As Covid-19 cases rise, Kerala gears up to treat 50K patients at a time

Kerala has made arrangements to treat around 50,000 Covid-19 patients at a time, doubling the first-line treatment centres to 56 as it battles the third wave of the infections that has pushed the active cases to over 7,000 in the last over two months.

State Health Minister K K Shailaja said experts have forecast a surge in the number of cases next month but sounded confident that the government can manage any such situation with the measures being taken by it.

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After successfully containing the spread of the infections since it reported the country's first Covid-19 case in January, the southern state has been witnessing a sharp increase in fresh cases since May with thousands of people returning from overseas and other parts of the country.

Though the caseload is still lower compared to neighbouring states of Tamil Nadu and Karnataka, the state is gearing up for any contingency and has ramped up the Covid care infrastructure by adding more first line treatment centres (FLTCs) besides deciding to recruit temporary staff for them so that it can treat up to 50,000 patients at a time.

"We already have two Covid hospitals in each district. Then as the number increased, we opened one FLTC for each Covid hospital. Thus we already have 28 FLTCs. Now we have given direction to increase the number to 56. That is one Covid hospital will have two FLTCs," Shailaja told P T I.

She also said the government had already given directions to open in each of the 941 panchayats at least one FLTC where a special medical team would take care of asymptomatic and less complicated patients.

Some FLTCs have up to 500 beds and at least 2,000 people can be accommodated in each of the 14 districts in the state.

While the country's three first Covid-19 patients in the state recovered, effective steps, including triple lockdown in areas such as Kasaragod, which witnessed high number of cases early, brought down the active cases to just 16 on May 8, that marked the end of the second spell of Covid-19.

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Chief Minister Pinarayi Vijayan had then declared that the coronavirus curve has been flattened, though he had cautioned a third wave cannot be ruled out when the lockdown norms are eased and people allowed to return to the state.

As predicted by him, the state has been witnessing a steady spike in new cases with people stranded due to the lockdown in various parts of the globe, especially the Gulf nations, and other states returning home.

Vijayan last week admitted community transmission has occurred in two coastal regions in Thiruvananthapuram -- Poonthura and Pulvilla -- declared as clusters with high cases.

According to officials, clusters are formed when there is an "unexpected surge in Covid-19 cases" at a particular area and it occurred just before community transmission.

Kerala reported 821 fresh cases on Sunday, the highest single day count so far. While the tally has risen to 12,480, the active cases stood at 7,063. The death toll is 42.

According to officials, at least 60 per cent of the patients are asymptomatic in the state, making things more difficult for the health department.

Explaining the functioning of the FLTCs, Shailaja said the idea was to decongest medical college hospitals where seriously ill patients would be treated.

"It can be schools, hostels or any other large building. The government has already released funds for purchase of necessary furniture and equipment at these centres. All districts have been given Rs 10 crore each. The panchayats have been given Rs 50,000 as an advance fund to set up the FLTCs," the Minister said.

When asked about reports on a surge in the number of cases in coming months, the Minister said a particular number cannot be predicted at any time.

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"We cannot predict that a particular number of cases will be reported within a particular time period. But experts are predicting a surge in the number of cases in August. But we hope the surge can be controlled with our effective mitigation process," she said.

In order to overcome the shortage of human resources in the FLTCs, the state government has decided to recruit temporary staff.

"Till now, our containment strategy, testing process and quarantine method have helped us in controlling the spread and reducing the death rate. We need to effectively continue with that," Shailaja said.

"Till May 4, when the lockdown was lifted, we had 499 cases and the death rate was under 0.56 per cent. We had reported three deaths. But after that, people started pouring into the state from everywhere. Till the first week of June, we had a high number of imported cases," she said.

The Health Department was able to contain the "local spread below ten per cent" and the aim was to bring it down to five per cent, the Minister said.

On the formation of local clusters in Thiruvananthapuram, Shailaja said people from bordering Kanyakumari district in Tamil Nadu depend on hospitals here for treatment. Besides, many also come to the state capital for their livelihood.

One person who came from Tamil Nadu infected many in Kumarichantha area.

The government was implementing a "cluster care" method to contain the spread of the virus in such clusters by strengthening testing, treatment and quarantine.

Such areas will be divided into three zones with an IAS officer, a senior police official and a medical officer assigned to handle the situation, Shailaja said.

She also said a similar situation emerged at Kayamkulam in Alappuzha district and Chellanam and Aluva fish markets in Ernakulam districts and the spread contained.

On declaring community transmission in a region when no other state has done it yet, Shailaja said "it was always better to be transparent" with the people.

"If people come to know about the seriousness of the situation, they can behave accordingly for their own safety. Even in these two regions, where the community transmission has taken place, the authorities have managed to keep the mortality rate under check," the Minister said.