India's first Covid-19 patient on ECMO support for 12 days defeats virus

Although she did not have any co-morbidity, doctors feel her obesity could be a reason behind her severe condition.

A 24-year-old highly obese woman claimed to have become the first coronavirus patient in the country to defeat Covid-19 and survive after being put on Extracorporeal Membrane Oxygenation (ECMO) support for the past 12 days, sources in the private hospital that treated her said on Monday.

It is not always possible to clinically manage respiratory distress in Covid-19 patients with ventilator support and ECMO is the last option for them, an official of the hospital said adding that three coronavirus infected persons in New Delhi and Chennai, who were put on ECMO, did not survive.

The woman, who is from Kolkata's Kalighat area and weighs around 100 kilogram, got admitted to the hospital on May 17 with high fever and severe breathing distress, a senior official of the facility said.

"When she was first brought to the emergency department at the AMRI, Dhakuria, doctors noted that her oxygen saturation had gone down to 34 per cent, causing serious concern," he said.

Although she did not have any co-morbidity, doctors feel her obesity could be a reason behind her severe condition.

"She was suffering from high fever and sore throat since May 10. Though her fever subsided but it again shot up and she started having severe respiratory distress. She was put on ventilation, and the next day she was put on ECMO support after her condition started deteriorating," the official said.

"She came out of both ECMO and ventilator and her survival is an important step in clinical management of COVID-19," ECMO specialist at AMRI Hospital Dr Soham Majumdar said, pointing out that two patients at the AIIMS, New Delhi, and another patient at a private hospital in Chennai, who were put on ECMO support, succumbed to the virus within a few days.

Delhi HC stays recruitment to AIIMS over bias against acid attack victims

Yasmeen Masuree, a professionally qualified nurse and an acid attack victim, challenged the recruitment ad.

Yasmeen Masuree, a professionally qualified nurse and an acid attack victim, challenged a discriminatory advertisement by AIIMS that claimed only one leg disability candidates were declared eligible in recruitment under the PWD (Persons with Disability) quota.

The Delhi high court has stayed the recruitment of 2,000 nursing officers at various centres of the All India Institute of Medical Sciences (AIIMS) on a petition moved by an acid attack victim alleging discrimination in the eligibility criterion for the recruitment process.

Justice Suresh Kumar Kait ordered that the respondents (Centre and AIIMS) shall not give effect to the advertisement dated September 27, 2018, by which AIIMS had invited applications for 2,000 posts of nursing officers for recruitment in Bhopal, Jodhpur, Patna and Raipur centres.

Yasmeen Masuree, a professionally qualified nurse and an acid attack victim, challenged this advertisement since only one leg disability candidates were declared eligible in this recruitment under the PWD (Persons with Disability) quota.

Yasmeen’s counsel M.R. Shamshad argued that the recruitment notice dated September 27 is arbitrary and unreasonable to the extent that it denies acid attack victims the right to be considered for seats reserved for Persons with Benchmark Disabilities (PwBD) as per the mandate of sections 33 and 34 of the Rights of Persons with Disabilities Act, 2016 and is violative of fundamental rights guaranteed under Articles 14, 16, 19(1) (g) and 21 of the Indian constitution.

He argued that respondents had failed to consider the suitability of acid attack victims for the post of nurses while issuing the recruitment notice and therefore, denied equal opportunity in the public employment.

Yasmeen, in her petition filed through advocate Gyanant Singh, said that the Rights of Persons with Disabilities Act 2016 has included acid attack as a benchmark disability in all government services but no institution, including AIIMS, is giving reservation benefit to acid attack victims because the Ministry of Social Justice and Empowerment under Central government has not yet issued a notification to this effect.

Advocate Shamshad argued that “AIIMS is an autonomous institution and it need not wait for the Centre’s notification. The 2016 Act categorically says that acid attack victims are eligible to get four percent reservation under the benchmark disability quota. AIIMS should implement the Act in letter and spirit.”

It was also brought to the court’s knowledge that this was not the first time Yasmeen had moved court against discrimination meted out to acid attack victims in government employment.

Business Standard