Sunday, August 16, 2020

Dharavi model

Jayaprakash Muliyil, India’s leading epidemiologist, who is part of one of the Indian government’s sub-committees on COVID, said, “Two factors must have worked. One, whatever screening they did, it helped extract the virus out of the system. Two, herd immunity must have done the trick.” From Did Dharavi model work? Is it herd immunity or plain luck?
The Earlier article of the series “ Testing was to be on a gargantuan scale — virtually impossible. Instead, team started to screen people on a massive scale by visiting houses and setting up fever camps in localities. Temperatures were taken by infrared thermometers and blood oxygen levels were read by pulse oximeters.
Screening holds no parallel to testing. But by screening about 0.4 million people helped in taking out suspect cases — some 15,000 — from the system. Among those suspected to be carrying the SARS-CoV-2 virus, those with symptoms were quarantined and subsequently tested. The ones who tested positive, were sent to hospital isolation wards; those negative remained at the quarantine centres for 14 days.
While ‘test-test-test’ was the mantra of the experts, on ground in Dharavi it was ‘screen-test-screen-test’. This, local doctors and other epidemiologists said, is at the heart of the Dharavi model. It showed how smart testing could be a way out of shortages of resources and kits.”

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