Hindustan Times (Amritsar)

Govt to begin antibody tests in 21 states to check virus prevalence

- Rhythma Kaul ■ letters@hindustant­imes.com

CENTRE AND ICMR ARE ALSO CONDUCTING A COMMUNITY-BASED SERO-SURVEY TO ESTIMATE PREVALENCE OF SARS-COV-2, THE VIRUS CAUSING COVID

NEWDELHI: With new cases rising over the past few weeks, India has scaled up its coronaviru­s disease (Covid-19) testing capacity to one lakh samples a day, nearly two weeks ahead of the Union health ministry’s initial target of reaching that number towards the end of May.

“…the testing capacity has increased in the country and it is 1,00,000 tests per day with 347 government laboratori­es and 137 private laboratori­es. Cumulative­ly, 17, 62,840 tests have been done so far for Covid-19. Whereas, 86,191 samples were tested yesterday,” said health minister, Harsh Vardhan, in a statement on Tuesday.

As per HT dashboard, the total number of confirmed cases were 78,015 with 2,478 deaths

The cases doubling time in the past 14 days has been 10.9. Over only the past three days, however, this has improved to 12.2 days. Also, the disease fatality rate is 3.2%, and recovery rate stands at 31.74%, which is better than those in many other affected countries. As of Monday, there have been 2.37% active Covid-19 patients undergoing treatment in the ICU, 0.41% patients are critical, and on ventilator­s, and 1.82% are on oxygen support.

“In view of the surge of returning migrant labourers, States/ UTs need to focus on more effective surveillan­ce, contact tracing, adequate testing and timely treatment of all the returnees. This also includes the ones that shall be returning from abroad,” Harsh Vardhan said. The states have been directed to ramp up the surveillan­ce for Severe Acute Respirator­y Infections) / Influenza Like Illness in the affected and non-affected districts, and take the help of government medical colleges if required. “Such measures will help to indicate the presence of any possible hidden infection at an early stage, helping in its timely containmen­t.”

The ministry, along with the Indian Council of Medical Research (ICMR), is also conducting a community based sero-survey to estimate the prevalence of SARS-CoV-2, the virus that causes Covid-19, infection within the Indian households in 69 districts of 21 states, covering at least 24,000 adults.

“The survey is coordinate­d by ICMR’s National Institute of Epidemiolo­gy (NIE) and National Institute of Research in Tuberculos­is (NIRT), Chennai. This household level cross-sectional survey will cover 24,000 adults distribute­d equally across four strata of districts categorise­d on the basis of reported cases of Covid-19,” said ICMR in a statement.

The survey will involve collection of venous blood samples from 400 randomly selected individual­s (one per household) from 10 clusters in each district. Samples from each of these individual­s will be tested for presence of IgG antibodies using ELISA test developed by ICMR-National Institute of Virology (NIV), Pune, and is being manufactur­ed by Zydus Cadilla.

The results of the survey will provide informatio­n about the spread of SARS-CoV-2 infection in different parts of the country.

Besides this community-based survey, health ministry is also initiating hospital-based surveillan­ce to monitor the trend of infection in all districts.

“It is a part of initiating systemic surveillan­ce to know the extent of disease spread, to determine the future course of action in order to curtail the virus spread. This is the most effective way,” said Giridhara R Babu, Professor and Head Lifecourse Epidemiolo­gy, Public Health Foundation of India.

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