Zahid Maleque
Not possible to increase bed number so often: Minister
It will not be possible to increase the number of beds all too often to accommodate the growing Covid-19 patients, Health Minister Zahid Maleque said on Thursday.
“We’ve managed to tackle 10 times more patients this time as we raised the number of beds from 2,500 to 7,000 in a short period of time, but it’s not possible to do it so frequently,” the minister said.
Zahid Maleque came up with the remark while addressing a virtual discussion arranged on the occasion of National Nutrition Day.
Also read: DNCC Market Hospital to get 200 new ICU beds: Health Minister
To avoid the ‘third’ wave of the Coronavirus pandemic, people of the country must be more conscious, Zahid Maleque.
The second wave of Coronavirus hit the country as people failed to follow the health protocols properly, the minister said, adding: “We must become more aware to escape the third wave of the deadly virus.”
Currently, the second wave of Coronavirus is underway which is much deadlier compared to the first one, Maleque said.
Also read: Covid-19 surge lays bare another crisis: Scant ICU beds and specialists
“Now we must detect the cause behind the emergence of the second wave. We’ve restricted social functions, public gatherings and rallies to contain the virus,” he said.
The infection rate will come down if the restrictions are followed properly for a few days, he hoped.
Covid situation in Bangladesh
Ninety-eight more people died of Covid-19 in 24 hours until Thursday morning amid a sharp rise in the number of deaths from the deadly virus.
Also read: Covid-19: Bangladesh sees 98 more deaths, 4,014 new infections
The virus also infected 4,014 others during the period, the Directorate General of Health Services said in a handout.
With the latest figure, the mortality rate remained at 1.46 percent while the infection rate declined to 14.63 percent from Wednesday’s 15.07 percent.
Country's largest Covid-19 dedicated hospital opened in Dhaka
The country’s largest Covid-19 dedicated hospital with 1,000 beds was inaugurated at Dhaka North City Corporation's Mohakhali market on Sunday (April 18, 2021).
Health Minister Zahid Maleque opened the hospital as the chief guest in the morning.
Read DNCC Market Hospital to get 200 new ICU beds: Health Minister
The demand for ICU beds is rising after the second wave of Coronavirus hit the country. He said the Covid-dedicated hospital was completed in 20 days at the directive of the prime minister.
The hospital has 212 ICU beds, 250 beds in high dependency units (HDUs), 438 Covid-19 isolation rooms and 50 emergency beds, the minister said.
Also read: Covid-19 in Bangladesh: Death toll hits another new high of 102
DNCC Market Hospital to get 200 new ICU beds: Health Minister
Two hundred Intensive Care Unit (ICU) beds and 1000 new isolation beds will be added in the Dhaka North City Corporation (DNCC) Market Hospital within a short time, said Health Minister Zahid Maleque on Tuesday.
The minister came up with the information after sighting the new beds installation progress at the hospital in Mohakhali area in the afternoon.
The installation of new ICU beds was announced as the country witnessed record-breaking daily Covid-19 fatalities and infections with 66 deaths and 7,213 cases during the last 24 hours till Tuesday.
Also read: Covid-19 surge lays bare another crisis: Scant ICU beds and specialists
More than 7,000 new Coronavirus cases were recorded for the third consecutive day on Tuesday, according to a handout issued by the Directorate General of Health Services (DGHS).
The new beds will be inaugurated within the next two weeks, the minister hoped.
“No matter how many new beds are installed, Coronavirus won’t be controlled if people neglect the health guidelines,” he said.
Also read: 'Govt spending Tk 4.5 lakh on each Covid patient in ICU'
In many places people are creating agitation seeking withdrawal of lockdown, Maleque said, adding that in the present moment lockdown was mandatory so the government decided for it.
“The government will withdraw it in right time, if we don’t maintain the government directive now, Covid-19 infection and fatalities both might go beyond any control in the future,” the health minister added.
March Madness
Amid all the celebrations surrounding the Golden Jubilee of Independence and the Mujib Centennial in March, there is one undeniable that fact that we can no longer run away from: it was the month we allowed the Second Wave of COVID-19 get out of hand and out of control.
The hospitals are filling up as the country records a rising number of new coronavirus cases but the battle for survival is somewhat uncertain for the more serious patients who require intensive care.
As of March 30, hospitals dedicated for treating coronavirus patients in Dhaka have 108 ICU beds but at the moment, only four are available, according to the Directorate General of Health Services (DGHS).
The situation at private hospitals is no different. There are 188 ICU beds but 144 of them are occupied. People with low or fixed income prefer government hospitals where the treatment is cheap. The cost at private hospitals is much higher.
The acute shortage of much-needed ICU beds means that only a fraction of the serious and critical patients will get life-saving treatment. Bangladesh health authorities reported a record number of cases on three out of the four days till April 1, when it shattered the previous day’s record of 5300-odd cases by reporting a whopping 6,469.
Additionally it reported 59 new deaths, the second-highest toll in the entire outbreak since March 2020. The highest remains 62 last June 30 – but the way things are going, it only seems a matter of time before that is eclipsed. The second wave is well and truly here with a vengeance, and it seems set to be much worse than the first.
“It’ll be very difficult to manage the situation,” said Prof Dr Mohammad Robed Amin, DGHS Director of Non-Communicable Diseases and media cell representative.
Also read: Covid-19: Bangladesh records 6,000+ cases for 2nd straight day
ICU beds running short
Among the 10 dedicated hospitals, Bangabandhu Sheikh Mujib Medical University and Kuwait Maitree Hospital have 16 beds, Kurmitola General Hospital has 10, Dhaka Medical College Hospital (DMCH) has 10, Sheikh Russel Gastro Liver Institute & Hospital has 16, Sarkari Karmachari Hospital in Fulbaria has six, Central Police Hospital at Rajarbagh has 15.
Two beds each are available at Sheikh Russel Gastro Liver Institute and Hospital and the Central Police Hospital in Rajarbagh.
Meanwhile, the hospitals are running out of general beds as the number of patients increases. Of the 2,461 beds, 2,127 are currently occupied.
Among the private hospitals, Bangladesh Specialized Hospital has nine ICU beds, Anwer Khan Modern Medical College Hospital has 30, Square Hospital has 19, United Hospital has 22, Evercare Hospital has 40, Asgar Ali Hospital has 32, Ibn Sina Hospital has five, and Impulse Hospital has 35, and AMZ Hospital has 10.
Also read: Covid-19 surge lays bare another crisis: Scant ICU beds and specialists
Anwer Khan Modern Medical College Hospital has eight beds available, Square Hospital has five, United Hospital has eight, Evercare Hospital has six, Asgar Ali Hospital has 12, Ibn Sina Hospital has one, Impulse Hospital has three and AMZ Hospital has two.
Among the 925 general beds, 528 are occupied.
Health Minister Zahid Maleque warned that the rise in coronavirus cases at the current rate would overwhelm the healthcare system.
DGHS Secretary Abdul Mannan told our sister newsagency UNB that people must follow the health protocols and directives issued by the government to bring down the cases.
Dr Amin said they are emphasising setting up ICUs at hospitals which have additional space to meet the increasing demand. He noted that the number of ICU specialists must be increased along with ICU beds. “We don’t have enough ICU specialists,” he said.
Prof Amin said the government is planning to install new ICUs at the district hospitals. “The pressure on [hospitals in] Dhaka will lessen if we set up ICUs at district level.”
The recent spurt in cases prompted the Prime Minister’s Office (PMO) to issue an 18-point directive this week for the next two weeks to contain the spread. Health Minister Maleque said they proposed partial lockdowns for some places with higher Covid-19 transmission rates.
The government launched a countrywide vaccination campaign on February 7. Those who are 40 years or above and the frontline workers are being prioritised. Till March 29, 5,139,679 people received the first dose, according to government data.
What can be done?
As Bangladesh is experiencing record-breaking Covid cases, experts think ‘health emergency’, ‘nighttime curfew’ and area-based lockdown can be the right measures to slow down the virus transmission.
They think the 18-point directive issued by the government on Monday is not enough as the coronavirus situation is going from bad to worse with both high infection and mortality rates in the country.
Also read: Fighting the Second Wave: Govt seeks stricter implementation of PMO directives
The experts warned that Bangladesh may experience an ‘explosive’ Covid situation in the coming months, breaking down the already overwhelmed medical system, if unnecessary public movements and mass gatherings cannot be controlled with the strict enforcement of laws.
They also suggested ramping up contact tracing, mass testing, expanding ICU capacity and ensuring necessary treatment facilities and equipment in every hospital, including upazila health complexes, since the Directorate General of Health Services (DGHS) has identified 31 districts as risky for the virus outbreak with a high infection rate.
According to public health expert Dr MH Chowdhury (Lenin), chairman of the medicine department at Health and Hope Hospital, the government’s directives are inconsistent with the coronavirus transmission pace.
“When it’s necessary to stop all the social and political gatherings right now, it was said to be discouraged in the directives. When a nighttime curfew should be enforced from 6pm, people are only asked not to come out of their homes unnecessarily. The shopping malls should be allowed to remain open for at best six hours on a limited scale, but the government said both sellers and buyers in shopping malls must follow the health rules,” he said.
Dr Lenin said all types of mass gatherings should be controlled strictly, but the government asked to hold public exams maintaining health hygiene rules, which is not possible.
“People are discouraged to go to tourist and recreation spots, movie houses and theatres, and all kinds of fairs. But the Ekushey Book Fair is going on in full swing,” he pointed out.
Dr Lenin said the government has instructed all to maintain health safety rules in public transport, but people do not do that for lack of monitoring. “Strong enforcement of law is necessary to force people to abide by those rules.”
Dr Be-Nazir Ahmed, former director (disease control) of the DGHS, said, “The directives are not time-befitting and consistent with the current pandemic situation. These instructions should have been given at least one month back when the virus cases started surging.”
Dr Be-Nazir said when elections can be held amid such a situation, how can the government ask people not to arrange social programmes and mass gatherings?
The health expert said the government has given a directive to shift kitchen markets to open places, but the shopping malls will remain open. “When people can go to shopping malls in enclosed areas, where’s the problem if they visit the kitchen markets?” he asked.
“I think the directives have not been formulated considering the severity of the current Covid situation. So, these directives may not help contain the virus outbreak. We should take the corona situation seriously and come up with serious actions. Or else, we’ll have to pay a heavy price in the days to come.”
Dr Be-Nazir said all-types of mass gatherings and unnecessary public movement must be stopped to overcome the situation.
Also read: Avoid public gatherings, wear masks to fight Covid surge, PM urges all
“We should announce a health emergency by forming a high-powered committee to enforce it by taking necessary decisions to tackle the situation. The committee should be given the power to issue orders to curtail different services and close shops, offices and restaurants, to involve any organisation in healthcare management. “Adequate funds should be allocated so that the committee can take necessary preventive and curative measures.”
He said the committee should also be empowered to convert any community centre, convention centre, hotel or other institutions into temporary hospitals, quarantine or isolation centres.
The expert said the government should engage police, Rab, Ansar, BGB and even the army to enforce the health emergency. “A situation should be created so that people don’t venture out of home without masks and any valid reason.”
‘Suspend the Book Fair’
Dr Lenin said the Ekushey Book Fair should be suspended for at least two weeks while the tourist and recreation spots, movie houses and theatres should be closed right now as part of a move to control mass gatherings and mass movement.
He said people have long been asked to wear masks, but they are not paying heed to it. “So, a heavy fine should be realised from those who don’t wear masks.”
Also read: Nat’l committee for stopping Ekushey Book Fair as Covid cases surge
Dr Lenin said putting the entire country under lockdown is the last weapon to control the mass gatherings, but it will harm the economy badly. “So, we should use other preventative measures like a curfew from 6pm to 6am to control the situation.”
Besides, he said, the government should identify the areas where the infection rate is very high and declare those as ‘red zones’.
“We need to now enforce area-based lockdown in the red zones. The situation has reached such a level that we won’t be able to control the infection rate without controlling the movement of people in corona hotspots.”
Dr Lenin said the offices that can be run online should take immediate steps to keep their employees at home. “Other offices that can’t be run through online should follow skeleton duty schedules to lessen the presence of their staff.”
“The main thing is that we must control the mass movement and mass gathering as much as possible. We should take all possible steps in this regard. Or else, the pandemic will take a tsunami turn in Bangladesh.”
Prof Muzaherul Huq, a former adviser to WHO South-East Asia region, said the government should take all-out steps to tackle the situation in the days to come by ensuring proper treatment facilities in all the district and upazila hospitals since the virus case has been gradually growing across the country.
“If the virus continues to spread for two more weeks, it’ll put a serious pressure on the healthcare system. The Prime Minister has issued an instruction to ensure ventilators and ICU beds in every district hospital. The government should implement this instruction immediately. There should be sufficient oxygen supply and other necessary equipment in all the upazila health complexes to deal with the Covid patients,” he said.
Prof Huq said the Covid patients must be identified quickly and kept in isolation centres. “We also need to locate people who come in contact with the Covid patients and quarantine them.”
Too little, too late?
In the wake of the alarming spike in Coronavirus cases, the government towards the end of the week decided to take a tougher position to implement the 18-point directive issued by the Prime Minister’s Office (PMO) in an effort to contain the spread.
The move came after the country recorded its highest-ever daily coronavirus cases (6,469) and registered more than 5,000 cases for the fourth straight day on Thursday (Apr 1).
Also read: Restriction on gatherings, quarantine rule among PMO’s 18-point directive to contain Covid surge
Following the health protocols, all ministries and organisations have been instructed to use only 50 percent of their manpower in office for two straight weeks by State Minister of Public Administration Farhad Hossain.
Strict instructions have been issued to all the ministries and associated organisations asking them to follow the directives, he said.
“We already started following the instruction from Wednesday and the rest of the ministries started implementing the directive from Thursday. All ministries and departments will form a duty roster for all their staffs,” he said.
One half of the staff will attend office three days and two days from home in the first week and the second half will work the same way in the second week, Hossain said, adding that pregnant and officials above 55 years old will work online from home.
Besides, all of the private and non-government organisations and offices were also directed to employ 50 percent workers in office and rest through online from home, the State Minister said. Pregnant employees and officials above 55 years old will work online from home.
“We will ensure that no one go outside after 10 pm unnecessarily and also launched monitoring programme on the grass root level. Law enforcers will work in this regard,” Farhad Hossain said.
The government will decide the next course of action after maintaining all the directives for two weeks and review the decision after April 12, he said.
The Home Ministry said as the 18-point directive landed on Monday, police already prepared a work plan to implement the instructions across the country including the capital.
Police check-posts have been installed at different places including Dhaka and a massive campaign is operated by cops and local administration to raise awareness among people, Home Minister Asaduzzaman Khan told UNB.
Moreover Health Minister Zahid Maleque said the administration will do everything to constant monitor the implementation of the health directives “The way number of patients is rising if the scenario continues, no hospitals will have seats to admit patients. All must act immediately to curb the massive transmission. The pandemic might take a devastating form if we fail to follow the 18-directives issued by the Prime Minister Sheikh Hasina,” the minister said.
Secretary of Health Services Division Abdul Mannan said they have already started following the health directive strictly.
Transport restrictions
Bangladesh Railway is operating keeping 50 percent of its seats vacant to curb the transmission of Covid-19 since Wednesday, said Railway Minister Nurul Islam Sujan.
Half of the 50 percent railway tickets will be available online and rest will be sold at the stations, the minister said adding that “We won’t carry any passenger without following the health guideline and take all necessary measures to ensure hygiene in trains and stations.”
Bangladesh Road Transport Owners Association Secretary General Khandakar Enayetullah said all buses are carrying 50 percent of passengers with the direction of the government.
BRTA Chairman Nur Mohammad Majumdar told UNB that they have taken overall measures in this regard and mobile courts will be operated to prevent transport workers from violating the instructions.
State Minister for Shipping Ministry Khalid Mahmud Chowdhury said they are also maintaining the 18-point directive by taking only 50 percent of passengers.
Passengers will have to step into launch after following all health guidelines otherwise legal action will be taken, he warned.
Meanwhile incoming flights from all countries of Europe except the United Kingdom have been prohibited to prevent coronavirus transmission, said Civil Aviation Authority Chairman Air Vice Marshal M Mofidur Rahman. The decision to exempt the UK has baffled observers.
Twelve other countries that have been placed on the list alongside Europe are Argentina, Bahrain, Brazil, Chile, Jordan, Lebanon, Peru, Qatar, South Africa, Turkey and Uruguay.
The prohibition will remain in action from April 3 to April 18, Rahman said, adding that the airlines can only carry transit passengers from these nations during this time and they will have to remain inside the Airport terminal during the transit period.
The returnees from foreign countries who are allowed in will have to remain in institutional quarantine for 14 days at a quarantine centre or specific hotel, he said.
Besides, all travellers must have Covid-19 negative certificates (Sample collected within 72 hours) for leaving or entering the country, he added. Passengers will have to wear face shields along with masks.
All the directives came into effect since March 30 and will remain in force until further notice, he said.
Besides, the Election Commission (EC) late in the week postponed all elections scheduled for April 11. The National Cricket League has also been postponed midway.
Movement of all tourist ships on Teknaf-Saint Martin's Island route have been suspended, and all tourist spots in places like Cox’s Bazar and Sylhet have been instructed to close.
However, movement of vessels carrying regular passengers and daily essentials will remain normal, subjected to maintaining health guidelines.
Additional Reporting by AR Jahangir and Masudul Hoque
(This article was first published on dhakacourier.com.bd)
No alternative to increasing hospital capacity: Health Minister
Health Minister Zahid Maleque has said that there is no alternative to increasing the capacities of hospitals to tackle the surge in Covid-19 cases.
“There’s no alternative to increasing the number of hospital beds as Covid cases are increasing day by day. That’s why the government is increasing the number of beds at all covid-dedicated hospitals,” he said while inaugurating 10 ICU beds at Dhaka Medical College Hospital at an online event.
He said the number of covid-designated hospitals are also being increased.
Also read: Covid-19: Bangladesh records highest-ever daily cases, 59 deaths
Minister Maleque said that a market of Dhaka North City Corporation (DNCC) has been turned into a Covid-dedicated hospital with 1,250-bed capacity.
“There are 50 ICU beds and 200 SDO beds,” he said. “It also has 1,000 isolation beds.”
Maleque said the number of covid beds is being increased at government hospitals in the capital.
Also read: Avoid public gatherings, wear masks to fight Covid surge, PM urges all
In this regard, the minister said that 10 more ICU beds have been added to Dhaka Medical College Hospital today.
Covid-19 Second Wave: Maleque seeks further steps against transmission
Health Minister Zahid Maleque has said that Dhaka North City Corporation kitchen market in Mohakhali will be turned into a makeshift hospital dedicated for novel coronavirus patients.
“It will have around 50 ICU beds and above 1000 Covid patients can be tretated at the hospital,” said the minister.
Moreover, three specialized public hospitals -National Institute of Mental Health, National Institute of Cardiovascular Diseases and National Institute of Kidney Diseases and Urology, will also open units dedicated for coronavirus patients with 100 beds each.
Also read: Bangladesh reports record number of 5,358 new daily Covid cases; 52 deaths
He came up with this information while talking to the reporters at a a meeting with the owners of private hospitals this evening.
Zahid Maleque reaffirmed that the ministry is doing everything in its power to curb the ‘dramatic’ rise in Covid-19 cases.
“Additional 2500 bed will be increased in the hospitals of the capital to treat Covid-19 patients within a very short time. Moreover, central oxygen line has been provided to 90 hospitals,” he said.
Also read: Don’t be panicked about possible second wave of Covid-19: Minister
The minister also urged people to consider Covid hospitals adjacent to Dhaka city to reduce pressure on the capitals’ hospitals.
“There are similar medical facilities in Gazipur, Manikganj and some other districts around Dhaka. Patients can be admitted to those hospitals,” he said.
The minister said that if the authorities fail to do anything about the source of the massive spread of Covid-19 cases, then it would be impossible to bring the situation under control even if they turn the entire Dhaka city into hospitals.
Also read: Vaccine drive to continue with AstraZeneca shot: Health Secretary
“People are visiting tourist destinations, attending weddings and social events without maintaining any health guidelnes. If this continues, then it will not be possible to curb the spread of Covid-19.”
The minister said the steps taken by the health authorities were effective in restricting Covid-19 in Bangladesh which resulted in lower cases in February. But people became lethargic afterwards, which was the main reason for increase in coronavirus cases.
The minister expressed his concern by saying if the situation goes beond the authorities control, then it would be very difficult to bring life back to normal.
Proposed partial lockdown in areas with high Covid-19 cases: Health Minister
The Health Ministry has proposed partial lockdowns for some places with higher Coronavirus transmission rates, Health Minister Zahid Maleque said Monday.
“Our daily infection rate was only 2 percent in February which has now shot up to 13 percent as the number of fatalities and infection rises daily,” he said at a virtual event of the National Institute of Cardiovascular Disease and Hospital.
Also read:3,000 more hospital beds to be ready for Covid patients: Minister
Coronavirus infection rate jumped to 18.38 percent on Monday from 17.65 percent on Sunday.
In the afternoon, the health authorities announced the country’s highest-ever daily cases (5,181) as the caseload rose to 600,895. Bangladesh also reported 45 deaths, raising the national tally to 8,949, the Directorate General of Health Services (DGHS) said in a handout.
“Bangladesh’s economy might face dire consequences if we fail to control the origin of Covid-19 and contain it,” the minister warned.
The Health Ministry has submitted some proposals to the government considering all these issues, Maleque said.
Partial lockdown, closure of amusement centres, picnic, religious gatherings, limiting wedding ceremonies, strengthening quarantine system, limiting passengers in public transports, and limiting attendance in offices are some of the recommendations.
The ministry also proposed ensuring ‘no mask no service’ policy, increasing numbers of mobile courts and imposing fines on health guideline violators.
Also read:Covid-19 situation under control in Bangladesh: Health Minister
“A detailed decision on the matter can hopefully be taken within several days,” the minister said.
‘No lockdown at the moment’
The country launched a countrywide vaccination drive on Feb 7. As the daily infection rate kept rising, the government extended the closure of school and colleges until May 23.
3,000 more hospital beds to be ready for Covid patients: Minister
Three thousand more beds will be added to hospitals across the country in the wake of sharp rise in coronavirus cases, said Health Minister Zahid Maleque on Wednesday.
The minister revealed this while responding to questions from reporters following a meeting on MBBS admission test at his ministry's conference room.
Also read: Remain alert as Covid-19 infection rising: Health Minister
“The number of Covid patients need to be reduced fast. If the current rate of virus infection continues, it won’t be possible to tackle the situation with the existing arrangements,” he said.
"We’ve turned some non-Covid hospitals into Corona dedicated hospitals. We’ve also issued instructions to increase beds at Lalkuthi Hospital, Mohanagar Hospital, Government Employees Hospital and Kurmitola Hospital," the minister said.
Outside Dhaka, the concerned authorities in Tongi, Gazipur and Tangail have also been asked to take necessary measures, he said, adding, “If we can do these, we’ll be able to create 3000 new beds.”
Covid-19: Bangladesh’s daily infection rate falls slightly to 9.39%, 26 more die
Bangladesh’s daily Covid-19 infection rate fell slightly to 9.39 percent on Saturday from 10.04 percent a day earlier.
No decision yet over lockdown: Health Minister
The government has not yet taken any decision to enforce lockdown again in the country for curbing the transmission of Coronavirus, Health Minister Zahid Maleque said on Thursday.