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‘Covid brought coordination between government & private sector in healthcare’

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With an unprecedented focus on healthcare infrastructure and coordination reigned in between the government and private sector during Covid-19, Dr. Naresh Trehan, Chairman, and Managing Director, Medanta Heart Institute said the pandemic has compressed our plans five-year plans to three years.

In a conversation with Kailashnath Adhikari, MD, Governance Now, Dr. Trehan said we always knew that proportionally our services are weak. Close collaboration between the government and private sector during covid has shown that if we work together, we can offer better protection to our population than if we work separately.
“We always knew that proportionally our services are weak. Numerically, the no. of beds, nurses, doctors, paramedics are low down in the curve even when compared to some of our poor neighbors. The positive side was that the govt and the private sector worked very closely to fight the battle in the health space. A lot of barriers between the govt and private sector came down”.

He was in a webcast as part of the Visionary Talk series held by the public policy and governance analysis platform.

Dr. Trehan said that even in the case of IT, with sophisticated patient management and diagnosis, video management of disease and remote patient care is coming down the pipe now.

Invoking the adage ‘Let He Do What He Does Best’ the eminent cardiovascular and cardiothoracic surgeon said that the government and private sector should leverage upon and harness each other’s strengths and combine the forces to ring immediate relief in areas where earlier there was no coordination or joint effort between the two. During covid, the industry came in very quickly and rose to the occasion by repurposing PPE, masks, ventilators.

“We must harness the power and resources of our country in a robust movement forward. New mantra should be that the combined power of hope can bring quick relief to our country at every level. The urgency with which we need to look at healthcare and its infrastructure and attentive service i.e., train people, have more nurses, doctors, etc, etc must all work in tandem so we can rise up with a well-integrated system.”

On being asked if India might have entered the endemic stage of the pandemic, Dr. Trehan said, “This notion has caused a lot of damage at present to people. I think it is confusing to people including people like us.”

He said that WHO specialist in Europe has cautioned that he expects nearly half a million people to die if infections continue at this rate in the next few months. “This may sound like an exaggeration, but it is a serious warning,” he said.

“Around the world, unvaccinated children are a concern for people like us, and as soon as the schools reopen children will carry it home and give the virus to the elderly in the family. It’s a double whammy of children and elders’ safety. I think it is the time for caution.”

On vaccine hesitancy Dr. Trehan said, ‘‘With no major adverse effect seen post-vaccination since it started, why would vaccine hesitancy brew … that’s the big question. Because the counter-argument is that you will endanger yourself, your family, your community, and your own country.”

He said considering April -May 2021 was the peak of the 2nd wave, the next 4-6 weeks will be very critical for India to see if the pattern is similar to earlier or not. “If by the end of January, we have not seen 3rd wave, we will need to evaluate’ he said as he cautioned that with weddings, festivals, and coming holiday season, CAB must be followed and the public needs to be warned to mask up and keep distance.

While speaking on booster shots Dr Trehan said that antibodies of most people at 6 months from 2nd dose are diminishing to very low levels and with 20 crore surplus doses lying in India there is elbow room to start booster doses because most developed countries have already done it.

“There is data that if you have been double vaccinated and if you get exposed the chances of getting infected or getting serious are less than normal and severity would be limited. With monoclonal antibody drugs available, the cocktail cuts down the viral load immediately. Besides a lot of developments are happening in the covid ecosystem” he said.

Praising GoI’s policy of mandatory RTPCR test for all international arrivals at airports across the country and test results being used for genome sequencing, Dr. Trehan said this is a good move and must continue to be done for detecting a possible new variant as all international travel has now been opened.

He however said that the wild card is that no one knows that if a new variant coming from another country will create havoc around the world again. “If the virus mutates to a level which is defied to our current immunity, we could have devastation. The more the no. of people get infected the more there is a chance for the virus to have the new mutation and if the new mutation is more lethal we don’t know” he cautioned.

He praised the ‘Bhilwada Model’ in the early days of Covid -19 in India where the district administration closed the entire district to contain the virus and said through such a proactive reaction to early warning systems we can contain any new variant if it comes.

He iterated that the lull period right now with a low no. of cases can be used to reinforce our early warning intelligence systems so that appropriate measures can be taken to contain if any new case comes up in real-time.

Dr. Trehan also said that at Medanta, they have modeled a Post Covid Recovery Programme where post covid recovery they do a full check-up to access the damage caused to the body by covid and make a full program to return to life. He advised a protein and vitamin-rich diet with good doses of anti-oxidants to reduce/maintain inflammation in the body and said that any inflammation of the heart must be communicated to the person.

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Call of Duty Vanguard Season 1 release date, battle pass, latest news

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The Call of Duty Vanguard Season 1 release date is nearly here, which means you’ll be seeing plenty of new content in the paid Vanguard game and the freebie that is CoD Warzone.

Indeed, there’s not long to wait before it’s all going to change in Call of Duty, with players about to see Warzone undergo quite the transformation to match up with the recently released Call of Duty: Vanguard.

Among the many changes on the way are a brand new Call of Duty Warzone map, but that will be just the tip of the iceberg of what we can expect when this huge update goes live.

While there will no doubt be many surprises that Activision has up its sleeve when Call of Duty Vanguard season 1 launches, we are getting more and more information as the days go by.

So, for all that we know about Call of Duty Vanguard season 1, including when we get to play it, here is all we know so far.

Call of Duty Vanguard Season 1 release date

The Call of Duty Vanguard Season 1 release date is set for Thursday 9th December 2021, and so we only have a matter of days to go before the update lands and we can explore everything for ourselves.

Call of Duty Vanguard Season 1 launch time

What time will Call of Duty Vanguard Season 1 be released? Good question and we have what looks to be the answer. The new map is said to be available at 5pm GMT on 9th December so it stands to reason that will also be the start time for Vanguard season 1.

If that is the case, here are the other regional unlock times to look out for:

  • UK: 5pm GMT
  • Europe: 6pm CEST
  • East Coast US: 9am EST
  • West Coast US: 12pm PST

Is there a Call of Duty Vanguard Season 1 roadmap?

call of duty vanguard roadmap

There is! The above image shows you what the plans are for the start of Vanguard Season 1 and, as you can see, Activision is not taking things slowly when it starts and we will have a ton to do when we get to play it.

The roadmap tells us that the launch of CoD Vanguard Season 1 will bring new maps, modes, weapons and gear to Call of Duty: Vanguard as well as new zombies updates.

Also during Season 1, Vanguard-themed content in Warzone will include the new Caldera map, a new Rebirth Island map and some new combat vehicles, so there will be plenty of stuff to enjoy whether you’re a paying Vanguard customer or just a fan of the freebies on Warzone.

What new weapons will be in Call of Duty Vanguard Season 1?

While there will be new operatives and many other fresh things, all we have an idea about at the moment is a selection of the new weapons that are hotly rumoured to be added to the game thanks to Call of Duty News on Twitter.

  • M1944 Hyde: SMG
  • Well Gun: SMG
  • PTRS-41: Sniper Rifle
  • Nun-Chucks: Melee
  • Barong Escrima: Melee

As for everything else coming, including what’s next for zombies, we’ll let you know as soon as we hear anything.

What do we know about the Call of Duty Vanguard Season 1 Battle Pass?

While there is still plenty to be revealed, we do know a few exciting details about the Call of Duty: Vanguard Season 1 Battle Pass.

Activision stated on the Call of Duty blog: “When Season One launches on December 8, all Warzone players can gain access to everything that Vanguard brought to the arsenal and barracks.”

This includes 40 weapons, comprised of the “core 38 weapons from Vanguard’s launch, plus two free functional weapons in the Season One Battle Pass”.

Activision confirmed that “these can be personalized with unlocked camouflage, and every ballistics-based weapon can be further customized with up to 10 attachments through the Gunsmith”.

Activision also promised “more than a dozen operators”, teasing them like so: “Each of the Operators from S.O.T.F. 002–005 are ready to drop in alongside Special Operations Task Force 006 arriving this season…”

Does Vanguard Season 1 have cross-progression with Warzone?

When is the new Warzone map release date?


Activision

Yes, Vanguard Season 1 will have cross-progression with Warzone. As Activision promised in its aforementioned blog post: “At the start of the season, cross-progression between Vanguard and Warzone will be enabled, allowing you to rank up through Seasonal Prestige and unlock new content through the Battle Pass and Challenges.”

The blog post added: “Also, expect the Store in both games to contain new Bundles featuring Vanguard content.”

There will also be calling cards, emblems and more ways to “show off your progress in Vanguard since launch to everyone in Warzone.”

Call of Duty Vanguard Season 1 trailer

If you want a Call of Duty Vanguard Season 1 trailer then you are in luck as one was just released. Here it is below and it should give you an idea of what to expect when you first set foot on Caldera.

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Biden Loses Ground Among ‘Fearful’ Young Voters: Poll – U.S. News & World Report

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Biden Loses Ground Among ‘Fearful’ Young Voters: Poll  U.S. News & World Report

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The Guardian: Trump tested positive for Covid-19 ahead of 2020 debate with Biden

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The previously unknown positive test is disclosed in Trump’s former chief of staff Mark Meadows’ memoir “The Chief’s Chief,” a copy of which was obtained by The Guardian ahead of the book’s publication next week.

Trump said in a statement Wednesday, “the story of me having COVID prior to, or during, the first debate is Fake News. In fact, a test revealed that I did not have COVID prior to the debate.”

CNN has reached out to Meadows and then-White House physician Dr. Sean Conley for comment.

Trump received the positive test on September 26, 2020, according to Meadows, The Guardian reported. That day Trump hosted a ceremony in the White House Rose Garden for Supreme Court nominee Amy Coney Barrett, which was later deemed a super spreader event, by medical experts. At least 12 people who attended the event tested positive.

Trump, who Meadows said looked “a little tired,” was en route to a rally in Middletown, Pennsylvania, that night when Meadows received a call from Conley informing him that Trump tested positive for Covid-19, according to the excerpt. Meadows wrote that Conley told him, “Stop the president from leaving. He just tested positive for Covid.”

Meadows claims in his book that the positive test was done with an old model kit, The Guardian reported.

Trump was subsequently tested with “the Binax system” an antigen test for Covid-19, and returned a negative result, Meadows wrote. It is unclear if the first test which returned the positive result was an antigen test or PCR test.

According to the FDA’s guidelines, when using the Binax test, “Negative results do not rule out SARS-Covid-2 infection and should not be used as the sole basis for treatment or patient management decisions, including infection control decision.”

Meadows wrote that Trump took the negative test as “full permission to press on as if nothing had happened,” but Meadows instructed those in Trump’s “immediate circle to treat him as if he was positive,” The Guardian reports.

“I didn’t want to take any unnecessary risks,” Meadows wrote, according to The Guardian, “but I also didn’t want to alarm the public if there was nothing to worry about.”

A former senior White House official told CNN that word had circulated inside the West Wing before the first presidential debate that Trump had tested positive for Covid.

In between those dates, Trump appeared at a White House reception for Gold Star families and held a press briefing indoors on September 27, 2020. He also visited his golf club in Sterling, Virginia, earlier that day, according to pool reports.
Then-President Donald Trump participates in the first presidential debate against then-Democratic presidential nominee Joe Biden at the Health Education Campus of Case Western Reserve University on September 29, 2020 in Cleveland, Ohio.

The following day, Trump held an event on the South Lawn of the White House, where he met with workers from Lordstown Motors, and later appeared in the White House Rose Garden to hail a new testing strategy for coronavirus.

On September 29, 2020, Trump traveled to Cleveland for his first presidential debate against his Democratic challenger Joe Biden. Trump arrived too late to be tested ahead of the debate, according to Fox News’ anchor Chris Wallace, who moderated the debate.

During the debate, Trump and Biden adhered to social distance protocols, but the two candidates — both in their 70s — were indoors in a room with dozens of people in the audience, some of whom were not masked.

Trump on September 30 traveled to Minnesota for an outdoor rally in Duluth and a private fundraiser in Minneapolis.

Trump announced early Friday, October 2, 2020 that he and first lady Melania Trump tested positive for Covid-19. He was hospitalized later that night.

According to the White House, Trump tested positive for the coronavirus on October 1, just two days after the debate.

In a later interview with NBC News, Trump would not definitively say whether he was tested for Covid-19 on the day of his first debate against Biden and said he could not recall the last time he tested negative for coronavirus before testing positive on October 1.

During a news conference on October 3, 2020, as Trump was receiving treatment at Walter Reed National Military Medical Center for Covid, Conley would not disclose Trump’s last negative test for the virus, saying, “I’m not going to get into all the testing going back, but he and all his staff routinely are tested.”

In his book, Meadows wrote that although he knew each candidate was required to test negative within 72 hours of the debate’s start time “…Nothing was going to stop [Trump] from going out there,” The Guardian reported.

After the then-president announced he had Covid, Meadows was refusing to tell his own staffers the precise timeline of when Trump had tested positive at the time, the former senior White House official added.

The official went on to say the virus simply was not taken seriously by some senior aides.

Staffers were sometimes in meetings and around other aides before going home sick with Covid.

“There was a bizarre indifference about getting others sick among some people in the west wing,” the official said.

A separate aide also said Meadows was keeping staffers in the dark about exact details of Trump’s illness.

Asked Wednesday about The Guardian report and whether he thought Trump put him at risk at the time, Biden told White House reporters, “I don’t think about the former President.”

This story has been updated with additional information.

CNN’s Gabby Orr and Kevin Liptak contributed to this reporting.

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