Need to gradually lift the block, have an unconventional exit strategy: Dr. Devi Shetty

NOIDA: Talking about the next steps after the closure in India, experts in online world conference on Covid-19: Fallout&futureonthursday,itagreedthatsocialdistancingshouldcontinueinvariouswaysevenaftertheshutdowntocontrolthespreadofthevirus.

thepresidentofthenarayanahospitalsexpressedconcernabouttheeconomicimpactoftheblockadeduetothecoronavirusandsaidthattherestrictionsshouldbegraduallylifted.

shettyproposedthataftertheshutdown,thehotspotsmayremainsealed,whiletheotherareasshouldbegraduallyopenedtotrytorevivetheeconomy.

wecansaythatwehavereducedthemortalityrateby50%inindiaduetotheearlyclosure,whichdidnothappeninmanyothercountries.inthefuture,wemustgraduallylifttheblockadeandhaveanunconventionalexitstrategy.thereappearstobenomedicalreasontocontinuetheblockexceptatcriticalpoints.weproposedinkarnatakathatpublictransportationshouldstart,butat50%ofcapacityandstoresshouldbeopenfromearlymorninguntillateatnightsopeopledon'tcrowd,hesaid.

accordingtodr.randeepguleria,director,instituteofindianmedicalsciences(aiims),newdelhi,thecomingweekswillcontinuetobedifficult,althoughtheincreaseincasesmaynotbesharpduetotimelyclosure.however,headdedthatmoredataisneededinthecomingdaystodecidewhethertheblockshouldcontinueornot.



dr.guleriasaidthechallengeinthecomingmonthswouldbetopreventthespreadoftheinfectionfromthehotspotstootherareasandthateffortsshouldbemadetocontaintheinfection,whichisonlypossiblethroughsocialdistancingandregularlaundering.ofhands.whatwemustdointhefutureistocontaintheinfectionatcriticalpoints,sothatcasesdonotincreaseandourexistinghealthcareinfrastructurecanmanagethedisease.thatiswhythebattleforcoronaviruscannowbewon,notinhospitals,butinthecommunity,”saiddr.guleria.

therearefourmainstrategiesahead,accordingtodr.dinesharoraias,formerdeputyexecutivedirectorofthenationalhealthagency(nha)andthecurrentsommerscholar(mph)atjohnshopkinsuniversity,usa.usa

protecthigh-riskgroups,suchastheover-65populationandhealthcareworkers,continuetheblockadeonlyatcriticalpoints,andgraduallybegintoopenuptheeconomy,increasetestingbytappingintotheprivatesector,andusethesurveillancetechnology.thelessonfromthecrisisisthatpublichealthisinthelimelightnowandtherewillbeanewnormalafterthis,”saiddr.arora.

professorashishkumarjha,directoroftheharvardinstituteofglobalhealth,usa.theussaidthatthereareonlytwowaystomanagethedisease:socialdistancingandtestingtheisolationquarantinestrategy.hesaidthatwhileindiahasdoneverywellonthefirstfront,testingandisolationremainachallenge.

“indianeedstosubstantiallyincreasetestingandisolationtopreventthespread.youshouldalsoanalyzetheeconomiccostandfocusonshort,targetedclosure,”saidprofessorjha.

healthprofessionalsandexpertsattheconferenceagreedthatindiaisattheforefrontofcasemanagementandthatearlyclosurehasbeenabletopreventthespreadofthedisease.expertssaidindiahasfaredbetterthanmostdevelopedcountriesincontrollingthediseaseandthatlessonscanbedrawnfromindiafromareaslikebhilwada.

dr.nitiaayogvicepresidentsaidthereareseverallessonsfromthecovid-19crisis,includingtheimminentneedtoreducethecostofmedicaleducationinthecountryandtheneedtoattracttalentstothecountryforresearchonthemedicalcare.

“wehavealsorealizedthatthereisaverylargeinformalsectorthatneedsasocialandmedicalsafetynet.inaddition,wehopethatyouhaveresourcesavailableinthefuturesothatyoudonothavetomakedecisionsbetweensavinglivesandsavinglivelihoodsagain.thereisalsoaneedtoimprovegovernanceatalllevelsinthedeliveryofpublichealthservices,saiddr.kumar.

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