of vaccination. tracked the process of approving the domestic level. It could cost Full Story on PG No. 06 So as of today’s date Assam emergency use to increase the the lowest of all vaccines so far, needs more than 2.85 crore availability of Coronavirus projected at Rs 225 in India. 2 Lead Story | MAY 22 - MAY 28 , 2021 Rise of ‘Black Fungus’ and what we know about the disease Doctors and medical experts G Plus News @guwahatiplus all though the country have expressed concern over the rise in the case of black fungus s the Center and the which is medically known as Union Health Ministry Mucormycosis and also reports on have asked all states to the white fungus about which like declare the outbreak the black fungus is said to infect of the Black Fungus people with low immunity, pre- infectionA as an epidemic, the first existing medical issues, people case of the disease was reported in with diabetes and people on or Assam on May 16. This has caused using steroids. a huge alarm among people, as In an interview with G Plus reports of how black fungus is Dr. Biswajit Barkokoti scientist becoming the next biggest concern at the Indian Council of Medical after the Coronavirus pandemic Research (ICMR) Dibrugarh has gripped the entire nation. explained the possible reasons for What is even more worrying is the fungal infection. He said that that a deadlier infection caused when a disease is treated with lots by white fungus is emerging, of medicines, antibiotics and with with four reports from Bihar steroids, either dexamethasone or which though are yet to be fully methylprednisolone and there are confirmed. some opportunistic infections like With cases of black fungus Mucormycosis or black fungus rising throughout the country, can come up. the Centre on Thursday decided Scientists like Dr. Barkakoti to bring the disease under the who has been handling cases of notifiable disease under the COVID variants in Assam believes Representative image of black fungus Epidemic Diseases Act, 1897. that once the infection reaches an Given this decision now medical epidemic proportion “then you in patients with uncontrolled existing diseases would help. Special precaution to be taken practitioners have to notify the have to look at the source, where diabetes mellitus specially How to prevent COVID patients during Amphotericin B infusion government about the disease is it coming from.” He believes diabetic keto acidosis, in hospitals from getting as this drug is photosensitive. in a prescribed format within that some of sources maybe the immunosuppressed patients infected? Monitor Serum Creatinine and three days or 24 hours, in case of humidifiers that are used in the (post transplant/ malignancy), Better control of blood sugar Serum Potassium every 72 hours. urgency. oxygen cylinders. “We have to use injudicious use of high dose of during COVID with or without Patients who are intolerant to The only case of black fungus clean water and there is lot of care steroids, prolonged ICU stay, steroids, use steroids judiciously Amphotericin B can be given so far in Assam has been reported that needs to be taken in the case people with HIV, malnutrition and while observing correct timing, alternate agents like Posaconazole from the Apollo Hospitals, of COVID-19, changing the mask, trauma including burn. correct dose and correct duration, Tab- 300 mg twice daily on day Guwahati. A statement issued by cleaning the mask and all those What are the symptoms? use antibiotics/ antifungals one followed by 300 mg once a day the hospital said a, “ 27-year-old things,” he adds. If people having predisposing judiciously, use clean and sterile for 3-6 months. Monitor patients male from Nagaon was brought The health department has in factors mentioned above develop water for humidifiers during the clinically microbiologically and to the emergency ward on May the meantime issued detailed symptoms like nasal blockage, oxygen therapy. with radio-imaging for assessing 16 in a very critical state where he Standard Operating Procedures pain over cheek bone, eyes, How to prevent COVID patients & disease progression. After 3-6 was duly attended to by a team of (SOPs) on the black fungus which blood stained or blackish nasal in home isolation from getting weeks of Amphotericin B therapy, physicians. He was immediately is presented below: discharge, congestion or redness infected? consolidation therapy with moved to the ICU care where and swelling of eyes and nose, Patients who have comorbid Posaconazole for 3-6 months to the treatment was started Find out all you need to difficulty in vision e.g. blurred conditions like Diabetes Mellitus, be instituted. Duration of therapy under a team of intensivists and know about the ‘Black vision, painful eye movement, on immunosuppressant drugs, depends on clinical response and consultants from other super double vision and blindness. renal transplant patients or those radiological resolution and has to specialties. However, the patient Fungus’ Additionally, headache and on steroids for medical cause need be individualized. was diagnosed as COVID related The first case of Mucormycosis fever, seizures, altered mental to observe the following warning Surgical management: rhino-cerebral Mucormycosis or better known as black fungus state, cough and blood stained symptoms like facial pain/ cheek Surgical debridement to remove with diabetic ketoacidosis and infection in a COVID-19 patient, sputum, shortness of breath with pain, bloody and foul smelling all necrotic material, by ENT complications leading to multi was reported in Assam on worsening respiratory problem, nasal discharge, nasal stuffiness, and Ophthalmology team. organ failure. In spite of the best Tuesday, May 18. Whereas, a large toothache, loosening of teeth eye symptoms like- eyelid edema, All government and private efforts by the clinical team the number of similar cases have been & jaw involvement, redness, redness in the eye, any visual health facilities and medical patient expired at 6 AM on May 19, reported from other parts of the blackish discoloration in the skin disturbance.