Changing Healthcare Landscape in the post-Covid world


In the post Covid world, one thing that is certain to change is health care and health technologies that impact the quality of care. There is already an enormous impact of digital technologies with remote monitoring, remote diagnosis, and telehealth platforms, and artificial intelligence powered apps and devices. Related to that is an explosion and access that providers have in the number of data points. 

In the immediate covid world, there is an urgency of some of these new technologies in contact tracing and monitoring the spread of the pandemic. There is also a necessity for protective gear that while protecting providers can make care more personalized and is easy to use. Providers are also trying to balance providing care for other health issues while dealing with continuing covid cases.

So what might be possible attributes that will make new technologies and devices stand out?

Medical Equipment on an Operation Room

For any tools that impact healthcare, accuracy, reliability, and safety are of prime importance. Also delivery of care is rapidly transforming and all devices need to seamlessly integrate into rapidly changing clinical flow. All devices that work with healthcare data must also be extremely secure. 

At Road to #TiEcon2020 @TiEcon @tiesv on June 24th, domain experts will discuss new technologies and how it is all poised to make an impact in the changing arena of healthcare.  Domain experts speaking at this event include, Dr. John Whyte @WebMD, Aashima Gupta @GoogleCloud, Dr. Suraj Kapa @MayoClinic, Ramesh Raskar @MediaLab, Dr. Meera Kanhouwa @Deloitte.

If you need more information than post your question with your email. Register for the event with the link here:
https://www.tiecon.org/?campaign=Referral&source=DaNa

 

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ઈશ્વર નો ચહેરો – Face of God


મારી પાડોશણ રોજ બહાર આવે અને તેના ઘર પાસે ઉગતા સુંદર ગુલાબ અને બીજા ફૂલોને કાપી ને તેની પૂજાની થાળી માં ભેગા કરીને ઘર માં લઇ જાય. આ દ્રશ્ય જોઈને વિચાર આવ્યા પછીનું એક અછાન્દસ કાવ્ય. 

મને શી ખબર કે શું મરજી છે ઈશ્વર તારી
ભજું તને મારી સમજ ને જેવી ઈચ્છા મારી                 

Brass-colored Lord Ganesha Figurine

તારી સૃષ્ટિના સુંદર ફૂલોને તેમના મા બાપ સમા
ઝાડપાનથી અળગા કરીને ધરું તારી છબી સમા           

 

તારો ચહેરો ઉતારું મેં બનાવેલ સુંદર છબીમાં
કેવી ફોટોફ્રેમમાં શોભશે ચહેરો એ વિચારોમાં

ક્યારેક તું દેખાય બિહામણી મા કાલી ના રૂપે
ક્યારેક મા દુર્ગાના હેતાળ સ્વરૂપે                        

Person Doing Handcraft Face Mask

ક્યારેક મહાવીર ને બુદ્ધ ના તટસ્થ ચહેરામાં
ને ક્યારેક છબી વિના મસ્જિદ ને અપાસરામાં 

તને યાદ કરું મેં બનાવેલ રીતિ રિવાજોમાં
મેં જાતે ઠરાવેલ કસમો અને રસમોમાં 

દિવસે ખાવાનું નહિ નમાજ કરું ને રોજા પાળું
ફરાળ તો ક્યારેક નકોરડા ઉપવાસ રાખું  

હે મારી કલ્પનાના ઈશ્વર અનેક રંગો મેં ભાળ્યા
તારા અનોખા ચહેરા માં ઉભરતા નિયમો નિભાવ્યા 

ક્યારેક ક્રોસ માં ઈશુના લોહી માં તારી દયાને જોઈ
ક્યારેક વાંસળી ના સાદ માં તારી ભક્તિમાં રંગાઈ                 

Crucifix Illustration

નાતી જાતિ ના ભેદભાવ માં માનવતા ખોવાઈ
તારા વિવિધ ચહેરાઓ માં હું ઘણી ગૂંચવાઈ 

ઘડ્યા મેં તારા અનેક ચહેરા મારી કલ્પના થકી
એક માત્ર ચહેરો જે મારી સમક્ષ છે તે ભૂલી 

મોરની કળા, ચીત્તા ની છલાંગ, દેડકાના કૂદકામાં
નીતરતી અજાયબી આ કોયલ ના ટહુકામાં

અમૃતમયી, અલૌકિક, અનેરી તારી આ સૃષ્ટિ
માની લઉ કે આ જ છે તારી છબી, તારી પુષ્ટિ 

દરેક માનવ ના અનોખા હાવભાવ માં
પશુ પક્ષીઓના ગુંજતા કલરવ માં                                     

Red Leaf Trees Near the Road

નીલા ગગન ને લીલા ઝડપાનમાં
શા માટે જોઉં તારો ચહેરો હું છબીમાં 

નિહાળી લઉ તારો ચહેરો હાલતા ચાલતા આ બધામાં   

 

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Defund the police? NO, not until….


A police car rushes to the emergency call with lights turned on

It is disheartening to see the brutality from the police, armed to the teeth, supposedly there to protect the helpless.Most police departments all over the country may need reform and overhaul, some personnel and many policy changes, opportunities to know and understand people from up close, get involved in community events, get training, learn about unconscious biases, confront hidden agendas, and of course with that we need to fund and fortify community services for mental health, homelessness, domestic situations and so on.

Maybe in some societies and in some small cities/ communities disbanding the police department may have worked. But whole of America is not that country. With the kind of arming of the population that has occurred, with the prevalence of gangs, access and availability of drugs and with the kind of wealth divide we have in this country, WE NEED POLICE. 

Nice colorful street architecture and church view, tourist destination of French riviera, Alpes Maritimes depatment of France

If you believe we need to defund the police in America, then let us try to devote the next 10 years to making this country a better place, a place worthy of self management with the help of community policing.

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Data Security Challenges of Remote Work


TiEcon, Silicon Valley’s largest entrepreneurship conference, has gone virtual, this year. On June 24th, at 9 am, Chris Jones will speak on that exact topic of how virtual meetings and remote work is changing the paradigm and hidden opportunities and challenges inherent in this new paradigm.

 

Cybersecurity of network of connected devices and personal data security, concept on virtual interface with consultant in background

Of all the challenges of remote work, security challenges are some of the most complex ones to navigate. In equal measure, some of the solutions may be very basic and simple and some may require sophisticated solutions but more than ever, companies need to fortify security for smooth functioning of remote work. Some of the top security challenges include cloud based threats, data exposure and theft, access compromise and anomalies, legacy appliance-based web defenses and legacy remote VPN access.

 

Right after the keynote by Vinod Khosla of Khosla Ventures, Chris Jones will speak on strategies that companies can adopt to enhance security for their remote workforce. Chris Jones, as Director of Cyber Security for Dell Technologies, oversees eDiscovery, Digital Forensics, Cyber Investigations, and Insider Risk Operations. Chris Jones has not only been involved in addressing insider threat problems for corporations but has also worked with the US Intelligence community and law enforcement agencies. He founded the FBI’s Cyber Profiling Team and developed behavioral profiling and psychological analysis techniques, with use of technical data analytics.

 

Register for Road to TiEcon2020 at https://hub.tie.org/e/road-to-tiecon-6-24 .

 

 

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JOBS – May, 2020


Office, Notes, Notepad, Entrepreneur

Please see my current opportunities below. All opportunities are for local (US based) candidates with valid work visa and require deep industry experience.  If you have an interest then please send an email (resume as an attachment) at wd under score darshana at hot mail or find me on Linkedin.

Senior Mechanical Engineer – San Jose, CA


The Senior Mechanical Engineer is responsible for evaluating and improving the company’s current drug delivery system while maintaining high quality and reliability standards. This will be achieved by testing the system and optimizing components or subassemblies as needed. In addition, he/she will be required to work with quality and regulatory to develop complete documentation for the device. The successful candidate will work independently and use sound judgment to deliver optimal solutions. This is a hands-on position that requires interaction and collaboration with a cross-functional team. 

Responsibilities

  • Evaluate the current design and identify opportunities to realize improvement in product consistency and increased throughput in a manufacturing environment
  • Show proof of concept through prototyping and supporting test data, and coordinate implementation with appropriate stakeholders
  • Take full ownership of documentation by following internal design control SOPs, leading verification/validation activities, and participating in phase reviews
  • Create 3D models, engineering drawings and bill of materials
  • Create comprehensive work instructions and manufacturing SOP’s
  • Work with quality to resolve any issues with components or processes
  • Establish working relationship with outside vendors, machine shops, contract manufacturers and manage the work accordingly
  • Comply with company’s policies and guidelines regarding quality and regulatory

Qualifications

  • Bachelor’s Degree in Mechanical Engineering
  • 5 plus years hands-on experience in a design environment
  • Experience with creating engineering drawings, BOMs, and product specifications
  • In-depth experience with complex mechanical systems that interact with biology
  • Prior experience in a medical device company
  • Experience with design control process for medical devices and implementation of product in to manufacturing
  • Working knowledge of FDA regulations and ISO, cGMP, QMS standards
  • Good understanding of DFM and lean manufacturing
  • Excellent verbal, written, presentation and interpersonal skills
  • Strong analytical and problem-solving skills
  • Knowledge and/or hands-on experience with machine shop tools
  • Proficiency with SolidWorks required
  • Creative, self-motivated, flexible to work in a small company environment and assume a wide variety of tasks

Preferred Qualifications

  • Knowledge /experience with plastic injection molding
  • Masters’ degree or higher in Mechanical Engineering or Biomedical Engineering

 

Mechanical Testing & Fixture Design  Engineer – Milpitas, CA

 

There is an immediate opening for mechanical testing and fixture design engineer. Good understanding of how to design and set up tests is required. Responsibilities include designing unique tests, developing fixtures, and analyzing the data. Additional duties may include reporting failures, and assisting in improving manufacturing processes to prevent prototype failures, support R&D with component design work, test fixture design, support verification testing, and interface with manufacturing to implement new design updates into the pilot manufacturing line.

 

Responsibilities

  • Work with multi-disciplinary teams to define tests and perform verification testing
  • Design and build appropriate test fixtures for completing the tests
  • Assist engineering and bio team on evaluation of device failures and complete test reports to review improvements with the team
  • Collaborate with manufacturing to create product assembly tooling, fixtures and work instructions
  • Assist R&D and manufacturing in process development, including molding, bonding processes for parts, and component design
  • Comply with company’s policies and guidelines regarding quality and regulatory

Qualifications

  • BS in Mechanical Engineering
  • 3-5 years of industry experience
  • Must be hands on and adept at building and debugging fixtures
  • Fluent with SolidWorks
  • Excellent verbal, written, presentation and interpersonal skills
  • Strong analytical and problem-solving skills
  • Creative, self-motivated, flexible to work in a small company environment and assume a wide variety of tasks

Preferred Qualifications

  • Prior experience in a medical device company desired

 

Cell Biologist with Islet Cell Experience – San Jose, CA

This is an opportunity to participate at grounds level with possibility of high potential outcome. Technology focuses on cure for diabetes and requires islet cell or related experience.

 

C Level Opportunity – Milpitas, CA

 

There is a senior level leadership opportunity that requires prior experience with leading a neurological medical device company.

 

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Coronavirus: Treatments and Vaccines


Recently a science teacher said that treatment for covid with remdesivir or hydroxychloroquine is better than a vaccine. I said, treatment like that is good but a vaccine is better. She said, “no. since many people get adverse reactions from vaccines, a treatment is better”. So I decided to write this blog post. First, let us consider what are drug treatments and how they are different from vaccines.

Drug treatments: Currently over 70 companies are working on various drug treatments for novel coronavirus. Although this virus is novel, not all drugs being considered are entirely novel. For instance, like the previously considered malaria drug, hydroxychloroquine, Gilead’s drug, Remdesivir, that is in the news, is not a novel drug. Remdesivir is a broad spectrum antiviral drug that has been found to successfully prevent MERS coronavirus in rhesus monkeys. Besides antiviral drugs, there are other anti-inflammatory drugs. Scientists believe that in the end, what might work may be a sort of a cocktail or some combination of antiviral and anti-inflammatory drugs.

Drug treatments do not prevent Covid-19. These drugs are offered to patients who are already suffering from coronavirus. On the other hand, vaccines prevent people from contracting the disease in the first place.  

Drug treatments are not cures. 1) there isn’t a 100% response rate among people treated with remdesivir or any other treatment. So despite many drugs showing promise, there are a few people who will respond to a drug; many still die. 2) many who suffer from the disease but go on to recover, they still utilize huge amounts of hospital resources during their illness phase. 3) during the illness phase, these sick people also spread the virus with the possibility of making others (including healthcare professionals) sick. 4) even people who may recover with the help of these drugs from covid, may have suffered substantial damage to their lungs and that may reduce their lifespan or affect them in other ways.

Vaccines:  Vaccines prevent people from getting sick. So when people don’t get sick, they don’t spread the virus, don’t utilize healthcare resources, don’t infect healthcare professionals or others in the community, and don’t get any kind of long lasting damage to their lungs. Clearly, vaccine is a far superior way to deal with coronavirus.

Why are vaccines taking much longer than drugs for covid?

Virus, Pathogen, Infection, Biology

As I mentioned above, many of the drugs considered currently for treatment of covid are already in existence for some other illnesses or diseases. So there are existing drugs considered for either preventing covid deaths or preventing people from becoming sicker and helping them recover faster and ending hospital stays earlier.

Vaccines on the other hand, have to be developed. There are considerable challenges at each stage of vaccine research, development and manufacturing. First of all, pharmaceutical companies have decreased vaccine research and development in the last several years, because vaccine development and manufacturing is expensive, time consuming and offers smaller payback in terms of revenues. For each new virus and for all mutations, the vaccine has to be developed and then when the virus is not active then the vaccine is not useful. Clinical studies take place during the research and development phase. Only if the studies show the vaccine to be safe and effective then the vaccine proceeds to the next phase where it has to be manufactured in large quantities required.

During a pandemic like this one, not only do we need a vaccine quickly but the world will also need  hundreds of millions of doses for the entire world population.  Fortunately, pharma companies, scientists from all over the world, billionaires like Bill Gates and Governments and countries have stepped up to tackle this challenge, with an unprecedented spirit of collaboration.  There are measured expectations for an effective vaccine to be available within 12 to 18 months. That is an unprecedented and highly aggressive timeline. Bill Gates has offered to support manufacturing of top 7 candidates during the research and development phase. That means, even without the proof of effectiveness of any of them, he will foot the bill for manufacturing all of them, in the hope that at least a couple of them will prove to be safe and effective and the world will get required doses speedily. Meanwhile, countries like India are getting ready for manufacturing of vaccines. India has proven capability and expertise to ramp up production of vaccines, while keeping costs down. Regulatory hurdles are likely to be less severe as US FDA and other regulatory bodies have promised EUA (emergency use authorization) for drugs and vaccines that may help contain covid.

If drugs like Remdesivir work then that will help some people recover and recover faster; so let us hope that any one of these drugs alone or in combination with other drugs will reduce mortality, shorten hospital stays, and help reduce spread of covid. But ultimately we need a vaccine for covid-19 and the way in which entire world is coming together, gives much hope for availability of a speedy vaccine.

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Herd Immunity for Covid-19?


Have you noticed only politicians and some lay people talk about #HerdImmunity? Scientists and business people seem to be talking about #testing, cure and vaccines. Amazon is planning its own tests just for their own workforce. Some of my clients are doing the same. Chemicals for covid-19 diagnostic tests are hard to find but businesses may tap into their global connections to acquire them.

So what is herd immunity?

A person is answering question relating to herd immunity.

Herd immunity is an epidemiological concept coming from an idea that ultimately if enough people in a population are immune to a disease then it stops spreading. For instance, if 80 people out of 100 can’t get the disease than the 20 people who can get it remain protected because they may be unlikely to actually get exposed.   

Herd immunity can be achieved in a community in one of the two primary ways.

1) Vaccine access and acceptance:

If a significant number of people get access to the vaccine, they accept it and avail of the opportunity and become non carriers of the virus then even if 5% may not have gotten the vaccine, they may not get the disease because there may not be enough people to get it from. But we don’t yet have a vaccine for coronavirus.

2) Virus has a free rein: 

This is how the politicians have been speaking of herd immunity. Herd immunity is also connected to the argument that the best way to end the social distancing is to allow the virus to run free or at least almost free and in the end the population will achieve herd immunity. This sounds like a creative new idea rather than something horrifying that we should try to avoid at all costs. But let us remember that this only happens after VAST numbers in a population, get infected. So that requires us to “sacrifice the vulnerable on the altar of the economy in vast numbers.”

What kind of vast numbers of fatality might we be speaking of? As per some estimates, herd immunity for Covid-19 can occur after at least 60 to 70 percent of the population develops immunity.  That means at least 60 to 70 percent of the people have to first get infected. Moreover, these have to be random infections. That means, several people would die with a highly contagious virus running free in a society, before herd immunity is achieved.  This would overwhelm our healthcare system and several healthcare professionals would die while working in a high virus load environment.

Even with all our social distancing measures in place, we have a high death count that has brought healthcare system on the brink of overwhelm, in many places. In New York, a dense state with high international travel, there was a death count of almost 15,000 in a population of less than 10M. Healthcare professionals from several other geographical regions traveled to New York to lend help. Can you imagine every state taxed that way beyond their maximum capacity to care for the patients? And that is the reason that scientists and business leaders are not advocating herd immunity as an ultimate preventive measure. We can be lay people and choose to remain ignorant and spread the forwards and myths about herd immunity OR we can listen to what science has to say over what the politicians may be advocating.

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દ્રષ્ટિકોણ 107: વાંચન એટલે (on reading)


કસરત કરવાથી શરીર તંદુરસ્ત રહે છે તે પ્રમાણે વાંચન થી મન તંદુરસ્ત રહે છે.  વાંચન પ્રાર્થના નો પણ એક પ્રકાર છે. જે રીતે ખરા મન થી પ્રભુ ભજન માં વ્યસ્ત વ્યક્તિ ને આસ પાસ નું ધ્યાન રહેતું નથી તે રીતે વાંચન માં ધ્યાનગ્રસ્ત હોઈએ ત્યારે આપણે તેમાં એવા ડૂબી જઈએ છીએ કે આજુબાજુ ના વાતાવરણ ને ભૂલી જઈએ છીએ. વાંચન થી સહાનુભૂતિની કેળવાય છે. થોડીવાર માટે જયારે આપણે બીજાના જૂતામાં ચાલીએ છીએ, બીજાની નજરે દુનિયાને નિહાળીએ છીએ ત્યારે સ્વાભાવિક રીતેજ બીજા લોકો પ્રત્યે સહાનુભૂતિ અને મમતા જાગે છે.

માર્ક ટ્વેઇન જે અમેરિકન લેખન સાહિત્યના પિતા સમાન ગણાય છે. તેમણે – http://bit.ly/2QIVNlM 

મિસિસિપી નદી ઉપર કામ કરતા નદીના કિનારે રહેતા ખેડૂતો, તેમની પત્નીઓ, જુગારીઓ, નેટિવ અમેરિકનો, બ્લેક અમેરિકનો, મોટા ઝાડ કાપનાર લમ્બરજેક્સ વગેરે  લોકો નું અને તેમની રહેણીકહેણી નું બારીકાઈથી નિરીક્ષણ કરીને સુંદર વર્ણન કર્યું છે. તેમના લેખન દ્વારા વાચકોને અમેરિકાની સાંસ્કૃતિક લેન્ડસ્કેપ વિષે સુંદર માહિતી જ નથી મળતી પરંતુ તેમના વાતાવરણ માં તે લોકો જોડે બેસીને મહેફિલ માણતા  હોઈએ અને તે બધા આપણા મિત્ર હોય તેવું લાગે છે. 

ખરું કહું તો વાંચન આપણને આમ તો ઘર થી દૂર દૂર લઇ જાય છે. પણ જ્યાં પહોંચીએ ત્યાં ઘર હોય તેવો માહોલ સર્જાવી આપે છે.  

Narrative, History, Dream, Tell, Fairy Tales, Book

 

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જગત કલ્યાણ માટે પ્રાર્થના 


Prayer, House, Corona, Coronavirus, Virus, Pray

અર્પણ કરું છું હું કેલીફોર્નીઆથી દર્શના
કરુણામય બ્રહ્માંડ પાસે મારી પ્રર્થના
કુદરત તારી વિસ્મયભરી સૃષ્ટિના માનમાં
સ્વિકારજે જગત કલ્યાણ માટે મારી ભાવના 

ભલે કરીએ મંત્ર જાપ સંતનામ ને પ્રાર્થના
અદભુત કુદરતને પહેલા પ્રણામ આપણા
માફ કરજે તારી બલિહારી અમે ન સમજ્યા
તારી સૃષ્ટિના દરેક કણ સુધી પહોંચે આ ભાવના
વૈજ્ઞાનિકોને અર્પણ બીજી અભ્યર્થના
ડોક્ટર નર્સ ને કાળજીકારોને ત્રીજી અર્ચના
આરોગ્ય વ્યાવસાયિકો (હેલ્થ પ્રોફેશનલ્સ) ને નમ્ર યાચના
અમ સંગ સાંભળજો તમારી આરોગ્યતા
લોકકલ્યાણકર્તાઓ માટે ચોથી પ્રાર્થના
બીજા નું ભાડું ભરવાનું, માસ્ક બનાવવાના
ગ્રોસરી લાવવાની, ગાઉન સીવવાના
તેમને વંદન, તેમના સ્થાસ્થ્યની પ્રાર્થના
પાંચમે કલ્યાણ થાય અબોલ પશુ પક્ષીઓના
સર્વ જગત કલ્યાણ માટે અર્પણ આ પ્રાર્થના 

 

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Lessons from Shanghai, China: Strategy for containment & care during Covid-19 


Recently, CABS, the Chinese American Biopharmaceutical Society hosted a webinar on the topic,  “COVID-19 Clinical Treatment and Research Experiences from China”, with Dr. Wenhong Zhang. Dr. Zhang is Director of the Department of Infectious Diseases in Shanghai and leader of Anti-Covid-19 team. He is also on Chinese Society of Infectious Disease and with Chinese Association of Internal Medicine. During the fight against Covid-19, Dr. Zhang led the Shanghai team to formulate a clinical treatment and containment plan.

 

Night, City, Shanghai, Asia, East, Architecture, Urban

An article in scientific publication Lancet predicted in late January that after Wuhan, Shanghai can be the epicenter of the virus with as many as 800,000 cases. However, with very early focus on containment and reasonable social distancing (even without complete lockdown measures), Shanghai managed to restrict the spread to about 4,000 cases. The key was that the healthcare system went on full alert when they had their very first case of a person traveling from Wuhan.

 

Dr. Zhang shared many details of their process for containing the spread and answered questions sent by the audience members. I have captured a few of the nuggets from his talk and I am sharing them below.


Diagnosis: Immediately they optimized diagnostics and did all needed tests for suspected patients. Shanghai made separate fever clinics and all patients who met 1 epidemiology criteria plus one clinical criteria were encouraged to go to these clinics. Suspected Covid-19 patients were sent to separate quarantine wards for full testing, and while they awaited results.  If the results came back positive, they were sent to separate hospitals for quarantine stay and were tested again, before release.

 

Further, while in the US some hospitals first tested for flu and other viruses and if the patient tested positive for any of them then they were not tested for coronavirus, Shanghai tested all suspect cases for coronavirus. Dr. Zhang said that they have found that there are a lot of co-infections so a person can have regular flu virus plus coronavirus. Additionally, they found a high negative rate in PCR testing, while a positive rate was around 70%. Therefore, despite negative test results, if the patient was highly suspect than they did more testing. They did not rely on CT scans because they found that a chest CT cannot precisely confirm Covid and all cases needed molecular diagnosis.

 

Detailed process in place: Shanghai had a very detailed process in place for the steps to be taken for patients in the first screen, then first test, then when tested positive, if tested negative, and for followup.  Timely diagnosis and timely distancing and quarantine is very important, said Dr. Zhang. Immediate separation and early control of local transmission is the key to stop the Covid-19 disease spread, said Dr. Zhang.  This is something that did not happen in Italy. Almost all of their early cases were of foreigners. Eventually all of their cases and high death toll has been among the local population.

 

Treatment Options: Dr. Zhang shared that over 95% of the patients recovered and eventually were released. One patient died. There has been debate around anti-viral treatments. Dr. Zhang said, these treatments don’t seem to be effective. China also used hydroxychloroquine (widely touted malaria drug) to treat Covid patients and did not find it to be effective. However, it can have compassionate use since it shows little lasting side effects, said Dr. Zhang. Although he did not observe clinical evidence of anticoagulants, he said, it is possible that early anticoagulation may block clotting and eventually reduce the risk of major organ damage.

 

Respiratory Treatment: Dr. Zhang shared that the most fundamental treatment in keeping patients alive is respiratory treatment. We have a narrow window to stop progression from mild symptoms to severe symptoms, said Dr. Zhang. Low and short duration corticosteroids may stop progression and we need more studies to find that out. Life support for critically ill patients is crucial. Timely intervention with mask oxygen inhalation, nasal cannula oxygen therapy, mechanical ventilation etc. can prolong life until the body’s immune system gets critical time to fight off the virus.

 

Medical Personnel: In Shanghai, strict following of protocol, translated into not a single infection spreading into the healthcare professionals. Highly qualified and standardized process included appropriate PPE (personal protective equipment) with gowns, goggles, masks, double layer gloves and shoe covers. Healthcare professionals were asked to never share a meal with others at home, during the time this contagion was active. As far as possible, the patients were kept in negative pressure wards and surfaces were cleaned with disinfectants every 4 hours.

My Comments
Stay tuned for my next article on how China effectively used high tech, specifically big data and coupled it with public awareness and public participation to contain the virus. Please note: I am not a fan of, or in any way endorsing communism or authoritarianism. And yet, perhaps there are lessons even for Western democracies, to pay heed to early signs and implement containment strategies. And that is exactly what Bill Gates was referring in 2015, when he spoke at TedTalks and warned us about a virus pandemic that can possibly kill millions. That is what various scientists have been warning of, for years.

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