NEW YORK: One medical worker called it “insane”, another said it induces paranoia – the speed with which patients are dying from the novel coronavirus is shocking even veteran doctors and nurses as they scramble to determine how to stop such sudden deterioration.
Patients “look fine, feel fine, then you turn around and they’re unresponsive”, said Diana Torres, a nurse at Mount Sinai Hospital in New York, the epicentre of the pandemic in the US where the virus has infected nearly 430,000 people and caused more than 14,700 deaths.
“I’m paranoid, scared to walk out of their rooms.”
It isn’t just the elderly or patients with underlying health conditions, who can be fine one minute, and at death’s door the next.
It can happen for the young and healthy, too, health professionals told Reuters.
A young woman died unexpectedly while nurse Laurie Douglas was on duty at Our Lady of the Lake Hospital in Baton Rouge, Louisiana.
After 34 years on the job, Douglas said she normally has “an intuition of who is going to fade and who may improve”.
“But these people are throwing that out the window.
“Last week, she was planning her wedding.
“This week, her family is planning her funeral,“ she said, referring to the deceased patient.
Patients might enter the hospital with strong oxygen levels and be engaged in happy conversation, said a resident emergency doctor at New York-Presbyterian Hospital, only to be “gasping for breath” and intubated a few hours later.
“The scary thing is there are no rules to it,“ the resident said on condition of anonymity.
These scenes are playing out everywhere as Covid-19 has infected more than 1.4 million worldwide and killed more than 85,000 as of Wednesday.
The quick turns for the worse are likely products of an “overly exuberant” reaction by the immune system as it fights the virus, said Dr Otto Yang, an infectious disease specialist at the UCLA Medical Centre in Los Angeles.
Called a cytokine storm, it occurs when the body overproduces immune cells and their activating compounds – cytokines – causing dangerously high blood pressure, lung damage and organ failure.
Emily Muzyka, 25, a nurse in the New York suburbs, said she reached her breaking point last week, when a relatively healthy 44-year-old woman needed sudden intubation.
“I had a meltdown that night,“ she said.
“I cried to my boyfriend.”
Intubation refers to inserting a tube into the mouth and through the airway of a Covid-19 patient struggling to breathe, so they can be hooked to a mechanical ventilator.
Journalist Anick Jesdanun, who was in good health and had run 83 marathons, died last week from Covid-19, according to a post on Facebook by his cousin Prinda Mulpramook.
Jesdanun, who was 51, at first didn’t need hospitalisation, according to the post.
He had begun to recover and showed clear lungs and strong vital signs during a doctor’s visit in late March. But “a sudden setback” sent him to the emergency room on April 1, and “13 hours later we lost him”, Mulpramook wrote.
A nurse at Mount Sinai’s intensive care unit recalled watching patients’ kidneys quickly shut down, adding that many require intravenous drips of the blood thinner Heparin.
“It’s insane how sick they get, how quickly.
“We’re really trying hard to figure out how to treat them.”
Some of those hospitals are experimenting with unproven drugs in hopes of helping patients, including the anti-malaria medication hydroxychloroquine.
“We’re essentially throwing the kitchen sink at these patients,“ a doctor said.
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KUALA LUMPUR: Working from home (WFH) is not as easy as many people think, especially when you have young children and pets.
Yes, even pets. To others, it might seem easy having pets in the house. After all, don’t you just let them be and you do not have to give much attention to them?
In reality however, looking after pets is just as much a responsibility as looking after young children. A look at the postings on Facebook and Twitter will show that many see the responsibility as similar, for to them, pets are as much a member of the family as children.
Going into 24 days of the Movement Control Order (MCO) period, which means 24 days of WFH, the stories on the social media abound of the struggles that pet owners, especially those with cats, face juggling the responsibilities of work and looking after their pets.
Interior decorate Intan Suhaiza Razak, 35, found that there were many secrets her cats kept from her which she only found out after she started to work from home from March 18.
“It is only now that I am really getting to know my three cats. I did not spend much time with them before but now that I am with them all day, I am slowly learning their behaviour.
“For instance, I was shocked to find out that they could turn the tap in the kitchen sink and would play with the water,” she told Bernama.
Auditor Amirul Iqbal Razali, 30, has found that working from home can be quite challenging when you have cats.
“I have three, and the minute I turn on the computer, they come around demanding my attention.
“That would be the time they want to sit on my lap and play, and ask for food, even though I had prepared everything for them. And my work-station has become their bed,” he said.
Media practitioner Muhamad Saufee Rosman thinks his cat Ethan loves the fact that he and his housemates now have to work from home during the MCO period.
“He is extra demanding now, maybe because he enjoys the fact that we are home now, whereas previously, he was always left alone in the house. Now, he keeps snuggling up to us all the time,” he said.
Muhamad Saufee and his housemates do not find Ethan’s demand for attention troublesome, and in fact, he is a stress-buster to them.
“Life is less boring with him around. Sometimes, he does get in the way, but it would be lonely without him,” he said.
To these animal-lovers, the Health Ministry’s announcement that pets do not carry the COVID-19 virus was good news.
“In the beginning, it was a bit worrying, so it was a relief when the ministry said that pet-owners did not have to worry and do not have to take their pets for Covid-19 screenings.
Nurana Mukhriz, 29, who works in information technology said she cannot imagine being separated from her two cats which she had bred since five years ago.
“I live alone, so my cats ‘Adik’ and ‘Che Yam’ are my companions. Talking to them reduces my stress level and I don’t feel so lonely during the MCO period,” she said. – Bernama
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There is no better warning about the growing confusion that seems to be gradually beclouding the federal government’s response to the coronavirus challenge than the belief it betrayed last week that, perhaps, all it needs to calm the fears and apprehensions of Nigerians about its ability to halt the spread of the virus is to reel out a catalogue of activities President Buhari was said to have undertaken so far concerning the pestilence, whether the people felt their impact or not.
Now, if your family is starving badly, do you solve the rumbling signs of biting hunger in their stomach with some wild tales of the efforts deployed by you so far to feed them, or just keep quiet, give them food, and they will see and feel for themselves that you have played your role responsively and effectively? Or if you must talk, tell them something you have done whose benefits they can readily verify and identify with.
Indeed, some Nigerians are beginning to achieve the conviction that there must be something about being in government in this country that seems to diminish the reasoning ability of people once they get in there and deprives them of the capacity to realize when they have stopped making sense or even become downright annoying. This is very pathetic.
And so, last week, presidential spokesperson, Mr. Femi Adesina, issued a document entitled: “COVID-19: What President Buhari Has Done And Is Doing.” And, I suppose that with the release of that handout, the virus immediately received a deadly blow and vanished from the country! Aren’t we so blessed? Why then are Nigerians not on the streets celebrating the unprecedented feat?
A prominent item on Mr. Adesina’s list is the president’s March 29 broadcast. And what exactly did the broadcast achieve? The two things I can readily remember now is that Gen Buhari had announced the continuation of the school feeding programme for pupils who are all at home now due to the closure of schools as part of the efforts to contain the spread of the coronavirus. Probably, nobody remembered to inform him and his speech writers that school children were on compulsory holidays, or are they going to send the food to them in their homes? Or, perhaps, somebody is trying to find a justification for the billions of naira we will be informed later was spent on the exercise?
Also, the president proclaimed the lockdown of Lagos and Ogun states and the Federal Capital Territory (FCT). And when he was through, he returned to his hideout – where only a few privileged eyes and ears see and hear from him, and then come out to tell us what they think he has said or done.
Now, what exactly was the lockdown meant to achieve? Okay, as social interactions are reduced, the chances of spreading the virus decrease. Yes, but what else? Has anyone seen any evidence that there were any plans to use the stay-at-home period to access the people and step up medical tests to determine how many people have become infected with the virus and how they could be attended to?
The government that was boasting that it was “adequately prepared” to tackle the virus was later to prove when the virus eventually arrived that it was only making empty claims as usual. A country of 200 million people has yet to demonstrate any capacity to test even a reasonable fraction of one percent of her population. And somebody is publishing a document to tell us what the president was supposed to have done or is doing. As if such boring tales will remove the cloud of gloom hovering over Nigeria?
Again, in a country where electric power is just an unaffordable luxury for many, how can a leader just lock down some states and return to his hideout to continue his “vacation” that was rudely interrupted by the loud, persistent and widespread demands that he should address his country even though some other presidents were doing daily briefings and leading the war against the virus from the front? As the markets closed and movements became restricted, how are those who could afford to buy and stock food items at home preserve them without electric power?
What of the greater population which depend on daily earnings for their survival? What is the government’s plan for them? Okay, we are hearing of palliatives that have been extended to this category of people and the billions of naira that have already been transferred to their accounts? Now, who has encountered the happy recipients of the twenty thousand naira (N20, 000) said to have been given to each of them? Are there really existing data showing the social and economic status of every Nigerian which is in the possession of the authorities? So, all the “poor and vulnerable” Nigerians now have bank accounts whose details are known to the government? So, why then are too many Nigerians very suspicious of these claims as shown in their social media comments? And why is such a rare display of kindness by this government not being celebrated? Or have the funds (if indeed any were shared) ended up in the hands of the same people who have more than enough to need them while those who are genuinely deprived remain terribly famished?
Already, the biting hunger out there is forcing a growing number of people to defy the no-movement decree and soon, the whole effort might be defeated, and the country will return to square one. Information Minister, Mr. Lai Mohammed, is threatening that the lockdown may be extended if Nigerians fail to behave themselves. But what he should rather have done is to hasten to school himself to realize that there is always a price to pay when leaders leave the country they claim to be governing in great disarray only to suddenly wake up when there is an emergency to grope for fix-quick solutions.
A few days after the president’s broadcast (that is, Tuesday, March 31), Daily Independent carried a front page lead story about 26 Americans who came into the country through the Murtala Mohammed International Airport and headed to Calabar without being screened. Now, who cleared their trip to the country and why were there no health officials available to screen them and ensure they were quarantined for 14 days before being allowed to fly to Calabar? Is it because they are Americans or clients of the Nigerian National Petroleum Corporation (NNPC) or both? Does that automatically exempt any of them from being a carrier of the virus which is presently ravaging their own country? What kind of government claims to be fighting a virus with one hand and using the other hand to be undermining the efforts being deployed to contain it?
Okay, the Minister of Health, Dr. Osagie Ehanire, has just announced that an 18-man Chinese team of medical “experts” will soon arrive the country to “assist” Nigeria in the fight against the coronavirus. Now, is it the federal government that asked China for help or was it China that volunteered their assistance? Indeed many Nigerians are vehemently opposed to this gesture at this time. Our own local medical experts have not shown any signs of being overburdened by the work, so what difference are these 18 Chinese doctors and nurses going to make? Will they, like the 26 privileged Americans, also be given express entry into the country or will they be isolated for 14 days as should be the case, before they would be allowed to start rendering their “assistance”?
Do we really need this Chinese gift now or is it that the government lacks the liver to politely decline their offer of help, despite the widespread apprehension among the citizenry about their involvement (since many Nigerians, habour strong fears that the gesture might turn out a Greek gift)? Even the umbrella body of Nigerian doctors, the Nigerian Medical Association (NMA), has come out to strongly oppose the coming of the Chinese medical team. Is it that our government is too intimidated to say NO to China’s offer probably because it has yoked itself so much with crushing debts due to its excessive borrowings from them – debts, whose positive effects on Nigerian lives many are yet to see?
I raise these points because, although, Nigeria has recorded one of the lowest deaths from coronavirus, it was the stubborn refusal of the government to close our borders when it became very necessary and urgent (and despite calls from well-meaning Nigerians) that led to the explosion in the number of confirmed cases that the country has recorded today. In saner climes, the government should have profusely apologized for that terrible miscalculation that is costing the nation so much now.
But it now has another opportunity now to gratify the yearning of Nigerians and reject the Chinese offer even if it is well-meaning and the fears about it are misplaced.
Now, what lessons is the government taking away from the scourge of coronavirus? Will they see the need to equip our hospitals this time and upgrade at least few of them to world standard now that they have realized the folly of always waiting to use public funds to send themselves and their families abroad to treat even minor ailments? For the first time in Nigeria, the naïve and largely misguided Nigerian leaders have found out that it is not always safe to seek solutions for health challenges outside the country and that there is afterall no place like home. This is hoping that the lesson will endure and be redemptive.
*Ugochukwu Ejinkeonye, is a Nigerian journalist and writer. (scruples2006@yahoo.com)
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Rule of Law and Accountability Advocacy Centre has been monitoring and receiving information on public compliance with the Federal Government ordered lockdown in Abuja, Lagos and Ogun states, which contain measures to contain the ravaging Covid-19 pandemic.
Our monitoring of the compliance with the lockdown and stay-at-home orders in Lagos, Abuja and few other states indicate that most people are finding it difficult to effectively comply for various reasons.
First, there are those, who still don’t believe that Covid-19 is a real life-threatening pandemic and that precautionary measures such as social distancing, personal hygiene and other outlined measures can prevent its infection and spread.
In fact some have been made to believe that the lockdown is a deception by government to achieve other ulterior motives. Those, who promote this narrative are mainly the apocalyptic Pentecostal ‘Men of God’, who push arguments linking Covid-19 to 5G mobile technology, which they argue is a part of the biblically ordained designs of the Anti-Christ.
Second, some Nigerians are simply lawless or lack discipline, just like when passengers are asked to switch off their phones prior to flight take off and you still find some people, seemingly ladies and gentlemen, fiddling with their phones.
To illustrate, a relative of mine called me yesterday to complain that he was arrested by the police somewhere in Lagos when he drove out to buy pap for his baby. I asked him whether he knew about the lockdown order and whether there was nowhere around his neighbourhood he could walk down to buy the pap. He said ‘but other vehicles are on the road’. I told him that he had broken the law as much as those other people. Everybody may not be arrested at once.
He wanted me to talk to the police officers, who arrested him and ordered him to drive to their station. I asked him what he wanted me to tell them.
Third, and most significantly, there are yet others, who are forced out of their homes by want and hunger. They can’t stand the site of their tender children crying for hunger.
As I said elsewhere, majority of the population fall within the poor and vulnerable category. Usually, many feed themselves and their dependents on their daily earnings. They live from hand to mouth.
Under the prevailing difficult and uncertain situation, many families and individuals are already suffering and starving, just one week into the lockdown, with one more week left to go, with the probability of an extension.
The Federal Government’s Social Intervention Policy, the so-called conditional cash transfer is not yet addressing mass poverty, deprivation and hunger. The billions, which government announced that it has released and made available for conditional cash transfer to the poor and vulnerable in communities are not reaching the targets. There are still cries of woe and anguish in most communities.
We have seen videos of caricature of the ‘social intervention’, of food items shared to some communities. In one video, we saw a street in Lagos of over 30 families, who said they were given two loaves of bread and few cups of rice and garri and few condiments (tomato paste sachets) to share. And we see members of the community lamenting and asking how a whole street of over 30 families could be given such quantity of food items not enough to serve one family for two days to share!
Corruption has become our national culture. A seemingly intractable challenge to our progress and development. Most of our politicians and public office holders are unscrupulously avaricious.
Given our past experiences where public funds meant for and released to assuage the sufferings of poor and vulnerable communities were either unconscionably used to ‘cut grasses’ or inexplicably got ‘swallowed by snakes’, we call for transparent and community-based approaches to the management and disbursement of social intervention funds.
Considering complaints by many local communities about not benefiting from the released billions of naira announced and meant to alleviate poverty and hardship, especially during this difficult and uncertain period, we call for a transparent and effective investigation of the management of the funds so far allocated. Efforts must be put in place to ensure that the funds are not diverted as usual.
Independent community committees must receive these funds and be charged with identifying those in their midst, who qualify to benefit.
The management of the funds should be monitored by a multi-stakeholder committee including government and community representatives as well as credible media and civil society representatives.
Government must put effective measures in place to check corrupt public officials, who want to steal or divert funds meant to relieve the sufferings of the poor and vulnerable people in this perilous times.
This is the only way to help the people comply with the law and stay at home for now!
Finally, since government has been announcing huge numbers of beneficiaries of cash transfer program running into millions and claiming to have paid billions, can the government make the system transparent by publishing the names and addresses of the beneficiaries on an electronic portal so that Nigerians can do the verification?
Okechukwu Nwanguma is the Executive Director of Rule of Law and Accountability Advocacy Centre
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Traveling trends in the Hispanic community vary greatly from that of the majority population. Understanding the traveling trends within the Hispanic community provides a thorough insight into family structures, and the importance of cultural views on travel during a slowing economy.
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KUALA LUMPUR: Pets owned by private individuals which have been confirmed positive for Covid-19 must be isolated and quarantined for 14 days for monitoring purposes.
Senior lecturer (veterinary immunology) and researcher at the Faculty of Veterinary Science in Universiti Putra Malaysia, Dr Farina Mustaffa Kamal, said if these pets displayed any health issues during this period, their owners should consult the District Veterinary Services Department for further action.
She said although there was no evidence of pets spreading Covid-19 infections, they could themselves be infected by the disease as reported by the World Organisation for Animal Health (OIE).
“Two cases of Covid-19 infections involving pets (a cat and a dog) contracted from their owners have been reported in Belgium and Hong Kong.
“These pets were suspected to have contracted the disease through close contact with Covid-19 positive persons through kisses, hugs or general management,” she told Bernama when contacted.
However, Dr Farina said, so far the number of infected pets was very small and there was no clear information of the symptoms of animals infected with Covid-19, with the majority not displaying any signs.
“Only one cat in Belgium displayed symptoms of breathing difficulties, diarrhea and vomiting. However, it must be remembered that other virus or bacteria can also cause these same symptoms in animals,” she said.
Dr Farina stressed that it was better for pet owners to impose early quarantine and isolation measures on their animals as soon as they realise that they had symptoms of Covid-19 infection.
She added that there was no clear evidence that certain species of animals were naturally more susceptible to infections, but said with the current Covid-19 pandemic, the pet owners are encouraged to isolate their animals in the house.
“So far, experimental studies show that the virus can infect cats, ferrets, and monkeys,” she said, adding that ferrets and monkeys were the laboratory animals used in studies on coronavirus.
As for stray animals, Dr Farina said it was difficult to check on stray cats as they were not used to human interaction.
“Logically-speaking, there is less close contact between humans and stray cats through kisses and hugs, but the recommendations by the OIE and the World Health Organisation must be observed when managing pets and stray animals,” she said.
Dr Farina said generally-speaking, coronavirus was a large family of virus which infected different species of animals. –Bernama
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The COVID-19 pandemic is having a devastating impact across the world. Efforts to contain the coronavirus are vital to the
health of the world’s population, but they are also exposing children to increased risk of violence – including maltreatment,
gender-based violence and sexual exploitation.
As leaders of organisations committed to ending violence against children, we come together in solidarity to share our deep
concern, call for action and pledge our support to protect children from violence and reduce the impact of COVID-19 on
children in every country and community.
A third of the global population is on COVID-19 lockdown, and school closures have impacted more than 1.5 billion children.
Movement restrictions, loss of income, isolation, overcrowding and high levels of stress and anxiety are increasing the
likelihood that children experience and observe physical, psychological and sexual abuse at home – particularly those
children already living in violent or dysfunctional family situations. And while online communities have become central to
maintain many children’s learning, support and play, it is also increasing their exposure to cyberbullying, risky online behavior
and sexual exploitation.
The situation is aggravated by children’s lack of access to schoolfriends, teachers, social workers and the safe space and
services that schools provide. The most vulnerable children – including refugees, migrants, and children who are internally
displaced, deprived of liberty, living without parental care, living on the street and in urban slums, with disabilities, and living
in conflict-affected areas – are a particular concern. For many, growing economic vulnerability will increase the threat of child
labour, child marriage and child trafficking.
We must act now. Together, we call on governments, the international community and leaders in every sector to urgently
respond with a united effort to protect children from the heightened risk of violence, exploitation and abuse as part of the
broader response to COVID-19.
Governments have a central role to play. They must ensure that COVID-19 prevention and response plans integrate age
appropriate and gender sensitive measures to protect all children from violence, neglect and abuse. Child protection services
and workers must be designated as essential and resourced accordingly.
Working with and supporting governments, our collective response must include: maintaining essential health and social
welfare services, including mental health and psychosocial support; providing child protection case management and
emergency alternative care arrangements; ensuring social protection for the most vulnerable children and households;
continuing care and protection for children in institutions; and communicating with and engaging parents, caregivers and
children themselves with evidence-based information and advice. National helplines, school counsellors and other child-friendly
reporting mechanisms enable children in distress to reach out for help, and must be adapted to the challenges of COVID-19.
Given the heightened risks of online harms, technology companies and telecoms providers must do everything they can
to keep children safe online. This includes providing access to cost-free child helplines, age-appropriate services and safe
e-education platforms – and using their platforms to share child online safety advice. They must also do more to detect and
stop harmful activity against children online, including grooming and the creation and distribution of child sexual abuse
images and videos.
As global organisations working to end violence against children, we will continue to advocate for and invest in effective child
protection solutions. We will collectively develop and share technical resources and guidance for policymakers, practitioners,
parents, caregivers and children themselves. And we will support the courageous health, child protection and humanitarian
professionals working around the clock to keep children safe during these unprecedented times.
In recent years, the global community has made significant gains in protecting children from violence. We must not allow those
gains to be lost during the current turmoil. We must do all we can to keep children safe now. And we must plan ahead together,
so that once the immediate health crisis is over, we can get back on track towards the goal of ending all forms of violence,
abuse and neglect of children
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