What is it now dear PM @narendramodi?
Why you disturbing me when I am dreaming Dholera?
What? You don’t know what to do and need an exit plan?
But that’s not just you.
Entire country needs an exit plan.
From you!
1/n
Why you disturbing me when I am dreaming Dholera?
What? You don’t know what to do and need an exit plan?
But that’s not just you.
Entire country needs an exit plan.
From you!
1/n
Okay. Okay.
We will only talk about the covid-19 lockdown exit plan today.
Btw, I am so happy to hear the word plan coming from you.
But before exit, we need a planned lockdown.
One more?
Yes.
One more. 2/n
We will only talk about the covid-19 lockdown exit plan today.
Btw, I am so happy to hear the word plan coming from you.
But before exit, we need a planned lockdown.
One more?
Yes.
One more. 2/n
Because you did not listen to me on the migrant issue back then.
A massive interstate movement at the end of a heartless nationwide lockdown has meant that we are now as blind as we were in the beginning on the geogrephic spread of the virus. 3/n
A massive interstate movement at the end of a heartless nationwide lockdown has meant that we are now as blind as we were in the beginning on the geogrephic spread of the virus. 3/n
As a first step, facilitate workers in all ways possible. If the govt is exhausted & clueless, at least let the volunteers help them.
By the time they reach their destination, ensure your additional PDS allocation, distribution to FPS in the destination states are done. 4/n
By the time they reach their destination, ensure your additional PDS allocation, distribution to FPS in the destination states are done. 4/n
No no. This is like the third time I am briefing you on this. March 29th. On the need to decentralise.
But κάνει τη πάπια
What? It's all Greek to you?
Well. Congratulations. It was Greek.
It means to keep quiet in order to avoid being blamed for. 5/n
But κάνει τη πάπια
What? It's all Greek to you?
Well. Congratulations. It was Greek.
It means to keep quiet in order to avoid being blamed for. 5/n
Make the PDS universal. Not add another category of non-card holders and stuff. We have sufficient stock. Make it universal. No questions asked. Let Aadhaar be used. But not made mandatory. No rich person is going to stand in line. We need to trust our own people now. 6/n
I know, you asked only about exit plan & not on how to deal with hunger issue.
But before coming to that, we need to extend the lockdown.
To accurately identify the clusters & prepare for a post-lockdown scenario.
And we shouldn't kill people of hunger during this period. 7/n
But before coming to that, we need to extend the lockdown.
To accurately identify the clusters & prepare for a post-lockdown scenario.
And we shouldn't kill people of hunger during this period. 7/n
Once that is done, we need to plan how do we deal with post lockdown covid-19 cases.
Are we going to go ahead with the chickenpox kind of model or a leprosy kind of model.
By that I mean, are we going to encourage home quarantine/treatment or institutionalised one? 8/n
Are we going to go ahead with the chickenpox kind of model or a leprosy kind of model.
By that I mean, are we going to encourage home quarantine/treatment or institutionalised one? 8/n
You see, though not accurate, chickenpox serves as a useful thinking model.
Over generations, we have learnt how to deal with chickenpox. From isolating to keeping separate bedsheets/utensils & even developing a social custom of 'bath' to tell everyone the end of infection. 9/n
Over generations, we have learnt how to deal with chickenpox. From isolating to keeping separate bedsheets/utensils & even developing a social custom of 'bath' to tell everyone the end of infection. 9/n
Of course, the severity, transmission rate, modes are all different.
But given the lack of institutional capacity, we cannot encourage or accommodate an institutionalised treatment for all as it would mean over crowded hospitals with infections spreading to other patients. 10/n
But given the lack of institutional capacity, we cannot encourage or accommodate an institutionalised treatment for all as it would mean over crowded hospitals with infections spreading to other patients. 10/n
But how do we quickly create the level of awareness and knowledge that we amassed over generations in the case of chickenpox.
Here, this thread on assisted self-monitoring mechanism with volunteers dear PM @narendramodi. Again shared a month back. 11/n
Here, this thread on assisted self-monitoring mechanism with volunteers dear PM @narendramodi. Again shared a month back. 11/n
Not just in assistance with daily monitoring, we also need a large team of trained contact tracers dear PM @narendramodi. Because how fast and accurate we are going to trace the contacts is going to determine how much we can slow down the spread. 12/n
We will also need a massive network of swab collection centres, and scaled up testing capacity of at least 1 million by the time we end this extended lockdown.
So that takes care of testing, tracing and isolation. 13/n
So that takes care of testing, tracing and isolation. 13/n
But now with increased home isolation/treatment, we will need an augmented ambulance service. This we need to plan upto village level, identify & modify vehicles, train volunteer drivers etc. so that in case of worsening situation, patient can be rushed to the hospital. 14/n
Districts that create necessary infra for testing, tracing, isolation, ambulances and additional hospital capacity, can be allowed to re-open after the extended lockdown.
But before that the general population needs to be educated on what to do if a family member has covid. 15/n
But before that the general population needs to be educated on what to do if a family member has covid. 15/n
Also, if suppression is our medical response to pandemic, then our economic response cannot be a demand stimulus.
Because they are plain contradictory, one suppresses interaction, the other stimulates it. And both will fail. 16/n
Because they are plain contradictory, one suppresses interaction, the other stimulates it. And both will fail. 16/n
Instead, if suppression is our medical strategy, then a survival package should be our economic response.
How we can enable the population to reduce interaction while not draining their savings.
Universal PDS, EMI moratorium, bill deferment, a basic cash support etc. 17/n
How we can enable the population to reduce interaction while not draining their savings.
Universal PDS, EMI moratorium, bill deferment, a basic cash support etc. 17/n
Why I am saying so, is because most states would again go into a suppress and lift cycle, even if the nation-wide lockdown is lifted now. It is already happening at city level. Relaxations and then harsher restrictions for a few days. 18/n
That is why I told you yesterday that your finance and your health teams need to sit together. Their responses have to be in sync.
Else they are not only going to cancel out, but are also going to adversely affect each other. 19/n
Else they are not only going to cancel out, but are also going to adversely affect each other. 19/n
So,
Stabilise migration, provide UPDS.
Decentralise response
Educate population to deal with covid-19. Not just prevent
Open up, create volunteer teams for contact tracing, health monitoring
Augment hospital & ambulance support bottom up
Be ready for suppress & lift cycle.
Stabilise migration, provide UPDS.
Decentralise response
Educate population to deal with covid-19. Not just prevent
Open up, create volunteer teams for contact tracing, health monitoring
Augment hospital & ambulance support bottom up
Be ready for suppress & lift cycle.
Go for a billion mask challenge.
Don't go for a nationwide stimulus, because different states are in different phases of the disease.
Instead, have a survival package for all & support states on their state specific stimulus package.
Slowly open up. But don't stimulate. Yet!
Don't go for a nationwide stimulus, because different states are in different phases of the disease.
Instead, have a survival package for all & support states on their state specific stimulus package.
Slowly open up. But don't stimulate. Yet!
Well, dear PM @narendramodi, I have asked one of the empowered committees to make it into a Dholera type presentation and walk-through of your scale and speed.
But do take the time to read, listen & understand.
Meanwhile, let me work on that other exit plan!
Yep! 😉
શુભ દિવસ
But do take the time to read, listen & understand.
Meanwhile, let me work on that other exit plan!
Yep! 😉
શુભ દિવસ
