Mishra Surabhi, Mohapatra Archisman, Kumar Raman, Singh Anjana, Bhadoria Ajeet Singh, Kant Ravi
Department of Community Medicine, Himalayan Institute of Medical Sciences (HIMS), Dehradun, Uttarakhand, India.
Director, Generating Research Insight for Development (GRID), New Delhi, India.
J Family Med Prim Care. 2020 Apr 30;9(4):1792-1794. doi: 10.4103/jfmpc.jfmpc_451_20. eCollection 2020 Apr.
With declaration of 2019 novel coronavirus disease (COVID-19) as a pandemic on 11 March 2020 by World Health Organization, India came to alert for its being at next potential risk. It reached alert Level 2, i.e. local transmission for virus spread in early March 2020 and soon thereafter alert Level 3, i.e. community transmission. With on-going rise in COVID-19 cases in country, Government of India (GoI) has been taking multiple intense measures in coordination with the state governments, such as urban lockdown, active airport screening, quarantining, aggressive calls for 'work from home', public awareness, and active case detection with contact tracing in most places. Feedback from other countries exhibits COVID-19 transmission levels to have shown within country variations. With two-third of Indian population living in rural areas, present editorial hypothesizes that if India enters Level 3, rural hinterland would also be at risk importation (at least Level 1). Hence, we have to call for stringent containment on rural-urban and inter-state fringes. This along with other on-going measures can result in flattening curve and also in staggering 'lockdowns', and thus, helping sustain national economy.
随着世界卫生组织于2020年3月11日宣布新型冠状病毒病(COVID-19)为大流行病,印度意识到自身处于下一个潜在风险之中。2020年3月初,印度进入二级警戒,即病毒出现本地传播,此后不久进入三级警戒,即社区传播。随着印度COVID-19病例持续增加,印度政府一直在与各邦政府协调采取多项严格措施,如城市封锁、加强机场筛查、隔离、大力倡导“在家工作”、提高公众意识以及在大多数地方积极进行病例检测和接触者追踪。其他国家的反馈显示,COVID-19的传播水平在各国存在差异。鉴于印度三分之二的人口生活在农村地区,本社论推测,如果印度进入三级警戒,农村地区也将面临输入风险(至少为一级)。因此,我们必须呼吁在城乡和邦际边界采取严格的防控措施。这与其他正在采取的措施一起,能够使疫情曲线趋于平缓,避免“封锁”措施过于集中,从而有助于维持国家经济。