Thread by @barandbench

#BombayHighCourt to hear clutch of petitions pertaining to management of #COVID19 in #Maharashtra.

Hearing before Bench of Chief Justice Dipankar Datta and Justice GS Kulkarni.

@CMOMaharashtra
@mybmc

Adv General Ashutosh Kumbhakoni appears for State, ASG Anil Singh appears for Centre, Sr Adv Anil Sakhare appears for BMC.

Advocates Simil Purohit, Arshil Shah, Rajesh Inamdar, Ajinkya Udane appear for petitioners.

#BombayHighCourt

@ArshilAjay
@rajinamdar22

Hearing begins.

#BombayHighCourt

AG: On June 2, an order was passed, which says that in as much as oxygen and Remdesivir is concerned, there is no issues.
Today it is kept for #Mucormycosis issues and #Covid third wave preparations.

#BombayHighCourt

AG: In so far as #Mucormycosis is considered, total patients affected are 5126...
Medicine which is required to treat - #AmphotericinB . Satte has also initiated process for house manufacturing through Haffkeine. The first batch is due on June 10, 2021.

#BombayHighCourt

AG: The entire 40k of the first batch is expected to come to Maharashtra entirely.

#BombayHighCourt #Covid_19

Court: You say no of affected persons is 5126. #AmphotericinB supply will be 40k. So that is more than enough.

AG: No that is what I am trying to submit. It is not one patient, one vial, one day..

#BombayHighCourt #Covid_19

AG: Treatment of #Mucormycosis requires 4-5 vials, per patient per day for 3 weeks. That is the course. The requirement is 14k vials per day. The central govt allotment is 3-4k vials per day.

#BombayHighCourt #Covid_19

AG: From 3200, the number has gone up to 5126.

Court: But then Singh has submitted here..

AG: No that is total figure. We are on per day figure here.

#BombayHighCourt #Covid_19

AG shows details of districts of government hospitals in each district which has #Mucormycosis patients and the distribution of #AmphotericinB.

Court: So Nagpur is maximum, then Pune..

#BombayHighCourt #Covid_19

ASG Anil Singh says that the Union’s allocation for Maharashtra is over 91000.

Court: The state has placed an order over and above the Union’s allocation.
How many cases are there?

#BombayHighCourt #Covid #Mucormycosis

AG submits that as on date there are over 6000 cases in Maharashtra as on June 7, 2021.

Court: There is a shortage of drugs. At least quarter of the allocation of the country should come to Maharashtra.

#BombayHighCourt #Covid #Mucormycosis

Court muses if the State can place orders over and above the allocation of the Centre.

ASG: The State places order, we merely allocate.

Court: So you have to show us the numbers. How many patients are there in other states? We want to see if there is an equitable allocation.

Court to ASG: There are advisories on how #Mucormycosis is spreading, what are the indicators, what are the symptoms, what can be the precaution? Is this being given wide publicity?

#BombayHighCourt #Covid

Adv Atharva Dandekar submits that #Mucormycosis prognosis is very fast. Within a week of contracting the disease, it spreads to the eye, and soon into the brain.

#BombayHighCourt #Covid

Dandekar: Although it is not contagious, the rate at which it is rising is alarming.

#BombayHighCourt #Covid #Mucormycosis

Court: This disease happens to people without COVID too..

AG: Yes, especially if you are diabetic.

Court: It happens with any co-morbidity.

#BombayHighCourt #Covid #Mucormycosis

AG (for paediatric task force): Paediatric Task Force is appointed by Government of Maharashtra. GR issued on 25.5.2021. Task force has conducted meetings of Private Practitioners, health staff in rural areas and ASHA workers.

#BombayHighCourt #Covid

AG: Specific protocols are being prepared by the task force for paediatric age group. In the meantime, the protocol prepared by the Central Government in this regard is being followed.

#BombayHighCourt #Covid

Court: And what is the cause now? Children are affected now and not before?

AG: Mutation.. of the virus.

#BombayHighCourt #Covid

Court expresses concern over a death of a child due to COVID in Palghar.

Asks the AG to find out details.

#BombayHighCourt #Covid

Court has posted the matter for further hearing on Thursday.

#BombayHighCourt #Covid_19