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Shutdown in India Due To CoronaVirus


What happened in India, Bollywood shutdown, Taj Mahal closed, people drink cow urine to fight new coronavirus


The Ministry of Tourism of India said that starting from the 17th local time, India will close its iconic Taj Mahal and suspend visits to tourists. Currently, India has reported 114 cumulative confirmed cases and 2 cumulative deaths. India banned passengers from the European Union, Turkey and the United Kingdom on Wednesday. Due to the outbreak, most attractions in India were required to be closed until March 31, including all ticketing monuments and all other museums. Schools and entertainment facilities in India, including cinemas, have been closed.

Types of Coronaviruses alike

In addition, Bollywood, India's most famous film and television production base, also closed until March 31


The Taj Mahal is one of India's most famous monuments and one of the New Seven Wonders of the World. The Taj Mahal attracted nearly 6.5 million tourists in 2018.

As for why 1.3 million people in India did not have a large-scale infection, the New York Times quoted medical experts' speculation that many cases may not have been detected and India may adopt strict tracking and quarantine measures from the beginning.

And on March 14, an Indian organization organized a party in Delhi to drink cow urine to fight against new coronary pneumonia. About 200 people drank cow urine at the party. Many people in India consider cows to be sacred animals, and cow urine can be used as a cure for cancer. But Indian experts emphasize that there is no evidence that bovine urine has a therapeutic and preventive effect.



There are more than 200,000 people infected with coronavirus worldwide. Why are there so few people tested for infection in India?


The world's second most populous country has reported about 182 infections

"We have sent a simple message to all countries-the test, test, test ".

He was referring to a coronavirus outbreak that has killed more than 8,600 people and infected more than 207,000 people in at least 159 countries.

"All countries should be able to detect all suspicious cases and they cannot deal with this blindfolded pandemic," he said.

To date, India has reported 182 infections and caused 4 deaths. Does India take this recommendation seriously? Is the test in the world's second most populous country sufficient?

The jury questioned the matter. As of Thursday night, India has tested about 14,175 people in 72 state-run laboratories, one of the lowest test rates in the world. Reason: Limited testing in the country. Therefore, only people who have been in contact with an infected person or who have been to a high-risk country or medical staff who deal with severe respiratory illness and have Covid-19 symptoms are eligible for testing.


Coronavirus: Is India ready for an outbreak?


Why do more than a billion people in densely populated countries have so few tests? Officials assume the disease has not yet spread in the community. As early "evidence," health authorities said that 826 samples of coronavirus collected from patients with acute respiratory disease at 50 government hospitals in India from March 1 to 15 were negative for coronavirus. In addition, the hospital has not reported a surge in admissions for cases of respiratory distress.

"Reassuringly, there is no evidence of a community outbreak," said Balram Bhargava, director of the Indian Medical Research Council (ICMR). He believes that Mr Ghebreyesus' proposal is "too early" for India and will only "create more fear, more paranoia and more hype."

But experts are not sure

Many of them believe that India is also under test because it is concerned that resources are scarce and that imbalances in the public health system could overwhelm patients. India may take time to stock up test suites and increase isolation and beds. "I know that large-scale testing is not a solution, but our tests seem too limited. We need to expand quickly to limit community spread," former Federal Minister of Health, but let's note: Indian health system author K Sujatha Rao told me .

Virologists say, on the other hand, random on-demand testing will cause panic and completely strain fragile public health infrastructure. They say that increasing sentinel screening for targeted flu patients and diagnosis in hospitals across the country could better understand the presence of community transmission. A senior virologist told me: "We need focused testing. We can't do it in China or South Korea because we simply don't have the capacity."

In many ways, it's all about India's attempt to fight the pandemic with limited resources. Experts talked about the country's success in combating polio, fighting pox, successfully controlling the spread of HIV / AIDS, and the recent H1N1 infection, with rigorous surveillance, clear identification of vulnerable groups, Sexual interventions and early collaboration with the private sector to prevent the spread of the disease.

However, coronavirus is one of the most deadly spreadable viruses in recent history. Losing an effective response every day means an imminent danger of a surge in infection. India's expenditure on healthcare accounts for only 3.7% of gross domestic product (GDP), and if the outbreak is full, the situation may start to worsen. Partial blockades in many cities-closing schools, universities, businesses and suspending some rail transport-prove that the government is concerned that the virus may have started to spread in the community.

Officials assume the disease has not yet spread in the community

Preparing for the inevitable, India is expanding its testing. Officials said that existing laboratories were able to provide results within six hours, and each laboratory could test 90 samples per day and could double that. By the end of this week, 50 state laboratories will begin testing samples, bringing the total number of testing facilities to 122. Pundits claim that these laboratories will be able to test 8,000 samples per day in total-a large scale. In addition, the government plans to allow about 50 private laboratories to begin testing, but they will take up to 10 days to purchase the kit. (Tests in state-run laboratories are free, and it is unclear whether private laboratories will charge for them.)

Two rapid test laboratories can perform 400 tests per day and are expected to end this weekend. India has also ordered 1 million test kits and may ask the World Health Organization to provide another 1 million.

"In terms of testing, the government's response is commensurate with scope, needs and capabilities," said the representative of WHO India. We recognize that the laboratory network is expanding and testing, and now includes patients with severe acute respiratory infections and influenza-like illnesses detected through surveillance systems. It is also important to study 'atypical pneumonia' cases. For no apparent reason, you need to consider testing it. "

India may take time to store test suites, increase isolation and beds

The next few weeks and months will show whether these steps are sufficient. "We can't say that India has gotten rid of community transmission," Bargava said frankly. And, if and when the surge in infections and more patients need hospitalization, India will face huge challenges.

India has 8 doctors per 10,000, compared with 41 in Italy and 71 in South Korea. It has a state-run hospital that can accommodate more than 55,000 people. (Private hospitals are out of reach for most people). Testing culture in the country is poor, and most people with flu symptoms don't go to the doctor but try home remedies or go to a pharmacy. Lack of isolation beds, trained paramedics and paramedics, and ventilator and intensive care beds.

Virologists say that influenza cases in India peak during the monsoon season, so there is no reason why the coronavirus will not recur. "Considering how India develops, it seems to be two weeks behind Spain and three weeks behind Italy. But this is the number of known cases. This number could be even worse without adequate testing and closing of large parties." Shruti Rajagopalan, an economist and senior researcher at the Mercatus Center at George Mason University, told me.

If the disease spreads to small populated towns and villages, India's traditional neglect of public health care will begin to suffer. "This is a very unique and real public health challenge, and it is still very early," Ms Rao said.

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