N.I.C.E Book Hindi

fujh{k.
k ls tqM+s vè;;u
(lHkh izek.k iqLrd esa fn, x, gSa)
(14 tqykbZ] 2020 rd igys 5000 ejht)
5000 ls vf/d ILI/Covid-19 ds jksfx;ksa dks liQyrkiwoZd Bhd
djus ds ckn gekjk fu"d"kZ%
1) SARS-CoV2 dk laØe.k jsV (rate of transmission) lkekU;
lnhZ&tqdke ds cjkcj gSA
2) Covid-19 dh e`R;q nj (mortality rate) dh rqyuk lhtuy
Ýyw ls dh tk ldrh gSA
3) Social distancing dks ;fn iQkWyks u fd;k tk, rks nksckjk
laØe.k (;fn y{k.kksa dks ns[kk tk;s u fd VsLV dks) dh laHkkouk
vk'p;Ztud :Ik ls 2% ls Hkh de gSA
4) Fkzh LVsi Ýyw MkbV dks 'kq: djus ds 24 ?kaVksa ds vanj 90%
ejhtksa dk cq[kkj 1000F ls uhps vk tkrk gSA
5) Fkzh LVsi Ýyw MkbV dks 'kq: djus ds 48 ?kaVksa ds vanj 60%
ejht Covid-19 test esa negetive ik, tkrs gSaA
6) Fkzh LVsi Ýyw MkbV dks 'kq: djus ds 72 ?kaVksa ds vanj %
(i) 80% ejhtksa ds lHkh y{k.kksa dk funku gks x;kA
(ii) 75% ejht dksfoM &19 tkap esa usxsfVo ik, x,A
7) Fkzh LVsi Ýyw MkbV dk rhu fnu rd ikyu djus ds ckn D.I.P
Diet dks 'kq: djus ij%
(i) 95% ejht 7 fnu esa Bhd gks x,A
(ii) 100% ejht 14 fnu esa fcydqy Bhd gks x,A
8) ILI/Covid-19 Lks xzLr vR;f/d chekj ejhtksa dks dsoy ?kj
esa jgdj fcuk nokb;ksa (zero medicines) @ fcuk vkWDlhtu
flfyaMj ds fcydqy Bhd fd;k tk ldrk gSA ;gk¡ ij vR;f/d
chekj dk eryc gS%
(i) cq[kkj ≥ 1040F
(ii) SpO2 ≤ 75%
(iii) Acute Respiratory Distress Syndrome (ARDS )
9) 95% Lks T;knk ejht vkSj muds ifjokj okyksa esa Covid-19 ds
y{k.kksa @ 'kkjhfjd O;Fkk dh otg ls ugha vfirq iQksfc;k vFkkZr
Mj vkSj fiQ;j lkbdksfll (fear psychosis) vFkkZr euksfod`fr
dh otg ls vkrad gSA
50,000 ls vf/d jksfx;ksa dks Bhd djus ds
ckn gekjk fu"d"kZ (30 flracj] 2020 rd)
iz'u&1% dksfoM&19 fdlh nwljs Ýyw ls dgha vf/d Hk;adj vkSj
?kkrd dSls gS\
mRrj % ;g fdlh Hkh nwljs Ýyw tSlk gh gSA mlls Hk;adj ;k ?kkrd
ugha gSA
iz'u&2% D;k dksbZ dksfoM&19 jksfx;ksa vkSj lkekU; Ýyw jksfx;ksa ds
chp dksbZ varj dj ldrk gS\ ;fn gk¡] rks buesa D;k varj
gksrk gS\
mRrj % dksfoM&19 ds y{k.k fdlh Hkh nwljs Ýyw tSls gh gksrs gSa
vkSj buds y{k.kksa esa fcydqy Hkh varj ugha gksrkA
iz'u&3% fdlh Hkh lks'ky fMLVsaflax dk ikyu fd, fcuk ;k ekLd
yxk, fcuk Hkh lM+dksa ij tkuoj vkSj fHk[kkjh fn[kkbZ nsrs
gSaA buds chp dksfoM&19 ls gksus okyh ekSrsa fjiksVZ D;ksa ugha
gqbZ\
mRrj % tc gekjs jksxh gekjs bykt ds izksVksdkWy ij Fks] rks os vius
?kjksa esa Fks] ml nkSjku mUgkasus fdlh lks'ky fMLVsaflax dk
ikyu ugha fd;k vkSj u gh laØe.k ds Hk; ls nwljs lnL;ksa
ds lkFk ekLd vkfn yxk;kA fiQj Hkh dsoy 2 izfr'kr
ikfjokfjd lnL;ksa us Ýyw ds gYds y{k.kksa dks fjiksVZ fd;k
tks fd fcuk fdlh eè;LFkrk ds Lo;a gh Bhd Hkh gks x,A
bl rjg ge fu"d"kZ fudky ldrs gSa fd dksfoM&19 mruk
laØe.k ugha iQSykrk] ftruk bldk izpkj fd;k x;k gS ;k
bls fn[kk;k x;k gSA bldh laØe.k nj] fdlh Hkh vU; Ýyw
ftruh gh gSA
iz'u&4% vc rd] nqfu;k Hkj esa cPpksa ds vf/drj Ldwy [kksys
tk pqds gSa] Ldwyksa ds [kqyus ds ckn cPpksa esa dksbZ izeq[k
dksjksuk foLiQksV ;k fiQj cPpksa esa dksfoM&19 ls gksus okyh
ekSrksa dh fjiksVZ lkeus D;ksa ugha vkbZ\
mRrj % gekjs jksfx;ksa esa dsoy 2 izfr'kr cPps 'kkfey Fks vkSj muesa
ls 96 izfr'kr ls vf/d cky jksxh] bykt ds igys 72
?kaVksa ds Hkhrj vius jksx ls eqDr gksus esa liQy jgsA gekjk
fu"d"kZ ;g gS fd cPpksa esa dksfoM&19 dk bykt djus dh
t:jr ugha gS D;ksafd buesa cgqr gh gYds y{k.k fn[kkbZ nsrs
gSa tks Lo;a gh Bhd gks tkrs gSaA budh vksj ls ok;jl dk
laØe.k Hkh cgqr gh nqyZHk gSA
C ys[kdk/hu
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Indo-Vietnam Medical Board
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C/o India Book of Records
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izdk'kd%
Mk;eaM ikWdsV cqDl (izk-) fy-
X-30 vks[kyk baMfLVª;y ,fj;k] iQst&II
iQksu% 011&40712100 bZ&esy% sales@dpb.in osclkbV% www.diamondbook.in
dksfoM&19 "kM+;U=k ls lek/ku rd - MkW- fcLo:i jk; pkS/jh

MkW- fcLo:i jk; pkS/jh }kjk ,u-vkbZ-lh-bZ (N.I.C.E) dk miØe
,u-vkbZ-lh-bZ esfMdy ,Mokbtjh cksMZ
1- MkW- vej flag vktkn (,echch,l] ,eMh)
2- MkW- uhys'k fparkef.k ikfVy (,echch,l vkWFkksZisfMd ltZu)
3- MkW- ds- ch- rqekus (Nkrh fo'ks"kK & ,echch,l)
4- MkW- foey dqekj eksnh (,echch,l] ,eMh)
5- MkW- lrh'k eYgks=kk (,echch,l] ,eMh] ltZu)
6- MkW- ,y- ch- flag pkSgku (us=k fo'ks"kK)
7- MkW- lanhi 'kekZ (,echch,l)
8- MkW- r#.k dksBkjh (,echch,l] ,eMh)
9- MkW- 'kqHke 'kqDyk (,echch,l] ,eMh)
10- MkW- eSF;w ,aFkuh iqFkqijafiy (,eMh)
11- ch- ,u- ikaMs (,echch,l] ,eMh)
12- MkW- yoyhu (,echch,l] ,eMh)
13- MkW- eksfudk lks<s (ch,,e,l] ,eMh)
14- MkW- iYyoh uhys'k ikfVy (,echch,l] Mh,evkjbZ)
15- MkW- gjh'k 'kekZ (ch,,e,l)
16- MkW- jkgqy dqekj oSn~; (ch,,e,l)
17- MkW- egsanz dkslfj;k (ch,,e,l)
18- MkW- vktkn vgen [kku (ch,,e,l)
19- MkW- iznhi egknso dsydj (ch,,e,l)
20- MkW- uouhr dkSj (ch,,e,l)
21- MkW- iadt ikVhnkj (ch,,e,l] lhvkj,oh)
22- MkW- eukst okjokjs (ch,,e,l)
23- MkW- vejthr flag eku (ch,,e,l)
24- MkW- ';ke ukjk;.k ikaMs (,e- ,llh] ih ,pMh (tsusfjd ds;j)] ,u
Mh] ,iQ,l,uvkj)
25- MkW- banqihr dkSj (chMh,l)
26- MkW- /esZ'k BDdj (chMh,l)
27- MkW- tlohj dkSj (chMh,l)
28- MkW- v'kksd fla?ky (,e-Mh- vk;qosZfnd esfMflu)
29- MkW- jktdqekj (ch,l,e,l)
30- MkW- fLerk uVojyky okuj (ch,uokbZ,l)
31- MkW- gjh'k dqekj ;kno (ch,uokbZ,l)
32- MkW- v#.k 'kekZ (,evkbZvkbZ,uVh] ,uVh)
33- MkW- fctsanz vk;Z (lhfu;j uSpqjksiSFk] 50 o"kZ vuqHko)
34- MkW- ,u- ds- 'kekZ (lhfu;j uSpqjksiSFkh MkWDVj] 42 o"kZ vuqHko] ,uMh]
ih ,pMh] jsdh ghfyax ekLVj)
35- MkW- vkse izdk'k vkuan (lhfu;j uSpqjksiSFk MkWDVj] 50 o"kZ vuqHko)
36- MkW- euksgj yky lksuh (uSpqjksiSFkh o ;ksxk MkWDVj] jsdh izFke o
f}rh; fMxzh)
37- vkpk;Z eksgu xqIrk (ihth bu uSpqjksiSFkh)
38- vkpk;Z jktsanz vVy (lhfu;j uSpqjksiSFkh MkWDVj] 40 o"kZ vuqHko)
39- MkW- czt Hkw"k.k xks;y (uSpqjksiSFk)
40- MkW- vt; frokjh (gksE;ksiSFkh esa fMIyksek)
41- ;ksx vkpk;Z lwjt izdk'k (;ksx vkpk;Z)
42- MkW- vafre dqekj tSu (;ksx esa ih,Pk-Mh] ;ksx eas ,e ,llh] ,eMh [ bZ,p])
43- MkW- izeksn cktis;h (vk;qosZn Lukrd 'kkL=kh ,uMhMhokbZ)
44- MkW- fpnacje vysVh (,Mh- Mh- ,lh;w] ,uMhMhokbZ Mk;jsDVj
lhvkbZ,,u)
45- MkW- ih- ,y- ds- nqxkZ (,Mh- Mh- ,lh;w] ,uMhMhokbZ)
46- MkW- lq/kdj (,Mh- Mh- ,lh;w] chbZ,e,l] ,eMh (bZ,p) ,uMhMhokbZ)
47- MkW- tSdc oM+Ddupsjh (Mh,uokbZ,l] ekuuh; izksiQslj] 'kksfHkr
;wfuoflZVh)
48- jsgkl gchc (ck;ksdsfeLV)
49- MkW- gsek xqIrk (ih,p-Mh lk;dkWyksth & dkmalfyax lk;dkWyksftLV)
50- MkW- ek/c uk;d (,echch,l] ,eMh)
51- MkW- jtuh ,axw (,echch,l @ ,eMh)
52- MkW- vrqy jes'k uj[ksM+k (ch,p,e,l)
53- MkW- lhek vjksM+k (,echch,l)
54- MkW- iadt pkS/jh (ch,p,e,l)
55- MkW- fuf/ tSu (ch,p,e,l)
56- MkW- eukst dqekj 'kekZ (ch,p,e,l)
57- MkW- jhuk Bkdqj (chMh,l)
58- MkW- 'ks[k bdjk vk;kt+ (ch,,e,l)
59- MkW- 'ks[k okfj'kk ulhe (ch;w,e,l)
60- MkW- fo'kky flag pkSgku (ch,p,e,l] ,eMh)
61- MkW- ijekuan ikfVy (ch,p,e,l)
62- MkW- izohu dqekj (iwoZ vkbZ,,l] lhfu;j gksfe;ksiSFk)
63- vkn'kZ ukjk;.k iz/ku (fiQft+;ksyksftLV @ dksM Cyw Vªsuj @ Mk;fcfVd
,MwdsVj)
64- MkW- elwn vgen [kku (gksfe;ksiSfFkd MkWDVj)
65- MkW- vfHk"ksd ¯lg (ch,p,e,l)
66- MkW- vt+:n~nhu vgen (ch;w,e,l)
67- MkW- vf[kys'k lkgq & MkWDVj (,eihVh] ,e,l)] ih,pMh (izkd`frd
foKku ,oaa vkS"k/h)
68- MkW- xkSre ikWy (Mhch,e,l)
69- MkW- e/kc uk;d (,echch,l] ,eMh)
70- MkW- jkt Hkxr (chMh,l @ ihthMhlhlh @ Mk;fcfVd ,MwdsVj)
71- MkW- f'koe~ ckFkjh (ch,,e,l)
72- MkW- fo'kky flga pkSgku (ch,p,e,l] ,eMh)
73- MkW- eukst dqekj 'kekZ (ch,p,e,l & gksfe;ksiSFk)
74- MkW- j'eh ,e ikfVy (ch,,e,l)
75- MkW- yksds'k tks'kh (ch,,e,l)
76- MkW- iznhi dqekj /heu (ch,p,e,l)
77- MkW- gse'kadj lkgq (ch,p,e,l)
78- MkW- ';ke lqUnj (,echch,l] ,eMh)
79- MkW- lhek vjksM+k (,echch,l] ,eMh)
80- MkW- djujkt lUnhi ns'keq[k (ch,p,e,l)
81- MkW- jtuh ,axq (,echch,l] ,eMh)
82- MkW- vuq Jh;k nkl (ch,,e,l)
83- MkW- vpZuk lR;e~ (,echch,l)
84- MkW- lqHkk"k tSu (ofj"B izkd`frd fpfdRld)
85- MkW- fctsUnz ¯lg lkxj (,uMhMhokbZ] ofj"B izkd`frd fpfdRld)
86- MkW- vuqjkx dfiy (ofj"B izkd`frd fpfdRld)
87- MkW- lUnhi gqMk (,uMhMhokbZ] ,y,e,uVh] ihthMhokbZ] chbZMh]
,eih,pMCyq] vk;qosZfnd iapdekZ rduhf'k;u
88- MkW- lqtkrk vk;Z (,uMhMhokbZ] ,e, ;ksxk)
89- MkW- jktdqekj (ch,l,e,l)
90- MkW- xksj[k ukFk (ch,p,e,l)
91- MkW- fotkrk vk;Z (,uMhMhokbZ] ofj"B izkd`frd fpfdRld)
92- MkW- rkft+eqn~nhu vgen (ch,ech,l] Lukrd & fpfdRlk ,oa Tkho
foKku)
93- MkW- lquhy ek:fr peu (ch,uokbZ,l)
94- MkW- ;f'kdk vjksM+k (ch,p,e,l ,eMh gkse LdkWyj)
95- MkW- jktho pkScs (ch,p,e,l)
96- MkW- jUthr lk=ks (ch,p,e,l)
97- MkW- lqfer gfjedj (ch,,e,l)
98- MkW- ,l- lquhFkk (,echch,l Mh,evkjMh jsfM;ksyksftLV)
99- MkW- jktho dqekj (chMh,l)
100- MkW- iz'kkar 'kekZ (ch,,e,l] ,eMh] vk;qosZn LdkWyj)
101- MkW- lq'khy flga HknkSfj;k (ch,p,e,l)
102- MkW- vjfoUn Hkkj}kt (,echch,l] ihthMh,elh,p)
103- MkW- fojsUnz flga HkkVh (ih,pMh&xf.kr] izkd`frd foKku ,DliVZ)
104- MkW- gkÝlk (ch;w,e,l)
105- MkW- HkqisUnz ?kkMh;k (Mh,p,e,l)
106- MkW- fu'kk fNnzkoj (,echch,l)
107- MkW- enu yky (vkS"k/h ,oa izkd`frd foKku esa ih,pMh)
108- MkW- js.kq nhf{kr
109- MkW- fuf[ky [ksjukj (ch,,e,l)
110- MkW- izdk'k flga (ch,,e,l)
111- MkW- ds- jkts'k dqekj (ch,p,e,l)
,u-vkbZ-lh-bZ lykgdkj cksMZ
• ;ksxs'k feRry • Lokeh lafor~ lksefxjh th egkjkt

• vk'kqrks"k feRry • vo/wr fo".kq fouknkse~ egkjkt
• egs'k dkSf'kd • eqfu Jh fueksZg lqanj fot;
• MkW- ds- ch- rqekus • v'kksd iVsy
• MkW- vej flag vktkn • lat; cksjk
• MkW- izohu dqekj • fot; ;kno
• MkW- r#.k dksBkjh • nhi iqatokuh
• MkW- fuys'k lh ikfVy • jscy J¼kuUn ifr
• fojsUnz flag • lR; izdk'k
• fodkl ikVuh • Hkw"ku pkSgku
lks'ky ehfM;k vkehZ
• eksgEen vgen dkt+eh • ftrsUnz vk;Z

• ekul leFkZ • jktohj flag
• fueZy ykspu ijhNk • jktw pkS/jh
• lqfer vktkn • vejsUnz xxZ
• lqeu flag (rkU;k) • MkW- nhid jkBh
• deys'k flag • oUnuk
• eksfgr [kVkuk • ;ksfxrk
• fuf[ky • txnhi 'kekZ
• lqtkrk xqIrk • jfo dksgkM
• vfHk"ksd dqekj • uhjt 'ksjoky
• eukst pkSgku • lat; ikaMs
• jkts'k vk;Z • txfoj nfg;k
,u- vkbZ- lh- bZ- dksj Vhe
Vhe yhMj % jpuk 'kekZ

vejtsalh dkWfMZusVj % dYiuk ckSjkbZ] izrh{kk oRl
dkWfMZusVlZ % eksgu tks'kh] bEeSuq,y tkWc] lehu
iQkfrek] Jqfr 'kekZ
24 ?kaVs ÚaVykbZu vkWfiQlj % vYiuk R;kxh] ;ksfxrk d';i]
vadk{kk] lkSud nkl] lhek xhrkatyh
fgUnh vuqokn % nsosanz ;kno Lons'kh
dkWih ,fMVj % jpuk Hkksyk ;kfeuh
xzkfiQd fMtkbuj % 'kadj flag dksjaxk
leiZ.k
esjh I;kjh fcfV;k vkboh
fiz; iRuh uhjtk
vkSj
Lusgh ekrk&firk
Jh fcdk'k jkW; pkS/jh
Jherh yhyk jkW; pkS/jh
fo"k; oLrq
• fujh{k.k ls tqM+s vè;;u
• 50]000 ls vf/d jksfx;ksa dks Bhd djus ds ckn gekjk
fu"d"kZ (30 flracj] 2020 rd)
HkkXk&1
1- Covid-19 ds jgL; dk lek/ku (14 tqykbZ] 2020 rd igys

5000 ejht)------------------------------------------------------------------------------- 19
2- dksjksuk ls bruh vf/d ekSrsa D;ksa\ rhu pj.kksa esa mRrj----------- 26
3- izk.k&;ejkt dk foKku-------------------------------------------------------------- 40
4- ILI / Covid-19 dk vkikrdkyhu izca/u-------------------------------- 58
5- egkjk"Vª ljdkj dksfoM dsanz ds lkFk rhu pj.k;qDr Ýyw vkgkj
vè;;u---------------------------------------------------------------------------------------- 73
6- dksjksukdky esa ?kj ij viuk [kqn dk Super Speciality Hospital
cuk,¡-------------------------------------------------------------------------------------- 77
7- dksfoM&19 iSUMsfed dks dSls [kRe fd;k tk,\-------------------- 84
8- dksjksuk dky ds rhu iQkewZys (23 vxLr dh osc izsl dkaÚsal ij
vk/kfjr)------------------------------------------------------------------------------- 87
HkkXk&2
,u-vkbZ-lh-bZ (N.I.C.E.) fo'ks"kK---------------------------------------------- 109
Hkkx&1
vè;k;
1
Covid-19 ds jgL; dk lek/ku
(14 tqykbZ] 2020 rd igys 5000 ejht)
esjs ikl 5000 ls vf/d jksfx;ksa ds bykt vkSj bykt ds nqyZHk
fo'ks"kkf/dkj gSa] og Hkh 5 twu] 2020 ls 14 tqykbZ] 2020 ds chp
ftl le; egkekjh vius mPp f'k[kj ij FkhA ;g lc ns'k esa pkjksa
rjiQ iQSys esjs 200 ls T;knk buÝyw,atk fo'ks"kKksa ds dkj.k laHko gks
ik;k gS (vkSj dqN ns'k ds ckgj Hkh)A
geus cxSj nok vkSj 'kwU; izfr'kr e`R;q nj ds lkFk 'kr&izfr'kr
fjtYV izkIr fd;k] 80% ls T;knk ejhtksa ds y{k.k three step flu
diet vuqdj.k djus ls 72 ?k.Vs esa lekIr gks x, rFkk 75% ejhtksa
dk nwljh ckj RT-PCR VsLV fdV tk¡p esa SARS CoV-2 usxsfVo
ik;k x;kA
WHO ds nok izksVksdkWy ds lkFk Covid-19 ds jksfx;ksa dk mipkj
djus okys :f<+oknh MkWDVjksa dks mijksDRk ifj.kke vk'p;Ztud vkSj
c<+k&p<+kdj is'k djus okys yx ldrs gSa] D;kssafd mUgsa vLirky ls
vkSlru 14 fnu esa fjgk gksus dh nj 3-4% e`R;q nj fn[kkbZ nsrh gS]
ijUrq esjs fy,] jgL; dqN vkSj FkkA
5000+ esa ls CDC ds }kjk ifjHkkf"kr buÝyw,atk tSls jksxksa ds
y{k.kksa okys yxHkx 1000 ejht gekjs ikl vk, tks fd RT-PCR
fjiksVZ ds }kjk SARS CoV-2 iksftfVo Fks rFkk ckdh yksx cxSj RT-
PCR VsLV djk, gekjs ikl vk,A bldk eryc buÝyw,atk tSlh
chekjh ls ihfM+r 5000 ejhtksa esa ls 1000 Covid-19 ds ejht Fks
rFkk ckdh 4000 non Covid-19 ILI ejht FksA
dksfoM&19 "kM+;U=k ls lek/ku rd | 19

;fn ge ICMR1 (Indian Council of Medical Research) }kjk
e`R;q izek.k i=k tkjh djus ds fn'kk&funsZ'kksa ds vuqlkj pyrs gSa] ;fn
dksbZ O;fDr ILI ds Dykfldy y{k.kksa ls ej tkrk gS] rks e`R;q dk
dkj.k Covid-19 gksxkA ;gk¡ rd fd vxj e`R;q ds igys ;k ckn
RT-PCR VsLV ds }kjk O;fDr SARS CoV-2 usxsfVo ik;k x;k rks
mldk eryc] ICMR dk ekuuk gS fd ILI ds 100% jksfx;ksa es
,d gh dkjd ,tsaV gksrk gS vkSj og gS SARS CoV-2] gkykafd
ICMR ds bl fl¼kar dk fpfdRlk lkfgR; esa dksbZ izek.k ugha gSA
ICMR ds }kjk ¶e`R;q izek.ki=k esa fjiksVZ dSls djsa¸ ds funsZ'kksa ds

vuqlkj] ifjHkkf"kr :i esa] eq>s dguk pkfg, fd fiNys 40 fnuksa es]
geus 5000+ Covid-19 ejht Bhd fd,A gkykafd] ÝYkw ;k ILI ds
y{k.kksa ds vkt rd igpkus x, dkjd ,tsaV 200 ls vf/d ok;jl
gks ldrs gSa rFkk ;s cSDVhfj;k] iQaxl vkSj ;gka rd fd xSj&ijthoh
dkj.k lfgr vU; jksxtudksa dk dkj.k gks ldrs gSa ftuesa nokvksa ds
nq"izHkko vkfn 'kkfey gSaA
bu 5000+ jksfx;ksa dk bykt djrs le; esjs fy, jgL; ;s Fkk fd
eSa ejhtksa esa dksjksuk iksftfVo dh fLFkfr esa dksbZ fo'ks"k vUrj ugha
dj ldk tks muds fy, vf}rh; gS (muesa ls cgqr ls yksx SARS
CoV-2 ds vykok vU; ok;jl ds okgd gks ldrs gSa)A
esjk izFke fu"d"kZ---

y{k.kksa ds vuqlkj] Covid-19 ejht fueksfu;k@ ILI jksfx;ksa ds leku
gSa ftuds ikl dksbZ fof'k"V ladsr ;k vkjksX; izkfIr dk rjhdk ugha
gSA
eSa Covid-19 uked igsyh dks gy djus ds ctk, mlds jgL; dks
mtkxj djus ds fy,] nqfu;k ds vf/dka'k v[kckjksa ds 'kh"kZdksa ds
lkFk vkidks tuojh] 2020 ds igys LkIrkg (4&7 tuojh ds chp)
20 | dksfoM&19 "kM+;U=k ls lek/ku rd

dh vksj ysdj pyrk gw¡A phuh vf/dkfj;ksa2 dk dguk gS ¶oqgku ds
jgL;e;h fueksfu;k ekeys ds dkj.k vHkh Hkh vKkr gSaA¸ 5 tuojh]
2020 dks WHO ds }kjk mudh osclkbV3 ij Hkh bls Lohdkj fd;k
x;kA
3 tuojh] 20204 dks WHO ds vuqlkj Pkhu ds jk"Vªh; vf/dkfj;ksa
}kjk vKkr etiology ds fueksfu;k okys dqy 44 jksfx;ksa dh fjiksVZ
dh xbZ FkhA
;g tkurs gq, fd izR;sd o"kZ 2-5 fefy;u5 ls vf/d yksx
fueksfu;k ds dkj.k ej tkrs gSa vkSj yxHkx 450 fefy;u vkcknh
fueksfu;k ;k ILI ls ihfM+r gksrh gS] isphnk loky ;g gS fd LokLF;
vf/dkfj;ksa us vKkr etiology (gsrqfoKku) ds LkkFk fueksfu;k ds :i
esa 44 jksfx;ksa dh lwpuk nhA mUgksaus budh igpku fdl vk/kj ij
dhA vkb, fuEu RkF;ksa ij ut+j Mkyrs gSa---
1- 60% ls vf/d ILI esa] fdlh Hkh ok;jl dk irk ugha yxk;k tk
ldkA6
2- fueksfu;k ds 20% ls vf/d ekeyksa esa] dksbZ Hkh izsjd okgd dk
irk ugha yxk;k tk ldkA7
esjk rdZ
1- vkids iM+ksl lfgr nqfu;k Hkj esa] ILI ds izR;sd 10 jksfx;ksa eas
(yk{kf.kd :i ls) de ls de 6 dks ILI ds fy, Kkr fdlh
Hkh ok;jl ls ugha igpkuk tk,xkA
2- fueksfu;k ds izR;sd 10 jksfx;ksa ds fy,] de ls de nks dks fdlh
vKkr dkjd ,tsaV ds lkFk ugha igpkuk tk,xkA
bldk vFkZ ;g gS fd ILI okys 60% ls vf/d jksfx;ksa dks vKkr
etiology ds lkFk ILI jksxh dgk tk ldrk gS vkSj 20% dks vKkr

dkj.k ;k etiology ds lkFk fueksfu;k is'ksaV ;k muesa ls 20% dks
jgL;e;h fueksfu;k jksxh dgk tk ldrk gSA
;gk¡] eq>s vkidks ;g è;ku fnykuk gksxk fd y{k.kksa ds vk/kj
ij] Covid-19 jksfx;ksa esa dksbZ vuks[kh fo'ks"krk ;k ladsr ;k iSVuZ
ugha fn[krs gSa tks U;weksfu;k@ ILI ls vyx gksa--- rFkk blds lkFk gh
fueksfu;k ds lHkh Kkr dkj.kksa dk Hkh irk yxkuk laHko ugha gSA
fueksfu;k dk dkj.k cuus okys gtkjksa vU; ,tsaV gSaA UkSnkfud :i
ls (Diagnostically) foKku ds fy, lcls vPNk miYkC/ midj.k
PCR Test gS (ftls lksus ds ekud ds rqY; ekuk tkrk gS) ijarq
;g High false positive ds lkFk gksxkA ;kuh tc euq";ksa ds fy,
Kkr 200 ls vf/d ok;jl dk PCR VsLV fd;k tk,xk] rks ILI@
fueksfu;k ds izsjd ,tsaV gksus ds fy,] lkaf[;dh; :i ls (vkSlru)
;g 200 esa ls de ls de nks ok;jl ds fy, fn[kk,xk] ;gk¡ rd
fd 200 ok;jlksa ds vHkko esa Hkh PCR VsLV dh fof'k"Vrk 99%8
ls vf/d ugha gks ldrh gS] tks nks ok;jl dks ,d izsjd ,tsaV ds
:i esa fn[kkrk gS] Hkys gh muesa ls dksbZ Hkh ok;jl ekStwn u gksA
vc oLrqr% ;g tkuus dk dksbZ lk/u ugha gS fd ijh{k.k TRUE
Positive gS ;k FALSE Positive gSA
fo'ks"k :i ls] Positive Result ,d fo'ks"k jksxh ds fy, (Hkys gh

;g FALSE Positive gks) ILI ds izsjd ,tsaV ds :i esa Lohdkj
fd;k tk ldrk gSA
blfy,] loky ;g gS fd 44 jksfx;ksa esa fueksfu;k ds izsjd ,tsaV
Unknown etiology ds fu.kZ; dk vk/kj D;k Fkk\ eSus fyad ij
WHO dh osclkbV dks ns[kus dk iz;kl fd;k (vkxs ckWDl ns[ksa)
ysfdu Link ekStwn ugha gSA

pwafd WHO vkSj phu ds LokLF; vf/dkfj;ksa us ;g lkfcr djus
ds fy, dksbZ MsVk ;k lcwr ugha fn;k gS] os fueksfu;k ds lHkh Kkr
dkj.kksa dh laHkkouk dks SARS CoV-2 dSls crk ldrs gSa\ os bl
fu"d"kZ ij dSls igq¡ps fd mu 44 jksfx;ksa esa fueksfu;k SARS CoV-2
dk izsjd ,tsaV gks ldrk gS] Hkys gh ;g izsjd ,tsaV gS] ;g euq";
ds fy, ,d u;k ok;jl ugha gks ldrk gS] cfYd mu 20% jksfx;ksa
esa fueksfu;k dk ,d izsjd ,tsaV gks ldrk gS] ftuds fy, izsjd ,tsaV
igys irk ugha pykA
ljy Hkk"kk esa] SARS CoV-2 yEcs le; ls ILI/Pneumonia iSnk
dj jgk gS] ysfdu vc ge ok;jl dk irk yxkus ds fy, ,d fof/
rS;kj dj jgs gSaA
esjk fu"d"kZ
esjs 5000+ jksfx;ksa vkSj mijksDr lcwrksa ds lkFk bykt djus ds
vuqHko ds vk/kj ij] ge ;g fu"d"kZ fudky ldrs gSa fd SARS
CoV-2 ,d u;k ok;jl ugha gS] ftlls dksbZ vuks[kh chekjh @ y{k.k

gksa] fo'ks"kdj rc tc WHO ;k phu ls bls u;k ok;jl lkfcr
djus ds fy, dksbZ lcwr ugha fn;k x;k gSA
blfy,] egkekjh dh ?kks"k.kk rduhdh :i ls xyr gS D;ksafd
ifjHkk"kk9 ds vuqlkj egkekjh dk eryc nqfu;k Hkj esa ,d ubZ
chekjh dk izlkj gSA vxj ge Hkkjr ds ¶egkekjh vf/fu;e
1897¸ dh ckr djsa] tks fd Hkkjr ljdkj }kjk ykxw fd;k x;k gS]
vlaoS/kfud vkSj WHO dh ifjHkk"kk10 ls vyx gS] D;ksafd egkekjh
dk eryc lkekU; izR;k'kk ls vf/d ,d chekjh dh ?kVuk gSA
Hkkjr esa fueksfu;k ds dkj.k izR;sd o"kZ 1-5 yk[k e`R;q gksrh gSa vkSj
13 tqykbZ] 2020 rd Covid-19 ds dkj.k gksus okyh e`R;q 22000
gaS] tksfd ,d okLrfod dksjksuk e`R;q ugha gS] cfYd e`R;q SARS CoV-2
ds lkFk ,d experimental medical izfØ;k vkSj co-morbid 'krksZa
ds dkj.k gSA (tSlk fd vkxs ds vè;k;ksa esa crk;k x;k gS)
gesa ;kn djuk pkfg, fd egkekjh dh ?kks"k.kk ykWdMkmu vkSj Social
distancing dk vk/kj ekpZ] 2020 ds eghus esa WHO }kjk dh
xbZ Hkfo";ok.kh11 FkhA
Hkfo";ok.kh uEcj 1
nqfu;k ds fy, Hkfo";ok.kh
vxj ykWdMkmu ;k Social distancing ;k vU; fuokjd mik; ugha
fd, x,] rks nqfu;k Hkj esa yxHkx 4 djksM+ yksx ej tk,axs vkSj vxj
LkHkh jksdFkke vkSj ykWdMkmu tSls mik;ksa dk ikyu fd;k tkrk gS]
rc Hkh vxys dqN eghuksa esa nqfu;k Hkj esa 2 djksM+ yksx ej tk,axsA
Hkfo";ok.kh uEcj 2
Hkkjr ds fy, Hkfo";ok.kh
vxj ykWdMkmu ;k Social distancing ;k vU; fuokjd mik;
ugha fd, x,] rks 60]96]359 yksxksa dh e`R;q gks tk,xh vkSj ;fn

ykWdMkmu ;k Social distancing ds lHkh WHO fn'kkfunsZ'kksa dk
ikyu fd;k x;k] rks Covid-19 ds dkj.k vxys dqN eghuksa esa
yxHkx 23]75]803 yksx ekjs tk,axsA
vc ICMR }kjk Serology losZ{k.k ds lkFk] ;g LFkkfir fd;k
x;k gS fd Covid-19 dk Case fatality rate (CFR) 0.08%12
gS] tks fd ekSleh Ýyw ls de gS vkSj Vªkalfe'ku (RO) dh nj
1-1513 gS tks fd lk/kj.k tqdke&cq[kkj ls de gS] ftldk vFkZ
gS fd Covid-19 u rks ?kkrd gS vkSj u gh laØked gS tSlk fd
Hkfo";ok.kh vkSj vuqeku yxk;k x;k gSA
lkSHkkX; ls] yks Lkh,iQvkj vkSj vkjvks ds lkFk nqfu;k Hkj esa vkSj
Hkkjr es Hkh e`R;q dk vkadM+k WHO dh Hkfo";ok.kh ds fudV ugha
gSA
blfy, lc dqN lkekU; djus ds fy,] gesa vius thou ls rhu
'kCnksa dks feVkuk gksxk%
1- ;g dksbZ jgL;e; ok;jl ugha gS]
2- No Epidemic
3. No Pandemic (;g dksbZ egkekjh ugha gS)

ckj&ckj ehfM;k vkSj Phone Caller Tune ds ekè;e ls] vkidks
;g fo'okl fnyk;k tkrk gS fd ;g ,d jgL;e;h ?kkrd ok;jl
gS tks cM+h la[;k esa e`R;q dk dkj.k curk gS ysfdu dksbZ lg;ksxh
izek.k ugha gSA
lanHkZ
bl vè;k; ls lacf/r video and references ds fy,
www.biswaroop.com/nicebook fyad ij tk,¡

vè;k;
2
dksjksuk ls bruh ekSrsa D;ksa\
rhu pj.kksa eas mRrj
Covid-19 dk bykt dSls djsa\
(5 twu] 2020 dks N.I.C.E. Launch ij fn,
x, O;k[;ku ds vk/kj ij)
dksbZ O;fDr ,d ;ksn~/k dSls cu ldrk gS\ blds fy,] eSa fiNys
nks eghuksa ls N.I.C.E. ds uke ls ,d :ijs[kk cuk jgk Fkk vkSj ;s
fo'o i;kZoj.k fnol ds volj ij 5 twu] 2020 dks 'kke 5 cts
yk¡p dh xbZA ;g iwjs ns'k esa iQSys izf'kf{kr yksxksa dk ,d usVodZ
gS vkSj bldh LFkkiuk ds ckn ls] ;fn fdlh O;fDr esa ILI/Ýyw
(eSa bls dksjksuk ugha dgrk) ds y{k.k gSa] rks ml O;fDr dh iwjh
rjg ls eqÝr esa ns[kHkky dh tk jgh gSA tc rd O;fDr iwjh rjg
ls Bhd ugha gks tkrk gS] rc rd og gekjh lgk;rk iz.kkyh ds
v/hu jgrk gSA
vkb,] ge igys iwjs [ksy ds ckjs es ckr dj ysrs gSaA izR;sd O;fDr
bl ckr ls gSjku gS fd vkf[kj bruh ekSrsa D;ksa gks jgh gSa\ czkthy]
Lisu] bVyh vkSj ;w-,l-,- esa brus yksx D;ksa ej jgs gSa\ Hkkjr esa
dksjksuk dsl D;ksa c<+ jgs gSa\ izfrfnu brus u, dsl D;ksa lkeus vk
jgs gSa\ yxrk gS dqN rks xM+cM+ gSA eS 'kq: ls le>krk gw¡A eSa tks
Hkh vkidks crk jgk gw¡ og iwjh rjg ls izekf.kr gSA
vkb,] le>rs gSa fd dSls dksjksuk ejht dks rhu pj.kksa es ekjk tkrk
gS\

igyk pj.k
tSls gh vki ?kj ds ckgj fudyrs gSa (vly esa dqN yksx ?kj ij
Hkh)] rks vki ;g lkspdj iQsl ekLd yxkrs gSa fd vki lqjf{kr gaSA
njvly gksrk ;g gS] tSls ,d if=kdk14 esa crk;k x;k gS] fd ,d
?k.Vs esa ge vkSlru 23 ckj ekLd dks Nwrs gSaA
EkkLd dks Bhd@ djus ds fy, ,d ?k.Vs esa mls vkSlru 23 ckj Nqvk
tkrk gSA vki ekLd yxkdj lfCt+;ksa dks [kjhnus ds fy, ,d nqdku
ij tkrs gSaA tc vki foØsrk ls nkeksa dh iwNrkN dj jgs gksrs gSa rks
vki yxkrkj ekLd Bhd djrs gSaA var esa] vki ,d iQy mBkrs gSa]
eku yhft, vkius ,d vke mBk;k ftlesa dksbZ nkx ugha Fkk] fiQj
vki ,d vkSj vke mBkrs gSa_ blh rjg tc vki vkeksa dks Nk¡V jgs
gksrs gSa] rks vkidk gkFk ckj&ckj ekLd ij tkrk gS] D;ksafd vkids
fy, cksyuk eqf'dy gks jgk gS vkSj vki ?kqVu eglwl dj jgs gSaA
eSa vkidks tks le>kus dh dksf'k'k dj jgk gw¡] og ,d egÙoiw.kZ
ckr gSA vkids eq¡g esa dsoy dksjksuk ok;jl ugha gS_ cfYd vkids
eq¡g esa dbZ izdkj ds ok;jl gSaA dksjksuk ds iQSyus ls igys tc vki
Nhadus ;k [kk¡lus ij ekLd dk mi;ksx ugha dj jgs Fks] rks vkids
eq¡g ds cSDVhfj;k vkSj ok;jl ok;qeaMy esa pys tkrs Fks vkSj rkth
gok vkSj /wi ds dkj.k ekjs tkrs FksA vc] tc vki ekLd igu jgs
gSa] rks vki mu thok.kqvksa vkSj fo"kk.kqvksa dks ejus gh ugha ns jgs gSa]
D;ksafd ogk¡ rkth gok vkSj /wi ugha gS_ vly esa vki mUgsa vius
ekLd esa tek dj jgs gSaA
iQsl ekLd lHkh izdkj ds ok;jl (dksjksuk ok;jl lfgr) ds teko@
laxzg dk dkj.k curk gS vkSj ekLd dk yxkrkj Li'kZ ok;jl ds
lapj.k esa o`f¼ dk dkj.k gS ftldk vFkZ gS vf/d chekjh vkSj
vf/d ekSrsaA

;gk¡ igyk dne ;g gS fd ,d LoLFk euq"; rkt+h gok vkSj
/wi ls nwj ?kj ij cSBk gS_ tgk¡ dksbZ 'kkjhfjd xfrfof/ ugha gSA bl
dksjksuk egkekjh esa cgqr ls yksx viuh ukSdjh [kks pqds gSa] blfy, os
fpafrr gSa_ cPps Ldwy ugha tk ik jgs blfy, os Hkh fpafrr gSa_ ;g
lc ?kj esa dyg dk dkj.k cu jgk gSA ifj.kkeLo:i] gekjh izfrj{kk
(Immunity) de gks jgh gS vkSj tks Hkh izfrj{kk gekjs ikl cph
gksrh gS] og ekLd ds dkj.k u"V gks tkrh gSA pwafd vki yxkrkj
ekLd dks Bhd dj jgs gSa] vkSj vke dks Nw jgs gSa (ftldks vUrr%
vkius ugha [kjhnk D;ksafd vkidks ilan ugha vk;k)] vutkus esa vki
vius ok;jl dks vkeksa ij NksM+ nsrs gSaA blds ckn ,d vkSj LoLFk
O;fDr nqdku ij vkrk gS vkSj mu vkeksa dks [kjhnrk gS] ftlds
dkj.k vkidk ok;jl mlds ?kj rd igq¡p tkrk gSA
(Tk:jh ugha fd og dksjksuk ok;jl gh gks] ;g dksbZ Hkh ok;jl gks
ldrk gS)A
bldh tkap ds fy, eSaus lHkh Medical Research paper [kksts fd
ekLd ok;jl] ILI o Common Cold ls cpkrk gS ;k ugha] eSa rhu
'kks/ i=k izkIr djus esa lIkQy jgk tks ekLd ds mi;ksx ls lacaf/r
FksA ,d 'kks/ i=k us ekLd dks ,d ?k.Vs esa 23 ckj Nwus dh ckr
dghA vU; isij15 dk 'kks/ bl ckjs esa Fkk fd ekLd dk mi;ksx
laØe.k dks de djrk gS ;k Ck<+krk gS\ bu lHkh 'kks/ i=kksa dk
fu"d"kZ leku FkkA ;fn vki fdlh fo'ks"k ok;jl ls [kqn dks cpkus
ds fy, ekLd dk mi;ksx djrs gSa rks ok;jl c<+ tk,¡xsA blfy,]
igyk dne yksxksa dks chekj cukus vkSj mudh bE;wfuVh dks de djus
dh lkft'k gSA vki viuh Lo;a dh bE;wfuVh gSaA bE;wfuVh dks de
djus ds fy,] ,d O;fDr dks Mjkdj ?kj ij cSBk nksA ftruh ckj
vki iQksu djrs gSa] v[kckj i<+rs gSa ;k lekpkj lqurs gSa] vkidk Mj
c<+sxk tks fd yxHkx 50% rd Immunity dks de djsxkA 'ks"k
Immunity dks ekLd ds mi;ksx ls de fd;k tk jgk gSA eSa iwNrk
gw¡] ¶vki ,d eghus esa ekLd fdruh ckj /ksrs gSa\¸ eq>s iwjk ;dhu

gS vki bls fcydqy ugha /ksrsA ekLd esa ok;jl dk laxzg bE;wfuVh
de djrk gS vkSj mls mlh Lrj ij yk nsrk gS tSls fd orZeku esa
Hkkjrh; vFkZO;oLFkkA
ftl fcUnq ij eSa tksj nsus dh dksf'k'k dj jgk gw¡] og ;g gS fd
ok;jl] tks vU;Fkk gh vkids ikl u vkrk] oks ,slh ifjfLFkfr;ksa
es vkids ikl vk tk,xkA vxj igys dHkh fdlh vkSj dk ok;jl
vkids ikl vkrk Fkk] rks vki lkekU; ifjfLFkfr;ksa esa bldk lkeuk
dj ysrs Fks D;ksafd vkidh bE;wfuVh etcwr Fkh ijarq bu gkykr eas
viuh igys ls ?kVh gqbZ bE;wfuVh ds lkFk vki bldk lkeuk ugha
dj ikrs vkSj chekj gks tkrs gSaA
nwljk pj.k
tc Hkh ok;jl vkids 'kjhj esa izos'k djrk gS (ekLd ds mi;ksx ds
dkj.k)] ;g dkiQh Li"V gS fd jksxh dks lnhZ] [kkalh] cq[kkj ;k dqN
vU; y{k.k gksaxsA ,sls ekeys esa O;fDr D;k djsxk\ og vLirky
tk,xk D;ksafd ;fn og cq[kkj dks de djus ds fy, nok [kjhnus
dSfeLV ds ikl tkrk gS] rks mls nok ugha nh tk,xh_ cfYd mls
vLirky tkus dh lykg nh tk,xhA ;fn vki vLirky tkrs gSa rks
vkidks dksjksuk VsLV ls xqtjuk gksxk vkSj ;g lcls vf/d laHkkouk
gS] fjiksVZ Positive gksxhA D;ksa\ bldh ppkZ ckn esa dh tk,xhA
dksjksuk ikWftfVo gksus ds ckn tks gksrk gS] og nwljk pj.k gSA
tc vki vLirky igq¡prs gSa] rks ok;jl vkids xys ;k Åijh 'okl
ufydk esa gSA ;kn j[ksa tc rd Influenza Virus (Corona) mQijh
'olu iFk esa gS rc rd dksbZ tfVyrk ugha gksxh vkSj u gh O;fDr
ekjk tk,xkA 'olu bUÝyq,atk ok;jl dk eryc gS fd ;g eq¡g ;k
ukd ds ekè;e ls 'kjhj eas izos'k dj ldrk gSA bl le; vkidks
BaM idM+ ysxh vkSj cq[kkj vkus yxsxk rkfd ok;jl 'kjhj ds ckgj
fudys] dksjksuk ok;jl ;k dksbZ Hkh ok;jl fo?kfVr gksus yxrk gS]

u"V gksus yxrk gS vkSj gekjh izfrj{kk bls 'kjhj ls ckgj iQsad nsrh
gSA vki fdlh Hkh tfVyrk ;k lk¡l ysus esa dfBukbZ dk vuqHko
ugha djsaxs D;ksafd ok;jl mQijh 'olu iFk esa gS vkSj ge iQsiQM+ksa
ls lk¡l ysrs gSaA ok;jl nks fnuksa ds ckn mQijh 'olu iFk ls uhps
pyk tk,xkA ;fn blds geys dks jksdus ds fy, dqN Hkh ugha fd;k
tkrk gS rks /hjs&/hjs] ok;jl rhljs fnu ls uhps tkuk 'kq: dj nsxkA
MkWDVj ,afVck;ksfVDl] ,aVh&ik;jsfVd] eysfj;k&jks/h vkSj anti-HIV
nok,¡ fy[ksaxsA
dksjksuk ok;jl mQijh 'olu iFk (eq¡g] ukd] xyk) esa fcydqy Hkh
?kkrd ugha gS vkSj ;g leL;k ;k e`R;q dk dkj.k ugha cu ldrk gSA
ejht dks fuEufyf[kr nok,¡ nh tk jgh gSa %
1- ,aVhck;ksfVDl16
2- ,aVhik;jsfVd MªXl17
3- ,aVh ok;jy MªXl18
4- ,aVh&eysfj;y MªXl19
tks fd ejht esa ok;jl dks fupys 'olu iFk (iQsiQM+s) esa
iQSykus dk dkj.k curk gSA 7osa fnu rd] ;g lk¡l ysus esa
dfBukbZ] jksfx;ksa esa fueksfu;k tSls y{k.kksa vkSj vkWDlhtu dh
deh dk dkj.k gks ldrk gSA
9 vizSy] 2020 dk xYiQ U;wt+20 i<+saA ;g [kkM+h ns'kksa dk izfrf"Br
v[kckj gS] ftlesa esjk baVjO;w izdkf'kr gqvk FkkA baVjO;w esa fy[kk
gS%
WHO dk izksVksdkWy ns[ksa vkSj vki ns[ksaxs fd ;s eysfj;k&jks/h]
,aVhck;ksfVDl] ,aVh&ik;jsfVDl vkSj ;gka rd fd HIV MªXl dh nok
dk esy gSA vkidks ok;jy cq[kkj ds bykt ds fy, ,aVhck;ksfVDl

dh vko';Drk D;ksa gS\ ;gk¡ rd fd ,aVh&ik;jsfVd dh [kqjkd Hkh
cgqr vf/d gS vkSj ;g vDlj ,d ?kkrd la;kstu cu ldrk gSA¸
esjs dbZ baVjO;wt+ esa eSaus ladsr fn;k gS fd e`R;q dk dkj.k dksjksuk
ok;jl ugha gS] ysfdu dksjksuk ok;jl ds uke ij nh tkus okyh
nok,¡ ftl izdkj ok;jl dks iQsiQM+ksa (Lower Respiratory track)
rd igq¡pus ds fy, xfr iznku djrh gSa] os bldh vlyh otg
gSaA nokvksa dks [kkus ls izfrjks/d 'kfDr de gks tkrh gS] ftlds
ifj.kkeLo:i ok;jl dks iQsiQM+ksa ds uhps tkus dk ekSdk feyrk gSA
mQijh 'olu iFk ls fupys 'olu iFk esa tkus ds fy, ok;jl dh
enn dkSu dj jgk gS\ nokb;k¡A
eSa ;g lc iQjojh] 2020 ds eghus ls dg jgk gw¡ D;ksafd ;g lc
ml le; oqgku esa vkSj vU; txgksa ij Hkh iQSy jgk FkkA
ftldk ifj.kke D;k gqvk\ esjk ;wV~;wc pSuy (YouTube)] iQslcqd
ist vkSj V~foVj vdkmaV fMyhV dj fn;k x;kA
1 twu] 2020 dks WHO us The Guardian21 esa Lohdkj fd;k
fd Covid-19 ds fy, ,aVhck;ksfVDl ds vfr iz;ksx ls vf/d
ekSrsa gksaxhA eSaus 2&3 eghus igys tks dgk Fkk og vc WHO ds
}kjk Lohdkj fd;k tk jgk gS fd ekSrksa ds c<+us dk dkj.k nokb;k¡
gSaA tc brus yksx viuh tku x¡ok pqds gSa rc WHO ;g dg jgk
gSA vkius ns[kk gksxk fd gky gh esa eysfj;k dh nok ij Hkh izfrca/
yxk fn;k x;k gS D;ksafd WHO us dgk fd ;g ekSrksa ds c<+us dk
dkj.k gSA HIV dh nok dks Hkh mlh dkj.k vizSy dh 'kq#vkr esa
izfrcaf/r dj fn;k x;k FkkA WHO og lc D;ksa dg jgk gS tc
brus yksx viuh tku x¡ok pqds gSa\ esjs tSlk ,d vke vkneh Hkh
tkurk gS fd vxj ge nokb;k¡ ysdj ok;jl esa gLr{ksi djrs gSa] rks
;g iQsiQM+ksa ij geyk djsxkA

Rkhljk pj.k
,d ckj ok;jl iQsIkQM+ksa es igq¡p tkrk gS] rks alveoli (,Yoh;Yl)
esa nzo Hkj tkrk gS] ftlds ifj.kkeLo:i jksxh dks lk¡l ysus esa
dfBukbZ gksus yxrh gSA ,sls ifjn`'; esa] ;fn vki Oximeter
(vkWDlhehVj ) dh enn ls vkWDlhtu ds Lrj dks ekirs gSa] rks ;g
dHkh&dHkh 80% ls Hkh de gksxk] tks lkekU; :i ls 99% gksrk
gSA tSls gh ;g 90% gksrk gS] MkWDVj vkidks osaVhysVj ij tkus dh
lykg nsaxs& gR;k ;k ekSr dk rhljk pj.kA
uhps fn, x, osaVhysVj fp=k dks ns[ksa fd eSdsfudy osaVhysVj fdruk
[krjukd fn[krk gSA tcfd eSdsfudy osaVhysVj ,d thou j{kd
midj.k gSA vkidks crk nsa fd osaVhysVj ij 94% yksx ekjs tkrs gSaA
6% yksx tks osaVhysVj ls ftank vkrs gSa] muesa ls vk/s 2&3 eghus ds
Hkhrj ej tkrs gSa vkSj tks 3% thfor gSa os ,d n;uh; fLFkfr esa gSa
;kuh os viuh fnu&izfrfnu dh t:jrksa ds fy, nwljksa ij fuHkZj gSaA
tc dksbZ O;fDr osaVhysVj ij gksrk gS] rks osaVhysVj iQsiQM+ksa ds :i esa
dk;Z djrk gS_ ,sls ekeys esa] efLr"d vkSj iQsiQM+ksa ds chp rkyesy
[kRe gks tkrk gSA

blds ckn D;k gksrk gS\ blds ckn tc iQsiQM+s lk¡l ysrs gSa] rks
efLr"d bls igpku ugha ikrk gS vkSj nSfud xfrfof/;k¡ tSls nk¡r
lkiQ djuk o [kkuk vkfn 'kjhj }kjk Hkqyk fn, tkrs gSaA O;fDr ,d
thfor yk'k cu dj jg tkrk gSA EkSa tks dgus dh dksf'k'k dj jgk gw¡]
og ;g gS fd eSdsfudy osaVhysVj ekSr dk ,d O;kikj gS_ ;g e`R;q
dh vksj ,d ;k=kk gSA eSaus lcwrksa ds vk/kj ij dgk fd osaVhysVj22
ij 94% ekSrsa gksrh gSa ysfdu esjs nksLr] lykgdkj] N.I.C.E.
MkW- ds- ch- rqekus dk dqN vkSj gh dguk gSA os iwoZ&eq[; fpfdRld
(mi funs'kd LokLF; lsok,¡) ukxiqj uxj fuxe ls gSa] tks fiNys
32 o"kksZa ls Nkrh jksxksa ds fo'ks"kK gSa vkSj fueksfu;k] risfnd
vkfn tSls iQsiQM+ksa ds xaHkhj jksxksa ls ihfM+r jksfx;ksa ls tqM+s gq, gSa_
MkW- rqekus dgrs gSa fd vius yEcs esfMdy dSfj;j esa mUgksaus dHkh Hkh
osaVhysVj ls jksxh dks thfor okfil vkrs ugha ns[kk] ftldk vFkZ gS
fd osaVhysVj ij 100% ekSrsa gksrh gSaA og tks dg jgs gSa] O;kogkfjd
:i ls muds }kjk ns[kk x;k gSA
bl izdkj jksxh rhu pj.kksa esa ej tkrk gSA igyk pj.k ekLd }kjk
iwjk gks tkrk gSA pj.k nks dks iwjk fd;k tkrk gS] tc vki vLirky
tkrs gSa vkSj nok,¡ ysrs gSa vkSj pj.k rhu esas ejht dks osaVhysVj ij
j[kdj iwjk dj fn;k tkrk gSA
iwjh nqfu;k esa] bruh lkjh ekSrsa gks jgh gSa D;ksafd izksVksdkWy ,d gh gS
(lkjs rhu pj.k & ekSr dh vksj) ;gh gky Hkkjr esa Hkh gSA ysfdu
Hkkjr esa osaVhysVj dh la[;k de gS blfy, dqN yksx HkkX;'kkyh gSa
fd mUgsa vLirky esa izos'k ugha feyrk gS vkSj ifj.kkeLo:i] mUgsa
osaVhysVj ugha feyrs gSa vkSj Hkxoku dh dìk ls os MkWDVj ds mipkj
ds ckotwn e`R;q ls cp tkrs gSaA
yksx czkthy ;k USA esa cM+h la[;k esa ekSrksa dk dkj.k iwNrs gSa] tc
eSa nqfu;k Hkj ds MkWDVjksa ds vius usVodZ ds laidZ esa Fkk (ftuls
eq>s izkekf.kd tkudkjh feyh) rks eSaus fu"d"kZ fudkyk fd tks Hkh

ns'k mijksDr rhu pj.kksa dk vuqlj.k djrk gS (ekLd] fpfdRlk vkSj
osaVhysVj)] ogka ekSrksa dh la[;k vf/d gSA fo;ruke tSls ns'kksa esa
(tgka eSa fiNys vkB o"kksZa ls viuk dsanz pyk jgk gw¡) o dEcksfM;k
vkfn esa ejus okyksa dh dqy la[;k 'kwU; gS_ ratkfu;k esa] N% djksM+
dh dqy vkcknh esa ls 21 ekSrsa gSa_ ;gk¡ rd dh drj esa (tgk¡ esjs
cM+h la[;k esa ejht gSa)] izksVkssdkWy ;g gS fd yksxksa dks vkjke djus]
[kqn dks gkbMªsVsM j[kus vkSj ,d dejs rd lhfer j[kus dh lykg
nh tkrh gSA iwjk 'kgj ;k dLck ;k lekt ;k bekjr quarantine
ugha gSA
ogk¡ tc Hkh dksbZ O;fDr dksjksuk ls ihfM+r gksrk gS] rks mls
vyx&Fkyx (fdlh Hkh laØked chekjh ds :i esa) fd;k tkrk gS
vkSj ckdh yksxksa dk dke pyrk jgrk gSA
ftl fcanq ij eSa tksj nsus dh dksf'k'k dj jgk gwa og ;g gS fd
;g ,slk ok;jl ugha gS] tks vxj geyk djrk gS] rks lHkh esa iQSy
tk,xkA
pw¡fd yksx rhu pj.kksa es ej jgs gSa] blfy, ;g gekjh ftEesnkjh gS
fd vki vkSj ge mUgsa ekSr ls cpk,¡ vkSj mUgsa lgh Kku nsaA lgh
Kku dk vFkZ gS fd ;fn lHkh ok;jl 'kjhj esa izos'k djrs gSa] rks ;s
mQijh 'olu iFk ls vkxs ugha tkus pkfg,A ;fn vki ,slk djus eas
liQy gksrs gSa] rks eS vkidks fo'okl fnykrk gww¡ fd ejht dksjksuk ls
ejus okyk ugha gSA ;kn j[ksa ge lc ejus ds fy, iSnk gq, gSa] ysfdu
ge fdlh Hkh chekjh dk f'kdkj gksdj ekSr dks xys ugha yxk,¡xs
(dksjksuk ls rks fcydqy ugha)A
mik; D;k gS\ ;g cgqr egÙoiw.kZ gSA nqfu;k esa 60% yksx dksjksuk
ok;jl ;k SARS CoV-2 uksoy (Novel) ok;jl ds igys ls gh
bE;wu gSa & os igys ls gh dksjksuk ds f[kykiQ Vhdkd`r gSaA oSDlhu
dh vuqifLFkfr ds ckotwn] os jksx izfrjks/d gSaA 14 ebZ] 2020 dks

lsy 'Cell'23 ,d izfrf"Br if=kdk ds 'kks/ i=k esa dgk x;k gS fd
nqfu;k esa 60% yksx dksjksuk ok;jl ls bE;wu gSaA 'kks/drkZvksa us ik;k
fd 2005 esa gkaxdkax dksjksuk ok;jl] 2004 esa uhnjyS.M dksjksuk
ok;jl ;k 1965 esa 229E US dksjksuk ok;jl & bu lHkh ok;jl us
gesa dbZ ckj lnhZ vkSj cq[kkj fn;k gS_
ifj.kkeLo:i gekjs 'kjhj esa ,d izdkj dh izfrj{kk fodflr gS vkSj
bl izfrj{kk dks i`"BHkwfe izfrj{kk dgk tkrk gSA nqfu;k esa 60% yksxksa
dh i`"BHkwfe izfrj{kk gSA
lsY;qyj cSdxzkm.M bE;wfuVh (izfrj{kk)% 60% rd vkcknh
uksoy dksjksuk ok;jl lsY;qyj i`"BHkwfe dh izfrj{kk gS D;ksafd
os cpiu ls fiNys dksjksuk ok;jl (lnhZ&tqdke dk ok;jl)
ls laØfer gSaA
'ks"k 40% ds ckjs esa D;k\ muds ikl ,d vU; izdkj dh izfrj{kk
gS ftls Herd immunity dgk tkrk gSA ml ekeys esa fdlh Hkh
ns'k ;k leqnk; esa ;fn 60&70% vkcknh Immuned cu tkrh gS]
rks 'ks"k vkcknh lqjf{kr cu tkrh gSA ;g >q.M izfrj{kk ds dkj.k gSA
ftl fnu dksjksuk ok;jl vk;k Fkk] ge (60%) cSdxzkÅ.M bE;qfuVh
ds lkFk doj fd, x, vkSj 40% gMZ bE;qfuVh ds lkFk doj gks
x,A bl izdkj] ;g nqfu;k ok;jl ds gekjs ns'k esa izos'k djus ls
igys gh uksoy dksjksukok;jl ls lajf{kr gSA
>q.M izfrj{kk% pwafd 60% vkcknh igys ls gh i`"BHkwfe dh
izfrj{kk gS] ckdh 40% vkaf'kd :i ls >q.M izfrj{kk ds rgr
doj gks ldrs gSaA bldh otg ls oSf'od ekeys esa e`R;q nj
0-1% gS] ;kuh ekSleh ÝYkw ds cjkcjA
vki dSls Bhd gksaxs \
gekjh vf/dka'k vkcknh esa igys ls gh i`"BHkwfe izfrj{kk ds

lkFk&lkFk >q.M izfrj{kk Hkh gSA E;wdksly bE;qfuVh uked ,d rhljs
izdkj dh bE;qfuVh gS& E;wdl ls lEcaf/r bE;qfuVh&ftls vk;qosZn esa
¶fpifpik inkFkZ¸ dgk tkrk gSA gekjk 'kjhj eq¡g ls gh cyxe ds
lkFk iafDrc¼ 'Lined' gksrk gSA tSls gh ok;jl 'kjhj esa izos'k djrk
gS] ;g igyh ckj esa E;wdksly izfrj{kk dk lkeuk djrk gSA ;fn
vki vius E;wdksly izfrj{kk dks etcwr djrs gSa] rks vkidks 'oLku
ok;jl ds ckjs esa fpark djus dh vko';Drk ugha gSA
vki E;wdksly izfrj{kk dks dSls etcwr dj ldrs gSa \
0-2 xzke foVkfeu lh dk lsou djus lsA24
foVkfeu lh xksyh ls ugha cfYd iQy vkSj lfCt;ksa ds lsou ls ysuk pkfg,A
2 vke @ 4 VekVj @ eqV~Bh Hkj dPps eVj @ fofHkUu izdkj ds iQy
(300&400 xzke) lHkh esa 0-2 xzke foVkfeu lh gksrk gSA foVkfeu
dh xksyh lh/s isV es tkrh gS] tcfd iQyksa vkSj lfCt;ksa dk lsou
ekSf[kd :Ik ls isV esa tkrk gS vkSj E;wdksly izfrj{kk dks etcwr
djrk gSA tc Hkh vki ,d VScysV ysrs gSa] rks ml fLFkfr esa vkidh
E;wdksly bE;wfuVh de gks tkrh gSA
E;wdksly bE;wfuVh% 'olu ok;jl ds geys dks jksdus ds
fy, izfrfnu iQyksa (3 vke] 2 larjs ;k 1 ve:n) dPph
lfCt;kas (4 VekVj ;k eqV~Bh Hkj eVj) ls de ls de 0-2
xzke foVkfeu lh dk lsou respiratory virus ds vVSd ls
cpko djrk gSA
igyk pj.k
vkids ikl rhu izdkj dh izfrj{kk (Immunity) gS_ cSdxzkmQ.M
izfrj{kk (Background Immunity), >q.M izfrj{kk (Herd
Immunity) vkSj E;wdksly izfrj{kk (Mucosal Immunity) A

0-2 xzke foVkfeu lh dk lsou djds bUgsa etcwr djsa] nokvksa ds
lsou ls cpsa (os izfrj{kk dks de djrs gSa) vkSj i'kq izksVhu (tkuojksa
ls izkIr fdlh Hkh Hkkstu) tSls eVu] fpdu] eNyh vkfn dk lsou
de djsa (okLro esa iwjh rjg cpsa) v.Mk] Ms;jh mRikn&nw/] ngh]
eD[ku vkfnA i'kq izksVhu E;wdksly izfrj{kk dks de djrk gSA bu
rhu izdkj dh izfrj{kk ds ckotwn] ok;jl 'kjhj esa izos'k djrk gS
D;ksafd O;fDr nokvksa ij gksrk gS ;k i'kq izksVhu dk lsou djrk gS]
vkSj chekj iM+rk gSA
nwljk pj.k
tSls gh Ýyw dk igyk ladsr feys tSls fd cq[kkj] fljnnZ] 'kjhj
esa nnZ] lnhZ ;k [kkalh eglwl djuk tSls y{k.k] rqjUr rhu fnuksa ds
izksVksdkWy dk ikyu djsa (tksfd eSa 2016 ls vius jksfx;ksa dks nsrk
jgk gw¡)A Ýyw ds igys y{k.k ds lkFk (cq[kkj] [kkalh] 'kjhj esa nnZ]
detksjh) 3 pj.k Ýyw vkgkj25 dk ikyu djsaA ftls geus Fkzh LVsi
Ýyw MkbV dk uke fn;k gSA
3 pj.k Ýyw vkgkj dk dke djrk gS vkSj fiNys 100 o"kks± ls 167
ls vf/d 'kks/ i=kksa26 ds lk{; ij vk/kfjr gSA
fnu & 1 (rjy)

uhps fufnZ"V ek=kk esa [kV~Vs iQyksa dk jl vkSj ukfj;y ikuh dk lsou
djsa%
vkids 'kjhj dk otu (fdyks)@10 rktk flVªl izQwV twl ds fxykl
$ 'kjhj dk otu (fdyks)@10 fXkykl ukfj;y ikuh
;fn 'kjhj dk otu 60 fdyksxzke gS rks vki 60@10 = 6 fxykl
[kV~Vs iQyksa dk jl vkSj 6 fxykl ukfj;y ikuh ysaA

iSd fd, x, twl dk lsou u djsa] blds ctk; rktk jl ysa vkSj
bls fcuk Nkus ysaA izR;sd fxykl ij de ls de 15 feuV O;rhr
djds gj ?k.Vs ?kwaV&?kwaV djds ckjh&ckjh ls jl vkSj ukfj;y ikuh
ysaA blls rkieku fu;a=k.k esa jgsxkA [kV~Vs iQyksa ds jl esa foVkfeu
lh bE;wfuVh dk leFkZu djrk gS vkSj ok;jl ls NqVdkjk ikus esa
enn djrk gSA ukfj;y ikuh gkbMªs'ku esa enn djrk gSA ;g Hkxoku
}kjk cuk;k x;k nqfu;k dk lcls vPNk [kfut ikuh gSA
fnu & 2 (nzo)

[kV~Vs iQyksa dk jl vkSj ukfj;y ikuh dk lsou djsa
'kjhj dk otu (fdyks)@20 (fxykl [kV~Vs iQyksa dk jl) $ 'kjhj
dk otu (fdyks)@20 (fXkykl ukfj;y ikuh) $ vkids 'kjhj dk
otu (fdyks) x 5 xzke [khjk vkSj VekVj
;fn 'kjhj dk otu 60 fdyksxzke gS rks vki 60@20 = 3 fxykl
[kV~Vs iQyksa dk jl vkSj 3 fxykl ukfj;y ikuh ysa vkSj 60 x 5 =
300 xzke ddM+h vkSj VekVj
vkidks ;g ns[kdj vk'p;Z gksxk fd fnu 2 ds var rd] vki csgrj
eglwl djus yxsaxs vkSj vkidk rkieku fu;a=k.k esa jgus yxsxkA
fnu & 3 (Bksl)
uk'rs ds fy,
'kjhj dk otu (fdyks)@30 (fxykl [kV~Vs iQyksa dk jl) $ 'kjhj
dk otu (fdyks)@30 (fXkykl ukfj;y ikuh) ;fn 'kjhj dk otu
60 fdyksxzke gS rks vki 60@30 = 2 fxykl [kV~Vs iQyksa dk jl
vkSj 2 fxykl ukfj;y ikuhA
nksigj ds Hkkstu ds fy,] miHkksx djsa
vkids 'kjhj dk otu (fdyks) x 5 xzke [khjk vkSj VekVjA ;fn
'kjhj dk otu 60 fdyksxzke gS rks vki 60 x 5 = 300 xzke [khjk
vkSj VekVj 'kke rd] vki [kqn dks fiQV ikdj vk'p;Zpfdr gksaxsA
vki de rsy ds lkFk ?kj dk idk gqvk lkekU; Hkkstu dj ldrs
gSa] jkr ds [kkus ds fy, de rsy okyk] de ued okyk vkSj i'kq
izksVhu ls jfgr [kkuk idk,¡ A ;fn vki bl ljy vkgkj dk ikyu
djrs gSa] rks vki PkkSFks fnu ls dke djus yxsaxsA
rhljk dne
vkerkSj ij] yksx Ýyw dh nok dk izca/u djus dh dksf'k'k djrs gSa
vkSj dHkh&dHkh] ok;jl ds mQijh 'olu iFk ls fupys 'olu ra=k esa
tkus dh laHkkouk gksrh gSA ftl dkj.k] lk¡l ysus es dfBukbZ gksrh gS
vkSj vkWDlhehVj ds lkFk tkap dh tkrh gS] rks vkWDlhtu dk Lrj]
≤ 90% gks tkrk gSA ,slh fLFkfr esa] MkWDVj osaVhysVj ij j[kus dh
lykg nsrk gS D;ksafd iQsiQM+s ikuh ls Hkjs gksrs gSaA ,slh fLFkfr esa
vkidks ;g djuk gS fd vki vLirky tkusa ls cpsa D;ksafd vkidks
eSdsfudy osafVysVj ij j[kk tk,xkA vkidks ?kj ij viuk osafVysVj
cukuk gksxkA bls izksu osafVys'ku26 dgk tkrk gSA vkxs vkus okys
vè;k;ksa esa] eSa vkidks izksu osafVys'ku fl[kkmQ¡xkA
N.I.C.E. Initiative
Ýyw ds igys y{k.k dkvkHkkl gksrs gh vki gesa
www.biswaroop.com/nice ;k 8587059169 ij fu%'kqYd
lgk;rk] fpfdRlk rFkk ekxZn'kZu ds fy, call dj ldrs gSaA ;g
lsok ,dne fu%'kqYd gSA
blds ckn ejht gekjs izf'kf{kr Expert ds }kjk guide rFkk
support fd, tk,¡xs tc rd fd ejht dksjksuk @ Ýyw @ bUÝyw,atk
ds paxqy ls ckgj ugha vk tkrkA
lanHkZ

vè;k;
3
izk.k&;ejkt dk foKku
(21 twu] 2020&vUrjkZ"Vªh; ;ksx fnol ij fn, x, O;k[;ku
ij vk/kfjr)
dksjksuk ok;jl D;k gS\
dksjksuk ok;jl ,d RNA 'olu bUÝyq,atk ok;jl gSA 'olu
bUÝyq,atk ok;jl dk eryc gS fd ;g dsoy eq¡g vkSj ukd ds
ekè;e ls ekuo 'kjhj eas izos'k dj ldrk gSA ;g ,d RNA 'olu
bUÝyq,atk ok;jl gS ftldk vFkZ gS fd blds fy, dksbZ nok ;k
Vhdk (Vaccination) ugha gks ldrk gSA bldk dkj.k ;g gS fd
;g cgqr vklkuh ls vkSj tYnh viuk :i cnyrk gSA gky gh esa
5 ebZ] 2020 dks ;wfuoflZVh dkWyst vkWiQ yanu us 7500 yksxksa ij
bl ok;jl dk ,d vè;;u28 fd;k vkSj mUgsa irk pyk fd ok;jl
vc rd 198 ckj cny pqdk FkkA
bl izdkj ;g cgqr fuf'pr :i ls dgk tk ldrk gS fd tc
ls ok;jl oqgku esa iQSyuk 'kq: gqvk gS] ;g igys gh gtkjksa ckj
mRifjofrZr gks pqdk gksxkA (gkykafd] ;g lkfcr djus ds fy, dksbZ
lcwr ugha gS fd ok;jl oqgku ls igys ekStwn ugha Fkk] tSlk fd
igys le>k;k x;kA mRifjofrZr dk vFkZ gS fd ;g ,d izfr:i.k
dh rjg viuk :i cnyrk jgrk gS vkSj vxyh ckj tc ge bl
rd igq¡prs gSa rks ;g mlh voLFkk esa ugha ik;k tk ldrk gSA vr%
,sls fo"kk.kqvksa ds fy, tks bruh rsth ls mRifjorZu djrs gSa] dksbZ
nok ;k Vhdk ugha gks ldrkA

,d mnkgj.k ysrs gSa%
;fn dksbZ taxyh lwvj vkidh vksj nkSM+rk gqvk vkrk gS vkSj vki
mls ekjus ds fy, ,d gfFk;kj mBkrs gSa] lwvj ,d ePNj esa cny
tkrk gSA vc] ml gfFk;kj dk bLrseky ePNj dks ekjus ds fy, ugha
fd;k tk ldrk gSA tSls gh gfFk;kj cnyk tkrk gS] ePNj ,d gkFkh
esa cny tkrk gSA ,d mRifjofrZr ok;jl blh izdkj dk gksrk gSA ;g
viuk :i cnyrk jgrk gSA blfy,] ;g RNA 'olu bUÝyq,atk
ok;jl Hkh blh izdkj dk gSA tc 7500 yksxksa dk ifj{k.k fd;k x;k]
rks ik;k x;k fd okljl 198 ckj igys gh mRifjofrZr gks pqdk FkkA
;fn ,d cM+k uequk ,d=k fd;k tkrk gS] rks] ge ik,axs fd ok;jl
us gtkjksa vkSj yk[kksa ckj mRifjofrZr fd;k gSA bl izdkj ;g Li"V
gS fd ;fn dqN ok;jl vR;f/d mRifjorZu djrs gSa] rks blds fy,
dksbZ nok ;k Vhdk ugha cuk;k tk ldrk gSA tc rd nok cukbZ tkrh
gS] rc rd ;g fdlh vkSj :i esa vk tkrk gSA
nwljk] dksjkuk ok;jl laØe.k ds dkj.k dksbZ Hkh ej ugha ldrk gSA
bldk dkj.k cgqr ljy gSA ;g ok;jl eq¡g vkSj ukd ds ekè;e ls
'kjhj esa izos'k djrk gSA tc rd ;g mQijh 'olu iFk esa gS] rc rd
dksbZ tfVyrk ;k uqdlku ugha gks ldrk gSA 4&5 fnuksa ds ckn] ;g
fupys 'olu iFk rd igq¡prk gS] tgk¡ ;g fueksfu;k] ;k ;gk¡ rd
fd ân; vk?kkr dk dkj.k cu ldrk gSA cgqr ls yksxksa us laØe.k
ds dkj.k ne rksM+ fn;k gS tks dsoy rc gksrk gS tc ok;jl fupys
'olu iFk ij tkrk gSA 'olu ra=k ds fupys fgLls esa ok;jl D;ksa
vkrk gS\ eSus igys Hkh ;g le>k;k gS fd ;fn vki laØe.k] Ýyw
;k bUÝyq,atk ls ihfM+r gSa vkSj ,sls le; esa] ;fn vki nok ysrs gSa]
tSls& dksbZ ,aVhck;ksfVd] ,aVhih;jsfVd] ,aVh&eysfj;k] ,aVh&,pvkbZoh
;k mlds fy, dksbZ vU; nok nzO;] ;g vkidh izfrj{kk ds lkFk
izR;{k ;k vizR;{k :i ls le>kSrk djrk gS vkSj ok;jl dks mQijh
'olu iFk ls fupys 'olu iFk dh ;k=kk djus dk volj feyrk
gSA blls fueksfu;k gks ldrk gS ;k lk¡l ysus esa leL;k gks ldrh gSA

,sls le; esa] ijaijkxr :i ls] igyh pht vkWDlhtu dk lapkyu
vkSj blds ckn eSdsfudy osaVhysVj vkrk gSA yksxksa dks yxrk gS fd
vxj mUgsa osaVhysVj ij j[kk tkrk gS] rks os cp tk,¡xs ysfdu vkidks
crk nw¡ fd osaVhysVj esa 94% rd dh vliQyrk nj gSA
;g ;kaf=kd e'khu ftls osaVhysVj dgk tkrk gS okLro esa ekuork ds
fy, ,d 'kki gS D;ksafd tc ikbi xys ds ekè;e ls iQsiQM+ksa rd
tkrh gS vkSj vkWDlhtu iai djus dh dksf'k'k djrh gSA ml le;]
efLr"d vkSj iQsiQM+ksa ds chp laca/ VwV tkrk gSA
ftl jksxh dks osaVhysVj ij j[kk x;k gS] var esa mlds efLr"d
dks 'kjhj ds dk;ks± ds lkFk rkyesy djus esa dfBukbZ gksrh gS vkSj
blfy,] ge mls mu gkykr esa ns[krs gSa tks vkidks cgqr ijs'kku
dj ldrs gSaA
vkidks ;kn fnyk nw¡ fd vkt varjkZ"Vªh; ;ksx fnol gS vkSj ;ksx
,d ,slh pht gS ftls ge Hkkjrh;ksa us nqfu;k dks fn;k gSA bldk
izk.kk;ke uked vklu & 'okl O;k;ke] iQsiQM+ksa vkSj efLr"d ds
chp laca/ dks n'kkZrk gSA ;g iQsiQM+s gh gSa tks 'okl dks fu;af=kr
djrs gSa vkSj tc efLr"d vkSj iQsiQM+ksa ds chp ;g laca/ VwV tkrk
gS] rks eu&'kjhj dk rkyesy cckZn gks tkrk gSA ml {k.k] jksxh thfor
rks gS ysfdu ,d e`r 'kjhj dh rjgA 'okl py jgh gS ysfdu
efLr"d dks ugha irk fd og dkSu gSA ;kaf=kd osaVhysVj }kjk ;gh
dke fd;k tkrk gSA blfy, tks yksx osaVhysVj ij thfor jgrs gSa] os
okLro esa thfor yk'ksa gSaA bl rjg osaVhysVj ekuork ds fy, ojnku
ugha gSA ;fn vki fdlh ,sls O;fDr ;k jksxh ls feys gS] ftls dHkh
osaVhysVj ij j[kk x;k Fkk] rks vki bls vPNh rjg le> ik,¡xsA
vkt] vxj dksbZ dksjksuk ok;jl ds fy, ikWftfVo vkrk gS vkSj og
vLirky esa tkrk gS] vLirky esa fcLrj dk 'kqYd 3&4 ;k 5 yk[k
#Ik, rd gSA ;gk¡ rd fd ;g 25 yk[k #Ik, rd gks ldrk gS tks
(dqN ds fy,) muds thou dh iwjh dekbZ gks ldrh gSA vLirky

eas ,d fcLrj ds fy, viuh iwjh dekbZ] dYiuk djsaA vc eq>s ,d
oS/ (Valid) iz'u iwNuk gS & vLirky esa ml fcLrj ls vki D;k
izkIr djuk pkgrs gSa\ ;fn dksjksuk ok;jl dh dksbZ nok ugha gS] dksbZ
oSDlhu ugha gS] rks vLirkyksa esa HkrhZ gksus vkSj 7 ls 10 yk[k #i,
[kpZ djus dh D;k vko';drk gS\ [kqn ls iwNuk pkfg,] ,slk D;k
gS fd ftlls MkWDVj esjk bykt djus tk jgs gSa\ vHkh rd dksbZ Hkh
nok ;k oSDlhu ;k e'khu ugha gS tks COVID-19 jksfx;ksa dh enn
dj ldsA vLirkyksa ds ikl dqN Hkh ugha gS tks ,d va'k ls Hkh
thfor jgus dh laHkkouk c<+k ldrk gSA blds vykok] muds ikl
dqN phtsa gSa tks ekSr dh laHkkoukvksa dks c<+k ldrh gSaA
vc eSa vkidks fo'okl fnykrk gw¡ fd okLro esa bl ok;jl dk
Bhd gksuk cgqr ljy gS] fo'ks"k :i ls SARS CoV-2 ds fy, rhu
fnolh; Ýyw vkgkj tks fd ,d gkfujfgr Ýyw ok;jl gS vkSj 'kk;n
gh dHkh ?kkrd gksrk gSA yksx vDlj iwNrs gSa fd Hkkjr esa bruh ekSrsa
D;ksa gks jgh gSa\ bldk mRrj ljy gSA dksjksuk ds ctk, MCy;w,pvks
dk izksVksdkWy eq[; vijk/h gS vkSj blds lkFk gh vkbZlh,evkj dh
vksj ls e`R;q dh fjiksfVZax djus ds xkbMykbal dks Hkh ftEesokj ekuk
tk ldrk gSA
ICMR us gky gh esa fn'kk&funsZ'k tkjh fd, gSa fd ;fn fdlh dh
Hkkjrh; Hkwfe ij e`R;q gks xbZ vkSj mls lk¡l ysus esa rdyhiQ gks jgh
Fkh ;k mls ân; ls tqM+h leL;k Fkh] rks mls dksjksuk ok;jl ds dkj.k
e`R;q ekuk tk,xk] Hkys gh mldk RT PCR test usxsfVo gksA vc D;k
vki eq>s fdlh ,sls O;fDr ds ckjs esa crk ldrs gSa ftls e`R;q ds
le; lk¡l ysus esa dfBukbZ ;k ân; laca/h leL;k ugha gksxh\ tc
Hkh fdlh O;fDr dh e`R;q gksrh gS] rks nks phtsa ges'kk gksrh gSa% ,d
lk¡l ysus esa dfBukbZ gksrh gS vkSj nwljh ân; laca/h leL;k gksrh gS
;kuh ân; :d tkrk gS vkSj lk¡l #d tkrh gSA bu nksuksa fLFkfr;ksa
dks ICMR }kjk dksjksuk e`R;q ds :i esa ekuk tkrk gSA blds vykok]
cnys gq, fn'kk&funsZ'kksa ds vuqlkj] ;fn fdlh ejht dh nq?kZVuk esa

e`R;q gks xbZ vkSj dksjksuk ikWftfVo dk Hkh ijh{k.k fd;k x;k] rks mls
dksjksuk ok;jl ds dkj.k e`R;q ekuk tkuk gSA bl izdkj Hkkjr esa gksus
okyh ekSrksa esa bu lHkh jksfx;ksa dks Hkh 'kkfey fd;k x;k gSA bZekunkjh
ls dgw¡ rks dksbZ Hkh lgh rjhds ls ugha tkurk gS fd fdrus jksfx;ksa
dh e`R;q okLro esa dksjksuk ok;jl ls gqbZ FkhA
dksjksuk ok;jl jksfx;ksa ds lkFk esjk O;fDrxr vuqHko dgrk gS fd
;fn vki ,sls O;fDr dks vkjke nsrs gSa vkSj jksxh dks gkbMªsVsM j[krs
gSa] rks dksjksukok;jl 3 ls 5 fnuksa esa xk;c gks tk,xkA ;g fdlh Hkh
vU; Ýyw dh rjg gh gSA
u, [kksts x, SARS CoV-2 ds O;ogkj dh Hkfo";ok.kh djuk
eqf'dy ugha gS (gkykafd] gks ldrk gS fd ;g vuar dky ls euq";ksa
dks laØfer djrk vk jgk gks)] tSlk fd pkj vU; dksjksukok;jlksa
dks (229E, NL63, OC43, HKU1) igys ls gh dbZ o"kksZa ls euq";ksa
ds fy, tkuk tkrk FkkA lkaf[;dh; :i ls yxHkx 10% Ýyw dh
otg gSa] tks ge vius thoudky esa >sy pqds gSaA
ge dgrs gSa fd dksbZ vke [kkuk pkgrk gSA vke esa dbZ fo'ks"krk,¡
gSa tks nqfu;k ds fdlh Hkh fgLls esa gSa tks vkdkj vkSj Lokn esa fHkUu
gks ldrs gSa ysfdu ewy phtsa+ leku gksaxhA blh rjg ;g Covid-19
vfuok;Z :i ls vU; pkj ok;jl ds leku gSA ?kkrd nj vkSj lapj.k
ds lk/u ewy :i ls leku jgsaxsA bl izdkj] ge ;g fu"d"kZ fudky
ldrs gSa fd ;gk¡ rd fd ;g ok;jl vU; pkj ds O;ogkj ds leku
gksxk] blfy, Mjus dh dksbZ ckr ugha gSA
vkb,] ge fo;ruke ds mnkgj.k dks ns[ksa tgk¡ eSa fiNys lkr
o"kksZa ls vH;kl dj jgk gw¡A Hkkjr igq¡pus ls igys dksjksukok;jl
fo;ruke igq¡p pqdk Fkk vkSj vkidks crk nw¡ fd dksjksukok;jl ds
dkj.k fo;ruke esa ekSrksa dh la[;k 'kwU; gSA dksjksukok;jl ds dkj.k
fo;ruke esa fdlh dh e`R;q ugha gqbZA eSaus vius fo;rukeh lg;ksfx;ksa

ls fo;ruke esa 'kwU; dksjksuk ekSrksa ds ckjs esa iwNkA mUgksaus tks tokc
fn;k] og Fkk] ¶gekjk ns'k balkuksa ij nokvksa dk iz;ksx ugha djrk
gSA ge fliQZ ejhtksa dks iwjk vkjke djus dh lykg nsrs gSa vkSj os
tYn Bhd gks tkrss gSaA¸
fo;ruke dh vkcknh yxHkx 15&16 djksM+ gS vkSj vHkh Hkh ogk¡
dksbZ ekSr ugha gqbZ gS tcfd Hkkjr esa iwjh vFkZO;oLFkk fc[kj xbZ gS
vkSj yksx dksjksuk ds Mj ls th jgs gSaA vUrjkZ"Vªh; ;ksx fnol ds
volj ij] ;g dkiQh nqHkkZX;iw.kZ gS (D;ksafd ;g lw;Z xzg.k Hkh gS)
fd v[kckj dh lqf[kZ;ksa esa îQSch Ýyw* dh 'kw#vkr gqbZ gSA ;g nok
,d izk;ksfxd nok gS vkSj 'kjhj esa igq¡prs gh bldk D;k uqdlku
gksxk] bldh dksbZ O;k[;k ugha gSA vesfjdk] fczVsu vkSj tkiku (tgk¡
bls 2014 esa fodflr fd;k x;k Fkk) lfgr fdlh Hkh ns'k us bls
eatwjh ugha nh gSA bl nok dh 'kq#vkr] Hkxoku u djs] Hkkjr ds fy,
dqy&xzg.k dh ?kks"k.kk dj nsA
tc Hkh dksbZ ubZ nok cktkj esa mrkjh tkrh gS] rks ;g r; djus ds
fy, dqN lanHkZ ;k uSnkfud ijh{k.k gksrk gS fd ;g nok ,d fo'ks"k
chekjh ds fy, iQk;nsean gksxhA tc eaSus iQSch Ýyw (iQ+sfofijkfoj)
ds uSnkfud ijh{k.k lanHkZ dks [kkstus dh dksf'k'k dh] rks eq>s fliQZ
,d ijh{k.k feyk vkSj og Hkh dqN eghus igys phu ls vk;k FkkA
,d rjiQ ge phuh lkekuksa dk cfg"dkj dj jgs gSa vkSj yksxksa dks
phuh mRiknksa dk mi;ksx ugha djus ds fy, izsfjr fd;k tk jgk gS
vkSj nwljh vksj] phu ds trail dks bl nok dks ykWUp djus ds fy,
,d lanHkZ ds :i esa ekuukA eSaus bl trail dk vè;;u fd;k ftlesa
80 jksxh 'kkfey Fks_ 35 jksfx;ksa dks Favipiravir nok nh xbZ] ftls
iQSch Ýyw uke ls ykWUp fd;k x;k gSA 45 yksxksa dks Ritonavir vkSj
Loopinavir uke dh nok nh xbZA ;s nksuksa HIV dh vliQy nok,¡
gSa tks jksfx;ksa dks dksjksuk ds uke ij nh xbZ FkhaA bu ij izfrca/ rc
yxk;k x;k tc ekSrksa dh la[;k c<+us yxhA blfy, izfrcaf/r nokvksa
dh rqyuk iQSch Ýyw ls dh tk jgh gSA ;g ,d pkykd yM+ds ds

leku gS tks d{kk esa vliQy gks tkrk gSA og dsoy 20 vad izkIr
djrk gS] ysfdu vius ekrk&firk dks lwfpr djuk pkgrk gS fd mls
cgqr vPNs vad feys gSa] blfy, og ?kj ij ,d vkSj cPpk ykrk
gS] ftls flIkQZ 10 vad feys gSaA og vius ekrk&firk dks crkuk
pkgrk gS fd esjs vad [kjkc gks ldrs gSa] ysfdu dksbZ ,slk Hkh gS
ftlds vad mlls Hkh [kjkc gSaA mlh vankt esa ;g ijh{k.k lkfcr
djrk gS fd ;g nok yksfiuohj vkSj fjrksuohj ls csgrj gSA fdUrq ;g
ugha fn[kkrk gS fd ;g nok ,d dksjksuk jksxh dks Bhd dj ldrh
gSA bl ijh{k.k ds lko/kuhiwoZd vè;;u ls irk pyrk gS fd u rks
Randomised fu;a=k.k ijh{k.k gS vkSj u gh double blind trail.
ijh{k.k dk lapkyu djus okys yksxksa us jksfx;ksa dks bl Js.kh dh
nok (iQSch Ýyw) ;k ml (yksfiuohj vkSj fjrksuohj) esa j[kus dk
iQSlyk fd;kA
iQSch Ýyw Js.kh ds 35 jksxh] irys vkSj de chekj Fks vkSj nwljs lewg
ds jksfx;ksa dh rqyuk esa mudk rkieku de FkkA muesa ls dqN fo"ke
Hkh FksA bl izdkj xaHkhj :i ls chekj Covid-19 jksfx;ksa dks ckgj
j[kk x;k Fkk] blfy, bls okLrfod ijh{k.k ugha ekuk tk ldrk gSA
bl nok dh lPpkbZ dks tkuus ds fy,] bl fu;ekoyh29 ij ,d
ut+j Mkysa tks eSaus LokLF;] Je vkSj dY;k.k ea=kky; ls yh gS]
tkiku esa 4 ekpZ 2014 dks iQSch Ýyw cuk;k x;k FkkA bl eSuqvy
dks i<+sa vkSj vkidks iwjh lPpkbZ dk irk yx tk,xkA bl eSuqvy ds
ist 56 ij fy[kk gS fd bl nok dks 12 fiYyksa ij vktek;k x;k
Fkk] ftlesa ls dqN gh fnuksa es ukS fiYyksa dh ekSr gks xbZA fIkQj] rhu
canjksa ij nok dh dksf'k'k dh xbZ_ dqN gh fnuksa esa ,d canj dh
ekSr gks xbZA blds ckn] dqN pwgksa ij nok dh dksf'k'k dh xbZ FkhA
ifj.kkeLo:i uj pwgksa esa o`"k.k fo"kkDrrk feyh ftldk vFkZ gS fd
os cka> ;k uiqald gks x,A eknk pwgksa us ;qok iSnk djus dh {kerk [kks
nhA bl izdkj] ;k rks e`r cPps iSnk gks jgs Fks ;k os vkuqokaf'kd nks"k

ds lkFk iSnk gks jgs FksA ,slh nokvksa dks ,d fo'ks"k Js.kh lkSaih tkrh
gS ftls VsjkVkstsfud nokvksa ds :i esa tkuk tkrk gSA Teratogenic
drugs fdruh gkfudkjd gSa] eaS 6 ebZ] 2020 ds U;w;kdZ VkbEl30
esa ,d ys[k dk lanHkZ nsdj le>kÅ¡xkA ys[k dgrk gS fd bl nok
(iQSch Ýyw) dh rqyuk fdlh vU; VsjkVkstsfud nok ls dh tk ldrh
gS ftls 1950 esa ;wjksih; jk"Vªksa es FkSfyMksekbM dgk x;k FkkA bl nok
ds nq"izHkko ;g Fks fd 1]23]000 cPps e`r iSnk gq, FksA tks thfor
iSnk gq, Fks os fofHkUu izdkj dh fod`fr ls ihfM+r FksA
yxHkx 24]000 ,sls cPps gSa tks vHkh Hkh mu fod`fr;ksa ds lkFk
jg jgs gSaA bl izdkj bl nok ij TkYn gh izfrca/ yxk fn;k x;kA

blh rjg dh fLFkfr bl nok ds lkFk mRiUu gks ldrh gS ;kuh
îQSch Ýyw*A nq"izHkko dqN o"kksZa ds ckn irk pysxkA v[k+ckj vkSj
nok dEifu;k¡ nq"izHkko dks Nqik ldrh gSa ysfdu cPps iSnk gksus ij
os cgqr tYn mtkxj gks tk,¡xhA
Hkkjr esa iQSch Ýyw
vkb,] ge Hkkjrh; lanHkZ esa iQSch Ýyw ij ppkZ djrs gSaA 20 twu]
2020 dks tc Hkkjr esa bl nok dks ykWUp fd;k x;k Fkk] rc lekpkj
i=kksa vkSj Vhoh us bldh dher 103 #Ik, crkbZ FkhA yksx lksprs gSa
fd 103 #i, dh nok dk lsou djus ls os dksjksuk ls jksx eqDr gks
tk,¡xsA lPpkbZ ;g gS fd nok dh iwjh fLVªi (34 xksfy;k¡) igys
fnu gh [kkuh gksrh gSaA 14 fnuksa esa] 7&8 nokvksa dh ,slh fLVªIl dk
lsou fd;k tkrk gS] ftldk vFkZ gS Bhd gksus ds fy, 14 fnuksa esa
25]000 #Ik, dh xksfy;ksa dk lsou djukA LokLF; ykHk dsoy mu
yksxksa ds fy, gksxk tks igys ls Bhd gSaA xaHkhj :i ls chekj jksfx;ksa
ij bldk D;k izHkko iM+sxk] ;g Kkr ugha gSA
;fn vki bl nok dks [kjhnrs gSa] rks vkidks ,d iQWkeZ Hkjuk gksxk]
ftls ckWDl ds vanj Mkyk tk,xkA vkidks bl iQWkeZ ij gLrk{kj djus
dh vko';drk gSA
izi=k dgrk gS fd vki bl nok ds nq"izHkkoksa dks vPNh rjg ls
le> pqds gSa vkSj vki Lo;a blds nq"izHkkoksa ds fy, ftEesnkj gSa_
dksbZ nwljk ughaA nok dk lsou djus ds ckn] ;g dSls izHkkfor djrk
gS] ml MsVk dks daiuh }kjk fy;k tk,xk] fjiksVZ ds vxys laLdj.k
esa fjiksVZ dj fy;k tk,xk D;ksafd ;g fjiksVZ fiYyksa] canjksa vkSj pwgksa
ij bl nok ds izHkko dh O;k[;k djrh gSA
bl nok dh vxyh fjiksVZ }kjk Hkkjrh;ksa ij blds izHkko dk o.kZu
djus dh cgqr laHkkouk gSA bls ekuo fxuh fix ds :i esa tkuk
tkrk gSA ekuo ijh{k.k vkSj ekuo fxuh fix nks vyx&vyx phtsa

gSaA ekuo ijh{k.k dk eryc gS fd ,d O;fDr us ijh{k.k dk fgLlk
cuus ds fy, lgefr ns nh gS (vius fufgr LokFkksZa ds fy,&foRrh;
ykHk ds fy, gks ldrk gS)A ,sls yksxksa dks 10&15 yk[k #Ik, feyrs
gSaA O;fDr ekSdk ysus ds fy, rS;kj gks tkrk gSA ;g ekuo ijh{k.k ds
fy, Loa;lsod ds :i esa tkuk tkrk gSA nwljk fxuh fix gS ftldk
vFkZ gS vkius bu nokvksa dks 25]000 #Ik, esa [kjhnk vkSj ijh{k.k dk
fgLlk cusA vki fiYys] canj ;k pwgksa dh rjg gks tk,¡xsA bls ekuo
fxuh fix dgk tkrk gSA
dksjksuk ds jksfx;ksa ij ;g nok dSls dke djsxh] bldk ijh{k.k dHkh
ugha gqvkA dsoy rqyuk dh xbZ fd ;g nok vU; nks nokvksa dh
rqyuk esa vf/d mi;ksxh gS D;ksafd bls yxHkx y{k.kghu jksfx;ksa ij
vktek;k x;k FkkA
esjk lq>ko gS] bl nok dk eSuqvy MkmuyksM djsa vkSj bls vPNh
rjg ls i<+saA fIkQj fdlh Hkh MkWDVj ;k LokLF; fo'ks"kK ds ikl tk,¡
vkSj mlls iwNsa fd D;k mlds ifjokj esa dksbZ Hkh fudV ;k fiz;
O;fDr (mldk cPpk@ iRuh@ ekrk&firk gks ldrk gS) ;k ;gk¡ rd
fd og [kqn Covid-19 Positive gS] rks D;k og bl nok dks ysxk\
tSlk fd igys dgk x;k gS] dksjksukok;jl ,d RNA 'olu
bUÝyq,atk ok;jl gS vkSj ;g rsth ls mRifjofrZr gksrk gS blfy,
blds fy, dksbZ nok ugha gks ldrh gSA ;g nok] tks ckt+kj esa gS]
vuqokaf'kd ifjorZu ykrh gSA ;g vuqokaf'kd :i ls 'kjhj ds RNA
dks cnyrk gS ;k mRifjofrZr djrk gSA bls lh/s 'kCnksa esa dgsa] rks
vki ,d iwjh rjg ls vyx O;fDr cu tkrs gSa] gkykafd 'kjhj ,d
gh jgrk gSA nwljs 'kCnksa esa] ;g fudV Hkfo"; esa ekuo 'kjhj dh
uhao dks fgykrk gS] laHkkouk gS fd O;fDr vkWVksbE;wu chekfj;ksa] dSalj
;k V~;wej ls ihfM+r gks ldrk gSA ;g vkids fy, ugha cfYd vkus
okyh ihf<+;ksa ds fy, gks ldrk gSA blfy, bl nok dks ysrs le;
lko/kuh cjrsaA ,slk ugha gS fd vf/dkfj;ksa dks bl nok ds ckjs esa
irk ugha gS_ Hkkjr dks NksM+dj fdlh Hkh ns'k us bls O;kolkf;d :i
ls ykWUp ugha fd;k gSA

Hkkjrh; vFkZO;oLFkk igys gh iaxq gks pqdh gS vkSj vc Hkkjr ds
ukxfjdksa dks iaxq cukus dh ;kstuk,¡ py jgh gSaA
vUrjkZ"Vªh; ;ksx fnol ds volj ij ;ksx dh ckr djrs gSaA
izk.kk;ke ,d egÙoiw.kZ vH;kl gS ftlesa vkWDlhtu 'kjhj ds mu
fgLlksa (tgk¡ ;g lkekU; :i ls ugha gksrk gS) rd igq¡prk gSA
blls dSalj] e/qesg vkSj bl rjg dh vU; Ckhekfj;ksa dh jksdFkke
gks tkrh gSA nqfu;k Hkj esa vkSj vklikl ds cgqr ls yksx fo'ks"k :i
ls izk.kk;ke ds ;kSfxd O;k;keksa dk ikyu djrs gSaA eSa lqjf{kr :i
ls dg ldrk gw¡ fd izzk.kk;ke ;k lk¡l ysus dk O;k;ke ,d lexz
bykt gSA ;fn ge bldk mYVk djrs gaS] vFkkZr~ ;fn ge vkWDlhtu
dks 'kjhj dh dksf'kdkvksa rd igq¡pus dh vuqefr nsus dh ctk;]
dkcZu MkbvkWDlkbM mu rd igq¡pkrs gSa] rks] rc D;k gksxk vkSj
;fn ;g izfd;k yacs le; rd vkSj nSfud vk/kj ij tkjh jgs] rc
fuf'pr :i ls dksbZ ;g dgsxk fd fjolZ lp gksxkA vxj bldk
ikyu fd;k tkrk gS] rks mu lHkh chekfj;ksa tSls dSalj] e/qesg] mPp
jDrpki] ân; jksx vkfn esa Hkh o`f¼ gksxhA ;s nh?kZdkfyd izHkko gSaA
vYidkfyd leL;kvksa ds ckjs esa D;k dgsa!! ;g fljnnZ] cq[kkj o
izfrj{kk dh gkfu vkfn dk dkj.k gksxkA
lans'k nsus ds fy, eSaus ,d u;k rjhdk <w¡<k gS] og gS& ;g ,d
IysdkMZ gS ftlesa îzk.kk;ke* fy[kk gS vkSj eSa ,d ekLd igurk gw¡]

ftl ij ^jkt* fy[kk gS vkSj ;s fey dj curs gSa & îzk.k&;ejkt*
bls Li"V :i ls le>us dh vko';drk gSA tc ge ekLd igurs
gSa vkSj ge lk¡l ysrs jgrs gSa] rks ge okLro esa dkcZu MkbvkWDlkbM
ys jgs gksrs gSa] ftls ge Lo;a NksM+rs gSa vkSj ;g yxkrkj fd;k tk
jgk gSA tks LoLFk gSa os yxHkx ,d ;k nks ?k.Vs eas lkbM biQsDV~l
dk vuqHko djsaxs vkSj tks jksxh&Hkko ls ifjfpr gSa] os yxHkx vk/s
?k.Vs esa ;g vuqHko djsaxsA njvly] ge ;ejkt êkSr dk nsork*
rd igq¡pus ds fy, ,d pSuy [kksy jgs gSaA
10 twu] 2020 dh CDC dh fjiksV30 dks ns[ksaA (lhMhlh jksx
fu;a=k.k dsUnz gS) mUgksaus bl fjiksVZ esa Lohdkj fd;k gS fd vxj
ge ,d ?k.Vs ls vf/d iQsl ekLd igurs gSa] bls iguus ds ckn
ls bldk 'kjhj ij izHkko iM+sxkA dkcZu MkbvkWDlkbM] tks ge Lo;a
NksM+rs gSa] dbZ rjg dh leL;kvksa dks tUe ns ldrk gS% fljnnZ]
[kksiM+h ds vUnj ncko esa o`f¼] raf=kdk ra=k esa ifjorZu] 'okl
dh vko`fRr esa o`f¼] ân; laca/h izHkko] gYds dke ds cks> dh
lgu'khyrk esa deh vkfnA eaS fiNys dbZ eghuksa ls bl ij tksj ns
jgk gw¡] vkSj vc lcus bls Lohdkj dj fy;k gS ysfdu ;g dkiQh
nqHkkZX;iw.kZ gS fd gekjh ljdkj bl ij dksbZ è;ku ugha ns jgh gSA
fiNys dqN fnuksa esa izkIr ejhtksa dh dkWy ls ;g ns[kk x;k gS fd
mUgsa fljnnZ] lk¡l ysus esa rdyhiQ dh f'kdk;r gS vkSj mUgsa lansg
gS fd mUgksaus dksjksukok;jl dk vf/xzg.k dj fy;k gSA eSa ewy :i
ls mUgsa vius ekLd dks gVkus vkSj 4&5 ?k.Vs vkjke ls lk¡l ysus
ds fy, dgrk gwa vkSj eq>s fo'okl gS os csgrj eglwl djuk 'kq:
djrs gSaA ;g le>uk egÙoiw.kZ gS fd ;g 'Mask theory' dgk¡ ls
vk;h gSA ;g ewy :i ls ltZuksa ls gekjs ikl igq¡pk gSA lapkyu
djrs le;] os vke rkSj ij ekLd dk mi;ksx djrs gSaA gesa okLrfod
ifjn`'; esa tkuk pkfg, fd D;k ekLd iguus ls okLro esa ltZu dks
enn feyrh gS\ ekLd iguus dh ;g laLd`fr 130 lky iqjkuh gSA
ewy :i ls ltZjh djrs le; ekLd iguus dh ijaijk gS vkSj ltZuksa

}kjk bldk dM+kbZ ls ikyu fd;k tkrk gS ysfdu ;g lgk;d gS ;k
ugha] bl ij lansg gSA
dksØsu lg;ksx }kjk ,d esVk&fo'ys"k.k31 fd;k x;k FkkA os ljy
iz'u ij fd, x, lHkh 'kks/ksa dk fo'ys"k.k djrs gSa fd D;k ltZjh
ds nkSjku ekLd iguuk iQk;nsean gS ;k fcuk ekLd ds ltZjh djuk
Hkh mruk gh vPNk gSA ;g laxBu ,d fu"i{k laxBu gS vkSj ;g
dHkh Hkh fdlh nok daiuh ls nku ugha ysrk gS vkSj lPpkbZ lkeus
ykrk jgrk gSA dksØsu lg;ksx us yxkrkj ;g irk yxkus ds fy,
'kks/ fd;k fd D;k ltZu }kjk ekLd igudj ltZjh djuk iQk;nsean
gS ;k iQk;nsean ugha gSA mUgksaus lHkh ;kn`fPNd fu;a=k.k ifj{k.kksa dks
bdV~Bk fd;k vkSj ,d fu"d"kZ ij igqaps fd ekLd iguus ls laØe.k
dh laHkkouk de ugha gksxh cfYd os c<+ tk,¡xsA ltZjh ds nkSjku Hkh
ekLd iguus ls laØe.k de ugha gksrk gSA
ekLd iguus ls laØe.k dh laHkkouk dSls c<+ tkrh gS\
tc ge ekLd igurs gSa vkSj mlesa lk¡l ysrs gaS rks og {ks=k (tks ukd
vkSj eq¡g gks ldrk gS) dk rkieku gekjs 'kjhj ds leku gh gksrk gSA
blds lkFk gh] tSlk ge cksy jgs gSa vkSj mlh {k.k lk¡l ys jgs gSa]
;g {ks=k FkksM+k ue gks tkrk gSA ;gk¡ nks phtksa dks è;ku esa j[kus dh
t:jr gS fd ;g {ks=k FkksM+k xeZ gksus ds lkFk&lkFk ue Hkh gksrk gSA
dhVk.kq] thok.kq vkSj laØe.kksa dks iuius ds fy, ueh vkSj xehZ cgqr
vuqdwy okrkoj.k gSA ;fn vki yxkrkj vk/s ?k.Vs ls ysdj ,d ?k.Vs
rd ekLd igurs gSa] rks bl txg ij cuk okrkoj.k dhVk.kqvksa dh
o`f¼ ds fy, cgqr vuqdwy gks tkrk gSA tuZy&ts dh fjiksVZ32 o"kZ
2018 dk vkWFkksZi Vªkalys'ku&vkWijsfVo izfØ;kvksa ds nkSjku cSDVhfj;y
lanw"k.k ds lzksr ds :i esa ds ckjs esa fy[krk gSA ^bl izdkj ekLd
iguus ls laØe.k dh laHkkouk de ugha gksrh cfYd c<+ tkrh gSA*
ekLd iguus lss ekuo 'kjhj esa ,d vkSj chekjh gks tkrh gS ftls
^nk gkbijdsifu;k*33 dgk tkrk gS] ;gh og fLFkfr gS tgk¡ gekjs

'kjhj esa vko';drk ls vf/d dkcZu MkbvkWDlkbM gksrk gSA ftl
izdkj izk.kk;ke dk vFkZ gS 'kjhj dks vkWDlhtu ls Hkjuk] bldk mYVk
gkbijdsisfu;k gS tks 'kjhj dks dkcZu MkbvkWDlkbM ls Hkj jgk gSA
¶gkbijdsisfu;k foHksfnr ekuo czksfUd;y midyk dksf'kdkvksa esa
izfrj{kk izfrfØ;k] U;wfDy;kslkse vlsacyh vkSj fyfiM p;ki;
thu dh vfHkO;fDr dks cny nsrk gSA¸
& oSKkfud fjiksVZ 2018
loky mBrk gS fd ekLd iguus dk ;g fopkj dgk¡ ls fodflr
gqvk\
;g 130 lky igys fodflr fd;k x;k Fkk ysfdu og O;fDr dkSu
gS ftls Mask cukus dk ;g fopkj feyk\
;g irk pyk fd MkW tkslsiQ fyLVj uke dk ,d ltZu FksA os 1880
ds n'kd esa ,d ltZu Fks vkSj mudh jk; Fkh fd vxj ekLd igurs
gSa] rks ge laØe.k ls lqjf{kr jgsaxsA fyLVfju ekmFk okW'k ls yxHkx
ge lHkh okfdiQ gSaA ;g mRikn MkW tkslsiQ fyLVj ds uke ij
vk/kfjr gSA beesa ls dbZ yksx eq¡g es [kjkc cSDVhfj;k ;k ok;jl dks
ekjus ds fy, ekmFkokW'k ds :i esa bldk bLrseky djrs gSaA blesa
,Ydksgy dh ek=kk vf/d gksrh gS okLrfodrk ;g gS fd ;g u
dsoy gkfudkjd cSDVhfj;k dks ekjrk gS cfYd iQk;nsean cSDVhfj;k
dks Hkh ekjrk gS tks gekjh E;wdksly izfrj{kk dks c<+krk gSA
¶vYdksgy ;qDr ekmFkokW'k ds fo'ks"k lanHkZ esa ekSf[kd dkflZukstsusfll
esa vYdksgy dh Hkwfedk¸
&vkWLVªsfy;u MsaVy tuZy] 2008
2008 ds vkWLVªsfy;u MsaVy tuZy us ,d fjiksVZ34 izdkf'kr djrs gq,

dgk fd ;g dSalj dk dkj.k curk gSA ;s nksuksa fopkj ;kuh ekLd

iguuk vkSj eq¡g dqYyk djus ds fy, mi;ksx esa vkus okys vU;
('kjkc ij vk/kfjr) ekmFkokW'k] ,d gh O;fDr & MkW tkslsiQ fyLVj
}kjk fodflr gq,A
ge cSDVhfj;k vkSj ok;jl ls f?kjs gSa vkSj muesa ls yk[kksa gekjs 'kjhj
ds vanj jgrs gSaA ge muds lkFk ln~Hkko esa jgrs gSaA 'kjhj ls [kjkc
cSDVhfj;k ;k ok;jl ;k fdlh vU; laØe.k dks ckgj fudkyuk
gekjh izfrj{kk iz.kkyh dk drZO; gSA ;g izfrj{kk gj txg ekStwn gS
& e¡qg] Ropk vkSj gj txgA ge vYdksgy&vk/kfjr ekÅFk okW'k
ds bLrseky ls vius eq¡g dh izfrjks/d {kerk dks ekjrs gSa vkSj
ge vYdksgy ;qDr lSfuVkbtj dk mi;ksx djds vius gkFkksa dh
izfrjks/d {kerk dks ekjrs gSaA lPpkbZ ;g gS fd ekmFk okW'k vkSj gSaM
okW'k nksuksa leku gSa D;ksafd nksukas dh lkexzh yxHkx ,d tSlh gS vkSj
nksuksa dSalj dkjd gSaA
;s os inkFkZ gSa tks okLro esa izfrj{kk dks nckrs gSa vkSj tc gesa viuh
lqj{kk ds fy, yM+us ds fy, izfrj{kk dh vko';drk gksrh gS] rks ;s
,sls mRikn gSa tks bls de djrs gSaA ;kn j[ksa fd tks yksx lSfuVkbt+j
vkSj eq¡g /ksus ds fy, ;k ;gk¡ rd fd LoPNrk ij c<+kok nsus dh
dksf'k'k dj jgs gSa os okLro esa dSalj dks c<+kok ns jgs gSaA
D;k fd, tkus dh vko';drk gS\ lek/ku

'N.I.C.E. - bUÝyq,atk ns[kHkky fo'ks"kKksa dk ,d usVodZ gS ftlesa
gekjs ikl ns'k Hkj ds yxHkx 200 fo'ks"kK gSaA ge vDlj cq[kkj]
fljnnZ ;k detksjh dh f'kdk;rksa ds lkFk jksfx;ksa dk lkeuk djrs
gSa_ os Ýyw ;k dksjksukok;jl ;k ;gk¡ rd fd bUÝyq,atk ls ihfM+r gks
ldrs gSa ysfdu ewy dkj.k ;g Hkh gks ldrk gS fd mUgksaus ekLd
dks vf/d le; rd iguk gksA ,d iz;ksx djrs gSaA Oximeter ysa
vkSj vius vkWDlhtu Lrj vkSj viuh iYl nj dh tk¡p djsaA bu
nksuksa phtksa dh tk¡p djus ds ckn] yxHkx ,d ?k.Vs ds fy, viuk

ekLd igusa vkSj fiQj ,d ckj] vius vkWDlhtu Lrj vkSj ukM+h tk¡p
djsaA vki ik,¡xs fd vkidh iYl nj esa 5 ;k 7 ;wfuV dh o`f¼
gqbZ gSA bldk eryc gS fd ekLd iguus ls lh/s vkids fny ij
vlj iM+rk gS vkSj blfy,] iYl nj Ck<+ tkrh gSA vkWDlhtu Lrj
ij ekLd dk izHkko D;k gS\ ;fn dksbZ O;fDr vk/s ?k.Vs ds fy,
ekLd igurk gS] rks vkWDlhtu dk Lrj 1% de gks tkrk gSA bldh
iqf"V 2008 esa U;wjksfd:fx;k esa izdkf'kr 'kks/ i=k35 ds ekè;e ls
dh xbZ gSA vki ges'kk Lo;a iz;ksx dj ldrs gSa vkSj ifj.kke dk
irk yxk ldrs gSaA
gekjs vklikl ds {ks=k esa] gekjs ikl cgqr lkjs LokLF; dk;ZdrkZ]
iqfyldehZ] nqdkunkj vkfn vkSj vU; yksx gSa] tks vius drZO; ds
dkj.k] yEcs le; rd yxkrkj Mask igu dj j[krs gSaA ;fn os
Mask ugha igurs gSa] rks mu ij xSj&vuqikyu dk tqekZuk yxk;k
tk,xkA tc ,sls yksx gels lEidZ djrs gSa vkSj gesa crkrs gSa fd
muds ikl fljnnZ] cq[kkj] detksjh vkSj lk¡l ysus esa leL;k tSls
y{k.k gSa] COVID-19 tSls y{k.k gS] rks ge tkurs gSa fd ekLd
iguus ls Hkh ogh leL;k,¡ gksrh gSA ,sls jksfx;ksa ds funku ls irk
pyrk gS & de vkWDlhtu lar`fIr Lrj] iYl nj vkSj rkieku esa
o`f¼A
,sls jksfx;ksa esa vkWDlhtu dk de lar`fIr Lrj] iYl nj esa o`f¼ ds
dkj.k fueksfu;k dk dkj.k cu ldrk gS_ os ân; vk?kkr dk lkeuk
dj ldrs gSa vkSj mPp rkieku ds dkj.k os cq[kkj vkSj detksjh
eglwl dj ldrs gSaA gkykafd rkieku dsoy vk/k fMxzh c<+ tkrk gS]
ysfdu vk/k fMxzh vf/d vof/ ds fy, c<+h gqbZ fLFkfr esa jgsxk]
tks vR;f/d tksf[ke Hkjk gks ldrk gSA

;gk¡ eS bl rF; dks nksgjkuk pkgw¡xk fd ekLd iguus vkSj lk¡l ysus
ls 'kjhj ds rkieku esa yxHkx vk/k fMxzh dh o`f¼ gksrh gSA ;gk¡
laca/ 'kjhj ds FkeksZjsX;wys'ku ls gSA êkuo FkeksZjsX;wys'ku ij iQsl
ekLd dk izHkko*] ;g ys[k gky gh esa ^n ,uYl vkWiQ vkWD;qis'kuy
gkbthu 2020* es izdkf'kr gqvk gSA vkfVZdy36 dks i<+us ij vki
le>saxs fd efLr"d] tks iwjs 'kjhj ds rkieku dks fu;af=kr djrk gS]
ekLd iguus ds dkj.k ijs'kku gks tkrk gS_ ifj.kkeLo:i] 'kjhj dk
rkieku vk/s fMxzh rd c<+ tkrk gSA gkyk¡fd] vk/h fMxzh cgqr gh
gYdh o`f¼ gS ysfdu ;g vf/d le; rd cuh jgrh gSA
;g yEcs le; rd gksus okyh o`f¼ ekuo 'kjhj ds fy, dkiQh
[krjukd gks ldrh gSA ;fn vkids ikl Ýyw tSls y{k.k gSa] rks os
dksjksukok;jl ;k bUÝyq,atk ds y{k.k ugha gks ldrs gS_ okLro esa] os
vkids 'kjhj esa vkWDlhtu dh deh ds dkj.k gksrs gSaA
;fn vkids vklikl dksfoM&19 ;k dksjksuk tSls y{k.k fn[kus okys
yksx gSa] rks vki mUgsa bl ckr ls voxr djk ldrs gSa fd muds bu

y{k.kksa dk dkj.k êkLd iguuk* Hkh gks ldrk gSA blds lkFk gh
vki mUgsa '3 Step Flu diet' follow djus ds fy, izsfjr dj ldrs
gSaA ;fn os vfo'okl O;Dr djrs gSa rks vki mUgsa gekjk Helpline
No. ns ldrs gSaA
vkSj ;fn vkiesa ls tks yksx MBBS, BHMS, BMS ;k LokLF;dehZ

gSa rks eSa vki lHkh dks gekjs N.I.C.E. Initiative ls tqM+us rFkk enn
djus ds fy, vkeaf=kr djrk gw¡A
vki gekjh Website : www.biswaroop.com/expert ds }kjk
gels tqM+ ldrs gSaA vkidks ,d special training nh tk,xh rkfd
vki vklkuh ls influenza dksfoM&19 ds ejhtksa dks handle dj
ldsaA
vki vius iwoZ Kku @ fo|k @ vuqHko ds vk/kj ij gekjs vfHk;ku
dk fgLlk cu ldrs gSa vkSj bl izdkj ge feydj lekt esa dksjksuk
@ dksfoM&19 @ influenza ds jksfx;ksa dks Bhd djus esa enn dj
ldrs gSaA
lanHkZ

vè;k;
4
ILI / COVID-19 dk vkikrdkyhu izca/u
("N.I.C.E. iSzfDV'kuj ds fy, izf'k{k.k" ij vk/kfjr

29 twu] 2020 dks vk;ksftr)
ILI / COVID-19 dk vkikrdkyhu izca/u

1- 'okl izca/u
2- [kkalh izca/u
3- cq[kkj izca/u
4- mYVh gksuk
5- eryh
6- vR;f/d detksjh
7- nLr
Ýyw @ bUÝyq,atk @ ILI / COVID-19 dk izca/u djrs le; lcls

egÙoiw.kZ ckr ;g gS fd 'okl] [kkalh] cq[kkj] mYVh] eryh vkSj
vR;f/d detksjh tSls fuEufyf[kr Yk{k.kksa dk izca/u fd;k tkrk gSA
,slh fLFkfr esa] ejht ?kcjk ldrs gSa_ gesa mUgsa ;kn fnykuk gksxk fd
mUgsa FkksM+k /S;Z j[kus dh t:jr gSA gesa muls dsoy nks phtsa iwNus
dh t:jr gS% rkieku rFkk vkWDlhtu Lrj (SpO2) (Oximeter
dk mi;ksx djds tkap ldrs gSa) A tc rd rkieku 102oF gS] rc
rd Bhd gSA ;fn vkWDlhtu dk Lrj ≥ 88% gS] rks ;g vkjkenk;d
gSA

'okl izca/u ds lkFk 'kq: djrs gSaA czhfnax eSustesaV vFkkZr 'okl
izca/u dk eryc gS fd O;fDr dks lk¡l ysus esa dfBukbZ gks jgh gSA
,sls O;fDr ds fy, ge vLirky eas LFkkfir vkWDlhtu nsus ds ckjs
esa lksprs gSaA ;fn lk¡l ysus esa dfBukbZ cuh jgrh gS rks ge ;kaf=kd
osaVhysVj ds ckjs esa lksprs gSaA vkWDlhtu flysaMj ;k vkWDlhtu Fksjsih]
fpfdRlk m|ksx esa lcls [kjkc /ks[kk/M+h gSA D;ksa\
D;ksafd vkids 'kjhj dks vkWDlhtu ysus ds fy, fMtk+bu ugha
fd;k x;k gSA vkids 'kjhj dks gok ls cuk;k x;k gS ftlesa dsoy
21% vkWDlhtu gS vkSj ckdh ukbVªkstu vkSj vU; xSlsa gSaA ;g ,d
egÙoiw.kZ pht gS] ftls vkidks è;ku esa j[kuk pkfg,A
mnkgj.k ds fy,] vkids ikl isVªksy ;k Mhty dkj gSA isVªksy ;k
Mhty ds ctk,] vki vf/d 'kq¼ vkSj eg¡xk b±/u Mkyrs gSa] tks fd
tsV b±/u gS] D;k vkidks yxrk gS fd dkj pysxh\ tokc gS ughaA
vkidh dkj dks isVªksy @ Mhty ds fy, fMt+kbu fd;k x;k gSA ;gk¡
rd fd vxj vki csgrj izdkj dk baZ/u Mkyrs gSa] rks Hkh ;g dke
ugha djsxkA batu {kfrxzLr gks tk,xkA blh rjg] vkids 'kjhj dks
yacs le; rd ;k ,d feuV ds fy, Hkh vkWDlhtu dks lk¡l ysus
ds fy, fMtk+bu ugha fd;k x;k gSA ;g vkids 'kjhj dks uqdlku
igq¡pkus okyk gSA
;g lksp gh xyr gS fd vkWDlhtu Fksjsih ,d O;fDr dh e`R;q nj
@ :X.krk dks de dj ldrh gSA tc ls bl nqfu;k esa vkWDlhtu
Fksjsih 'kq: dh xbZ Fkh] rc ls ,d Hkh lcwr ugha vk;k gS] tks crkrk
gS fd vkWDlhtu Fksjsih thou izR;k'kk dks c<+k ldrh gS ;k fdlh
O;fDr ds thou dks cpkus esa enn dj ldrh gSA dksbZ 'kd ugha]
vkWDlhtu Fksjsih iznku djus ij] ,d O;fDr dks izkjafHkd vkjke fey
ldrk gS ysfdu vxj vkidks yxrk gS fd ;g vkids thou dky

dks c<+kus okyk gS] vkSj ;g :X.krk (Mortality) dks de djus esa
enn djus okyk gS_ ;g chekjh dks Bhd djus esa vkidh enn djus
okyk gS] bldk dksbZ lcwr ugha gSA
eS vkidks lcwr fn[kkus tk jgk gw¡ vkSj fiQj vki fo'okl djsaxs fd
dksØsu flLVeSfVd fjO;w&ou lcwr gS] ftl ij eq>s lcls T;knk
Hkjkslk gS vkSj eSa vDlj bl ckjs esa ckr djrk gw¡A dksØsu ,d laxBu
gS tks fdlh Hkh nok daiuh ls dksbZ nku ugha ysrk gSA mUgksaus ,d esVk
fo'ys"k.k37 fd;k & lHkh izdkj ds fo'ys"k.kksa ls mPpreA dksØsu ds
vuqlkj] yksxksa ds nks lewgksa dks ys tk;k x;k ,d dks vkWDlhtu dh
mPp lkanzrk nh xbZ Fkh vkSj nwljs dks vkWDlhtu dh de lkanzrk nh
xbZ FkhA ftu yksxksa dks mPp lkanzrk nh xbZ Fkh] mUgsa vf/d uqdlku
gqvk_ de lkanzrk izkIr djus okyksa dks de uqdlku gqvkA blfy,
vkWDlhtu dh de lkanzrk csgrj gSA
Higher v/s Lower Oxygen

Higher versus lower fraction of inspired oxygen or
targets of arterial oxygenation for adults admitted to
the intensive care unit
Cochrane Systematic Review –

27 November 2019
;fn vki ,d iz'u iwNrs gSa fd vkWDlhtu ysuk ;k vkDlhtu

ugha ysuk & D;k csgrj gS\ vkWDlhtu ugha ysuk csgrj gSA ;g
lUnHkZ38 vLirky esa LFkkfir vkWDlhtu flysaMj ls gS tks dqN
izkjafHkd vkjke iznku dj ldrk gS ysfdu ;g pht vki ?kj ij
,d gkFk ls idM+s tkus okys ia[ks ds lkFk izkIr dj ldrs gSaA mik;
cgqr gh ljy gSA yxHkx gj ?kj esa gkFk ls idM+s tkus okyk ia[kk
miyC/ gSA vkidks cl bls ejht dh ukd ds lkeus j[kuk gSA ia[ks

dks pkyw djsa vkSj ia[ks ls ejht dh ukd esa gok iQSadh tk,xhA ;fn
jksxh 5 feuV ds fy, viuh ukd ds lkeus ia[ks dks idM+ ldrk gS
rks mls mlh rjg dk vkjke feysxk tks mls vLirky esa vkWDlhtu
Fksjsih ds lkFk feyk gksxkA ;g vkWDlhtu ds nq"izHkko ds fcuk gksxk
tks 'kjhj esa vkWDlhtu fo"kkDrk dk dkj.k curk gSA vkWDlhtu Fkssjsih
dh rqyuk esa ,d gkFk ls idM+s tkus okyk ia[kk cgqr csgrj gSA
gkFk esa idM+s tkus okys ia[ks ls 'okl m[kM+us esa vkjke
European Respiratory Journal 2017 50: 1701383;

DOI: 10.1183/13993003.01383-2017
ykalsV 'kh"kZ (top) ik¡p if=kdkvksa esa ls ,d gSA ,d ys[k esa ykalsV
esa izdkf'kr fd;k x;k gS] bls ,d mPp 'kks/ i=k ekuk tkrk gSA ;g
,d Mcy&CykbaM jSaMekbT+M daVªksy Vªk;y gS vkSj ;gk¡ 'kks/drkZvksa
us nks groups ds yksxksa dh rqyuk dh] tks ,d gh rjg dh rhozrk
ls lk¡l dh rdyhiQ ls ihfM+r FksA ,d lewg dks vkWDlhtu fn;k
x;k vkSj bl rjg nwljs lewg dks ,d ia[kk fn;k x;k vkSj mls
viuh ukd ls Ng bap nwj j[kus dks dgk x;kA mUgsa ia[ks dh gok
ls lk¡l ysus dks dgk x;kA bu mipkjksa ds 5 feuV ds ckn yksxksa ds
nksuksa lewgksa dks ,d gh rjg dk vkjke feykA bl izdkj ;g Li"V
:i ls izkekf.kd gS fd ;g ia[kk vkWDlhtu flysaMj ds leku dke
dj ldrk gSA ;g ia[kk vkWDlhtu flysaMj dh rqyuk esa cgqqr lLrk
(yxHkx 200 #i,) gS tks ?kj ij miyC/ ugha gS vkSj ftlds fy,
ge vLirky ij fuHkZj gSaA

Oxygen v/s Room Air in Breathlessness
Effect of palliative oxygen versus medical (room)
air in relieving breathlessness in patients with
refractory dyspnoea: a double-blind randomized
controlled trial
Cochrane Systematic Review – 27 November 2019
vLirky ds vf/dkjh muds O;olk; ds cqjh rjg izHkkfor gksus ds

Mj ls ;g dHkh ugha dgsaxs fd ;g ia[kk vkWDlhtu flysaMj ls csgrj
gSA rks 95% jksfx;ksa ds fy,] tks lk¡l iQwyus dh f'kdk;r djrs gSa]
;fn vki mUgsa bl rjg ls ia[kk idM+us ds fy, dgsa vkSj bl eqnzk esa
cSBsa (FkksM+k vkxs >qd dj vkSj fiQj ia[ks dks mudh ukd ls Ng bap
nwj j[krs gq,) rks mUgsa mruk gh vkjke feysxk] ftruk mUgsa vkWDlhtu
flysaMj ls feyk gksxkA dksbZ Åijh le; lhek ugha gS vkSj os vkjke
ikus rd ia[ks dks idM+ ldrs gSaA esfMdy if=kdkvksa esa blds ckjs
esa crk;k x;k gS ij dHkh vke turk dks ugha crk;k x;kA vxj ge
yksx bl lp dks tku ysaxs rks mUgsa vkWDlhtu flysaMj dh t:jr
ugha jgsxhA ,slk djus ls vki vius jksfx;ksa dh 95% leL;kvksa
dks gy djus esa liQy gksaxsA 5% yksx 'ks"k gSa] ftUgsa vk/s ?k.Vs ;k
mlls vf/d le; rd ia[kk j[kus ds ckotwn jkgr ugha feysxhA os
ejht ftUgsa okLrfod leL;k gks ldrh gSA bl le;] vki SpO2
Oximeter dh enn ls muds SpO2 ;kuh vkWDlhtu Saturation
Lrj dh tkap dj ldrs gSaA ;fn jhfMax ≥ 88% gS] rks bldk eryc
gS fd ;g ,d okLrfod leL;k gS & vfu;af=kr 'okl&iz'okl dk
eryc gS fd ;g okLrfod vkikrdky gS vkSj vLirky esa tkus ij]
os eSdsfudy osaVhysVj ij j[ks tkrs gSaA eSdsfudy osaVhysVj D;k gS
vkSj bldk fodYi D;k gS\ oSdfYid osaVhysVj eSdsfudy osaVhysVj
ds leku ifj.kke ugha nsxk ysfdu eSdsfudy osaVhysVj dh rqyuk esa
csgrj ifj.kke gksxkA

'okl (vkikrdkyhu izcU/u)
vLirky ?kj
vkWDlhtu flysaMj gkFk esa idM+k tkus
okyk ia[kk
eSdsfudy osaVhysVj
izksu osaVhysVj
jksxh dks vk/s ?k.Vs ds fy, izksu (Prone) osafVys'ku ij j[ksa vkSj
fiQj ls SpO2 dh tkap djsa vkSj vki bls ≥ 90% ik,¡xs vkSj jksxh
Hkh csgrj eglwl djuk 'kw: dj nsxkA
izksu (Prone) osafVys'ku ij è;ku dsafnzr djus ls igys] eSa vkidks
crk nw¡ fd eSdsfudy osaVhysVj ls D;ksa cpsaA
eSdsfudy osafVysVj & dqN cgqr fo'kky] cgqr oSKkfud fn[krk gS]
dqN cgqr gh vk'kktud] dqN bl rjg ls cgqr XySejl yxrk gS
fd ;g cgqr eg¡xk gS vkSj gj dksbZ bldk [kpZ ugha mBk ldrkA
;g vLirky dk ,d LVsVl flacy gS & ,d O;fDr dks yxrk gS
fd ;g vk/qfud gS&vLIkrky esa ,d O;fDr dks cpkus dh vf/d
{kerk j[krk gS ysfdu ;g lc XySej gSA
,d osaVhysVj dk eryc gS fd ,d ikbi vkidh ukd vkSj eq¡g ls
iQsiQM+ksa vkSj isV rd tkrk gSA ;g iQhfMax ukd esa ikbi ds tfj,
dh tkrh gS vkSj eq¡g ls gok iQsiQM+ksa esa tkrh gSA bldk eryc gS
fd O;fDr iwjh rjg ls ikbi ij fuHkZj gS tSlk fd vkxs fp=k esa
fn[kk;k x;k gSA
tc 'kjhj esa cgqr lkjh ikbi tkrh gSa] rks os dbZ jksxksa dks tUe nsrs
gSaA ;g ns[kk x;k gS fd nl jksfx;ksa esa ls UkkS] ftUgsa osaVhysVj ij
j[kk x;k gS] os dHkh osaVhysVj ls okil ugha vkrs gSaA os ej tkrs gSaA
,d efjt osaVhysVj dh otg ls ugha cprk gS] ysfdu og osaVhysVj

;kaf=kd osaVhysVj
osVa hysVj ij j[ks x, nl dksfoM&19

jksfx;ksa esa ls 9 ekjs x,
vizy
S 23]2020 ykbo lkbal
ij j[ks tkus ds ckotwn cp tkrk gSA rks] jksxh HkkX;'kkyh ;k csgn

cnfdLer gks ldrk gSA cnfdLer blfy, D;ksafd osaVhysVj ij j[kuk
cgqr nnZukd gS_ nwljh ckr ;g gS fd tks yksx ckgj fudyrs gSa os
n;uh; fLFkfr esa gksrs gSa vkSj vxys 2&3 eghuksa ds Hkhrj ej tkrs gSa
vkSj fiQj Hkh tks yksx cp tkrs gSa mUgsa ejus rd ydok ekj tkrk
gSA ,slk D;ksa gS\
tc ejht osaVhysVj ij gksrs gSa] rks mUgsa VALI (osafVysVj ,lksfl,VsM
yax batjh) feyrk gSA osaVhysVj ds ekè;e ls] iQsiQM+ksa ij vkWDlhtu
dks ,d fo'ks"k xfr ls ysus ij etcwj fd;k tkrk gSA pwafd gekjs
'kjhj dks fdlh Hkh xfr ls vkWDlhtu dh /kjk ysus ds fy, fMt+kbu
ugha fd;k x;k gS] ;g rqjar iQsiQM+ksa dks uqDlku igq¡pkrk gS] tks igys
ls gh le>kSrk dj jgs FksA nwljs osaVhysVj ij j[kus ls vkWDlhtu
dh fo"kkDrrk gksrh gSA tSlk fd igys dgk x;k gS] gekjs 'kjhj
dks 'kq¼ vkWDlhtu dks ysus ds fy, fMt+kbu ugha fd;k x;k gS]
ysfdu osaVhysVj ds ekè;e ls vkWDlhtu dks 'kq¼ :i esa fn;k tkrk

;kaf=kd osaVhysVj
1. VALI (Ventilator
Associated Lung Injury)
2. Oxygen Toxicity
3. Neuro Damage
4. VAP (Ventilator
Associated Pneumonia)
gSA xfr vkSj vkWDlhtu dh 'kq¼rk ,d lkFk U;wjks {kfr dk dkj.k

curh gSA efLr"d vkSj iQsiQM+s tks ,d nwljs ds lkFk esy [kkrs gSa
vkSj ,d nwljs ds lkFk feydj dke djrs gSa] O;fDr dks osafVysVj
ij j[kus ds ckn ,d&nwljs ds lkFk laca/ [kks nsrs gSaA urhtru]
O;fDr viuh ;kn~nk'r vkSj ljy dkS'ky [kks nsrk gS tSls nkarksa dks
cz'k djuk] 'kkSpky; tkuk] Hkkstu djuk] fxykl idM+uk vkfnA og
,d NksVs cPps dh rjg gks tkrk gS vkSj mls bu lHkh dkS'kyksa dks
nksckjk lh[kus dh vko';drk gksrh gSA pje ekeyksa esa O;fDr VAP
(osafVysVj ,lksfl,VsM U;weksfu;k) ls ihfM+r gksrk gSA bls le>us
dh dksf'k'k djsaA tc vkids 'kjhj esa cgqr lkjs ikbi tkrs gSa] rks
cSDVhfj;k vkSj ok;jl ikbi ds ekè;e ls ;k=kk djrs gSa vkSj iQsiQM+ksa
ds van:uh fgLls esa ,d txg ij dCtk dj ysrs gSaA bls osafVysVj
,lksfl,VsM U;weksfu;k dgk tkrk gS vkSj tc O;fDr dh e`R;q gks tkrh
gS] rks og fueksfu;k ls ejrk gS] bUÝyq,atk ls ugha] ysfdu nqHkkZX;
ls] bls dksjksuk ekSr ds :i esa oxhZd`r fd;k x;k gSA bl izdkj ;s
,slh chekfj;k¡ gSa tks ,d ejht dks rc feyrh gSa tc mls eSdsfudy
osaVhysVj ij j[kk tkrk gSA
Role of Bacteria as a cause of death
in Pandemic Influenza
J Infect Dis. 2018 October 1; 198(7): 962-970. doi:

10.1086/591708

The Solution % izksu osafVys'ku
tc Hkh dksbZ O;fDr vLirky esa HkrhZ gksrk gS vkSj nok ;k osafVysVj
ij gksrk gS vkSj ej tkrk gS] rks ekSr ok;jl ds dkj.k gksus okyh
fueksfu;k ds dkj.k ugha gksrh gS cfYd cSDVhfj;k ds dkj.k gksus
okys fueksfu;k ls gksrh gSA ok;jl cSDVhfj;k ds fy, jkLrk cukrk
gSA eSa ftl ckr ij tksj nsus dh dksf'k'k dj jgk gw¡] og ;g gS fd
vxj ok;jl yacs le; rd 'kjhj esa jgrk gS] rks ;g fo'ks"k :i ls
osaVhysVj ds ekè;e ls CkSDVhfj;k ds fy, jkLrk cukrk gSA cSDVhfj;k
ikbi ds ekè;e ls ;k=kk djrs gSa vkSj iQsiQM+ksa esa tkrs gSa] ftlesa dbZ
NksVs xqCckjs tSls gksrs gSa ,fYo;ksyhA ;s FkSfy;ka vkWDlhtu ls Hkjh
gksrh gS vkSj xSlksa dk vknku&iznku ;gk¡ gksrk gSA vc thok.kq bu
FkSfy;ksa ij dCtk dj ysrs gSa vkSj mUgsa rjy ls Hkj nsrs gSa ftlls
lk¡l iQwy tkrh gSA
jh< dh
gM~Mh
ân; Fig-1
ge vke rkSj ij bl rjg ysVrs gSa (psgjk Åij j[krs gq,)A NksVs
MkWV~l FkSyh @ ok;qdksf'kdk dk izfrfuf/Ro djrs gSa] tks la[;k esa
yxHkx 50 djksM+ gSaA bl fLFkfr esa] ân; dk xq:Rokd"kZ.k ncko
vkSj isV dk xq:Rokd"kZ.k ncko iQsiQM+ksa ds dksus ij fLFkr gksrk gS
vkSj blds ifj.kkeLo:i] xqCckjs vkdkj esa fldqM+ tkrs gSa] ftlls
iQsiQM+ksa dh yxHkx 20% {kerk de gks tkrh gSA ,d LoLFk euq";
ds iQsiQM+ksa dh {kerk esa 20% dh deh dk dksbZ izHkko ugha iM+rk
gS] ysfdu tc dksbZ chekj gksrk gS (20% ls le>kSrk fd;k tkrk
gS)] rks ;g mls cqjh rjg izHkkfor djrk gSA ;fn ge ân; vkSj isV
ds xq:Rokd"kZ.k ncko dks nwj dj ldrs gSa] rks ge ml 20% dk
mi;ksx dj ldrs gSaA

blds fy,] gesa vklu cnyus dh vko';drk gS] bls (Prone) izksu
fLFkfr ;k izksu osafVys'ku dgk tkrk gSA tSlk fd vki Fig.-2 esa
ns[k ldrs gSaA
NksVs xqqCckjs vkdkj esa cM+s gks tkrs gSa vkSj blls iQsiQM+ksa dh {kerk
yxHkx 20% c<+ tkrh gS vkSj ;gh thou vkSj e`R;q ds chp dh
nwjh gSA og O;fDr] tks igys e`R;q ds dxkj ij Fkk] vc cp x;kA
jh< dh
gM~Mh
ân; Fig-2
izksu osaVhys'ku dk ra=k

isV ds fupys fgLls ij de ncko
ân; ij de ncko
,Yohvksy {kerk esa c<+ksrjh
izksu 'olu esa lq/kj
Respiratory Care. August 2017 Vol 62 No 8
izksu osafVy'ku 1970 ds n'kd ls vH;kl esa gSA fiNys ,d n'kd

esa] tc eSdsfudy osaVhysVj yksdfiz; gks x;k] izksu osafVys'ku (Prone
Ventilation) vkSj vU; ,slh phtksa dks ;kaf=kd osaVhysVj dh fcØh
dks c<+kok nsus vkSj HkkSfrd ykHk ds fy, njfdukj dj fn;k x;kA
eSdsfudy osaVhysVj dh rqyuk esa izksu osafVys'ku dk dksbZ lkbM biQsDV
ugha gSA ;kaf=kd osaVhysVj ds pkj [krjukd lkbM biQsDV gksrs gSa

ftlds ifj.kkeLo:i nl esa ls ukS ekSrsa gksrh gSaA 15 ebZ] 2020 dks
vesfjdu esfMdy ,lksfl,'ku ds tuZy esa] 'kks/drkZvksa us 500 ;k
vf/d COVID-19 jksfx;ksa dh tkap dh] ftUgsa izksu osafVys'ku ij
j[kk x;k Fkk] ,d rjiQ eSdsfudy osaVhysVj gS] tks cgqr egaxk vkSj
nnZukd gS vkSj vf/dka'k ekSrksa dk dkj.k curk gS vkSj nwljh rjiQ]
izksu osafVys'ku gS tks ?kj ij fd;k tk ldrk gS vkSj bldk dksbZ
lkbM biQsDV ugha gS vkSj bykt dh nj fo'ks"k :i ls COVID-19
jksfx;ksa ds fy, 100% gSA
fu"d"kZ ds :i esa] tc vki fdlh O;fDr dks izksu osafVys'ku ij
Mkyrs gSa] rks isV ds lkFk&lkFk ân; dk ncko de gksrk gS] ogk¡
,fYo;ksyh {kerk c<+ tkrh gS vkSj bl izdkj 'okl esa lq/kj gksrk
gSA ;g lc yxHkx vk/s ?k.Vs esa gksus dh mEehn gSA ;gk¡ t:jh
;g gS fd jksxh dks ,d fnu esa de ls de 12 ?k.Vs ds fy, izksu
osafVys'ku dh fLFkfr esa gksuk pkfg, D;ksafd og ftl {k.k mBrk gS]
'okl dh leL;k 'kq: gks tkrh gSA og gj ?k.Vs 10&15 feuV dk

czsd ys ldrk gSA czsd ds nkSjku] og vius 'kjhj dks LFkkukarfjr dj
ldrk gS vkSj fdlh Hkh eqnzk esa gks ldrk gSA
izksu osafVys'ku fLFkfr dks jksxh ds fy, vkjkenk;d cukus ds fy,]
fp=k esa fn[kk, vuqlkj rfd;k j[kk tk ldrk gS] D;ksafd dqN yksxksa
dk isV cM+k gksrk gSA cM+k isV iQsiQM+ksa dks ladqfpr dj ldrk gS
ftlds ifj.kkeLo:i vkidks 20% dk ykHk ugha fey ldrk gSA
rfd;s dks dSls lek;ksftr fd;k tk, ;g jksxh ds vkjke Lrj ls r;
fd;k tk ldrk gSA LFkkbZ ykHk ikus ds fy, jksxh dks dbZ ?k.Vkas rd
bl fLFkfr esa jgus ds fy, izsfjr djsaA bl rjg ls dksbZ O;fDr lk¡l
ysus dh vkikrdkyhu leL;kvksa dk izca/u dj ldrk gSA
eSa nksgjkrk gww¡ fd vLirky esa LFkkfir vkWDlhtu flysaMj vkSj

eSdsfudy osaVhysVj ds fy, dksbZ lcwr ugha gS fd ;s yksxksa ds thou
dks cpkrs gSa] tcfd ;kaf=kd flysaMj ds ctk, bLrseky djk, tk jgs
ia[ks vkSj eSdsfudy osaVhysVj ds ctk, izksu (Prone) osafVys'ku ds
i{k esa cgqr lkjs lcwr gSaA bu lk{;ksa eas Li"V :i ls dgk x;k gS fd
?kj ij rS;kj ,d LksV lkbM biQsDV~l ls jfgr gS vkSj blls cpus dh
laHkkouk c<+ tkrh gS_ e`R;q nj dh laHkkouk] okLro esa de gks tkrh
gSA rks ,d ejht ?kj dh lsfVax esa lqjf{kr gSA mls vLirky tkus
dh lykg u nsa D;ksafd blls mlds cpus dh laHkkouk ?kV tk,xhA
vfu;af=kr [kkalh dk izca/u

;fn dksbZ O;fDr rhu fnu ds Ýyw vkgkj ds lkFk&lkFk vfu;af=kr

[kkalh dh f'kdk;r djrk gS] rks gYnh fpfdRlk 'kq: djsaA jksxh dks
fnu esa rhu ckj gYnh (dPph vkSj rkth) ds NksVs VqdM+s (5 xzke)
dk lsou uk'rs ls igys] nksigj ds Hkkstu ls igys vkSj jkr ds [kkus
ls igys djus dks dgsaA vke rkSj ij] ge pkSFks fnu dPph @ rkth
gYnh dh lykg nsrs gSa tc jksxh DIP vkgkj ij gksrk gSA ;fn jksxh
dks vkjke ugha feyrk gS] rks dPph @ rkth gYnh dh [kqjkd dks
nksxquk djsa ;kuh dPph gYnh ds rhu VqdM+ksa ds ctk;] mls dPph
gYnh ds VqdM+s fnu esa Ng ckj nsaA 2&3 fnuksa ds le; esa [kkalh dk
izca/u fd;k tk ldrk gSA bl chp] ejht dks /S;Z u [kksus ds fy,
izsfjr djsaA mudh leL;k,a tYn gh de gks tk,axhA
vfu;af=kr [kkalh izca/u

gYdh dh [kqjkd nqxuh dj nsa
(nh xbZ MkbV ds lkFk fnu esa Ng ckj ysa)
cq[kkj izca/u
tc rd rkieku ≥ 1020 F gS] rc rd fpark djus dh dksbZ
vko';drk ugha gSA ;fn rkieku 1020 F dks ikj dj tkrk gS] rks
15 feuV ds fy, BaMk lsd vkSj BaMh gok esa tk,¡A ;fn jksxh dkaius
yxs rks izfØ;k dks jksd nsaA vk/s ?k.Vs ds varjky ds ckn] izfØ;k
dks nksgjk,a & BaMk lsd vkSj 15 feuV ds fy, BaMh gokA ;fn og
daidaih 'kq: dj nsrk gS ;k rkieku uhps vkrk gS] izfd;k dks jksd
nsaA dHkh&dHkh rkieku 1030 F &1040 F gksrk gS] blls ?kcjk,¡ ughaA
,aVh&ik;jsfVd nokvksa ds lsou ls cpsa] tks rkieku dks de dj
ldrs gSa ysfdu nkSjs dh laHkkouk dks de ugha djrs gSa tks vU;Fkk
rkieku esa o`f¼ dk dkj.k gks ldrk gSA bl ckr dk dksbZ lcwr ugha
gS fd iSjkflVkeksy @ ,aVhih;jsfVd MªXl fdlh O;fDr dks yack thou

thus esa enn dj ldrh gS ;k ;g nkSjk iM+us ls cpus esa enn dj
ldrh gSaA ;gk¡ rd fd vxj rkieku cgqr vf/d gks tkrk gS] rks
?kcjk,¡ ugha D;ksafd gekjs 'kjhj dh viuh gkseksLVsfll gS vkSj rkieku
dks [krjukd :i ls vf/d ugha gksus nsxkA ;g tkurk gS fd fdl
rkieku ij ok;jl dks ekjk tk ldrk gSA rks ok;jl ls NqVdkjk
ikus ds fy, 'kjhj dk viuk ra=k gSA viuh vksj ls] B.Mk lsd vkSj
BaMh gok iznku djrs jgsa vkSj rhu fnu Ýyw vkgkj dk ikyu djuk
tkjh j[ksaA ILI @ Ýyw ds jksfx;ksa ds izca/u ds esjs fiNys 12 o"kk±s esa]
;g ,d ckj Hkh ugha gqvk gS] tc bl j.kuhfr ds lkFk rkieku dks
fu;af=kr ugha fd;k tk ldkA
mYVh dk izca/u
;fn jksxh dks mYVh dh f'kdk;r gS] rks mlds [kkus vkSj ihus dks 4
?k.Vs rd jksd nsaA vxj t:jr gks rks lk/kj.k ikuh ;k ukfj;y ikuh
fn;k tk ldrk gSA mYVh ,d vkjkenk;d ckr ugha gks ldrh gS
ysfdu ;g cqjh Hkh ugha gSA ;g 'kjhj esa dqN laØe.k dk ,d ladsr
gS ftlls 'kjhj NqVdkjk ikuk pkgrk gSA ?kcjk,¡ ughaA 'kkfUr cuk,
j[ksaA mYVh ls dksbZ ugha ejrkA jksxh dks vkjke nsus dh dksf'k'k djsaA
eryh vkSj detksjh

;g ns[kk tkrk gS fd dbZ yksx detksjh eglwl djus ;k eryh vkus
ij ?kcjk tkrs gSaA ;kn j[ksa] dksbZ Hkh detksjh ;k eryh ds dkj.k
ejus okyk ugha gS_ blesa dksbZ LFkkbZ {kfr Hkh ugha gksxhA jksxh dks
fnu esa 3&4 ckj rktk vnjd dk ,d NksVk VqdM+k nsdj vkjke nsaA
vnjd 'kfDr iznku djrk gSA ;fn jksxh ,slk djus ls badkj djrk gS]
rks vnjd dks ely nsa vkSj bldks ikuh esa mckysaA blesa FkksM+k uhacw
vkSj FkksM+k 'kgn feyk,¡A jksxh dks bls fli djus ds fy, dgsaA mls

'kfDr vkSj mtkZ feysxhA rkieku de gks tkus ij] og lHkh leL;kvksa
ls NqVdkjk ik ysxkA
nLr
;g ns[kk x;k gS fd dHkh&dHkh jksxh 3 fnu Ýyw vkgkj dk ikyu
djrs gq, eks'ku@nLr dk vuqHko djrs gSaA ;fn nLr 6&7 ls vf/d
ckj gksrh gS_ rks jksxh dks [kV~Vs iQyksa dk jl (;fn og 3 fnu Ýyw
vkgkj ij gS) ;k iQy vkSj lykn (;fn og MhvkbZih vkgkj ij gS)
dk lsou can dj nsuk pkfg, vkSj ukfj;y ds ikuh dks rc rd ysuk
pkfg, tc rd fd nLr de u gks tk,¡ ;k iwjh rjg can u gks tk,¡A
lanHkZ

vè;k;
5
egkjk"Vª ljdkj dksfoM dsanz ds lkFk
rhu pj.k;qDr Ýyw vkgkj vè;;u
72 ?kaVs esa dksfoM&19 dk bykt!

fo'ks"k :i ls tc O;fDr lg&:X.k fLFkfr (Co-morbidity) ds lkFk
,d ofj"B ukxfjd gks vkSj xaHkhj fueksfu;k ds lkFk bykt ds fy, yk;k
tk,------------ rks ;g csrqds lius ds ctk, ,d vlaHko dne yxrk gSA
gkykafd] gekjs lykgdkj vkSj ,u-vkbZ-lh-bZ- fpfdRld MkW- uhys'k
ikfVy vkSj MkW- iYyoh ikfVYk bls vlaHko ls laHko cuk ldsA
;g dgkuh egkjk"Vª ljdkj] tyxk¡o Covid-19 dsanz ds vf/dkfj;ksa
}kjk ^3 pj.k Ýyw vkgkj* ds lkFk Covid-19 jksfx;ksa ds bykt dh
vuqefr nsus ds lkFk 'kq: gksrh gSA mUgsa pkj jksfx;ksa ds bykt dh
vuqefr bl 'krZ ij feyh fd jksfx;ksa ds fy, vko';d vkgkj dk
Hkqxrku MkW- uhys'k vkSj mudh Vhe }kjk fd;k tk,xkA 9 tqykbZ]
2020 dks] MkW- uhys'k vkSj MkW- iYyoh ikfVy us jksfx;ksa dks vius
fujh{k.k esa fy;k] muesa ls nks fueksfu;k vkSj lg&:X.k fLFkfr;ksa ls
xaHkhj :i ls chekj Fks vkSj ckdh nks eè;e fLFkfr esa FksA 3 pj.k Ýyw
vkgkj dk ikyu djus ds 72 ?k.Vksa ds var rd] lHkh dks dksfoM&19
ds lHkh y{k.kksa ls jkgr feyh vkSj muesa ls rhu us dksfoM&19 ds
fy, udkjkRed ijh{k.k fd;k] ftlesa lg&:X.k fLFkfr;ksa ds lkFk
xaHkhj :i ls chekj nksuksa ofj"B ukxfjd 'kfey gSaA dì;k tyxk¡o
ftyk dksfoM dsanz }kjk tkjh lkjka'k i=k ns[ksaA

rhu pj.k;qDr Ýyw vkgkj ds 72 ?k.Vksa ds ckn ifj.kke%
• 100% jksfx;ksa dks lHkh y{k.kksa ls jkgr feyhA
• 75% jksfx;ksa us dksfoM&19 ds fy, udkjkRed ijh{k.k fd;kA

egkjk"Vª ljdkj Covid-19 dsUnz ds lkFk nwljk vè;;u&
D;k gksrk gS vxj Covid-19 jksxh dsoy 48 ?k.Vksa ds fy, rhu
pj.k okys Ýyw vkgkj dk ikyu djrs gSa\
,d ckj fiQj MkW- uhys'k ikfVy vkSj MkW- iYyoh ikfVy dks
Covid-19 jksfx;ksa dk rhu pj.k Ýyw vkgkj ds lkFk 48 ?k.Vksa ds
fy, bykt djus dh vuqefr feyh] ysfdu nwljs Covid-19 ijh{k.k
ds [kpZ dks ogu djus dh 'krZ ds lkFkA
bl ckj gekjs ,u-vkbZ-lh-bZ- fpfdRldksa us 48 ?k.Vs (2 tqykbZ] 2020
ls 3 tqykbZ] 2020) ds fy, 20 dksfoM&19 jksfx;ksa dks izkIr fd;kA
U;wure vk;q okyk jksxh 11 o"kZ dk Fkk vkSj lcls cqtqxZ 85 o"kZ dk
FkkA buesa 13 iq#"k vkSj 7 efgyk,a FkhaA 14 tqykbZ] 2020 dks ,uih
LoSc Covid-19 ijh{k.k ds fy, fy;k x;k FkkA
ifj.kke %
• 12 ejhtksa us Covid-19 ds fy, udkjkRed ijh{k.k fd;kA
• 8 jksfx;ksa dk ijh{k.k ldkjkRed jgkA
fu"d"kZ %
Covid-19 jksfx;ksa dk 60% rhu pj.k Ýyw vkgkj dk ikyu djus
ds nks fnuksa ds Hkhrj Covid-19 dks myV ldrk gSA
MkW- uhys'k ikfVy vkSj MkW- iYyoh ikfVy dh rjg] bankSj esa dksjksuk
ikWftfVo iqfyldfeZ;ksa ds fy, iqfyl egkfuns'kd Jh gfj ukjk;.k
pkjh feJk }kjk blh rjg dh xfrfof/;k¡ lapkfyr dh tk jgh gSa vkSj
3 ls 5 fnuksa ds Hkhrj rhu pj.k Ýyw vkgkj dksjksuk usxsfVo izkIr
djus esa l{ke gSaA bankSj (nSfud HkkLdj) ds izeq[k v[kckj esa mudk
dojst muds dke dh xokgh gSA

lanHkZ
bl vè;k; ls lacf/r references ds fy,

vè;k;
6
dksjksukdky esa ?kj ij viuk [kqn dk
Super Speciality Hospital cuk,¡
• ;g fn[kkus ds fy, dksbZ lcwr ugha gS fd ekLd vkidks laØe.k

gksus ls cpk ldrk gS tcfd ;g fn[kkus ds fy, MsVk dh cM+h
ek=kk gS fd ekLd iguuk vkidks chekj dj ldrk gSA (tSlk
fd vkius fiNys vè;k; esa ns[kk)
• SARS - CoV-2 ;k dksbZ vU; ok;jl ds dkj.k ykWdMkmu e`R;q
nj dks de dj ldrk gS bldk dksbZ lcwr ;k oSKkfud vk/kj
ugha gS] yssfdu ;g lkfcr djus ds fy, i;kZIr lcwr39 gSa fd
ykWdMkmu Social Distancing dk ikyu djus ds dkj.k vf/d
dksjksuk ekSrsa gqbZ vkSj e`R;q nj40 Hkh c<+hA ;gk¡ rd fd WHO
us Hkh vDVwcj 2019 esa crk fn;k41 fd ykWdMkmu fdlh fo'ks"k
ok;jl ls gksus okyh e`R;q nj dks de ugha dj ldrk gSA
• lHkh nokvksa(anti-HIV / anti-malaria / anti-pyretic /
antibiotic) vkSj xSj&Mªx esfMdy gLr{ksi (Ventilator
support / plasma therapy) tksfd cxSj fdlh lcwr ds
COVID-19 dks Bhd djus ds uke ij euq";ksa ij iz;ksx fd,
42
x, Fks] buds dkj.k vf/d uqdlku vkSj ekSrsa gqbZ gSaA
• ;g lkfcr djus ds fy, dksbZ izek.k ugha gS fd SARS - CoV-2
,d u;k] ?kkrd vkSj mPPk lapj.k nj okyk ok;jl gS] gkykafd]
eSaus iqLrd esa i;kZIr lcwr fn, gSa fd ;g ,d detksj ok;jl gSA

• iqLrd esa fn, x, lHkh lk{; vkSj mipkj j.kuhfr;ksa ds lkFk]
;g fu"d"kZ fudkyuk lgh gS fd SARS - CoV-2 ,d lkekU;
Ýyw ok;jl gS vkSj yEcs le; ls ekuo tkfr ds lkFk gS o dksbZ
ubZ ckr ugha gSA
ekbaM xse D;k gS & Mj ds gfFk;kj ds ekè;e ls tUkla[;k dks
fu;af=kr djus dh dksf'k'k djuk] tSlk fd gekjh euksoSKkfud
lykgdkj MkW- gsek xqIrk dgrh gSa fd ekuo eu dks fu;af=kr djus
dk lcls vPNk rjhdk Walter-Barbe-Raymond Swassing
model dk mi;ksx djuk gSA vFkkZr udyh lwpuk nsuk vkSj rhuksa
bafnz;ksa (auditory, visual and kinesthetic) ds ekè;e ls nksgjkuk]
ftlls blds lp vkSj okLrfod gksus dk fo'okl gksus yxrk gSA
;gk¡ dke djus dk rjhdk cgqr gh ljy gSA
rhuksa izeq[k bafnz;ksa dk mi;ksx djuk %

Audio : dkWyj V~;wu ds ekè;e ls ckj&ckj psrkouh lans'kA
Visual : Vsyhfotu pSuyksa ds ekè;e ls 24x7 eux<+ar fn[kus
okyh@udyh ekSrksa dh la[;k (tSlk fd eSaus fiNys vè;k; esa lkfcr
fd;k Fkk)
Kinesthetic : ekLd iguuk vkSj fnu esa dbZ ckj gkFkksa dks lkiQ
djuk] Social Distancing vkfn&vkfnA
fnu esa dbZ ckj dkiQh fnuksa rd eux<+ar lwpukvksa ds ckj&ckj izgkj
ls ekuo efLr"d nwf"kr gksus yxrk gS] ftlls mudh rkfdZd lksp
vkSj lkekU; Kku esa deh ds dkj.k os xqykeh dh lksp esa vk tkrs gSaA

mijksDr iQjsc dh otg ls] vke turk dk fnekx bl gn rd Hkz"V
gks tkrk gS fd os Covid-19 ds bykt dh mEehn ds lkFk vLirky
esa ,d fcLrj ds fy, fdlh Hkh jkf'k (;gk¡ rd fd 3 yk[k ls
30 yk[k #Ik, rd) ds fy, RkS;kj gks tkrs gSa] tks okLro esa ekStwn
gh ugha gSA
eq>s dksbZ lansg ugha gS fd tc Covid-19 dh jksdFkke ds uke ij
,d Nykok Vaccine Launch dh tk,xh] rks lHkh mls izkIr djus
ds fy, ykbu yxk,¡xs vkSj ;fn Vaccine ds lkekU; vkSj visf{kr
nq"izHkko (e`R;q jfgr) gksrs gSa] rks ,d u;k uke ns fn;k tk,xk vkSj
;g ,d ubZ chekjh dgyk,xh] tks la;ksx ls mlh le; esa vkbZ
gksxh vkSj mUgha yksxksa dks gksxh ftUgsa Vhdk fn;k x;k gks (;kn j[ksa
izR;sd o"kZ] vkSlru 50]000 Vhdkd`r iksfy;ks ds u, ekeys Hkkjr
esa vkrs gSa] ysfdu mUgsa ,d u;k uke (Acute Flaccid Non Polio
Paralysis) 43 fn;k tkrk gSA
;gk¡ bl lkft'k ds Hkkxhnkj nok daifu;k¡ vkSj vk/qfud nok,a gSa tks
vius izlkjd ra=k & WHO dk mi;ksx djds ok;jl ds jksdFkke
ds fu;eksa dks fofp=k cukus dk iz;Ru dj jgh gSaA mnkgj.k ds fy,]
IykfLVd dh FkSyh esa iSd fd;k x;k e`r 'kjhj] fj'rsnkjksa dks lkSai
fn;k tk,] ysfdu fdlh Hkh {k.k 'kjhj dks [kksyk uk tk,] nks ls
vf/d fj'rsnkjksa dks 'ko ds ikl mifLFkr gksus dh vuqefr u gks
vkSj de ls de ,d ehVj dh nwjh e`r 'kjhj44 ls cuk, j[kukA
;gk¡ ;fn vki viuh Ldwy dh ikB~; iqLrd dks ;kn djrs gSa] rks
vki tkusaxs fd 'kjhj esa fdlh Hkh okljl dk c<+uk vkSj iQSyuk
tSo&jklk;fud mQtkZ ;kuh Adinosine triphosphate (ATP) ij
fuHkZj djrk gS] ysfdu ,d ckj tc O;fDr ej tkrk gS] rks dksf'kdk,¡
ATP cukuk yxHkx rqjar ckn can dj nsrh gSaA blfy, fdlh ok;jl
ds vkxs c<+us dh dksbZ laHkkouk ugha gSA dqN ok;jl cps gks ldrs

gSa tks e`R;q ls Bhd igys mRiUu gq, FksA ysfdu SARS - CoV-2
ds ekeys esa] lapj.k ds izkFkfed ekxZ ij ckr djrs le;] [kkalus
;k Nhadus ds nkSjku fu"dkflr cwanksa ds ekè;e ls gksrk gSA pwafd 'ko
lk¡l ugha yss ldrs gSa] 'ko ds ekè;e ls SARS - CoV-2 ds lapj.k
dh dksbZ laHkkouk ugha gSA
esjh le> esa] Covid-19 'koksa dks laHkkyus ds fy, ,d fo'ks"k
izksVksdkWy cukus dk eq[; dkj.k e`R;q ds okLrfod @ vlyh dkj.k
dks fNikuk gS] tks fd vf/dka'k ekeyksa esa] izk;ksfxd nok vkSj ?kkrd
eupkgh gLr{ksi (IykTek) fpfdRlk gSA eq>s ;g Hkh Mj gS fd 'ko
dks ns[kuss @ fujh{k.k djus ds fy, ifjtu @ fj'rsnkj dks jksduk ^yky
ckt+kj* (vax rLdjh) ds igys ls gh mPp ekftZu okys O;olk;
dks c<+kok nsxkA esjh iqLrd (Why the Mortality Rate Drops
When Doctors Go on Strike?)45 dk dsoy ,d i`"B i<+us ij
(page 65)] vkidks yky&cktkj dk Hk;kud Mjkouk lp fn[ksxk]
tc MkWDVj gM+rky ij tkrs gSa rks e`R;q nj D;ksa de gksrh gS\
vc Non-COVID-19 ejhtksa ij COVID-19 dk BIik yxkus
okys orZeku ifjn`'; vkSj rF;ksa dks è;ku esa j[krs gq, (tSlk fd
vè;k;&1 esa ppkZ dh xbZ gS)] fdlh Hkh dkj.k ls vLirky tkuk
mfpr ugha gSA cfYd [kqn dks vixzsM djus dk le; gS rkfd vki
vius [kqn ds MkWDVj cusa vkSj vius ?kj dks viuk vLirky cuus nsaA
vius vki ?kj ij bykt djus dk lcls vPNk rjhdk Økafrdkjh
D.I.P. diet lh[kuk gSA
lkekU; lnhZ ls ysdj dSalj rd

e/qesg ls volkn rd

D.I.P. diet euq";ksa esa lcls vf/d gksus okys 60 ls vf/d jksxksa
ds fy, lcls rst+] lcls lqjf{kr vkSj yacs le; rd pyus okyk
bykt gks ldrk gSA ;gk¡ rd fd vf[ky Hkkjrh; vk;qosZn laLFkku
(vk;q"k ea=kky; ds rgr) us MkW- ,l- ds- xqIrk (HOD 'kY;
foHkkx) ds ekxZn'kZu esa D.I.P. Diet ds fy, clinical trial46 (TRI
/2018/016654,13/12/2018 dks iathd`r) fd;k gSA
dh 'kks/drkZ MkW- eksfudk lk<s us ihB nnZ (vè;;u

Clinical trial
dk izkFkfed mn~ns';) esa ykHk ds vykok Fkk;jkbM] CYkM 'kqxj]
jDrpki vkfn esa ykHk dh Li"V lwpuk nhA
njvly] Hkkjr esa esjs uSnkfud vH;kl ds fiNys 12 o"kksZa esa]
fo;ruke (2014 ls) vkSj eysf'k;k esa (2017 ds ckn ls)] fofHkUu
chekfj;ksa ds 22]000 ls vf/d jksfx;ksa us D.I.P. Diet dks viuk;k
gSA jksfx;ksa dh izfrfØ;k ds vk/kj ij jksx ds mRØe.k dh le; js[kk
vkSj esjs ekeys dh vè;;u fjiksVZ47 bl izdkj gSaA
ohvkbZih MkbV MhvkbZih MkbV

24 ls 72 ?kaVs e/qegs
3 fnu ls 1 lIrkg mPpjDrpki] gkbZ dkWyLs Vªky

W ] vkarksa ls
tqM+h vO;oLFkk
,d ekg eksVkik] fny ds jksx
2 ekg Fkk;jkbM jksx
6 ekg dSl
a j] nek] xfB;k
8 ekg fLdu ls tqM+s jksx] fdMuh esa [kjkch]

yhoj ls tqM+s jksx

viuh O;fDrxr D.I.P. Diet cukus ds pj.k
izFke pj.k
nksigj 12 cts rd dsoy 3&4 izdkj ds iQy [kk,¡ vke] dsyk]
vaxwj--- vkfn
U;wure ek=kk = vkids 'kjhj dk otu x 10 = ----------- xzke
mnkgj.k ds fy,] 70 fdyks otu ds O;fDr dks nksigj 12 cts rd
3&4 izdkj ds de ls de 700 xzke iQy [kkus pkfg,A
pj.k nks
ges'kk yap vkSj fMuj nks IysV esa [kk,¡A IysV&1 vkSj IysV&2
IysV&1 esa de ls de 4 izdkj dh lfCt;k¡ gksuh pkfg, tSls &
xktj] VekVj] ewyh vkSj ddM+h vkfn dPps :i esaA
IysV&1 dh U;wure ek=kk = vkids 'kjhj dk otu x 5 = --------- xzke
mnkgj.k ds fy,] 70 fdyks otu ds O;fDr dks de ls de 4 izdkj
dh lfCt;k¡ 350 xzke [kkuh pkfg, dPps :i esaA
IysV&2 & ukeek=k ds yap@fMuj
rsy vkSj ued ds
IysV&1 IysV&2
lkFk ?kj ij cuk gqvk
'kkdkgkjh Hkkstu pkj rjg ?kj dk cuk
dh dPph 'kkdkgkjh
lfCt;k¡ Hkkstu

ihNs nh xbZ calculation ds vk/kj ij igys IysV&1 dk [kkuk [kk,¡]
mlds ckn viuh bPNk vuqlkj IysV&2 dk [kkuk [kk,¡--- yap vkSj
fMuj ds fu;e leku gSa gkykafd] vkidks ;g è;ku j[kuk gS fd
[kkuk 'kke 7 cts rd [kk ysaA
pj.k & rhu
buls nwj jgsa %
buls cpsa Ukk'rk
1- iSDM iQwM 1- fHkxks;s gq, esos% vkidk
otu (fdyksxzke esa)= -----
2- fjiQkbUM iQwM xzke (mnkgj.k ds fy, 70
3- Msjh iQwM@i'kq tfur [kk| inkFkZ fdyksxzke otu okys ds fy,
4- U;wVªs'kuy lIyhesaVl 70 xzke esosa izfrfnu)
5- pk;@dkWiQh ihus ls cpsa fo'ks"k 2- iQy % cgqr lkjs
:i ls nksigj ds Hkkstu ls igys 3- ukfj;y ikuh% ftruk vki
ihuk ilUn djrs gSa
6- jkf=k 8 cts ds ckn dHkh Hkkstu 4- gqatk pk; % ftruk vki ihuk
u djsa ilUn djrs gSa
7- nnZ fuokjd nokbZ;kW 5- vadqfjr Hkkstu% vkids otu
(NSAID's) (fdyksxzke esa) = ---- xzke
6- dPPkk ukfj;y% ftruk vki
[kkuk ilUn djrs gSa
7- /wi% 45 feuV
mijksDr D.I.P. ekud dks vkids y{k.kksa@ fpfdRlk fLFkfr;ksa vkSj mez
ds vk/kj ij vkgkj la'kksf/r vkSj vuqdwfyr djuk iM+ ldrk gSA
vuqdwfyr djuk lh[kus ds fy,] "Game of Life (GOL)"48 dk
lanHkZ ysa vkSj vki tku ik,¡xs fd vki rhljs pj.k ds dSalj jksxh gSa
;k balqfyu ij fuHkZj e/qesg ds jksxh gSa] nok ds :i esa [kk| vkgkj
dk mi;ksx djuk lcls rst+] lcls lqjf{kr vkSj yacs le; rd pyus
okyk bykt gSA
lanHkZ

vè;k;
7
dksfoM&19 iSUMsfed dks
dSls [kRe fd;k tk,\
bl iz'u ds mRrj dks tkuus ds fy,] gesa ihNs tkuk gksxk tc ekuk
x;k Fkk fd dksfoM&19 ds dkj.k igys euq"; dh ekSr gqbZA ;s ekSrsa
tuojh 2020 esa gqbZa] tc oqgku49 esa ,d 61 o"khZ; chekj bUlku
dh ekSr gks xbZ FkhA
;gk¡ nks ckrsa ;kn j[kuh gSa%&
1- jksxh isV ds dSalj vkSj yhoj ds jksxksa ls ihfM+r Fkk vkSj 61 o"kZ dk FkkA 50
2- ekSr ds ckn jksxh dh dksbZ ck;ksIlh ugha dh xbZ FkhA51
mijksDr ckrksa dks lkeus j[krs gq, ge dSls fu"d"kZ fudky ldrs
gSa fd bl O;fDr dh ekSr dk dkj.k SARS - CoV-2 Fkk ;k fiQj
dSalj ;k yhoj dk jksx\
vly esa tc Hkh dksfoM&19 jksxh52 ds e`r 'kjhj ij vkWVksIlh
fd;k tkrk Fkk] bldk dkj.k ok;jl dHkh ugha ik;k tkrk FkkA esjs
fy, SARS - CoV-2 ij 'kd vkSj Hkh c<+ x;k tc eSaus nwljh
vkj-Vh- & ih-lh-vkj- dh MkW;XuksfLVd fjiksVZ ns[kha vkSj mudh
vlaxrrkvksa dks y{; fd;kA
izeq[k vlaxrrk,¡ uhps nh xbZ gSa%
1- jksxh tks Ýyw ls ihfM+r gSa] mudk nwljk vkj-Vh- & ih-lh-vkj-
usxsfVo vk;k (igyk VsLV ikWftfVo Fkk)A

2- cgqr ls jksfx;ksa ij nwljk vkj-Vh- & ih-lh-vkj- VsLV dksfoM&19
ds fy, ikWftfVo vk;k FkkA lkjs y{k.kksa ds lek/ku ds ckn
(igyk dksfoM&19 VsLV lcds fy, ikWft+fVo vk;k Fkk)] bl
fookn dk var djus ds fy, fd fo'ks"k iSFkkstsu fdlh jksx ds
ftEesnkj gSa ;k ugha_ ,d xksYM LVSaMMZ VsLV] dqd ikWLV~;qysV
dks fopkj fn;k x;kA ;g 1890 ls iz;ksx esa gS vkSj vkt Hkh
izklafxd gSA
;gk¡ rd fd lkt+Z (2003) dksjksuk ok;jl us dqd ikWLV~;qysV53
dks fuHkk;k vkSj blfy, ^flfo;j ,D;wV jsfLijsVjh flaMªkse* ds lp
ds dkj.k dh LFkkiuk dhA fiQj Hkh] SARS - CoV-2 ij dqd
ikWLV~;qysV54 ds VsLV ugha fd, x, FksA
dksp ds Lo;a fln~/ izek.k 55

1- jksx ds lHkh ekeyksa esa
ekbØksvkxsZfuTe ik;k tkuk
pkfg,A
2- bls gksLV ls ijs j[krs gq,]
fo'kq¼ dYpj esa cM+k
fd;k tk,A
3- tc bls fdlh xzg.k'khy
gksLV dks fn;k tk, rks
mlesa Hkh ewy jksx gh iqu%
iSnk gksuk pkfg,A
4- bls iz;ksxh gksLV esa Hkh
gksuk pkfg, rkfd laØe.k
gks
esjs fu"d"kZ ,oa fofu;eu vf/dkfj;ksa ls ek¡xas fuEufyf[kr gSa%

1- lafnX/ dksfoM&19 ekSrksa ij vkWVksIlh vo'; fd;k tkuk pkfg,]
;g ?kksf"kr djus ls igys fd ;g ,d dksfoM&19 ekSr gSA

2- ^dqd dh ikWLV~;qysV* dks SARS - CoV-2 ok;jl ds fy, iwjk
djuk pkfg,_ rHkh egkekjh@ oSf'od egkekjh LFkkfir fd;k tk
ldrk gSA
3- lHkh Ýyw ekeyksa (dksfoM&19 lfgr) dk ^rhu LVSi Ýyw MkbV*
ls bykt djuk pkfg,A ?kj cSBsa] D;ksafd bl dk;Zuhfr ls geus
0% lh-,iQ-vkj- ds vykok dsoy ^rhu LVSi Ýyw MkbV* nsus ds
72 ?k.Vksa ds vanj 80% ls vf/d lq/kj dh nj ikbZ gSA

vè;k;
8
dksjksuk dky ds rhu iQkewZys
(23 vxLr dh osc izsl dkaÚsal ij vk/kfjr)
vki vkt tks Hkh ifjfLFkfr;k¡ ns[k jgs gSa] bUgsa Û;w ukWeZy* dk uke
fn;k x;k gSA tc Hkh euq"; ds efLr"d dks vki dksbZ Hkh ckr ;k
rF; fujarj fn[kkrs ;k crkrs gSa] fiQj pkgs og fdruk Hkh fofp=k ;k
vLohdk;Z D;kas u gks] og mls ukWeZy ;k lkekU; eku gh ysxkA
tjk fopkj djsa] ;fn vkils yxHkx ,d o"kZ igys ;g dgk tkrk
fd tYn gh og le; vk,xk tc vkidks vius ?kjksa esa can jguk
gksxk] tc Hkh vki ?kj ls ckgj fudysaxs rks vkidk psgjk iwjh rjg
ls ekLd ls <dk gksxk] ;fn vki ekLd ugha yxk dj fudyrs rks
vki ij tqekZuk yxk;k tk,xk vkSj fiVkbZ Hkh gks ldrh gSA ;g Hkh
ns[kus dks feysxk fd fdlh ds ?kj ds lkeus liQsn jax dh xkM+h vk
dj [kM+h gksxh vkSj jksxh dks vLirky ys tk,xh] ekuks fdlh O;fDr
dk vigj.k fd;k tk jgk gksA nks fnu ckn lekpkj feysxk fd og
vPNk&[kklk LoLFk O;fDr vc bl lalkj esa ugha jgkA og jksxeqDr
gks dj ?kj okfil vkus ds ctk, iwjh rjg ls iSd fd, x, 'ko esa
cny tk,xkA mldk psgjk rd ugha ns[kus fn;k tk,xk vkSj ;g Hkh
gks ldrk gS fd mldk nkg laLdkj Hkh ?kj yk, fcuk gh ckgj gh
dj fn;k tk,A vki ;g lc lqu dj lksprs fd ;g rks ekuk gh
ugha tk ldrkA ;g rks cM+h gh vlkekU; lh ckr gksxhA ijarq vc
;gh vlkekU;] lkekU; gks x;k gS ;kuh U;w ukWeZy esa cny x;k gSA
tc gekjk fnekx ckj&ckj ,d gh pht+ dk nksgjko ns[krk gS rks og
mlh pht+ ;k ckrksa dks lkekU; eku ysrk gSA mls yxrk gS fd ;gh

ukWeZy ;k Lohd`r rF; gSA ijarq ;g Bhd ugha gSA ,slk gksus ij Hkh
ge xyr dks lgh ugha dg ldrsA gekjk efLr"d rdZ] foKku ;k
cqf¼erk ls ugha Hkkoksa] nksgjko vkSj Hk; vkfn ds dkj.k o'k esa vkrk
gSA eku ysrs gSa fd vkius fdlh O;fDr ds fnekx dks vius cl esa
djuk gS rks vki yk[k rdZ ns dj Hkh ,slk ugha dj ldrsA ,slk djus
ds fy, vkidks vius Hkkoksa vkSj nksgjko dh enn ysuh gksxhA rHkh
ml O;fDr dks viuh ckr ekuus ds fy, jkth dj ldsaxsA
eaS vkidks ,d mnkgj.k ds ekè;e ls viuh ckr le>kus dh ps"Vk
djrk gw¡A eku ysrs gSa fd vki fdlh ewoh fFk;sVj esa fiQYe ns[kus
x, gSaA ;g ,d Mjkouh fiQYe gSA vki ;g ckr vPNh rjg tkurs
gSa ijarq fiQj Hkh dksbZ Mjkouk n`'; ;k Hkwr vkfn fn[kkbZ nsus ij vki
Mj tkrs gSaA vkids fny dh /M+du rst+ gks tkrh gSA vki ,d {k.k
ds fy, Hkh ugha Hkwys fd vki flusek gkWy esa cgqr lkjs yksxksa ls
f?kjs gSaA vkids fnekx dks Hkh irk gS fd og ml txg iwjh rjg ls
lqjf{kr gS] dksbZ Hkwr ;k dksbZ vkSj Mj mldk dqN ugha fcxkM+ ldrkA
ij T;ksa gh dksbZ Hk;kog n`'; fn[krk gS rks vki Bhd oSlk gh Hk;
vuqHko djrs gSa] tSls vki fdlh vdsyh txg ij gSa vkSj vkids
lkeus vpkud dksbZ Hkwr ;k izsr vk x;k gSA ml oDr vkids 'kjhj
esa Bhd oSls gh tSfod cnyko vkrs gSa] tSls ml vdsyh txg ij
Mjus esa iSnk gq, gksrsA ge cqf¼ ds ctk, beks'kal ;k Hkkoksa ds cl
esa jgrs gSaA beks'kal gh gesa ,D'ku ysus dks izsfjr djrs gSaA
vkSj dqN le; ls gekjs vklikl ds ifjos'k esa ;gh rks gks jgk gSA
gesa cgqr vPNh rjg irk gS fd ;g tks fn[k jgk gS og dksbZ ubZ
chekjh@egkekjh ;k fiQj dksbZ u;k ok;jl ugha gS ij fiQj Hkh gekjs
Mj dh lhek ugha gSA tuojh ekg ls eSa ;gh ckr crkrk vk jgk
gw¡ vkSj esjs lkFk tqM+s lHkh yksxkas us Hkh bl rF; dks ekuk gS fd
;g u;k ok;jl ugha gSA esjh ukbl Vhe] (ftls geus usVodZ vkWiQ
baÝyq,atk ds;j ,DliVZ dk uke fn;k gSA) ds 500 fo'ks"kK ns'k Hkj
esa vkbZ,yvkbZ@dksfoM&19 jksfx;ksa dks ns[k&js[k vkSj fpfdRlk ls Bhd

dj jgs gSaA geus fiNys rhu ekg ;kuh uCcs fnu ds Hkhrj 20]000
ls vf/d jksfx;ksa dks dksjksuk ls jksxeqDr fd;k gSA vkbZ,yvkbZ dks
foLr`r :i esa baÝyq,atk ykbd byusl (influenza like illness,
ILI) dgk tkrk gSA jksxh dks igys rhu fnu rd rjy vkgkj (Fkzh
LVsIl Ýyw MkbV) nh xbZ vkSj og jksxeqDr gks x;kA ;fn dksbZ chekjh
dsoy rhu fnu esa rjy vkgkj o ukfj;y ikuh dh enn ls fcuk
fdlh nok ds Bhd gks ldrh gS] ;fn mldh otg ls jksxh dh e`R;q
ugha gksrh] rks mls egkekjh dk uke dSls fn;k tk ldrk gS\
njvly bldk oSKkfud uke vkbZ ,y vkbZ ;kuh baÝyq,atk ykbd
byusl gSA ;g ,slh chekjh gS ftls Ýyw dgrs gSaA tSls ,p 1 ,u 1]
baÝyq,atk ok;jl] iSjk baÝyq,atk ok;jl] ;s fey dj eq¡g vkSj ukd
ls 'kjhj esa izos'k djrs gSaA ;s lHkh fey dj jsfLijsVjh flaMªkse cukrs
gSaA ;s euq"; dks chekj dj nsrs gSa] chekjh ;kuh ,sls O;fDr dks cq[kkj
gks tkrk gSA njvly cq[kkj dksbZ chekjh ;k jksx ugha] ;g ,d ra=k
gS tks ok;jl ls yM+rk gSA
gesa bl txg ;g ckr cgqr è;ku ls le>uh gksxh fd ok;jl ls
gksus okyk cq[kkj dksbZ chekjh ugha] ;g rks gekjk vkStkj gSA ;fn gesa
cq[kkj vkrs gh dksbZ ,aVhik;jsfVd nok tSls iSjkflVkeksy vkfn ys
ysrs gSa rks eku ysa fd vki Lo;a gh vius 'k=kq gks x, gSaA ;g cq[kkj
vkids ok;jl ls yM+us ds fy, vk;k Fkk ijarq vkius mls gh mrkjus
dh nok ys yhA
;g rks dqN ,slk gh gqvk ekuks vkius viuk gh gfFk;kj Nhu dj
iVd fn;kA tSls fdlh nq'eu ls yM+us ds fy, vkidks canwd nh xbZ
FkhA pawafd canwd cgqr Hkkjh Fkh blfy, vki mls mBk ugha ik jgs FksA
og Hkjh gqbZ canwd nq'eu dks xksyh ekjus ds dke vkuh FkhA og rks
vkidh fe=k FkhA vkius mlds Hkkj ds Mj ls mls iQsad fn;kA og
vkidk gfFk;kj FkkA vkius Lo;a dks fujL=k dj fn;kA
bl fLFkfr eas cq[kkj Hkh gekjs fy, ml Hkjh gqbZ canwd ds leku gS
ftls mBkuk gesa dfBu yx jgk gSA cq[kkj vkus ij gekjk cnu nnZ

djrk gS] Fkdku eglwl gksrh gS vkSj lkjs 'kjhj esa gjkjr ds dkj.k
fcLrj ls mBk ugha tkrkA njvly vkids 'kjhj us cq[kkj dks Hkkjh
canwd dh rjg mBk j[kk gS rkfd nq'eu ok;jl dks xksyh ekjh tk
ldsA
T;ksa gh vki cq[kkj mrkjus ds fy, iSjkflVkeksy nok ysrs gSa rks vki
mlh le; fugRFks gks tkrs gSaA 'kjhj esa ok;jl rsth ls iQSyus yxrk
gSA ml le; vkius vius 'kjhj ls nq'euh djrs gq,] ok;jl dks
viuk nksLr cuk fy;k gSA
vc lcls [kkl ckr djus tk jgs gSaA vDlj yksx gesa dgrs gSa fd
vxj Ýyw ds nkSjku 'kjhj dk rkieku c<+ x;kA og 102] 103] ;k
105 fMxzh rd pyk x;k vkSj ,sls esa vxj cq[kkj dks mrkjus ds fy,
dksbZ nok u yh rks fnekx dks nkSjk iM+ ldrk gS] mls lnek yx
ldrk gS ;k LVªksd gks ldrk gSA
ge vkidks crkuk pkgrs gSa fd balku ds 'kjhj dk rkieku mlh
fglkc ls c<+rk gS ftruk mlds 'kjhj esa FkzsV ;k [krjk gksrk gSA gekjs
'kjhj esa ,d ra=k gS] gkseksLVsfll_ og bl rkieku vkSj [krjs dk
larqyu cuk dj j[krk gSA ;g dke 'kjhj vius&vki djrk gS ftlesa
gesa fdlh rjg ls ck/k ugha nsuh pkfg,A
tSlk fd geus vkidks igys Hkh crk;k fd gekjh ukbl Vhe ds
fo'ks"kKksa ds iz;Ruksa ds iQyLo:i chl gt+kj ls vf/d jksxh bl
dksfoM@ vkbZ ,y vkbZ ;k Ýyw ls jksxeqDr gks pqds gSaA mUgsa fdlh
rjg dh nok ugha nh xbZA gkykafd muesa ls dbZ jksfx;ksa dk rkieku
105 fMxzh rd Hkh x;k ijarq cq[kkj mrkjus ds fy, dqN ugha fn;k
x;kA
tc bl rjg dh ifjfLFkfr vkrh gS rks jksxh ds ifjtu dks yxrk
gS fd cq[kkj c<+rk tk jgk gS vkSj os ?kcjk dj nok ns nsrs gSaA ;gh
nok jksxh dks Bhd djus ds ctk, ekj nsxhA fiQj uke ;g vk,xk

fd jksxh dksfoM@ vkbZ ,y vkbZ ;k Ýyw ls ekjk x;kA njvly geus
cq[kkj dh nok ys dj vius gh ra=k dks gjk fn;kA
iSjkflVkeksy nqfu;k dh lcls iqjkuh nok gSA bls lcls [krjukd
nokvksa esa ls ,d ekuk tkrk gSA56 ;gh og nok gS ftlus nqfu;k esa
lcls T;knk yksxksa dh tku yh gSA
vc ,d ckr tks ;gha ls vkjaHk gks dj ;gha ij [kRe gksxhA og ;g
gS fd dHkh Hkh ?kcjk dj cq[kkj mrkjus dh nok u ysaA fiNys o"kZ
rd Hkh yksxksa dks Ýyw gksrk Fkk vkSj os fcuk Mjs vkjke ls viuk
bykt dj ik jgs Fks ijarq vc blh pht+ us dksfoM ds :i esa viuk
LFkku cuk fy;k gS vkSj yksx blds Mj ls nokvksa dh vko';drk ls
vf/d [kqjkd fy, tk jgs gSaA
bu nokvksa dh vksojMkst+ ls gksus okyh ekSrksa dks dksfoM ;k
vkbZ ,y vkbZ ls gksus okyh ekSrsa ekuk tk jgk gSA ,sls esa vxj dksbZ
jksxh chekj gks dj gkWfLiVy ds lsVvi esa tk jgk gS vkSj ml txg
ls dksfoM ls Bhd gks dj cp fudyrk gS rks bls cM+h ckr ekuk
tkrk gSA vLirkyksa esa rks nokvksa dk bruk vksojMkst fn;k tk jgk
gS ftlds ckjs esa vki lksp rd ugha ldrsA tSlk fd eSa igys Hkh
crk pqdk gww¡ fd dksfoM dksbZ chekjh ;k egkekjh ugha] ;g ,d
Ýyw ;k ok;jl gSA eku yssrs gaS fdlh us dksfoM gksus ij jseMsflfoj
vkSj ,aVhik;jsfVd nokvksa (Remdesivir and anti pyretic) dks
feyk dj fy;k rks ;s 'kjhj ds fy, tgj cu tk,¡xhA ;fn O;fDr
ds 'kjhj esa igys ls ok;jl gS vkSj mldh gkyr [kjkc gS rks ,ssls
esa nokvksa ls ykHk ds ctk, uqdlku gh gksxk D;ksafd 'kjhj dk ra=k
viuk dke ugha dj ldsxkA
,sls esa vkidks djuk D;k gSA vki yksx 31 tuojh ds n LVsV~leSu57
esa izdkf'kr esjk ys[k i<+sa] tks dksjksuk ij vk/kfjr FkkA blds ckn
18 vizSy dks yYyuVkWi58 ij Ms< ?kaVs dk ohfM;ks Hkh izlkfjr gqvkA

bu nksuksa esa eSaus vkus okys Ng ekg ds ckjs esa tks crk;k Fkk] mls
geus gw&c&gw ?kVrs gq, ns[kkA vkt eSa tks crkus okyk gw¡] og vki
lksp Hkh ugha ldrsA vxj vki vkus okys Ng ekg dh Hkfo";ok.kh
dks tku ysaxs rks de ls de fdlh dh tku ugha tk,xhA
;fn vki ;g le>uk pkgrs gSa fd ;g dksjksuk dky dc rd pysxk]
rks vkidks dksjksudky ds rhu iQkewZys le>us gksaxsA
gekjs ikl tks chl gtkj jksxh vk, muesa ls yxHkx 550 cPps FksA
mudh vk;q 17 o"kZ ls de FkhA os iwjs rhu fnu esa lkS izfr'kr Bhd
gks x,A cPpksa esa nwljs jksfx;ksa dh rqyuk esa Bhd gksus dh 'kfDr
vf/d gksrh gSA Ýyw ds ckjs esa ;g rF; esfMdy lkbal dks vPNh
rjg irk gSA ;gh otg gS fd ;w,l esa VkWMyj ;kuh Ms ds;j@Iys
Ldwy esa tkus okys cPpksa ds Ldwy dHkh can ugha fd, x,A59
nwljk mnkgj.k ;g fn;k tk ldrk gS fd cPpksa dks vxj Ýyw gksrk
Hkh gS rks og vius&vki gh Bhd Hkh gks tkrk gSA ;gh otg gS
fd uhnjySaM dh ljdkj us 17 o"kZ ls de vk;q ds cPpksa ij lkjh
ikcanh gVk nh gSA muds fy, ekLd yxkuk ;k lks'ky fMLVsaflax djuk
t:jh ugha gSA60
rhljk mnkgj.k ;wds ljdkj dk ns ldrs gSaA mUgksaus 11 o"kZ ls de
vk;q ds cPpksa ij yxh lkjh ikcanh gVk nh gSA lkjs Ldwy [kksy fn,
x, gSaA61
T;knkrj ns'kksa esa cPpksa ds Ldwy [kqys gSaA ;wjksi esa] vÚhdk esa]
,f'k;kbZ ns'kkas esa cPpksa ds Ldwy [kqys gSaA
;fn vki ;gh iz'u Hkkjr ds fy, iwNsa fd ;gk¡ cPpksa ds Ldwy dc
[kqysaxs rks mRrj fdl :i esa feysxkA bldk ,d mnkgj.k Hkh vkidks
nsuk pkgw¡xkA og mRrj bl :i esa feysxk fd vki Lo;a gh 'kkar gks
tk,¡xs vkSj vius iz'u dks Hkqyk nsaxsA

vki 31 vxLr] 2020 dk lekpkj&i=k ns[ksaA esjs ikl n fganw esa Nih
[kcj dk lanHkZ gSA ml fnu vU; v[kckjksa esa Hkh ;g vo'; Nih

gksxhA mls i<+ dj vki tku ldrs gSa fd cPpksa ds ekrk&firk dks
ew[kZ cukus ;k muds lkFk Ny djus ds fy, fdl rjg ds gFkdaMs
viuk, tk jgs gSa ;k [kcjsa Nki dj mUgas xqejkg fd;k tk jgk gSA
dbZ ckj yksx eq>ls iwNrs gSa fd MkWDVj lkgc vkidh ckrksa dks lp
ekusa ;k ehfM;k esa pkjksa vkSj iQSyh gqbZ ckrksa ij è;ku nsaA eSa dgrk
gw¡ fd vki Lo;a rF;ksa dh tkap djrs gq, fu.kZ; ysa fd vkidks
fdls lp ekuuk gSA tks ,d >wBk lp gS ;k tks lp vkidks rF;ksa
ds lkFk fn;k tk jgk gSA
ml fnu v[kckj esa cPpksa ds Ldwy [kqyus ds lanHkZ esa [kcj Nih fd
Hkkjr eas MkWDVj Ldwy u [kksyus dh lykg ns jgs gSaA duZy fot;nRrk
tks fd jsfLijsVjh esfMlu ds bafM;u Likbuy lsaVj ls tqM+s gSaA v[kckj
esa mudk Hkh uke gSA [kcj esa dgk x;k fd vesfjdk esa Ldwy [kqyus
ds ckn fiNys nks lIrkg esa 97]000 cPpksa dks dksjksuk gks x;kA
;g [kcj i<+us ds ckn vkils gh iwNk tk,xk fd cPpksa ds Ldwy
[kqyus pkfg, ;k ugha\
cPpksa ds laj{kd Lusgh ekrk&firk ds :i eas vki gh lcls igys
udkjkRed mRrj nsaxs fd Hkkjr esa cPpksa ds Ldwy fcydqy ugha
[kqyus pkfg,A ;g muds fy, gkfudkjd gks ldrk gSA
njvly ;g lekpkj fujk >wB gSA igyh ckr] 97]000 cPpksa okyk
vkadM+k Ldwy [kqyus ds ckn dk] Ldwy [kqyus ls igys dk gSA vki
Lo;a baVjusV dh lgk;rk ls bl rF; dh tkap dj ldrs gSaA ;gk¡
vkadM+s dks viuh lqfo/k ds fygkt+ ls iz;qDr fd;k x;k gSA
nwljs] 97]000 cPPks dksjksuk ls ihfM+r ugha gSaA 97]000 cPpksa ds
dsflt+ vk, gSaA

Koronakaal Formula -1
Cases = Sick People

vkidks bl ckr dks è;ku esa j[kuk gksxk fd dksjksuk ds dsflt+]
dksjksuk ls ihfM+r O;fDr ugha gSaA dsl c<+us dk vFkZ ;g ugha fd
jksfx;ksa dh la[;k c<+ jgh gSA gesa ehfM;k jksfx;ksa dh la[;k ugha
dslksa dh la[;k crk,xkA
vc vki bu dsflt+ dk Hkh lp tku ysaA eku ysa fd vxj lkS LoLFk
O;fDr;ksa ij ;g dksjksuk VsLV] vkj-Vh-&ih-lh-vkj- VsLV fd;k tk,xk
rks ;g vkSlru bu lkS O;fDr;ksa esa ls 10 izfr'kr dks ikWftfVo gh
crk,xkA62
os nl O;fDr jksxh gksa] ;g vko';d ugha gS] os dksjksuk tkap esa
ikWftfVo ik, x, gSaA
;fn os vkidks ;g fo'okl fnykuk pkgsa fd Hkkjr esa cPpksa ds
Ldwwy [kksyuk tkuysok gks ldrk gS rks Ldwyksa dks ,d lIrkg ds
fy, [kksyk tk,xk vkSj Ldwyksa esa cPpksa ij vkj-Vh-&ih-lh-vkj- VsLV
fd;k tk,xkA ;fn os vkSlru nl yk[k VsLV Hkh djrs gSa rks buesa
ls fuf'pr :i ls nl izfr'kr cPpksa ds VsLV ikWftfVo gh vk,¡xsA
fiQj cPpksa ds ekrk&firk dks crk fn;k tk,xk fd Ldwy [kqyrs gh
dsflt+ dh la[;k fdruh rst+h ls c<+h gSA bl rjg ekrk&firk Lo;a
gh viuh fliQkfj'k okfil ys ysaxsA
bl ckr dks le>us dh dksf'k'k djsa fd dsflt+ dksbZ esfMdy VeZ
ugha gSA ;g chekjh ugha gSA ;g dsoy vkidks Mjkus ds vL=k ds :i
esa iz;qDr fd;k tk jgk gSA vki 97]000 dsflt+ dk uke lqu dj gh
?kcjk tk,¡xs_ u rks vki rF;ksa dh Nkuchu djsaxs vkSj u gh vkidks
;g irk gksxk fd cPpksa ds dksjksuk dsflt+ Fks] os dksjksuks ds jksxh ugha
FksA cl blh pht+ dk vuqfpr ykHk mBk;k tk jgk gSA

t+jk baVjusV ij rF;ksa dh tkap djsaA ;gk¡ ge ftl VsLV dh ckr
dj jgs gSa ftlesa lkS esa ls nl izfr'kr LoLFk Hkh ikWftfVo fudysaxsA
vkj-Vh-&ih-lh-vkj- VsLV dh fo'oluh;rk ds ckjs esa Hkh dqN ugha
dg ldrsA vHkh vki bruk tku ysa fd ;g VsLV ywM+ks ds Mkbl dh
rjg gSA blds urhts Hkh jsaMe vkrs gSaA Hkkjr esa ;fn dksbZ dksjksuk
ikWftfVo ik;k tkrk gS rks mls rqjar vLirky esa HkrhZ dj nsrs gSaA
vxj pkSng fnu ckn nksckjk ml jksxh dk VsLV gks rks gks ldrk gS
fd og fiQj ls ikWftfVo vk tk,A gks ldrk gS og fiQj ls pkSng
fnu vLirky esa jgs] mldk VsLV gks vkSj tkap esa dksjksuk ikWftfVo
gh vk,A mls fiQj ls vLirky esa HkrhZ djsa vkSj pkSng fnu ckn
tkap djsa rks fiQj ls VsLV ikWftfVo vkus dh laHkkouk gks ldrh gSA
bl rjg ;g flyflyk varghu :i ls Hkh tkjh jg ldrk gS D;ksafd
;g ,d jsaMe VsLV gSA
vc bl laHkkouk ls cpko djus ds fy, gekjs ns'k esa pkykdh dk
lgkjk fy;k x;k vkSj u;k fu;e cuk;k x;k fd ;fn dksbZ ejht
dksjksuk ikWftfVo gks dj vLirky esa vkrk gS rks pkSng fnu ckn NqV~Vh
feyrs le; mldk nksckjk VsLV ugha gksxkA mls nksckjk bl VsLV dks
djokus dh t:jr gh ugha gSA vki gh lkspsa fd ;g fu;e cukus
dk D;k vkSfpR; gqvk\
vc rd rhu djksM+ ls vf/d VsLV gks pqds gSa ijarq ;w,l ds ,iQMh,
us bls vHkh rd izekf.kr ugha fd;kA ;fn vki pkgsa rks Lo;a mudh
lkbV ij tk dj ns[k ldrs gSaA mUgksaus vHkh rd bls izekf.kr ugha
fd;k D;ksafd mudk dguk gS fd ;g tkap iwjh fo'oluh;rk ls
;g ugha crkrh gS fd O;fDr dks dksjksuk gS ;k ugha] blds ifj.kke
jsaMe gSaA
VsLV djus dk lkjk [ksy lc dqN vius rjhds ls daVªksy djus ds
fy, gh gS] bldk dksbZ vkSj edln ugha gSA tks fd vki Lo;a
ifjfLFkfr;ksa dks ns[k dj vuqeku yxk gh ldrs gSaA

vc eSa vkidks ,d vkSj pht+ crkus tk jgk gw¡ tks vkidks 'kk;n
ns[kus esa vthc yxsA 15 vxLr dks oqgku eas yxHkx pkyhl gtkj
yksx ,d lkFk tek gq, vkSj ikVhZ dhA ogk¡ tuthou lkekU; gks
x;k gSA63
mUgha fnuksa dk yanu dk ,d ohfM;ks tkjh gqvkA ftlesa yanu esa dksbZ
O;fDr ekLd igus gq, ugha fn[k jgkA ogk¡ fdlh lks'ky fMLVsaflax
dk ikyu ugha fd;k tk jgkA ;g vc muds fy, U;w ukWeZy gS ;kuh
os yksx ekurs gSa vc dksjksuk dk dksbZ vkrad ugha jgkA64
vf/drj ;wjksih; ns'kksa esa lc dqN lkekU; gks x;k gSA cl ;g gekjs
;gk¡ gh ;g Mj jg x;k gS fd dksjksuk ls gks jgh ekSrksa ds dkj.k
ykWdMkmu dk ikyu gksA
teZuh esa FkksM+h ikacnh yxkus dh dksf'k'k gqbZ ij 1 vxLr dks cfyZu
esa chl yk[k yksx fonzksg djrs gq, lM+dksa ij vk x,A mUgsa le>
vk x;k Fkk fd ;g lc ,d "kM+;a=k ds rgr fd;k tk jgk gSA65
vc vki tk dj ;g Hkh irk dj ldrs gSa fd tc yk[kksa yksx
lM+dksa ij vk, gksaxs rks ml txg dksjksuk ds ekeyksa dh la[;k Hkh
vf/d gqbZ gksxh ijarq ,slk ugha gqvkA dksjksuk ds ekeyksa esa dksbZ c<+r
ugha fn[khA

;g vkSj Hkh gSjraxst ckr gS fd 15 vxLr dks Hkh blh rjg dk
fojks/ nksckjk fd;k x;k ijarq ;w V~;wc vkSj iQslcqd vkfn us ;g è;ku
j[kk fd bl rjg ds ohfM;ks Hkkjr ds HkkSxksfyd {ks=k u fn[kk, tk,¡
D;ksafd Hkkjr dks ;gh ,glkl fnykuk gS fd nwljs ns'kksa esa Hkh mldh
rjg lkjh ikcafn;ksa dk ikyu gks jgk gSA
teZuh dk og ohfM;ks vkidks vkWuykbu dgha ugha feysxkA esjs dqN
lg;ksxh teZuh esa Hkh gSa] mUgksaus eq>s OgkV~l ,i ds ekè;e ls ;g
ohfM;ks Hkstk ftlesa os yksx fiQj ls yk[kksa dh la[;k esa lM+dkas ij
Fks ij gekjs ns'k ls ;g rF; fNik;k x;kA66
gekjh vk¡[kksa ij ehfM;k dk p'ek p<+k fn;k x;k gSA gekjs fy, U;w
ukWeyZ ogh gS tks gesa ehfM;k vkSj MCy;w ,p vks fn[kkuk pkgrk gSA
oqgku ;k ;w,l dh ckr djsa--- Hkkjr tSls ns'kksa esa ykWdMkmu gksus
ls bu yksxksa dks gh ykHk gksxkA ftu ns'kksa esa ykWdMkmu ;k lks'ky
fMLVsaflax ds uke ij ikcanh yxkbZ xbZ FkhA vkt ds gkykr esa ogha
lcls T;knk izHkko fn[kkbZ ns jgk gSA mu ns'kksa dh n'kk 'kkspuh; gSA
os ykWdMkmu ls gksus okyh gkfu;ksa dks Hkqxr jgs gSaA mu yksxksa ij Hkh
oSDlhu Fkksik tk,xk vkSj mUgsa f'kdkj cuk;k tk,xkA
njvly gekjs ns'k esa nok,¡ rS;kj djus ds fy, 70 izfr'kr dPpk
eky phu ls vkrk gS ;kuh gekjh nl esa ls lkr nok,¡ os gh cuk jgs
gSaA bls ,fDVo iQkekZL;wfVdy baxzhfM,aV dgk tkrk gSA67
oqgku esa fdlh Hkh ikcanh ds fcuk euk, tk jgs gSa ohfM;ks bl ckr
ds xokg gSa fd ogk¡ dksbZ dksjksuk ugha gSA os yksx ekSt&eLrh dj jgs
gSa vkSj gekjs fy, Hkw[kksa ejus dh ukScr vk jgh gSA
os rks t'u euk jgs gSaA os gesa ew[kZ cuk jgs gSaA gesa ;gh fn[kk;k
tk jgk gS fd ftl rjg nqfu;k dh gkyr [kjkc gS] mlh rjg gekjs
ns'k dh gkyr Hkh [kjkc gSA dksjksuk ds ekeys esa dsflt+ dh la[;k

ek;us ugha j[krhA vkidks chekjksa dh la[;k ns[kuh pkfg,A tc Hkh
fdlh txg ij ykWdMkmu yxkuk gks rks vki yksxksa ij VsLV dj nsa
vkSj muesa ls vkSlru nl izfr'kr LoLFk yksx Hkh dksjsuk ikWftfVo
fudy vk,¡xsA vxj ge VsLV ugha djsaxs rks os chekj ugha gksaxsA ;gh
fu;e i'kqvksa ij Hkh ykxw gksrk gSA mu ij Hkh blh rjg dksjksuk ds
VsLV fd, x, vkSj jsaMe urhts feysA EksMkxkLdj vkSj ratkfu;k tSls
ns'kksa us vius ;gk¡ dbZ rjg ds ijh{k.kksa ds ckn bu rF;ksa dks lp
ik;k vkSj McY;w ,p vks dks vius ns'k ls ckgj fudkykA
vc ge dksjksukdky ds iQkewZyk uacj 2 dh ckr djrs gSa %
brus yksxksa dh e`R;q D;ksa gks jgh gS\
blds fy, Hkh nks dkj.k mRrjnk;h gSa %
vLirkyksa esa HkrhZ djuk vkSj jseMsflfoj vkSj ,aVhik;jsfVd
(Remdesivir and anti pyretic) nokvksa dks feyk dj fn;k
tkukA T;kas gh jksxh dks ;s nok,¡ nh tkrh gSa rks mldh 'olu laca/h
leL;k c<+ tkrh gSA mls lk¡l ysus esa fnDdr eglwl gksus yxrh gSA
blds ckn vxj vkils iwNsa fd jksxh ds fy, D;k fd;k tkuk pkfg,
rks vki dgsaxs fd MkWDVj jksxh dks vkDlhtu nsaxsA eSa nksckjk crkuk
pkgw¡xk fd gekjk 'kjhj bl izdkj ugha cuk fd ;g vkWDlhtu ys
lds] ;g ,;j ys ldrk gSA vxj vki viuh Mhty dh xkM+h esa
iSVªksy ;k tsV vkW;y Mkysaxs rks mls ykHk ds ctk, uqdlku gh gksxkA
tc jksxh lk¡l ysus esa fnDdr eglwl djrk gS rks mls vkWDlhtu
p<+kus ds lkFk gh jseMsflfoj vkSj ,aVhik;jsfVd nok,¡ Hkh nh tkrh
gSa ftlls mlds 'kjhj esa fueksfu;k gks tkrk gSA
tc jksxh ds 'kjhj esa fueksfu;k gksrk gS rks blds ckn osaVhysVj dh
ckjh vkrh gSA ;g lkjh izfØ;k pj.k nj pj.k pyrh gS ftlesa fdlh
Hkh izdkj dh ck/k dh xqatkbZ'k ugha gSA ;g ,d r;'kqnk iQkewZyk gSA

dksjksuk dk jksxh osaVhysVj ij vk pqdk gS vkSj vki Hkh bl iqLrd
ds vkjaHk esa fn, x, lanHkksaZ dh lgk;rk ls tku pqds gSa fd oasVhysVj
ij j[ks x, jksfx;ksa esa ls 97 izfr'kr jksfx;ksa ds ekjs tkus dh laHkkouk
gksrh gSA
vc bl ekSr dk ftEesnkj dksfoM] Ýyw ;k dksjksuk ugha cfYd jksxh
dk bykt djus dk rjhdk vkSj mls nh xbZ nok gSA
esjk nwljk iQkeZwyk dgrk gS fd gekjs ns'k esa fdlh Hkh ekSr dks
dksjksuk dh ekSr gh ekuk tk jgk gSA
In India
Any Corona
Death
= Death
vkbZlh,evkj (The Indian Coucil of Medical Research,

ICMR) dh xkbMykabl ds vuqlkj dksbZ Hkh jksxh vxj ejrs gq,
fny ;k lk¡l dh chekjh ls ihfM+r Fkk vkSj Hkys gh dksjksuk tkap
usxsfVo gh D;ksa u vkbZ gks] mldh ekSr dks dksjksuk ls gqbZ ekSr eku
fy;k tk,xkA
tcfd ge lHkh tkurs gSa fd tc fdlh balku dh ekSr gksrh gS rks
;k rks mls lkal ysus esa fnDdr gksrh gS ;k mldk fny dke djuk
can dj nsrk gSA ,sls esa lHkh ekSrksa dks dksjksuk MsFk dguk dgk¡ rd
tk;t gS\
vc vki lksp ldrs gSa fd nwljs ns'kksa esa gksus okyh bruh ekSrksa dk
D;k dkj.k gS\
gekjh bl iqLrd esa lanHkZ fn;k x;k gS fd lsaVj vkWiQ fMlht+

daVªksy (Center for Disease control and Prevention,
CDC) esa Hkh fn'kkfunsZ'kksa dks cny fn;k x;k gSA ;fn MkWDVj dks
jksxh ds dksjksuk jksxh gksus dk lansg gksxk rks og dksjksuk usxsfVo vkus
ij Hkh ml ekSr ds fy, dksjksuk dks gh ftEesnkj Bgjk ldrk gSA
vki bu lanHkksaZ dks mudh lkbV ij Hkh ns[k ldrs gSaA fdlh Hkh
vLirky esa dksjksuk jksxh dh e`R;q ik, tkus ij ljdkj dh vksj ls
pkyhl gtkj MkWyj dh jkf'k nh tkrh gS vkSj ,sls esa MkWDVj pkgs rks
viuh euethZ pyk ldrk gSA
bVyh us nqfu;k dks fn[kk;k fd dksjksuk ds dkj.k muds ;gk¡ iSarhl
gt+kj ekSrsa gks xb±A vxj ge bVyh gsYFk baLVh~V;wV dh lkbV ij
tk dj ns[ksa rks ik,¡xs fd mUgksaus bu ekSrksa dks nks Hkkxksa esa ckaV dj
fn[kk;k gSA
MsFk fon dksjksuk vkSj MsFk ÚkWe dksjksuk
MsFk fon dksjksuk ;kuh tc dksbZ ejk rks mlds 'kjhj esa dksjksuk Hkh
Fkk ij mldh ekSr dk dkj.k dksbZ vkSj FkkA
MsFk ÚkWe dksjksuk dk vFkZ gS fd jksxh dh ekSr dksjksuk ds dkj.k
gqbZ gSA
;fn vki è;ku ls ns[ksa rks ik,¡xs fd dsoy nl izfr'kr ekSrsa gh MsFk
ÚkWe dksjksuk esa vk jgh gSa ;kuh vxj iSarhl gt+kj dk vkdaMk gS rks
;gk¡ dksjksuk ls gksus okyh ekSrksa dh la[;k iSarhl lkS gh gSA tcfd
Hkkjr esa gj rjg dh ekSr dks dksjksuk ls gksus okyh ekSr ekuk tk jgk
gSA ftlls Mj dk dkjksckj c<+rk tk jgk gSA
gekjs ukbl ,DliVZ~l us chl gt+kj ls vf/d jksfx;ksa dks Bhd fd;k
gS tks dksjksuk ds jksxh dgykrs Fks ijarq og okLro esa ,d vke Ýyw
gSA os rhu fnu esa iwjh rjg ls LoLFk gq,A mUgsa dksbZ nok ugha nh xbZ
vkSj 'kjhj esa vius vanj vkbZ [kjkch dks Lo;a gh Bhd dj fy;kA

bl le; vLirkyksa esa dksjksuk ds jksfx;ksa dh ns[k&js[k djus okys
MkWDVjksa dks dksjksuk okfj;lZ dgk tk jgk gSA os Hkh Hkkjh la[;k esa
ej jgs gSaA
os u rks viuk cpko dj ik jgs gSa vkSj u gh vius jksfx;ksa dks cpk
ik jgs gSaA vlyh dksjksuk okfj;j rks og gksxk tks vki Hkh jksx ls
cps vkSj nwljs dks Hkh cpkus esa dke;kc gksA
gekjs ukbl ,DliVZ dksjksuk okfj;lZ gSa] ftUgkasus u dsoy viuk cpko
fd;k cfYd jksfx;ksa dks Hkh iwjh rjg ls LoLFk djus eas liQy jgsA
vc ge dksjksukdky ds iQkewZyk uacj 3 dh ckr djrs gSa %
og gS & n g~;weu fxuh fix (The Human Guinea Pig)
Human
Indian = Guinea Pig
vkius fiNys vè;k;ksa esa i<+k fd lu~ 2000 esa ftl vksjy iksfy;ks
oSDlhu dks iwjh nqfu;k esa cSu dj fn;k x;k Fkk vkSj mls vkt
Hkh Hkkjr ds cPpksa dks fn;k tk jgk gSA ;k fiQj iQsohfijkfoj
(Favipiravir) tSlh [krjukd nok dks dksjksuk ds uke ij iwjh
nqfu;k esa] fliQZ Hkkjr esa ykap fd;k x;kA
Bhd blh rjg nsf[k,xk] ,d vkSj [krjukd ;kstuk rS;kj dh tk jgh
gSA ;gk¡ eSa dksjksuk oSDlhu dh ckr dj jgk gw¡A vHkh rd ;s izekf.kr
gks pqdk gS fd baÝyq,atk (dksjksuk Hkh ,d Influenza virus gS)

oSDlhu yxokus okys yksxksa esa 'olu laca/h laØe.k (Respiratory
infection ) gksus dh laHkkouk ik¡p xquk vf/d gqbZ gSA68 ,sls esa
nks [krjukd ckrsa gSaA
1- gekjs LokLFk; ea=kh g"kZo/Zu th us ?kks"k.kk dh gS fd 2021
esa Emergency Use Authorization (EUA) ;kuh fcuk
fdlh lqj{kk ;k oSDlhu dh izHkkoksa dh tkap fd, fcuk gh Hkkjr
esa dksjksuk oSDlhu ykap dj nsaxsA ekuks gj Hkkjrh; ,d fxuh fix
(Guinea Pig) gksA
2- nwljh [kjrukd ckr gS] oSDlhu esa iz;qDr gksus okyh lkexzhA
ns'k Hkj esa oSDlhu dh ppkZ gks jgh gSA igys Hkh ;g chekjh gksrh
Fkh ij gekjs eu esa bldk Mj ugha Fkk blfy, ge fuf'apr Fks ij
vkt ds gkykr vyx gks x, gSaA gekjs fnekx dks nksgjko vkSj Hkkoksa
ds ekè;e ls bldh Hk;kogrk dk ;dhu fnyk fn;k x;k gSA dbZ
yksx rks ?kjksa esa gh nqcd dj cSBs gSa fd os oSDlhu ysus ds ckn gh
ckgj fudysaxs rkfd os lqjf{kr jg ldsaA os cslczh ls oSDlhu cuus
dh izrh{kk dj jgs gSaA
vc ge ;g ns[krs gSa fd oSDlhu esa D;k lkexzh gksxhA ;g lkexzh
ok;jl dks dYpj djus ds dke vkrh gS ;kuh dksfoM dk oSDlhu
cukus ds dke vk,xh ftlds ckjs esa vkidks igys ls irk gksuk
pkfg, ojuk bl pht ls vkids fy, oSDlhu rS;kj gks tk,xhA
iQhVy cqokbu flje ((Fetal Bovine Serum, FBS) uked
lkexzh dks oSDlhu cukus ds fy, dke esa yk;k tkrk gS vkSj ;g
izfØ;k nks pj.kksa esa iwjh gksrh gSA ,d xHkZorh xk; dks ekj dj]
mldh dks[k esa iy jgs cNM+s@cNM+h ds ân; esa iaDpj djrs gSa] mlesa
,d V~;wc Mky dj tks jDr fudkyk tkrk gS] mlh lkexzh ls oSDlhu
rS;kj fd;k tkrk gSA ogh iQhVy cqokbu flje gSA ;g oSDlhu cukus
dh cgqr egÙoiw.kZ lkexzh gSA

iQhVy cqokbu flje ;kuh ,iQ ch ,l dk nqfu;k Hkj esa yxHkx ,d
fcfy;u MkWyj dk ckt+kj gSA eSaus blds lkjs lanHkZ viuh lkbV esa Hkh
fn, gSa vki osclkbV ls Hkh foLr`r tkudkjh ys ldrs gSaA
T;ksa gh bl lkexzh ls oSDlhu cuus yxsxk rks bldh ekax yxHkx

nqxuh gks tk,xh ;kuh yk[kksa dh la[;k esa xHkZorh xk;ksa dks ekjk
tk,xkA mudh dks[k esa iy jgs cPpksa dks ftank j[krs gq, muds ân;
ls lhje fudkyk tk,xkA ;fn os ej x, rks fdlh dke ds ugha
gksaxs blfy, bl nkSjku mudk thfor jguk vko';d gS vkSj lkFk

gh mUgsa ,uLFkhfl;k Hkh ugha fn;k tk ldrk D;ksafd ,slk djus ij
lhje oSDlhu rS;kj djus ds dke ugha vk,xkA og vtUek cNM+k@
cNM+h nnZ ls rM+irs gq, iQhVy cqokbu flje nsaxs vkSj bl nqfu;k
ls fonk ysaxsA
vc vki r; djsa fd vkidks vius fy, ;g oSDlhu pkfg, ;k ughaA
;fn ugha pkfg, rks blds fy, vkokt+ mBk,¡ vkSj lkFk gh viuh
vksj ls lsYiQ fjlpZ djrs gq, ;g ns[ksa fd vkSj dkSu lh oSDlhu esa
;g lkexzh iz;qDr gksrh gSA68
bu ckrksa dh rF;kRed tkudkjh ikus ds ckn gh r; djsa fd bl ckjs
eas vkidk vxyk dne D;k gksxkA
var esa eSa ogh dguk pkgw¡xk tks eSa tuojh 2020 ls cksyrk vk jgk
gw¡ fd dksjksuk ok;jl ,d vkj ,u , jsfLijsVjh ok;jl gS tks fd
cM+h rsth ls E;wVsV gksrk gS ;kuh viuk :i cnyrk gS blfy, blds
fy, dHkh dksbZ izHkkoh oSDlhu cu gh ugha ldrkA ;gh ckr ns'k
ds rhu cM+s laLFkkuksa bafM;u ifCyd gsYFk ,slksfl,'ku (Indian
Public health Association, IPHA)] bafM;u ,lksfl,'ku
vkWiQ izhosafVo ,aM lks'ky esMhflu (Indian Association of
Preventive and Social Medicine, IAPSM) vkSj bafM;u
,slksfl,'ku vkWiQ ,ihMsehykWftLV (Indian Association of
Epidemiologist IAE) us fey dj ,d la;qDr oDrO; tkjh
fd;k vkSj crk;k fd orZeku dksjksuk dky dk oSDlhu ls dksbZ
ysu&nsu ugha gS vkSj u gh fudV Hkfo"; esa dksjksuk dk oSDlhu vkus
okyk gS blfy, lkjs ykWWdMkmu [kksy dj ikcanh gVk nsuh pkfg,A69
bl fdrkc esa fn, x, lkjs izek.kksa ds ckotwn gekjs ekuuh;
iz/kuea=kh ns'k esa ykWdMkmu@lks'ky fMLVsaflax ds fu;e ykxw djds
ns'k dks gkfu D;ksa igq¡pk jgs gSa tcfd 90 izfr'kr ns'kksa esa Ldwy [kqy

pqds gSa vkSj ekgkSy yxHkx lkekU; gks x;k gSA bl iz'u dk mRrj
nsus ds fy, eSa vkidks dsoy rhu ladsr gh nw¡xk %
1- esMkxkLdj ds jk"Vªifr ,aMªh jktks,fyuk us vius ,d c;ku esa
crk;k fd MCy;w ,p vks us mUgsa chl fefy;u MkWyj dh fj'or
nsus dh is'kd'k dh gS] c'krsZ os vius ;gk¡ rS;kj gksus okyh gcZy
nok esa fo"k feykus dks rS;kj gks tk,¡A70
2- csyk:l ds jk"Vªifr yqdk'ksadks us [kqyklk fd;k fd oYMZ cSad
mUgsa 940 fefy;u MkWyj dksjksuk yksu nsus ds fy, eku x;k gS
ijarq mUgsa ns'k esa ykWdMkmu yxk dj lkjh vFkZO;oLFkk dks nkao
ij yxkus ds fy, rS;kj gksuk gksxkA71
3- ;kn j[ksa fd 22 ebZ] 2020 dks MkW- g"kZo/Zu dks MCy;w ,p vks
ds ps;jeSu vkWiQ ,DthD;wfVo cksMZ dk in feyk vkSj fiNys o"kZ
vDVwcj ekg esa iz/ku ea=kh Jh ujsanz eksnh th dks fcy xsV~l dh
vksj ls rksgiQs ds :i esa ,d [kkl vokMZ fn;k x;kA72
vc ;g vki ij fuHkZj djrk gS fd vki bu lHkh fcanqvksa dks tksM+
ikrs gSa ;k ugha!
vkidks ;kn gksxk] fcy xsV~l us 2009 esa vka/z izns'k vkSj xqtjkr
dh gt+kjksa vkfnoklh yM+fd;ksa ij xSj&dkuwuh Vhdkdj.k djok;k
Fkk] ftlls dbZ yM+fd;k¡ ekjh xb± vkSj muesa ls lSadM+ksa xaHkhj :i
ls chekj gks xbZaA73
;gk¡ rd fd] fcy xsV~l iQkmaMs'ku us Hkkjr esa vksjy iksfy;ks oSDlhu
dk Vhdkdj.k djok;k] ftlls 2000 ls 2017 ds chp 496000
cPpksa dks ydok gks pqdk gSA74
lanHkZ

Hkkx&2
,u-vkbZ-lh-bZ- (N.I.C.E) fo'ks"kK
;gk¡ mu ,u-vkbZ-lh-bZ- fo'ks"kKksa dh vkaaf'kd lwph nh tk jgh gS tks
dksfoM& 19@baÝyq,atk@vkbZ,yvkbZ jksfx;ksa dks jksxeqDr djus esa fnu&jkr
yxs gq, gSaA muesa ls vf/drj eysf'k;k ds fyadu ;wfuoflZVh dkWyst ls
lfVZiQkbM esfMdy iks"k.kfoKkuh gSaA
uke % MkW- uhys'k ikfVy

1 mez % 45 o"kZ LFkku % tyxk¡o
O;olk; % ,echch,l&gM~Mh fo'ks"kK
uke % MkW iYyoh ikfVy

O;olk; % ,echch,l&Mh,evkjbZ
uke % MkW- ds- ch- rqekus

mez % 59 o"kZZ LFkku % ukxiqj
3 O;olk; % Nkrh fo'ks"kK & ukxiqj uxj fuxe ds iwoZ phiQ
Mk;jsDVj (fMIVh Mk;jsDVj gSYFk lfoZl)
uke % iwoZ vkbZ,,l MkW- ijohu dqekj

4 mez % 60 o"kZ LFkku % iapdwyk
O;olk; % gksE;ksiSFk
uke % Mhthih gfjukjk;.k feJk

5 mez % 43 o"kZ LFkku % bankSj
O;olk; % vkbZih,l vkWfiQlj
uke % ekul leFkZ

6 mez % 51 o"kZ LFkku % xkft;kckn
O;olk; % O;kikj
uke % ;ksxs'k feRRky

7 mez % 49 o"kZ LFkku % iQjhnkckn
O;olk; % O;kikj

uke % vk'kqrks"k feRry
O;olk; % ps;jeSu] lkbafVfiQd baLVªwesaV daiuh
uke % egs'k dkSf'kd

O;olk; % lfoZl
uke % fueZyk ikaMs

10 mez % 58 o"kZ LFkku % xqM+xk¡o
O;olk; % lkWÝVos;j VsfLVax Vsªuj o izkd`frd fpfdRld
uke % vkn'kZ ukjk;.k iz/ku

11 mez % 35 o"kZ LFkku % dkBekaMw] usiky
O;olk; % lkW;dksyksftLV @ izekf.kr dksM&Cyw Vsªuj @ izekf.kr
e/qesg ,tqdsVj
uke % vxe
12 mez % 24 o"kZ LFkku % vkWLVsªfy;k
O;olk; % LokLF; iks"k.k o O;k;ke fo'ks"kK
uke % vfey rezkdj

13 mez % 22 o"kZ LFkku % dkBekaMw] usiky
O;olk; % vkbZ,yvkbZ ,tqdsVj
uke % vkjrh ;kno

14 mez % 33 o"kZ LFkku % MYYkkl] VsDlkl] ;w,l,
O;olk; % esfMdy iks"k.kfon~
uke % Msfu;y
15 mez % 38 o"kZ LFkku % nqcbZ] ;w,bZ
O;olk; % ch- bZ @is'ksoj ,Mokal iks"k.k FksjfiLV

uke % MkW- /uqikrZc calh (v;ksè;kukFk nkl)
16 mez % 60 o"kZ LFkku % ekWjh'kl
O;olk; % uSpqjksiSFkh MkWDVj
uke % MkW- elwn vgen [kku

17 mez % 54 o"kZ LFkku % xqtjk¡okyk] ikfdLrku
O;olk; % gksE;ksiSFkh MkWDVj
uke % nqxsZ'k izlkn

18 mez % 45 o"kZ LFkku % ,VykaVk] th,] ;w,l,
O;olk; % eSustj] vkbZVh @ is'ksoj ,Mokal iks"k.k fpfdRld
uke % gSes'ksy dkSj

19 mez % 38 o"kZ LFkku % bZLVu] isaflYosfu;k
O;olk; % e/qesg fpfdRld
uke % bczkfge iQSt+y tyhy

20 mez % 56 o"kZ LFkku % ekys] ekynho
O;olk; % dSIVu
uke % deyizhr flag

21 mez % 23 o"kZ LFkku % fefLllkxqvk] dukMk
O;olk; % fo|kFkhZ @ is'ksoj ,Mokal iks"k.k fpfdRld
uke % MkW- deyk{kh 'kkgnso

22 mez % 51 o"kZ LFkku % xzhalcksjks] ukWFkZ
dSfyiQksfuZ;k] ;w,l,
O;olk; % iwoZ iQkekZL;wfVdy fjlpZ lkabfVLV
uke % es?k cgknqj cklusV

mez % 42 o"kZ LFkku % dkoklksrh] usiky
23 O;olk; % LokLF; dksp

uke % eksguk jkekLokeh
24 mez % 41 o"kZ LFkku % yanu] ;wds
O;olk; % izekf.kr e/qesg ,tqdsVj
uke % izeksn dqekj HkaMkjh

25 mez % 67 o"kZ LFkku % ,Ldj] ukosZ
O;olk; % lhfu;j baLVªwesaV bathfu;j
uke % #fp lqjkuk

26 mez % 33 o"kZ LFkku % nqcbZ] ;w,bZ
O;olk; % iquchZek fo'ys"kd (iks"kdfon~)
uke % lkanzk iQukZaMht+ isl

27 mez % 42 o"kZ LFkku % lkfYe;k] dqoSr
O;olk; % lfoZl
uke % Åek Jh eksrq#

28 mez % 31 o"kZ LFkku % vYiQkjsV~Vk] th,] ;w,l,
O;olk; % osyusl dkmalyj
uke % foØkar Mksxjk

29 mez % 42 o"kZ LFkku % eklZMu ikdZ]
,u,lMCyw vkWLVªsfy;k
O;olk; % lksY;w'ku vkfdZVsDV ,pihbZ
uke % vfHk"ksd flag

30 mez % 33 o"kZ LFkku % okjk.klh
O;olk; % ch,p,e,l
uke % vt; flag

31 mez % 39 o"kZ LFkku % lhrkiqj
O;olk; % LokLF; O;olk;h

uke % vthr flag iQkStnkj
32 mez % 34 o"kZ LFkku % Hkjriqj
uke % vthr dqekj cuZoky

33 mez % 30 o"kZ LFkku % ikaMos'oj
O;olk; % lapkyu eSustj @ is'ksoj ,Mokal iks"k.k fpfdRld
uke % vfy'kk eSlh

mez % 44 o"kZ LFkku % paMhx<+
34
O;olk; % izekf.kr e/qesg fpfdRld
uke % vejukFk oh xk¡odj

35 mez % 46 o"kZ LFkku % ekjxk¡o+
O;olk; % tSfod fdlku @ is'ksoj ,Mokal iks"k.k fpfdRld
uke % vehuk dkSlj

36 mez % 60 o"kZZ LFkku % gSnjkckn+
O;olk; % ,D;qizs'kj fpfdRld
uke % vfer vustk

37 mez % 37 o"kZ LFkku % ikuhir
O;olk; % is'ksoj ,Mokal iks"k.k fpfdRld
uke % vfer f'kEih

38 mez % 33 o"kZZ LFkku % ukfld
O;olk; % e/qesg ,tqdsVj
uke % ve`r Vhdepan fla?koh

mez % 42 o"kZ LFkku % vejkorh
39

uke % vuar dqekj ikaMk
mez % 44 o"kZ LFkku % xquqiqj
40 O;olk; % is'ksoj ,Mokal iks"k.k fpfdRld
uke % vfuy dqekj gjHktadk

41 mez % 46 o"kZZ LFkku % dksydkrk
O;olk; % LokLF; lykgdkj
uke % vatyh vk;Z pksiM+k

mez % 47 o"kZ LFkku % oànkou] eFkqjk
42 O;olk; % uspqjksFksjsih fpfdRld
uke % valkjh lkfgek fugky vgen

43 mez % 19 o"kZ LFkku % eqEcbZ
O;olk; % fiQft;ksFksjsfiLV
uke % vuqiek rksej

mez % 39 o"kZ LFkku % iwuk
44 O;olk; % izkd`frd fpfdRlk
uke % vuqjkx feRry

mez % 49 o"kZ LFkku % fnYYkh
45 O;olk; % is'ksoj ,Mokal iks"k.k fpfdRld
uke % vi.kkZ nkl

mez % 55 o"kZ LFkku % flfyxqM+h
46 O;olk; % osyusl dkmalyj
uke % vkfdc j'khn

47 mez % 27 o"kZ LFkku % D;ksa>j

uke % vi.kkZ e/q lqo.kZ
48 mez % 38 o"kZ LFkku % Fkkus
uke % vj'kn gluSu

49 mez % 46 o"kZ LFkku % cSaxyksj
uke % v#.k dqekj

50 mez % 40 o"kZ LFkku % pk¡niqj ftyk fctukSj
O;olk; % ,Mokal iks"k.k fpfdRld
uke % v#.k dqekj mikè;k;

51 mez % 33 o"kZ LFkku % gkoM+k
O;olk; % fiQVusl Vsªuj o e/qesg ,tqdsVj
uke % v#.k 'kekZ

52 mez % 34 o"kZ LFkku % vkxjk
uke % vjfoan dqekj Iykgk

53 mez % 46 o"kZ LFkku % yqf/;kuk
O;olk; % ;ksx Vhpj o e/qesg ,tqdsVj
uke % vk'kh"k vxzoky

54 mez % 37 o"kZZ LFkku % iwuk
O;olk; % cSMfeaVu dksp @ izekf.kr e/qesg ,tqdsVj
uke % vk'kh"k dqekj tkuh

mez % 36 o"kZ LFkku % vnkyt (xk¡/h uxj)
55
O;olk; % ,uMhMhok; vafre o"kZ fon~;kFkhZ @ vkbZ,yvkbZ
,tqdsVj
uke % v'kksd ,u vnd
56 mez % 57 o"kZ LFkku % iwuk
O;olk; % O;olkf;d lykgdkj @ izekf.kr e/qesg ,tqdsVj
uke % vkfr'k vkj tk;loky

O;olk; % fpfdRld iks"k.k gkoMZ @ is'ksoj e/qesg ,tqdsVj
vkbZoh,ech fo;ruke
uke % vrqy tSu

58 mez % 49 o"kZ LFkku % fnYyh
O;olk; % izkd`frd fpfdRld o e/qesg ,tqdsVj
uke % vfouk'k iksiVjko lckjs

59 mez % 51 o"kZ LFkku % vgen uxj
uke % v;ku gkynj

60 mez % 25 o"kZ LFkku % nkudquh
O;olk; % izekf.kr e/qesg ,tqdsVj vkWiQ vkbZoh,ech
uke % vt+g:n~nhu vgen

61 mez % 22 o"kZ LFkku % xqycxkZ
O;olk; % ch;w,e,l
uke % ch- ujsanze

62 mez % 41 o"kZ LFkku % psUUkbZ
O;olk; % e/qesg ,tqdsVj] LokLF; dksp] is'ksoj bysDVªks gksE;ks
uke % ckcklkgsc /sjs

63 mez % 33 o"kZ LFkku % MksEchoyh
O;olk; % ÅtkZ mipkjd

uke % ckyklqczke.;e ,l
O;olk; % ;ksx Vhpj
uke % cyrst flag

65 mez % 35 o"kZ LFkku % cjukyk
uke % Hkxoku nkl

66 mez % 60 o"kZ LFkku % mUUkko
uke % HkkLdj Jhfuokl

uke % Hkwisanz flag iaokj

68 mez % 49 o"kZ LFkku % gfjn~okj
uke % fcHkwfr ckfjd

69 mez % 32 o"kZ LFkku % cksyaxhj
O;olk; % fpfdRld izfrfuf/
uke % fcey iky

70 mez % 41 o"kZZ LFkku % c/Zeku
uke % fcu; dqekj flUgk

mez % 43 o"kZ LFkku % eksgkyh
71
O;olk; % ljdkjh deZpkjh @ vkbZ,yvkbZ ,tqdsVj

uke % foLothr nRRkk
72 mez % 52 o"kZ LFkku % dapuckM+h
O;olk; % ljdkjh f'k{kd @ is'ksoj ,Mokal iks"k.k fpfdRld
uke % cztfd'kksj flUgk

73 mez % 28 o"kZZ LFkku % flYpj
O;olk; % l'kL=k cy @ is'ksoj ,Mokal iks"k.k fpfdRld
uke % fczts'k flag

74 mez % 48 o"kZ LFkku % dkuiqj
O;olk; % izkd`frd fpfdRld @ is'ksoj ,Mokal iks"k.k fpfdRld
uke % fczteksgu ;kno

75 mez % 46 o"kZ LFkku % psUubZ
O;olk; % is'ksoj e/qesg ,tqdsVj
uke % lh uhyk es?k ';ke

O;olk; % iwoZ lkWÝVoss ;j @ vkbZ,yvkbZ ,tqdsVj
uke % dSIVu vfHk"ksd lgk;

77 mez % 42 o"kZ LFkku % dksydkrk
O;olk; % ik;yV @ vkbZ,yvkbZ ,tqdsVj
uke % panzekSyh dksEekukfcYyh

78 mez % 32 o"kZ LFkku % foftvkukxzke
O;olk; % iks"k.k o LokLF; ,tqdsVj
uke % panz'ks[kj ikfydksaMkoj

79 mez % 45 o"kZ LFkku % iqln
O;olk; % izkd`frd fpfdRld @ is'ksoj ,Mokal iks"k.k
fpfdRld

uke % Nk;k JhokLro
O;olk; % f'k{kd o izkd`frd fpfdRld
uke % fp=kk tSu

O;olk; % osyusl dkmalyj @ ;ksx izf'k{kd
uke % pksVkfy;k lqjs'kpanz

82 mez % 65 o"kZ LFkku % jktdksV
O;olk; % izkd`frd fpfdRld
uke % nhIrh oh gsyxk¡odj

O;olk; % lgk;d tujy eSustj] ukckMZ @ is'ksoj ,Mokal
iks"k.k fpfdRld
uke % /eZsanz dqekj ikaMs
84 mez % 40 o"kZ LFkku % fnYYkh
O;olk; % lkWÝVos;j bathfu;j @ is'ksoj ,Mokal iks"k.k
fpfdRld
uke % /esZanz dqekj flag

85 mez % 42 o"kZ LFkku % iVuk
uke % /hjt xqIrk

86 mez % 32 o"kZ LFkku % dY;k.k (Fkkus)
O;olk; % vk;qosZn izpkjd
uke % /hjt dqekj 'kqDyk

mez % 37 o"kZ LFkku % jksgrd
87
O;olk; % odhy @ is'ksoj ,Mokal iks"k.k fpfdRld

uke % fnyckx flag
88 mez % 27 o"kZ LFkku % oh dksVyk gsju
uke % fnyhi jk;

89 mez % 35 o"kZ LFkku % ukxiqj
O;olk; % dky lsaVj ,Dt+hD;wfVo @ is'ksoj ,Mokal iks"k.k
fpfdRld
uke % MkW- ,ch,eds okjk izlkn

90 mez % 38 o"kZ LFkku % fo'kk[kkiV~ue
O;olk; % izekf.kr e/qesg ,tqdsVj fpfdRld
uke % MkW- vt; iky flag

uke % MkW- vf[kys'k lkgw

92 mez % 35 o"kZ LFkku % jk;iqj
O;olk; % MkWDVj (,eihVh] ,e,l)] ih,pMh (izkd`frd
foKku o fpfdRlk)
uke % MkW- vfouk'k nk/hp
93 mez % 40 o"kZ LFkku % t;iqj
O;olk; % LokLF; izpkjdfoKku o fpfdRlk
uke % MkW- prqjk uan nkl

O;olk; % esfMdy izSfDVl
uke % MkW- xkSre ikWy

O;olk; % Mhch,e,l

uke % MkW- g"kkZ Hkksjgjh
96 mez % 43 o"kZ LFkku % vgenkckn
O;olk; % lexz fpfdRld o vk;qosZn lykgdkj
uke % MkW- d.kZjkt lanhi ns'keq[k

97 mez % 27 o"kZ LFkku % dksjsxk¡o
O;olk; % MkWDVj
uke % MkW- ek/o uk;d

98 mez % 32 o"kZ LFkku % csgjkeiqj
O;olk; % MkWDVj ,echch,l ,eMh
uke % MkW- fuf/ tSu

99 mez % 42 o"kZ LFkku % eaMys'oj
O;olk; % gksE;ksiSFkh
uke % MkW- iadt pkS/jh

100 mez % 39 o"kZ LFkku % dkuiqj
O;olk; % ch,p,e,l
uke % MkW- ijekuan ikfVy

O;olk; % ch,p,e,l
uke % MkW- iwju 'kekZ

102 mez % 45 o"kZ LFkku % ubZ fnYyh
O;olk; % lexz thou 'kSyh dksp
uke % MkW- jkt Hkxr

103 mez % 34 o"kZ LFkku % tEew
O;olk; % chMh,l @ ihthMhlhlh @ izekf.kr e/qesg ,tqdsVj

uke % jtr Hkkjrh
104 mez % 25 o"kZ LFkku % iBkudksV
O;olk; % ck;ksVsDuksykWftLV] OghVxzkl fo'ks"kK o is'ksoj e/
qesg ,tqdsVj
uke % MkW- jktsanz izlkn dqekor
105 mez % 53 o"kZ LFkku % dkykMsjk (t;iqj)
O;olk; % LiksVZl fiQft;ksFksjfiLV
uke % MkW- lhek vjksM+k

106 mez % 53 o"kZ LFkku % Åuk
O;olk; % MkWDVj
uke % MkW- f'koe cFkjh

O;olk; % ch,,e,l
uke % MkW- 'osrk

O;olk; % MkWDVj
uke % MkW- fo'kky flag pkSgku

109 mez % 40 o"kZ LFkku % xzsVj uks;Mk
O;olk; % ch,p,e,l] ,e- Mh-
uke % MkW- cjhu dqekj jk;

O;olk; % f'k{kd o e/qesg ,tqdsVj
uke % MkW- lh jkt'ks[kj

O;olk; % LokLF; dksp

uke % MkW- ,drk vxzoky
112 mez % 44 o"kZ LFkku % dksVk
O;olk; % e/qesg ,tqdsVj izkd`frd foKku o fpfdRlk
uke % MkW- xksiky ekSj

113 mez % 47 o"kZ LFkku % lwjr
uke % MkW- banq fo'odekZ

114 mez % 56 o"kZ LFkku % okjk.klh
O;olk; % esfMdy vkWfiQlj
uke % MkW- d`".k ikjhd

115 mez % 25 o"kZ LFkku % gSnjkckn
O;olk; % ifCyd gsYFk LVwMsaV
uke % MkW- lat; dqekj iVsy

116 mez % 49 o"kZ LFkku % jk; cjsyh
O;olk; % gksE;ksiSFkh fiQftf'k;u
uke % MkW- 'kfeZ"Bk pØorhZ

mez % 33 o"kZ LFkku % dksydkrk
117
O;olk; % e/qesg ,tqdsVj] dksM Cyw Vsªuj
uke % MkW- f'k[kk JhokLro

118 mez % 41 o"kZ LFkku % ubZ fnYYkh
O;olk; % lgk;d izksiQslj
uke % MkW- lquhrk vk;Z

O;olk; % fDyfudy iks"k.k (ih,pMh] iks"k.k)

uke % MkW- lqjsanz eqUMk
120 mez % 41 o"kZ LFkku % jkmjdsyk
O;olk; % LokLF; izpkjd
uke % MkW- lS;n vkfjiQ

121 mez % 45 o"kZ LFkku % xqycxkZ
O;olk; % LokLF; izpkjd o ysDpjj
uke % MkW- vads'k jatu iky

122 mez % 45 o"kZ LFkku % vklulksy
O;olk; % lexz o lkeqnkf;d LokLF; izpkjd
uke % MkW- vrqy jes'k ukj[ksMs

O;olk; % gksE;ksiSFkh
uke % MkW- , oh vxzoky

124 mez % 46 o"kZ LFkku % paMhx<+
O;olk; % MkWDVj
uke % MkW- Hkokuh osnhpsjyk

125 mez % 41 o"kZZ LFkku % gSnjkckn
O;olk; % lg;ksxh oSKkfud
uke % MkW- enu yky

126 mez % 40 o"kZ LFkku % vEcsMdj uxj
O;olk; % izkd`frd fpfdRlk
uke % MkW- ujflagkLokeh eaM;ky

127 mez % 39 o"kZ LFkku % 'kksykiqj
O;olk; % vk;qosZn o U;wjks fpfdRld

uke % MkW- jf'e ,e- ikfVy
128 mez % 23 o"kZ LFkku % /kjokM
O;olk; % ch,,e,l
uke % MkW- foosd lqHkk"k rjkVs

129 mez % 30 o"kZ LFkku % lrkjk
O;olk; % iQkekZflLV] izekf.kr e/qesg ,tqdsVj] izekf.kr dksM
Cyw izf'k{kd
uke % MkW- nq";ar prqosZnh
130 mez % 49 o"kZ LFkku % Hkk#p
O;olk; % lhfu;j eSustj @ izekf.kr e/qesg ,tqdsVj
uke % ,drk flag

131 mez % 36 o"kZ LFkku % y[kuÅ
uke % bZeUMh dqekj jko

132 mez % 40 o"kZ LFkku % te'ksniqj
O;olk; % eps±V usoh vkWfiQlj @ is'ksoj ,Mokal iks"k.k
fpfdRld
uke % bZeUMh ljLorh

133 mez % 28 o"kZ LFkku % te'ksniqj
uke % fiQYMk Mku

134 mez % 32 o"kZ LFkku % vkSjaxkckn
O;olk; % ulZ
uke % MkW- ckyk 'kksjh :nziksxq

135 mez % 39 o"kZ LFkku % vejkorh
O;olk; % dSFkksfyd iqjksfgr @ odhy @ vkbZ,yvkbZ ,tqdsVj

uke % x.ks'k lkgk
136 mez % 28 o"kZ LFkku % vxjryk
uke % xkSjo tSu

O;olk; % ,jksLisl o ,fo,'ku
uke % xO;fln~/ jtuh Hkkjrh;

138 mez % 40 o"kZ LFkku % xk¡o nqxuhgkj
O;olk; % is'ksoj iapxO;
uke % xhfrdk diwj

139 mez % 32 o"kZ LFkku % iQSt+kckn] v;ksè;k
O;olk; % iks"k.k o vkgkj fo'ks"kK
uke % fxfj'k cuoh

140 mez % 55 o"kZ LFkku % /kjokM
O;olk; % osyul dksp
uke % xksfcan yky ljdkj

141 mez % 62 o"kZ LFkku % gkcjk
O;olk; % fjVk;jMZ lhfu;j vkWfMVj] fMiQsal vdkmaVl
fMikVZesaV
uke % xksek jke

142 mez % 33 o"kZ LFkku % ckMesj
O;olk; % is'ksoj ,Mokal iks"k.k fpfdRld fMikVZesaV
uke % xksihukFk ukjk;.ke

O;olk; % e/qesg ,tqdsVj @ ;ksx fpfdRld esfMdy iks"k.k
fpfdRlk
uke % gjsanz dqekj
144 mez % 48 o"kZ LFkku % /uckn
O;olk; % ekbfuax bathfu;j fpfdRlk
uke % gf"kZr egs'ojh

O;olk; % fDyfudy iks"k.k fpfdRld
uke % gsek flag

O;olk; % vkgkj fo'ks"kK o e/qesg ,tqdsVj
uke % gseaFk lh
O;olk; % bathfu;j o izekf.kr e/qesg ,tqdsVj
uke % gsejkt txUukFk lkusj

O;olk; % vkbZ Vh izkstsDV eSustj o ,u- vkbZ- lh- bZ- ,DliVZ
uke % fgrs'k c=kk

O;olk; % lfoZl @ is'ksoj ,Mokal iks"k.k fpfdRld
uke % gqyk'k pan lka[kyk

150 mez % 72 o"kZ LFkku % fldanjkckn
O;olk; % vk;qosZn izpkjd
uke % banzthr flag cXxk

O;olk; % izkd`frd fpfdRlk

uke % banzdey frokjh
O;olk; % fjlpZj
uke % balkiQ [kku

153 mez % 39 o"kZ LFkku % tks/iqj
O;olk; % LokLF; vf/dkjh
uke % b'kkad dqekj ok"kZ.ks;

154 mez % 36 o"kZ LFkku % gkFkjl
O;olk; % f'k{kd
uke % tlehr dkSj

uke % tSfldk flag

O;olk; % nar fpfdRld
uke % ftrasnz dqekj pkScs

157 mez % 37 o"kZ LFkku % Nijk] lkju
uke % ftrsanz jeSÕ;ks

158
mez % 48 o"kZ LFkku % Mcjk ftyk] Xokfy;j
O;olk; % is'ksoj dEI;wVj gkMZos;j
uke % dey /ou

O;olk; % bathfu;j @ O;olk;h

uke % dfu"d vejiqjh
O;olk; % ;ksx izf'k{kd
uke % dfiy nso 'kekZ

161 mez % 33 o"kZ LFkku % dyk;r
O;olk; % esfMdy iks"k.k fpfdRld
uke % dju 'ksV~Vh

O;olk; % eSjhu bathfu;j
uke % dkfrZd ;kno

O;olk; % bathfu;j
uke % dfork xk¡/h

164 mez % 37 o"kZ LFkku % psUubZ
uke % dherh yky

165 mez % 37 o"kZ LFkku % ckaxk
uke % fdj.k thr dkSj

166 mez % 38 o"kZZ LFkku % paMhx<+
O;olk; % vkxsZfud iQkfeZax o iQwM izksMD'ku
uke % fd'kksj dqekj

O;olk; % O;olk;

uke % dksMqj osadV jeu 'kkL=kh
O;olk; % fjVk;MZ lgk;d izksiQslj vkWiQ dkWelZ
uke % dqekj f'koe

O;olk; % LVwMsaV @ is'ksoj ,Mokal iks"k.k fpfdRld
uke % d¡oj vk;Zeu

170 mez % 20 o"kZ LFkku % nsocan
O;olk; % ch,p,e,l vafre o"kZ LVwMsaV
uke % y{eh fiz;k ,e

171 mez % 27 o"kZ LFkku % cSxyksj
O;olk; % lekt lsoh o ;ksx izf'k{kd
uke % yh'kk vxzoky

172 mez % 26 o"kZZ LFkku % ve`rlj
uke % ykses'k vkuan

173 mez % 68 o"kZ LFkku % egklean
O;olk; % ,ybZMh IykTek Vhoh Vsªfuax baLVhV~;wV izf'k{kd
uke % ek/qjh vkuan fdfudj

uke % eS=ks;k Lokeh

175 mez % 55 o"kZ LFkku % yksgsxk¡o] iwuk
O;olk; % lfoZl

uke % euh"k
O;olk; % bathfu;j
uke % euh"k vk;Z

mez % 28 o"kZ LFkku % xqM+xk¡o
177 O;olk; % lg;ksxh ;ksx ,DliVZ
uke % euh"k lSuh

178 mez % 22 o"kZ LFkku % dksViqryh
O;olk; % izekf.kr dksM Cyw izf'k{kd
uke % eatqukFk ch oh
179 mez % 37 o"kZZ LFkku % cSaxyksj
O;olk; % fMIVh eSustj iQkbukal
uke % ekulh Fkkdj

O;olk; % [kkn~; lqj{kk lykgdkj
uke % euqt xqIrk

O;olk; % thvkbZ,l fo'ys"kd
uke % ehuk xqIrk

O;olk; % vkgkj fo'ks"kK o e/qesg ,tqdsVj
uke % ehys'k Mh lgkjs

O;olk; % f'k{kd

uke % ehuk tks'kh
184 mez % 50 o"kZ LFkku % oYYkHk fon~;k uxj
O;olk; % f'kf{kdk
uke % eksgEen vkfny

185 mez % 33 o"kZ LFkku % lhrkiqj
O;olk; % fizafliy
uke % eksgEen fiQjkst+ vkye

186 mez % 49 o"kZ LFkku % uks;Mk
O;olk; % Hkk"kk lykgdkj
uke % eksgEen jkfgy ulhe vgen 'ks[k

O;olk; % n`f"V fo'ks"kK
uke % eksgu jko vkuan jko dhfrZdj

188 mez % 64 o"kZ LFkku % vkSjaxkckn
O;olk; % fjVk;MZ cSad lgk;d eSustj
uke % eksfguh ,e pkSu

O;olk; % is'ksoj izkd`frd fpfdRld
uke % eksguh'k flag

190 mez % 35 o"kZ LFkku % eFkqjk
O;olk; % iqfyl
uke % eksfgr oRl

O;olk; % bathfu;j

uke % vfer dqekj jkenkl uk;d
192 mez % 40 o"kZ LFkku % ikasMk
uke % dfork tSu

193 mez % 40 o"kZ LFkku % dksph
O;olk; % is'ksoj iapxO;] e/qesg ,tqdsVj] dksM Cyw
uke % eq'rkd vgen

194
mez % 65 o"kZ LFkku % floku
O;olk; % f'k{kd
uke % ,u njglk ygjh

uke % ujsanz flag iVsy

196 mez % 48 o"kZ LFkku % fHkykbZ
O;olk; % lsy] fHkykbZ LVhy IykaV esa dk;Zjr
uke % uhfyek pVthZ

mez % 63 o"kZ LFkku % ubZ fnYyh
197 O;olk; % izkd`frd fpfdRlk] e/qesg ,tqdsj] izekf.kr dksM
Cyw /kjd
uke % uhyw
mez % 31 o"kZ LFkku % iksjcanj
198
O;olk; % lhvkbZ,l,iQ esa ,,lvkbZ
uke % usgk lSÕ;n

199 mez % 27 o"kZ LFkku % jgkrk
O;olk; % efgyk fte izf'k{kd

uke % fugkj jatu jkSr
200 mez % 52 o"kZ LFkku % Hkqous'oj
O;olk; % ,yvkbZlh esa lhfu;j O;olkf;d lg;ksxh
uke % uhfyek fufru HkVdj

201 mez % 45 o"kZ LFkku % vejkorh
O;olk; % lqtksd fpfdRld
uke % fu'kku flag teoky

202 mez % 39 o"kZ LFkku % tEEkw
O;olk; % vflLVsaV vdkmaVl vkWfiQlj
uke % fu'kw laè;k

203 mez % 23 o"kZ LFkku % tkatxhj pkaik
O;olk; % xk;d
uke % uhrs'k |ks'kky

204 mez % 40 o"kZZ LFkku % flfyxqM+h
O;olk; % O;kikjh
uke % uhfru tSu

205 mez % 34 o"kZ LFkku % fd'kux<+
O;olk; % lkÝVos;j Msoyij
uke % ih- ds- 'kekZ

O;olk; % f'k{kd
uke % iadt dqekj

207 mez % 24 o"kZ LFkku % dkuiqj uxj
O;olk; % futh O;olk;

uke % ikFkZ HkV~Vkpk;Z
208 mez % 40 o"kZ LFkku % fljkeiqj
O;olk; % V~;wVj
uke % iwtk vjksM+k

uke % izHktksr dkSj

210 mez % 26 o"kZ LFkku % eksgkyh
uke % izchu uank

211 mez % 35 o"kZ LFkku % cksyaxhj
uke % iznhi pkSgku

212 mez % 36 o"kZ LFkku % olbZ] iky?kj
uke % iznhi flag pkSgku

213 mez % 20 o"kZ LFkku % tks/iqj
O;olk; % O;kikjh
uke % izKk >k

mez % 39 o"kZ LFkku % bankSj
214
uke % izd`r dqekj flag

215 mez % 27 o"kZ LFkku % jkaph
O;olk; % djkVs izf'k{kd

uke % izrhd tks'kh
O;olk; % O;kikjh
uke % izrhd vkuan

O;olk; % Vsªoy ,taslh
218 uke % izhrh dVkfj;k

mez % 36 o"kZ LFkku % cSaxyksj
uke % izse diwj

219 mez % 45 o"kZ LFkku % vjfj;k
O;olk; % ljdkjh deZpkjh
uke % izse dhfrZ

220 mez % 48 o"kZ LFkku % /eZ'kkyk+
O;olk; % vk;qosZn o esfMVs'ku
uke % izse dqekj d`".ku

221 mez % 55 o"kZ LFkku % dks;acVwj
O;olk; % O;kikjh
uke % iqU;kfiz;k
O;olk; % lk;dkWyksth f'k{kd
uke % Dohulh fcanzk

O;olk; % O;wVhf'k;u

uke % vkj ,l ds oekZ
O;olk; % O;kikjh
uke % jch fcLokl

225 mez % 43 o"kZZ LFkku % vklulksy
O;olk; % ;ksx o fiQft;ksFksjih
uke % jkgqy caly

226 mez % 34 o"kZ LFkku % [kaMok
O;olk; % VsªfMax O;kikj
uke % jkt fd'kksj dksMokuh

227 mez % 52 o"kZ LFkku % Hkksiky
O;olk; % ,D;wizs'kj fpfdRld
uke % jtuh ,axw

O;olk; % ,echch,l] ,eMh
uke % jktho dqekj

O;olk; % bathfu;j
uke % jktho ukjk;.k

O;olk; % f'k{kd
uke % jktsanz MsfYydj

mez % 58 o"kZ LFkku % fldanjkckn
231
O;olk; % O;kikjh @ e/qesg ,tqdsVj

uke % jktsanz xksj[kjko ikfVy
O;olk; % O;kikjh (bysDVªkWfuDl)
uke % jkts'k Hkuq'kkyh

O;olk; % O;kikjh
uke % jkts'k dqekj cqfn~/jktk

234 mez % 44 o"kZ LFkku % ubZ fnYYkh
O;olk; % Lkh-,-
uke % jkts'k lksuh

O;olk; % O;kikjh
uke % jkts'k frokjh

236 mez % 49 o"kZ LFkku % tcyiqj
O;olk; % jsyos izksVsD'ku iQkslZ
uke % jktdqekj esgrk

O;olk; % O;kikjh
uke % jktfoanj dkSj

238 mez % 26 o"kZ LFkku % ckaxk
O;olk; % uflZax
uke % jkds'k dqekj

mez % 50 o"kZ LFkku % ubZ fnYyh
239
O;olk; % izkbosV tkWc

uke % jkeiQy
O;olk; % Hkkjrh; lsuk ls fjVk;MZ
uke % jatu ?kks"k

241 mez % 49 o"kZ LFkku % Hknzdkyh] mRrjikM+k
O;olk; % LokLF; deZpkjh
uke % jatuk #axVk

uke % jkS'ku dqekj

243 mez % 25 o"kZ LFkku % ukFkZ bZLV fnYyh
O;olk; % Ýyksj eSustj] vk;qosZfnd fDyfud
uke % jfo oekZ

244 mez % 62 o"kZ LFkku % jk;iqj
O;olk; % lhfu;j i=kdkj
uke % jfoanz flag daoj

245 mez % 44 o"kZ LFkku % gksf'k;kjiqj
O;olk; % ,D;wisz'kj @ is'ksoj ,D;wiapj o oSdfYid fpfdRld
uke % js[kk xqIrk

O;olk; % fDyfudy fjlpZj
uke % jsuw xxZ

mez % 44 o"kZ LFkku % lksyu
247
O;olk; % esfMdy iks"k.k @ osyusl dkmalyj @ iwoZ ,yvkbZlh
lykgdkj
uke % jsuw dqekjh
O;olk; % ,D;wisz'kj izf'k{kd o ;ksx Vhpj
uke % ½"kHk tSu

O;olk; % dsfeLV
uke % fj"kq xxZ

250 mez % 33 o"kZ LFkku % iapdwyk
O;olk; % odhy
uke % fjrs'k 'kekZ

251 mez % 34 o"kZ LFkku % flaxjkSyh
O;olk; % O;kikjh @ e/qesg ,tqdsVj @ dksM Cyw Vsªuj
uke % fjrs'k ;kno

252 mez % 23 o"kZ LFkku % xkt+hiqj
uke % fjrq flag

mez % 46 o"kZ LFkku % vkxjk
253
O;olk; % iks"k.k fpfdRld
uke % :is'k dqekj

254 mez % 31 o"kZ LFkku % ckadk
O;olk; % e/qesg ,tqdsVj] dksM Cyw Vsªuj ] ,Mokal iks"k.k
fpfdRld
uke % lkfgy feJk
255
O;olk; % lykgdkj

uke % lehj iafMr
mez % 39 o"kZ LFkku % jk;x<+
256 O;olk; % futh O;olk;
uke % lehj nkl

O;olk; % ;ksx izf'k{kd
uke % lat; /nqd

258 mez % 37 o"kZ LFkku % cSaxykSj
O;olk; % O;olk;h
uke % lat; xqIrk

O;olk; % LokLF; dkspZ
uke % lat; ikfVy

260 mez % 50 o"kZ LFkku % Xokfy;j
O;olk; % izekf.kr e/qesg ,tqdsVj] iks"k.k o LokLF; izf'k{kd
uke % lat; 'kkg

261 mez % 27 o"kZ LFkku % vkjk
O;olk; % f'k{kd o gksE;ksiSFkh izpkjd
uke % lathc dqekj iVsy

262 mez % 47 o"kZ LFkku % laaqnjx<+
O;olk; % oSdfYid mipkjd
uke % larks"k xq#th

263 mez % 36 o"kZ LFkku % MksEchoyh] Fkkus
O;olk; % ;ksx xq#

uke % l'kkizk pØorhZ
264 mez % 38 o"kZ LFkku % jkaph
O;olk; % f'k{kd
uke % lrh'k dqekj oekZ oqIiyifr

O;olk; % usVodZ vkfdZVsDV
uke % lR; ukjk;.k 'kekZ

266 mez % 59 o"kZ LFkku % iqRrikFkhZ
O;olk; % fcuk fdlh 'kS{kf.kd ;ksX;rk ds izkd`frd fpfdRld
uke % lSÕ;n 'kkg

uke % lhek cS.kthZ

O;olk; % vkbZ Vh deZpkjh
uke % lhek ef.kdksB

O;olk; % lfoZl
uke % 'kkgtknk vkye

O;olk; % O;kikjh fpfdRld
uke % 'ks[k bdjk vk;kt+

O;olk; % ch,,e,l fo|k FkhZ

uke % 'ks[k okfj'kk ulhe
272 mez % 19 o"kZ LFkku % eqEcbZ+
O;olk; % ch;w,e,l dkslZ izFke o"kZ fo|kFkhZ
uke % 'kkfyuh tSu

273 mez % 36 o"kZ LFkku % enuxat
O;olk; % f'kf{kdk
uke % 'kk'or dqekj

O;olk; % LokLF; izf'k{kd
uke % 'khry daoj

275 mez % 19 o"kZ LFkku % fHkokM+h
uke % 'khry lkSjh

O;olk; % Mkalj o fiQVusl izf'k{kd
uke % f'k[kk lDlsuk

uke % f'ko nqykj

O;olk; % is'ksoj izekf.kr e/qesg ,tqdsVj] izkÑfrd fpfdRld]
,D;wizs'kj] izkÑfrd LokLF; lykgdkj o dksM Cyw Vsªuj
uke % f'ko dqekj
279 mez % 54 o"kZ LFkku % ifV;kyk
O;olk; % ,D;wizs'kj

uke % f'kokth ckyw dqyky
280 mez % 32 o"kZ LFkku % f'k:j
O;olk; % is'ksoj izkd`frd fpfdRld] ;ksx izf'k{kd
uke % f'kokth xksjky

O;olk; % O;kikjh
uke % Js;k xkfM;k

282 mez % 25 o"kZ LFkku % mn;iqj
O;olk; % ;ksx Vhpj] izkd`frd o ,D;wizs'kj fpfdRld
uke % 'kqHkkaxh xksMls

O;olk; % lkÝVos;j bathfu;j
uke % fl¼kFkZ tSu

mez % 33 o"kZ LFkku % xkft;kckn
284
O;olk; % bathfu;j
uke % fleh gkaMk

mez % 55 o"kZZ LFkku % ubZ fnYyh
285 O;olk; % iQkekZflLV
uke % Lusgk flUgk

mez % 31 o"kZ LFkku % iVuk
286
O;olk; % ulZ
uke % lksuy vfer 'kkg

mez % 47 o"kZ LFkku % oMksnjk
287
O;olk; % O;kikjh

uke % lkSeu eq[kksikè;k;
uke % lkSE;k izdk'k nkl

289 mez % 43 o"kZ LFkku % tktkiqj
O;olk; % O;kikjh
uke % lkSud nkl

290 mez % 19 o"kZ LFkku % [kMxiqj
O;olk; % fpfdRlk iks"k.k fo'ks"kK
uke % lkSjo ckbZlSd

291 mez % 25 o"kZ LFkku % /udqat
uke % ljcu ckfjd

292 mez % 26 o"kZ LFkku % ckyaxhj
O;olk; % O;olk;h
uke % Jhin dqekj cS|

O;olk; % vk;qosZfnd mRikn lykgdkj
uke % lqgkl eq[kthZ

294 mez % 44 o"kZ LFkku % jkuhxat
O;olk; % iapxO; lykgdkj
uke % lq/hj dqekj

295 mez % 39 o"kZ LFkku % jsokM+h
O;olk; % dsfeLVªh f'k{kd

uke % lqys[kk nkxyh
O;olk; % is'ksoj izkd`frd fpfdRld
uke % lqeu pkSgku

297 mez % 33 o"kZ LFkku % vEckyk
uke % MkW- lquhy dgkysdj

298 mez % 44 o"kZ LFkku % ukansM
O;olk; % iksLV xzstq,V @ ch,,e,l
uke % lqfiz;ks etwenkjs

O;olk; % uknZu jsyos esa lhfu;j lsD'ku bathfu;j
uke % lqjsanz dqekj

300 mez % 42 o"kZ LFkku % Hkqt
uke % lqjs'k dqekj ;kno

301 mez % 27 o"kZZ LFkku % ykrwj
O;olk; % U;wjksFksjkfiLV
uke % lq"kek ?kks"k (jkW;)

302 mez % 27 o"kZ LFkku % [kMxiqj
uke % lq"kek cSaxuh

O;olk; % izkd`frd fpfdRld ,uMhMhokbZ

uke % lSÕ;n ckcj vgen
O;olk; % bZMhvkbZ Lis'kfyLV
uke % lSÕ;n okftn gqlSu

O;olk; % odhy
uke % rkgsjk [kkysnh

uke % riu dqekj egkik=kk

307 mez % 49 o"kZ LFkku % iwckZ esfnuhiqj
O;olk; % dEI;wVj flLVe ,MfefuLVªsVj
uke % rstiky flag

308 mez % 57 o"kZ LFkku % diwjFkyk
O;olk; % is'ksoj e/qesg ,tqdsVj
uke % Fkksdpkse jkes'oj flag

309 mez % 42 o"kZ LFkku % bEiQky
uke % frvkyk bepsu

310 mez % 30 o"kZ LFkku % dksfgek
O;olk; % O;olk;h
uke % Åek ;kno

311 mez % 47 o"kZ LFkku % xqM+xk¡o
O;olk; % fjlpZ LdkWyj

uke % Åekdkar eksgik=kk
312 mez % 36 o"kZ LFkku % Hkqous'oj
O;olk; % f'k{kd
uke % mRiy jk;

313 mez % 57 o"kZ LFkku % xksiky uxj] ukFkZ 24
ijxuk
O;olk; % O;kikjh
uke % oS".koh ftrsanz okyqat

314 mez % 32 o"kZ LFkku % fiEijh fpapokM
O;olk; % iQkekZflLV
uke % oklqnso jk;

315 mez % 21 o"kZ LFkku % Hkkjr
uke % ohuk nsoh dksYyhikjk

uke % fot; vkuan

317 mez % 33 o"kZ LFkku % egklean
O;olk; % O;kikjh
uke % fot; oMxckydj

O;olk; % osyusl o fiQVusl ÚhMe dksp
uke % fouhr [ksrku

O;olk; % lfoZl

uke % fouksn dqekj dFksfj;k
320 mez % 56 o"kZ LFkku % tSriqj] ubZ fnYyh
O;olk; % vk;qosZfnd fpfdRld
uke % fouksn uanhxke

mez % 40 o"kZ LFkku % gSnjkckn
321 O;olk; % dkiksZjsV Vsªuj
uke % fo'kky csdsYyq

322
uke % okftn gqlSu lSÕ;n

O;olk; % odhy
uke % osadVs'oj uan feJk

mez % 39 o"kZ LFkku % lruk
324
O;olk; % tu LokLFk j{kd
uke % n;kuUn lkseukFk tk/o

325 mez % 55 o"kZ LFkku % iq.ks
O;olk; % vkgkj fpfdRlk esa ,M~okal Vªsfuax
uke % 'kcue [ksjMh

326 mez % 28 o"kZ LFkku % Bk.ks
O;olk; % dfiax FksjsfiLV
uke % thou txnh'k lkoar

327 mez % 36 o"kZ LFkku % olkbZ
O;olk; % vkgkj fpfdRlk LiS'kfyLV

uke % usgk lkyokuh
O;olk; % vkgkj fpfdRlk esa ,M~okal Vªsfuax
uke % f'k[kk xqIrk

O;olk; % izkd`frd fpfdRld @ uhth LokLF; fpfdRld
uke % dkty nks'kh

O;olk; % vkgkj fo'ks"kK Dyhfud
uke % /jk yfFk;k

O;olk; % LokLF; fo'ks"kK
uke % lUrks"k dqekj vuq

332 mez % 46 o"kZ LFkku % eqt+ÝiQjiqj
O;olk; % laxhrdkj
uke % gseUr vjksM+k

O;olk; % O;olk;h
uke % gjsUnz 'kkfUMY;

334 mez % 40 o"kZ LFkku % vyhx<+
O;olk; % tSfod d`f"k
uke % thuq teMkXuh

335 mez % 43 o"kZ LFkku % cokuk
O;olk; % vkgkj foKku es ,M~okal Vsªfuax lfVZfiQds'ku

uke % eks- bZlk ckdsj ckcq
336 mez % 45 o"kZ LFkku % <kdk
O;olk; % Mk;fcVht+ ,tqdsVj
uke % v:u eqdqan ikfVy

337 mez % 52 o"kZ LFkku % okMk
O;olk; % O;olk;h
uke % MkW- nhid olar rqis

mez % 38 o"kZ LFkku % okMqt
338 O;olk; % izSDVh'uj
uke % t;kjke ckjsxj

O;olk; % O;olk;h
uke % MkW- cztsUnz ;kno

340 mez % 30 o"kZ LFkku % Xokfy;j
O;olk; % gksfe;ksiSFkh lykgdkj
uke % MkW- vkn'kZ foan vxzoky

341 mez % 46 o"kZ LFkku % paaMhx<+
O;olk; % MkWDVj
uke % uohu HkkfV;k

342 mez % 56 o"kZ LFkku % cSaxykSj
uke % MkW- ';ke lqUnj xqIrk

mez % 53 o"kZ LFkku % fcykliqj
343 O;olk; % MkWDVj

uke % foØkUr ¯lg Mksxjk
344 mez % 42 o"kZ LFkku % flMuh
O;olk; % vkfdZVsDV lykgdkj
uke % fuys'k rysys

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345
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uke % jkfgy 'ks[k

346 mez % 21 o"kZZ LFkku % eqEcbZ
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347 mez % 39 o"kZ LFkku % eapkj
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348 mez % 54 o"kZ LFkku % feyiQksMZ
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349 mez % 44 o"kZ LFkku % eqEcbZ+
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350 mez % 22 o"kZ LFkku % eqt+ÝiQjuxj
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uke % oh- oSUdVs'ojyq

mez % 56 o"kZ LFkku % Hkksiky
351 O;olk; % vkbZVh izksisQ'uy

uke % fueZy ikWy
352 mez % 28 o"kZ LFkku % fMxuxj iyikjk
uke % ozUnk [kk.Mos

O;olk; % izkd`frd fpfdRld ,oa vkgkj fo'ks"kK
uke % pUnz izdk'k jk;fla?kkuh

O;olk; % LokLF; fo'ks"kK ,oa vkgkj lykgdkj
uke % oUnuk vkgqtk

O;olk; % lksÝVos;j bathfu;j
uke % nhid
356 mez % 29 o"kZ LFkku % ukjukSy
uke % vferk tSu

mez % 39 o"kZ LFkku % fnYyh
357
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358 mez % 52 o"kZ LFkku % dqosr
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uke % yoyhu flag

mez % 35 o"kZ LFkku % tkya/j
359
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uke % MkW- nsosUnz flag iVoky
360 mez % 50 o"kZ LFkku % jkeuxj
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uke % iz'kkar dqekj ?kks"k

361 mez % 40 o"kZ LFkku % xss?kkrk cksuxkao
O;olk; % V~;wVj
uke % MkW- lqjs[kk flag

362 mez % 57 o"kZ LFkku % ikSM+h x<+oky
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fujh{k.

dksfoM&19 "kM+;U=k ls lek/ku rd - MkW- fcLo:i jk; pkS/jh

,u-vkbZ-lh-bZ lykgdkj cksMZ

• ;ksxs'k feRry • Lokeh lafor~ lksefxjh th egkjkt

• eksgEen vgen dkt+eh • ftrsUnz vk;Z

,u- vkbZ- lh- bZ- dksj Vhe

Vhe yhMj % jpuk 'kekZ

1- Covid-19 ds jgL; dk lek/ku (14 tqykbZ] 2020 rd igys

dksfoM&19 "kM+;U=k ls lek/ku rd | 19

ICMR ds }kjk ¶e`R;q izek.ki=k esa fjiksVZ dSls djsa¸ ds funsZ'kksa ds

esjk izFke fu"d"kZ---

20 | dksfoM&19 "kM+;U=k ls lek/ku rd

dksfoM&19 "kM+;U=k ls lek/ku rd | 21

fo'ks"k :i ls] Positive Result ,d fo'ks"k jksxh ds fy, (Hkys gh

22 | dksfoM&19 "kM+;U=k ls lek/ku rd

dksfoM&19 "kM+;U=k ls lek/ku rd | 23

24 | dksfoM&19 "kM+;U=k ls lek/ku rd

3. No Pandemic (;g dksbZ egkekjh ugha gS)

dksfoM&19 "kM+;U=k ls lek/ku rd | 25

26 | dksfoM&19 "kM+;U=k ls lek/ku rd

dksfoM&19 "kM+;U=k ls lek/ku rd | 27

28 | dksfoM&19 "kM+;U=k ls lek/ku rd

dksfoM&19 "kM+;U=k ls lek/ku rd | 29

30 | dksfoM&19 "kM+;U=k ls lek/ku rd

dksfoM&19 "kM+;U=k ls lek/ku rd | 31

32 | dksfoM&19 "kM+;U=k ls lek/ku rd

dksfoM&19 "kM+;U=k ls lek/ku rd | 33

34 | dksfoM&19 "kM+;U=k ls lek/ku rd

dksfoM&19 "kM+;U=k ls lek/ku rd | 35

36 | dksfoM&19 "kM+;U=k ls lek/ku rd

fnu & 1 (rjy)

dksfoM&19 "kM+;U=k ls lek/ku rd | 37

fnu & 2 (nzo)

dksfoM&19 "kM+;U=k ls lek/ku rd | 39

40 | dksfoM&19 "kM+;U=k ls lek/ku rd

dksfoM&19 "kM+;U=k ls lek/ku rd | 41

42 | dksfoM&19 "kM+;U=k ls lek/ku rd

dksfoM&19 "kM+;U=k ls lek/ku rd | 43

44 | dksfoM&19 "kM+;U=k ls lek/ku rd

dksfoM&19 "kM+;U=k ls lek/ku rd | 45

46 | dksfoM&19 "kM+;U=k ls lek/ku rd

dksfoM&19 "kM+;U=k ls lek/ku rd | 47

48 | dksfoM&19 "kM+;U=k ls lek/ku rd

dksfoM&19 "kM+;U=k ls lek/ku rd | 49

50 | dksfoM&19 "kM+;U=k ls lek/ku rd

dksfoM&19 "kM+;U=k ls lek/ku rd | 51

52 | dksfoM&19 "kM+;U=k ls lek/ku rd

2008 ds vkWLVªsfy;u MsaVy tuZy us ,d fjiksVZ34 izdkf'kr djrs gq,

dksfoM&19 "kM+;U=k ls lek/ku rd | 53

D;k fd, tkus dh vko';drk gS\ lek/ku

54 | dksfoM&19 "kM+;U=k ls lek/ku rd

dksfoM&19 "kM+;U=k ls lek/ku rd | 55

56 | dksfoM&19 "kM+;U=k ls lek/ku rd

vkSj ;fn vkiesa ls tks yksx MBBS, BHMS, BMS ;k LokLF;dehZ

dksfoM&19 "kM+;U=k ls lek/ku rd | 57

("N.I.C.E. iSzfDV'kuj ds fy, izf'k{k.k" ij vk/kfjr

ILI / COVID-19 dk vkikrdkyhu izca/u

Ýyw @ bUÝyq,atk @ ILI / COVID-19 dk izca/u djrs le; lcls

58 | dksfoM&19 "kM+;U=k ls lek/ku rd

dksfoM&19 "kM+;U=k ls lek/ku rd | 59

Higher v/s Lower Oxygen

Cochrane Systematic Review –

;fn vki ,d iz'u iwNrs gSa fd vkWDlhtu ysuk ;k vkDlhtu

60 | dksfoM&19 "kM+;U=k ls lek/ku rd