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Coronavirus scare: Need to follow self-regulation to a large extent, says Sudarshan Ballal of Manipal Hospitals

KV Prasad Jun 13, 2022, 06:35 AM IST (Published)

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Summary

This is a time where there is a lot of virus floating around and so we have to be careful about whom we meet, where we travel and common sense measures like anyone who has a cold and cough should not get into the public space like movie theatres, malls, so on and so forth, said Sudarshan Ballal, Chairman of Manipal Hospitals.

The deadly novel coronavirus continues to wreak havoc across the country and the globe. There are 73 confirmed cases of covid-19 in India and 4 patients have recovered.

Viren Shetty, Executive Director and Group COO of Narayana Health said, “One of the first things that we have noticed in our hospital is that the minute any time a patient comes in with coughing symptoms or any sort of suspected case, immediately there is a panic situation that happens in our hospital at the emergency room, among the nurses, among the doctors because this disease is highly infectious.”

Talking about how the spread of COVID-19 be prevented, he said, “It is simple, it is what they were doing a 100 and even a 1000 years ago. Just isolate yourself. People should stay at home, avoid large gatherings, avoid travel, wash your hands frequently, don’t go to the temple, don’t go to the factory, don’t go to the department store, theater, shopping mall. You stay at home and you will be fine.”

“We have done as much as we can and I commend the government in all that they have enabled to do so far, but this is beyond the scope of that. What we are trying to do is limit the spread of infection,” he added.

Sudarshan Ballal, Chairman of Manipal Hospitals said that currently there have not been many cases of COVID-19 in their hospital. “However, looking at the trends all over the world, this could be a temporary lull before the storm. So, we have to be mentally prepared for a large number of patients coming in even though the numbers coming in so far are quite low,” he said.

Ballal further added that citizens play a major role, in addition to what the government is doing. “There has to be self-regulation to a large extent. I think this is a time where there is a lot of virus floating around and so we have to be careful about whom we meet, where we travel and common sense measures like anyone who has a cold and cough should not get into the public space like movie theatres, malls, so on and so forth,” he said.

Speaking about the shortage of masks, he said, “As far as masks are concerned, the biggest problem is misuse and hoarding of masks. You see a large number of people walking the streets of Bangalore or any other city with masks when they do not need one. The indication for a mask is very clear, care givers who are taking care of patients who have respiratory illnesses, people who have cold, cough, runny nose so on and so forth and also maybe if you are going into a large public space where you do not know what kind of people are there. But it is not for the general use and I think this hoarding has to stop.”

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sensex ₹1,882.60 +28.30
nifty IT ₹2,206.80 +30.85
nifty bank ₹1,318.95 -14.95
index Price Change
nifty 50 ₹16,986.00 -7.15
sensex ₹1,882.60 +8.30
nifty IT ₹2,206.80 +3.85
nifty bank ₹1,318.95 -1.95
index Price Change
nifty 50 ₹16,986.00 -72.15
sensex ₹1,882.60 +28.30
nifty IT ₹2,206.80 +30.85
nifty bank ₹1,318.95 -14.95
index Price Change
nifty 50 ₹16,986.00 -7.15
sensex ₹1,882.60 +8.30
nifty IT ₹2,206.80 +3.85
nifty bank ₹1,318.95 -1.95
index Price Change
nifty 50 ₹16,986.00 -7.15
sensex ₹1,882.60 +8.30
nifty IT ₹2,206.80 +3.85
nifty bank ₹1,318.95 -1.95

Currency

Company Price Chng %Chng
Dollar-Rupee 73.3500 0.0000 0.00
Euro-Rupee 89.0980 0.0100 0.01
Pound-Rupee 103.6360 -0.0750 -0.07
Rupee-100 Yen 0.6734 -0.0003 -0.05
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Limit contact, wash hands, but no masks: Coronavirus advice from Narayana Health’s Viren Shetty

KV Prasad Jun 13, 2022, 06:35 AM IST (Published)

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Summary

“Limit contact, wash your hands, try and stay at home,” advises Viren Shetty, executive director and group COO of Narayana Health, on ways to combat the threat of coronavirus. “I would very strongly recommend people not to buy caps, masks and gloves,” he added, dispelling such protections as mere myths.

“Limit contact, wash your hands, try and stay at home,” advises Viren Shetty, executive director and group COO of Narayana Health, on ways to combat the threat of coronavirus. “I would very strongly recommend people not to buy caps, masks and gloves,” he added, labelling the adoption of such measures as ineffective.

“To be fair we are not prepared for most things in this country. However, we have isolation wards spread out across most of hospitals, government medical colleges, private medical colleges and all of these have made themselves available to the government,” said Shetty in an interview with CNBC-TV18.

“Should it come to that, we have capacity to deal with the patients in a limited case, but should it come to the issue of a massive epidemic any health system across the world would be under tremendous amount of strain,” he added.

On directions from the government and health authorities with regards to combating the threat of coronavirus, he said, “The protocol for this is standard — as and when patient shows up and with suspected cases of COVID-19, we would isolate them, take their samples while keeping them in isolation, send the samples to the Rajiv Gandhi Institute of Chest Diseases. If it comes back positive then we immediately send them into further isolation in one of the government approved facilities or if not, we send them back home and advise them to quarantine themselves at home.”

About immediate public health steps, Shetty said, “The most important thing that anyone can do right now is to pressure your local neta (political representative) to allot more money for healthcare. The fact is that even in the best of times we are barely able to manage with the current health facility that we have.

“Limit contact, wash your hands, try and stay at home. If you have a cold, don’t be a hero and minimise all international travel as much as possible,” he added.

Debunking myths about coronavirus, Shetty said that intense summer heat in India won’t be a protection against the coronavirus.

“The fact is Singapore and Thailand, which are countries as hot as India, have seen an outbreak as well as countries like West Africa. So I wouldn’t say heat is going to protect us.

“The most plausible explanation for why it has taken a long time for the virus to catch up in India is because our supply chain is almost decoupled from China. So we don’t have close economic links with China that has caused earlier transmission in those other countries, but if I were to debunk a couple of other myths, I would very strongly recommend people not to buy caps, masks and gloves.

“The fact is hospitals need these for their health workers. There is a huge shortage in the market, there is a lot of stockpiling, it is raising the cost for hospitals who need these equipment to do the day-to-day and we are not able to get that,” Shetty added.

On the progress in combating coronavirus Shetty said that effective treatment is still some distance away.

“In China and United States there are a lot of trials going on and they managed to isolate a few genetic markers for this but the fact is we are far from identifying any effective treatments.

“A lot of plants in China have been shut down and so a lot of the active pharmaceutical ingredients (APIs) that the Indian drug industry depend on have been disrupted and so a drug that we depend on an anti-coagulant called Heparin, which we require for surgery has become hard to come by and the cost to import this has gone up at least three times.”

Elon Musk forms several ‘X Holdings’ companies to fund potential Twitter buyout

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KV Prasad Journo follow politics, process in Parliament and US Congress. Former Congressional APSA-Fulbright Fellow

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index Price Change
nifty 50 ₹16,986.00 -72.15
sensex ₹1,882.60 +28.30
nifty IT ₹2,206.80 +30.85
nifty bank ₹1,318.95 -14.95
index Price Change
nifty 50 ₹16,986.00 -7.15
sensex ₹1,882.60 +8.30
nifty IT ₹2,206.80 +3.85
nifty bank ₹1,318.95 -1.95
index Price Change
nifty 50 ₹16,986.00 -72.15
sensex ₹1,882.60 +28.30
nifty IT ₹2,206.80 +30.85
nifty bank ₹1,318.95 -14.95
index Price Change
nifty 50 ₹16,986.00 -7.15
sensex ₹1,882.60 +8.30
nifty IT ₹2,206.80 +3.85
nifty bank ₹1,318.95 -1.95
index Price Change
nifty 50 ₹16,986.00 -7.15
sensex ₹1,882.60 +8.30
nifty IT ₹2,206.80 +3.85
nifty bank ₹1,318.95 -1.95

Currency

Company Price Chng %Chng
Dollar-Rupee 73.3500 0.0000 0.00
Euro-Rupee 89.0980 0.0100 0.01
Pound-Rupee 103.6360 -0.0750 -0.07
Rupee-100 Yen 0.6734 -0.0003 -0.05
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Cess on imported medical equipment bad news for industry, says Narayana Health

Narayana Health

Talking about the impact of the Budget announcement on the healthcare sector, Viren Shetty, executive director and group COO of Narayana Health, said that cess on imported medical equipment is bad news for the industry as it will eventually lead to costs rising for the patients.

Finance Minister Nirmala Sitaraman, in the Union Budget 2020, announced health cess of 5 percent on import of medical equipment.

“The cess on imported medical equipment is not great news for us because it means our input cost starts to go up and these are costs that ultimately will be borne by the patients. So this would not be great news for the industry,” said Shetty.

On CDC selling stake in the company, Shetty said, “CDC was one of our private equity investors that came in 2013. This was the part monetisation of their stake that they have held on for seven years. They have indicated that they don’t want to sell the remaining half anytime soon.”

The Q3 earnings of Narayana Health showed that the growth and margins have slowed as compared to H1FY20.

“The slowdown in revenue growth is because of two things. One is seasonality — Q3 and Q1 are historically very lower-performing quarters because of the festive seasons. Second is the impact of the closure of one of our hospitals, Whitefield. We managed to complete the closure in Q3 and the revenues have been declining there,” said Shetty.

In terms of new hospitals, he added, “There are three new hospitals, two in Delhi and one in Mumbai. The one in east Delhi that we have called Dharamshila Narayana Superspeciality Hospital is nearly at the breakeven level. We had indicated that it should breakeven by the end of this financial year and we are confident that it will be maintained. The other two hospitals in SRCC in South Mumbai as well as our hospital in Gurugram should take about another year to reach breakeven.”

Narayana Health: Margins in mature hospitals should be sustainable

Narayana Health

Narayana Health, a hospital chain funded by well-known cardiac surgeon Dr Devi Shetty, on Tuesday said that margins in mature hospitals should be sustainable.

In an interview to CNBC-TV18, Viren Shetty, executive director and group chief operating officer, said, “Improvement in mature hospitals was led by top three hospitals and aided by mid-tier hospitals. We believe it’s sustainable going forward as the patient flow is established, the reputation these hospitals are established and we do not believe it should slide anymore.”

On the margin front, Shetty said, “We believe that we will be able to maintain the growth rate in our EBITDA going forward. However, we have a new capacity that will be added across our network.”

Talking about expansion at the Cayman Islands, he said, “We have a 107-bed multispecialty hospital. However, the biggest gap for us has always been oncology. Therefore, we will be inaugurating our oncology block in one year time. In addition to that, we will also be looking at opening up the broader field of general medicines, paediatrics, cosmetics, dental and ophthalmology. So, this should help us provide a much wider range of services and improve the patient footfall and eventually occupancy at this unit.”

Furthers, Shetty said that Narayana Health is trimming debt, “Our debt to equity ratio has reduced to around 0.6 barring any large acquisitions that we are considering.

“Company is working on two acquisitions, one is in east India and another one is in north India. However, Narayana Health is not sure when exactly these deals will close. Negotiations have been going on for few months and will continue for few more months. Therefore, we may not need to increase our leverage cross the group. So, it would be paying off our debt and wouldn’t be increasing it significantly,” he added.

Narayana Health’s Dr Devi Shetty: Country needs more super speciality hospitals for children

Dr Devi Shetty

Dr Devi Shetty, chairman of Narayana Health said that the country needs more super speciality hospitals for children.

In an interview with CNBC-TV18’s Ekta Batra, Shetty said, “We produce the largest number of babies in the world, 26 million babies a year. So, we produce one of the largest numbers of children with a heart, brain problems and all other complex problems. So, we thought a city like Mumbai requires a dedicated hospital dealing with tertiary problems of children and this is how we started 2.5 years ago with Society for Rehabilitation of Crippled Children (SRCC) Trust and a large number of business houses contributing to this venture.”

Viren Shetty, executive director and group chief operating officer of Narayana Health, said, “Cardiac is the largest department at SRCC and the second largest is bone marrow. We get a lot of children with Leukemia whom we treat.”

 5 Minutes Read

Massive shift happening for “economics of hospitals” in India, says Narayana Health

KV Prasad Jun 13, 2022, 06:35 AM IST (Published)

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Summary

There is a massive shift happening for the “economics of hospitals” in India, said Viren Shetty, executive director and group COO, Narayana Health. “We are seeing that there is going to be a lot more price control not just in drugs, in consumables but also across margin control for every input cost of ours,” he …

There is a massive shift happening for the “economics of hospitals” in India, said Viren Shetty, executive director and group COO, Narayana Health. “We are seeing that there is going to be a lot more price control not just in drugs, in consumables but also across margin control for every input cost of ours,” he said in an interview with CNBC-TV18.

CNBC-TV18’s ‘Riders in the Storm’ identifies companies that are bucking the slowdown trend and Narayana Health is the company that is weathering the storm in the healthcare sector.

“Fortunately, our numbers have been looking good and the year does look quite positive for us. There does exist seasonal variations. Generally, Q3 is a depressed quarter for most healthcare companies given that it coincides with both Diwali and Eid but we believe it will pick up in Q4. So we are quite positive for the rest of the year,” said Shetty.

“For the next year at least, we aren’t looking at expanding any more. We recently commissioned three hospitals, two in Delhi and one in Bombay. We have enough latent capacity within the group. We have 6,000 operational beds but we also have 7,000 capacity beds. So a lot of our efforts will go towards operationalising those beds,” Shetty added.

However, he did not rule out the expansion plans going forward.

On the expansion front, he said, “We are taking this pause to look at our operations and focus a lot more on additional transformation so that we are able to run things more efficiently within the existing infrastructure. Once we feel confident that this is something that is replicable is when we would be more confident about scaling because, at this point, a greenfield hospital simply is not able to generate an adequate return on capital.”

Elon Musk forms several ‘X Holdings’ companies to fund potential Twitter buyout

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Thursday’s filing dispelled some doubts, though Musk still has work to do. He and his advisers will spend the coming days vetting potential investors for the equity portion of his offer, according to people familiar with the matter

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KV Prasad Journo follow politics, process in Parliament and US Congress. Former Congressional APSA-Fulbright Fellow

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index Price Change
nifty 50 ₹16,986.00 -72.15
sensex ₹1,882.60 +28.30
nifty IT ₹2,206.80 +30.85
nifty bank ₹1,318.95 -14.95
index Price Change
nifty 50 ₹16,986.00 -7.15
sensex ₹1,882.60 +8.30
nifty IT ₹2,206.80 +3.85
nifty bank ₹1,318.95 -1.95
index Price Change
nifty 50 ₹16,986.00 -72.15
sensex ₹1,882.60 +28.30
nifty IT ₹2,206.80 +30.85
nifty bank ₹1,318.95 -14.95
index Price Change
nifty 50 ₹16,986.00 -7.15
sensex ₹1,882.60 +8.30
nifty IT ₹2,206.80 +3.85
nifty bank ₹1,318.95 -1.95
index Price Change
nifty 50 ₹16,986.00 -7.15
sensex ₹1,882.60 +8.30
nifty IT ₹2,206.80 +3.85
nifty bank ₹1,318.95 -1.95

Currency

Company Price Chng %Chng
Dollar-Rupee 73.3500 0.0000 0.00
Euro-Rupee 89.0980 0.0100 0.01
Pound-Rupee 103.6360 -0.0750 -0.07
Rupee-100 Yen 0.6734 -0.0003 -0.05
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Narayana Hrudayalaya’s double-digit growth is sustainable, says COO Viren Shetty

KV Prasad Jun 13, 2022, 06:35 AM IST (Published)

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Summary

Kesavan Venugopalan, CFO and Viren Shetty, ED & group COO of Narayana Hrudayalaya, spoke to CNBC-TV18 about the company’s financial results and growth outlook.

Narayana Hrudayalaya, a multi-speciality hospital chain, reported a whopping 279 percent year-on-year jump in profit while revenue increased 18.3 percent in the quarter ended March 2019.

Kesavan Venugopalan, CFO and Viren Shetty, ED & group COO of Narayana Hrudayalaya, spoke to CNBC-TV18 about the company’s financial results and growth outlook.

Shetty said that they believe double-digit growth is sustainable for the year going forward.

“The 3 oldest hospitals in our network; the 2 in Bengaluru and 1 in Kolkata have consistently been growing but the big swing that is noticed is our big range hospitals; our hospital in Ahmedabad, Raipur, Shimoga have swung from negative into positive territory and that is contributed to the biggest change to EBITDA,” Shetty said.

On the average revenue per bed, Venugopalan said, “Price revision is the last lever which we apply in Narayana Hrudayalaya. So to that extent, the average revenue per occupied bed (ARPOB) will follow the inflationary trend what we could see in the market. Otherwise, we derive our ARPOB increases purely by speciality mix and other categories mix which we tend to influence in a positive manner.”

On the debt front, he said, “Our current net debt is around Rs 713 crore. We were at around Rs 768 crore net debt in FY18. Last year there was a spurt because of our acquisition of Cayman, the other shareholding which we acquired. We see that the borrowing increase will happen in a very narrow range and we expect that there might be a very narrow range increase with respect to borrowing for at least FY20.”

Elon Musk forms several ‘X Holdings’ companies to fund potential Twitter buyout

3 Mins Read

Thursday’s filing dispelled some doubts, though Musk still has work to do. He and his advisers will spend the coming days vetting potential investors for the equity portion of his offer, according to people familiar with the matter

 Daily Newsletter

KV Prasad Journo follow politics, process in Parliament and US Congress. Former Congressional APSA-Fulbright Fellow

Previous Article

Oil Fluctuates as Traders Assess China’s Vow, Unrest in Libya

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index Price Change
nifty 50 ₹16,986.00 -72.15
sensex ₹1,882.60 +28.30
nifty IT ₹2,206.80 +30.85
nifty bank ₹1,318.95 -14.95
index Price Change
nifty 50 ₹16,986.00 -7.15
sensex ₹1,882.60 +8.30
nifty IT ₹2,206.80 +3.85
nifty bank ₹1,318.95 -1.95
index Price Change
nifty 50 ₹16,986.00 -72.15
sensex ₹1,882.60 +28.30
nifty IT ₹2,206.80 +30.85
nifty bank ₹1,318.95 -14.95
index Price Change
nifty 50 ₹16,986.00 -7.15
sensex ₹1,882.60 +8.30
nifty IT ₹2,206.80 +3.85
nifty bank ₹1,318.95 -1.95
index Price Change
nifty 50 ₹16,986.00 -7.15
sensex ₹1,882.60 +8.30
nifty IT ₹2,206.80 +3.85
nifty bank ₹1,318.95 -1.95

Currency

Company Price Chng %Chng
Dollar-Rupee 73.3500 0.0000 0.00
Euro-Rupee 89.0980 0.0100 0.01
Pound-Rupee 103.6360 -0.0750 -0.07
Rupee-100 Yen 0.6734 -0.0003 -0.05
Quiz
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