30 asymptomatic cases in India for every positive case

The Indian health system is unable to carry out contact tracing A medic arranges samples for COVID-19 rapid antigen testing in Srinagar. — PTI photo  A medic arranges samples for COVID-19 rapid antigen testing in Srinagar. — PTI photo

Hyderabad: For every three symptomatic Covid-19 patients, there are 100 asymptomatic patients in Asia, according to analysis by the confederation of medical association of Asia and Oceania (CMAAO).

In India, the stats change to 30 asymptomatic cases to every symptomatic patient tested positive, and 20 go untested. This is because the Indian health system is unable to carry out contact tracing, the social stigma surrounding Covid-19 and the limited understanding of the disease among the population.

The increased spread of cases has been noted in closed environments, crowded places where there is no proper social distancing and lack of ventilation facilities. In India, joint families have been most affected and toilets have been the source of the spread of infection, where there is only one bathroom in households.

In districts, this aspect has come to the fore, as seven to eight residents share one bathroom. Setting up home isolation and treatment facilities in districts has been a challenge due to the limited understanding of the disease, leading to a major caseload on the healthcare set-up.
According to analysis, the virus has behaved in the same manner across cities, districts and countries where the higher viral load, lack of medical intervention and inability to avail medical services in time has led to complications.

Apart from this, co-morbid conditions of heart disease, diabetes, kidney and other organ complications have caused rapid deterioration of the health of Covid-19 patients, leading to death in many cases.
Apart from the lungs, the load of virus has also been found in the heart, liver, kidney, pancreas, and ejected through stools and tears.

Dr K.K. Aggarwal, president, CMAAO, said, “In India, we have moved from community mitigation to individual containment. Wearing of masks and following social distancing have to be followed strictly. Only this is going to ensure that there are no spurts of new cases. The flare-up of cases in pockets is a matter a concern and they will continue to occur if preventive methods are not followed strictly.”

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