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LETTER TO THE EDITOR
Year : 2020  |  Volume : 18  |  Issue : 3  |  Page : 264-265

Coronavirus disease-2019 pandemic: Stay home, stay safe – A life-saving reminder


1 Member of the Medical Education Unit and Institute Research Council, Department of Community Medicine, Shri Sathya Sai Medical College and Research Institute, Sri Balaji Vidyapeeth – Deemed to be University, Ammapettai, Nellikuppam, Chengalpaet District, Tamil Nadu, India
2 Department of Community Medicine, Shri Sathya Sai Medical College and Research Institute, Sri Balaji Vidyapeeth – Deemed to be University, Ammapettai, Nellikuppam, Chengalpaet District, Tamil Nadu, India

Date of Submission05-May-2020
Date of Decision15-May-2020
Date of Acceptance26-May-2020
Date of Web Publication10-Jul-2020

Correspondence Address:
Dr. Saurabh RamBihariLal Shrivastava
Department of Community Medicine, Shri Sathya Sai Medical College and Research Institute, Sri Balaji Vidyapeeth (SBV) – Deemed to be University, Tiruporur - Guduvancherry Main Road, Ammapettai, Nellikuppam, Chengalpaet District, Tamil Nadu - 603 108
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/cmi.cmi_75_20

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How to cite this article:
Shrivastava SR, Shrivastava PS. Coronavirus disease-2019 pandemic: Stay home, stay safe – A life-saving reminder. Curr Med Issues 2020;18:264-5

How to cite this URL:
Shrivastava SR, Shrivastava PS. Coronavirus disease-2019 pandemic: Stay home, stay safe – A life-saving reminder. Curr Med Issues [serial online] 2020 [cited 2020 Aug 8];18:264-5. Available from: http://www.cmijournal.org/text.asp?2020/18/3/264/289425



The manner in which the ongoing coronavirus disease-2019 (COVID-19) pandemic continues to affect the entire world and all aspects of human survival and livelihood, there is no need to emphasize about the urgency of the situation. The global figures have increased to 3,435,894 cases and 239,604 deaths, with a case fatality rate of 7%.[1] It is the time for us to introspect, if this is the situation, wherein the most developed nations are finding it extremely difficult and challenging to rise up to the unprecedented caseload, the situation might be even more overwhelming, once the caseload shows an upsurge in middle- and low-income nations.[1]

Even though the role of government leadership is extremely crucial amid the recent developments, it is important to acknowledge that we will be needing a whole-of-society approach to mount an effective response against the novel viral infection. The rapid rise in the number of cases in some of the nations in the European region (viz. Italy, France, and Spain) and the American regions (the United States) clearly depicts the fact that the transmission of the infection is occurring both at local level and community level and thus the health-care delivery system of most of the affected nations has been jeopardized.[1] It is conclusive that human-to-human transmission of the infection is occurring through close contacts and droplets and thereby the national leaders have imposed a wide range of physical distancing measures including a lockdown of varied intervals of time.[2],[3]

All the nations who have either imposed lockdown or are still in early stages of the outbreak in their settings have to understand that this is a period of opportunity for them to strengthen their preparedness and response plan.[2],[4],[5] The message transmitted to all the citizens worldwide is to stay at home and stay safe, and it is the responsibility of each and every member of the society to strictly adhere to the same and contribute our share toward the containment of infection.[2] Though, it is true that just by staying indoors will not aid in the development of herd immunity, but it will significantly reduce the spread of the infection. This has been proposed with a scientific basis that staying at home will minimize the possibility of coming in contact with the infected individuals and thus the chain of transmission can be interrupted. It is vital to understand that as long as the pandemic is going on, none of the nations or communities or individuals are immune to infection and thus cannot take anything for granted, and the best chance we have to overcome the infection is by staying at home and maintaining physical distancing.[2],[3],[5]

In order to ensure that people stay at home, interventions such as closure of educational institutions, promoting the practice of work from home, online classes, delaying unnecessary travel, and postponing social gatherings have been taken by national leaders. It is quite understandable that an interruption in the routine of most of the people will be difficult to adapt, especially wherein concerns of livelihood emerge, but that's what the call the individual has to take to save their lives and the government should come forward to support each of them through welfare measures. It is the responsibility of the policy-makers and public health authorities to utilize this period of lockdown and create adequate awareness about the disease through reliable sources, which empowers the general population and not only aids in participatory surveillance but even in ensuring early detection of cases and offering them appropriate treatment.[4]

Further, the period of such restrictions should be utilized to search for cases through active surveillance, test the suspect cases, isolate the confirmed cases, perform contact tracing and quarantine, and strengthen infection prevention and control measures.[4] The active surveillance is an essential aspect of the effective containment of the disease, but we have to acknowledge that in these difficult times, it will be really difficult to involve health personnel in all these activities. It will be ideal to involve members of the community after appropriate training to carry out these activities. However, we have to provide them with the necessary personal protective equipment and technological support for ensuring real-time updation of collected information.[4] All these active interventions coupled with the practice of staying at home can significantly flatten the disease curve and thus improve our response to the infection.[2],[5]

In conclusion, in the fight against the COVID-19 pandemic, it is a must that people should strictly stay at home and help the health sector to interrupt the chain of the transmission. This practice will not only save their own lives but will even aid in implementation of active strategies to minimize the caseload of the disease and enable us to return toward normalcy.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
World Health Organization. Coronavirus Disease 2019 (COVID-19) Situation Report– 114; 2020. Available from: https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200504-covid-19-sitrep-105.pdf?sfvrsn=4cdda8af_2. [Last accessed on 2020 May 14].  Back to cited text no. 1
    
2.
Wilder-Smith A, Freedman DO. Isolation, quarantine, social distancing and community containment: Pivotal role for old-style public health measures in the novel coronavirus (2019-nCoV) outbreak. J Travel Med 2020;27:taaa020.  Back to cited text no. 2
    
3.
Shrivastava SR, Shrivastava PS. Minimizing the risk of international spread of coronavirus disease 2019 (COVID-19) outbreak by targeting travelers. J Acute Dis 2020;9:47-8.  Back to cited text no. 3
  [Full text]  
4.
World Health Organization. 2019 Novel Coronavirus (2019-nCoV): Strategic Preparedness and Response Plan. Geneva: WHO Press; 2020. p. 1-20.  Back to cited text no. 4
    
5.
Mahase E. Covid-19: UK starts social distancing after new model points to 260000 potential deaths. BMJ 2020;368:m1089.  Back to cited text no. 5
    




 

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