Because if you look at the prevalence of people without history or travel history, there are certainly several such cases, he said.
“But most of them are concentrated on the original entry points for the foreign travelers or the itineraries for their contacts. So these people who describe it as Step 2 are still saying that this is traceable local transmission, it’s not an unpredictable community transmission, I’ve been told.
Therefore, we avoid the term community transmission. It is a matter of definitions and language; we don’t really have to debate it, Reddy, who was previously head of the Department of Cardiology at 1 p.m. All India Institute of Medical Sciences (AIIMS) said.
But he said it should be recognized that transmission of communities has taken place in virtually any country that has experienced this pandemic in a major form and India should also be prepared for it and act as if it is happening and take all precautions for containment.
Not only is there risk, but actually a threat to the transmission of the local community, said Reddy, who currently serves as an adjunct professor of epidemiology at Harvard.
According to him, nations in Southeast Asia, including Malaysia and especially India, have kept the COVID-19 death rates per year. Millions of people are low compared to countries where the pandemic broke out at the same time.
He said the low death rate in India could be the benefit of several factors such as younger age group, more rural population, temperature and climatic conditions as well as the benefits of pre-closure containment measures and then much more consolidated with closure. “It’s very possible that all of these factors have been useful and we’ve seen that benefit,” Reddy said. But we have to continue to consolidate it. There are some risk factors when the shutdown opens, there will be much greater mobility for people who could be more widespread transmission of the virus, so we need to maintain as much physical distance as possible, continue practices like wearing masks and hand washing as a precaution, he said.
It will be difficult in crowded areas, especially slums.
We will have to try to offer as many facilities as possible, especially to older people and to people with co-morbidity, whether they can get temporary shelters elsewhere with good social care.
Fortunately, he said, most infections are limited to large cities and areas that radiate around them.
He referred to the return of migrant workers, saying that care should be taken that they do not become victims of the epidemic and that they do not infect others.
“But the most important thing is to protect rural areas (against COVID-19) because two-thirds of India is in rural areas and the transmission of the virus is low there, because mobility is low,” Reddy said.
More precautions must be taken to contain the virus because the risk of transmission will certainly increase with the termination of the shutdown.
We must acknowledge that this virus persists for some time, and we must make sure that at least in the next year we try to keep the virus as slow as possible by physical distance and other protective measures such as masks and sink. ”
Evolutionary biology with the virus says that when movement is very limited and its chances of transmission are greatly reduced, the virus can actually become a milder virus, said Reddy, who is also an adjunct professor at Rollins School of Public Health, Emory University and honorary professor in medicine at the University of Sydney.
So we will have to do everything possible to reduce transmission, speed and number and at the same time try to move it towards a milder form for our own defense measures. So, although there are threats, there are also opportunities for us to protect ourselves and even control not only the spread of the virus but also the virulence of the virus, I added.