Milestone of a million

Milestone of a million: On India’s COVID-19 numbers

-   If it took 109 days to reach 1,00,000 cases but just 15 days to double, the days taken to add each additional one lakh cases have been shrinking; the last two additions of one lakh cases to reach one million took just three days each. The number of confirmed infections and deaths crossed grim milestones — one million and 25,000, respectively.

Increasing positivity rate in India-Indication of Community transmission

-   While the rising fresh cases reported each day could be ascribed to increased testing, the underlying reason for the case rise is undoubtedly the wide spread of the virus in the community.

-   With surveillance not being commendable, the 10.3% test positivity rate nationally in the last few days shows that a very large pool of infections remains undiagnosed.

- Though the number of tests done daily has now crossed three lakh, the high test positivity rate underscores the need to increase the number of daily tests, by at least a few-fold.

-   Any delay in tracing, testing and isolating the infected and their contacts will only lead to an unimaginable spread of the virus.

Progress of states to contain the spread

-    Kerala, Karnataka and Andhra Pradesh, which initially appeared to have contained the virus spread, have seen sharp surges.

-   Aggressive tracing and testing helped Chennai reduce the surge. But the coming days will reveal if its 12-day lockdown in June had greatly contributed to this.

-   While Delhi appears to have hammered down the test positivity rate in recent weeks, over-reliance on rapid antigen tests, which have low sensitivity, raises concerns about true case detection.

-   Maharashtra appears to have pulled off a coup in Dharavi through outstanding work, but like Tamil Nadu and Karnataka, the State has been witnessing a spike in other districts.

-   With a 9.1% test positivity rate, Gujarat has made no attempts to greatly increase daily tests but instead appears to be disingenuously limiting the number of daily tests to keep fresh cases per day under check.

-   Telangana too, with a test positivity rate of 18.4%, has made no great effort to increase daily tests, which have crossed 13,000 only in the last couple of days.

-    Telangana defies the trend of rising cases during the pandemic, raising serious concern about its numbers.

Examples such as New York have shown that it is never too late to bend the curve. But for that, States need to fight the virus, not manage the data.

Note

-  India’s Covid-19 positivity rate has been recorded at 9.9 per cent, meaning almost 10 out of every 100 people who have been tested is found to be infected with the coronavirus.

-   A high positivity rate is also indicative of higher infection in the community and points to the need for ramping up testing. According to experts, whenever positivity rate crosses 10, it is an indication that testing is not keeping pace with rise in cases.