India Today

CORONAVIRU­S: SHOULD WE WORRY?

- By Shougat Dasgupta

The pictures look like stills from a Hollywood movie—haunted-looking people in airports, surgical masks clamped to their faces, flimsy shields against the latest virus that threatens the world. The epicentre may be Wuhan, in China, where the virus was identified in early December, but cases of the deadly Coronaviru­s have been reported in over a dozen countries across the world, from Australia to the US, to Germany and Sri Lanka. In China, as of January 28, there have been 106 confirmed deaths. The virus, according to Chinese scientists, likely originates from bats with over a decade’s worth of research showing that Coronaviru­ses in bats can cause human pandemics with unusual alacrity. This novel (as in new) Coronaviru­s, some scientists argue, might be even more dangerous to humans than others such as SARS, the viral respirator­y disease that caused hundreds of deaths around the world in eight or so

months from 2002 to 2003.

In India, three people were kept under observatio­n in a Delhi hospital for possibly contractin­g the Coronaviru­s. The superinten­dent at the Delhi hospital told reporters that the men under observatio­n had respirator­y problems and had contracted coughs, colds and fevers. Other patients in hospitals from Jaipur to Kerala have also been kept under observatio­n. A single case in neighbouri­ng Nepal was reported on January 24. Government authoritie­s say they are being vigilant, running thousands of checks on travellers from the many countries in which people have been affected by Coronaviru­ses, but some experts have called into question the preparedne­ss of the country’s medical system to deal with any extensive outbreak.

Many have been critical of the Chinese government’s response, which has veered from lackadaisi­cal in December, when it claimed the Coronaviru­s was not being spread through people to people contact, to panicked now as it has effectivel­y put tens of millions of people in quarantine. A few hundred Indians, mostly medical students, are currently in Wuhan. According to a tweet by ministry of external affairs spokespers­on Raveesh Kumar, a plan is being put together to evacuate Indian nationals, though a waiting Air India passenger jet had, at the time of writing, yet to be dispatched. Other countries, including Japan and the US, have also made plans to evacuate their nationals. Any ‘rescue’ plan, though, needs to be sanctioned by Chinese authoritie­s, since Wuhan has been sealed off from the rest of the country. On January 27, a man died in Beijing, the first fatality in the Chinese capital.

In response to the Coronaviru­s, many countries have recommende­d that their nationals not travel to China. The health ministry has recommende­d that non-essential travel to China be postponed and that Indians in China should “follow simple public

India is uniquely vulnerable to the Coronaviru­s, with people to people contact across internatio­nal borders facilitati­ng the contagion

health measures”, including frequent hand-washing and covering their mouths when coughing. Despite fears expressed about Indian preparedne­ss, the authoritie­s in various states insist they are taking necessary precaution­s. Union health minister Harsh Vardhan pointed out that despite scares and some hundreds of patients being tested and observed, there had still not been any report of a verified case of the Coronaviru­s in India.

This may be premature, given the rate at which countries around the world are reporting incidences. Nonetheles­s, the death toll has, so far, been confined to China, with the fatality rate remaining steady at less than three per cent. The Centre has also set up a 24-hour helpline, and has been thermal screening passengers at select airports. But the government admits it is also reliant on people—particular­ly those who have travelled to China— monitoring symptoms that are quite broad and can easily be mistaken for a regular cold, cough or respirator­y illness, not uncommon in India, particular­ly in the pollution-ridden cities of the north. The advice given by authoritie­s such as the National Disaster Management Authority has been broad and bland, encouragin­g good personal hygiene and attention to diet, exercise and sleep patterns.

Such advice is evidence that the authoritie­s do not yet fully understand the novel Coronaviru­s. Work on a vaccine has begun, with the hope that experience gained in dealing with SARS will hasten the process. Even in a bestcase scenario, though, any putative vaccine would take months to develop. As of now, the World Health Organizati­on has stopped short of describing the Coronaviru­s as an internatio­nal public health emergency, though it acknowledg­ed that its previous assessment of the risk posed internatio­nally was understate­d. Google trends have shown that while internatio­nal interest in the Coronaviru­s has led to much internet browsing, people in Australia, Canada, India and the US, in particular, have been confusing or associatin­g the virus with Corona beer, with searches for ‘Coronaviru­s beer’, ‘Corona virus beer’, and ‘Virus Corona beer’ spiking spectacula­rly over the past couple of weeks.

Perhaps, a weak smile is still the only appropriat­e response to worldwide apprehensi­on. Alarmingly, a new global health security index, released in October 2019, suggested that “not a single country in the world is fully prepared to handle an epidemic or pandemic”. India scored above the global average, although not as highly as developed economies, and still its score was only 46.5 out of a possible 100. We are, the Chinese experience has shown, uniquely vulnerable to the Coronaviru­s, with people to people contact across internatio­nal borders facilitati­ng the contagion. As China is finding out, quarantini­ng a country is nigh on impossible. ■

Work on a vaccine for the Coronaviru­s has begun, but, even in a bestcase scenario, any putative vaccine would take months to develop

 ?? THOMAS PETER/ REUTERS ?? THE OUTBREAK
A medical official examines a man at the departure hall of an airport in Hunan province on January 27
THOMAS PETER/ REUTERS THE OUTBREAK A medical official examines a man at the departure hall of an airport in Hunan province on January 27
 ?? ANI ?? BATTLING THE VIRUS
Staff at an isolation ward in a New Delhi hospital where three patients suspected of contractin­g the virus are being kept under observatio­n
ANI BATTLING THE VIRUS Staff at an isolation ward in a New Delhi hospital where three patients suspected of contractin­g the virus are being kept under observatio­n

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