Defence Minister has directed armed forces to procure critical medical equipments

Tribune News Service
New Delhi, April 23

As hospitals across the country reel under shortage of medical oxygen amidst the second wave of COVID-19, the Armed Forces Medical Service (AFMS) has decided to import oxygen generation plants and containers from Germany to meet critical requirements.

These oxygen generating plants are expected to be here within a week, said Ministry of Defence spokesperson Bharat Bhushan Babu on Friday.

The oxygen units will be deployed only at military hospitals that are straining under an increased load of serving personnel and retired veterans. Fresh instructions and revised protocols were issued by service headquarters last week to help mitigate the spread of infections.

“These 23 mobile oxygen generation plants are being airlifted from Germany. These will be deployed in AFMS hospitals catering to the COVID patients,” Babu said.

Defence Minister Rajnath Singh, at a high-level review meeting on April 20, directed the armed forces to go ahead with the procurement of critical medical requirements under emergency powers of procurement.

These oxygen generating plants are expected within a week, according to the Ministry of Defence.

The Defence Research and Development Organisation has also pitched in with oxygen generation plants and associated equipment produced by it. In addition to other gadgets, the onboard oxygen generation plant developed for the Tejas fighter has been adapted for medical use.

As the country witnesses an unprecedented number of COVID-19 infections, the Armed Forces have deployed their men, equipment and facilities to assist the civilian administration as and where required.

IAF aircraft as well as Army’s railway wagons have also been pressed into service to ferry oxygen tankers and oxygen cylinders along with other essential items to various parts of the country. Military medical facilities are also open to treating civilian patients.

The PM holds a meeting with CMs. Photo credit: Twitter/PIBIndia

Aditi Tandon

Tribune News Service

New Delhi, April 23

Close on the heels of 25 critically ill Covid patients dying at Delhi’s Gangaram Hospital which was reeling under oxygen shortage all night, Prime Minister Narendra Modi on Friday said the Indian Air Force had been deployed to reduce travel time for oxygen supplies.

Faced with the most humongous challenge of his seven-year rule at the Centre, the PM met chief ministers of 11 high-burden states as daily Covid cases crossed the 3.3 lakh mark, continuing to push health systems to the breaking point.

Even as the PM engaged chief ministers on oxygen crisis, hospitals across the national capital took to Twitter to send alarm messages to authorities saying they had only a few hours of oxygen left to sustain patients.

The medical director of Gangaram Hospital on Friday morning said 25 patients had died and over 60 others were in need of medical oxygen supplies.

Similar stories emanated from Delhi’s Holy Family Hospital, Guru Teg Bahadur Hospital and several others which have been spending their days flagging critically low oxygen supplies when they should have been tending to sick patients.

Outside Guru Teg Bahadur Hospital, desperate family members wailed expressing horror and shock at the state of affairs. A woman whose husband had been lying in the open since last night for want of bed or oxygen broke down saying, “Aise kaise chalega?”

Cries of disbelief and anguish rent the air outside all Delhi hospitals even as state Chief Minister Arvind Kejriwal was ticked off by the PM for telecasting his live address at the official meet.

Kejriwal was heard saying to PM at the meet, “Please, Mr PM, call up the chief ministers of states that are blocking oxygen supplies to Delhi even after you enhanced our quota and also tell us who should we call in the Centre if reports or supply obstruction continue to come in. Will Delhi gasp for oxygen because we do not have oxygen plants here?”

The PM interrupted Kejriwal as he relayed his address live and said, “What is being done is against the decorum and discipline of the internal meeting. This is not right.”

Kejriwal apologised, saying “Will take care in future and please forgive me for any trespass.”

The PM said railways and the IAF had been pressed into service to smoothen oxygen supply. The PM urged states to come down heavily on hoarders and black-marketers of essential medicines and injections and acknowledged that Covid is now affecting several states as well as Tier 2 and Tier 3 cities at once.

“We have to work together. If we work together our resources won’t look scarce,” said the PM.

On oxygen supply, he said industrial oxygen had been diverted to meet immediate requirement and urged all states to work together and coordinate with one another to fulfil requirements relating to medicines and oxygen.

“Every state should ensure that no oxygen tanker, whether it is meant for any state, is stopped or gets stranded. Every state should set up a high-level coordination committee to carry oxygen to different hospitals. This committee should ensure that as soon as there is allotment of oxygen from the Centre, it can deliver oxygen as per requirement in different hospitals of the state immediately.”

The PM later met leading oxygen manufacturers and urged them to further boost supplies.

After the CMs flagged supply constraints and travel time loss as the major challenges to the oxygen issue, the PM said, “The central government is working all possible options to reduce the travel time and turnaround time of oxygen tankers. For this, the railways has started Oxygen Express. Empty oxygen tankers are also being transported by the Air Force to reduce one-way travel time.”

In an important message to states, the PM urged more testing to detect the latent infections. He said the Centre had provided 13 crore vaccine doses free of cost to the states.

“We will need to work in mission mode to get more and more people vaccinated,” the PM said, urging hospital safety after oxygen tanker leak at a Nashik hospital left 24 dead.

शरीर में ब्लड प्रेशर

*120 / 80 — Normal *
130 / 85 — Normal (Control)
140 / 90 — High थोड़ा बढ़ा हुआ
150 / 95 — Very High बहुत ज्यादा

Oxygen Leval)
ऑक्सिजन लेव्हल

ऑक्सिजन ऑक्सिमीटर से चेक करने पर..
*94 – Normal *
95, 96, 97 se 100 oxygen level बहुत अच्छा.
90 ते 93 ऑक्सिजन लेव्हल जरा कम
80 ते 89 ऑक्सिजन लेव्हल बहुत कम डॉक्टर की सलाह पर एडमिट होना चाहिए.

PULSE

72 Per Minute (Standard) बहुत अच्छा.
60 — 80 P.M. (Normal) मध्यम
90 ते 120 Pulse बढ़ा हुआ

TEMPERATURE

डिजिटल थरमामीटर से चेक करने पर .

92 ते 98.6 F (Fever) तक बुखार नही (Normal)
99.0 F थोडा बुखार
100 .F से 102 F ज्यादा बुखार
HRCT या chest CT SCAN करने पर.

1. HRCT score: 0 – 8 (Mild Infection).
   2.HRCT score: 9 – 18 (Moderate Infection).
2. HRCT score: 19 – 25 गंभीर (Severe Infection) .
   👇
   उपचार :
3. Mild infections में नार्मल मेडिसिन से ठीक हो सकते है.
4. सेवियर इंफेक्शन के लिए ऑक्सिजन और वेंटिलेटर की आवश्यकता होती है
   👇
   HRCT Score मतलब क्या ?
   कोरोना इन्फेक्शन के कारण ऑक्सिजन अब्सॉर्ब करने वाली थैलियो पर सूजन आकर उनमें कफ। पानी भरना।
   CT SCAN करते समय लंग के 25 भाग करके उसमें से कितने भाग इन्फेक्टेड है यह देखकर उसका स्कोर निकला जाता है।
   अर्थात जितना ज्यादा स्कोर उतना ऑक्सीजन लेने में दिक्कत और उतना ही रिस्क ज्यादा।

👇
Take care ,and Be safe.

कोरोना के लिए घर पर आवश्यक चिकित्सा किट:–

1. पारासिटामोल या डोलो 650 mg SOS leve
2. बीटाडीन गार्गल माउथवॉश के लिए गुनगुने पानी के साथ
3. विटामिन सी जैसे
   Tab Limcee 500mg चूसने की दिन में 3 या 4 बार ।।ये बहुत ही शक्तिशाली एंटीऑक्सीडेंट है बहुत ही कारगर है इममुनिटी बढ़ाता है ।।वायरस को असक्रिय कर देती हैं।

और
Tab विटामिन D3 60k
सप्ताह में एक 4 सप्ताह तक

4.Tab बी कॉम्प्लेक्स साथ मे मल्टीविटामिन एव ट्रेस एलिमेंट्स
जैसे Neurokind plus
रोज एक 10 से 15 दिन तक
इममुनिटी के लिये

5. भाप लेवे -गले मे खराश ठीक एव वायरल लोड कम कर वायरस को असक्रिय कर देता है
6. पल्स ऑक्सीमेटर रखे ऑक्सिजन लेवल देखने के लिए
   नॉर्मल 90 से ऊपर होना चाहिए
7. ऑक्सीजन सिलेंडर (केवल आपातकाल के लिए)
8. सास लेने में तकलीफ होतो उल्टा पीठ के बल सोये जिससे फेफड़ो में ऑक्सिजन सर्कुलेशन बढ़ जाता हैं
   9 गुनगुने पानी मे नमक के गरारे कर एव गुनगुने पानी मे निम्बू निचोड़ कर दिन में 3 या 4 बार पिये

गहरी साँस लेने के व्यायाम करे

👉कोरोना के तीन चरण:-

1. केवल नाक में कोरोना –
   रिकवरी का समय आधा दिन होता है,
   इसमें आमतौर पर बुखार नहीं होता है और
   इसे असिम्टोमाटिक कहते है |
   इसमें क्या करे :-
   स्टीम इन्हेलिंग करे व विटामिन सी लें |
2. गले में खराश –
   रिकवरी का समय 1 दिन होता है
   इसमें क्या करे : –
   गर्म पानी का गरारा करें, पीने में गर्म पानी लें, निम्बू पानी लेवे
   अगर बुखार हो तो पारासिटामोल लें |
   अगर गंभीर हो तो विटामिन सी, बी.
   कम्पलेक्स ,डी और एंटीबायोटिक लें |
3. फेफड़े में खांसी –
   4 से 5 दिन में खांसी और सांस फूलना।
   इसमें क्या करें :
   गर्म पानी का गरारा करें, पीने में गर्म पानी लें, निम्बू पानी लेवे
   विटामिन सी, बी कॉम्प्लेक्स, पारासिटामोल ले
   और गुनगुने पानी के साथ नींबू का सेवन करे|
   पल्स ऑक्सिमीटर से अपने ऑक्सीजन लेवल की
   जाँच करते रहे | अगर आपके पास ऑक्सीमेटर
   नहीं हो तो आप किसी भी दवा दुकान से खरीद ले
   अथवा
   गहरी साँस लेने का व्यायाम करे
   अगर समस्या गंभीर हो तो ऑक्सीजन
   सिलिंडर मंगाए और डॉक्टर से ऑनलाइन
   परामर्श ले |
   बहुत ज्यादा तकलीफ होतो एंटीवायरल मेडिसिन चिकित्सक परामर्श से लेवे।

अस्पताल जाने के लिए स्टेज:
ऑक्सिमीटर से अपने ऑक्सीजन लेवल की
जाँच करते रहे। यदि यह 92(सामान्य 95-100) के
पास जाता है और आपको कोरोना के लक्षण
(जैसे की बुखार, सांस फूलना इत्यादि) हैं तो
आपको ऑक्सीजन सिलेंडर की आवश्यकता
होती है। इसके लिए तुरंत नजदीकी स्वास्थ
सेवा केंद्र पे संपर्क करे व परामर्श ले |

स्वस्थ रहें, सुरक्षित रहें!
कृपया अपने परिवार और समाज का
ख्याल रखें | घर पे रहे और सुरक्षित रहे |
ध्यान दें:
कोरोनावायरस का pH 5.5 से 8.5 तक
होता है
इसलिए, वायरस को खत्म करने के लिए
हमें बस इतना करना है कि वायरस की
अम्लता के स्तर से अधिक क्षारीय खाद्य
पदार्थों का सेवन करें।
जैसे कि:

• केले
• हरा नींबू – 9.9 पीएच
• पीला नींबू – 8.2 पीएच
• एवोकैडो – 15.6 पीएच
• लहसुन – 13.2 पीएच
• आम – 8.7 पीएच
• कीनू – 8.5 पीएच
• अनानास – 12.7 पीएच
• जलकुंड – 22.7 पीएच
• संतरे – 9.2 पीएच

कैसे पता चलेगा कि आप
कोरोना वायरस से संक्रमित हैं .?

1. गला सुखना
2. सूखी खांसी
3. शरीर का उच्च तापमान
4. सांस की तकलीफ
5. सिर दर्द
   ६. बदन दर्द

गर्म पानी के साथ नींबू पीने से वायरस
फेफड़ों तक पहुँचने से पहले ही खत्म
हो जाते हैं |

इस जानकारी को खुद तक न रखें।
इसे अपने सभी परिवार और दोस्तों और
सभी के साथ शेयर करे ।
आपको नहीं पता की इस जानकारी को
शेयर करके आप कितनी जान बचा रहे है |
इसे शेयर करे और लोगों की मदद करे ताकि अधिक से अधिक लोगों को जानकारी हो सके एवं कोरोना से बचाव हो

Army sets up Solar Power Plant at Jalandhar

Jalandhar : April 22,  2021: On the occasion of Earth Day and ‘Go Green’ initiative, Indian Army’s Solar Power Plant at Jalandhar Cantt was inaugurated by Lieutenant General C Bansi Ponnappa, General Officer Commanding, Vajra Corps on 22 Apr 2021 and dedicated to Military Hospital, Jalandhar. This will also boost the services to fight against Covid-19.

            The “1 MW Solar Power Plant” constructed under the aegis of Vajra Corps was conceptualized and planned as part of Major Work Programme of the Army, in pursuance to government policy to rely more on renewable energy and support ‘Go Green’ initiative to save environment.

            The Solar power project spans across 5 acres land and has been constructed at an overall cost of 5.16 Crore. Under this project, a total of 3176 Solar panel of Indian origin have been setup to generate 1 MW of Solar energy.

            The Plant would generate at least 15 lakhs units of electricity annually or about                   1.25 lakhs units per month, amounting to approximate saving of Rupees One Crore annually to the Government exchequer.

Indian Army in collaboration with
War Widows Association, New Delhi felicitated 46 Veernaris & Veermatas from Doda-Kishtwar district at Community Hall, Bhaderwah. A one time grant of 10,000/- was handed over to all the 36 of them who could attend the event. Balance of them are receiving it through RTGS.
Mrs Tambay, President of War Widow Association, is an Arjuna Awardee, 6 times Nationals Champion in Badminton & wife of Flt lt VV Tambay, who went missing in action in one of his operational sorties during 1971 war. She interacted & noted down the grievances.

Dear General, Comdt BHDC .. Our personal experience with my brother Col R S Bedi who died of covid was exceptional. The excellent care and efficient management including the dignified military honour send off with wreath laying etc conducted by the military and your staff at BHDC was laudable. So proud of your establishment”s commendable efficiency, professional work  and compassion in these trying times. I am convinced that any negative publicity directed at your establishment is definitely misplaced and unwarranted. Jai Hind. Maj Gen M S Bedi (retd)

*Lt Gen MS Dadwal*, has survived the Covid Attack. He and *Col Ravi Bedi*, both our course mates were admitted in the Army  Base Hospital,(BH) Delhi Cantt together.

As you are aware, Ravi Bedi unfortunately did not make it back. He is the first Covid victim of our course. May his soul RIP eternally.

Given below is the  FIRST HAND  experience of *Lt Gen MS Dadwal*:-

“Gentlemen I was discharged from the BH on 21 Apr at 2.30 PM. The Hospital is completely FULL and overflowing much beyond its stipulated bed capacity.*

They are only admitting critical cases. They admitted me on 17 Apr (FN) because my Lung CT Scan report, done in a Pvt Lab, showed all four lobes damaged due to penetration by the virus. Damage was from 26% to 49%.
Col RS Bedi was admitted on 16 Apr at 10 PM due to acute Covid Pneumonia.

They  put me on Oxygen forthwith and treated me for 4 days.  During this period I was shifted from General ward to Offrs Ward.  Once I had regained my oxygen levels and other critical parameters, I was requested to leave in order to make way for more serious patients.

On admission  a patient needs a dedicated bed with  oxygen connection,  monitoring instruments and other paraphernalia.
The staff is totally insufficient but they are doing their utmost.  Some of the staff are also getting infected and quarantined..
They are overworked and are required to  wear PPE throughout their tour of duty which is not easy day in day out. They have to move around the huge  area over which  the wards are spread attending to the emergencies and  other on call duties. I believe they are doing a remarkable job.

Brig Ravi Saigal,  our course mate while in queue waiting to collect his RT-PCR Report collapsed at the rxn centre. He had tested positive. He was kept in the hospital to be given  a Saline IV to regain consciousness and thereafter  discharged. Saigal and his wife (also tested +ve)  were advised home quarantine and self medication under doctors advise.
My experience and impression is that the BH and it’s staff is doing a great job in looking after both our Serving Offrs and veterans without any distinction.
.
The Covid Surge has happened and has effected all sections of our society including the Armed Forces. There is a complete overload on all our  systems which is being covered by the media.
The BH capacity is now being increased by moving out Non Covid patients to R&R Hospital. In  addition Army and DRDO have reopened the Vallabhbhai Covid Hospital adjacent to Palam Airport T1, which is open to all.
Please  don’t curse, rant and criticise the Army. In this crisis the whole nation has to sp each other. It is a national crisis.

All civ &  paramil med  resources incl hotels are being commandeered and  converted to Covid Facilities. It  is a national effort. We have to remember that  our veterans are being treated all over India,  in  Govt and Pvt hospitals. 

My appeal is please see the larger  picture and offer our full sp in this hour of crisis.
I am lucky I survived the ordeal, thanks to the care and support of the Army Base Hospital. My very dear friend Ravi Bedi was not so lucky. Om Shanti

Manbir Dadwal

. All Col Veterans to kindly pass it to the veterans to keep in touch with the ESM Cells over the covid situation in each station.
2. All measures to be taken by the ESM CELLS to come to the aid of any veteran seeking help.
3. Emergency numbers to be manned at each station 24×7.
4. Veterans are authorized treatment in the local MH and they should not be turned away from the MHs
5. All Stn ESM Cells to ensure that info of Covid Care Facilities in each district are known to the Veterans and they do not lose time looking for information of the closest such facility.
6. Veterans must keep in touch with each other especially where they are living in isolated areas without family support. ESM Cells may evolve a process to ensure that a system of buddy pairs is made amongst the Veterans to take care of each other.
7. Guidelines and advisories to be made in local language by all ESM Cells and promulgated to all Veterans.
8. Whatever be the situation, The Indian Army will continue to look after its Veterans and all veterans should be reassured that they can approach us for any kind of assistance in these trying times.
All Director and Col Veterans to please confirm to me through this whatssap group that these measures have been incorporated in their AOR.

According to top South Block officials, with the IAF’s first Rafale squadron just one short of completion in Ambala, the Chinese have moved their so-called fifth generation fighter J-20 ahead in the Tibet and Xinjiang airbases
With the Indian Air Force’s (IAF) Rafale fighter successfully test-firing the 60km range Hammer air-to-ground modular weapon in March, the air defence posture of both China and Pakistan has changed in the wake of the advent of the multi-role fighter in South Asia, according to people familiar with the matter.
The Hammer weapon secured a bunker-busting vertical hit on its target at the testing location. According to top South Block officials, with the IAF’s first Rafale squadron just one short of completion in Ambala, the Chinese have moved their so-called fifth generation fighter J-20 ahead in the Tibet and Xinjiang airbases. The Pakistanis have also moved their Chinese import JF-17 fighter in key forward bases to tackle the clear and present threat of the Rafale fighter. Although the Chinese say the J-20 is the third operational fifth-generation fighter after the US F-22 and F-35, genuine fifth-generation fighters developed by the Americans do not have a canard that further reduces the cross-section of the plane, the officials said. The Chinese J-20 has the same canard as the Rafale, which the IAF calls a 4.5-generation fighter.
IAF chief Rakesh Bhadauria with the RB007 fighter jet. All Rafale jets carry the RB call sign in honour of Bhadauria, who played a key role in negotiating the fighter jet deal

The Chinese and Pakistani air posture has also undergone a change with IAF’s induction of the Rafale as the latter carries the Meteor air-to-air missile, whose range is way beyond any missile the other two forces have in their arsenal. The Hammer and Scalp air-launched cruise missile with a range of over 500km ensures that the adversary will have no early warning as the two weapons can be launched from within Indian territory and beyond visual range.
While India could only send three out of five readied fighters from the Merignac Bordeaux airbase in France on Wednesday due to unforeseen reasons, seven more fighters have been lined up for delivery to IAF next month. Although the seven fighters may come in batches of three and four, six of them will be flown to the Hashimara airbase in West Bengal via Ambala. The re-pavement and extension of the main runway at Hashimara, which sits astride the Siliguri corridor, is expected to be completed by this month-end. The Haishmara upgrade also includes blast pens and surface-to-air missile batteries to protect the vital base.

Two IAF MiG-29 fighter jets fly over the Himalayan ranges along the LAC in Ladakh
Beijing: China said on Wednesday that it was committed to maintain peace and stability along the Line of Actual Control (LAC) as it urged India to put the boundary issue at an “appropriate position” and meet it “halfway” for the long term development of the bilateral ties.
Chinese Foreign Ministry spokesman Wang Wenbin said this at his media briefing as he parried questions on India’s assertion that consensus reached by the leaders on maintaining peace along the border cannot be swept under the carpet.
Indian Ambassador to China Vikram Misri in his recent address to the India-China dialogue forum said that the significance of the consensus reached between leaders of the two countries to maintain peace along the LAC cannot be “swept under the carpet” and called for the complete disengagement of troops in Eastern Ladakh to rebuild bilateral ties strained by the “serious incidents”.
In a candid address to the ICWA (Indian Council of World Affairs)-CPIFA (Chinese People’s Institute of Foreign Affairs) virtual dialogue on April 15, Misri also questioned the Chinese officials ignoring the “significant consensus” reached by the leaders of the two sides about the importance of maintaining peace along the LAC.
Asked for his reaction, Wang said that both sides held in-depth and candid talks on resolving the disengagement from the remaining areas of Eastern Ladakh after the withdrawal from Pangong Tso lake area.
Top Commanders of the two militaries held the 11th round of talks on April 9 to disengage the troops from Hot Springs, Gogra and Depsang areas in Eastern Ladakh.
“On the issue of China-India boundary situation, China’s position is consistent and clear. We are committed to maintaining peace and stability in the border areas and we are firmly determined to safeguard our territorial sovereignty and security,” Wang said.
“Recently, the two sides have maintained communications through diplomatic and military channels. On the basis of disengagement in the Galwan Valley and the Pangong Tso regions, the two sides exchanged in depth and in a candid manner, opinions on resolving the remaining issue in the Western section of the boundary,” he said.
“We hope India will meet China halfway and will focus on the bigger picture of long term development of bilateral relations, put the boundary at an appropriate position and work to bring relations back to the track of steady and sound development,” he said.
To a follow-up question on Misri’s remarks, Wang reiterated that “we hope that India will meet China halfway and focus on the long-term development of bilateral relations, cherish the existing hard-won momentum for the de-escalation and take concrete measures to safeguard peace and tranquillity along the border and work to bring bilateral relations back to the track of sound and steady development”.
Asked why China is not disengaging its troops from the remaining areas after the withdrawal from Pangong Tso, Wang said, “I would like to stress that recently, China and India through diplomatic and military channels maintained close communications”.
“On the basis of realising disengagement in the Galwan Valley and Pangong Tso, the two sides held candid and in-depth exchange of views on resolving remaining issues in the Western section of the boundary,” he said.
“We hope that the Indian side will abide by the agreements between the two militaries and consensus of the two sides and take concrete measures to safeguard peace and tranquillity along the border,” he said.
In his address, Misri said the “sustainable solution” to the “present difficulties” in the Sino-India relations is “it must be one, as External Affairs Minister Dr. S Jaishankar has suggested, that is based on mutual sensitivity and respect and paves the way for maximizing our mutual interests”.
“The first is to note the importance of the two sides having maintained a sustained diplomatic and military dialogue in attempting to resolve issues. These discussions thus far have helped in achieving substantial disengagement of our forces,” he said.
“The second is to point out that senior leaders on both sides have committed and agreed that we must achieve complete disengagement in all friction areas. That would be an important first step towards considering de-escalation; it would also help in restoring peace and tranquillity and, together, these would provide conditions for gradual and step-by-step progress in the bilateral relationship,” he said.
“This is also what would begin to restore trust and confidence in the relationship and help us rebuild the foundation of the relationship that was damaged through last year’s actions in Eastern Ladakh,” Misri had said.