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WHO, India VOC, global concern https://www.who.int https://www.bbc.co.uk/news/world-asia-india-57067190 Same status as UK, South Africa and Brazil Spreads more easily than other variants Required more study More than 30 countries May be some evidence of reduced neutralization India Link between variant and second wave Cases, + 366,161 Deaths, + 3,754 Andhra Pradesh, 11 deaths overnight, oxygen tanker delayed Under reported deaths https://www.dw.com/en/india-bodies-of-suspected-covid-19-victims-wash-up-on-ganges-riverbanks/a-57489467 https://www.bbc.co.uk/news/world-asia-india-56969086 11th April, Ahmedabad, 69 body bags, 20 deaths reported 16th April, visited 21 cremation grounds, 200 bodies, 25deaths reported 5th May, 500, 83 Gujarat, possibly x 10 35 – 40 bodies recovered from Ganges in Bihar, from Uttar Pradesh Vaccination Two doses, 34.8 million (2.5%) Joint Statement on Widespread Use of Ivermectin in India for Prevention and Early Treatment https://covid19criticalcare.com https://covid19criticalcare.com/videos-and-press/flccc-releases/joint-statement-may-03-2021-joint-statement-on-widespread-use-of-ivermectin-in-india-for-prevention-and-early-treatment The Evidence-Based Medicine Consultancy Frontline Covid Critical Care Alliance British Ivermectin Recommendation Development (BiRD) panel Re-purposed existing drugs Ivermectin, a safe medicine which has been used for nearly 40 years to treat parasitic infections 3.7 billion people have been treated with Ivermectin for parasitic infections and it has been found to be extremely safe New evidence shows that it has potent antiviral and anti-inflammatory properties as well urge the Indian Government and all states in India to adopt Ivermectin as a matter of urgency as a front line prophylaxis and treatment for Covid-19 All India Institute of Medical Sciences and Indian Council of Medical Research have urgently responded with a recommendation to use Ivermectin in mild outpatient illness We also recommend that Ivermectin be used as covid-19 prophylaxis on a large scale through mass distribution of Ivermectin in the dose of 0.2mg/kg (12mg for a 60 kg person) weekly to adults to decrease transmission amongst the general population in the current crisis We believe this will save thousands of lives and reduces the suffering of millions. Dr. Tess Lawrie, Dr Shashikanth Manikappa, Dr Pierre Kory Mucormycosis https://www.cdc.gov/fungal/diseases/mucormycosis/index.html https://emedicine.medscape.com/article/222551-overview Mucor mould Typically, 2 weeks after recovery Stuffy and bleeding nose Periorbital swelling and pain in the eye Drooping of eyelids Blurred vision leading to loss of vision Black discharge from the nose Prevent Manage diabetes Correct use and monitoring of steroids Manage blood sugar throughout treatment Treat Anti-fungal intravenous injection 3,500 rupees ($48) a dose Administered every day up to eight weeks Dr Hegde, Bengaluru The strain of the virus appears to be virulent, sending blood sugars soaring to very high levels. And strangely, the fungal infection is affecting a lot of young people Nepal https://www.dw.com/en/covid-19-special-nepal-struggles-to-cope-as-cases-surge/av-57487346 Airport closed Migrant workers return from India Cases increased in border towns first Already circulating in Kathmandu valley Valley has remained an epicentre Then half a million left on same day PM advocated herbal cures Political rallies, religious festivals, massive weddings 57 times more daily cases than last month Patients treated outside hospitals Indian COVID, Philippines https://www.dw.com/en/coronavirus-digest-indian-covid-variant-reaches-philippines/a-57490707 Returning workers from UAE and Oman Nigeria Population 200 million Vaccine deliveries down 4 million doses arrived so far Johnson & Johnson arriving later this year Poor compliance https://www.theguardian.com/world/live/2021/may/11/coronavirus-live-news-india-variant-of-concern-globally-says-who-pfizer-vaccine-approved-for-us-12-15-year-olds Government reimposed some lockdown restrictions Very limited testing, unreported numbers

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