After an engineer in the G north ward tested positive for COVID-19, water supply to residents of Dadar-Mahim is likely to be disrupted for a while. The entire team in charge of repairing the water pipeline has been quarantined.

The engineers and workers of G north ward offices were on essential duty of ensuring water supply, but one of them tested positive for COVID-19 late Tuesday night.

"He was on duty of repairing the water pipeline in Dharavi. In all likelihood, that is how he contracted the virus," one of the employees said.

Soon after the engineer tested positive, the BMC health department quarantined the entire team on April 29, Wednesday, to avoid further transmission. The repair work will restart only after the team gets the all-clear, which will take a while.

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While many doctors have been complaining about the non-availability of safety equipment when they examine COVID-19 patients, a businessman has come to their aid by creating a cabin for such examinations, where they need not use PPEs.

The 38-year-old Vile Parle-based man has created an 'OPD' cabin that is divided into two sections for the doctor and patient. The doctor can examine the patient without using a mask or PPE as she/he does not come into direct contact with the patient, and can immediately sanitise the cabin after this. The businessman, Jatin Shah, gave one of the cabins free of cost to the Balasaheb Thackeray Trauma Care Centre at Jogeshwari last week, and every day doctors examine at least a 100 people in it.

Shah is involved with the aluminum industry and has used the material and glass to make the cabin. He has also donated 40 cabins to the Maharashtra, Goa and Karnataka governments to examine people at the states' borders.

Shah said, "I saw many videos on social media about the challenges doctors have been facing while treating COVID-19 patients. So I decided to invent something that would help them. Within two days I created this cabin and gave it to the Jogeshwari-based trauma care centre free of cost with the help of an NGO."

Jatin Shah, the businessman

Shah said, "At the borders, 4-6 hours after testing when the report comes, if a traveller is found to be COVID-19 positive, doctors send her/him to hospital and if any patient is found negative, she/he is allowed to enter the state. I took the help of Wipro general electric, which finalised the design of this cabin and asked the Seva trust in Mumbai to contact the hospital and get the cabin approved," Shah added.

Doctor speak

"The cabin is really useful. We sent our four labourers to Shah's factory to help him construct this cabin. We also issued a letter to him from hospital superintendent Vidhya Mane. Within two days he manufactured it and gave it to us," said Dr Rangnath Jawhar of Balasaheb Thackeray Trauma Care Centre.

Features of the cabin

The cabin is 8X4 ft and divided into two spaces separated by glass. One section is used by the doctor and the other by the patient. Screening equipment including a digital thermometer and a fever gun kept inside. Both sides have a mike and speaker. A 20 lt tank stores disinfectant which gets sprayed inside

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A swimming pool maintenance employee working at the Bombay Presidency Radio Club (BPRC) in Colaba amid the Coronavirus lockdown died of electrocution on Thursday. Ramchandra Bhuneshwar's body was seen floating in the swimming pool by another staffer.

Deputy Commissioner of Police Sangramsinh Nishandar said an Accidental Death Report has been filed. "Prima facie, a 42-year-old man in charge of maintaining the swimming pool at Colaba's Radio Club died of electrocution. We have registered a case under Section 188 (disobedience to order duly promulgated by public servant) of the Indian Penal Code against Radio Club officials and the contractor for breaking lockdown norms," he said.

Senior police inspector of Colaba police Shivaji Phadtare said Bhuneshwar was taking water out of the pool with the help of an electric pump when he got electrocuted.
Sources said that Bhuneshwar, a contractual employee, was asked by his contractor Babu Khomrekar to clean the water of the swimming pool a week ago. "At the time of conducting the panchnama, Khomrekar was called by Colaba police. He told the police that Adi Mistry, a Managing Committee Member working as the Chairman of Swimming Pool and Gym at the Radio Club, told him to get Bhuneshwar to change the pool water," a source working at the Radio Club said.

Bhuneshwar is survived by wife, Vimal, two daughters and a six-year-old son. His relative, Siddhant Gaikwad, said, "Bhuneshwar was asked to continue maintenance work at Radio Club's swimming pool even during the lockdown. He lives in Murud Janjira. When no permanent staff is working at the club, why was he forced to continue his work?"

President of Radio Club, Harish Kumar Garg, said, "I am not aware how Bhuneshwar died and what was he doing at the Radio Club amid a lockdown as I am a 72-year-old man and I have been staying home."

Ramchandra Bhuneshwar

Sources said nearly a dozen Radio Club employees living at the premises spoke to the Colaba police during the panchanama. "Committee members forced these workers to leave the club amid the lockdown because they spoke to the police," source added.

Club members speak

Advocate Ravi Goenka, a member of the club, said, "We all are following the lockdown rules and sitting at home. And the rich and powerful people who are on the committee of tony clubs (i.e Radio Club) call staff to work in spite of the lockdown."

The Radio Club committee refused to answer calls. A club member said angrily, "Calling in staff to work is exploitation and violation of the lockdown."

Several members expressed surprise that the pool was filled with water and not drained as no one swims there amid the lockdown. Another member said, "We do not want this brushed away as an Accidental Death Report. A poor employee has lost his life, let us get to the bottom of this through a thorough investigation."

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Mumbai Police shared a heartbreaking and inspiring video of one of the officers who was tested positive for coronavirus,  going away for his treatment, with a promise of winning the battle against the pandemic and joining back on duty soon.

The 15-seconds video was enough to make Twitter users emotional and they heaped praises for the cop for being courageous despite testing positive for the virus. The police department said in the caption while sharing the video, "Our 29 year old frontline warrior, who tested positive for Coronavirus, just summarised what we’ve been meaning to tell you all along."

The video shows the officer bidding adieu to his colleagues and getting into an ambulance that was waiting to take him to the hospital.

Our 29 year old frontline warrior, who tested positive for Coronavirus, just summarised what we’ve been meaning to tell you all along - à¤Â•à¤¾à¤¹à¥Â€ à¤ÂŸà¥Â‡à¤Â‚शन à¤Â˜à¥Â‡à¤ÂŠ नà¤Â•à¥Â‹ रà¥Â‡, मितà¥Âà¤°à¤¾! #AamhiDutyVarAahot #MumbaiPoliceOnDuty #MumbaiFirst#TakingOnCorona pic.twitter.com/tNJWg7Ljsv

— Mumbai Police (@MumbaiPolice) April 29, 2020

The post shared on Twitter garnered more than 346,400 views and over 18,200 likes and was retweeted more than 3,600 times. The users commenting on the video said that they are praying for the officer’s speedy recovery.

That's the spirit ..salute to such a brave officer ...best wishes for his recovery

— Harish Raja (@hraja2016) April 29, 2020

I Salute and pray for the speedy recovery of all the Warriors who have been detected positive.
Tujhi kalji ghe Mitra.

— Akshay Raut (@akkir) April 29, 2020

His attitude says a lot about the young cop there... god bless â­Â
Yes tension gheu naka ... He will be back soonðŸ‘ÂÂŒ#PositiveVibes

— Neha (@IamNRGe) April 29, 2020

Get well soon sir love you all because of you we are safe and happy in mumbai..

— Aasif shaikh (@Asifshaikhseo) April 29, 2020

Salute ! Salute ! Salute

— Bharati Chaudhari (@bumekar) April 29, 2020

What do you think about the post?

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Ahead of the crucial Legislative Council election in the state, Maharashtra Chief Minister Uddhav Thackeray on Friday paid a courtesy visit to Raj Bhavan here on the occasion of Maharashtra Day and met Governor Bhagat Singh Koshyari. Their meeting lasted for around 20 minutes. The move comes at a time when the Election Commission of India (ECI) is scheduled to hold a meeting over elections to the Legislative Council in Maharashtra. The meeting is scheduled to begin at 9.30 am today. Every year, Governor and Chief Minister meet on Maharashtra Day in a traditional parade at Shivaji Park but this year the celebrations are curtailed due to COVID-19. So, the Chief Minister went to Raj Bhavan to call on the Governor, a CMO official said.

Earlier, Governor Koshyari had requested the ECI for the election to nine seats of the Legislative Council in the state. The Governor has made the request in a letter to the Election Commission, to fill the 9 seats in the legislative council, that has been lying vacant from April 24, "with a view to ending the current uncertainty in the state." He has stated that the Central government has announced many relaxation measures regarding the enforcement of lockdown in the country. As such the elections to the council seats can be held with certain guidelines, said Koshyari.

"Since Chief Minister of Maharashtra Uddhav Thackeray is not a member of either house of the State Legislature, he needs to get elected to the Council before May 27," he added. Earlier, Election Commission had withheld the election process for these 9 seats in view of the COVID-19 situation in the country. This came after Maharashtra Chief Minister Uddhav Thackeray on Wednesday called Prime Minister Narendra Modi about his nomination to the State Legislative Council. According to sources, Thackeray sought Prime Minister Modi's help, saying if it doesn't happen, he will have to resign.

Prior to that, the Maharashtra Cabinet had on April 28 once again had asked Governor Koshyari to nominate Chief Minister Thackeray to the State Legislative Council.

Before that on April 9, the state cabinet had recommended Thackeray's name for one of the two vacant MLC seats that were to be nominated by Koshyari to the Legislative Council to avoid a constitutional crisis.

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Brihanmumbai Municipal Corporation (BMC) has mandated 100 percent attendance for all its employees in offices and on-field, with some relaxation to people over 55 years of age and people with medical conditions. This comes as the country is under lockdown to prevent the spread of coronavirus, which has been found to be more fatal to elderly people and those with existing health complications. "All staff over the age of 55 years are advised to either work from home or work in the office and not go on the field. People in the medical department, including doctors, nursing staff and paramedics over the age of 55 years with co-morbidities are advised to stay home for two weeks," the order issued on Friday said.

The BMC also advised all staff, who live outside its limits like Thane, Navi Mumbai, Mira Bhaynder, or Palghar, etc, to contact the nearest Ward office so they can render their services to the nearest ward office from their residence, instead of their original current posting. Earlier this week, Mumbai Police had asked its personnel who are above 55 years of age to stay at home during the coronavirus lockdown.

According to the Medical Education and Drugs Department of Maharashtra, 7061 people have tested positive for COVID-19 in the Mumbai Municipal Corporation area while 290 have lost their lives and another 1,180 have recovered after receiving treatment.

Maharashtra, however, remains the worst affected state in the country with at least 10,498 coronavirus cases as on Friday.

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It took the BMC a full week to quarantine over two dozen high-risk patients, including the family of a Govandi resident who was posthumously found to have COVID-19. Right after the woman's death on Sunday, six neighbours got themselves tested at a fever camp and four returned positive over the next few days.

The woman, 55, was admitted at Rajawadi Hospital on April 24 and died on Sunday. A local social group identified 21 people as her high-risk contacts with symptoms.

While protocol states that family members and high-risk contacts should be tested and quarantined immediately, around 25 people were isolated at Vishnu Nagar in Mahul village only on Friday.

Of the six that visited the Mankhurd fever camp on Monday, one tested positive on Wednesday and was quarantined, two on Thursday. One positive diabetic patient is still at home as they require heightened care at a hospital.

Shankar Patil, president of the Govandi-based social group Rahul Seva Mandal, who highlighted the case in an email to CM Uddhav Thackeray on April 29, said, "The woman already had hypertension and diabetes. Later, her relatives, some family members and neighbours started showing symptoms. All live in Lumbini Baug in Panchsheel chawl so it is impossible to practise social distancing. They also use common toilets."

A neighbour whose husband has tested positive

The mandal had conducted its survey in the chawl on Saturday. Shankar said, "Had they not decided to get themselves tested, it would have been impossible to contain the spread."

'BMC's efforts taking time'

A neighbour — whose husband is one of the positive patients — went to the fever camp on Friday. She has a fever of almost 103°C. "We did not know that the woman had COVID-19. My husband, cousins and other family members took care of her as she already had diabetes," she said.

"After her death, BMC visited the chawl to take the names of high-risk contacts and said they will visit again the next day but no one came. All 21 people should have been quarantined immediately."

The BMC set up a fever camp at the neighbouring KC International School only on Friday

"We usually go out to buy vegetables and if we are positive, we don't want to spread the disease. Most of the people who tested positive were showing mild symptoms. They don't have too high a fever or difficulty breathing," she said. "I understand if the government doesn't test or quarantine neighbours, but at least test those who live in the same house. BMC is doing its work — but it is slow. We cannot directly blame them."

'Testing symptomatic cases'

M East ward Assistant Commissioner Sudhanshu Dwivedi said efforts was doubled at the fever camp in KC International School on Friday. When asked about the lack of testing of high-risk contacts, he said, "The ICMR guidelines say only symptomatic cases need to be tested. Earlier, we had set up a fever camp in a one-km radius of the chawl. It was in Govandi but in surrounding areas such as Deonar, Lotus Colony, etc. We also barricaded the chawl on Saturday, a day after the deceased woman was taken to Rajawadi."

"We also sent out Community Health Volunteers to check on residents' health. They told residents that if anyone is feeling symptomatic, they should visit the nearest fever camp and contact them. The whole process takes five to seven days." He added: "The six people found positive had gone to a BMC fever camp but in a different area. We test only symptomatic patients."

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While the BMC has issued an order for 100 per cent attendance of its employees, municipal corporations in the Mumbai Metropolitan Region (MMR) want its residents to stay away from the city. The corporations are working on a plan to restrict the transmission of COVID-19 through residents who regularly go to Mumbai for essential services.

The plan is still in a primary mode but the corporations are likely ask service providers to make accommodation available for its employees near their respective work areas.

MMR, which includes Thane, Thane rural, Navi Mumbai, Kalyan-Dombivali, Ulhasnagar, Bhiwandi-Nizampur, Mira-Bhayandar, Palghar, Vasai-Virar, and Panvel Corporation, collectively has 1,159 patients, way below that in Mumbai which has close to 7,000.

"Nearly one lakh people travel to Mumbai from MMR every day for their jobs under essential services like banks, hospitals, and BMC. So if these areas maintain minimum contact with Mumbai, the transmission of COVID in MMR will be low," said a bureaucrat from the region.

"The number of positive patients in our area has gone up because of some residents who work at a private hospital in Mumbai. We are going to ask private hospitals to arrange for stay facilities for them," said a commissioner of one of these corporations. The civic body has identified 36 employees who work with the hospital.

The ideal situation is to create accommodation facilities for the employees near the work area. The chances of transmission increase due to travel. We are speaking to BMC," said a civic officer from MMR. Alternatively, he said, respective corporations could prepare Care Centres outside their residential areas for these employees who visit Mumbai daily. The administration is also thinking of a 15-day work, 15-day off policy for these employees.

While the MMR region comes under the red zone, some activities can start here if the number of patients go down. A list of migrants in each district – Thane, Palghar and Raigad — is also being prepared so they can go to their states safely.

Number of patients (as on April 30)

Mumbai – 7,061
Thane rural – 48
Thane – 412
Navi Mumbai – 174
Kalyan-Dombivali – 163
Ulhasnagar – 3
Bhiwandi-Nizampur – 17
Mira-Bhayandar – 126
Palghar – 41
Vasai-Virar – 128
Panvel – 47

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A PIL has been filed in Bombay High Court asking the government to make a strategy for exiting the lockdown. It further asks the government to make plans for the protection of health care workers, police officials, and others providing essential services. The PIL also demands the deployment of the army in sensitive areas.

The petitioner Dr Syed Ejaz Abbas Naqvi said, "There is growing negativity in the minds of the citizens of Maharashtra amidst the current lockdown and the possibility of its extension. Some violators are roaming freely hence, the intervention of the army and para-military is required."

The advocate of the petitioner Vishal Satyaprakash Saxena said that the PIL is filed asking the government of Maharashtra to formulate and disclose the strategy to exit the lockdown and to formulate guidelines for the well-being of the citizens of Maharashtra. The court will hear the manner on May 13.

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A 55-year-old man who was one of the 101 people arrested in connection with the Palghar mob-lynching incident has been tested positive for COVID-19. Sources said that 43 others involved in the case would have to be tested for the virus.

It is to be noted that all the 101 people who were arrested on April 17, were produced before a court on Thursday to seek their custody in another case regarding the lynching of three men including Chikne Maharaj, Sushil Giri and their cab driver Nilesh Tilghate in Palghar.

Sources have told mid-day that the person was tested negative on April 28 but 'he developed symptoms of coronavirus and was tested again'.

"The 55-year-old man was kept in lock-up with 20 others arrested in the case at Wada police station. The samples of all accused and police officials are being collected. They will be quarantined," said a senior police officer at Palghar, adding that the officers who have interrogated the person will also be quarantined.

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Maharashtra Health Minister Rajesh Tope announced that all citizens will be covered under the state government's health scheme, and Maharashtra will be the first state to provide free and cashless insurance protection to its people. Speaking to reporters after a Maharashtra Day event in Jalna on Friday, Tope said 85 per cent of the state's population was covered under the Mahatma Jyotiba Phule Jan Arogya Yojana (MJPJAY) at present and the cover will be extended to the remining 15 per cent.

A memorandum was signed to include government, semi- government employees and white ration card holders in the scheme in a bid to prevent private hospitals from overcharging patients, he said. "The government has signed a MoU with the General Insurance Public Sector Association (GIPSA) for treatment of COVID-19 patients at private hospitals in Pune and Mumbai," he said.

Similarly, different packages will be designed for all diseases, to standardise treatment fees at all hospitals, the minister said. Earlier, 496 hospitals were covered in the scheme, but now over 1,000 hospitals will come under it, he said. As per the Disaster Management Act and Epidemic Act, the state government has capped the fees of COVID-19 treatment at private hospitals, the minister said.

Hospitals that don't have tie-ups with the GIPSA will also have to standardise their treatment fees, he added.

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Apart from plasma therapy, COVID-19 patients who are in critical condition, will soon have another kind of treatment, to help fight the infection. Mumbai-based Haffkine Institute, which last month had submitted a proposal to conduct a clinical trial to use the anti-tuberculosis Bacillus Calmette-Guérin (BCG) vaccine, as a therapeutic treatment received a nod for it from the Drug Controller General of India on Friday.

Around 30 COVID-19 patients, who have moderate or severe symptoms, will be part of the trial run, starting next week. "The BCG vaccine strengthens immunity and research has shown that it can be used as a therapeutic treatment, to help patients fight the infection. We received an approval from the DGCI and are waiting for the clinical registration number from the ICMR, which should come in a couple of days," said a senior official from the Medical Education and Drugs (MED) department.

While the trial will be carried out by the Haffkine Institute and led by Dr Usha Padmanabhan, it is being monitored by the MED department.

Mumbai has the highest number of Coronavirus-related deaths in the state, as well as in India. The official added that once the trials are successful, patients who are critical, especially in cities like Mumbai and Pune, will be able to benefit from it. "Unlike new drugs, the BCG vaccine is already in production and will be easily available. So far, the institute has carried out preliminary studies and they have come across positive results," the official said.

Dr Rajesh Deshmukh, managing director of the Haffkine Institute in Parel, said that they are likely to start the trial next week. "It will take place at the BJ Medical College in Pune. We have carried out the preparations and the scientists are almost ready," he said.

Based on the preliminary findings of the research for the trial, the effect of the virus can be reduced among patients, if they are given a dose of the BCG vaccine. The official said that the vaccine will help reduce the severity of the symptoms among patients.

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The family of a retired BMC employee has alleged that a BMC-run hospital in Mulund, MT Agarwal Hospital, neglected him which led to his death. The incident occurred on Friday morning when the family of 62-year-old Rajaram Bhoir rushed him to the hospital and the medical staff there didn't attend to him for the first three hours. The family claimed that despite them telling the hospital staff about the condition of Bhoir, and highlighting that he is an ex-employee of the BMC, they didn't pay any attention to him. Bhoir started feeling breathless on Thursday evening and after spending a restless night at home, his family decided to take him to the hospital. They moved him to the ICU and waited for a doctor to attend to him for almost two hours, but nobody showed up.

"At around 8 am, some doctors came to the ICU and asked us to shift him to another hospital. The doctors checked him and pronounced him dead," revealed the grieving son. When contacted, Dr Pradeep Angre, the dean of the hospital, responded, "I have ordered an enquiry."

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While the authorities may struggle to get the rest of the city to follow social distancing and lockdown norms, one area in the city which is on board with their plan—and in fact, implementing stricter measures without being forced to—is Cuffe Parade's Machhimar Colony. The residents of this fishing colony have sealed their society, not allowing anyone to step out unless it's absolutely necessary. The residents have also decided not to fish until May 3.

The colony decided upon these strict measures after a resident was sent into quarantine on April 20, after coming into contact with a positive patient. The resident eventually tested negative.

There are a total of six fishing colonies in the Cuffe Parade-Colaba area—Machhimar Colony, Machhimar Nagar, Bhai Bandarkar Machhimar Nagar, Sagar Sanidhya Machhimar Nagar, Shivshrishti Machhimar Nagar and Shiv Shastri Machhimar Nagar. The residents of all these areas have decided to seal the colony, without any prompt from
the government.

Bhuneshwar Dhanu, advisor of Machhimar Sarvodaya Sanstha Private Limited, Cuffe Parade-Colaba, says, "Only those involved in essential services are being allowed to step out. Besides this, a team comprising youths from the colony has been formed. They stand at the gate and go buy any items that are required, without charging anyone."

Jayesh Bhoir, a resident of Machimar Colony, says, "We go to the dock after fishing, but crowds gather and so following rules of social distancing are tough. Therefore, we decided to lock ourselves in."

Chanda Jadhav, A Ward officer, says, "It is good that the people of Machhimar Colony are following the lockdown in their colony. Similarly, if all Mumbaikars adhered to the rules, we will be able to beat the Coronavirus."

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From smallpox, the bubonic plague, swine flu or the Coronavirus epidemic, Kasturba Hospital at Chinchpokli, has been at the forefront each time the city has faced an infectious disease outbreak. And though around it, swanky new hospitals have emerged, little has changed at this heritage structure—it underwent a restoration in 2014-15—which continues to be the only designated government hospital for infectious diseases.

Built as Arthur Road Plague Hospital, historians are not certain when the name changed to Kasturba. Over the years however, what hasn't changed is its role. Manjiri Kamath, an associate professor with the Department of History at the University of Mumbai and a member of the Mumbai Heritage Conservation Committee, says, "There was an outbreak of the bubonic plague in Bombay in 1896. At the time, there was no vaccine and patients of the plague were being treated at the Arthur Road Hospital."

The hospital has been constructed to serve as a space for infectious diseases. It consists isolation wards, a luxury that modern-day hospitals haven’t been able to afford. Pic/Bipin Kokate

She adds, that the plague had major implications for the economy and was a big crisis for the British government. Back then, Kamath says, people were in a state of panic and they wanted to leave the city. Going to the hospital wasn't an option. "Initially, people were reluctant to go to a hospital since it was a new institution for Indians and there were apprehensions about different castes and communities being kept together. There were reports that, for this reason, separate caste-wise and community-wise wards were set up," she adds.

Starting with small pox
Medical historian and former head of the history department at SIES College, Dr Mridula Ramanna, says that Arthur Road Hospital was first created to tackle smallpox patients in 1892. In her book, Western Medicine and Public Health in Colonial Bombay, 1845-1895, she writes that it was constructed as a branch of another hospital for infectious diseases at Grant Road run by the municipal corporation between 1888-1891. "There was a dispute between the municipality and the government over who should bear the expense of maintaining the hospital, which eventually led to its closure. The hospital had to be reopened after the outbreak of small pox in 1892. Since the accommodation proved insufficient, a branch hospital was opened at Arthur Road and, after the epidemic passed, the infectious diseases hospital was permanently shifted to Arthur Road," she says. Before the plague, 1,438 patients were treated at the hospital.

Manjiri Kamath

In her book, Dr Ramanna mentions that the municipal corporation had approved of cholera hospitals in every ward and a permanent smallpox hospital to be built at Arthur Road to accommodate 75 patients. "It was suggested that while the structures could be similar, the smallpox hospital could have a thatched roof covered with matting so that after each use, all articles capable of retaining infection could be destroyed. It, however, later became the only hospital for infectious diseases in the city for treating people suffering from the plague and the first patient was admitted on September 4, 1896."

In her second book titled, Health Care in Bombay Presidency, 1896-1930, Dr Ramanna mentions that the hospital complex comprised open sheds with a stone plinth and earthen flooring. "Each shed had a tiled roof with ridge ventilation supported by iron columns. Each shed had two self-flushing closets, and the compound had surface drains. The Vehar Lake supplied water through pipes to the hospital." Between 1892-1912, Dr Ramanna says more than 29,000 patients were treated at Arthur Road Hospital, primarily suffering from smallpox, plague, cholera, chickenpox and measles.

Dr Mridula Ramanna

An ideal design
According to a paper published by the Journal of the Royal Society of Medicine, Arthur Road Hospital was first led by Nasarwanji Hormusji Choksy who was the first medical superintendent and served at the hospital until 1922.

During the plague, Choksy investigated more than 4,000 cases in detail. In 1897, however, he himself contracted the disease. But was saved due to the use of the Alexander Yersin serum. To recognise his brilliant work, he was even awarded the title Khan Bahadur by the ruling Britishers. Choksy, served as President of the Bombay College of Physicians and Surgeons and he was a member of the Bombay Medical Council from 1912 to 1932. Dr Shivkumar Utture, current president of the now Maharashtra Medical Council Mumbai, says members still laud his work almost 100 years later.

Dr Hemal Shah, nephrologist

Dr Umesh Aigal, former medical superintendent of Kasturba Hospital, who worked at the hospital from 1982 till 2014, says the hospital's design makes it ideal for treatment of infectious diseases. "The hospital has a separate entry and exit to avoid spread of infection. During my tenure, I have seen cases of leprosy, SARS (severe acute respiratory syndrome) and swine flu," he adds.

At present, the hospital compound comprises 30 wards, of which 16 single-storeyed buildings are considered to be heritage structures. Civic officials said that the heritage structures have sloping two-part roofs with Mangalore tiles and large ventilators to keep the rooms cool. The BMC had taken up a restoration project back in 2014-15. Wajid Shaikh, an official with the Hospital Infrastructure Cell of the civic body, says, "The walls are made out of brick and the structure supported by wooden pillars. The large ventilators allow sunlight and flow of air in the wards."

While the civic body doesn't have information about when the other two storeyed RCC (cement) structures came into existence, Dr Aigal estimates them to have been constructed in the early 1960s.

Old hospital, new value
Dr Hemal Shah, nephrologist at Bhatia and Saifee hospitals, says, "As an alumnus of Topiwala National Medical College and Nair Hospitals in Mumbai, I was posted in the nearby Kasturba Hospital. I spent some time at this facility between 1990 and 1991. I remember a one-month posting distinctly. It was the most relaxed one month of our curriculum. The hospital itself was beautiful and spacious. It has multiple single-storied buildings for different diseases. They had wards for measles, chicken pox and mumps."

Dr Shah remembers very "few patients and most of them were asymptomatic and kept for isolation". "As young doctors, we always wondered, what a waste of space. And we discussed amongst ourselves—why is Nair Hospital so crammed and Kasturba so empty and why can't we shift some departments there?" he adds, continuing, "Almost cocky about the recently acquired knowledge of microbiology and pharmacology, we wondered why would patients need isolation when appropriate drugs are available? But later we found out that the original design of the hospital was from the pre-antibiotic era or to correctly put—before all anti-microbial agents were available. The only resort then was to isolate the patients and hope for natural immunity to help them fight that infection. In the 1990s, as an intern, I scoffed at this idea. Till now, most of the world felt invincible."

But with the Coronavirus outbreak, people have realised the significance of the old Kasturba Hospital all over again. "The general public and medical fraternity felt that the science of medicine has reached a certain level of nirvana. We felt we could fix everything. Now in 2020, I realise how vulnerable we are. Now I know why an infectious disease hospital—away from regular patients—is always needed."

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On April 3, welfare groups across the city, along with medical professionals and lawyers, issued a press release demanding the immediate withdrawal of the civic body's plans to convert any building in Mahul into a quarantine centre. They cited health concerns, due to the neighbourhood's high pollution levels. And yet, a month on, nearly 30 residents of Panchsheel chawl in Govandi's Lumbini Baug have been shifted to a makeshift quarantine facility at Videocon Society, Mahul. The residents had come in contact with a 55-year-old woman from their basti, whose cause of death was posthumously ruled as COVID-19.

The quarantine centre, where residents of Chembur's Cheetah Camp have also been shifted, houses approximately 100 people. The building's first and second floors are currently being used as a quarantine facility, with not more than two people to a room. The chawl residents say that the place lacks basic amenities such as running and drinking water as well as the presence of permanent medical staff. The premises is also covered with dust, has shabby sanitation facilities. Further, there has been no segregation between children and adults so far.

Smoke coming from a nearby oil refinery pollutes the area's air

The April 3 press note states that Mahul has been declared "uninhabitable" by at least two Indian courts "given the toxic environment due to the presence of polluting industries."

Citing hazardous air quality conditions, it further reads: "Mahul is completely unfit for human habitation, much less for treatment and care. To establish a quarantine centre in Mahul would not be beneficial from the health point of view, but would prove detrimental towards efforts taken by MCGM to control this pandemic."

Residents say the water is dirty and the toilets not fit for use. They argue that they were better off at their chawl

A 22-year-old resident of Lumbini Baug says, "One of the main problems is the amount of dust. If there was any running water, we ourselves would have washed the premises. This dust can cause sneezing and coughing among people who have allergies or weak immune systems."

He adds, "There is no running water in the toilets. At home, we were at least taking our own Vitamin C tablets, maintain a healthy diet, and eating nutritious food. We expected basic facilities at the centre. There is also no permanent medical staff present here. We have not received any therapy or medical treatment yet."

Advocate Lara Jesani, one of the signatories to the April 3 press note, says: "It is dangerous for people to be quarantined in Mahul because of the high level of pollution in the area. The place is congested and poorly planned and therefore creates health hazards for people who may already have a weak immune system, making it harder for them to cope with the virus."

M East Ward Assistant Commissioner Sudhanshu Dwivedi refused to comment or discuss the issue. Bilal Khan of the Ghar Bachao Ghar Banao Andolan says, "In cases filed by us, the High Court has passed two orders declaring Mahul polluted and unfit for habitation and hence, directed the government to shift the Mahul residents to an environmentally safe place. Coronavirus causes severe acute respiratory syndrome."

The faulty design and poor sanitation of the Mahul buildings [as established from CSA report] can also result in further spread of infection, thereby endangering the residents. "Without trying other abundantly available options it is shocking that the government has sent people to such a toxic environment and that too, as a quarantine measure."

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Coronavirus has brought everyone down to their knees, especially those who are suffering with ailments such as diabetes.

COVID-19 had mad eits way in the BEST department but the discharge of three conducters proved to be a silver lining, especially for the one who had diabetes.

The conductor was discharged from the hospital on Saturday morning, according to a report in The Times of India.

The conductor was admitted to the hospital on April 18 and even though his condition was deteriorating, he battled against all odds and recovered withing 2 weeks.

BEST cheif medical officer, Dr Anil Kumar Singhal said, "We are happy about our Corona survivor who was discharged with a negative report and sound health, and expect more recoveries in coming days."

Six more BEST staff detected positive for Coronavirus on Saturday, taking the total number from 29 to 35.

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Revising the COVID-19 lockdown guidelines further, the state government has allowed stand-alone liquor shops to reopen in Mumbai and its metropolitan areas from Monday.

However, shops in the demarcated containment zones in Mumbai Metropolitan Region (MMR), will remain shut. Permit rooms and restaurants serving alcohol have not been allowed to operate.

The order for liquor shops also applies to Pune Metropolitan Region and other red zones. The shops will have to comply with strict measures such as social distancing.

The local authorities like municipal chiefs and district collectors have been tasked with deciding the number of shops in each area for preventing mass gathering.

This information is subject to guidelines/conditions in the state government's notification dated 02.05.2020. Imaging/Uday Mohite/Suhas Kale

Sources said the state government has convinced the Centre despite national restrictions on non-essential business in red zones.

The Centre was told red zones had non-containment clusters that were unaffected. Liquor production and sale will also replenish the state's depleted coffers.

Several ruling leaders and Maharashtra Navnirman Sena (MNS) chief Raj Thackeray have been demanding the opening of liquor shops for revenue's sake.

Alcohol retail shops will be open from 10 am to 6 pm. Only sealed (bottled) liquor is allowed to be sold. The shops will have to work on 50% staff strength and the employees will have to be tested for body temperature and other symptoms.

Liquor factories, which give maximum revenue on site, have also been allowed to start production. Thermal screening of staff and access control will be required.

In addition, urban standalone shops selling non-essential commodities like clothes, footwear, stationery, electronic and electrical/domestic appliances will be opened in non-containment zones, but only 5 shops will operate in one lane/street. Spas, barber shops and salons will not open in red zones.

"Medical shops and and grocers will not have a five-shop restriction and no restrictions on business hours," said Bhushan Gagrani, principal secretary, in-charge of media relations for COVID-19 mitigation plan.

Travel by air, train and metro, inter-state road movement, opening of educational institutions, hotels and malls, places of worship and large gathering will not be allowed anywhere.

However, goods supply will not be affected. Industry with access control and urban industry have been allowed in orange and green zones.

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Over the past six days, the Brihanmumbai Municipal Corporation (BMC) has recorded a total of 124 COVID-19 deaths, almost double of the toll recorded between April 22 and April 27 (59), making it one of the major causes of concern for the city. With four BMC workers succumbing to the viral infection in the last two days, 21 deaths were reported just on Sunday.

Of the 124 deaths, 60 are in the age group of 40 to 60 years, three are aged below 40, and the remaining 61 are above 60 years of age. As per the civic body's data, 2,144 new cases and 59 deaths were reported between April 22 and April 27. Another 3,024 cases got added between April 28 and May 3. Meanwhile, 441 new cases were reported on Sunday taking the city's tally to 8,613.

Sources in the BMC said that they had formed a four-tier system to deal with the COVID-19 cases. Around 2,000 asymptomatic patients have been shifted from hospitals to COVID-19 quarantine centres across the city so that the health workers can focus on the treatment of serious patients.

Meanwhile, the number of patients in Dharavi is also increasing by the day. On Sunday, 94 new cases and two deaths were reported in the area. So far, the total number of patients in the largest slum of the city has reached 590 with 20 deaths. Mahim has reported 16 new cases with the total being 68 in the area.

Four BMC workers die
A total of four BMC workers, including a BEST staff, involved in fieldwork related to COVID-19 have died over the past two days.

A 46-year-old staff was working in the labour ward of civic-run Shatabdi Hospital in Govandi, where a pregnant woman had tested positive for the virus. The worker was a high-risk contact and had tested positive for the virus too, after which he was admitted to Rajawadi hospital in Ghatkopar. However, he succumbed to the infection on Saturday.

One motor loader, 49, working with the solid waste management department in BMC died due to the viral infection on Saturday. Another worker of N ward and deputed at the MCMCR training unit in Powai for COVID-19 related work died the same day.

Speaking to mid-day, Ramakant Bane, general secretary of the municipal union, said, "The workers are worried about their and their family members' health. With the growing number of COVID-19 cases, the BMC should test their workers on priority."

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While trials on plasma therapy for COVID-19 continue, they have sparked debate among medical professionals. While one set of experts feels that plasma therapy can work wonders with a supportive line of treatment, the other set opines that it is too premature to make such claims without thorough clinical evidence.

Interestingly, the first set of experts is now further puzzled as to whom they should administer plasma therapy. That's because of the high risk involved as COVID-19 patients may still have existing ailments that may not respond well to plasma therapy.

The concern was raised after the recent death of a 52-year-old man who was given plasma therapy at a Mumbai hospital. The man had co-morbidities and was on ventilator support.

Dr Anoop Kumar, consultant and chief of Critical Care Medicine at BM Hospital, Calicut

Premature to consider it
Dr Asha Kishore, medical director, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, said, "While there have been a few reports of convalescent plasma therapy being effective in treating COVID patients, unless there is a clinical study it is premature to consider it as an accepted form of treatment. It should be considered experimental therapy and should be monitored and regulated by the health ministry. Even data from China is too limited to confirm successful experiment of plasma therapy."

"Our transfusion medicine department has applied for participation in a clinical trial of convalescent plasma for the treatment for COVID-19 called by the Indian Council of Medical Research (ICMR). The ICMR's sponsored trial will be conducted to evaluate the safety and efficacy of convalescent plasma in patients with moderate COVID-19 infection. We are awaiting approval," said Dr Asha.

Against immunology principle
Dr Wiqar Shaikh, senior allergy and asthma specialist, who had treated the 52-year-old Byculla resident who was treated at home and recovered from COVID-19, said, "Plasma therapy means giving antibodies from a COVID cured patient to one still suffering from it. This is not within the principle of immunology. When a person has a viral infection, the first reaction of the body's immune system is to form IgM (Immuno Globulin M) antibodies and IgG (Immuno Globulin G). However, these are not the important defences against a virus. When the virus enters a body, it does so by mistake and cannot survive within the body and hence enters a cell to survive." Dr Shaikh added, "The COVID virus is an RNA virus, which cannot replicate on its own, it requires the cell apparatus to multiply. Whenever the immune system identifies a virus containing cell, two types of cells are activated. Both are T-lymphocytes, the first category is the cytotoxic T-lymphocyte and the second is the Natural Killer (NK) T-lymphocyte, both of which destroy the virus containing cell using bodily chemicals called 'perforins' and 'granzymes'. This cytotoxic and NK cells develop a memory for the virus within the body, and when the person gets infected with the same virus again, the memory cytotoxic and NK cells launch an immediate attack and kill the virus. Therefore, antibodies (plasma therapy), has a very poor role in defence against COVID and hence is of no use, claims Dr Shaikh.

Dr Asha Kishore, medical director, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram

"There are no double-blind placebo-controlled trials anywhere in the world of plasma therapy actually helping in recovery of serious COVID patients. Moreover, such clinical research is a welcome move, but it takes months or years of painstaking research," said Dr Shaikh.

In favour of plasma therapy
Dr Anoop Kumar, consultant and chief of Critical Care Medicine at BM Hospital, Calicut, said, "The Kerala government was concerned about the rapid rise in COVID-19 cases and called for a meeting of well-known health professionals in Kerala on March 20. At the meeting it was agreed to make use of plasma therapy, as we have come across case studies of successful results in China, South Korea, and other countries. However, it is yet to be published in the international journal."

"Plasma therapy has been effective in various virus outbreaks in the past, such as Nipah virus in 2018, H1N1 in 2008 and even the 1918 flu outbreak," said Dr Anoop, adding, "We intend to collect plasma from patients who have recovered from COVID-19. For instance, a 55-year-old recovered patient can donate around 800ml of plasma from the blood, and this can save four lives with a mere 200 ml of plasma."

However, donor protocol mandates that the donor should not have any fever, or foreign travel history or respiratory infection, and should have remained in self-isolation for 14 days post discharge and the swab collected after self-quarantine period should be negative.

200
Quantity in ml of plasma required for treatment

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Amid the panic around COVID-19, alternative medicine is being desperately promoted as a treatment, especially to boost immunity. At such a juncture, scientists from the country have issued a public statement on such cures and immunity boosters with a scientific explanation that there is no evidence suggesting successful use of any of these treatments in COVID-19. They have cautioned that these are not alternatives to other precautions that need to be taken such as social distancing, washing hands, etc.

The statement reads, "As of now, no scientific studies show that any substance boosts the immune system specifically against COVID-19, be it modern medicines like hydroxychloroquine or homoeopathic solutions like Arsenicum Album D30 or ayurvedic preparations. These so-called remedies and/or immunity boosters may give people a false sense of security. Some people may wrongly assume that they won't be affected by COVID-19 anymore, leading to risky behaviours such as not using a masks, not washing hands, or not following physical distancing protocols. Such unintentional violation of guidelines may have disastrous results."

While there are several social media posts, there have been instances when even people from government have backed such practices. For example AYUSH ministry supporting homoeopathic and ayurvedic products as defence against COVID-19 and the TN government issuing a circular about the efficacy of a herbal powder. Explaining the need for such a statement, Aniket Sule, scientist at Tata Institute of fundamental Research, said, "There are lots of social media forwards suggesting unproven treatments to fight COVID-19. We want to caution people that there is no scientific evidence to suggest that they work against COVID-19."

The statement concludes, "Colloquially, many people use the word "immunity" when they actually just mean "good health". While a healthy diet and exercise improves a person's general health (and the capacity of their immune system), this cannot make him/her immune to COVID-19. The most severe cases of COVID-19 are made worse by an overreaction of the immune system. So trying to boost general immunity or trying to interfere with its regulation using untested methods, may be risky. Claims such as benefits of drinking cow urine, exposing people to UV light or injecting with disinfectants, are not supported by scientific evidence, and are harmful to the human body. Similarly, while some supplements such as garlic may be harmless, others such as zinc or Datura seeds, if taken in excess, are toxic."

Busting hoaxes

'The Hoaxbusters' — a group from the Indian Scientists' response to COVID-19 has issued new set of slides answering several questions around COVID-19 at https://indscicov.in/

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Soon after Maharashtra government directive allowing standalone liquor shops to open in COVID-19 red zones (except the containment areas), AIMIM Lok Sabha MP Imtiaz Jaleel has said if liquor shops are opened in Aurangabad, he would force their closure, adding that it is not a time to sell alcohol and create problems for women.

"Government decides to open liquor shops even in red zone! If shops in Aurangabad open we will break lockdown restrictions and forcibly close these shops. Will make many women come out on the streets. This is not time to sell liquor and create problems for mothers and sisters," the Aurangabad lawmaker tweeted in a series of tweet.

Lambasting the Maharashtra government, he further asked what is the hurry to sell liquor in this difficult time. He further stated if this is the case then why not allow selling everything, why this "privilege only to liquor shops".

The state government had on Sunday issued a list of activities that will be allowed in different zones of the State during the lockdown."The state government has decided to allow standalone shops including liquor shops to open in red zone also except the containment zones. Though there is no restriction in the number of essential shops that can be opened, only five non-essential shops can be opened in each lane," the government order stated.

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This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever

Eminent industrialist Ratan Tata, on Sunday took to Instagram to call out a fake news article and a quote which was attributed to him. Taking to the gram, the 82-year-old business veteran shared a picture of a news clipping that read, "Ratan Tata's message: 2020 is the year of survival, don’t worry about profit and loss."

A screengrab of Ratan Tata's Instagram story

While sharing a story on Instagram, Ratan Tata wrote, "The following article has not been written or said by me. He also shared a picture of the article with 'Fake News' written on the newspaper cutting. Urging people to always verify news sources, Ratan Tata said, "I will endeavour to call out fake news whenever I can."

Talking about the fake article which has a quote attributed to him, Ratan Tata stated, "My picture alongside a quote does not guarantee me having said it, a problem that many people face." The business magnate also called out the fake news and shared it with his 8.5 million followers on Twitter.

I’m afraid this too, has not been said by me. I will endeavour to call out fake news whenever I can, but would encourage you to always verify news sources. My picture alongside a quote does not guarantee me having said it, a problem that many people face. pic.twitter.com/pk0S75FxPA

— Ratan N. Tata (@RNTata2000) May 3, 2020

Since being shared online, Ratan Tata's tweet has garnered over one lakh likes and about 25,000 re-tweets and counting. This isn't the first time that the senior statesman has taken on fake news circulating under his name. Earlier, Mr. Tata had shared another fake article attributed to him and which spoke about the impact of coronavirus on the economy.

In the spirit of solidarity pic.twitter.com/1Svx5JZ0Vb

— Ratan N. Tata (@RNTata2000) April 5, 2020

While sharing that the article was fake, the industrialist stated that if he has to say something, he would say it on his official social media channels. Debunking the false article, Mr. Tata urged people to stay safe and take care of themselves amid the coronavirus crisis.

Nearly a month ago, Ratan Tata shared a beautiful picture of India's COVID-19 warriors. While sharing the picture with his followers, Mr. Tata urged people across the country to unite in the battle against the global pandemic.

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Amid the rising number of coronavirus cases in the city, on Monday, Mumbai's Air Quality Index (AQI) stood in the poor category as the AQI dropped to 133, as per AQI India. The poor category of air quality in Mumbai is an indicator that such air quality can provide difficulty in breathing.

Air Quality Index (AQI) across different parts of Mumbai

According to AQI India, an AQI between 0-50 is considered good, 51-100 is moderate, 101-200 poor, 201-300 unhealthy, 301-400 severe and 401-500 is marked as hazardous. While Mumbai's overall air quality was poor, several parts of the city including Bandra (31 AQI), Worli (42 AQI), Powai (24 AQI), Kurla (44 AQI) reported good air quality. Sion, on the other hand reported AQI of 1094 which as per the AQI parameter is hazardous.

A snapshot of Air Quality Index (AQI) across different cities in India

In other cities of the country such as Delhi (83 AQI), Ahmedabad (90 AQI), Bengaluru (101 AQI) reported moderate air quality which is acceptable for healty adults but may pose a threat to senstive individuals as per the parameter reading.

Data sourced from aqi.in

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Call it red-tape or over-sensitivity about allowing non-essential shops to remain open in Mumbai amid the COVID-19 pandemic, but government agencies, especially the BMC, were apprehensive through most of Monday about allowing liquor shops to resume business even as thousands lined up for their favourite tipple since early morning.

The state government issued orders on Sunday that standalone retail liquor shops could do business in red, orange and green zones excluding containment areas between 10 am and 6 pm from Monday.

Following the state order, the State Excise Department's Mumbai city and suburban superintendents and district collectors came up with joint notifications a few hours before the 6 pm deadline and a little after 3.30 pm, some liquor shops opened, with some of them allowing only one bottle per customer.

A man with his liquor stock in Sion on Monday. Pic/Pradeep Dhivar

However, the BMC hadn't made any announcement till 5 pm. Some of its assistance commissioners tweeted early morning that non-essentials shops (including liquor shops) should not be opened without the BMC nod.

Municipal Commissioner Praveen Pardeshi did not respond to text messages. When told about the chaos, Chief Secretary Ajoy Mehta assured to look into the matter. A senior BMC official said in the two video-conferences that Pardeshi held with state government bureaucrats, liquor shops were not discussed.

Meantime, Principal Secretary Bhushan Gagrani, in-charge of media relations for state government's COVID-19 mitigation, said in a press conference online that local authorities like municipal commissioners and district collectors are authorised to overrule the state's common guidelines under the powers vested in them by the Epidemic Diseases Act. But he said local authorities were told to issue separate orders elucidating the reasons behind stalling the state guideline. Nagpur and Aurangabad Collectors have specifically told state bosses that they won't allow liquor shops to reopen. Whereas, other collectors, who thought of allowing the measure, were prompt in circulating orders to retailers and other stakeholders.

A senior excise department official told mid-day that Greater Mumbai's case was different. "Here at least four agencies are involved in decision-making. We followed the state's orders and issued our own notifications that would also go to licensed retailers. BMC and city police are the other two agencies which have been working jointly in COVID-19 mitigation and they know the fight and its nuances for taking any further decisions," the officer said.

By late afternoon, some Excise Department officials had reached BMC headquarters to hand over the department's order and also seek information on containment areas. "It's a tricky situation that needs to be tackled in a foolproof process. Such decisions don't happen very quickly. The other side is that the shop operators might have their own difficulties like deputing healthy staff (50 per cent of the total strength) on counters. Shops might not have inventory and require new stock from wholesalers," he said, adding the business was likely to resume smoothly in a day or two, provided that the BMC gives a green signal.

6PM
Time by which liquor shops must shut

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The Brihanmumbai Municipal Corporation (BMC) has been readying quarantine centres and acquiring hospitals for COVID-19 patients, but it seems it hasn't quite decided whom to let in. The 32-year-old wife of a COVID-19 positive patient from Dharavi has been running from pillar to post to get him to a hospital. The 35-year-old who requires dialysis, tested positive on May 1 but BMC officials allegedly advised her to quarantine him at home, as he is asymptomatic.

When she pointed out that they stay in a 180 sq ft house with senior citizen parents, they allegedly did not pay much heed. While the BMC maintains that asymptomatic patients are not hospitalised, the patient has become a potential threat not just to his family but to the whole SRA building with 91 flats, where they stay.

Neighbours and relatives of a COVID-19 positive person admitted to Sion Hospital being stamped. Pic/Suresh Karkera

"I repeatedly called the COVID-19 Helpline. They asked my husband's age and his other illnesses. But when they came to know he is asymptomatic, they told me to quarantine him at home. I told them we live in a 180 sq feet home with senior citizen parents, but they didn't pay attention," said the wife of the patient.

The patient needs to get dialysis done every three days from last year. "I don't know why they are doing this. Last week a patient was found in our building, and he also required dialysis. They took him to a hospital, but are refusing to take me. I am worried about my father and mother, who are senior citizens. In a house like this, how can we maintain physical distance?" the patient said.

"Home quarantine is not possible for him. The authorities should look into this matter and provide assistance. The family is also financially weak. The father of the patient, a former Indian Navy personnel, runs the house. Now they have approached the Mumbai police for help," said a family friend of the patient.

"Asymptomatic COVID-19 positive patients are not required to be admitted in a hospital. I don't have the details of this patient, but I will ask officials to inquire and we can also arrange for dialysis for him at JJ Hospital," said Assistant Municipal Commissioner G/North Ward Kiran Dighavkar. A BMC official said if the patient's conditions worsens, he will be admitted.

180
The area (in sq feet) of the house the man stays in with his wife and aged parents

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Mulund's T ward saw the biggest spike in COVID-19 positive cases since March 2020 on Monday. There were 52 cases reported in 24 hours taking the number to 123. The number of containment zones has reached 33.

But, a major cause for concern is that the cases reported are from the slum pockets of Mulund West.

Mulund had comparatively kept the infection down till date.

There were 71 patients reported in Mulund till date, of which 52 are under treatment. There were 28 containment zones declared till now, of which 18 are active.

Authorities are on alert as Indira Nagar (19 cases), Ramgadh (15 cases) have slums. Rigorous testing and screening camps have been held in these areas.

"We had conducted camps to trace more patients, we have now received positive reports of 52 people in one day," said Assistant Municipal Commissioner (T ward) Kishor Gandhi.

According to T ward data, Amar Nagar found three new cases, Indira Nagar, 31 more cases and Ramgadh, 8 new cases in the last 24 hours. "The rising number in slum pockets is definitely worrisome, as they have narrow lanes and common toilets," said a health official on condition anonymity.

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Finally, city's old and dangerous road overbridges got the much-needed attention, thanks to the COVID-19 lockdown. Central Railway and Western Railway turned the restriction on public's movement to its advantage by fixing the bridges along their respective lines.

While CR completed work on Byculla road bridge, National Highway bridge at Kasara and the busy road overbridge at Kopar, WR fixed a bridge crossing the lines at Dharavi and the one in Andheri is near-completion.

26 days to fix Byulla bridge
The old Byculla road overbridge was patched up with 70 bracket fixtures over the past 26 days at a cost of R13.811 lakh; the complete project was worth R1.13 crore. "Without lockdown, it would have taken more than two months to finish the work," a senior official pointed out.

CR fixed the bridge near Umbermali station with the help of National Highway Authority of India (NHAI) in the last four days of April

"On Western Railway, work on strengthening the important Dharavi bridge girders was completed during the lockdown. In addition, one span of Andheri pipeline bridge was strengthened," WR's chief spokesperson Ravinder Bhakar said.

CR takes NHAI help
Another important work on CR was to patch up the road overbridge near Umbermali in Kasara, which had been declared dangerous in the IIT-Bombay survey. The bridge was fixed in the last four days of April, taking advantage of the lockdown and with assistance from the National Highway Authority of India (NHAI).

The bridge near Umbermali station of Mumbai suburban railway was taken up for repairs following the joint recommendation of the IIT-B and the railways. CR sought the NHAI's assistance since the bridge passes under the Mumbai-Agra National Highway near Shirol village, over the rail lines between Umbermali and Kasara stations. The work involved repair of the slab upgrade, removing and relaying concrete, dismantling of about two metres of parapet wall and recasting it firmly.

Work sans disruption
An official involved in the upgrade said the work was completed in just a few days and involved no train cancellations. "We called 15 labourers from the NHAI and seven from the railways, and all the problems raised in the IIT survey were resolved," he added.

Additionally, the dismantling and upgrade work of road overbridge at Kopar has also been taken up in co-ordination with Kalyan-Dombivli Municipal Corporation. Had there been no lockdown, the work would have required a block leading to disruption in services of numerous local and outstation trains.

"Initially, it was decided to use diamond cutters that would have required 45 days with two hours of daily blocks at night. Now, during the lockdown, it's being done with concrete breaker, in day time. Work started on April 17," an official said. "The lockdown has given us an opportunity to renew and pump energy into the old infrastructure," CR's chief public relations officer Shivaji Sutar said.

In 2019, CR and WR had identified weak and corrosive bridges along the lines with the help of IIT-B teams. The joint safety audit has being conducted of all the 445 road overbridges and foot overbridges in Mumbai in order to ensure commuters' safety.

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The civic body is bracing for the Centre's projection of a high number of COVID-19 cases in the coming days and to ensure full preparedness, it has beefed up work on new facilities to treat patients and has started recruiting additional medical staff to run these centres.

Senior BMC officials said that a major recruitment drive is underway to hire over 3,000 doctors, nurses and ward boys on a contractual basis. BMC is planning to rope in medical staff from the city and the green zones across the state. A senior civic official said a circular has been sent out to deans of medical colleges and ward officials for the recruitment.

Civic officials said they are preparing for around 70,000 COVID-19 cases over the next two weeks. "We will hire doctors who are part of the Indian Medical Association as well as interns, post graduate students from private medical colleges for the COVID Care Centres (CCC). Since the centres are meant for asymptomatic patients, there is no need for specialised medical equipment and can be run by a basic medical staff," the senior BMC official said. He added that the doctors, nurses and ward boys will be hired for a period of three months.

Additional Municipal Commissioner Suresh Kakani, however, said there will be some restrictions for doctors. We will only allow specialists who aged below 55 years as a precautionary measure, he said, adding, "The new recruits will work in three shifts."

The BMC is setting up CCCs for asymptomatic patients in various schools and colleges. Besides, city's largest centre, with a capacity of 1,000 beds, is coming up at the MMRDA grounds at BKC. "The work is underway and we are trying to complete it by next week. The centre will have beds and oxygen supply, but no ventilators," said an MMRDA official, adding that Jupiter Hospital in Thane is helping with designing the centre.

It will also have a laboratory that will be the primary testing centre for complete blood count and haematology. The MMRDA official said they will bear the cost of construction while the BMC will provide the staff and other support to run the facility.

The decision on who will run the facility is yet to be taken, said a civic official, adding, "The state government may ask a medical college to handle it."

3
Total no. of months the doctors, nurses and ward boys will be hired for

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With the rising number of COVID-19 positive patients in Navi Mumbai, the Navi Mumbai municipal commissioner last week asked the Brihanmumbai Municipal Corporation (BMC) to accommodate its employees in the city. The Navi Mumbai police commissioner on Monday, however, added to it by saying that if the cases continued to rise in the satellite city due to residents travelling to Mumbai for work, the administration will have to "force employers to accommodate their employees" in the city.

The Corona patient tally in Navi Mumbai jumped massively last week with more than 180 new cases reported in just seven days. The doubling rate of patients slid from 11 days to just six days within a week. This became a major cause of concern for NMMC and the police. According to the NMMC, of the last 180 cases, 90 per cent are related to employees working in essential services and travelling from Navi Mumbai to Mumbai every day.

In a Facebook message on Sunday evening, NMMC Commissioner Annasaheb Misal said, "We have raised this issue in a video conference with Chief Minister Uddhav Thackeray and also conveyed the same to BMC Commissioner Pravin Pardeshi. The BMC has agreed and will be asking hospitals and BEST to convey it to their employees."

The matter, however, escalated on Monday when Navi Mumbai Police Commissioner Sanjay Kumar took to Twitter. "All people in essential services are requested to desist from commuting daily to Mumbai and back. Only visit if your job is crucial. Ask your employer to make arrangements nearby. Otherwise, you are exposing your family to COVID-19. One person infected 14 of his family members," he tweeted, adding that if the trend continued, "we have to force the employer to make arrangements at the workplace."

Around 4,000 to 5,000 bankers travel every day from Navi Mumbai to Mumbai with the banks rotating 33 per cent of their staff every day and exposing all employees to the public in a week’s time. "The same goes for doctors and the police. We request all the authorities concerned to look into it," Kumar said.

He also spoke of the infection spreading in Vashi’s APMC market. "Many vendors and merchants travel to Navi Mumbai from nearby towns and villages. We are making a list of such people and will ask them to stay in Navi Mumbai so that there won’t be any further spread."

‘Taking utmost care’
A senior officer of Mumbai Police commented on the tweet saying the police were endangering their lives for more than 12 hours a day. "We are taking utmost care regarding our personnel but if they carry the infection, it will be an unfortunate but inevitable thing. One should not get too picky while saving their jurisdiction,"
he said.

4.5k
No. of bankers who travel daily to city

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Prohibitory orders which ban assembly of four or more people under Section 144 of the CrPC have been extended in Mumbai until May 17 because of the extension of the lockdown, said Pranaya Ashok, DCP Mumbai Police.

Mumbai has been declared as a red zone due to high number of coronavirus cases.

Read the circular

The order read, "We have extended section 144 of CrPC which restricts any public gathering."

All movement of people for all non-essential activities, except for medical reasons is prohibited between 8 pm to 7 am.

It has also been further decided that the social distancing norms (minimum of 6 feet of distance) shall be followed at all times.

The order came into force in the area under the control of the Commissioner of Police with effect from 12:01 am on May 4th and will end at 12 am on May 18th, unless withdrawn earlier.

Violators will be prosecuted under section 188 (Disobedience to order duly promulgated by public servant) of the Indian Penal Code, he added.

(with inputs from PTI)

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On day 1 of the extended lockdown till May 17, Mumbai Police on Monday took to Twitter to share the importance of staying home amid the COVID-19 crisis. Giving a novel twist to one of the popular games during coronavirus lockdown, Mumbai Police latest meme inspired by Ludo struck a chord with netizens.

At times, it’s better to not try your luck. Staying at home is your best bet against Coronavirus. #GameOfLife #TakingOnCorona pic.twitter.com/v7KEmyjQic

— Mumbai Police (@MumbaiPolice) May 4, 2020

While sharing the Ludo-inspired meme, Mumbai Police said, "At times, it's better to not try your luck. Staying at home is your best bet against novel coronavirus. #GameOfLife #TakingOnCorona." The latest post by Mumbai Police urged people to stay home and not to try their luck by venturing out amid the coronavirus crisis.

Salute To Our Corona Warriors 🙏🙏🙏🙏🙏😊😊😊👏👏👏👏
A Huge Respect 🙏🙏🙏😊😊👏👏#IndiaSalutesCoronaWarriors

— Aaryen Tiwari (@AaryenTiwari) May 4, 2020

In the post, one can see tokens of all the four players inside the house with the COVID-19 virus occupying the place on the path of the Ludo board. While sharing the coronavirus twist Ludo game post with their followers, Mumbai Police sent a strong message showing how staying at home can be the only safe bet the COVID-19 epidemic.

Best example for current situation

— Pooja Chauhan (@PoojaCh39757719) May 4, 2020

Mumbai Police also put a hard hitting caption on the picture which read, "The safest place to be is IN #TakingOnCorona." Since being shared online, the post has garnered over 600 likes and about 5,000 re-tweets. Even Bollywood actress Parineeti Chopra retweeted the post with heart emoticons of various colours. Besides Parineeti, hundreds of users lauded Mumbai Police's unique take on creating awareness on the importance of being home amid lockdown.

pic.twitter.com/6yEFDqcHRi

— Parth (@PresidentPique) May 4, 2020

One user commented, "Best example for current situation," while another user said, "So creative my god!." A third user wrote, "Kudos to ur creative team!!!." Lauding the Mumbai Police a fourth user said, "We will prefer to staying at home only."

Here's how netizens reacted to Mumbai Police's twist to Ludo game:

Thank you very much to all the police system. No matter how big the crisis is from now on, only the police system will stand before us as God.

— Sandip Jondhale (@SandipJondhale6) May 4, 2020

So creative my god!!🍁😍🙏

— Sonam Upadhyay (@Sonam22Upa) May 4, 2020

At times, it’s better to not try your luck. Staying at home is your best bet against Coronavirus. #GameOfLife #TakingOnCorona pic.twitter.com/v7KEmyjQic

— Mumbai Police (@MumbaiPolice) May 4, 2020

At times, it’s better to not try your luck. Staying at home is your best bet against Coronavirus. #GameOfLife #TakingOnCorona pic.twitter.com/v7KEmyjQic

— Mumbai Police (@MumbaiPolice) May 4, 2020

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Spotting a tiger during a walk is not an encounter you would wish to experience. With stories of wild animals being spotted in unusual places during the lockdown, seeing a tiger on the loose is the last thing you want and which might lead to chaos! This is exactly what happened when few people in countryside Kent in England called the police for help saying that they had spotted a tiger in the neighbourhood.

Armed policemen and a helicopter arrived at the scene to locate the tiger but to their surprise, they found that it was just a sculpture that looked like a real tiger!

Picture/Martha Simpson-Twitter

The incident was narrated by Twitter user Martha Simpson. She said that the tiger sculpture that armed cops with a helicopter came to hunt for, was made by her grandmother. She also shared the pictures of the incident in which the police officers were investigating the sculpture.

My Granny is a sculptress. Today 10 armed police and a helicopter were called to her house after walkers reported a tiger in the woods. This is the tiger. pic.twitter.com/Kn21npZPiS

— Martha (@marthasimpson__) May 2, 2020

Simpson was quoted by the Guardian as saying that her 85-year-old grandmother Juliet built the sculpture using chicken wires and resin 20 years ago. She said that her son called her on her phone to tell her about the armed police coming at her doorstep with their helicopters. "Ten of them! By then I could see the helicopter above, and I thought, goodness me. So then I walked up the road and saw the police Land Rover. I went up and said: 'Do you want to be introduced to this tiger?'" she was quoted by the Guardian.

Simpson went on to say that tiger’s sculpture never bothered anyone before this incident apart from dogs, adding that the police left after looking into the matter and establishing that the sculpture did not pose any risk to the public.

But the sculpture that created a buzz attracted some attention from netizens.

Congratulations to sculptor granny. 😹 Whether granny wants to still sell the work or still keep it as landmark. Legendary!

— Imcha Imchen (@im_chat_sung) May 3, 2020

It's the tiger that came to tea! He's gorgeous!

— Hazel Preller (@pierkisser) May 3, 2020

Did it put smile on the police's face? Hope so.

— kharis (shig_ðŸ¦Â‹) (@kharis_kun8) May 3, 2020

Tiger Queen as a sequel to Tiger King?

— Mitch Cohen (@MitchCohen12) May 3, 2020

A person, who has visited the spot calls it a 'great scuplture' and said that  he visits the spot regularly for walks with his dogs.

Hilarious. Walk here with the dogs regularly. My kids love the swing very kindly left there. Great sculpture! pic.twitter.com/F3sHeTpYYk

— Phil (@PhilipRJSmith) May 3, 2020

What do you think about the post?

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Phase three of the COVID lockdown, which began on Monday, has made it clear that the government needs to be clear in its head before laying down rules and regulations.

First, there was massive confusion among citizens on the first two days about easing of restrictions two days ago, with local officials not being on the same page as Mantralaya top brass. There was confusion even among BMC's own ward officers over the rule about allowing five shops to stay open in one street. Excise officials had no clarity about opening shops, resulting in huge queues, with social distancing going for a toss. Late on Tuesday night, the civic body suddenly announced that all shops selling non-essentials, including liquor stores, will be closed from Wednesday. This is exactly where planning should have been done.

Respective ward authorities should have sat down with local shop-owners beforehand with a gameplan on how they could handle the long queues which were sure to form.
Also, there are private office ownerAlso, there are private office owners who may be working alone or may have a very small staff strength, wondering whether to go to work. People are wondering whether two or three people are allowed in private vehicles. There are so many questions that need clear, lucid answers.

When there are so many grey areas, rumours start to churn and then social media adds fuel to the mix, resulting in what we would like to call combustible confusion. Short tempers, bewildered people, different rules are all part of this mix, likely to erupt at any time. This also is counterproductive to the good work the government is doing.

Let us have more lucid communication in all aspects, using announcements and signboards to avoid panic emanating from the perplexed and perturbed. Green zones, red zones and orange zones in place, what we need most now is a clarity zone.

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Just a day after the Navi Mumbai police said that they might have to force employers to accommodate those going to Mumbai for work in the city, the Kalyan-Dombivali and Ulhasnagar civic bodies said that travelling to Mumbai would be prohibited from May 8 till further notice. Both corporations have started gathering information about employees who go to the city for work and will share it with the Brihanmumbai Muncipal Corporation (BMC).

With Mumbai becoming the epicentre of the COVID-19 infection, the civic bodies have observed that most positive cases are of people who travel to Mumbai for work, which includes police officers, BMC workers, bank and hospital employees, and their close contacts. The municipal commissioners had raised the issue with the chief minister during a video conference. Civic chief Pravin Pardeshi had assured that the process of accommodating BMC employees in nearby hotels would be initiated and other companies would also be told to do the same.

On Tuesday, the Kalyan-Dombivli and Ulhasnagar municipal corporations released a circular saying that May 8 was the deadline for employers to make arrangements in Mumbai, so that they don't have to travel every day. Both the corporations have issued email ids through which they are collecting details of employees.

Vijay Suryavanshi, KDMC commissioner, said, "This trend is worrisome. During our assessment we found that more than 50 per cent cases in the corporation area are due to such travellers. We understand that they travel to provide essential services in the city but rise in positive cases needs to stop. Till now we have received details of 100 employees. The data will be handed over to the BMC so that they can arrange for accommodation." He said that as far as employees of banks and private companies were concerned, the BMC had clarified that the respective firms would have to arrange for accommodation.

Send in the details

. For Ulhasnagar residents (govt employees) - covid19.umc.gov@gmail.com
. For KDMC residents (govt employees) - kdmc.covid19.gov@gmail.com
. For private company employees - kdmc.covid19.pvt@gmail.com

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Zyada se zyada kya hoga? Mar hi jaunga na chalte chalte? (What's the worse that could happen? I'll die, right?) These disturbing words of a physically challenged migrant walking home to UP from Thane sum up the mood of hundreds like him trudging home. With no clarity from the government, the migrants continue to risk their lives on highways.

Hundreds of the migrant workers continue to walk to Uttar Pradesh and even Nagpur. As it is difficult to walk in the scorching heat, most rest during the day and walk at nights on highways. They poured their hearts out to mid-day.

A majority of the migrants work as labourers on at under-construction sites in MMR. They said they were leaving Mumbai as they had no access to food and essential items at their workplaces. At least 1,000 men, women and children were seen walking along the Mumbai-Agra highway between the Thane-Kalyan junctions.

Most of the migrants will walk over 1,600 km to UP. Pic/Ranjeet Jadhav

'Procedure not explained'
Some people expressed anger against the state and Central governments, alleging they were not taking the plight of migrants seriously, and this was happening because the authorities on the local level weren't cooperative. They alleged that local authorities were not explaining relevant procedures. Many have filled forms, taken medical certificates and got these and other papers stamped by the police to board the transport provided but say they are not being clearly told what is next.

Kisan Pawar who is heading back to his village near Nagpur with his wife, daughter and son, said they barely have any money left. "Staying in Thane with no job or money will be more burdening. So we started on the 800-km-long journey on foot," said Pawar. At night they rested at Kalyan phata for few hours. Most migrants have been resting or sleeping on the side of the highway.

Rajesh Pawar, 28, a resident of Gondia district in Maharashtra worked as a labourer at a construction site in Thane. Since work stopped and he has no money left, he and his wife have started walking with their two-year-old daughter. An emotional Rajesh said, "I pray that such difficult times don't befall anyone. No one really cares about the poor and that's why we have no other option but to walk. We don't even have money to buy tickets and food. We hope to reach our village because the safety of my daughter is very important."

'I would have died anyway'
A man with a deformed foot who did not wish to be named, will be walking over 1,600 km to reach his village in UP. "Aise bhi mar jaate kyon ki khaane ke liye kuch nahi hai. Us se behtar hai jahan tak chal saku wahan tak jaun, is umeed se ke ghar pohochunga. Jyada se jyada kya hoga? Mar hi jaunga na chalte chalte? (I would have died anyway because I wasn't getting any food. It's better that I walk as far as I can in the hope that I will reach home. What's the worst that could happen? I'll die, right?)," he said.

Suhel Ahmed and Irshad Khan who worked at a construction site in Thane, had approached local authorities to know about the procedure to go back home. But they claimed they weren't given clarity about when they would be allowed to go back, so they left for Uttar Pradesh on foot.

'No co-ordination'
Irshad Khan told mid-day, "We waited in Thane all this time because the government had told us it would make arrangements at the right time for migrants to go home. But there seems to be lack of coordination between the Centre and state. For the past two days, we ran from pillar to post getting medical certificates and filling forms but there was no clarity on what next. We have a few hundred rupees and before that too gets over, we want to reach home. God knows when we will reach."

The chairperson of an NGO says the government must instill confidence in migrants. Jalpesh Mehta, chairperson, Empower Foundation, said, "Walking on the highway for kilometres is a risky affair and may also see migrants die due to hunger or exertion and not because of COVID-19. We have worked with government authorities and police in Maharashtra and Gujarat to provide food to the migrants and the support on the ground from authorities has been excellent. The living conditions of the migrants and support from their employers is indeed very poor, but the need of the hour is instillation of confidence in the migrants by the government on the ground that they will be taken care of and there are planned exits — trains and buses to help them reach back home safely."

1,000
No. of people seen walking along Mumbai-Agra highway

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The Centre and state governments' relief plan for migrants involving transportation home seems to have failed to convince migrants who are continuing to set out with their kids and meagre belongings for their hometowns in the scorching heat. Daily wagers are facing all kinds of hardships ranging from lack of food and footwear, to carrying heavy loads over hundreds of kilometres.

Between Bhiwandi and Vasai was where mid-day met these workers, some of who are taking the assistance of Google Maps for shortest routes, on Tuesday morning.

Migrants spend all night walking and the sweltering days under the shade of trees lining the highways on their way to their hometowns. Pics/Hanif Patel

A group of migrants, who used to work at a brick kiln in Vasai, began their journey in the wee hours of Monday, claiming that they were not approached by any government authority for transport back home, nor are they allowed to get tested for COVID-19.

"All the doctors are scared to touch us. They think we might be COVID-19 positive. Also, we were told that we will have to pay for the train journey to Prayagraj. How can we pay the government if we don't have a single penny in our pocket?" said Rajkumar, who worked in a brick kiln in Gorai pada, Vasai with his family members.

The distance between Mumbai and Prayagraj is 1,387 kilometres.

No work here
"We all were patiently waiting for the lockdown to end on May 3, but it was extended again. People have been saying that Coronavirus cases are increasing rapidly in Mumbai and Vasai-Virar area. I am worried about the well-being of my family. What will we do if we continue to stay in Vasai? There is no work," said Rajkumar, who has been walking on foot with his family members including women and toddlers who are barefoot.

They only have a few packets of biscuits and a water jar and are depending completely on help from Good Samaritans en route.

"We will starve here, and we will starve in our village too. Better that we die in our village," said Rajkumar.

Kids ask for food
"Children ask for food. Also, they can't walk for long distances. We have to carry them and our belongings," said Ashok, who has been leading his family and other migrant workers using Google Maps for the shortest possible route to Prayagraj.

And if the network becomes poor, Ashok said, "I will ask local people to suggest the best route."

A 10-year-old boy from a different family walking to Prayagraj was seen carrying a pressure cooker on his head. Lalman, the boy's relative, said, "The government has not done anything for us. Doctors pe helicopter se phool barasaye jaa rahe hain, aur hum logon ko khana bhi naseeb me nahin hai."

Another family, which was working as construction labourers in Vasai, told mid-day that they had been living in makeshift tents in an open field. "The rainy season is about to come. How and where will we take shelter during monsoon? Our tents will be inundated. So, it is wise to reach our village in Jalna district before the rainy season starts," said Gajanand.

Migrant worker Ramlal twisted his foot while walking. "It has been paining a lot but there is no other option than to walk home. We labourers mean nothing to the government. Otherwise, we too would have been showered with flower petals from a helicopter. We are paying for being poor," said Ramlal, who walks for a few metres and then stops to rest his foot.

1,387
Distance in km between Vasai and Prayagraj in UP

1,387km
Distance between Vasai and Prayagraj

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Thousands of migrant daily wagers working in the power looms of Thane district, thronged the State Transport Bus depot at Bhiwandi on Tuesday, after learning that they would have to register with the police there in order to board trains headed for their hometowns. But in their focus and desperation to finally head home, they threw caution to the wind and did not follow social distancing.

Mid-day witnessed the chaotic scene and spoke to the workers desperate to go back to their home towns in Uttar Pradesh and Bihar.

The migrants stood in a long winding queue at the bus depot. Pics/Hanif Patel

The ST bus depot was packed with the workers who started thronging the ST Bus depot at 3 am and it was crowded by 7 am. "We were told that forms are being filled up at the ST Bus Depot. So we came to get registered," said Jiaullah Ansari, a native of Bihar.

'No social distancing'
"We are starving and have no work after the lockdown, as all the power looms are shut. The owners of power looms have switched off their cellphones and some have blocked our numbers. Jab khane ko ek dana nahi ho na sahab, to social distancing aur Coronavirus sab fake lagta hai (When there's nothing to eat, Sir, social distancing and Coronavirus seem fake)," said Nasirullah Ansari, a native of Patna.

Some of the power loom workers tried to shield themselves from the sun

The police were seen trying to coax the migrant workers to maintain social distancing. Around 9:30 am a team attached to Nizampura police station and traffic police headed by Senior Inspector Rajendra Mayne of Bhiwandi Traffic dispersed the crowd.

The workers complained that no authority explained to them the registration process. "We have been standing since 3 am and its 10 am now but no one has told us when the registration will be done," said Ram Narayan Thakur, a native of Bihar.

The cops said the workers will have to give their name, mobile number, Aadhaar card copy and they will get an SMS alert or a call by the Talathi office to tell them the date of their journey.

'What about us?'
mid-day also met workers who are from Nepal. "Since I am from Nepal, I don't have an Aadhaar card. How will I travel to my native place? No one has the answer to my question," said Indradev, another worker.

His friend Ram Narayan Pal, also a native of Nepal said, I don't know if I will be able to see my family members."

The police, however, said the situation was in control. "We are facing challenges but everything is under control." said Rajkumar Shinde, DCP Bhiwandi.

"In Bhiwandi we have one of the largest populations of migrant workers, whose livelihood is dependent on power looms. Since they are shut the workers have been finding it very difficult to survive and now as some trains are moving to their native places, they are coming out in large numbers to leave the city as early possible," said another police officer.

3,000
No. of power loom workers who gathered at the ST bus depot

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The state's count of COVID-19 cases crossed 15,500 on Tuesday and 635 of the cases were reported in Mumbai. Addressing issues faced by dialysis patients who are not getting access to healthcare, the civic body directed dialysis centres in the city to not refuse patients or insist on COVID-19 tests.

While existing norms dictate that only symptomatic patients can be tested, the regulations exclude pregnant women, dialysis patients, those seeking IVF or having a scheduled surgery since many private hospitals have made it mandatory for all patients to get themselves tested. Civic officials said that directives have been issued to all dialysis centres not to insist on COVID-19 testing for patients who require dialysis.

"They can advise COVID-19 testing for suspected symptomatic patients or to those who are close contacts of COVID-19 patients. They should follow all precautions while giving the service. The dialysis should not be delayed for want of test results," said an official.

The civic body has also issued notices to all private nursing homes, hospitals and medical practitioners to reopen and provide medical help while adhering to the COVID-19 guidelines. Apart from private doctors, migrant labourers will now also be able to get their medical certificate from municipal dispensaries and peripheral hospitals.

The count of cases in Dharavi continued to rise with 33 new cases, taking the total to 665. Nine cases were reported from 90 Feet Road and five from Indiranagar. Civic officials said more than 83,500 people have been screened, of which 2,380 were placed in quarantine centres. Nine other cases were reported from Mahim and two from Dadar. In L ward (includes areas like Kurla), the total count crossed 600 and on Tuesday, 26 new cases were reported. Civic officials said that the cases were largely from dense slum pockets in areas like LBS Road and Narayan Nagar.

State health officials said there were 984 new cases in the state and the tally now stands at 15,525 cases. There were 34 deaths reported in Maharashtra, of which 26 were recorded in Mumbai, six in Pune and one each in Aurangabad and Kolhapur.

Mumbai now has 9,945 cases and 387 deaths while the state's death toll stands at 617. Civic officials said that out of the 26 deaths reported on Tuesday, six of them occurred between May 1 and 2 and 22 of the patients were suffering from other ailments. Two of the patients who died were below the age of 40 years while 13 patients were in the age group of 40-60 years.

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Even as tipplers lined up outside liquor stores across the state on Tuesday, there were hectic parleys both in the corridors of Mantralaya and the BMC.

While for the state government, the main concern was how to raise revenue during the lockdown while ensuring that the infection rate does not explode, the civic body's sole concern was to keep the city's climbing COVID-19 count under check.

As reports flooded in about overcrowding outside liquor stores, the BMC commissioner made up his mind and issued an order late on Tuesday evening, directing all non-essential shops and establishments to shut with immediate effect.

The state agreed that this was the right decision for the hotspot of Mumbai, and decided to keep liquor stores open in the rest of the state. It is even contemplating a cess on liquor like in Delhi state, top sources in the political and bureaucratic machinery told mid-day.

Delhi imposed a Coronavirus cess on liquor sales at state-run shops from Tuesday. The cess is 70 per cent of the maximum retail price of all categories of liquor sold through standalone shops. The Maharashtra government's cess is expected to be less than that of Delhi, as the state's taxes on alcoholic beverages are already the highest in the country.

A retailer from Sion said a New Delhi-like cess is not advisable. "Even with the cess or surcharge, liquor in Delhi will still be cheaper than in Maharashtra. The taxation is so heavy that spurious liquor is made here or cheaper stuff is smuggled from neighbouring states," he said.

The high that didn't last
As per official data, the state has been consuming an average of 87 crore litres of alcohol (country liquor, Indian made foreign liquor, beer and wine) every year. The government earned R15,428 crore last year through liquor production and sale. The state has lost at least R3,000 crore in revenue in the current financial year.
Figures obtained by mid-day showed that the state sold 16.10 lakh litres and earned R62.55 crore on Monday and Tuesday. The figures are from 17 districts that sold liquor on the two days (including Mumbai city and suburbs). Nine other districts had disallowed sales, and two couldn't open stores.

"The excise department earns maximum revenue from production units. Liquor sale in the state touched R11-12 crore on Monday. A cess is a matter of policy for the government," said excise commissioner Kantilal Umap.

Some officials are of the opinion that the government could earn additional revenue through Value Added Tax (VAT) and GST if restaurants and permits room that serve food and alcohol were also allowed to open in the coming days. Owners of permit rooms and restaurants have sought permission to dispose of their stock in retail to get some liquidity and add to the revenue. But at least in Mumbai, the BMC order has put paid to these hopes.

Earlier in the day...
Before the BMC commissioner's order, the State Excise Department released a new set of guidelines for all liquor shops, which includes a form that customers will have to fill in with their personal details and take a token.

This order – an attempt to streamline crowds and enforce social distancing – apply to other districts, where liquor shops will continue to operate.

The forms to be filled by people include name, mobile number, details of the brand and the number of bottles the person wishes to buy.

The excise department said not more than 50 tokens can be issued per hour. With wine shops in the state allowed to be open from 10 am to 6 pm, assuming there will be 50 customers per hour, a wine shop can service a maximum of 400 customers per day. If more customers come, they will be issued tokens for the next day.

Wine shops that do not have printers to print the forms can put their stamp on a plain paper which has the details of the customer and mention the token number.

Inputs by Vishal Singh

3k
Amount (in crores) of revenue from liquor sales lost by the state

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Not a single non-essential shop will be allowed to reopen, announced the BMC on Tuesday night, citing over-crowding outside shops and violation of social distancing orders by the customers on Day 1 of COVID-19 lockdown 3.0 on Monday.

After the Centre allowed reopening of standalone shops in even red zones across the country, the state government, too, gave a go-ahead on Sunday evening. However, on Monday, everyone woke up to confusion surrounding the matter. Social distancing went for a toss later as liquor shops opened later in the day.

City Municipal Commissioner Praveen Pardeshi in the order stated that only essential shops will continue to function. "The relaxation is going to deteriorate the condition in Mumbai and, hence, relaxation will have to be withdrawn from the city," said Pardeshi in the order.

He instructed the assistant commissioners of all the wards to give no permission for the opening of five non-essential shops in a lane, as was planned earlier. The senior police inspectors will ensure compliance of these orders. Only grocery and medical stores will be allowed to open during the lockdown, the order stated. The order stated that the decision was taken because managing the massive crowds outside the shops was becoming impossible.

Earlier, sources had told mid-day that the BMC was unlikely to allow the non-essential shops to reopen in the city, which has reported close to 10,000 confirmed cases of the novel Coronavirus as of Tuesday. Besides, there are 7,000 high-risk contacts in institutional quarantine areas and around 10 lakh people are in Containment Zones.

A few civic officials had earlier in the day said that allowing more shops to function now will put additional pressure on the BMC and city police. "The civic staff and police personnel are already under pressure, and opening of shops may put added pressure on the system," said a BMC official.

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Maharashtra government's offices located in Mumbai Metropolitan Region (MMR), in areas of municipal corporations of Pune, Pimpri-Chinchwad and Malegaon in Nashik district will function with five per cent attendance during the lockdown period till May 17 to contain spread of coronavirus. The MMR and areas under PMC, PCMC and Malegaon Municipal Corporation (MMC) have emerged as the coronavirus hotspots. In a statement on Tuesday, the government also said that in the rest of Maharashtra, the attendance of officials of the rank of deputy secretary and above will be 100 per cent, while that of the other officials and staffers will be 33 per cent as per the requirement.

The government, however, said that offices of departments such as health and family welfare, police, jail, fire brigade and emergency services, disaster management, Food Corporation of India, Nehru Yuva Kendra, municipal services and others will remain functional with complete attendance. The statement also said that the government officials and staffers should download the 'Aarogya Setu' application on their smartphones and work according to the guidelines issued by the Centre.

The statement reiterated that those attending offices should take precautionary measures and maintain proper hygiene during the period to keep the novel coronavirus at bay.

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This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever

The Maharashtra government on Tuesday decided to ply about 10,000 buses to ferry stranded people from one district to another within the state amidst the ongoing coronavirus-induced lockdown. "After the announcement of lockdown was made (on March 24), several people got stuck at distant locations from their homes. The government has now decided to ply 10,000 buses of Maharashtra State Road Transport Corporation (MSRTC) for free to drop them to their native places," State Relief and Rehabilitation Minister Vijay Wadettiwar said.

He said various procedural details and standard operating procedure will be put out in the next couple of days. The government had announced some relaxations during the third phase of the lockdown, which will remain in force till May 17.

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This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever

A fire has broke out in a godown of a chemical factory in Bhiwandi Rahnal village in Thane district on Wednesday afternoon. A team of six fire engines have reached the spot and are trying to douse the fire.

Maharashtra: Fire breaks out at a chemical godown in Bhiwandi Rahnal village in Thane district. More than six fire tenders have been pressed into action to put off the fire. pic.twitter.com/eFlMRLlQVG

— ANI (@ANI) May 6, 2020

While the reason for the fire is yet to be ascertained, no loss of life or property has been reported so far. More details are awaited.

This is the second fire incident to reported in a single day. Earlier in the day, a fire broke out at Vishnu Mahal, a residential building near Wankhede Stadium. The flames started in one of the apartments on the second floor of the building at D road, Marine Drive.

There was a fire extinguisher in the building which helped to douse it before it spread. No casualty was reported in the fire.

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The Kalyan Dombivli Municipal Corporation (KDMC) on Wednesday put on hold its controversial decision to deny entry to local residents employed for
essential services in Mumbai, which has reported the highest number of COVID-19 cases in Maharashtra, after a furore.

Apart from KDMC, the municipal corporation of Ulhasnagar and municipal councils of Ambernath and Badlapur-- all in neighbouring Thane district--had announced similar decisions on Tuesday.

However, only KDMC has stayed the decision, which was supposed to come into force from May 8 and remain effective till May 17, during the period of the extended lockdown. The announcement to suspend the decision was made on Wednesday by KDMC commissioner Vijay Suryavandhi.

Issuing an order, the KDMC commissioner had on Tuesday appealed to the Brihanmumbai Municipal Corporation (BMC) and other establishments to arrange for the stay of their employees who travel from KDMC to Mumbai.

"Many COVID-19 cases found in Kalyan-Dombivli and Ulhasnagar municipal corporations traced the source of their infection under the BMC limits. "Unless we stop people from moving between these cities and Mumbai, we cannot control further spread of COVID-19," said officials from both the municipal corporations.

Ambernath and Badlapur municipal councils have given options to their residents who travel daily to Mumbai to either stay in the metropolis from May 8 till May 17, or to avoid going to work and stay at their homes. Meanwhile, several nurses and employees of the state
government and the BMC have expressed their concerns over the decision of the KDMC and Ulhasnagar.

"What will happen to daily chores if I stay here in Mumbai for more than a week. My son is not even three-year-old, who will look after him?" said a nurse from state-run Nair Hospital who travels from Dombivli via bus.

"It is not an issue of one or two days. Everyone is scared of coronavirus infection. We feel safe when we go home and spend time with our family members. We can not simply stay
in Mumbai. I am not even sure about what kind of facilities we will be provided if we choose to stay in Mumbai," said a BMC staffer.

However, several health officials attached with these municipal corporations and councils have said that more than 50 per cent of COVID-19 cases in the metropolitan areas were
traced to Mumbai. "Some people returned from Mumbai have infected local residents, which has further stressed our already fragile health infrastructure," they said.

Congress leader and Mumbai city guardian minister Aslam Shaikh said the issue would be discussed at the state government level.

"This is the time to applaud the coronavirus warriors. The people who travel from KDMC, Ulhasnagar, Badlapur and Ambernath to Mumbai are nurses, BMC employees and other officials who are required to work in this crisis. We should be respecting their efforts.

"There are some places identified in Mumbai where temporary arrangements for accommodation can be arranged for people working in hospitals and other essential services. The state government will discuss the issue and decide further," he said.

However, Shiv Sena leader and Thane guardian minister Eknath Shinde said that no such decision will be taken without consulting the authorities concerned. Earlier in the day, Thane Municipal Corporation Commissioner Vijay Singhal suggested that similar decision--to
ban entry of local residents working in Mumbai--can be taken.

Kalyan MP Shrikant Shinde expressed the need for a proper staying facility for the people who travel to Mumbai to avoid further spread of coronavirus infection. "Such arrangement can be made in Mumbai city," he said. Millions of working-class people commute daily to Mumbai in local trains and other transport for work from Thane, Navi Mumbai, Virar, KDMC, Ulhasnagar, Ambernath, and Badlapur.

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Unable to bear the separation from his live-in partner who was stuck in Sindhudurg for the entire period of the the lockdown till date, a Turbhe-based youth walked and hitch-hiked to the district and tried to bring her back with him. Their journey back was interrupted when they were stopped by the police and sent to a quarantine centre, as Thane district in which Turbhe comes, is a red zone.

As a result of the lovesick man's determination, 34 other people who interacted with him, including the girl's family, have also been quarantined.

The 24-year-old, a resident of Turbhe, works as a delivery boy. In March, his 24-year-old partner, a nurse in a private hospital, went to her home town in Kasal village in Sindhudurg district. But, after a few days, the Maharashtra government barred inter-district travel to try and curb the spread of COVID-19 resulting in her getting stuck there.

A file picture of a doctor at the quarantine centre at NSCI DOME, Worli. The man and his girlfriend are in quarantine at Lanja.

Journey for love
The youth who was missing her, became restless when April neared end and there were no signs of the lockdown being lifted. So he decided to travel to Sindhudurg, which is almost 500 km from Turbhe, to bring his girlfriend back home. Fortunately for him he didn't have too much work either. So he started on April 27 from Turbhe and asked vehicle drivers for a lift whenever he could.

"By walking and hitch-hiking, he managed to reach the village of Kasal on May 3. He stayed in a mandir for the night and then went to her house on May 4," said Assistant Police Inspector Sanjay Chaudhary from Lanja police station in Ratnagiri district.

The man convinced her family that the lockdown would be on for some time and he wanted to take her back with him to Turbhe. "The girl also told her family that she was consistently getting calls from the hospital to rejoin work. So on the morning of May 4, the couple began their journey towards Navi Mumbai," said another police officer.

Spotted by locals
The couple walked and hitch-hiked and managed to cross Ratnagiri district. But then their luck ran out when some alert locals spotted them and informed the police, "On May 5, they were spotted at a Shiv Bhojan centre having lunch. Some residents informed Lanja police. We rushed to the centre and took the couple with us," said the police officer.

"Without hesitation the boy revealed the reason behind the journey. We took him and the girl to a quarantine centre as he had come from a Red Zone, i.e. Thane district. He also came in contact with several people. They will be kept in isolation for 14 days then we will take a call on whether they should be released or sent to Sindhudurg," added API Choudhary.

34 quarantined
After the Lanja police informed the Sindhudurg police about the youth and his stay in the temple in Kasal village, 34 persons were quarantined as they had interacted with him. These include his girlfriend's family as well.

27
Day in April that the man began his journey

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Six new cases of Corona were found in the Panvel Municipal Corporation jurisdiction on Wednesday taking the count to 113 under the PMC. Among the new cases are two APMC staffers, a police officer, a kidney patient, a homemaker and a BEST employee.

The PMC, which falls under the Raigad district, was initially declared an orange zone, as was the entire Raigad district but within 24 hours, the collector put PMC areas in the red zone.

Ramesh Lengarekar, Deputy Municipal Commissioner, PMC, informed mid-day that PMC was a part of Mumbai Metropolitan Region (MMR), like Thane, Navi Mumbai, Kalyan and Dombivli, etc, and considering the entire MMR is in the red zone, PMC, too, falls under the said category. "While the government has the power to decide the zones (red, orange, green), the collector has been empowered to list a zone from orange to red or green to orange."

12L population in PMC
So far, two deaths have been reported from the PMC region, which has a population of 12 lakh. The number of positive cases in Raigad district, excluding PMC, is lesser and is, therefore, in the orange zone.

Areas under the PMC — Panvel, Kamothe, Kalamboli, Kharghar, Ulve and Taloja — will follow the national lockdown period till May 17 with prohibitory orders under Section 144 (no assembly of more than five people) in force.

"As per the central government directives, we are making an attempt to keep some additional shops (five) other than medical and general stores open. A decision on this will be taken soon," a senior PMC official said.

Infection from Mumbai
The BEST staffer who tested positive is attached to the Govandi bus depot, and the police sub-inspector is attached to a police station in the Central Mumbai region.

The kidney patient was undergoing his dialysis treatment in a private hospital in Sanpada while the two APMC staffers are residents of Kamothe and Kharghar.

Mangal Kamble, founder president of Swachh Kharghar Foundation, said, "People working in Mumbai have been travelling daily between Mumbai and the PMC area, and have caught the infection in the city."

Cases spike in APMC market
"Also, our concern is that most of the vegetables, fruits, and grains are being transported all over the MMR region from the APMC market, which is already seeing an increase in the number of positive cases. A thorough screening of every vehicle entering and exiting APMC should be done and at every entry point within the PMC area. This needs to be done to curtail any community outbreak of the virus," Kamble added.

Over 100 COVID-19 cases in APMC
Dr Satish Choudhari, nodal officer for COVID at Gram Vikas Bhavan, Kharghar said, "At present, we have around 24 positive cases in the quarantine centre here. All those people who have a cold, cough, fever for more than three to five days are sent to the Gram Vikas Bhavan for quarantine and are referred to sub-district hospital Panvel or to MGM hospital in Kamothe if they need further treatment."

Twelve new cases have been detected in the Agriculture Produce Market Committee (APMC) market taking the tally there to over 100.

The market, however, continues to function as per the guidelines of the committee appointed for monitoring the situation.

113
Total no. of COVID cases in PMC area

2
No. of novel Coronavirus deaths in PMC area

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At a time alcohol sales have been barred in Mumbai, its sales in 18 districts of Maharashtra on Wednesday yielded Rs 43.75 crore. A few buyers claimed the token system introduced to reduce crowds helped them get their tipple faster.

After seeing the crowds in Mumbai that gathered to buy their favourite drink without caring about social distancing, the State Excise Department had released a new set of guidelines for all liquor shops, which included a form that customers would have to fill in with their personal details and take a token. The excise department said not more than 50 tokens can be issued per hour. Assuming there will be 50 customers per hour, a wine shop can supply a maximum of 400 customers per day. If more customers come, they will be issued tokens for the next day.

All alcohol vendors have been asked to sell liquor only through this token system. mid-day spoke to a few buyers outside the BMC limits about their experience.Some of them said the system helped as they did not have to stand in queues for a long time.

Was asked to wait till 11 am
Suresh Jadhav from Thane, who bought liquor from J K Wine Shop on Bhiwandi-Kalyan Road, said he was asked to take a token. It was number 72 and he was asked to come at 11 am. Jadhav said, "When I reached the store at the given time, there was not much crowd. Due to the token, I did not have to stand in line for long."

Munna Pandey, another Thane resident, who went to the same shop, said he took a token and was asked to come at 1 pm. "When I reached the shop at 1 pm, there were 15 to 17 people standing in front of me. I wrote my name, the name of the brand and my mobile number in the form. I took a total of 4 bottles. It took me about half an hour to get my liquor," Pandey said.

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In a latest controversy, the Brihanmumbai Municipal Corporation (BMC) had decided to file a police complaint against doctors who prescribe COVID-19 tests to patients without conducting physical examinations. The officials of L ward had also come up with a complaint format that was supposed to be sent to police stations. However, when doctors slammed the move, the civic body withdrew it on Wednesday.

According to the complaint letter issued by L ward, a doctor found to have referred a patient for the COVID-19 test without a physical examination would face an FIR under Section 188 of the IPC (disobeying orders of a public servant) and the Epidemic Diseases Act of 1897. Confirming that such a decision was taken by the civic administration, a senior civic official said, "The COVID-19 task force decided that doctors have to examine the patient physically before prescribing any test. Ward officials will file the complaint with the respective police station if the regulations are not followed and the police will investigate the matter further."

However, when contacted, an L ward official said that the decision was taken after a doctor based in New Delhi referred a patient for testing in Mumbai and the complaint form was being used as a scare tactic. "We weren't planning on taking action against doctors. We just wanted to discourage the medical fraternity from referring patients without examining them. The complaint form was shared on some chat groups," added the official.

Dr Avinash Bhondwe, president of the Indian Medical Association in Maharashtra said that it is an unjustifiable move since doctors don't have access to PPE kits and they cannot examine a suspected patient without adequate protection. "We are only working with masks and gloves. It is very risky to physically examine a patient and doctors are not able to buy PPE kits either since it's not available, which is why in some cases doctors are consulting patients over phone. However, the BMC cannot take action against doctors and this will be challenged in the court of law," said Dr Bhondwe.

He added that even making physical examination mandatory doesn't make sense unless the civic body provides PPE kits to all doctors. "More and more doctors are testing positive every day. If a doctor examines a patient without PPE and if the patient tests positive, then the doctor will be placed in quarantine," he said. Dr Bhondwe added that instead of testing only the symptomatic patients, the government should make arrangements to test everyone. "Health is a constitutional right and everyone should be able to undergo tests," he added. Dr Bhondwe also pointed out that till date none of the circulars issued by the ICMR have mentioned that physical examination is mandatory. He further said that L ward officials later assured him that no FIR would be filed against doctors.

When contacted, Dr Gautam Bhansali, consulting physician with Bombay Hospital, said that taking action wasn't the correct approach in such stressful times. "Such decisions are demeaning to doctors who are working so hard. Referring a patient is not a crime and doesn't warrant a punishment. At best, circulars can be issued to create awareness among doctors," he said.

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At a time when the nation needs its frontline workers, Railway doctors remain inconspicuous by their absence. Considering this, the railway board has now issued a circular stating that "unauthorised absence" was hurting the system and creating a serious imbalance, hence fresh recruitments were necessary.

The circular, (a copy of which is with mid-day) signed by executive director/health, railway board, Dr Vijay Kumar, states, "A large number of doctors are on unauthorised leave. This is causing a serious imbalance in the strength of doctors in many zones. In view of this, it has been decided that vacancies of doctors who are on unauthorised absence will be filled up." It further mentioned that as and when the doctors, who are currently absent, report back to duty, they would be directed to report to the Director General/Railway Health Services (DG/RHS) for their further posting.h

The circular said necessary disciplinary action should be completed early and on priority. The Indian Railway Health Services (IRHS) is a cadre of doctors recruited through the Union Public Service Commission medical exam.

The key responsibilities of the doctors include attending to rail accident victims, pre-employment medical examination of staff, periodical medical tests of serving staff, conducting medical boards and other medical certification of serving employees and much more.

While the director-general (health) was not available for comment, a senior official said, "Recruitments are being carried out to get doctors and medical staff on board to fight the COVID-19 battle as the railways have been actively functioning even in these times. It has become the key provider of essential services, keeping the supply chain alive. Hence, the more number of medical workers come on board, the better it is."

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