Deficient system
FRONTLINE|April 10, 2020
India’s ill-prepared public health system faces its toughest test yet as the number of coronavirus cases continue to increase, putting pressure on the government’s limited resources.
T.K. RAJALAKSHMI
Deficient system

ONE OF THE THINGS THAT IS BEING LAUDED in India is that in a population of 1.3 billion, the number of reported coronavirus cases has been very low. The national address of Prime Minister Narendra Modi on March 19 asking people to observe a self-imposed curfew on March 22, to clap and ring bells from their balconies to appreciate the work of doctors and health workers, and to not hoard, do not give an indication of the state of health preparedness across the country.

While the efforts of the government in issuing travel advisories, installing screening mechanisms at airports and advising people to take precautions have been acknowledged, public health experts have cautioned about gross under-reporting of infected cases and emphasized that the total number of tests conducted by the Indian Council of Medical Research (ICMR) based on a small sample was not enough to arrive at the conclusion that community transmission was not occurring.

There also were reports of people diagnosed with COVID-19 interacting and moving freely in the community. The revised strategy of testing issued on March 21 by the ICMR underscores the approach that cases of COVID-19 in India relate only to travel and local transmission from “imported cases to their immediate contacts”. The notification says that “community transmission of the disease has not been documented till now. Once community transmission is documented, the above testing strategy will undergo changes to evolve into a stage-appropriate testing strategy.”

This story is from the April 10, 2020 edition of FRONTLINE.

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This story is from the April 10, 2020 edition of FRONTLINE.

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