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Thursday May 23rd, 2024

Vietnam keeps Covid-19 mortality rate zero so far with artificial lung (ECMO) support

CORONAVIRUS BATTLE: Vietnam is probably the most successful country so far in battling Coronavirus, in both contact tracing and keeping mortality rates down. The country on April 23 relaxed social isolation (stay at home) after 08 days of zero new domestic cases.

ECONOMYNEXT – Vietnam has kept mortality rate low in a Coronavirus crisis with zero deaths recorded as of April 28, pulling back aged patients from the brink of death with backed by external blood oxygenation using artificial lungs amid threats of multi-organ failure and blood coagulation disorders.

Vietnam probably has the lowest confirmed cases and mortality rate for a country of that size (95 million), while its neighbhour Cambodia, which is also contact tracing, has also reported low numbers.

Vietnam has been aggressively Contact tracing and using tests extensively (over 210,000 tests) to stop index cases going into big clusters and also using precautionary testing of high risk areas.

Vietnam has reported 270 cases 45 are still being treated and 225 have recovered according to health ministry data. But the country has found some relapses.

Vietnam completely killed the First Wave from China identifying 16 patients with Saigon’s Cho Ray hospital saving a 72-year old Chinese man who had a history of complications.

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Of the earliest victims of Wave II from third countries, Patient Number 19, a known as Madam LTH, was now making progress, Luong Ngoc Khue, a doctor in the medical team fighting Coronavirus was quoted as saying on Suckhoe and Doisong, a health promotion portal linked to the ministry of health.

She was the aunt of Patient 17, the first Second Wave patient in Vietnam who returned from Italy and UK, after the country completely stamped out Wave I epidemic from China.

Countries that did not close borders with China, did not contact trace returnees from the country, and allowed domestic community transmission to go uncheckded, exported their citizens to trigger the global Wave II pandemic.

Vietnam, Cambodia and Sri Lanka were among countries tightened controls on Chinese and other arrivals against World Health Organization advice at the time to keep numbers down and did not contribute to the pandemic by re-exporting citizens with the disease.

Too keep down mortality, Vietnam doctors kept medical resources free by extensively tracing contacts and tests.
Vietnam doctors are still battling to save three patients, two Vietnam nationals and one Briton.

As ventilators became less effective amid rising pneumonia, Vietnam doctors put the 64-year old Patient 19 on extracorporeal membrane oxygenation, the same technology used in used during transplants (heart lung machines) to take-over the functions of the heart and lung.

On April 04 it was reported that she was off the ECMO machine and was on ventilator only.

She had lung damage but showed improved blood oxygenation. Heart rhythm disorder had lessened, blood blood pressure is stable, and good perception, communication, inconsistent was being fed with a gastric tube, there was no no reflux, no bleeding.

She is now using a tracheotomy tube and doctors said they have begun the process of weaning her off the ventilator.

Patient No 161 was also on a ventilator with tracheostomy and was still ‘weakly postive’ for SARS-CoV-2, the report said. There was progress in the condition of her lung, heart and blood pressure was normal but had left spastic hemiplegia. Communication was slow.

Doctors are most concerned about Patient 91, a British national. Out of 270 confirmed cases about 160 were foreigners mostly index cases, and sometimes close (F1) contacts according to reports.

Patient 91, a UK pilot working for Vietnam Airlines was still on ECMO. He had no fever, had tested negative for Coronavirus three times but had lung damage.

The patient was overweight and already had sever lung damage when he was admitted to the Tropical Disease Hospital in Saigon.

He was put on oxygen, CPAP and then intubated and put on a ventilator. When the ventilator was no longer effective a medical team from Cho Ray hospital came to hook him to a ECMO inside a negative pressure room.

Vietnam’s top doctors of various specialties were called on video conference to stabilize as his condition deteriorated earlier in April, as complications mounted and blood coagulation which is believed to be linked to Coronavirus got worse.

Doctors were quoted as saying anti-coagulation drugs had to be imported from Germany.

At various times doctors in Vietnam had used drugs to fight fungal infections, stabilize blood pressure, constrict blood vessels and as well as fighting blood coagulation and keep critically ill patients alive long enough to beat the virus. (SB-Colombo/Apr28/2020)

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Sri Lanka has power breakdowns amidst extreme weather

ECONOMYNEXT – The state-owned power utility, the Ceylon Electricity Board has reported over 36,900 breakdowns resulting in power interruptions to more than 300,000 consumers in the last three days due to inclement weather in the island, the power minister said.

“Additional service staff has been assigned to attend the breakdowns and the CEB management & service staff are working 24 hours to restore power to the affected consumers,” Minister of Power and Energy, Kanchana Wijesekera said on social media platform X (twitter).

Wijesekera said consumers could report power interruptions through the CEB hotline 1987, via SMS to 1987 with BD and the electricity consumer number to follow, or use the CEB Care app, or through http://cebcare.ceb.lk.

The South-East monsoon has seen floods, landslides and strong winds do damage to the utility provider’s infrastructure in the last week. (Colombo/May23?2024)

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Sri Lanka President calls for unity, sacrificing for a better tomorrow on Vesak day

ECONOMYNEXT – Sri Lanka President Ranil Wickremesinghe has recalled a sermon from the Buddha about sacrificing for a better tomorrow, and called for unity to heal and rebuild the country, as Buddhists celebrate Vesak.

Buddhists celebrate Vesak as commemorating the birth, enlightenment and passing away of the Buddha.

“At this challenging moment, we as a nation should cultivate the same great zeal for enlightenment that Buddha exemplified, inspired by his sermon, “Maththasukha parichchaga- passé che vipulan sukhan” – to sacrifice today for a better tomorrow,” President Wickremesinghe said in his Vesak day message.

“We must remember the advice of Lord Buddha, “Sabbattha Sammanaso,” to treat everyone equally and ensure we put it into practice as a country. This is the greatest offering we can present to the Buddha on this Vesak day.

“Regardless of race, religion, caste, or political affiliation, we must all unite to heal and rebuild our country. ”

The full statement is reproduced below:

The Vesak festival is a profoundly sacred day for Buddhists worldwide, commemorating the Buddha’s birth, enlightenment, and passing. Buddhists in Sri Lanka, along with their brethren around the globe, celebrate Vesak with deep devotion. They spend this period engaging in religious observances and venerating the Buddha with fervent devotion.

At this challenging moment, we as a nation should cultivate the same great zeal for enlightenment that Buddha exemplified, inspired by his sermon, “Maththasukha parichchaga- passé che vipulan sukhan” – to sacrifice today for a better tomorrow.

We must remember the advice of Lord Buddha, “Sabbattha Sammanaso,” to treat everyone equally and ensure we put it into practice as a country. This is the greatest offering we can present to the Buddha on this Vesak day. Regardless of race, religion, caste, or political affiliation, we must all unite to heal and rebuild our country. The principles of Lichchavi Raja Dharmaya will guide us in this endeavour.

Let us keep in mind that the primary aim of the Vesak festival is to foster spiritual growth and character development in a world rapidly advancing physically. I wish everyone a blessed Vesak festival.

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Sri Lanka to host foreign artistes, Sigiriya fashion show to promote tourism

ECONOMYNEXT- Sri Lanka plans to bring down international artistes, and hold water festivals to boost tourists, Sri Lanka Tourism Promotion Bureau Chairman, Chalaka Gajabahu said.

“We will be hosting a few international artists in September to December,” Gajabahu told EconomyNext.

“We would also be having a fashion show in Sigiriya.”

Sri Lanka is targeting 2.3 million tourists in the year 2024 with expectations that it may go up to 2.5 million Gajabahu said.

Sri Lanka is also planning on having a water festival in coastal towns such as Trincomalee, Arugambay  and Kalpitiya in order to showcase Sri Lanka’s capacity for watersports, Gajabahu said. (Colombo/May22/2024)

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