ఆమ్మో ఇన్ని కేసులా, ఎక్కడ ఫెయిల్ అవుతున్నాం?||Rapid rise in cases: Where are we failing?||
We are seeing rising numbers of cases in big cities and across several states. This represents both greater spread and better detection through increased testing… However, the fact remains that a very large population has not been touched by the virus as yet.
There is need for continued vigilance and more effective action to keep the unexposed population safe for as long as possible. Recognising that different parts of India are at different levels of exposure and health effects, we need to adopt differentiated strategies which are configured to match the local situation. This calls for decentralised planning at state level and customised implementation strategy at urban ward and village level.
Lately, there has been a lot of discussion around the term ‘community transmission’, with many epidemiologists arguing that accepting it is a critical point in the pandemic as the focus then shifts from containment to mitigation. What do you think?
Even if there is community transmission in some parts, that will not be a uniform feature with simultaneous occurrence across the country... So, both containment and mitigation have to be simultaneously implemented and not treated as distinctly sequential strategies. Even in a big city, there will be variations in the speed and intensity of spread in different parts. So, both types of countermeasures will be needed. We cannot equate a village in Jharkhand with a containment zone in Delhi. We have to customise our response, according to the contours of the epidemic in each place.
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ఆమ్మో ఇన్ని కేసులా, ఎక్కడ ఫెయిల్ అవుతున్నాం?||Rapid rise in cases: Where are we failing?|| We are seeing rising numbers of cases in big cities and across several states. This represents both greater spread and better detection through increased testing… However, the fact remains that a very large population has not been touched by the virus as yet. There is need for continued vigilance and more effective action to keep the unexposed population safe for as long as possible. Recognising that different parts of India are at different levels of exposure and health effects, we need to adopt differentiated strategies which are configured to match the local situation. This calls for decentralised planning at state level and customised implementation strategy at urban ward and village level. Lately, there has been a lot of discussion around the term ‘community transmission’, with many epidemiologists arguing that accepting it is a critical point in the pandemic as the focus then shifts from containment to mitigation. What do you think? Even if there is community transmission in some parts, that will not be a uniform feature with simultaneous occurrence across the country... So, both containment and mitigation have to be simultaneously implemented and not treated as distinctly sequential strategies. Even in a big city, there will be variations in the speed and intensity of spread in different parts. So, both types of countermeasures will be needed. We cannot equate a village in Jharkhand with a containment zone in Delhi. We have to customise our response, according to the contours of the epidemic in each place.