Bihar Revises Covid toll, Deaths Jump to Over 9,000

The substantial increase in Bihar’s death toll – from 5,458 cumulative deaths on June 8 to 9,429 deaths on June 9 – is being hailed by health professionals as a significant start toward restoring faith in Covid-related mortality in the northern states. It also questions the government data credibility.
The State administration, prompted by the Patna High Court, which had flagged “irregularities” in the death count on May 17, conducted a 21-day investigation in every district at two levels – one team led by the Patna Medical College Principal and Medical Superintendent, as well as the Head of the Department of Health, and the other team involving the Civil Surgeon, ACMO, and a medical officer at the district level. Officially revealed is the corrected count, which shows that Bihar has 3,971 more deaths than previously reported.
The “unaccounted” deaths, according to Additional Secretary (Health) Pratyay Amrit, were due to the fact that some Covid-related deaths were not counted in private hospitals, then deaths in-transit to health facilities, under home isolation, and those dying of post-Covid-19 complications after testing negative. All of these deceased have now been identified. Deaths have increased by 200 percent in some districts, including Kaimur, East Champaran, Saharsa, and Begusarai.
While this has earned the government, particularly Chief Minister Nitish Kumar, harsh criticism from his political opponents, particularly Rashtriya Janata Dal (RJD) leader Tejaswi Yadav, some in the Opposition admit that it is a welcome step given the state of existing health infrastructure in Bihar. “Before the aggrieved folks may get some recompense, we need to know what happened. The government has declared a compensation of Rs. 4 lakhs for those who have died; however, the dead must first be counted before the families can be rewarded.
This simply emphasizes how critical it is to improve the state’s health infrastructure. “We need to spend more on health,” said Shakeel Ahmad Khan, a former President of Jawaharlal Nehru University and a Congress MLA (JNU).

According to Dr. Sahajanand, a member of the Indian Medical Association’s (IMA) Bihar chapter, revising the mortality count is a “good” step. “There is no harm in rectifying a mistake if one exists. There has always been a feeling that a large number of deaths have gone uncounted. The truth has come out now that the government has conducted a thorough investigation. Dr. Sahjanand stated, “It’s good to restore trust to the numbers.”
Dr. C. P. Thakur, a former Union Health Minister and a pioneer in Kala Azar research, said, there are several causes for the undercounting of deaths in Bihar. “You must understand that rural Bihar was spared in the first wave. The death toll remained extremely low. The administration was caught off guard by the second surge. In Bihar, data confidence is being restored, which is a positive thing. There could be a variety of reasons for underreporting, but I don’t believe this should be used as a political football. He added, “The government has done well to come clean.”
Sushil Modi, the former Deputy Chief Minister of Bihar and a BJP leader, goes on to say that the death toll was low for a variety of reasons, and that the government has no intention of concealing deaths. “My own brother passed away in Patna’s greatest private hospital. The hospital, however, did not record his death. Because individuals were unfamiliar with the protocol, many of these deaths at private hospitals and nursing homes in rural and metropolitan locations went unreported. In addition, many patients who tested negative eventually died from Covid-related problems. The government is providing $45,000 in compensation and relief to the victims’ widows and children; we’d like to know how many people died,” he said.
Other States like Maharashtra and Tamil Nadu have recalculated death rates in the past. Recalibration occurs when numbers are not reported on time, or as per the ICMR (Indian Council of Medical Research) requirement, with the correct details or ID; there could be a mismatch in details, spelling mistakes, and these must be checked before a Covid death is declared, according to Suresh Kakani, Additional Commissioner, Municipal Corporation Greater of Mumbai (MCGM). Hospitals are so busy treating patients that paperwork piles up, making it difficult to retrace a specific patient’s history, he added.
As politician give reason which seems more like covering up situation, if they are true then its good. But if they only try to defending themselves on this serious matter. Then it is very awful that even in this pandemic government is not serious about their work and for the life’s of the people.

PC- India Today, Kalinga TV

The Healthcare System of Bihar Failed

In contrast to other Indian states, Bihar has the worst health results. In this time of the pandemic, it is clear how badly the state’s healthcare system has been ravaged. The healthcare system issues are conveniently found here. But the most interesting aspect is that if the hospital is built, a large lock would be found in the doors. Furthermore, if any equipment is provided but the medical staff is not qualified to use it,
The central government purchased about 60,000 “Made in India” ventilators after the coronavirus pandemic hit India in March 2020. The PM Cares fund provided funding for 50,000 of them, totaling about Rs 2,000 crore. The states received 17,100 ventilators out of this total. Although the state-by-state distribution is not publicly available, a Bihar official reported that all district hospitals in the state had received them. The ventilators arrived in the hospitals between July and September, according to interviews with district health officials by The Scroll report.
However, according to a Scroll. in the investigation, the majority of these ventilators in Bihar are still not operational. They contacted district hospitals in each of the state’s 38 districts. Although they were unable to reach officials in five districts, 33 district hospitals reported that ventilators were delivered last year. However, the ventilators are also not working in 25 of them. According to officials, this was mostly due to a scarcity of doctors and qualified technicians. In certain cases, district hospitals lacked the necessary facilities for ventilators to operate properly, such as on-site oxygen plants, pipelines, and uninterruptible power supply devices.

Officials claim that even in district hospitals where ventilators are operational, they are run with insufficient manpower.
Doctors operate ventilators without technicians in the Champaran (East) district hospital, for example, when there is an emergency, according to civil surgeon Akhileshwar Prasad Singh. “It would be beneficial if we could get some technicians.”
Doctors agree that full-time technicians are essential for the safe operation of these devices. Sunil Kumar Jha, Madhubani’s chief surgeon, said, “These instruments are prone to malfunctioning, so a technician who is always keeping a watch is a must.”
None of the six ventilators delivered to the Madhubani district hospital are working. “We only have one doctor, which is insufficient,” Jha said. “We’ll need at least four ventilators for six ventilators. Offer us at least three if not four.”
Over 2 lakh residents of Gaya district’s Khijarsarai block headquarters depend on a single Primary Health Centre (PHC) for their healthcare needs. To fulfill this obligation, the PHC has only one house, six general beds, and a handful of oxygen cylinders. There are only three doctors here, one of whom is also responsible for the administrative duties of the center’s in-charge.
Another PHC, located in Aurai, Muzaffarpur district, about 200 kilometers from Khijarasarai, is in the same state. Aurai PHC has only four doctors and 20 beds, none of which are fitted with ventilators, and there is no Intensive Care Unit (ICU) to care for seriously ill patients.
Consider the district of Kaimur in Bihar’s southwest. Patients from the district must fly to Patna, which is nearly six hours away, to receive critical treatment. Even though the Kaimur district hospital has six ventilators of its own, which were supplied by the Centre last year but remain unusable.
This practice of referring vital patients to Patna, according to experts, was unsustainable in any case these days. “Despite all their contacts, people in Patna are struggling to get ICU beds,” said a development professional working in the health sector in North Bihar, who requested anonymity because she worked closely with the state government. “
In Bihar, a persistent shortage of health workers is an issue. According to government statistics, one doctor serves over 28,000 people in the state, the worst ratio in the world. According to the state government’s court filings last year, 8,768 of the 11,645 sanctioned doctor positions in the state remained unfilled. Rural areas accounted for about 5,600 of these positions.
This is the current situation in Bihar because the state government has had more than a year to plan for the COVID-19 pandemic’s surging second wave. Now the third wave is announced and as per cases of Bihar, it is not wrong if we say it devastation by lack of facilities under the guidance of the Government of Bihar.

PC- Times now, The Indian Express