Corona: Some real, though some hype

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Corona: Some real, though some hype

Monday, 17 May 2021 | Harish Barthwal

Corona: Some real, though some hype

Somehow, the States and the Union Government are passing on the impression that it has been unable to meet the challenge of the virus

Thoughts of prospective troubles hardly come true, and most people die of visceral fear of spectre or something that doesn't exist. "Ninety per cent of our problems are caused by our own thoughts," says Hilda de la Rosa, a South African popular author and motivational speaker. She says, entrapped in our thought processes, we find it arduous to extricate ourselves from the thinking pattern we have imbibed over years. Unaware of the facts about morbidity and mortality due to Covid or otherwise, most people are caught with the fear psychosis that is taking a larger toll than the pandemic itself.The predicament has shaken people of all description. The pandemic 2.0 is hitting Indians with greater intensity and virulence but a sensible and broader perspective can reduce the hype and assure the implications of the current crisis are not as dismal as being made out.

Certain mystery shrouds the resurgence of Covid 2.0 with new strains. True, the plateauing of Covid cases in India by last fall led to public and government complacence about continuing risks. And the the government toned down restrictions. As the going seemed manageable, shops,restaurants, wholesale and retail markets, malls,schools, public transport, businesses and public establishments tended to function normally.Export of jet fighters, plans to lay 75,000+ stations to charge electric vehicles, supply of domestically produced Covid vaccine to 87 countries and medicines to over 150 countries meant progression towards a vibrant economy and making of "atmanirbhar" nation. Naturally, the Indian buoyancy and optimism was not palatable to arms, oil, and pharma lobbies,as theycould lose huge businesses in India; apropos of 5-billion-dollar PPE and masks deals alone came to a naught in one shot, oil companies were next. Prime Minister Narendra Modi, who repeatedly said and meant 'desh nahi lutne dunga, desh nahin bikne dunga' was a common enemy who would not bend like Donald Trump of the US. For the global business magnates to flourish in India, Modi's downsizingwith the aid of domestic disgruntled elements appeared the only option. To support them was neighbouring China. Possibility of China-sponsored biological war behind the abrupt rise in Covid cases in India bypassing the neighbouring countries with identical life style during April 10-15 cannot be ruled out. Accompanying this was the opposition's refrain of failure of Modi government to deal with Covid, enthusiastically supported by Western media.On  April 20, international media showed'large scale' cremations and highlighted deficiencies in Indian health care sector. Strangely, at this hour, Pakistan also offered to help India.

The anti-government chorus was endorsed by UNICEF executive director Henrietta Fore on May 4: "The tragic situation in India should raise alarm bellsfor all of us." Most recent is the editorial in the medical journal Lancet summarily undermining the government's efforts in dealing with Covid;the vindictive portion being, "Modi's actions in attempting to stifle criticism and open discussion during the crisis crisis are inexcusable". The statement suggesting the government "own up to its mistakes" is the tone of a hardcore political adversary and in bad taste, unbecoming of a medical publication. Reports about Chinese instigations behind the sordid coverage and observations on India's handling of Covid shall be revalatory.

At home, during Covid 1.0, the Opposition decried lockdowns for its adverse implications on livelihoods. In second wave, after States were allowed to decide at their own level, they chose lockdown. They also criticised the efficacy of vaccine, then took it one by one. The purpose was creating a public impression that government is unwilling and unfit to manage Covid crisis, something not in national interest.

Ambiguity in identifying the precise aetiology, genesis and manifestations of Covid 2.0 further tends to destabilise the poise of lay public. The doctors find it expedient to classify routine health issues as Covid in keeping with trends. The head of a prestigious health facility,Dr Arvind Kumar of Medanta, Gurugram: Consider any one of symptoms like sneezing, headache, fever, throat soar, vomiting, diarrhoea, loss of smell or taste, skin patches, body ache as Covid case unless proved otherwise, and begin with self-isolation without wait for lab reports - even negative reports with either symptom must be treated as Covid. Such precepts further down the already diminishing morale of the patient and his kith and kin that needs bolstering in the nerve breaking era we are passing through.

As for the numbers gamein Covid, national morbidity and mortality data across states in specific time frames are subject to wide fluctuations because transmission of Covid is multifactorialin nature involvingthe vision of the governmentad thestrict measures it takes to control the pandemic including health facilities.Thus,it shall be naïve to pronounce judgement on the performance of the governance based on infections and death data of few days, weeks or even months; policies and actions take long to show results. Taking the Covid data of April 28, 2021, though numerically India witnessed largest daily deaths (3647) compared to USA (954), Germany (320), France (344) and Italy (344), the deaths per crore population turns out to be mere 26 for India and 29, 38, 48 and 57, respectively, for these countries (source: worldometers.info). Thus, the narrative that India is worst hit by Covid smacks of foul play to tarnish the image of India.

Doctors are not knowalls in health matters but in a few weeks after Covid 2.0, how do they presume that all non-Covid diseases have eclipsed altogether. Based on 2017 data, World Economic Forum analysis revealed 25,270 daily deaths in India, second to China at 28,036.  The estimated global annual death toll for tuberculosis of all kinds in 2019 stood at 14.18 lakh and 79,144 in India; for HIV-related diseases the annual death toll was 5-9 lakh globally and 69,000 for India in 2017. These figures shall not be significantly different for 2020 and 2021. A fair, comparative assessment of quantitative changes in morbidity and mortality in pre-Covid and it a time frame shows that the Covid death toll as reported is misleading and ignores mortality from classical diseases. The actual Covid toll is not of the level we are told to make out.

The fear against COVID is largely visceral. It is the spectre of COVID that is the real threat, and not the virus itself. The virus with a life of around seven days is an issue only in about three to five per cent cases where specialist handling is required. We are undergoing times when each section of country has to lend a helping hand. Let us face the facts squarely, keep our peace and hope for the best.

The author is a blogger at www.bluntspeaker.com and writes on health, spiritual, and social issues.

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