Giridhar Profile picture
ಕನ್ನಡಿಗ Epidemiologist, Physician Scientist, Author, Global Health #COVID19: https://t.co/lYY7eF3PVP (He/him) Few RTs are endorsements

Sep 27, 2020, 6 tweets

How India became global leader in #polioeradication efforts?

This was enabled by world class surveillance system for detecting Acute Flaccid Surveillance in India. Districts which were detecting less than expected minimum of AFP rate per unit population were strengthened. 1 of N

In response against #COVID19 in #India, we seem not to use our own successful model. Instead, I see districts and states with poor reporting of cases (and therefore missing many deaths) are celebrated as success models. By now, if your are not reporting, there is a problem. 2of N

There should be a revised strategy. Define number of cases/million (CPM) as a standard unit. Compare metros, urban areas & districts based on a minimum CPM. If districts are not detecting cases, review & strengthen. A huge #inequity issue for now; vulnerable suffer more. 3 of N

Instead, districts & states that are reporting well are penalized by naming & shaming them. These are the ones which are trying their best to save lives. Poor reporting is almost always is associated with missed cases & deaths
Time for revised strategy before it's late. n of n

The results from megacities conforms to this fallacy. Those who do not report well will have problems for long and far worse.

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