rotary newsletter

NOVEMBER 2020

ROTARY

NEWSLETTERSOUTHEND

ABOVE

SERVICE S E LF

ROTA

RY CLUB OF DELHI SOUTHEND

Est. 1984

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R.I. President’s MessageNovember 2020

We all know Rotary’s tremendous power to transform our communities and ourselves. However, in every community, people have been left out, and we have not made a strong enough effort to reach them.

The RI Board of Directors is taking action to make Rotary more welcoming and diverse. We formed a task force to promote diversity, equity, and inclusion to help clubs attract new members regardless of gender, race, religion, age, or other factors. This will help us speed up the change we all want and need. The selection of Jennifer E. Jones as Rotary president for 2022-23 — the first woman to lead our organization — is another step in this

direction.

At the grassroots level, clubs drive inclusion and diversity. Alia Ali — who serves on the board of directors at the Big West Rotaract Multidistrict Information Organization and is a Rotary Youth Leadership Awards alumna and past president of the Rotaract Club of Surrey-Newton, British Columbia — offers her perspective.

I still remember the relief I felt as a RYLA participant four years ago. I had finally found my people: people who cared as much as I did. All over the world, Rotary has the same heart. We serve our communities and take action where others feel paralyzed by the size and scope of a problem.

Let’s continue that spirit, especially when the conversation is difficult. Racism, prejudice, and discrimination take on different forms but exist in every country, in every city, and in every person. How do we root it out?

As a diversity, equity, and inclusion consultant, I help organizations create a culture that empowers and attracts everyone using the power of empathy. When we feel with others as if they were ourselves, we cannot hold prejudice in our hearts. When every child reminds you of your own child, when every woman or man reminds you of your mother or brother, you start seeing the world differently.

We can apply The Four-Way Test through the lens of empathy. Are we building goodwill and friendship with everyone in our area, including women? Are things fair and beneficial to people of all ages? Who has to make choices that you don’t have to make?

I made a heartbreaking choice between Rotary and my religion when a Rotary convention was held during Ramadan. I wondered: When we ask if this is fair and beneficial to all concerned, did that not include me as a Muslim? Would the convention ever be held over Easter? Only by asking difficult questions can we begin the work of creating a more inclusive and diverse Rotary.

We already connect so many people across the world. Imagine the possibilities when we bring even more people along for the ride. That’s the future of Rotary I want to see: one where we are unstoppable in our service, relentless in our kindness, and intentional in the change we want to see.

Rotary has a big enough heart. If we open our door wider, we might find a lot of interesting people with new voices and new perspectives. We already have a variety of clubs offering different styles, cultures, and opportunities — and those who do not feel welcome in any particular club might be great candidates for new clubs created on different models. It’s important that we make sure every new Rotary member is a good fit for their club. Rotary Opens Opportunities through diversity.

Holger KnaackPresident, Rotary International 2020-21

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President’s MessageDear Southenders,

Another awesome Rotary month has passed with theme of “Celebrate life”. Thanks to PP Rtn. Pawan Puri, PP Rtn. Dinesh Abbi, R’Ann Veena Abbi, R’Ann Pooja Puri Rtn. Divvey Ahuja R’Ann Ruchi Ahuja and Rtn. Surveen Sindhu for carrying out the festive month so beautifully.

Month started with bang when puja was held on occasion of Karva Chauth. R’Ann Aparna and R’Ann Sonal along with Rtn Divya Ohri made it memorable for all of us.

This year we could not hold Diwali celebrations by physical meeting but we kept club engaged by ushering in celebration mood by holding a Raffle where grand prizes were won by many Lucky Rotarians.

Month came to an end with another memorable event of musical tambola. PP Rtn Pawan Puri single handedly created tickets, down loaded songs and we enjoyed musical evening mixed with excitement of game. Thanks to Rtn. Vipin Raheja and Rtn. Rohit Agarwal for setting the mood for the evening by singing fantastic songs for all of us in their melodious voice. Thanks to PP Rtn. Sunnie Ahuja for coming up with this new concept of entertainment and fun for all of us to enjoy. I cannot thank enough club secretary Rtn. Shubhra Chopra for her continuous support and guidance.

I also thanks Rtn. Shiv Gandhi & R’Ann Sudha Gandhi for giving Jackets to Sparsh as well as Skill Development Center staff.

Covid third wave has hit and many Rotarians and R Ann’s are affected. In the circumstances it is advised to remain vigilant and safe and take all necessary precautions. Till situation improves we will avoid physical meetings.

Please drink 5-6 glasses of hot water, hot beverages like tea, coffee etc. regularly. Take Steam at least twice daily as advised by experts.

Stay healthy and safe.

Rtn. Rakesh Bahl

• Work Hard and Smart.• Work is worship.• Get into the habit of working with focus for 8

hours every day (but do not overwork; maintain work-life balance).

• Chase work, rather than work chasing you.• Make it a habit to note ideas (an idea is like an

opportunity; it only strikes once).• Though we should not crave for results, we

should work very hard.• If your mind is free of negative thoughts, you will

be able to think clearly and get innovative ideas.

Thought for the MonthMeeting in December 2020

Speaker MeetingCook Along with Chef Payal Sanon

Date : 6th December 2020 Time : 4:30pm

Venue : Zoom app

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Events Gone byKarwa Cahuth Celebration

November 4, 2020

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Community Service Project at Khilona NGO at Panchsheel Park

November 5, 2020

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Diwali Party at Hotel Park Inn through Zoom AppNovember 11, 2020

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Southend Musical Tambola NightNovember 28, 2020

Southendmusical

tambola night

28th November, 2020

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Skill Development Center NewsEvaluations of Skill Development Center by TRF Project - 12th November, 2020

Skill Development Center was chosen for reviews and evaluations of TRF projects. Rtn. Wally Gardiner, from Canada did technical evaluation through Zoom meeting on 12th November. Pleased to inform he was given a virtual tour of our Skill Center shown classes in progress by PP Amit Chaudhry, IPP Rtn. Hemant Bhasin and president Rtn. Rakesh Bahl. He was highly impressed with the working of center and machinery installed.

Our second long term project has successfully completed its first year. Congratulations to Southend for this wonderful initiative.

Celebrating 1st Anniversary - 27th November, 2020

Visit at Skill Development Center

Our Skill Center was rated

37/40 by the auditors

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Dear Southend Rotarians, R’Ann’s & Lords

Dear Southend Rotarians, R’Ann’s & Lords

These are tough & challenging times for all of us and we have to reinvent the way we work, interact and conduct our social engagements. I wish to thank the Rotary team of 2020-21 for entrusting the onus of planning the month of November, which coincided with a lot of festivities and celebrations. Pooja & I wish to thank all of you for your blessings & good wishes for Sanjana & Pranay. The month required us to innovate as a team to plan our annual Diwali bash virtually and also plan other activities. The previous months planning and execution was a benchmark and also posing tremendous pressure on us to maintain the same tempo. The team tried to keep up to the expectations and we hope you all enjoyed the events.

I wish to thank the entire team Chrysanthemum for their support and for being there for the virtual meetings. I also wish to thank R’Ann Veena Abbi for following up on a daily basis and for all her guidance and inputs.

Thank you to the Core team of President Rtn. Rakesh Bahl, First lady R’Ann Mamta Bahl, Club Secretary Rtn. Shubhra Chopra, President Elect Rtn. Divvey Ahuja & R’Ann Ruchi Ahuja for being there whenever needed. Special thanks to R’Ann Aparna Daga, R’Ann. Sonal Gupta & R’Ann Sonia Arjun for planning & executing the Karva Chauth event.

Thanks to PP Rtn. Dinesh Abbi for hosting the Diwali party at Park Inn for the core team since the event required the participation and involvement of a few members, all norms of social distancing and wearing of masks were maintained. A special thanks to Rtn. Surveen Sindhu for being the MC for the evening and for coordinating the event from a remote location.

The last event was a musical Tambola which was purely designed in-house and the Tambola numbers were substituted with Bollywood songs, it was quite an entertaining and fun filled evening. Thank you Rtn. Vipin Raheja & Rtn. Rohit Aggarwal for the melodious contributions which added colour to the evening. We wish to thank PP Rtn. Deepak Dewan for consenting us to use the theme “Celebrate Life” which coincided with their company brand name.

Overall we thoroughly enjoyed putting together the various events and the virtual fellowship.

PP Rtn. Pawan Puri

My Southend family,

It was a great experience working for South-end and could contribute positively.... it was nice working with the team in this challenging time

Thank you

Regards

R’Ann Veena Abbi

PP Rtn. Pawan PuriMonthly Team Leader- October

R’Ann Veena AbbiLady of the Month

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Club Events:ANAGNORISIS: RC GEI organised ANAGNORISIS, a multi category literary event from 3rd to 8th November, 2020. Categories included Open letter writing, Poetry writing and A quirky take on Twitter. It was successfully completed with overall 36 registrations. Winners were rewarded with customised gifts.

Steps Vs Beats - A multi-level dance event was organised for dancers to showcase their talent very gracefully. Participants were asked to send a short dance video of themselves for the first phase. The final face off was held on 13th November on Google meet, and the evening concluded with some amazing dance performances.

Inayat - In a bid to help the needy and make their festival a happy one, RC GEI launched a project to spread the message to start buying things from small vendors, street shops and local sellers

more often. The project was launched on 14th November on the occasion of Diwali, with a hope to continue with a pledge to help them as much as possible.

Aashna - A grand tri-phased project was launched on the occasion of Children’s Day on 14th November. Phase

one, Aarushi, the book donation drive, revolved entirely around the upliftment and enrichment of the unprivileged children educationally, who have lost their way to education due to the excruciating pandemic times. The initiative puts forward it’s focus on the distribution and help Children grow intellectually as well as artistically.

World Diabetes Day - On the occasion of World Diabetes Day on 14th November, Rotaract Club Of Ambarnath jointly with Rotaract Club Of Galgotias Educational Institutions, launched a very informative video about diabetes. What is Diabetes? How it is caused? What are it’s symptoms, prevention, vaccines, cure, etc were the major highlights of the video.

Participation:Fellowship E-meet with Rotaract Club of Davim: A fellowship meeting was held with Rotaract Club of Davim RID 3011. Belonging to the same district, the agenda of the meeting was to have a discussion on the major events organised by both the clubs. Members Interacted, games were played, and the meeting ended on a good note.

World Kindness Day: Rotaract Club of Antalya Olimpos and Rotaract Club of Colombo west launched a project on the occasion of World kindness Day, wherein participating clubs were to do an activity showing kindness to animals, like keeping

Rotaract Club of Galgotias Educational Institutions

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food and water for street animals, fostering a kitten or puppy, or rescuing a street animal, within the time period 13th of November – 13th December 2020 and share images/videos with them. They later collated all clips and created a video to encourage people to show kindness towards animals.

Collab:Let’s talk 2.0 - A large scale collaboration event with Rotaract Club of Delhi Vedanta and Official Humans of Queers on 19th November, in which a webinar was held that highlighted the often overlooked topic, the issues faced by the Transgender people in India. The event had prominent speakers who gave justice to the topic selected. A very emotional event that was able to sensitise the audience towards this issue that still exists and needs to be looked upon.

Project Nida - Delhi has always been known for it’s humongous AQI, specially during the time of Diwali. To add to it, this year, we also have a virus that is extremely dangerous for people with breathing issues. RC GEI, in collab with Rotaract Club of Ingenious Minds, successfully pulled off an awareness event on 13th N o v e m b e r , maintaining all the safety p r o t o c o l s , that focused u p o n spreading the knowledge of why crackers should be prohibited.

Let’s blue challenge - On 14th November 2020, RaC FSTM Marina launched a project with a goal to help people understand, embrace and accept it as a disease, and not a hindrance. Contributing clubs had to download ‘World diabetes Day’ and click and send a photo using the blue circle, along with the club logo. To show solidarity to all the people with diabetes in the world and to make others aware of the dangerous disease and its effects, they compiled the pictures into a video.

Prakashan 4.0 - A collab event on 27th November, with RC Delhi Vedanta, which was a webinar with the topic “Sex Education and Dismantling Rape Culture”. It was a great opportunity to connect with the influencer of the year 2020, post graduate of Oxford University and Medical Consultant for Pee Safe

Roshni - On the auspicious occasion of Diwali, a 5 staged event from 12th-16th November, in collaboration with Rotaract Club of Delhi Femina, was held virtually to celebrate light and art, all over the world. A much needed event during the tough time of isolation was successful in putting bright smiles on the faces of people all around the country. The event focused upon traditional and cultural topics and portrayed the creative part of it, enlightening the joyous mood during the festive season.

No shave November: RC GEI in collab with Rotaract Club of Ambarnath and 20 other clubs observed No shave November, a monthly initiative where people save the money they usually spent on shaving. The collected money is donated to the cancer patients.

Stop HIV. Campaign - Rotaract Club of Daund College in collaboration with RC GEI started a campaign on 27th November that focuses on sharing vital information such as symptoms, causes, effects of HIV/AIDS, including the ways to control it. The event will be culminated on 1st December 2020.

E-meet with RAC Ambarnath (letterhead exchange): Letter head exchange was done Rotaract Club of Ambernath, RID 3142, where all board members of both the clubs introduced themselves to one another and discussion was done on flagship events. Letterhead exchange is done for sharing the words of gratitude and fellowship with other Rotaract clubs.

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Sparsh Update

SPARSH – NOVEMBER 2020TOTAL DIALYSIS TILL DATE 9766

TOTAL DIALYSIS DURING NOVEMBER 2020 107

TOTAL PATIENTS TREATED TILL DATE 126

NO. OF PATIENTS ON ROLL 9

Dear Southenders,As we all know that our city is going through 3rd phase of COVID-19 where severity is at its peak. As an individual it is our duty to protect ourselves and also protect our soulmates from this pandemic. Our very own Rotarian Dr. J.P.S. Sawhney has very nicely explained the ways to tackle COVID-19. See below COVID protocol.

FIGHT AGAINST COVID-19

On the occasion of Diwali Rtn. Shiv Gandhi & R’Ann Sudha Gandhi gave Jackets gift to Sparsh staff.

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COVID PROTOCOL*

MILD MODERATE SEVERE Clinical Criteria

SPO2 > 94 % in Room Air 90 - 94 % in Room Air < 90 % in Room Air RR < 24 / min 24 – 30 > 30

No Pneumonia Pneumonia + Pneumonia ++ CT Chest Criteria

Normal or < 25 % 25 % - 75 % 75 % to 100 % Grade I Grade II / III Grade IV

Laboratory Findings (Expected)

NLR1,2 < 3.2 > 3.2 > 5.5 CRP3 < 40 40 – 125 > 125

Ferritin2 < 500 > 500 > 800 D-Dimer4 < 0.5 > 0.5 > 1.0

LDH < 300 300 – 400 > 400 IL6 < 4.8 5 – 50 > 80

LFT5 Normal Slight Derangement Moderate Derangement Treatment

Routine T. Paracetamol 500 mg TDS

T. Paracetamol 500 mg TDS T. Paracetamol 500 mg TDS

Anti-tussives SOS Anti-tussives SOS Anti-tussives SOS T. Vitamin C 500 mg OD T. Vitamin C 500 mg BD T. Vitamin C 500 mg BD T. Zinc 50 mg BD T. Zinc 50 mg BD T. Zinc 50 mg BD C. Omeprazole 20 mg BD

C. Omeprazole 20 mg BD Inj. Pantoprazole 40 mg IV OD

Fluids Adequate Hydration - Oral

Adequate Hydration - NS Conservative Fluids

HCQ (Not prescribed

routinely)

T. HCQ (In high risk patients – DM / HT / CVA / CKD / CLD / Obesity / Age > 60 yrs) Day 1 - 400 mg BD Followed by 400 mg OD x 4 Days (avoid in cardiac disease or if QTc > 480 ms) – MOHFW Guidelines


-

Antibiotics T. Azithromycin 500 mg OD x 5 Days (or) T. AmoxClav 625 BD if T. Azithromycin is

T. Azithromycin 500 mg OD x 5 Days +

T. Azithromycin 500 mg OD x 5 Days + Inj. Piptaz 4.5 mg/ Inj meropenam 500mg IV TDS if

COVID PROTOCOL*

MILD MODERATE SEVERE Clinical Criteria

SPO2 > 94 % in Room Air 90 - 94 % in Room Air < 90 % in Room Air RR < 24 / min 24 – 30 > 30

No Pneumonia Pneumonia + Pneumonia ++ CT Chest Criteria

Normal or < 25 % 25 % - 75 % 75 % to 100 % Grade I Grade II / III Grade IV

Laboratory Findings (Expected)

NLR1,2 < 3.2 > 3.2 > 5.5 CRP3 < 40 40 – 125 > 125

Ferritin2 < 500 > 500 > 800 D-Dimer4 < 0.5 > 0.5 > 1.0

LDH < 300 300 – 400 > 400 IL6 < 4.8 5 – 50 > 80

LFT5 Normal Slight Derangement Moderate Derangement Treatment

Routine T. Paracetamol 500 mg TDS

T. Paracetamol 500 mg TDS T. Paracetamol 500 mg TDS

Anti-tussives SOS Anti-tussives SOS Anti-tussives SOS T. Vitamin C 500 mg OD T. Vitamin C 500 mg BD T. Vitamin C 500 mg BD T. Zinc 50 mg BD T. Zinc 50 mg BD T. Zinc 50 mg BD C. Omeprazole 20 mg BD

C. Omeprazole 20 mg BD Inj. Pantoprazole 40 mg IV OD

Fluids Adequate Hydration - Oral

Adequate Hydration - NS Conservative Fluids

HCQ (Not prescribed

routinely)



-

Antibiotics T. Azithromycin 500 mg OD x 5 Days (or) T. AmoxClav 625 BD if T. Azithromycin is

T. Azithromycin 500 mg OD x 5 Days +

T. Azithromycin 500 mg OD x 5 Days + Inj. Piptaz 4.5 mg/ Inj meropenam 500mg IV TDS if

COVID PROTOCOL*

Contraindicated and Elderly > 60 yrs.

Inj. Ceftriaxone 1 gm IV BD if secondary bacterial infection suspected

secondary bacterial infection suspected

Anticoagulation - Inj. Enoxaparin 40 mg SC OD x 5 Days (can be started as prophylactic without D DIMER) (Contraindicated in ESRD, active bleeding, emergency surgery, platelets < 20,000/mm3, BP > 200/120) Inj. Dalteparin 2500 IU SC OD ×5 days In ESRD, UH – 5000U SC BD can be used

Inj. Enoxaparin 40 mg SC BD x 5 Days (can be started as prophylactic without D DIMER) (Contraindicated in ESRD, active bleeding, emergency surgery, platelets < 20,000/mm3, BP > 200/120) Inj. Dalteparin 5000 IU SC OD × 5 day In ESRD, UH – 5000U SC BD can be used

Steroids - Inj. Dexamethasone 0.1 – 0.2 mg /kg ≈ 6 mg IV OD x 5 Days or inj. Methyl Prednisolone 0.5 -1 mg/kg ≈ 60mg x 5 Days

Inj. Dexamethasone 0.2 – 0.4 mg /kg ≈ 6 mg IV BD x 10 Days or inj. Methyl Prednisolone 1.0 -2.0 mg/kg ≈ 80 mg x 10 Days

Oxygen Support Not Required Maintain Target SPo2 of 92 to 96 % Nasal Prongs (4 lit / min) ↓ Face Mask (5-10 lit / min) ↓ NRM (10 -15 lit / min) ↓ HFNC (10 - 40 lit / min) ↓ CPAP (TV 6ml/kg; PEEP 5-15 cm H20; Target PP 30 cm H20)

Maintain Target SPo2 > 90 % NRM (10 -15 lit / min) ↓ HFNC (10 - 60 lit / min) ↓ CPAP (TV 6ml/kg; PEEP 5-15 cm H20; Target PP 30 cm H20) ↓ MV (ARDS Protocol)

Proning - Awake Proning (if > 4 L / min) - 30 to 120 mins prone - 30 to 120 mins left lateral - 30 to 120 mins right lateral - 30 to 120 mins upright – Contraindicated in altered mental status and hemodynamic instability, pregnancy

Prone Ventilation 16 to 18 hrs / Day

Cytokine Storm - Inj. Toculizumab 400 mg (max 800 mg) slow IV in 100 ml NS over 1 Hour Repeat Dose after 12 hours if needed

-

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COVID PROTOCOL*

Contraindicated and Elderly > 60 yrs.

Inj. Ceftriaxone 1 gm IV BD if secondary bacterial infection suspected

secondary bacterial infection suspected

Anticoagulation - Inj. Enoxaparin 40 mg SC OD x 5 Days (can be started as prophylactic without D DIMER) (Contraindicated in ESRD, active bleeding, emergency surgery, platelets < 20,000/mm3, BP > 200/120) Inj. Dalteparin 2500 IU SC OD ×5 days In ESRD, UH – 5000U SC BD can be used

Inj. Enoxaparin 40 mg SC BD x 5 Days (can be started as prophylactic without D DIMER) (Contraindicated in ESRD, active bleeding, emergency surgery, platelets < 20,000/mm3, BP > 200/120) Inj. Dalteparin 5000 IU SC OD × 5 day In ESRD, UH – 5000U SC BD can be used

Steroids - Inj. Dexamethasone 0.1 – 0.2 mg /kg ≈ 6 mg IV OD x 5 Days or inj. Methyl Prednisolone 0.5 -1 mg/kg ≈ 60mg x 5 Days

Inj. Dexamethasone 0.2 – 0.4 mg /kg ≈ 6 mg IV BD x 10 Days or inj. Methyl Prednisolone 1.0 -2.0 mg/kg ≈ 80 mg x 10 Days

Oxygen Support Not Required Maintain Target SPo2 of 92 to 96 % Nasal Prongs (4 lit / min) ↓ Face Mask (5-10 lit / min) ↓ NRM (10 -15 lit / min) ↓ HFNC (10 - 40 lit / min) ↓ CPAP (TV 6ml/kg; PEEP 5-15 cm H20; Target PP 30 cm H20)

Maintain Target SPo2 > 90 % NRM (10 -15 lit / min) ↓ HFNC (10 - 60 lit / min) ↓ CPAP (TV 6ml/kg; PEEP 5-15 cm H20; Target PP 30 cm H20) ↓ MV (ARDS Protocol)

Proning - Awake Proning (if > 4 L / min) - 30 to 120 mins prone - 30 to 120 mins left lateral - 30 to 120 mins right lateral - 30 to 120 mins upright – Contraindicated in altered mental status and hemodynamic instability, pregnancy

Prone Ventilation 16 to 18 hrs / Day

Cytokine Storm - Inj. Toculizumab 400 mg (max 800 mg) slow IV in 100 ml NS over 1 Hour Repeat Dose after 12 hours if needed

-

COVID PROTOCOL*

Contra Indications – Active Infections, TB, Hepatitis, Platelets < 1L/mm3, ANC < 2000/mm3

COMORBIDITY AND COMPLICATIONS Comorbidity CAD, HT, DM, Hypothyroid, Epilepsy

Treat Appropriately Treat Appropriately Treat Appropriately

Complications Septic Shock AKI, MODS Delirium Electrolytes ECG-abnormalities Stress Ulcers Liver Dysfunction


Trial Therapies 1 - Inj. Remdesivir

200mg IV OD on Day 1 and 100 mg IV OD x 4 Days Contraindication – Liver Dysfunction/ CKD / Pregnancy / Lactation / Children DI – avoid HCQ, Dexa use Methyl Prednisolone

-

2 - Convalescent Plasma 200 ml slow IV Single Dose

-

3 - (Lopinavir 400 mg + Ritonavir 100 mg) Twice Daily x 14 Days Suspended by WHO wef 4.7.20.

-

4 - (Lopinavir 400 mg + Ritonavir 100 mg) Twice Daily x 14 Days + Interferon Beta 8 Million IU on Alternate Days x 3 Doses

-

MONITORING BP / HR Daily 6th Hourly 4th Hourly

RR / WOB /spO2 6th Hourly 2nd Hourly Continuously

COVID PROTOCOL*








-


-


-


-



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COVID PROTOCOL*








-


-


-


-



COVID PROTOCOL*

* based on clinical management protocol, Covid 19 – MOHFW GOI dt 03.07.20

Bibiliography

1. Minping et al., doi: 10.21203/rs.3.rs-28850/v1 2. Chuan Qin et al., doi: https://doi.org/10.1093/cid/ciaa248 3. Ruan Q et al., doi: 10.1007/s00134-020-05991-x 4. Zhou et al., doi: 10.1016/S0140-6736(20)30566-3 5. Zhang et al., doi.org/10.1016/S2468-1253(20)30057-1

CBC / NLR / RFT / LFT

Baseline Every 2 Days Daily

COVID Profile

Baseline Once every 4 days Once every 2 days

D Dimer Repeated 4th day Once every 4 days Once every 2 days ECG Baseline Once every 2 days Daily ABG - - Daily

X Ray - If Clinical Deterioration

DISCHARGE CRITERIA Afebrile > 3 Days

without antipyretics + No Breathlessnes

Afebrile > 3 Days without antipyretics + No Breathlessnes


10 Days from Symptom Onset


Clinical Recovery

- No O2 Requirement for 3 Days

RT-PCR not Required RT-PCR not Required Repeat RT-PCR if Swab Negative Transfer to Non Covid Care Ward – if clinical recovery is delayed

POST DISCHARGE ADVICE

Isolation + Self Monitoring for 7 Days



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COVID PROTOCOL*

* based on clinical management protocol, Covid 19 – MOHFW GOI dt 03.07.20

Bibiliography

1. Minping et al., doi: 10.21203/rs.3.rs-28850/v1 2. Chuan Qin et al., doi: https://doi.org/10.1093/cid/ciaa248 3. Ruan Q et al., doi: 10.1007/s00134-020-05991-x 4. Zhou et al., doi: 10.1016/S0140-6736(20)30566-3 5. Zhang et al., doi.org/10.1016/S2468-1253(20)30057-1

CBC / NLR / RFT / LFT

Baseline Every 2 Days Daily

COVID Profile

Baseline Once every 4 days Once every 2 days

D Dimer Repeated 4th day Once every 4 days Once every 2 days ECG Baseline Once every 2 days Daily ABG - - Daily

X Ray - If Clinical Deterioration

DISCHARGE CRITERIA Afebrile > 3 Days

without antipyretics + No Breathlessnes





Clinical Recovery

- No O2 Requirement for 3 Days

RT-PCR not Required RT-PCR not Required Repeat RT-PCR if Swab Negative Transfer to Non Covid Care Ward – if clinical recovery is delayed

POST DISCHARGE ADVICE




Proud Moments

Congratulations to our

PP Rtn. Yogesh Munjal Ji for being nominated as the

Working President of Maharshi Dayanand Saraswati

Smarak Trust, Tankara, Gujarat

Birth Place of Swami Dayanand Saraswati

Founder of Arya Samaj.

Proud to announceRtn. Renu Munjal

has been recognised as one of the most generous ladies of India, donating more than 17

crores in year 2020 as published in Economic Times of India. We

salute you for your kindness, generosity and upholding

highest tradition of “Service before Self”. May God bless her

with a long healthy life. Best wishes from entire Southend Family.

Proud to announce Rtn. Rakesh Mathur’s son dear

Arjun Mathur has been nominated for Emmy Awards for best

performance by an Actor for “Made in Heaven”.

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Treasurer’s ReportROTARY CLUB OF DELHI SOUTHEND

STATEMENT OF RECEIPTS OVER EXPENDITURE FOR THE PERIOD FROM 01/07/2020 TO 30/11/2020S.No. Particulars Amount (Rs.) Amount (Rs.)

1 INCOMEOpening Balance As On 1.7.2020 12,804Annual Subscription (01*20,000 ). 2019-20 20,000Annual Subscription (48*20,000 ) (1*22500) (1*19600) (4*7500) 10,32,100Saving Bank Interest 4,513

Gross Total Income 10,69,417 10,69,4172 EXPENDITURE1 INSTALLATION EXP - 7,0532 Rotary Semi Annual Dues 2,95,4263 Conveyance 3,2504 Bank Charges 475 Designing Charges 32,5306 Thanks Giving - Hampers 22,9117 Gift for Sikendar Southend 14,9008 Website Development Charges 5,7829 Hampers for Oct 2020 26,06610 Hampers for Sept 2020 29,590

Gross Total Expenses 4,37,555 4,37,555Receipts Over Expenditure 6,31,862

ROTARY SOUTHEND CHARITABLE TRUSTSTATEMENT OF RECEIPTS OVER EXPENDITURE FOR THE PERIOD FROM 01/07/2020 TO 30/11/2020

S.No. Particulars Amount (Rs.) Amount (Rs.)INCOMECharitable Trust ReceiptRotary Southend Charitable Trust a/c HDFC Bank OPENING BALANCE AS ON 1.7.2020 11,96,598

1 Donation received ( 01*22500 ) 2019-20 22,5002 Donation received ( 45*22500 ) 10,12,5003 Saving Bank Interest Recd 25,8634 DONATION FOR (COVID 19) 1,40,1005 Maratha Group 1,92,5006 Moughal Group 51,000

Total Income 26,41,061 26,41,061EXPENDITURECharitable Trust Expenses

1 Community Project at Arya Samaj Mandir Vasant Vihar - 01.07.20 72,1662 Community Project at Tamnna Special School 66,8003 Community Project at Gurudwara G.K -1 51,0004 Community Project / Designing Charges 3,1865 Commnity Project at Khilona NGO Panchsheel Park Distributed Food Packets for Childern's 7,5606 CRCS TRUST, Diwali Mithai for Jawans at LAC 50,0007 CENTRAL CHINMAYA MISSION TRUST 51,0008 Community Project at Khilona NGO Panchsheel Park Distributed Cloth for Childrens 16,3809 Insurance Expenses 6,85810 Bank Charges 3511 Expenses for COVID 19 - PROJECT - 3,10,37812 Salary & Conveyance & Bonus 2,58,13513 FD for Leprocy 5,00,00014 Tarun Kumar - Conveyance Charge 3,12515 Telephone Expenses for Tarun Kumar 1,15816 Courier Charges 1,930

Total Expenses 13,99,711Charitable Income Over Expenses 12,41,350

Covid 19 Balance / Last Year 7,95,415Covid 19 money received durig the year 1,40,100Covid 19 money spent during the year 3,10,378 FD booked for Leprocy ( contributed by IPP Rtn Hemant Bhasin ) 5,00,000Covid 19 money available 1,25,137Hosted Money Balance 1,73,000Trust Money Balance 9,43,198

ROTARY SOUTHEND CHARITABLE TRUST SPARSH1 OPENING BALANCE AS ON 1.7.2020 2,63,6012 FD Encashed - 22,50,0003 FD Encashed - 6,59,07,0004 Interest on FD 9,67,0175 Saving Bank Interest 19,1286 Rtn Reenu Munjal / Donation for Sparsh 1,00,000

Sparsh Receipt 6,95,06,746Sparsh Expenses

1 Expenses in July ( Sparsh Consumables & Salaries ) 5,95,0852 Money trf to new FD Account opened in HDFC Bank 6,07,90,0803 Bank Charges 474 Insurance Exp 28,700

18

Trust Fixed DepositsSr. No FDR's No. Bank Principal Amt. Maturity Date

1 : 50300392288160 / SERVICE TAX / GST PROVISION HDFC BANK - TRUST A/C 7,00,000 30.12.20202 New FD / Leprocy HDFC BANK - TRUST A/C 5,00,000

TOTAL 12,00,000

SDC Fixed DepositsSr. No FDR's No. Bank Principal Amt. Maturity Date

1 :50300415232037 HDFC BANK - SDC A/C 40,00,000 03.04.20212 :50300415232623 HDFC BANK - SDC A/C 10,00,000 03.04.2021

TOTAL 50,00,000

Sparsh Long Term Investment S.No Name of Fund Amount Duration Date of Maturity Annual Interest Amount ( approxx) ROI / %

1 Housing Development Fin Corp Ltd 50,00,000 48 months July '24 313000 6.26

2 HDFC Ltd 58,00,000 66 months Jan '26 371780 6.41

3 LIC Housing Finance Ltd 44,00,000 12 months July '21 308000 7

4 HDFC Ltd 62,00,000 60 months July '25 440200 7.1

5 ICICI Home Finance Corp Ltd 48,00,000 24 months July '22 324000 6.75

6 LIC Housing Finance Ltd 48,00,000 36 months July '23 340800 7.1

7 ICICI Home Finance Corp Ltd 35,00,000 45 months Apr '24 243250 6.95

8 Bharat Bond FOF Apr 2,58,75,000 132 months July '31 1746562.5 7

Total 6,03,75,000

ROTARY SOUTHEND CHARITABLE TRUST SDCRCT SDC Global Grant account ICIC BANK A/C 032201002682 / Opening bal 01.07.2020 38,62,635

1 Income Tx Refund AY 2019-20 Recd Dtd 05.11.2019 (ICICI Bank) 88,9802 Saving Bank Interest (ICICI Bank) 28,732

RCT SDC account HDFC BANK A/C 501003220808271 BANK ACCOUNT OPENING BALANCE AS ON 01.07.2020 (HDFC Bank ) 3,74,4452 Saving Bank Interest (HDFC Bank) 6,390

TOTAL RECEIPTS 43,61,182 43,61,182Expenses

1 Expenses in Aug ( SDC Consumables & Salaries ) 2,17,5242 Expenses in Sept ( SDC Consumables & Salaries ) 1,58,2003 Expenses in Oct ( SDC Consumables & Salaries ) 3,58,0384 Expenses in Nov ( SDC Consumables & Salaries ) 2,98,9175 Refund of Admission Security Deposit / Students 91,000

TOTAL EXPENSES 11,23,679 11,23,679Balance as on 30.11.2020 in ICICI SDC Grant Account 29,47,668Balance as on 30.11.2020 in HDFC SDC Account 2,89,835

Total Amount available 32,37,503

ROTARY SOUTHEND CHARITABLE TRUSTSparsh Fixed Deposits

Sr. No FDR's No. Bank Principal Amt. Maturity Date

1 New Sparsh FD HDFC BANK - SPARSH A/C 5,00,000







TOTAL 35,00,000

* Fixed Deposit lying with Yes Bank & HDFC Bank

5 04 FD Booked @450000/- 18,00,00007 FD Booked @500000/- 35,00,000

6 Expenses in Aug ( Sparsh Consumables & Salaries ) 5,30,7637 Expenses in Sept ( Sparsh Consumables & Salaries ) 4,69,0958 Expenses in Oct ( Sparsh Consumables & Salaries ) 3,85,5779 Expenses in Nov ( Sparsh Consumables & Salaries ) 4,25,704

Expenditure 6,85,25,051Balance as on 30.11.2020 9,81,695

Rotary southend charitable trust sparsh a/c YES Bank FD Account # 0743946000000831 OPENING BALANCE AS ON 1.7.2020 1,86,621

Saving Bank Interest 23,160FD Encashed 48,50,000Interest on FD 6,06,635

Total Income 56,66,416 56,66,4161 Trf to Sparsh Account 56,48,000

Total 56,48,000Balance as on 30.11.2020 18,416

19

Club Announcements

ANNIVERSARY: On behalf of Southend we wish a very Happy Anniversary to:3rd December Rtn. Anuj Ahuja & R’Ann Moneesha4th December PP Rtn. Alok Daga & R’Ann Aparna6th December PP Rtn. Dinesh Abbi & R’Ann Veena7th December Rtn. Divvey Ahuja & R’Ann Ruchi 10th December Rtn. Vipin Raheja & R’Ann Vandana11th December PP Rtn. Jayant Davar & R’Ann Mona11th December Rtn. Manoj Goel & R’Ann Mamta11th December Rtn. Sanjeev Mehta & R’Ann Madhu11th December PP Rtn. Pawan Munjal & R’Ann Aniesha12th December Rtn. Sudhir Seth & R’Ann Indu 25th December Rtn. Dr.Naveen Talwar & R’Ann Sonu

BIRTHDAY: On behalf of Southend we wish a very Happy Birthday to:1st December PP Rtn. Munish Gupta3rd December Rtn. Ajay Relan4th December R’Ann Reena Kumar8th December R’Ann Bala Chhabra10th December R’Ann Mamta Bahl15th December Rtn. Pankaj Munjal19th December Rtn. Anil Khanna22nd December R’Ann Savina Ahuja26th December Rtn. Sunil Girdhar29th December R’Ann Anjana Nayyar30th December Rtn. Subodh Gupta

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