{"id":185311,"date":"2022-05-19T19:00:03","date_gmt":"2022-05-19T13:30:03","guid":{"rendered":"https:\/\/blog.forumias.com\/?p=185311"},"modified":"2022-05-19T17:26:53","modified_gmt":"2022-05-19T11:56:53","slug":"preparing-for-the-next-pandemic","status":"publish","type":"post","link":"https:\/\/forumias.com\/blog\/preparing-for-the-next-pandemic\/","title":{"rendered":"Preparing for the Next Pandemic &#8211; Explained, pointwise"},"content":{"rendered":"\n<table style=\"width: 100%; border-collapse: collapse; background-color: #f7f2f2;\">\n<tbody>\n<tr>\n<td style=\"width: 100%;\">For\u00a0<strong>7PM Editorial<\/strong>\u00a0Archives click<strong>\u00a0<a href=\"https:\/\/forumias.com\/blog\/7-pm-editorials\/\" target=\"_blank\" rel=\"noopener\">HERE <\/a>\u2192<\/strong><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h5>Introduction<\/h5>\n<p><span style=\"font-weight: 400;\">Several experts and leaders like Bill Gates have announced that the threat of COVID-19 has receded. However, others, including the Center for Forecasting and Outbreak Analytics in the US, have warned that the world will see another pandemic\u2014only that the pathogen will be different. <\/span><span style=\"font-weight: 400;\">In such a scenario every country should take proactive measures to develop a high degree of resilience against a future pandemic. Failure to do so would increase the vulnerability of the whole world to a pandemic similar to COVID-19.<\/span><\/p>\n<h5>Why is it imperative to be prepared for the next pandemic?<\/h5>\n<p><span style=\"font-weight: 400;\">In recent history, and noticeably after the <\/span><b>Second World War, pandemics have <\/b><span style=\"font-weight: 400;\"><strong>surfaced regularly<\/strong> almost every 10 years like the Asian flu, the Hong Kong flu, cholera, Severe Acute Respiratory Syndrome (SARS), HIV\/AIDS, swine flu, middle east respiratory syndrome (MERS), ebola and then the deadly COVID-19. <\/span><span style=\"font-weight: 400;\">Given the <\/span><b>frequency and the almost predictable return of strange new pathogens<\/b><span style=\"font-weight: 400;\">, pandemics have been fairly regular events (and not rare events). T<\/span><span style=\"font-weight: 400;\">herefore, the health systems must be prepared for the next pandemic.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Similarly, the recent outbreaks in Shanghai and a suspected case of a new variant in Mumbai are concerning events. Thus, it is important for us to keep track of the \u2018variants of interest\u2019 and the \u2018variants of concern\u2019.<\/span><\/p>\n<h5>What have been the learnings from the COVID-19 Pandemic?<\/h5>\n<p><b>First<\/b><span style=\"font-weight: 400;\">, developing <\/span><b>herd immunity is crucial<\/b><span style=\"font-weight: 400;\"> for duly tackling the pandemic. There is a need of upwards of 70%, preferably 80%, of the population to be fully vaccinated for herd immunity to set in.<\/span><\/p>\n<p><b>Second<\/b><span style=\"font-weight: 400;\">, shortage of doctors, along with stock-outs and lack of hospital beds led to the<\/span><b> enormous loss of life across the country.<\/b><span style=\"font-weight: 400;\"> The WHO stated that India accounted for over 31% of all \u2018excess deaths\u2019 globally in the two covid-19 years of 2020 and 2021.<\/span><\/p>\n<p><b>Third<\/b><span style=\"font-weight: 400;\">, countries also learnt that <\/span><b>wide-spread lockdowns can never be the solution.<\/b><span style=\"font-weight: 400;\"> They are draconian and only provide a feel-good factor by flattening the curve for a while. The number flares up eventually and become unmanageable. <\/span><span style=\"font-weight: 400;\">Lockdowns also cause enormous economic hardships, reverse migration, and stock-outs of essential drugs, including lifesaving oxygen cylinders.<\/span><\/p>\n<p><b>Fourth<\/b><span style=\"font-weight: 400;\">, <\/span><b>animal to human transmission is now seen as a major threat<\/b><span style=\"font-weight: 400;\">. It is estimated that 75% of new infections come from animals and that there are upwards of 5 lakh animal viruses lurking around. Only 250 of those have yet made the lethal jump to human populations.<\/span><\/p>\n<div class=\"content-box-blue\">\r\n\t<span style =\"font-size: 20px;\">ForumIAS is now in <span style = \"font-weight:bold; padding:1px; color: #053259 ; \">Hyderabad<\/span>. <a style =\"color: blue\"href=\"https:\/\/forumias.com\/blog\/we-are-coming-to-hyderabad-with-sfg\/\"><b>Click here<\/b><\/a> to know more<\/span>\r\n<\/div>\n<h5>What are the vulnerabilities faced by India in tackling the next pandemic?<\/h5>\n<p><b>Poor Vaccine Coverage<\/b><span style=\"font-weight: 400;\">: India has only managed to fully vaccinate just under 63% of its population. The speed of vaccination has decreased considerably. The sense of urgency seems to be missing in the Government as well as the public. R<\/span><span style=\"font-weight: 400;\">aising the coverage to 70% seems difficult and therefore the vulnerability to another wave remains high. <\/span><span style=\"font-weight: 400;\">Further, the world wide average for those who have taken a booster shot is 24%. However, in India, not even 2% of the population has been given a booster shot.<\/span><\/p>\n<p><b>Vaccine hesitancy<\/b><span style=\"font-weight: 400;\"> is also one of the prominent reasons behind low vaccine coverage in India.<\/span><\/p>\n<p><b>Broken Healthcare Systems<\/b><span style=\"font-weight: 400;\">: The World Health Organization (WHO) has recommended 44.5 skilled healthcare workers per 10,000 people. India\u2019s health workforce is less than 11 per 10,000. Further, there is shortage of hospitals and medicines in many parts of the country.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Even after opening all the 157 medical colleges and 50 nursing colleges that the government has promised, experts believe that there will be a woeful shortage of the healthcare workers in 2030.<\/span><\/p>\n<p><b>Data Discrepancies<\/b><span style=\"font-weight: 400;\">: The Medical Council of India says that India has close to 1.2 million doctors. However, the Periodic Labor Force Survey data (2018-19) released by Government shows that there are only 9 lakh doctors, including the Ayurveda and Unani practitioners. <\/span><span style=\"font-weight: 400;\">Similarly, the Nursing Council of India claims that there are 2.3 million nurses and midwives. However, PLFS puts this figure to 8 Lakh only.<\/span><\/p>\n<p>The lack of data has also resulted in the recent controversy related to the actual number of deaths due to COVID-19 in India. Lack of surveillance and quality data is major bottleneck in predicting the onset of a next pandemic.<\/p>\n<h5>Why is India facing a shortage of Healthcare personnel?<\/h5>\n<p><b>First<\/b><span style=\"font-weight: 400;\">,<\/span><b> not all medical graduates join the workforce<\/b><span style=\"font-weight: 400;\">. Some graduates go on to study further, while some just drop out to pursue other careers.\u00a0<\/span><\/p>\n<p><b>Second<\/b><span style=\"font-weight: 400;\">, a large number of women medical graduates opt out in a<\/span><b> patriarchal society <\/b><span style=\"font-weight: 400;\">because of the difficulty in juggling between careers and responsibilities at home. More than 50% of students in medical colleges today are women, but only about 17% of practicing allopathic doctors are female.\u00a0<\/span><\/p>\n<p><b>Third<\/b><span style=\"font-weight: 400;\">, a significant number of Indian graduates find their way to<\/span><b> other markets<\/b><span style=\"font-weight: 400;\">, both in the developing and the developed parts of the world.<\/span><\/p>\n<h5>What should be the approach going ahead?<\/h5>\n<p><b>First<\/b><span style=\"font-weight: 400;\">, Governments, everywhere, and at all levels, must enable <\/span><b>data registers and notifications<\/b><span style=\"font-weight: 400;\"> that can quickly aggregate information and send to central databases.<\/span><\/p>\n<p><b>Second<\/b><span style=\"font-weight: 400;\">, countries should focus on <\/span><b>developing robust surveillance, testing, distancing and quarantining facilities<\/b><span style=\"font-weight: 400;\"> to contain the virus spread. For instance, constant tracking, tracing and surveillance allowed Wuhan to contain the COVID-19 spread within 100 days in 2019-2020.<\/span><\/p>\n<p><b>Third<\/b><span style=\"font-weight: 400;\">, the health gap i.e the differential access to health care between the rich and the poor must be reduced. With the enormous attention that health systems have received during the last two years, it is very much possible for <\/span><b>states and governments to ramp up expenditure<\/b><span style=\"font-weight: 400;\"> on healthcare.<\/span><\/p>\n<p><b>Fourth<\/b><span style=\"font-weight: 400;\">, <\/span><b>comparing genome sequences from across continents<\/b><span style=\"font-weight: 400;\"> should be facilitated. Active and passive surveillance must be carried out, especially in border settlements where human beings come in contact with animals from the wild. WHO has for long been maintaining and encouraging cross border cooperation in this regard.<\/span><\/p>\n<p><b>Fifth<\/b><span style=\"font-weight: 400;\">, governments need to work diligently on<\/span><b> communication programmes that educate the public <\/b><span style=\"font-weight: 400;\">on the need for sanitation, distancing and hygiene. The importance of heeding warnings and alarms when they are sounded needs to be stressed as well.<\/span><\/p>\n<p><strong>Sixth<\/strong>, there is need for <strong>enhanced global cooperation<\/strong> in tackling the pandemic. The politics over TRIPS waiver has resulted in huge vaccination gap, which makes the whole world vulnerable to a future outbreak.<\/p>\n<p><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-185399 aligncenter\" src=\"https:\/\/i0.wp.com\/forumias.com\/blog\/wp-content\/uploads\/2022\/05\/Checklist-for-Next-Pandemic.jpg?resize=475%2C1229&#038;ssl=1\" alt=\"Checklist by APEC for the Next Pandemic UPSC\" width=\"475\" height=\"1229\" srcset=\"https:\/\/i0.wp.com\/forumias.com\/blog\/wp-content\/uploads\/2022\/05\/Checklist-for-Next-Pandemic-scaled.jpg?resize=116%2C300&amp;ssl=1 116w, https:\/\/i0.wp.com\/forumias.com\/blog\/wp-content\/uploads\/2022\/05\/Checklist-for-Next-Pandemic-scaled.jpg?resize=396%2C1024&amp;ssl=1 396w, https:\/\/i0.wp.com\/forumias.com\/blog\/wp-content\/uploads\/2022\/05\/Checklist-for-Next-Pandemic-scaled.jpg?resize=768%2C1985&amp;ssl=1 768w, https:\/\/i0.wp.com\/forumias.com\/blog\/wp-content\/uploads\/2022\/05\/Checklist-for-Next-Pandemic-scaled.jpg?resize=594%2C1536&amp;ssl=1 594w, https:\/\/i0.wp.com\/forumias.com\/blog\/wp-content\/uploads\/2022\/05\/Checklist-for-Next-Pandemic-scaled.jpg?resize=792%2C2048&amp;ssl=1 792w, https:\/\/i0.wp.com\/forumias.com\/blog\/wp-content\/uploads\/2022\/05\/Checklist-for-Next-Pandemic-scaled.jpg?w=990&amp;ssl=1 990w\" sizes=\"auto, (max-width: 475px) 100vw, 475px\" \/><\/p>\n<p style=\"text-align: center;\"><em>Source: Asia Pacific Economic Cooperation<\/em><\/p>\n<h5>What are India specific steps?<\/h5>\n<p><b>First<\/b><span style=\"font-weight: 400;\">, it is important to keep a ready account of the dead and the causes of their deaths. <\/span><b>Real time data <\/b><span style=\"font-weight: 400;\">would enable government to bring in masking and distancing norms. If the threat becomes bigger, testing and quarantining can be made mandatory.<\/span><\/p>\n<p><b>Second<\/b><span style=\"font-weight: 400;\">, coordination across States is essential to ease out the burden on hospital beds and intensive care units (ICUs).<\/span><\/p>\n<p><b>Third<\/b><span style=\"font-weight: 400;\">, Imports and procurement orders for life saving equipment and vaccines must be streamlined in anticipation of a possible fourth wave.<\/span><\/p>\n<p><b>Fourth<\/b><span style=\"font-weight: 400;\">, the Government must also provide immediate data on vaccine efficacy, new outbreaks, number of vacant ICU beds, and guide people on when to get booster doses.\u00a0<\/span><\/p>\n<p><b>Fifth<\/b><span style=\"font-weight: 400;\">, public awareness need to be enhanced to ensure that there is<\/span><b> no stigma attached to getting infected<\/b>. It is also necessary to ensure<span style=\"font-weight: 400;\"> that adequate care taken for a large number of people who have suffered on account of mental health issues.<\/span><\/p>\n<h5>Conclusion<\/h5>\n<p><span style=\"font-weight: 400;\">A fourth wave looks unlikely as the new strains and variants after Delta have been benign. The mortality levels of new variants have been low.<\/span><span style=\"font-weight: 400;\"> However, the possibility of a new different pandemic is very real. In fact, some experts have predicted the next major pandemic within next one and half decade. <\/span><span style=\"font-weight: 400;\">Therefore, India should be duly prepared to mitigate the impact of the next pandemic.<\/span><\/p>\n<p>Source: <a href=\"https:\/\/www.livemint.com\/science\/health\/how-to-prepare-for-the-next-pandemic-11652116243779.html\" target=\"_blank\" rel=\"noopener\">Mint<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>For\u00a07PM Editorial\u00a0Archives click\u00a0HERE \u2192 Introduction Several experts and leaders like Bill Gates have announced that the threat of COVID-19 has receded. However, others, including the Center for Forecasting and Outbreak Analytics in the US, have warned that the world will see another pandemic\u2014only that the pathogen will be different. In such a scenario every country&hellip; <a class=\"more-link\" href=\"https:\/\/forumias.com\/blog\/preparing-for-the-next-pandemic\/\">Continue reading <span class=\"screen-reader-text\">Preparing for the Next Pandemic &#8211; Explained, pointwise<\/span><\/a><\/p>\n","protected":false},"author":10322,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"footnotes":""},"categories":[130,9],"tags":[],"class_list":["post-185311","post","type-post","status-publish","format-standard","hentry","category-7-pm","category-public","entry"],"jetpack_featured_media_url":"","views":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/posts\/185311","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/users\/10322"}],"replies":[{"embeddable":true,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/comments?post=185311"}],"version-history":[{"count":0,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/posts\/185311\/revisions"}],"wp:attachment":[{"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/media?parent=185311"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/categories?post=185311"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/tags?post=185311"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}