Friday, May 22, 2020

Lockdown-I




Lockdown is not a solution for Covid19 

WHO has so many time mentioned that Lockdown is not a solution for Covid19 and it is in no way a solution to the Covid-19.  It is imperative that after lockdown period is over, this virus is going to start its work again.  So, it is very important that we have a strategy to come out of the lockdown.  When there is utmost public participation or support is need for the strategic policy, then the strategic policy should be published through all the available media, so that public will support the policy.
Lockdown facilitates the Govt. organisation in the city, the time and space to put in medical resources, to ramp up your testing ability, to prepare your hospitals, to get ventilators, to create the type of architecture that is required to fight the virus when it picks up again.  Keep readily available in every nearby clinics, hospitals, an advance Test kits, First aid Medicines of this virus, Quarantine facility, Sanitization equipment, so that spread of the Virus could be arrested on the spot of its appearance.   Now what is the real weapon against the virus? The Biggest weapon is testing kits.  Now, Rapid diagnostic test (RDT) gives the confirmation within two hours.  Rapid diagnostic test (RDT) detects the presence of viral proteins or coronavirus infection in patients.  Testing through RDT at large scale will enable you know where the virus is moving and you isolate the virus infected patients and target the virus in the vicinity.  
Lockdown facilitates the public to stay at home safe, so that infected person should not spread the virus further more  and Lockdown facilitates the Govt. organisation in the city, the time for  large-scale thermal screening and large-scale detection of  high fever patients, as one of the consistent indicators of infection from such viruses is high fever.  Thermal infrared cameras, came into play now-a-day at public places.
Large-area detection and screening for fever will soon be a reality for the safety of all and containment of not only the current COVID-19, but also avoid further load of work in the event of major outbreaks.
If you want to fight the virus, you have to increase testing strategy and your testing has to go from chasing the virus to moving ahead of the virus.  So, we can start up the job with door to door screening and identify/ isolate infected patients.   A scientific identification of the area with higher COVID-19 vulnerability and isolating them from the rest of the city area, instead of a one-size-fitting-all exit strategy, can also be the solution as Containment zone.
Lot of our testing is currently chasing the virus because we are identifying cases and then following the virus. With that type of testing, you will never be able to actually get a good image of what the virus is doing and where the virus is.  We are following the virus, after a person reports the symptom.  We should start testing in large scale, without waiting for symptom to appear, as is followed by other major countries – USA, UK, Germany, Spain etc.,.


Lockdown is just one aspect to contain the spread of COVID-19, enhanced Rapid testing, isolation of infected individuals, supervising of development of herd immunity, a phase-wise drugs distribution during lockdown should all be part of the strategy to fight the virus. 


Now, Medicine #Remdevisir meant for #COVID19 has also started making available, along with that Plasma Therapy is also becoming successful all over the world.  Currently various antiviral drugs targeted for other virus like influenza are being tried out to treat COVID-19.  We know that there are multiple variants, immunity booster and a vaccine against one variant may not be effective against other.  ICMR has approved a specific test protocol for COVID-19 which is based on some kits. These kits are nearly all imported and therefore there is dependency on other country.  Similarly, we have indigenous kits available as compare to them.  So, we should see and adopt one and single type of test kit for all over the states.  Herd immunity can only develop if people start developing antibodies against the virus.  



Suggestions :
1.     Ease the lockdown restriction for certain Sales & Services, with the condition of social distancing like Saloon, Jogging, Restaurant, Rickshaw & Cab,  Electronics Goods and their Services, Public Transports etc.,
2.     Ramp up your testing ability for defeat of this Virus.  In the low-risk areas, permission will not be required to operate the essential services, or to operate the interstate passenger travel in Indian Railways, roadways as well as waterways.
3.     Increase the Recovery rate and decrease the death rate. (Plasma therapy, Homeopathic or Ayurveda medicines for immunity power, BCG vaccines etc.,)
4.     Keep ready a Quarantine facility, Sanitization equipment at every access.
5.       Publish the information, statistics, data every day for the public in the city including the details about :  Name of Area of the city, Total cases, New cases,Total Death,              New Death,  Total Reco,        Active cases, cases         Serious ,Tot Cases /Tot Deaths/     total test as on date etc.,
It will create confidence among the public in the city and actively participate in public policies with keen interest.
6.       Encourage the companies engaged in research and laboratory business, for identifying Drugs, medicines, Vaccines or Homeopathic or Ayurveda treatment for Covid 19.


The ministry also assumed that if we had implemented only containment measures but no lockdown, the cases would have grown at a slightly slower rate but we would have still had more than a lakh cases by 15 April. Instead, by 11 April, we had just around 7,500 cases in India. However, the government provided no details of the mathematical or epidemiological models that projected these numbers.  So, based on the guess work or assumption of per centage, the figures were worked out to present in TV coverage by Health Ministry.

So, was the lockdown a success in containing the spread of Covid-19? The answer could well turn out to be yes as well as no. If we analyse scientifically, during lockdown, the figures must be slashing down, and Lockdown was shown to be successful, but it is false, because  during lockdown, the infected cases may come down, for infected person is hidden, but if you re-open, it will gather in public and infect other person in the vicinity.  In stead, it is expected that during lockdown, the Health Services had a chance to target all the area for detecting an infected person for threshing and attack, so that spread of outbreaks could have avoided.  So, it is said to be unplanned strategy to contain the virus.

According to the survey, 53.2 per cent of males said there has been a negative impact on their income due to continuous lockdown. So, either people are laid off, getting reduced salaries, forced to go on leave without pay or are working only part time now. 

Among the age groups, the hit is more on the senior citizens, with 61.6 per cent saying they are receiving lower income and due to restriction on certain plat form for senior citizens, it is badly impacted on their revenue income.

the hit is more on the age group between 21 to 35, with 86.6 per cent saying that there was no work, hence received no income, consequently, they remained to be underfed.

COVID 19 AND MIGRANT WORKERS BITTER SITUATION.

http://www.mcrg.ac.in/COVID_19_Migrant_Workers.html
https://qz.com/india/1839990/indias-coronavirus-lockdown-leaves-its-poor-in-the-lurch/




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