PREPAREDNESS FOR COVID 3-WAVE

All state governments are tightening their preparedness in anticipation of a third wave as restrictions begin to ease across the country.maharashtra government is concerned of Covid 3- wave chief minister Uddhav Thackeray directed officers and doctors to check medical supplies.Delhi Chief minister Arvind Kejriwal also announced to train 5000 youth to help doctors.Country is preparing to fight with Covid 3-wave.

WE CAN STOP COVID 3-WAVE

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HELP TIPS FOR CHILDREN

Children may worry about themselves, their family, and friends getting ill with COVID-19. Parents, family members, school staff, and other trusted adults can play an important role in helping children.

children should stay home ,Stop visiting relatives/friends.

Do not take your children to social gathering.

◾Do not allow children to rub their eyes and noses, sanetize their hand regularly.

Sanetize playing items twice a day.

Give them warm water for gargling.

Follow SMS:Social distance,Mask, Sanetization.

Wearing and Caring

Early detection and diagnosis

*Fever /Headache,pain in cheeks/eyes

*Body Pain /Sour throat

*Dry cough/Weakness/loss of appetite

*Parents must bring their children to near by Covid OP if they find any above symptoms.

As the number of COVID-19 cases and test positivity rates are showing signs of plateauing in major urban centres across India, we see desperate scenes in small towns and villages. We read about people dying in their homes unable to access medical care. We see pictures of people waiting for their turn to cremate their loved ones in funeral grounds. COVID-19 is a humanitarian disaster where no state is spared, poor or rich.

Now there is a talk of a COVID-19 third wave, if we are not able to vaccinate the population fast enough or if citizens do not follow the ‘social vaccines’ (hand washing, use of masks and physical distancing). Let’s examine the truth about the possibility of a third wave.

The WavesThe first wave usually affects the most vulnerable sections of the population: the old, sick and the immuno-compromised. The second wave starts when the epidemic spreads into the general population, which may not have got the infection during the first wave and who do not have protective antibodies against the pathogen.

The second and third waves of the infection is usually due to mutant strains, which may partially escape the immunity offered by previous infections.In the case of Spanish Flu, the destruction caused by World War I and lack of laboratory surveillance capacity may have played a part in augmenting the spread and increasing mortality; but the learnings from that outbreak is definitely applicable in the case of COVID-19.We have seen a lot of parallels between the Spanish Flu virus and the one causing COVID-19, though they are very different phylogenetically. Therefore, it is only reasonable to anticipate a third wave of virus infections and prepare for it.Vaccine is the most potent tool that we have against COVID-19 infections.

Though we do not have concrete data on the level of protection offered by the various vaccines against the mutant strains, most of the experts agree that some degree of protection against severe infections do exist. Therefore, relying on vaccines is the most rational way to prevent a third wave.Short TermBut at present, we do not have the capacity to produce vaccines fast enough to vaccinate our entire population in the next few months. The combined production capacity of Covishield and Covaxin is only around 60-70 million doses/month and at this rate it may take more than two years to vaccinate India’s population.

So we have to look at other options, like scaling up capacity and ready-made vaccines from abroad.The scaling up of capacity promised by the Serum Institute of India (SII) and Bharat Biotech, which manufactures the vaccines currently used in India, is going to take time and we cannot rely on that process to rapidly increase the rate of vaccination.In the short term, pre-prepared vaccines from abroad seem to be the only viable option if we want to vaccinate the most vulnerable groups and economically-productive sections of the population rapidly. The decision to allow the import and use of Russian-made Sputnik V is a welcome step in this regard. We need more such vaccines, including China’s Sinopharm which was recently approved for emergency use by World Health Organization.

Medium TermIn the medium-term, our existing vaccine manufacturing capacity should be repurposed to make COVID-19 vaccines. India supplies a major proportion of the vaccine requirements of Gavi-the vaccine alliance and has access to most of the technology platforms for vaccine production. When the United States has supported lifting the patent protection available to COVID-19 vaccines, India should be able to leverage its production capabilities and rapidly augment capacity.Besides vaccination, in the short and medium term, we should also aim to increase the testing capacity. Only rapid identification of cases and strict isolation can help to flatten the curve till the vaccine rollout is adequate.

Apart from this, we need to institutionalise the processes to ensure adherence to social vaccines. This can be done through a mix of behaviour change communication, regulatory efforts and community mobilisation. All of this has to be continued till we achieve a vaccination coverage of more than 80 percent.

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To beat this worldwide pandemic, the world has to, must come together.