INSUBCONTINENT EXCLUSIVE:

Kathmandu, February 26 Hospitals in Kathmandu are not prepared to prevent and contain coronavirus outbreak. Both government and private

hospitals lack manpower, infrastructure, medical equipment and personal protective equipment to fight the disease. Various government and

private hospitals such as Bir Hospital, Patan Hospital, Tribhuvan University Teaching Hospital, Bhaktapur Hospital, Bhaktapur Cancer

Hospital, Norvic International Hospital and Nepal Mediciti Hospital have admitted that they can&t handle the situation if the disease

assumes epidemic proportion. &We have a rapid response team to attend to critical situation. But we can&t handle too many patients as we

lack necessary equipment

We don&t have coronavirus test kits

We can only use available resource,& said an official of Norvic International Hospital in the condition of anonymity. The hospital has

separated six beds for isolation for suspected coronavirus cases. There have been reports of increased spread of the virus in South Korea,

Iran, Italy, Singapore, Taiwan, Thailand and Japan and experts have been suggesting to strengthen preparations. Patan Hospital, which the

government has designated for treatment of suspected cases of coronavirus has only five isolated beds

&Though we have trained manpower we still lack proper infrastructure,& said Dr Bishnu Prasad Sharma, director at Patan Hospital. Similar is

the situation of other hospitals

&We are in a situation to take only five patients to the maximum

We admit immune compromised patients and they are on a regular follow up

These patients are under high risk of infection,& said Jwala Dhakal, infection control nurse at Civil Service Hospital, adding, &Doctors

have been saying that critically ill patients require invasive breathing support

But our hospital lacks the facility,& she said. &Some patients need to be treated in intensive care unit

We have only four ICUs

Patients need to be kept in isolation in ICU

We don&t have that set up,& said Dhakal. Sukraraj Tropical and Infectious Disease Hospital, which the government has designated for

treatment of suspected coronavirus patients has only three ICUs

World Health Organisation has said infection prevention and control measures include hand hygiene and waste management materials. Health

workers should be provided with gloves, mask and gown

In case of blood or airborne infection, face protection, goggles and mask, gloves, gown or coveralls, head cover and rubber boots, are

necessary, according to WHO. Our hospital does not have complete sets for health workers

&We have been demanding personal protective equipment with the government, but haven&t got any

We also need well trained manpower,& said Dr Kedar Century, director of Bir Hospital. &We have limited ICU, ventilators and manpower

There is shortage of personal protective equipment in the market,& said Dr Anup Subedi, consultant Infectious Disease Physician at HAMS

Hospital. &We have manpower but we don&t have PPE

When health workers can&t protect themselves how are they going to treat patients?& questioned Dr Prem Krishna Khadga, Tribhuvan University

Teaching Hospital, director. Doctors have suggested that the government provide service from a single hospital to coronavirus suspects. &If

coronavirus suspected patients visit a hospital where there is movement of high number of other patients, there is high chance for the

spread of the disease

Therefore, the government should deliver service from a specific hospital,& said Dr Khadga. Several European countries have announced their

first coronavirus cases

Though Nepal has also announced its first case much remains to be done to contain its possible outbreak. &As global scenario in relation to

the disease is changing we need to step-up our preparedness,& said Dr Dirgha Raj RC, director at Civil Service Hospital. The post Hospitals

ill-equipped to handle COVID-19 patients appeared first on The Himalayan Times.

Hospitals ill-equipped to handle COVID-19 patients