Covid-19 Patients Arriving in Delhi in ‘Very Ill’ State, Most Deaths of People with Comorbidities: Experts | Delhi News


NEW DELHI: Patients in a remote station who are brought to Delhi in a “very ill state” for treatment, and a “time lapse” in the transfer to the hospital home of quarantined people whose health has deteriorated, could be among the factors behind the high number of deaths recorded by Covid-19 here in recent days, experts say. Doctors from major government facilities and private hospitals in Delhi also agreed on Sunday that the deaths now being reported are “mostly from patients 60 years and older with comorbidities.”
The national capital reported 46 deaths from Covid-19 on Saturday, the highest in more than 70 days, bringing the death toll to 5,193, while 3,372 new cases brought the tally to 2.67,822. This is the highest number of coronavirus deaths reported in a day in Delhi since July 16, when the city recorded 58 deaths.
Covid-19 cases have shown an increase since the beginning of this month, and on September 16 it recorded 4,473 cases, the highest peak in a single day to date.
From September 9 to 19, new cases were registered that exceeded 4,000 per day, except on September 14, when the figure stood at 3,229, with 26 deaths that day, according to official data.
However, since September 20, new cases have remained below the 4,000 mark.
The daily death count for Sept. 15-24 was recorded at more than 30 on every day. On September 25 alone it stood at 24, jumping back to 46 the next day.
In addition, the seven-day average daily Covid-19 cases in India have been gradually declining for nine consecutive days from September 17 to 26, the first time there has been a continuous decline phase since the outbreak of the pandemic, according to a report citing data from the European Center for Disease Prevention and Control (ECDC).
Rajiv Gandhi Super Specialty Hospital Medical Director Dr. BL Sherwal said the drop in the number of daily cases in the last week is a “very healthy trend” and emphasized that “a lot has been learned about the behavior of the virus” since so. the outbreak.
“The number of deaths reported in more than 30 in the last days or 46 yesterday, can be attributed to two main reasons: most of the patients who are dying are 60, 70, 80 or 90 years old, and the victims are mainly those who had comorbidities, “he said.
RGSSH is a dedicated Covid-19 facility under the Delhi government that reported four deaths on Saturday.
“Also, a lot of patients coming to Delhi are from neighboring cities or states and they are being brought in in very sick conditions, so again the survival rate is low,” Sherwal said when asked why the cases of Deaths are increasing when daily cases are now falling.
At RGSSH, of the total 500 beds, 400 are for ICU and HDU patients, and 162 beds in the ICU are occupied, he said.
Previously, one or two Covid deaths occurred daily at the hospital, but four patients died on Saturday, which was a “relatively large number,” Sherwal added.
The average Covid-19 death rate in Delhi over the past 10 days is 0.94 percent, according to Saturday’s health bulletin.
Dr Suranjit Chatterjee, Senior Consultant for Internal Medicine at Apollo Hospitals in Delhi, echoed Sherwal’s view, saying that patients from Haryana, Madhya Pradesh and elsewhere are being brought to the facility here on “a condition very sick”.
He added that patients from Delhi are also being brought in there.
“If they are already sick and have traveled such a long distance, despite the best efforts of physicians and standardized treatment protocols, many of these patients die, especially those with comorbidities whose condition can suddenly deteriorate,” he said.
Chatterjee also speculated that the “time lag” in moving elderly patients from home isolation to a hospital could result in the deaths of many.
“There has to be a very low threshold in this transition from home quarantine to hospital, especially for patients 60 and older who have comorbidities. I would say these patients with comorbidities should be referred to any good Covid hospital instead of put under home isolation if we have to save lives, “he said.
Dr. Amarinder Singh Malhi, from AIIMS cardiovascular radiology department here, when asked about daily cases, said “it is too early to say whether we have passed the peak.”
Cases may have stalled or decreased a bit, but there is no significant reduction. People should behave responsibly in the coming months and go out only if there is an emergency, he said.
Giridhar Babu from the Public Health Foundation of India said there is always a “backlog” in reporting deaths.
“Generally 14-17 days after an increase in cases, a large number of deaths will be reported. The increase in cases in Delhi could have started two weeks earlier, so due to that increase, regardless of complications related to the hospitalization that have occurred, seen now. If the increase in cases continues, we will have to observe the number of deaths as well, “he said.

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