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Dr Giridhara R Babu Profile picture
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29 May, 4 tweets, 2 min read
This is a great question. Here are my observations regarding this.
1 of N Image
Dr Anthony Fauci represents a systems which have complete autonomy & are highly accountable. These are built over a long period of investment in science, public health research, evidence based priorities and goal settings. Such systems will have thousands of Fauci not seen by us.
In this article, the defiance of Dr Fauci to the attempts of the President Trump are depicted, rightly so as heroism.

Such heroes are turned out of favor when science is used as a criteria for decision making in systems that don’t have autonomy and freedom.
There are Faucis even in India. They are simply sidelined by mostly those who are not educated in epidemiology or public health. You don’t get to see or listen from epidemiologists at @Director_NCDC or @icmr_nie but the graphs prepared by them are explained by others.

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Dr Giridhara R Babu Profile picture
29 May
The key to curbing transmission is to transform the culture of data collection & review by encouraging accuracy & transparency. This can be done by incentivizing detection & not penalizing those who report.

I explain to @nidhi_sharma of @EconomicTimes m.economictimes.com/news/india/55-… Image
Testing per million has remained poor in some states. This needs to be reviewed. Specifically, identify the areas with poor surveillance’s and testing and strengthen case detection in these areas. The states with better detection will isolate more cases, and will save more lives.
This is how it was done for polio eradication, in which India is a global leader. Using a syndromic approach, districts were expected to detect at least 1 non-polio AFP annually per 100 000 population in children <15 years. In endemic regions, this rate could be 2 per 100 000.
Read 5 tweets
Dr Giridhara R Babu Profile picture
17 May
SMALLER DISTRICTS NEED MORE ATTENTION & RESOURCES:

Current actions are inadequate in smaller districts.

-100% surge in over 50+ Districts in 30 days

Monthly Growth rate

-TAPI (GJ): 180%
-Kodagu (KA): 204%,
-Mansa (PJ) 211%

Adequate & Timely Testing is the ONLY solution
1/n
Cost of Poor Testing

In Kodagu, there is 100% increase in mortality. It had 73 deaths on 14th April.

Mahendragarh had only 22 death, in a matter of 4 weeks, it has gone up 78. 3.5 fold increase.

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In 1 month, COVID cases has surged by 70%, last week it has grown by Kodagu, 80% of India's Coffee is grown here.

It has less population of 7 Lakh.

It had active cases of 164 last month, today it has 5178.

3 of N
Read 8 tweets
Dr Giridhara R Babu Profile picture
4 May
Each mohalla clinic, UPHC or any building belonging to the urban local bodies can be turned into Jeevavayu centres to provide oxygen for the needy. People should be able to undergo triage here; those with distress can receive O2 till they get admission or get well & return home.
Many states are saying there is no shortage of oxygen. Why not have more outlets to serve. It is heartbreaking to see people gasping for breath because we are failing to solve the logistics of oxygen distribution.

Fix it, take oxygen nearer to homes and communities.
In a country where ice creams, chilled coke & chips reach every Galli and village, it is simply astonishing to believe that the industry cannot help in solving the logistic crisis of oxygen distribution.

How many Govts have reached out to the industry for help or partnership?
Read 4 tweets
Dr Giridhara R Babu Profile picture
4 May
India’s reproductive number is 1.32.
Assam: RT >2
Eleven(11) states have RT between 1.5 and 2.

1 of N
Highest number of positive cases was reported on 30th April 2021 with 4,020,14 cases, 293 Cases per million. Highest number of deaths was recorded on 1st May 2021 with 3684 deaths reported, 2.6 deaths per million; a test positivity rate of 21% has been reported in India.
2 of N
Epi-curve and RT for India
3 of N
Read 11 tweets
Dr Giridhara R Babu Profile picture
3 May
What is needed now?
Multiple Temporary hospitals providing TIMELY oxygen supplementation to as many people with mild respiratory distress (poor oxygen saturation) to save many lives. Otherwise, most of them go into severe distress and it becomes that much difficult to help.
1ofN
-Use any building to place beds or rapidly construct.
- Have the facilities for triage, isolation
- Oxygen saves lives, have lots of it
- Engage as many health care workers, students & volunteers. Provide them honorarium
- Have many ambulances ready to refer immediately

2 of N
Most people with severe distress will occupy ICU beds for many days. ICU beds are limited, More people with mild oxygen insufficiency will deteriorate further due to lack of oxygen & are at risk of dying. This vicious cycle has to be broken by temporary hospitals + oxygen.
3 of N
Read 6 tweets
Dr Giridhara R Babu Profile picture
1 May
INSACOG researchers first detected B.1.617, which is now known as the Indian variant of the virus, as early as February, Ajay Parida, director of the state-run Institute of Life Sciences and a member of INSACOG, told Reuters.

reuters.com/world/asia-pac…
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INSACOG shared its findings with the health ministry’s @Director_NCDC before March 10, warning that infections could quickly increase in parts of the country. The findings were then passed on to the Indian health ministry, this person said.
2 of N
INSACOG's initial draft media statement for the health ministry included that the new Indian variant had two significant mutations, and it had been traced in 15% to 20% of samples from Maharashtra, India's worst-affected state.
3 of N
Read 8 tweets

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