Presently, in India, COVID-19 cases have risen close to 1 Lakh per day! The scenario is terrifying in the wake of 'Unlocks' to soothe the vast population. Well, Lockdown was a necessity. But were we alarmed by the rising cases of Corona virus disease outside India that started at the close of the year 2019? Again, did the scientific community of our country alarm the government? Also, did the health ministry take note of the already depleted health facilities in various parts of the country?
I raise these questions because in my attempt to explore the disease COVID-19, I found certain facts in research articles in reputed (online) journals published by Taylor and Francis and Oxford University Press. I am neither a scientist nor a medical professional but as a curious layman I thought to decipher the virus which has already perplexed the global scientific community. The influenza virus spreads very fast as we all know that when one person catches cold at home the other family members also get infected quickly! Then such viruses, as the present one, would certainly spread like a wildfire for they are advanced version of cold and flu virus which may even cause death.
Corona virus is not an unknown entity to the world. The current one is new corona virus which causes fatal respiratory disease. The following is a list of such viruses which I discovered in various research articles:
1. Severe Acute Respiratory Syndrome corona virus (SARS-CoV) outbreak in 2003
2. H1N1 influenza A virus outbreak in 2009
3. Middle East Respiratory Syndrome corona virus (MERS-CoV) outbreak in 2012
4. H5N1 and H7N9 avian flu virus oubreak in 2013
The above viruses had already gave the threat of a pandemic long back as the years of outbreak suggest. That is why, published in 2016, one of the article's title rightly suggested that we were "in the era of corona virus". MERS-CoV unleashed havoc in the Kingdom of Saudi Arabia and until 4 June 2014, 688 confirmed infections and 282 deaths were reported (Ali M. Al Shehri, 2015). The potential of MERS-CoV in human-to-human transmission is easily understood for the disease spread to 27 countries in North America, Asia, Europe and Africa. One of the articles reports that in June 2015, Korea faced the largest outbreak after Saudi Arabia (Yin Mo and Dale Fisher, 2016). Another report says that as of May 16, 2016, 1388 cases of MERS had been reported in Saudi Arabia with dangerous 43% mortality (Sarah Batawi and others, 2016).
My point is that why could not we draw a lesson from these outbreaks and prepare ourselves better to combat the current CoViD-19? In 2003, when similar virus (SARS) hit Canada, their health public system was revamped and the formation of Canadian Agency for Public Health happened in similar lines of the US Centre for Disease Control (CDC). Then, MERS again shook the world. But we were waiting for another virus to enter our territory and bring chaos. The Indian public has already seen the failure of health system and preventive measures in news reports, mass media and various social media platforms.
However, in these phases of Unlocks we must have noticed that how people are still not cautious and conscious of hygiene and following the guidelines released by the stakeholders for prevention of the COVID-19 disease. Hand hygiene is very significant including appropriate use of masks and practising social distancing. I do not need to repeat it here as whenever you pick up your phone to call someone these things are always repeated by the network operators in various Indian languages.
We understand that coronaviruses are "biologically diverse and rapidly mutating" (Yin Mo and Dale Fisher, 2016), these are new viruses and unpredictable in terms of origin, means of transmission and behaviour, however, good public health system must consider such circumstances and be ready for managing the situation without interrupting economic activities and creating turmoil for common people, specially those belonging to unorganised sector and labour class.
It would have been better that instead of building a 'statue of unity' we could have built advanced healthcare system keeping in view the large and dense population of our country and the undisciplined public. I think money should flow to the basic need which does not mean to provide free ration but to provide a medical infrastructure that could be trusted by common, mostly poor, public in India.
Please note that SARS came 17 years ago when I was a school student. It alarmed the world then. After this came MERS 8 years ago. It also alarmed the public, governments and scientists! And now this COVID-19 stresses on the most urgent need to reform and reconfigure the national public health policies that may provide affordable treatment for such flu outbreaks, communicable and non-communicable diseases and other health challenges emerging from time to time. Only beating thaalis, lighting diyas and declaring unplanned lockdowns will not stop the disease besides diverting the attention of popular imagination to Sushant Singh Rajput case, the Holy temple and LAC dispute.
Thank you!
Works Consulted on the CoV
1. Yin Mo and Dale Fisher.
A review of treatment modalities for Middle East Respiratory Sundrome. Journal of Antimicrobial Chemotherapy. 2016. doi:
doi.org/10.1093/jac/dkw338
3. Sarah Batawi et. al. Quality of Life Among Survivors of Middle East Respiratory Syndrome Corona Virus. Open Forum Infectious Diseases. 2016. doi: doi.org/10.1093/ofid/ofw172.527
4. Yu-Mei Wen and Hans-Dieter Klenk. H7N9 avian influenza virus - search and re-search. Emerging Microbes and Infections. 2013. doi: doi.org/10.1038/emi.2013.18
5. Ali Alfahan et. al. In the era of corona virus: health care professionals' knowledge, attitudes, and practice of hand hygiene in Saudi primary care centers: a cross-sectional study. Journal of Community Hospital Internal Medicine Perspectives. 2016. doi: doi.org/10.3402/jchimp.v6.32151
6. Paul D. Gardner et. al.
Viable Viral Efficiency of N95 and P100 Respirator Filters at Constant and Cyclic Flow. Journal of Occupational and Environmental Hygiene. 2013. doi:
doi.org/10.1080/15459624.2013.818228