NEW DELHI:
The country is showing a declining trend of Covid-19 cases since the last four months and compared to similarly placed nations, the cases and deaths per million population in India is among the lowest, the government told Rajya Sabha on Tuesday. Minister of State for Health Ashwini Choubey was responding to a question on the reasons for exponential multiplication of coronavirus cases in the country and whether there was a wrong approach at the initial stage by the government in focusing on testing, contact tracing, isolation and quarantine management.
"The country is showing a declining trend of Covid-19 cases since the last four months. Recovery rate and case fatality rate for the country is 96.94 per cent and 1.44 per cent respectively. Compared to similarly placed countries, the cases and deaths per million population in India is among the lowest (7,778 cases and 112 deaths per million population)," he said in a written reply.
The government's strategy of focusing on testing, contact tracing, isolation and quarantine-containment is the fundamental approach for managing infectious disease outbreaks of epidemic or pandemic in nature, Choubey said, adding that the strategy has been recommended globally and by the World Health Organisation for suppressing transmission or breaking the cycle of transmission of Covid-19.
Such a strategy combined with non-pharmaceutical interventions such as physical distancing, hand hygiene, respiratory etiquettes and use of mask or face covers, closure of schools and work places, complements the containment strategy in preventing the disease from spreading, the minister said.
The government periodically issued guidelines, protocols and standard operating procedures based on existing scientific evidence, Choubey said.
To another question on whether geo-tagging was done for areas with high Covid-19 cases, Choubey said all states and union territories followed mapping of cases and clusters digitally to demarcate containment and buffer zones.
In addition, the Aarogya Setu ITIHAS interface, which uses location data, and the Aarogya Setu analytics to predict emerging hotspots were used effectively to support surveillance and case finding, he said.
Centre to depute teams to Kerala, Maharashtra for coronavirus management support
The Union Health Ministry has decided to depute two multi-disciplinary teams to Kerala and Maharashtra, which are contributing to almost 70 per cent of total Covid-19 active cases, to collaborate with state health authorities in instituting public health measures for virus management. At a time when almost all states and union territories are showing a declining trend in the number of cases and deaths due to Covid-19, Kerala and Maharashtra continue to report a large number of cases, the ministry said.
"At present, these two states alone are contributing to almost 70 per cent of active Covid-19 cases in the country," it said.
As on Tuesday Maharashtra has 44,944 active cases while Kerala has 69,456 active cases, according to the health ministry data updated at 8 am.
The Central team to Maharashtra comprises experts drawn from National Center for Disease Control (NCDC) and RML Hospital, New Delhi.
The Kerala team shall comprise senior officials from the Ministry of Health along with experts from Regional Office of Health and Family Welfare, Thiruvananthapuram and Lady Hardinge Medical College, New Delhi.
Higher deaths in India than South Asian nations
Multiple factors may have contributed to India reporting higher Covid-19 related deaths per million population than other South Asian countries such as Bangladesh, Sri Lanka and Pakistan, the government said on Tuesday.
According to Minister of State for Health Ashwini Kumar Choubey comparison of deaths per million may not be apt as there are factors such as varied geography, case definitions, surveillance, testing and reporting protocols.
To a question on whether it is a fact that Covid-19 related deaths per million population in India is much higher than that in other South Asian countries such as Bangladesh, Sri Lanka and Pakistan, he said in Rajya Sabha, "Yes. Comparison of deaths per million may not be apt as there are multiple factors that may contribute to this observation."
These factors are "varied geographies, island nation, case definitions, surveillance, testing and reporting protocols, attribution of death etc", he said in a written reply.
Choubey said an analysis of countries that have reported higher number of cases, however, indicates that the deaths per million population in India is among the lowest.
India has recorded 112 deaths per million population, while the US has reported 1,347, the UK 1,533, Spain 1,247, Brazil 1,044 and Russia 495.