COVID Second Wave in India – Revisiting the TIP Approach
An online version of this article was first published on 12th April 2021 and updated thereafter (link given in abstract)
Keywords:
COVID second wave, resurge, home isolation, masks, variants
Abstract
"Note: An online version of this article was first published on 12th April 2021 and updated thereafter. Link:https://theindianpractitioner.com/2021/04/21/covid-second-wave-in-india-revisiting-the-tip-approach/"
The resurgence of COVID as a second wave of rising cases has been seen in many parts of India. Presentation with atypical non-specific symptoms, delay in test positivity and diagnosis, infections more among younger people, and a fast-paced growth in daily cases have been the trends so far. Variant strains are also emerging as a cause for concern. The importance of TIP – Testing, Isolation and Prevention still hold as the three corner-stones of management. This can enable effective home isolation and treatment, identifying high risk cases for hospitalization, and prevent overburdening of healthcare resources. The two major pillars of prevention are wearing of masks in public, and further ramping up vaccination to include younger age-groups as well.
References
1. Times of India - indiatimes.com [Internet]:Explained in 10 charts: How Covid cases are rising, spreading during 2nd wave [updated and cited on 5th April 2021] Available from https://timesofindia.indiatimes.com/india/explained-in- 10-charts-the-rise-of-covid-19-second-wave-in-india/articleshow/ 81910892.cms
2. Times of India - indiatimes.com [Internet]: Maharashtra’s Covid cases in March [updated 1st April 2021; cited 5th April 2021] Available from https://timesofindia.indiatimes.com/ city/mumbai/maharashtras-cases-in-march-15500-up-to-age- 10-among-11-20-its-40000/articleshow/81791703.cms
3. Press Information Bureau - pib.gov.in [Internet]: Ministry of Health and Family Welfare - Genome Sequencing by INSACOG shows variants of concern and a Novel variant in India [Updated 24th March 2021; cited 5th April 2021]. Available from https://pib.gov.in/PressReleaseIframePage. aspx? RID=1707177#:~:text=Genome%20Sequencing%20 by%20INSACOG%20shows,a%20Novel%20variant%20 in%20India&text=The%20Indian%20SARS%2DCoV%2D2,
on%2025%2F12%2F2020
4. Narayanan V. COVID-19 Indian Perspectives and Challenges: The TIP Approach. The Indian Practitioner April 2020; 73(4): 7-10.
5. Yang Z, Chen X, Huang R, Li S, Ling D, Yang Z et al. Atypical presentations of coronavirus disease 2019 (COVID-19) from onset to readmission. BMC Infect Dis 2021; 21:127.
6. Harvard Global Health Institute - globalhealth.harvard.edu [Internet]: Evidence Roundup: Why positive test rates need to fall below 3% [Updated 29th March 2021; cited 5th April 2021]. Available from https://globalhealth.harvard.edu/evidenceroundup- why-positive-test-rates-need-to-fall-below-3/
7. Arevalo-Rodriguez I, Buitrago-Garcia D, Simancas-Racines D, Zambrano-Achig P, Del Campo R, Ciapponi A et al. Falsenegative results of initial RT-PCR assays for COVID-19: A systematic review. PLoS One. 2020 Dec 10;15(12):e0242958.
8. Pandit R, Vaity C, Mulakavalupil B, Matthew A, Sabnis K, Joshi S. Unmasking Hypoxia in COVID 19 - Six Minute Walk Test. J Assoc Physicians India. 2020 Sep;68(9):50-51.
9. Gaba W, Shah A, Al Helali AA, Raidullah E, Al Ali AB, Elghazali M et al. Correlation between Chest CT Severity Scores and the Clinical Parameters of Adult Patients with COVID-19 Pneumonia. Radiology Research and Practice 2021, Article ID 6697677, 7 pages
10. Zeng F, Hiang Y, Guo Y, Yin M, Chen X, Xiao L et al. Association of inflammatory markers with the severity of COVID-19: A meta-analysis. International Journal of Infectious Diseases. July 2020; 96:467-474
11. Quilty BJ, Clifford S, Hellewell J, Russell TW, Kucharski AJ, Flasche S, Edmunds WJ; Centre for the Mathematical Modelling of Infectious Diseases COVID-19 working group. Quarantine and testing strategies in contact tracing for SARS-CoV-2: a modelling study. Lancet Public Health. 2021 Mar;6(3):e175-e183.
12. De Nardo P, Gentilotti E, Mazzaferri F, Cremonini E, Hansen P, Goossens H et al. Multi-Criteria Decision Analysis to prioritize hospital admission of patients affected by COVID-19 in low-resource settings with hospital-bed shortage. International Journal of Infectious Diseases 2020; 98: 494–500.
13. Ministry of Health and Family Welfare - mohfw.gov.in [Internet] COVID-19 Vaccination as on 15th April 2021 [updated and cited on 15th April 2021]. Available from https://www. mohfw.gov.in/
14. Narayanan V. The Mask Dilemma: Unmasking the Myths and Facts. International Journal of Community Medicine and Public Health. January 2021;8(1):1-5.
15. Brooks JT, Butler JC. Effectiveness of Mask Wearing to Control Community Spread of SARS-CoV-2. JAMA. 2021;325(10):998– 999.
2. Times of India - indiatimes.com [Internet]: Maharashtra’s Covid cases in March [updated 1st April 2021; cited 5th April 2021] Available from https://timesofindia.indiatimes.com/ city/mumbai/maharashtras-cases-in-march-15500-up-to-age- 10-among-11-20-its-40000/articleshow/81791703.cms
3. Press Information Bureau - pib.gov.in [Internet]: Ministry of Health and Family Welfare - Genome Sequencing by INSACOG shows variants of concern and a Novel variant in India [Updated 24th March 2021; cited 5th April 2021]. Available from https://pib.gov.in/PressReleaseIframePage. aspx? RID=1707177#:~:text=Genome%20Sequencing%20 by%20INSACOG%20shows,a%20Novel%20variant%20 in%20India&text=The%20Indian%20SARS%2DCoV%2D2,
on%2025%2F12%2F2020
4. Narayanan V. COVID-19 Indian Perspectives and Challenges: The TIP Approach. The Indian Practitioner April 2020; 73(4): 7-10.
5. Yang Z, Chen X, Huang R, Li S, Ling D, Yang Z et al. Atypical presentations of coronavirus disease 2019 (COVID-19) from onset to readmission. BMC Infect Dis 2021; 21:127.
6. Harvard Global Health Institute - globalhealth.harvard.edu [Internet]: Evidence Roundup: Why positive test rates need to fall below 3% [Updated 29th March 2021; cited 5th April 2021]. Available from https://globalhealth.harvard.edu/evidenceroundup- why-positive-test-rates-need-to-fall-below-3/
7. Arevalo-Rodriguez I, Buitrago-Garcia D, Simancas-Racines D, Zambrano-Achig P, Del Campo R, Ciapponi A et al. Falsenegative results of initial RT-PCR assays for COVID-19: A systematic review. PLoS One. 2020 Dec 10;15(12):e0242958.
8. Pandit R, Vaity C, Mulakavalupil B, Matthew A, Sabnis K, Joshi S. Unmasking Hypoxia in COVID 19 - Six Minute Walk Test. J Assoc Physicians India. 2020 Sep;68(9):50-51.
9. Gaba W, Shah A, Al Helali AA, Raidullah E, Al Ali AB, Elghazali M et al. Correlation between Chest CT Severity Scores and the Clinical Parameters of Adult Patients with COVID-19 Pneumonia. Radiology Research and Practice 2021, Article ID 6697677, 7 pages
10. Zeng F, Hiang Y, Guo Y, Yin M, Chen X, Xiao L et al. Association of inflammatory markers with the severity of COVID-19: A meta-analysis. International Journal of Infectious Diseases. July 2020; 96:467-474
11. Quilty BJ, Clifford S, Hellewell J, Russell TW, Kucharski AJ, Flasche S, Edmunds WJ; Centre for the Mathematical Modelling of Infectious Diseases COVID-19 working group. Quarantine and testing strategies in contact tracing for SARS-CoV-2: a modelling study. Lancet Public Health. 2021 Mar;6(3):e175-e183.
12. De Nardo P, Gentilotti E, Mazzaferri F, Cremonini E, Hansen P, Goossens H et al. Multi-Criteria Decision Analysis to prioritize hospital admission of patients affected by COVID-19 in low-resource settings with hospital-bed shortage. International Journal of Infectious Diseases 2020; 98: 494–500.
13. Ministry of Health and Family Welfare - mohfw.gov.in [Internet] COVID-19 Vaccination as on 15th April 2021 [updated and cited on 15th April 2021]. Available from https://www. mohfw.gov.in/
14. Narayanan V. The Mask Dilemma: Unmasking the Myths and Facts. International Journal of Community Medicine and Public Health. January 2021;8(1):1-5.
15. Brooks JT, Butler JC. Effectiveness of Mask Wearing to Control Community Spread of SARS-CoV-2. JAMA. 2021;325(10):998– 999.
Published
2021-04-24
How to Cite
Dr. Varsha Narayanan. (2021). COVID Second Wave in India – Revisiting the TIP Approach. The Indian Practitioner, 74(4), 7-9. Retrieved from http://articles.theindianpractitioner.com/index.php/tip/article/view/1149
Section
Editorial
