by Dr. AJAL Fernando, President, Association of Medical Specialists
The number of Covid-19 patients are on the rise in Sri Lanka. It has exceeded one thousand a day and still rising.
We all know that our existing capacity to treat ill patients (intensive care and high dependency beds) has reached its threshold. Experts have clearly mentioned the higher infectivity and virulence of the current strain warranting and increased need for oxygen dependency and intensive care.
At this moment, we don’t see any pragmatic strategy in place to face eventualities.
Unfortunately, we seem to have failed to learn lessons from our neighbor India to avert such crisis. We wish to stress that we have already reached alarming figures if the number of cases per thousand people are calculated.
Since there is no firmly established cure for this disease, symptomatic treatment is the mainstay till the recovery is reached.
However, Oxygen and ICU care play a crucial role in critical cases and we should ensure that there will be a constant and uninterrupted availability of oxygen supplied beds if we are to avert disaster.
Apparently, being a financially stronger regional giant, India is facing immense hardships due to shortage of oxygen right now.
As oxygen is considered the most important medical need and likely to be in short supply, all necessary steps must be taken to avoid a crisis.
To the best of our knowledge there are two companies that supply oxygen to health care facilities and these manufacturers can easily increase their production almost three fold.
Together they now produce around 75 tons of oxygen per day of which a portion is supplied for industrial use. They can divert all their oxygen production to health if the need arises and Sri Lanka has sufficient source of supply. However, the more important issue is the delivery of this oxygen to patient’s bedside.
The best way to do this is to have piped oxygen distributed from a central liquid oxygen tank rather than using cylinders. Unfortunately, the whole country only has 28 such liquid oxygen tanks installed in hospitals. The sizes range from 3000 to 20000 litres, but there are only two 20,000 size tanks one each at National Hospital and Peradeniya and others are relatively smaller.
With the current Covid being highly transmissible, taking patients to hospitals with larger tanks may not be an option as many of these hospitals mainly cater to non-covid patients.
Spreading the disease within a hospital could also result in disaster. With this the system will still have to largely depend on jumbo cylinders where each can carry 47 liquid litres that produce 7050 gas litres of oxygen. Though heavy enough to need more than a couple of people to move them, each jumbo cylinder may not last for more than few hours in a highly oxygen dependant patient.
Managing oxygen between hospitals and delivering to the individual patient will certainly need intelligent planning and extreme coordination of production, storage and efficient delivery.
For this, we need to utilize the services of relevant experts in these fields to design and implement the best national plan and it should be kept strictly apolitical.
If such action is not taken in this crucial
juncture, we will be another nation who has “planned to fail” as we have “failed to plan”.
It is also important that we take a serious note of the high rate of disease spread in spite of the present prevention strategies. A degree of complacency and overconfidence can take Sri Lanka to a critical point faster as it has happened in some countries.
Out of all, Prevention is THE best strategy and we need to do everything possible to prevent and slow down the spread.
Even if a lockdown is needed, it is best to foresee and think ahead and be prepared to do it if it is essential.
Only the authorities who have the real information and data, can make that decision. It should not be a political decision, but a decision to save the country and its people based on scientific principles both for today and tomorrow.
It is very evident now that the countries can go up or down in the success of Covid control based on the wisdom they demonstrate during decision making. Moreover, while appreciating all the positive moves the government has taken towards Covid control, we believe it is the duty of the health authorities to submit the correct information and data to the political authorities without any delay.
We urge the authorities to consider all above facts and make prompt decisions based on scientific facts and rational thinking to face the present Covid 19 situation.
The AMS is ready to provide the
government and health authorities its maximum support at this hour of need.
by Dr. AJAL Fernando, President, Association of Medical Specialists