How Kerala defeated Coronavirus – India
Greetings, friends! Because the lockdown has been executed in India, it has been more than just one and a half months.
Still, the coronavirus shows no sign of quitting. You can see the huge rise in the number of cases in the country in this chart.
The chart depicts an exponential growth rate. And there is one state in India where the amount of cases is falling, where the trend is reversed, And that condition is Kerala.
The Kerala version seems to be hugely successful in the fight against COVID 19 Although, there are a lot of countries in India where not a lot of cases were reported, as an instance, the northeastern states.
The Kerala model is so powerful because at one point of time it had been the worst affected state in India, But today, it is being counted in one of the most lucrative states As of 9th May, the increase rate of new illnesses in Kerala is a mere 0.1% in contrast to all the states that have reported more than 500 instances, subsequently Kerala has the lowest amount.
So the question is what unique things did Kerala do to become so successful in the fight against COVID19 And what can the rest of India along with other Indian nations learn from Kerala in the field of healthcare?
We will learn about all of this in today’s article. Come, let’s see. Talking about the healthcare systems, then the health care of Kerala has been seen at the very best NITI Aayog has published a health index to gauge the countries in India’s performance from the part of health care 23 indicators are measured by This health index.
For example, the infant mortality rate is the extent of full vaccination coverage in a state where the out of pocket expenditure which the people have to spend the degree of the occupancy of hospitals beds the amount of vacancies in the place of doctors in public health care facilities.
This wellness index measures 23 such indexes, And Kerala stands at number 1 in the 2019 health index Kerala is the best state in India in the aspect of healthcare.
There are clear cut reasons behind this. The majority of the countries in India don’t spend money that is sufficient to better their health centers.
Where India, as a country, has spent only 1.29% of its GDP on healthcare Kerala devotes as much as 5% of its GDP towards healthcare consider the
comparison with the remainder of the developed countries.
Most of the developed countries spend around 4-9% of the GDP on healthcare. Also, is a shortage of accessibility to doctors across the nation.
According to the authorities, this ratio in India is one doctor per 1,445 taxpayers, But the ratio is quite good in states including Kerala- Kerala is the fourth-best condition concerning physician availability after Tamil Nadu, Delhi and Karnataka.
The ratio this has been one doctor per 535 taxpayers So because of this faulty health care system when COVID 19 broke out. Lockdowns were executed there was a deleterious influence on the rest of the medical centers Statistics shows us that cardiac emergencies, the tuberculosis therapy , the immunization drives these faced a steep decline during the lockdown All.
That is, the people who desired these facilities for heart attacks, kidney or tuberculosis remedies, we’re unable to visit hospitals due to the lockdowns, or because the hospitals were either shut or overcrowded.
These things have been observed from the data from throughout the nation. Coming back to Kerala, what were the actions that are powerful that it took to stop the spread of COVID19?
I talked to Dr Abhay Shukla Ji to know this in-depth He’s a public health professional, activist along with the federal co-convener of the Jan Swasthya Abhiyaan Hear him out When the travellers were returning to several states from overseas in March Back then,
Kerala commenced their screening and testing on a very large scale and then from the month of March what we could essentially call a”Panchsutra” This is a set of 5 actions That is, every one of the travellers or infected individuals were analyzed on a really large scale and isolate them if they are found positive upon examining.
Contact tracing of the positive individuals as far as possible Hundreds of contacts of each person were dug out, Whether he met someone in the tea stall or socialized with somebody at his office all these contacts were tracked and put under home quarantine The simple fact of the matter is, the suspected COVID 19 cases were isolated very quickly and efficiently in Kerala Countless people were still isolated, and home quarantined for each active case.
So all the people who came in contact with the infected individual remained isolated and didn’t spread the disease So, Kerala essentially sent individuals for contact tracing. Wouldn’t that have required a lot of manpower to do?
They involved the regional panchayats on a big scale as well as volunteers. 100-200 volunteers were included in each panchayat So if when exhorting individuals to become active and should they work and help together with the public healthcare system, then anything is possible.
That is actually the third important thing, And home quarantine means staying in the home for 14 days without stepping outside.
The house quarantined people were extended full service Food and medications were delivered to their houses, and they were encouraged socially in different manners.
No kind of discrimination was meted out to anyone Although, a lot of people were home quarantined in a great deal of states, the Kerala government went a step ahead and announced that they would take care of the quarantined people More than 16,000 teams were produced by them to assist the more than 1 lakh quarantined people.
These groups were stationed in call centers, and they used to call up the quarantined people to ask if they wanted food, rations or medical care, and promised them they could be offered with these things through home delivery.
There were groups for psychological care and melancholy too If the quarantined people felt alone, trapped and not able to step out afterward these teams provided psychological aid through calls And lastly – the folks under quarantine too, were tested and followed up.
The remainder of the restricted secondary cases have been detected in time as well If most of the cases of travelers and contacts are tracked right at the beginning, the epidemic will not spread And this is what Kerala did Furthermore, no cost meals were provided for the migrants in tens of thousands of houses Speaking of contact tracing, there is an program that’s been released for the identical purpose nationwide But no such app was found in Kerala.
Nevertheless the state was so successful Therefore do you think this program is a prosperous way of contact tracing? Look, if the public that is frequent is trusted and they have been involved in this process of contact , then it is the way out, And that’s what Kerala did. Contact tracing is not rocket science.
Who met whom and locating the ones who have the highest chances of disease? It’s advisable if this information is given out from the people themselves Instead of spying inside them.
The people download it, and a lot of info reaches the authorities. It’s also not clear how this information will be used. It may be used even beyond the epidemic for surveillance It could also be used to exercise control over the people in this case of a lockdown.
Some private players are involved in it as well The health ministry is not centrally involved There is a basic tenet of public health in the event the people itself is involved with the processes of public health, then nothing is hopeless If you don’t trust the public and don’t have sufficient faith in them and then try to operate by exercising on these, then it’s very challenging In regards to contact tracing, there is a huge difference between what occurred in Kerala and what is happening North India.
The authorities told us to install the Aarogya Setu program in North India. It has been made compulsory to do this if you are travelling by railways and if you are unable to comply, then the authorities would detain you. The people were raped and threatened And what impact did it have on the public?
Consider yourself- If you are infected, then you would be afraid to show that you’re affected. You’d be cautious of police action or social boycott. If so much fear is educated. The people would like themselves not to disclose they are infected.
Still, the infected individuals weren’t made enemies in Kerala They were viewed as patients They had been given treatment and were taken care of There is no stigma or discrimination Might Be someone is infected (or a contact), then he is like any other individual from the society.
If there’s such a belief in people, then they’re going to step forward themselves. They would assist in any manner possible for their health as well as the health of society.
These are the steps that Kerala undertook swiftly in the case of COVID 19 However, the healthcare system of Kerala is believed to be at rank 1 in India. So do you feel that was a motive that Kerala was able to handle COVID 19 readily? That is obvious.
Suppose there’s an Olympic race And there’s an athlete that has been training consistently for many years, And there’s another who’s just awakened from sleep- so who would run quicker?
There’s not any doubt that the person who has more training will run more and run quicker, So the healthcare system of Kerala has been ready.
There was an outbreak of the Nipah outbreak earlier Aside from this, the public health care system there has been busy to get rid of diseases like Chikungunya Lesser spending, lack of staff and doctors, lack of importance imparted politically.
The health system is embittered. Is there a problem if the private sector is dominating but working?
The main aim of the private sector is making a profit. Giving the public frequent excellent facilities isn’t the sector’s main objective.
And for this reason, as we could see in the COVID 19 outbreak too, that it is the public health care system that is doing the job of providing facilities to the general public The function of the private industry is too small to be seen.
And where it’s observable, as in cities such as Mumbai, the COVID 19 sufferers are billed 1 lakh rupees per day And a lot of private clinics have been shut, and the physicians are sitting inside their homes.
They are not taking up obligations. The private labs are minting huge amounts of money in this kind of situation in some places. Being profit-driven they won’t be able to perform much in the interest of public health.
Some governments have taken some actions to govern the private sector recently. For instance, the Maharashtra government has decided to set a cap to prevent overcharging from patients.
The governments of Uttarakhand, Rajasthan, Madhya Pradesh and Andhra Pradesh have jeopardized the private hospitals temporarily and brought them under government control so that the government can treat more patients when there’s a spike at the cases of COVID19.
A conclusion from this kind of situation is that we’ll need to give priority to issues like healthcare. The people devote more attention to arguments that are frivolous.
Now that a pandemic such as the situation has arrived. The people see the importance of issues such as health care. We’ll need to make healthcare more powerful. We will need to reduce our dependence on the private sector. Then only can this system be made for all people?
There’s a petition regarding this from the description under You are able to sign it to ensure our voices regarding the same issues can be raised. People get to understand.
Also, Dr Abhay Shukla Ji has written a thorough report about Maharashtra’s COVID 19 situation, and it has compared it to Kerala and contains (recorded ) what we learn from it. It’s a report. I hope you would have found the article. Please talk about it. We’ll meet again in the following section. Thank You.