Oommen C. Kurian Profile picture
Jul 10, 2020 7 tweets 5 min read Read on X
My latest situation assessment.

#DataNarrative #HealthExpress | Declining COVID19 Burden in Delhi and Mumbai: Assessing Unlock and Planning for the Future orfonline.org/expert-speak/d… via @orfonline
Surprisingly, a look at the weekly new case load reveals that notwithstanding the public perception to the contrary, Mumbai has managed to keep the numbers almost constant across five weeks. @orfonline Image
Despite a worrying rise in cases in the 1st half of the Unlock period which caused administrative panic, Delhi too was able to bring down the level of new infections through well-coordinated efforts between the Delhi government, the Central govt, and the MCD. @orfonline Image
A look at death data from the five weeks of Unlock shows that after the nightmarish week of 10-17 June, the number of deaths have certainly come down in both Mumbai and Delhi. @orfonline Image
While testing numbers in Delhi have seen substantial improvement ( yes, more than half of it is rapid antigen tests) over the Unlock period, testing in Mumbai seems to have stagnated, and is, in fact, going down. @orfonline Image
It is clear that aggressive testing and contact tracing have helped Delhi bring down the positivity rate, and the spread of the virus itself, even if possible false negatives may have exaggerated the fall. @orfonline Image
However, it is of great concern that the stagnation in testing numbers in Mumbai is paralleled by a rapidly increasing test positivity rate, currently nearing 38%, which means that Mumbai is still finding one positive case for every three tests done. @orfonline Image

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More from @oommen

Apr 14, 2021
#Thread

Recommendations:

1. Aggressive coverage of priority population groups, followed by phased opening up to younger populations based on supplies.

2. Include all adults, including those below 45, with severe co-morbidities into the priority population group.
3.Urgently approve & deploy a broader mix of vaccines.

4. Ramp up manufacturing capacity.

5. Address vaccine hesitancy.

6. Monitor, collate, and transparently report on Adverse Events Following Inoculation (AEFIs).

7. Public advocacy campaign on mask wearing & safe behaviour
8. Bans on mass gatherings and venues for large
congregations.

9. Community led, decentralized tracing, testing,
and isolating and community monitoring.

10. Scaling up RT-PCR testing, with data on
vaccinations.

11. International travel: (7-day institutional quarantine)
Read 5 tweets
Mar 31, 2021
A lot being written about Brazilian regulator "rejecting" Covaxin. I'll wait for more information to emerge to ensure larger pharma interests are not in play.

3 factors:

1) WHO's BB inspection didnt find anything.
2) Lower half of the map
3) Read paper(gh.bmj.com/content/bmjgh/…)
1: WHO's inspection report of @BharatBiotech's facilities (who.int/immunization_s…) . They seemed happy. Now, unless things degraded fast, I'm surprised why Brazilian team would find anything fishy. ImageImage
Brazil was the ONLY prominent developing country opposed to India and South Africa's joint proposal to the WTO against vaccine monopolies. The strange map says it all. Image
Read 4 tweets
Oct 1, 2020
#AntigenTests #Masks #Lockdown
India now has the highest daily recorded Covid19 new cases and deaths in the world, with cases and deaths plateauing.

There are many who think India bungled its Covid19 response badly. Here’s a #thread examining the claim. 1/n @orfonline
Let’s start with the #lockdown.

It’s now become fashionable to act as if the early & decisive lockdown was an unmitigated disaster. However, the aim of the lockdown was to hit a pause button in a time of almost complete uncertainty. It helped the health system prepare well. 2/n
It can be debated how it was implemented, whether we dragged on for too long, etc. But at that point in time,the lockdown, a blunt instrument was all we had to keep damage low & to buy time. Now, armed with low mortality stats, we cannot complain it didnt eradicate the virus. 3/n
Read 6 tweets
Aug 18, 2020
#Thread

I remember answering long questions from the author of this piece. Guess they didn't find my inputs on the invisible (& imaginary for now)catastrophe alarmist enough.

India's invisible catastrophe: fears over spread of Covid-19 into rural areas theguardian.com/global-develop…
Image
Image
Read 6 tweets
Aug 17, 2020
The official response from The Hindu on #KuchBhiResearch is based on a strawman argument. It asserts that the flawed method was called "fudging of data". NO.
The "experts" systematically used wrong data to overestimate multiplication factor and published wrong numbers.@orfonline
"One can differ with the writers’ methodology & their estimate, which is based on a raw factor of multiplication and ...... but that does not diminish their plea for a robust health data system."
Talk about how charlatans hijack a genuine demand from researchers for data release.
Read 6 tweets
Aug 14, 2020
#Thread #UHC #AyushmanBharat

As the #DigitalHealthMission gets launched tomorrow, a thread of some of my work for ORF on India's health information ecosystem.

Tracking health and nutrition targets: Four recommendations for India orfonline.org/research/track… via @orfonline
Overcoming data challenges in tracking India’s health and nutrition targets orfonline.org/research/overc… via @orfonline
Can a data revolution help India achieve its health goals? orfonline.org/research/can-a… via @orfonline
Read 10 tweets

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