Hindustan Times (Jalandhar)

Is TN man 1st community spread case?

- Rhythma Kaul letters@hindustant­imes.com

NEW DELHI: The government is yet to establish the source of infection of a 20-year-old Delhi resident who tested positive for coronaviru­s in Tamil Nadu on Wednesday, sending alarm bells ringing and raising questions if this is India’s first case of community transmissi­on of the deadly contagion.

The man had travelled by train from Delhi to Chennai — it was not immediatel­y clear when — and authoritie­s said they have not found any history of travel abroad or any contact with any other positive case of the coronaviru­s disease, or Covid-19.

“We have come to know he has had no travel history, but contact tracing is not a simple process. It has to be thoroughly investigat­ed,” said Dr RR Gangakhedk­ar, head of epidemiolo­gy, the Indian Council of Medical Research (ICMR), the country’s apex biomedical research body.

The Union health ministry reiterated that there was no evidence of community transmissi­on – a phase of the outbreak where the origin of the infection cannot be traced to foreign travel or contact with another positive case – in the country, and that this particular case was still being investigat­ed.

“The initial part of the investigat­ion is to document what the patient tells you and then look for people he may have come into contact with indirectly.

Sometimes there is a contact but the person doesn’t realise,” said Gangakhedk­ar.

“All these things need proper investigat­ion before a conclusion is drawn.”

ICMR is expanding the scope of its sentinel surveillan­ce that is meant to track signs of community transmissi­on.

“From 51 sites currently we have decided to lift samples of severe acute respirator­y infections from 100 sites,” he added.

In countries such as Italy or South Korea, the number of Covid-19 cases and related fatalities surged once community transmissi­on of the disease began , making it difficult for government­s to contain the rapid spread of the infection.

While the government is keeping private hospitals and laboratori­es on standby for a surge in cases that are likely to happen given the contagious nature of the disease, the 121 government laboratori­es so far are not testing to its full capacity.

“The government labs are so far using only about 10% of their capacity, but the private labs are being involved so as to stay prepared for any eventualit­y,” he said.

As of Friday, 112,000 people across the country were under watch for either having travelled from abroad or having come into contact with a laboratory positive case.

Close to 7,000 people have been identified as contacts of positive cases, and are being closely observed.

› We have come to know he has had no travel history, but contact tracing is not a simple process. It has to be thoroughly investigat­ed. DR RR GANGAKHEDK­AR, epidemiolo­gy head, Indian Council of Medical Research

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