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OXYGEN

Krvenkataraman

New member
New Delhi: India is currently battling the second wave of Coronavirus, the demand for oxygen concentrator has seen a spike. India is currently struggling to cope with an acute oxygen crisis. The surge in demand, observed in many states including Delhi, Haryana, Gujarat, Madhya Pradesh and Maharashtra, led to an acute shortage of oxygen in the country, with many hospitals sending SOS messages.

What are Oxygen Concentrators?

Concentrators are small device supplying supplementary oxygen-enriched air to people requiring oxygen therapy. They are generally used for patients with lung and other respiratory diseases.
In the case of Covid-19 patients, who feel breathless when their oxygen saturation drops below 94 per cent, then he or she must be put on Oxygen Therapy immediately to avoid damage to other body parts. Oxygen concentrators play an important role as they supply supplemental oxygen to patients via nasal cannula,"

“Oxygen concentrators work like the air conditioning machine. It takes the oxygen from the air, modifies it and releases it in a different form. Oxygen concentrators concentrate the ambient oxygen,"

How do these machines work?

An oxygen concentrator is an electronically operated device that separates oxygen from room air. It provides high concentration of oxygen directly to you through a nasal cannula.

“Clinical studies have documented that oxygen concentrators are therapeutically equivalent to other types of oxygen delivery systems,"
"They work on the principle of 'rapid pressure swing absorption' which is where the nitrogen is removed from the air using zeolite minerals which absorb the nitrogen, leaving the other gases to pass through and leaving oxygen as the primary gas. Once the oxygen is collected, the pressure then drops which allows nitrogen to desorb and be expelled back into the air through silencers,"

While oxygen concentrator devices can be used at the convenience of patients under the supervision of doctors or healthcare workers, the stand-alone cylinder needs to be refilled and needs utmost care and monitoring as there are chances of leakage and can cause fire accidents.

"Oxygen concentrators do not have limitations of refilling. It takes oxygen from the air itself, which enables unlimited supply of oxygen till electricity is available. Oxygen concentrator is a more safe option compared to the Oxygen cylinders, because cylinders can sometimes leak and oxygen saturation increases the risk of fire,"

Oxygen concentrators produce up to 95 per cent pure oxygen. It also has in-built oxygen sensors which can indicate if purity levels go down,

Types of Oxygen Concentrators?

You should know that there are two types of concentrators available in the market continuous flow and pulse dose. Continuous flow oxygen provides the same flow of oxygen every minute unless it is turned off irrespective of whether the patient is breathing it in or not, while pulse dose oxygen concentrator detects breathing pattern and dispenses oxygen when it detects inhalation, according to Indian Express report.
 
Aimed at reducing India’s Covid despair, the 3,000 tonnes of foreign aid that has landed in the country is now a mountain of controversy. At a time when almost every medical institution in the country is gasping for oxygen, medical equipment and medicines, the Centre has been stung by accusations of delay in disbursement of the aid.

The government has claimed that 24 different categories of medical items numbering nearly 40 lakh pieces have been received or are in transit to 86 medical institutions in 31 states and UTs. The Centre has said 38 medical institutions across the country have already received the aid items.

Sources told India Today TV that 1,656 oxygen concentrators, 20 large-sized oxygen concentrators, 965 ventilators, 350 large oxygen cylinders along with bedside monitors, BiPAP Machines, PSA Oxygen Plants, Pulse Oximeters, Flaviparivir and Remdesivir drugs, PPE (Coveralls, N-95 masks and gowns) have already been dispatched to states and institutions.

However, a detailed note released by the Centre with the overall distribution methodology neither specified the number of items supplied to the states and institutions nor has it listed which state or institution received how much.

India Today TV spoke to some states to ascertain the facts. Confirming the arrival of medical equipment and other material, a top Uttar Pradesh government official said that 1,500 oxygen concentrators, including those received as aid, and 5 cryogenic oxygen tankers have been received and some of these have already been deployed for use.

Similarly, Gujarat health minister Nitin Patel’s office confirmed that tranches of oxygen concentrators and ventilators along with other medical essentials have been arriving in Ahmedabad from Delhi over the past three days. The Gujarat government has appointed nodal officers to ensure quick deployment of the equipment.

Sources in the Madhya Pradesh government also confirmed that the state has been receiving foreign aid as well as government aid.

While the central government's list of beneficiaries of the foreign aid includes every state and UT, some states like Rajasthan, Punjab and Jharkhand claimed that they have no idea of what medical equipment have been sent by the Centre.

Senior officials in Rajasthan said that they have neither received any item, nor information on allocation from the Centre.

Jharkhand health secretary Arun Singh told India Today TV, "Centre has received 1.25 lakh vial of Remdesisvir injections. Jharkhand has been allotted 2,181 vials. No other assistance has reached the state so far.”

Interestingly, the Maharashtra Health Department claimed that they “got a call from Customs about their dispatch", but the department is not sure about the material/quantity supplied to them.

While the Centre’s list of recipients also includes Kerala, sources in the Pinarayi Vijayan government said that the state has “not asked for anything and there is no intimation about medical equipment and aid being sent to them".

Thiruvananthapuram DMO said that it has asked for antigen kits and PPEs, which will be provided by the end of this week. However, it’s unclear whether it’s part of the foreign aid which has arrived in India.

Similarly in Telangana, the state Red Cross Society told India Today TV that 100 oxygen concentrators, 1 lakh community health care kits (mask, soap, sanitisers) and 10,000 PPEs for volunteers are expected by next week from the Centre.

India Today TV tried speaking to health ministry officials to find why despite the Centre's claims, states have maintained that they have no information regarding the dispatch. There was no response from the health ministry.

A senior official said, "The health ministry is in touch with state agencies. Transporting the material across the length and breadth takes time.”

A minister in the government said the government has to identify who needs the aid the most. After prioritisation, the items have to be hauled across. The controversy created over distribution is a bad signal being sent to the donors.”



The concentrators sent by AAPI are sitting on the tarmac in Delhi Airport, as the NGO that wanted has not been authorized to distribute it.
 
As India battles the second wave of coronavirus infections with an acute shortage of medical equipment, representatives of the Indian diaspora say they are finding it hard to send medical aid to NGOs, hospitals and civil society groups in the country.

The reason, they say, is a cumbersome clearance process and the Integrated Goods and Service Tax (IGST) rates. Even after reaching India, several consignments of oxygen concentrators are lying at airports due to IGST rules.

A group representing the Indian diaspora in Amsterdam, Netherlands has initiated a campaign to send medical help to India.

'Support Humanity in India', started by Captain Sanjay Sharma collected 50 oxygen concentrators and sent them to India to help Covid-19 patients. While the group aims to send 1,000 oxygen concentrators, it says managing logistics has become a "nightmare".

 

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