What If You Can't Avoid the Hospital as Covid-19 Spreads?
4 years, 9 months ago

What If You Can't Avoid the Hospital as Covid-19 Spreads?

Wired  

Maintaining social distance and voluntarily quarantining yourself is part self-interest, part altruism. “I'm 34, which isn't old, and I feel like people aren't getting the fact that I am at risk,” Greene says. “I am in end-stage liver failure due to stage four cirrhosis and primary biliary cirrhosis and am waiting for transplant,” says AK, who lives in the United States and, like many people WIRED spoke to for this story, asked not to be identified. “A few months ago I was asking people roughly how many shoe sizes I could expect to go up,” Vranizan says of the pregnancy-focused online communities she participates in. “The key with keeping healthy people safe is really just ensuring that we are taking appropriate measures with those who are sick,” says Tim Pfarr, assistant communications director for the Washington State Hospital Association.

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History of this topic

Too many patients are catching COVID in Australian hospitals, doctors say. So why are hospitals rolling back precautions?
11 months ago

Too many patients are catching COVID in Australian hospitals, doctors say. So why are hospitals rolling back precautions?

ABC  

Steve Irons' older brother Jim was only supposed to be in hospital for a short while. But senior healthcare workers in several states say vulnerable people — including transplant and oncology patients and others with compromised immune systems — are contracting COVID because even basic precautions are not being taken: a consequence, they say, of hospitals' failure to address airborne …

Coronavirus test centres can close, self-testing can stop, advisors say
1 year, 10 months ago

Coronavirus test centres can close, self-testing can stop, advisors say

Dutch News  

The government’s coronavirus advisory team says mass testing at regional centres can be wound down and that the recommendation to use self tests if people have symptoms can be dropped. In its 146th set of recommendations since the pandemic began three years ago, the Outbreak Management Team says the Omicron variant of the coronavirus and its sub variants is now …

Coronavirus test centres can close, self-testing can stop, advisors say
1 year, 10 months ago

Coronavirus test centres can close, self-testing can stop, advisors say

Dutch News  

The government’s coronavirus advisory team says mass testing at regional centres can be wound down and that the recommendation to use self tests if people have symptoms can be dropped. In its 146th set of recommendations since the pandemic began three years ago, the Outbreak Management Team says the Omicron variant of the coronavirus and its sub variants is now …

Facing COVID surge, China expanding hospitals, ICUs
2 years ago

Facing COVID surge, China expanding hospitals, ICUs

Associated Press  

BEIJING — Facing a surge in COVID-19 cases, China is setting up more intensive care facilities and trying to strengthen hospitals as it rolls back anti-virus controls that confined millions of people to their homes, crushed economic growth and set off protests. A Cabinet meeting called Thursday for “full mobilization” of hospitals including adding staff to ensure their “combat effectiveness” …

Facing COVID-19 surge, China expands hospitals, ICUs as Beijing rolls back anti-virus controls
2 years ago

Facing COVID-19 surge, China expands hospitals, ICUs as Beijing rolls back anti-virus controls

Firstpost  

President Xi Jinping’s government is officially committed to stopping virus transmission, the last major country to try. But the latest moves suggest the Communist Party will tolerate more cases without quarantines or shutting down travel or businesses as it winds down its ‘zero-COVID’ strategy Beijing: Facing a surge in COVID-19 cases, China is setting up more intensive care facilities and …

Facing COVID surge, China expanding hospitals, ICUs
2 years, 1 month ago

Facing COVID surge, China expanding hospitals, ICUs

LA Times  

Facing a surge in COVID-19 cases, China is setting up more intensive care facilities and trying to strengthen hospitals as it rolls back anti-virus controls that confined millions of people to their homes, crushed economic growth and set off protests. A Cabinet meeting called Thursday for “full mobilization” of hospitals including adding staff to ensure their “combat effectiveness” and increasing …

Guidelines issued to help patients recover
2 years, 1 month ago

Guidelines issued to help patients recover

China Daily  

Documents detail rules for quarantine, roles of neighborhoods and hospitals Health authorities on Thursday issued two guidelines in tandem to help COVID-19 patients with mild symptoms recover at home and to properly monitor their health with test kits. To reduce cross-infections, the rules recommended separate rooms for homebound patients, who are encouraged to take recommended drugs based on their symptoms, …

Guidelines issued to help patients recover
2 years, 1 month ago

Guidelines issued to help patients recover

China Daily  

Documents detail rules for quarantine, roles of neighborhoods and hospitals Health authorities on Thursday issued two guidelines in tandem to help COVID-19 patients with mild symptoms recover at home and to properly monitor their health with test kits. To reduce cross-infections, the rules recommended separate rooms for homebound patients, who are encouraged to take recommended drugs based on their symptoms, …

Covid autumn wave likely over: Hospital total below 850; Infections at 6-month low
2 years, 2 months ago

Covid autumn wave likely over: Hospital total below 850; Infections at 6-month low

NL Times  

Hospitals in the Netherlands were treating 849 people with Covid-19 on Tuesday afternoon, according to the LCPS. The current Covid-19 patient total included 33 patients in intensive care units, and 816 more in regular care wards. That reflects a one-fourth reduction in total hospital admissions, including a 60 percent decrease in intensive care admissions. Last calendar week, NICE counted 426 …

This is SERIOUS! 50 per cent hospitalised COVID patients continue to suffer after 2 years
2 years, 7 months ago

This is SERIOUS! 50 per cent hospitalised COVID patients continue to suffer after 2 years

India TV News  

Two years after infection with Covid-19, half of the patients who were admitted to the hospital still have at least one symptom, according to the study published in The Lancet Respiratory Medicine. This is especially the case for participants with long Covid, who typically still have at least one symptom including fatigue, shortness of breath, and sleep difficulties two years …

What happens if I get COVID-19 while traveling abroad?
2 years, 8 months ago

What happens if I get COVID-19 while traveling abroad?

LA Times  

COVID-19 rules for travelers vary depending on the destination, but wherever you go, it’s good to be prepared. What happens if you get COVID-19 while traveling abroad? That’s why the U.S. Centers for Disease Control and Prevention recommends that you have backup plans ready if you’re traveling abroad. Since results from a PCR test can remain positive for weeks after …

Coronavirus infections down 60% from Omicron peak; Hospitalizations down at least 17%
2 years, 10 months ago

Coronavirus infections down 60% from Omicron peak; Hospitalizations down at least 17%

NL Times  

The number of coronavirus infections diagnosed in the Netherlands has dropped by 60 percent since the peak of infections during the wave of infections brought on by the Omicron variant. Covid-19 hospitalizations down 17 percent Figures from patient coordination service LCPS show a strong decrease in hospitalizations, but less dramatic than figures from the RIVM. Hospitals admitted 1,046 patients with …

Covid hospital total rises, but ICU figures fall; Infections lower during storm
2 years, 10 months ago

Covid hospital total rises, but ICU figures fall; Infections lower during storm

NL Times  

Hospitals in the Netherlands were treating 1,611 people with Covid-19 on Monday afternoon, the first time the patient total has increased in six days. Dutch hospitals admitted 151 people with the coronavirus disease between Sunday and Monday afternoon, including 10 who were sent directly to an intensive care unit. On average, hospitals admitted 189 patients each of the past seven …

Visiting hours cut at Perth hospitals as COVID detected at Hollywood hospital, Amana Living
2 years, 10 months ago

Visiting hours cut at Perth hospitals as COVID detected at Hollywood hospital, Amana Living

ABC  

Hospital visiting hours have been reduced to just two hours twice a day across all public hospitals in Perth in response to growing COVID-19 cases in WA. Key points: WA hospitals shifted to an 'amber alert' level as Omicron spreads This triggers a number of measures to protect patients and staff It comes as the virus is detected in another …

Remarkably high number of Covid-19 hospital patients under the age of 30
2 years, 11 months ago

Remarkably high number of Covid-19 hospital patients under the age of 30

NL Times  

The influx of new Covid-19 hospital patients who are under the age of 30 has never been as high as it is now, the LCPS said in an alert. Thus far, the LCPS cannot provide a concrete reason for the increase in patients under 30 years of age, but said the increase is most visible in the regular care wards …

More hospitals resuming care as Covid patient levels fall; Over 31,400 new infections today
2 years, 11 months ago

More hospitals resuming care as Covid patient levels fall; Over 31,400 new infections today

NL Times  

With the number of Covid-19 patients in care continuing to fall, and new admissions down towards a three-month low, Dutch hospitals have been able to further resume their normal activities and non-Covid care. Sixteen of the 73 hospitals are still unable to fully resume critical scheduled care, the procedures which will endanger a patient if not carried out with a …

Growing concern about Omicron's impact on hospital wards
2 years, 11 months ago

Growing concern about Omicron's impact on hospital wards

NL Times  

Waiting to see what will happen with hospital admissions in the near future is "very gripping" now that some coronavirus measures have been released, said Ina Kuper, the acting chair of the National Coordination Center for Patients Distribution and the National Network Acute Care. But we are seeing that the Omicron variant of the coronavirus is less pathogenic and will …

As hospitals reel, California tells coronavirus-positive medical workers to stay on the job
2 years, 11 months ago

As hospitals reel, California tells coronavirus-positive medical workers to stay on the job

LA Times  

Daylong waits in the emergency room. State officials are attempting to address California’s staffing shortage through a sweeping policy change that allows asymptomatic healthcare workers who have tested positive for the coronavirus to return to work immediately. The decision is “irresponsible and a huge mistake that will jeopardize everyone’s health,” said Rosanna Mendez, executive director of SEIU 121RN, a union …

Families struggle to get COVID tests to visit loved ones in nursing and senior homes
2 years, 11 months ago

Families struggle to get COVID tests to visit loved ones in nursing and senior homes

LA Times  

Karen Klink sits next to a sign she used in a protest when it was hard to visit her mother in a memory care facility during a lockdown due to COVID-19 in late 2020. Late last month, as coronavirus cases were skyrocketing, the state declared that nursing homes and other care facilities must require a negative test for COVID-19 for …

I was relieved when my sons got mild Covid-19. Then I thought about this
3 years ago

I was relieved when my sons got mild Covid-19. Then I thought about this

CNN  

Editor’s Note: Kent Sepkowitz is a physician and infection control expert at Memorial Sloan Kettering Cancer Center in New York. Two months ago, the US had less than 100,000 new cases diagnosed each day; now the number is over 600,000, according to data from Johns Hopkins University, with no signs of slowing down. Kent Sepkowitz - Despite the dizzying number …

Child hospitalization rates hit record highs as Omicron variant becomes prevalent
3 years ago

Child hospitalization rates hit record highs as Omicron variant becomes prevalent

CNN  

CNN — Covid-19 hospitalization rates among children are soaring in the United States, with an average of 4.3 children under 5 per 100,000 hospitalized with an infection as of the week ending January 1, up from 2.6 children the previous week, according to data from the US Centers for Disease Control and Prevention. “For our youngest children, those who are …

Ensure COVID-19 duty of resident docs don't exceed 8 hours: IMA urges Centre, states
3 years ago

Ensure COVID-19 duty of resident docs don't exceed 8 hours: IMA urges Centre, states

Firstpost  

In a statement, the doctors’ body said in case of untimely death, the status of Covid martyr and compensation as well as case-wise assistance should be arranged. New Delhi: The Indian Medical Association on Wednesday requested the Centre and states to ensure that Covid duty of resident doctors do not exceed eight hours a day and after a week there …

Reduced COVID-19 isolation for NSW healthcare staff a 'catch-up' measure to stop system 'collapsing'
3 years ago

Reduced COVID-19 isolation for NSW healthcare staff a 'catch-up' measure to stop system 'collapsing'

ABC  

Tired and overworked healthcare workers in New South Wales were left with no choice but to support reducing the isolation rules for staff with no symptoms who had been deemed close contacts of COVID-19 cases. Key points: Expert says reducing isolation for asymptomatic healthcare staff made complete sense President of the doctors union says patients will not be put in …

UK health boss: COVID-19 rules could tighten by Christmas
3 years ago

UK health boss: COVID-19 rules could tighten by Christmas

Associated Press  

LONDON — Britain’s health secretary has refused to rule out imposing tougher COVID-19 restrictions before Christmas amid the rapid rise of infections and continuing uncertainty about the omicron variant. The British Medical Association is warning that almost 50,000 doctors, nurses and other National Health Service staff in England could be off sick with Covid-19 by Christmas Day unless additional measures …

As COVID beds fill, hospitals struggle with burnout among doctors, nurses and staff
3 years ago

As COVID beds fill, hospitals struggle with burnout among doctors, nurses and staff

LA Times  

Twins Natalie Balli, left, and Linda Calderon, background right, 71, in a COVID-19 unit at Providence Holy Cross Medical Center in Los Angeles on Friday. “There is no medical school class that can prepare you for this level of death,” said Dr. Jacqueline Pflaum-Carlson, an emergency medicine specialist at Henry Ford Health System in Detroit. Dr. Steve Stites, chief medical …

Two regional SA hospitals opt out of COVID plan, saying neglect has left them 'not fit for purpose'
3 years, 1 month ago

Two regional SA hospitals opt out of COVID plan, saying neglect has left them 'not fit for purpose'

ABC  

Two Eyre Peninsula hospitals have refused to be included in their Local Health Network's plan to treat less seriously ill COVID-19 patients because of dated equipment and insufficient staff. Key points: GPs say they are not equipped to treat COVID-19 patients at some rural hospitals because of inadequate facilities and staff shortages Cummins and Wudinna hospitals opt out of their …

Relatives of virus dead question Japan’s stay-at-home policy
3 years, 1 month ago

Relatives of virus dead question Japan’s stay-at-home policy

LA Times  

Kaori Takada poses with her brother’s photo in front of her family altar at her home in Matsubara, south of Osaka, Japan. Takada and another woman whose family member died at home while sick with COVID-19 have formed a group to protest the Japanese government’s policy of having infected people recuperate at home. He was among hundreds of people who …

"Forget it," acute care expert says about Covid herd immunity
3 years, 1 month ago

"Forget it," acute care expert says about Covid herd immunity

NL Times  

Having many Covid-19 patients receiving hospital care may be a permanent situation, according to Ernst Kuipers, head of acute care network LNAZ and chairman of the board at Rotterdam MC. Healthcare will have to be organized differently because hospitals can't keep postponing regular care, Kuipers said in an interview with AD. But even if everyone got vaccinated, people with underlying …

IC departments 'will struggle to cope' with influx of coronavirus patients
3 years, 2 months ago

IC departments 'will struggle to cope' with influx of coronavirus patients

Dutch News  

Intensive care specialists at eight of the country’s largest hospitals have warned that their departments risk being overwhelmed if the government fails to curb the latest wave of coronavirus infections. Peter van der Voort, head of intensive care at Groningen’s UMC hospital, told Nieuwsuur that plans to increase the number of IC beds to 1,350 were unrealistic because of a …

IC departments 'will struggle to cope' with influx of coronavirus patients
3 years, 2 months ago

IC departments 'will struggle to cope' with influx of coronavirus patients

Dutch News  

Intensive care specialists at eight of the country’s largest hospitals have warned that their departments risk being overwhelmed if the government fails to curb the latest wave of coronavirus infections. Peter van der Voort, head of intensive care at Groningen’s UMC hospital, told Nieuwsuur that plans to increase the number of IC beds to 1,350 were unrealistic because of a …

If you're not vaccinated you'll get Covid-19, Acute Care boss warns
3 years, 2 months ago

If you're not vaccinated you'll get Covid-19, Acute Care boss warns

NL Times  

Every person not vaccinated against Covid-19 will get the coronavirus, Ernst Kuipers, chairman of the National Acute Care Network, said on TV program Jinek on Tuesday evening. "If you want to keep care available to everyone, a cancer patient or a corona patient, then we have to do something about the total number of corona patients who come in during …

Hospitals on the verge of delaying regular care as Covid admissions rise
3 years, 2 months ago

Hospitals on the verge of delaying regular care as Covid admissions rise

NL Times  

As the number of coronavirus-related hospital admissions rises, Dutch hospitals are again starting to delay plannable surgeries and regular care, NRC reports after surveying the large hospitals. The number of Covid-19 patients increased rapidly last week, and partly due to high absenteeism, the hospital could not absorb the influx. "And if the number gets too high, then scenarios are ready …

Inside Queensland's COVID wards as medics brace for patient influx
3 years, 2 months ago

Inside Queensland's COVID wards as medics brace for patient influx

ABC  

A senior doctor on the frontline of Queensland's coronavirus wards has issued a stark warning to those who are dragging their feet on getting vaccinated: "You really don't want to be my patient." Infectious disease specialist at the GCUH, Kylie Alcorn, said the hospital was prepared for a "big number" of patients if borders opened when 80 per cent of …

Hospitals must get ready for Covid overload the next few months: RIVM
3 years, 2 months ago

Hospitals must get ready for Covid overload the next few months: RIVM

NL Times  

Dutch hospitals need to be ready if there is a sharp rise of coronavirus cases, director of the Center for Infectious Disease Control Jaap van Dissel and RIVM chief modeler Jacco Wallinga said in an interview with NOS. Van Dissel said the OMT did not see enough reason currently to impose stricter measures. The expected peak is still far enough …

Covid-19 cases forcing hospitals to ration care is unfair and unacceptable, expert says
3 years, 3 months ago

Covid-19 cases forcing hospitals to ration care is unfair and unacceptable, expert says

CNN  

CNN — The magnitude of Covid-19 patients filling hospital beds is avoidable, doctors say. “We are at the point where not every patient in need will get the care we might wish we could give,” said Dr. Shelly Harkins, chief medical officer of St. Peter’s Health in Helena, Montana. In those situations, “people who come in in cardiac arrest may …

Rural Hospitals in US' West Virginia Hit Bed Capacity As Covid Cases Rise
3 years, 4 months ago

Rural Hospitals in US' West Virginia Hit Bed Capacity As Covid Cases Rise

News 18  

West Virginia health officials say some rural hospitals have reached their critical bed capacities as coronavirus cases and deaths continue to surge statewide. They are pleading with the public to avoid unnecessary ER visits to let hospitals focus their resources on treating COVID-19 patients. There were 813 COVID-19 patients hospitalised statewide Wednesday, just below the record 818 on January 5 …

COVID-19 patients share 'heartbreaking' stories from their hospital beds
3 years, 4 months ago

COVID-19 patients share 'heartbreaking' stories from their hospital beds

ABC  

A Sydney doctor has provided harrowing insight into how her COVID-19 patients are suffering from the Delta strain as the state breaks another daily record of infections. Respiratory specialist Lucy Morgan, who has been working on the frontline at Nepean and Concord hospitals in Sydney, described how young people develop "migraine-like" headaches and a cough so bad they can't walk …

It's Not Just Your Body That's Affected By Your Choice Not To Get Vaccinated
3 years, 4 months ago

It's Not Just Your Body That's Affected By Your Choice Not To Get Vaccinated

Huff Post  

vm via Getty Images Throughout much of the country, hospitals are delaying elective surgeries because of an influx of COVID-19 patients. A lot of people hear ‘elective’ and they’re imagining having a mole removed because they don’t like the way it looks, or having a face-lift or something,” Prowell told HuffPost. “When we use the term ‘elective’ procedures in hospitals, …

‘There are only so many beds': COVID-19 surge hits hospitals
3 years, 5 months ago

‘There are only so many beds': COVID-19 surge hits hospitals

Associated Press  

FORT LAUDERDALE, Fla. — Florida hospitals slammed with COVID-19 patients are suspending elective surgeries and putting beds in conference rooms, an auditorium and a cafeteria. “We are seeing a surge like we’ve not seen before in terms of the patients coming,” Dr. Marc Napp, chief medical officer for Memorial Healthcare System in Hollywood, Florida, said Wednesday. There are only so …

‘Pandemic of the unvaccinated’ burdens busy US hospitals
3 years, 5 months ago

‘Pandemic of the unvaccinated’ burdens busy US hospitals

Associated Press  

The COVID-19 comeback across the U.S. is putting pressure on hospitals at a time when some of them are busy just trying to catch up on surgeries and other procedures that were put on hold during the pandemic. Eventually you just don’t want to do it.” Also, many hospitals were busy even before the surge began, dealing with a backlog …

New virus surge sends younger patients to Spain’s hospitals
3 years, 6 months ago

New virus surge sends younger patients to Spain’s hospitals

Associated Press  

BARCELONA, Spain — Julio Miranda had never felt the threat of the coronavirus too close. “It’s only when the virus hits you that you take it much more seriously,” Miranda said this week from a hospital room overlooking Barcelona’s beachfront where he recovered after a week in intensive care, conscious but connected to a machine aiding his oxygen intake. Spain’s …

New virus surge sends younger patients to Spain's hospitals
3 years, 6 months ago

New virus surge sends younger patients to Spain's hospitals

The Independent  

For free real time breaking news alerts sent straight to your inbox sign up to our breaking news emails Sign up to our free breaking news emails Sign up to our free breaking news emails SIGN UP I would like to be emailed about offers, events and updates from The Independent. “It's only when the virus hits you that you …

No decision can prevent every Covid death – we cannot postpone our lives indefinitely
3 years, 6 months ago

No decision can prevent every Covid death – we cannot postpone our lives indefinitely

The Independent  

There are simply no easy solutions, only tough choices and at some point we’re all going to have to accept the pain involved in moving forward. Yes, it’s a worry when Chris Whitty raises concerns and pointedly says he’ll continue to wear his mask, but when questioned he admits that, “At a certain point, you move to the situation where …

COVID-19 and children | Here are some tips to keep your kids safe
3 years, 6 months ago

COVID-19 and children | Here are some tips to keep your kids safe

Firstpost  

COVID-19 can affect anyone of any age including children and adolescents. Only a few severe cases of COVID-19 among children in India have been observed that require hospitalization There is a fear among people that the third wave of COVID-19 will affect children. Symptoms of COVID-19 in children According to the Ministry of Health and Family Welfare Guidelines on management …

Coronavirus | Frequency of infection in children similar to that among adults
3 years, 6 months ago

Coronavirus | Frequency of infection in children similar to that among adults

The Hindu  

Going by sero-surveillance reports, COVID-19 infection in children above 10 years occurs in similar frequency to that of adults, notes the ‘Guidelines on Operationalization of COVID Care Services for Children and Adolescents’, released by the Health Ministry earlier this week. While children have less severe disease compared to adults, intermittent surges in the number of cases are anticipated and so …

Grief, suffering, financial distress—how the second wave devastated households
3 years, 7 months ago

Grief, suffering, financial distress—how the second wave devastated households

Hindustan Times  

Anupam Sharma hasn’t had the time to process the grief of losing her sister Alpana Sharma and brother-in-law Kamal Kumar to Covid-19. “We believe health expenditure will rise significantly because of the pandemic…Based on current trends, if 30% of the infected people get hospitalised and amongst them, 30% opt for private hospital and taking a conservative ₹1.5 lakh as the …

Covid impact on cancer patients
3 years, 7 months ago

Covid impact on cancer patients

India TV News  

With the onset of the COVID-19 pandemic last year and now its resurgence in the second wave we have been left unprepared in true sense to fight this biggest threat to human race in recent times. COVID and cancer In the last one year, we have seen COVID infecting mostly older age group, but now even the young and children …

No Patient To Be Refused Services, COVID Positive Report Not Needed For Hospitalisation: Centre Revises National Policy For Hospital Admissions
3 years, 8 months ago

No Patient To Be Refused Services, COVID Positive Report Not Needed For Hospitalisation: Centre Revises National Policy For Hospital Admissions

Live Law  

Days after the Supreme Court directed the Central Government to frame a uniform national policy on hospital admissions, the Union Ministry of Health and Family Welfare today revised the National Policy For Admission of COVID Patients to various categories of COVID facilities. The Health Ministry has called this move a 'patient-centric measure', which aims to ensure a prompt, effective, and …

Positive Test Report Not A Must For Hospital Admission Of Covid-19 Patients: New Guidelines
3 years, 8 months ago

Positive Test Report Not A Must For Hospital Admission Of Covid-19 Patients: New Guidelines

News 18  

A person suspected of having the coronavirus disease need not produce a positive test report for admission to a Covid-19 facility, according to a government directive that also says patients cannot be refused services on any count. The Union health ministry revised the policy for admission of Covid-19 patients to various categories of facilities for them on Saturday, even as …

Yogi Asks Senior Doctors to Visit Hospitals Regularly, Update Patients' Condition to Kin Daily Amid Plaints
3 years, 8 months ago

Yogi Asks Senior Doctors to Visit Hospitals Regularly, Update Patients' Condition to Kin Daily Amid Plaints

News 18  

Uttar Pradesh Chief Minister Yogi Adityanath on Tuesday issued orders that senior doctors must visit designated COVID-19 hospitals at regular intervals and treat patients and their family members with compassion. The doctors must update families at least once a day on the condition of patients, the CM said during a review meeting with senior officials. Meanwhile, Medical Education Principal Secretary …

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