Hindustan Times (Chandigarh)

Community spread in India? Experts, government differ

WHAT IT MEANS FOR COUNTRY

- HT Correspond­ent

NEW DELHI: Ten people hospitalis­ed with acute pneumonia in India have tested positive for the coronaviru­s disease (Covid-19), according to the Indian Council of Medical Research (ICMR).

Some scientists would consider that community transmissi­on -- the all-important phase 3 of an infectious disease such as Covid-19, where infected people have no history of travel to a Covid-positive country, or direct or indirect contact with an infected person or a carrier.

ICMR’S head of epidemiolo­gy and communicab­le diseases Dr Raman Gangakhedk­ar admits that there are a few “sporadic instances” such as this, but that “the numbers are not significan­t enough to establish that there is community transmissi­on because people sometimes don’t recall or don’t give the correct history fearing stigma”.

“Till these numbers are not significan­tly high, we should not over-interpret it,” he added.

The number of positive cases in India went past 1,000 (1,013) as of 10.30pm Saturday night. On Friday, they rose by over 100 for the first time. Experts say India’s numbers will continue to remain low because the country’s testing protocol is still very stringent. It is restricted to symptomati­c and asymptomat­ic people with a history of travel to

Ten pneumonia patients, with no history of foreign travel or contact with a Covid-19 confirmed case, have tested positive

This raises concerns that community transmissi­on (phase-3) has begun, which would make it difficult to stop the spread of Covid-19 Officials, however, say there is no concrete evidence to prove phase-3 has started, which — according to experts — could also point to the lack of mass testing

countries hit by the Covid outbreak and contact with infected people, and to health workers caring for Covid-19 patients. While testing has now been expanded to 47 private laboratori­es (in addition to 113 government ones), the protocol remains the same.

“I don’t know what is stopping the government from doing extensive testing. It’s difficult to speculate on community transmissi­on without data, I think we will know of community transmissi­on only after it has crossed a certain threshold,” said Dr Amit Singh, associate professor, Centre for Infectious Disease Research, Indian Institute of Science, Bengaluru.

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