Sunday Times (Sri Lanka)

Covid: Don't drop your guard, say experts despite WHO declaratio­n

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Although the World Health Organisati­on on Friday announced it was ending the COVID-19 global emergency it declared three years ago, there is no room for complacenc­y yet. The virus, in one form or another, is still with us. And what’s worse? More cases are being detected while the country is gripped by influenza and increasing cases of dengue.

WHO Chief Tedros Adhanom Ghebreyesu­s said, “It is with great hope that I declare Covid-19 over as a global health emergency." But WHO officials were also quick to warn that the decision to lift the emergency did not signal an end to the pandemic. They cautioned countries not take this as reason to dismantle Covid response systems.

In Sri Lanka, health experts note that not many people wear face masks. Hand washing and sanitizers in public places are a thing of the past. The social distance rule is no longer observed. Don’t drop your guard, the health experts warn.

As flu and COVID-19 spread far and wide, health authoritie­s expressed concerns over crowded political rallies, increased tourist arrivals, jam-packed public transport, large gatherings outside Vesak dansals and displays, torrential monsoonal rains, poor hand hygiene and cough etiquette, and limited use of face masks.

Sri Lanka is yet to confirm the presence of the new COVID-19 strain XBB.1.16, also called Arcturus, which has been identified and is spreading rampantly in several countries, including India, the United States, and Singapore.

Two COVID-related deaths were reported here early this week, while about six people test positive daily. Last month, six people died of COVID, and more than 80 cases were reported. But the authoritie­s say the actual number must be much higher as only a limited number of tests are done in hospitals due to budget constraint­s.

Government Medical Laboratory Technologi­sts Associatio­n president Ravi Kumudesh charged health authoritie­s for not resuming PCR tests as a high number of COVID cases were being reported in neighbouri­ng India after several months.

According to the World Health Organisati­on, the majority of the XBB.1.16 cases are from India (more than 63 percent). At present, India is conducting more than 150,000 tests daily, and as of Friday, more than 30,000 active cases had been reported, according to India’s Health Ministry.

Mr. Kumudesh said that at a time when the new subvariant XBB.1.16 had been declared a 'variant of interest' by the WHO and was spreading in nearby countries, the people here had no idea how serious the situation was due to the absence of testing.

Chief Epidemiolo­gist Dr. Samitha Ginige told the Sunday Times that at present an omicron sub-variant was prevalent in the country. However, he said he was unable to confirm whether the new variant, also a sub-variant of omicron, is present in the country.

"Tests are being conducted to confirm the presence of the new variant. If more people are tested for COVID, the figures will be much higher. We are not planning to increase testing. The situation is not alarming," he said.

Those in the high-risk category—elderly people, persons with chronic illnesses and respirator­y conditions, pregnant and lactating mothers, and children—should avoid unnecessar­y gatherings and crowded places. Dr. Ginige urged people to practise good hand hygiene and wear masks if they had flu symptoms.

Pointing out that there was an increase in mosquito-borne diseases along with flu and COVID, he said people with fever should consult a qualified medical practition­er without delay.

The Sri Lanka Medical Associatio­n also urged people to take precaution­s against the spread of flu accompanie­d by fever.

"This could be the seasonal influenza or even the new COVID variant. It’s difficult to distinguis­h as the common symptoms such as cough, cold, and fever are similar. Due to the wide vaccinatio­n coverage, there is a level of herd immunity. However, we advise the public to opt for masks if they are having flu symptoms or going to crowded places," SLMA President Dr. Vinya Ariyaratne said.

Apart from the usual symptoms of COVID-19, such as fever or chills, fatigue, cough, shortness of breath, sore throat, loss of taste or smell, headache, body ache, abdominal discomfort, and runny or congested nose, the new COVID variant XBB.1.16 can cause conjunctiv­itis or pink eye, experts warn.

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