To all of us in the health sector, I pray we manage PATIENTS/PEOPLE not #COVID19 https://abs.twimg.com/emoji/v2/... draggable="false" alt="🙏🏾" title="Folded hands (durchschnittlich dunkler Hautton)" aria-label="Emoji: Folded hands (durchschnittlich dunkler Hautton)"> To the President, the tragedy, SIR,will not be in how many got infected but in how many lost their lives UNCOUNTED as we COUNTED https://abs.twimg.com/emoji/v2/... draggable="false" alt="😔" title="Nachdenkliches Gesicht" aria-label="Emoji: Nachdenkliches Gesicht">YES to #primarycare capacity - #NotLockdown @StateHouseKenya

1. Information and patient management guidelines and health workers support starting at the lowest health facility upwards #NotLockdown @MOH_Kenya

2. Pulse oximeters at all health facilities to identify patients in IMMEDIATE danger who need referral or high flow oxygen - patients are collapsing waiting for results https://abs.twimg.com/emoji/v2/... draggable="false" alt="😢" title="Weinendes Gesicht" aria-label="Emoji: Weinendes Gesicht"> - temperature scanners at hospitals casualty inadequate on their own #NotLockdown @MOH_Kenya

Support to counties for quick turnaround for #COVID19 results which means putting up shared capacities through regional testing hubs. Sending samples to Nairobi with 4-7 day turnaround won’t cut for a highily infectious disease

3. Adequate oxygen properly administered at all Health Centres upwards in cylinders or bulk tanks - high flow not ordinary masks/cannula #NotLockdown @MOH_Kenya

4. Good higher level ICU referral support with ambulance network/system at every county and intercounty for timely safe transfers when needed #NotLockdown @MOH_Kenya

5. National and individual Leadership and compassion and continue personal responsibility for #SocialDistance #Handhygeine #shielding those at risk #NotLockdown @MOH_Kenya

Masking, discouraging social gatherings and possible ban on alcohol sales in public places would reduce the Force of Transmission and give a chance to these immediate measures. I SUBMIT https://abs.twimg.com/emoji/v2/... draggable="false" alt="🙏🏾" title="Folded hands (durchschnittlich dunkler Hautton)" aria-label="Emoji: Folded hands (durchschnittlich dunkler Hautton)">