The World is undergoing serious economic, social and health crisis as the Covid-19 outbreak originating from Wuhan China, has spread to almost all the continents of the World except Antarctica – the Unhabitated Continent.
Hundreds of People died in china, Iran, France, South Korea and Italy. Italy has been severely gripped by a coronavirus. The Covid-19 after bringing catastrophe in Asia reached Europe and Africa.
Though Africa has limited cases as reported but given the alarming and catastrophic situation rising every day. The South Asian countries i.e. Pakistan, India, Bangladesh though ill-prepared to fight against this Pandemic have done a tremendous job in terms of preparations and taking preventive measures to limit the spread of the fatal Covid-19.
As hundreds of cases are reported positive, fear, economic crisis, education and health effects have played havoc to the countries to fight Covid-19. The World Health Organizations (WHO) has declared it pandemic asking countries to follow the precaution or preventive measures as circulated by WHO and Isolation facilities for those diagnosed positive.
The States have started diverting their funds towards fighting this novel Virus and having set up Emergency Health Centers and Isolation Centers for quarantining those arriving from worst-affected countries i.e. China, Iran, France, America and Italy.
Sindh has been the worst affected by this Virus with 146 confirmed cases as most of the cases are imported from Iran via Taftan.
These include those pilgrims (Zairian) who are returning from Iran after visiting holy places. CM Sindh has so far done a marvelous job by setting up Isolation and Screening Camp at Sukkur to diagnose and keep them at the facility to avert any possibility of contraction to their families.
KP stands second with sudden appearance 19 cases since these confirmed cases are also imported through Taftan border as the affected patients had recently returned from a pilgrimage from Iran. Baluchistan is on 3rd Number with 10 confirmed cases, GB 3 and Islamabad capital with 04 cases. Fortunately, there is any case in AJK.
The media is regularly breaking and updating news every moment regarding the novel coronavirus, adding the rise to the concerns regarding the sudden outbreak of the pandemic to more countries. The concerns and feelings of fear run high amid cancellations and postponement of all sporting activities, education, colleges, universities and Wedding or public gatherings.
Companies such as Google, Yahoo, Twitter, Microsoft and Apple have advised their employees to stay at home and work from their home. They also circulated the WHO guidelines among their employees and avoid gatherings of more than 10 people as announced in the latest guidelines of WHOM.
Countries are strictly following the preventive measures communicated to the people by WHO experts and putting bans on unnecessary travel in the city or out of city or borders.
It is the alarming and panicking situation since No vaccine nor has injection been made to treat those affected with the novel coronavirus. WHO cautions the countries having limited facilities to conduct tests and treat the patients advising states around the world especially the Asia and Europe to take preventive measures until the vaccine to treat this deadly virus could be discovered by Medical scientists and microbiologists?
At the moment Covid-19 has caused more deaths than Ebola outbreak in African countries, especially in Congo. According to reports that as per, the calculations based on the Center of disease control, the scenarios suggested that as many as 2.4 million to 21 million people in the U.S. could require hospitalization, potentially crushing the nation’s medical system, which has only about 925,000 staffed hospital beds as reported by Media.
The number is very low to house the huge number of affected people from covid-19. It may bring a panicking situation in a developed country like the USA. Less than a tenth of those are for people who are critically ill.
It would be disastrous to deal with the pandemic given the Medical facilities available at the US and the African states.
At the moment, China is the worst hit with 3800 deaths due to novel coronavirus followed by Italy with 1800 deaths, South Korea with 75 deaths, Iran with 600 deaths.
Luckily, the situation Africa is under control since so far there are a few reported cases but there is no confirmation of the Virus cases yet.
The African nations have started preparations for fighting this deadly virus, they have one advantage of fighting with the Ebola virus and the lessons learnt from dealing with that epidemic such health and hygiene requirements.
Though African countries have limited resources and facilities yet they have started following the WHO Precautionary measures to deal with Possible outbreak of the deadly virus that has spread all over the world.
Its implications are dreadful and catastrophic for the world at large. The world has been struggling to deal with this pandemic as Schools, colleges, universities, restaurants; religious Places have been shut over the fears of this Pandemic.
People are advised through the media campaigns and instructions circulated by WHO to adopt the precautionary measures to remain safe from this disease. Though the symptoms include fever, cough, close breathing affecting lungs, the precautionary material is being aired on Media to apprise people of this deadly virus that has been spreading at a massive scale.
Unfortunately, the medical scientists and microbiologists have not been able to discover any antidote to control it from the spread and contain it. Even WHO appears to be helpless against this disease rather circulated precautionary measures to remain on the safe side until a vaccine could be made for the treatment of the virus?
The physicians have been advising the common treatment for fever such as Paracetmol ,cough syrup and self-isolation to recover from this pandemic as preventive measure .
Till date, there are 100 reported cases in African Countries with two deaths happened in Morocco and Egypt each.
According to statistics of WHO the Country wise break up of reported cases of Virus covid-19: Algeria -20, Burkina Faso-2, Cameron-2, Democratic Republic of Congo -1, Egypt highest number of cases -59 includes one death, Morocco -3 with one death, Nigeria 2, Senegal 4, South Africa -13, Tunisia -5 and Togo -1. So far, the situation in African countries is normal only Egypt has the maximum number of cases reported.
The African Countries have been well prepared to contain the outbreak that has played havoc around the world specifically in Asian countries i.e. China, Iran and Europe. There are at least 150000 reported cases worldwide and over 6000 deaths owing to this deadly virus including 3600 deaths in china alone following by 1800 deaths in Italy.
The Ebola Experience has enabled the African nations to develop a comprehensive plan to fight this Novel Corona Virus. There are about 100 cases have been reported in 11 African Countries while there were only two deaths.
Most of the cases in Egypt are those passengers who had travelled from abroad and the crew members of the ship coming from the countries which are being worst or moderately affected by the deadly coronavirus. The reported cases are just imported out of Africa as there is not any domestic viral outbreak.
However, apart from the rest of world, African states have done a tremendous job to contain Covid-19 by adopting strict preventive measures by completely banning Travel from the countries which are the worst affected by the Corona Virus.
In this connection, Rwanda has not reported any case, yet it has advised the citizens to maintain hygiene in the country. Rwanda has installed hand Washing Taps and sanitizers to defeat the viral outbreak in the country.
Similarly, Kenya has not reported any cases, yet it has established the 120-bed Quarantine centre and two Testing facilities at Nairobi.
Nigeria has also made mandatory to use hand sanitizers while visiting banks, restaurants, Office and supermarkets to limit the spread of deadly Novel Corona Virus.
Even several health workers have been deployed by the Government of Nigeria at the international Airports to screen the passengers to avert any possibility of a contracting virus.
According to News reports that the Experience of Nigeria’s dealing with the Ebola Virus has enabled the African Nations to adopt the preventive measures to limit the contraction of Novel Coronavirus in the country.
All the Airline companies have suspended their flights over the fears of Covid-19 that include Rwanda Air, Kenyan Airlines, and Royal Air Morocco.
The lessons learnt from the Ebola virus have strengthened the preparation of African Nations to fight Novel coronavirus effectively since they have focused on maintaining hygiene in light of their dealing with the Ebola outbreak.
They have learnt that hand washing is the first line of defence against any viruses. The case studies of Ebola have furthered their defence.
On the other hand, China has been able to overcome the outbreak by bringing the number to single digits. WHO has also recommended learning from China how it faces this pandemic.
Chinese Experience should be utilized to help control the pandemic in Italy as it has been worst hit by Covid-19 where the death toll crossed 1800 People and Iran 600 people.
Even WHO should take experts from African countries, China and Europe to develop a strategy to fight this pandemic. The pandemic has been contracted in India with confirmed cases of 107, Pakistan with confirmed cases of 189 as per the latest information available. The numbers are constantly growing increasing concerns of people regarding the preparedness of various nations against this Pandemic.
Though, the cases reported and confirmed in South Asia are mainly those who travelled to Iran, Syria, and China. There is so far no confirmed case of domestic nature or any death. Even, there is no death reported yet in Pakistan, India, Bangladesh, Nepal, Bhutan, Afghanistan and Sri Lanka.
Luckily, after a long time, SAARC Leadership held the online Video conference to exchange level of readiness against this Novel Corona Virus. The Video Conference was held on the request of Indian PM Narendra Modi. Dr Zafar Mirza proposed a regional Mechanism to fight covid-19 and even demanded to lift Curfew in IOK over the concerns of Novel Corona Virus.
Finally, it is essential to follow WHO prescriptions to remain secure until the vaccine could be developed for this deadly virus. Medical experts claim that the vaccine may take 18 Months to be available to fight this Pandemic.
WHO has cautioned the developing countries around the world to take preventive measure to prevent people from falling prey this pandemic especially those who have limited resources and ill-prepared to fight this Deadly Covid-19 effectively.
The Circumstances in Sindh are very alarming, Government of Pakistan must take strong measures of screening at Taftan border with the composition of experts from Health Ministry both Public and Private Sector to fight this Pandemic and contain it from spreading rapidly.
COVID-19 in India: The bright and the dark sides
Many fortresses have collapsed and the invisible enemy has entered everywhere. Indians are at the doorsteps of one of the biggest threats looming. Indian government along with the state governments have announced a 21-days lockdown and requested all the citizens to stay at home, however, few of the essential services like groceries, pharmacies are open.
It’s not easy for any country to let its economy stand-still and bear losses every single minute but India took that decision ultimately to protect hundreds of thousands of lives. A stand-still economy has bought days of despair and paralysed commerce across various key sectors throughout the nation but ultimately it will be protecting the bread-earners of the society.
Listening to Prime Minister Modi’s speech about the lockdown, he rightly said when countries like Italy which ranks next to none in health facilities cannot manage with the Pandemic, Indian infrastructure and population will have a great fall of the time.
What will Lockdown do?
It is for the first time in history that such a huge mass of 1.3 Billion has been asked to self-quarantine themselves. This may not completely stop the virus from spreading but slows down the rate it was expected to create havoc. It will help flatten the curve and break the chain which is most important at this stage and that is what all other countries which have lockdown are trying to do.
If we look at the figures, of the first 100 to 1,000 cases in Italy and the United States then we will find it took seven days in Italy to reach 1,000 cases with a rate of increase between 37%-90%, and Ten days in the United States to reach the first 1,000 cases with a rate of increase between 31%-58%. Whereas in India, it took 16 days to reach 1,000 cases with a rate of increase between 10%-29%.
Moreover, after this big disaster, a country with a massive economy like the United States didn’t ask for a complete lockdown in their second-largest state New York till 25,000 positive cases and 250 deaths. By a lockdown, India still a step ahead of the first world countries.
What Indian government is doing other than lockdown?
Meanwhile trying to set up isolation wards to increase their capacity, Indian railway has turned its train coaches into hospitals and have asked their manufacturing units to make beds etc. to fight the problem.
India has also started private testing for this which will reduce the pressure on government hospital where testing is free for the public. Private testing cost (4,500 Rupees/$60) may seem very high to people but currently, the testing kits are exported and thus costing heavily. But by approving Indian companies to prepare locally which is estimated to be in the market from two to three weeks the cost will be reduced.
However, The cost is still low if we compare the cost of private testing labs with the UK which costs 375 pounds and the United States labs which costs anywhere between $900-$3700.
India even brought its people back and providing hotel etc. to people where they could not. These cases would have been less if people took government advice of home quarantine seriously.
The Ugly Side
It will be wrong to compare India with First world nations which have the advance infrastructure and abilities. As per the healthcare capacity, India till now has dealt with the crisis pretty well.
Despite being one of the major economies, India still struggling with third world issues, for instance, 70% of Indian lives in rural areas or slums where they do not have options to self-isolate themselves into a pristine environment. Rather, they live amidst the fear of contamination by their neighbour or the people they’re sharing public toilets with.
Another issue is the healthcare facilities, which is not same in both urban and rural India, in small villages, or small cities far away from the commercial hustle may barely have a hi-tech hospital with isolation facilities. Which is another migraine for the government and local administration, as recently after the lockdown was announced many of the labourers and migrant workers moved back to their villages amidst chaos and panic to starve in big cities due to lack of their daily wages.
Governments on both the state and central level announced free food and requested house-owners to waive the rents for migrant workers. However, in a tech-haven like India, an ugly reality shows that a section of people and government are still not on the same digital-virtual-page.
Another similar story popped-out from the heart of the nation – New Delhi, where police found a group of around 2,000 people were hiding inside a mausoleum, out of them, many tested positive with COVID19. Moreover, many of the same group have travelled to different states and few of them have been tested positive. It is said, many non-Indians are found inside the group who may be one of the potential carriers of the deadly virus. Though it’s all about time which will tell where these migrations will take the toll of Coronavirus impact in India
Indeed the bigger problem is not the rural working labour population of India, a bigger threat came out of the incoming overseas crowd. Many Indians have found hiding their overseas travel information, including celebrities who tested positive later and met many people after their arrival. It is an arrogance, where NOT the government but so-called ‘educated and ignorant Indians’ to be blamed for.
How to fight this Pandemic
First of all, it is not only the government’s fight all the Indians are the foot soldier to this war against Corona. As the Prime Minister said, it’s a 21-day war and the best medicine is self-isolation.
Government is doing its part. But if we are comparing the response with the American or European governments, then its fault on our side, globalisation comes with a price and an open democracy like India are always at the receiving end of such prices. Indians need to drop their obsession with the Western media certifications. Media is one of the most responsible pillars for this fight against the pandemic and it need to act accordingly.
It’s a global problem and we all need to step up to fight this, religious organisations and corporations should come in front and equip the foot soldiers at the time of the pandemic. Those volunteers inside the non-government organisation who are distributing food owe us applauses.
From our partner International Affairs
Coronavirus, Critical Geographies and Geospatial Revolution: Redefining Epidemiology
The subject of Geography has often been understood and considered as the Gazetteer with names of countries and information about them but this stream of knowledge has turned out to be the most important addition to our meaning and metaphors of our daily life from driving a car to identifying the critical hotspots/clusters of any disaster . ‘Space’ forms the kernel and core of geographical knowledge thus encompassing the phenomenon of body politic and social fabric in its entirety. In contemporary times with emerging paradigms of ‘space episteme’, this intersection and contestation of topos with the active political space in the public discourse has been righty epitomized by Edward Soja as “spatial turn” of this century. World has changed drastically in the spheres of climate, production, consumption and behavioural patterns with the imbalances and negative feedbacks being observed in the environment which prompted some scientists to propose present epoch as “Anthropocene”Geography studies this changing interaction of environment with the human responses in its comprehensive theoretical and scientific mechanism and subsequently modelling the impacts and patterns of this dynamic trend .Diffusion of diseases and the related outbreaks have also been modelled and the pathways tracked thus helping the world and regional health agencies framing policies an strategies for mitigating the impact and spread of diseases. As currently world has been in the grip of deadly and sporadic pandemic disease named by WHO as COVID-19 and the virus as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) by International Committee on Taxonomy of Viruses,geographical knowledge coupled with temporality of the incidence and spatial prevalence of this global health threat has proved to be the guiding light amidst the dark frontiers of novel epidemiological characters of this outbreak
Geospatial Science and Public Knowledge
In this age of big data, the need of “Big Geospatial Data” becomes equally important given the complexities and dynamic nature of bio-physical and social interfaces. In the same vein geospatial knowledge has helped in the real time information delivery and public understanding of Coronavirus spread around the world. Most of the geospatial data platforms have been in the forefront currently for the data visualization, monitoring and concurrently its reach to the common people at any place of world and any time. WHO has provided the situational dashboard updated every 15 minutes providing a real time perspective for officials and users with easy-to-view visual interface using Geographical Information System (GIS Science) on region and case wise spread.
(WHO Novel COVID-19 Situation Visualization)
The enhanced and sophisticated real time information can be viewed through Environmental Systems Research Institute (ESRI) . ESRI Disaster Response Program and ESRI’S ArcGIS Hub including the in-depth information from various operational dashboards with interactive data view providing key understanding and monitoring of global and feature datasets related of the virus and public knowledge.
ESRI ArcGIS Hub
The another platform were the expert epidemiological analysis of COVID-19 hyphenated with the public health analytics has been maintained by Center for Systems Science and Engineering at Johns Hopkins University (JHU) with its own GIS operational setup mapping the similar trajectory in real time. Below is the snapshot of the site
Center for Systems Science and Engineering at Johns Hopkins University (JHU)
In India MapmyIndia Maps and Move app enabling users to locate, view and reach testing labs nearby and subsequent isolation and treatment facilities. Users can have the first-hand account of the facilities and can add reviews of the centres there and helping other users with updated and critical knowledge regarding the conditions and status of quarantine and isolation facilities MapmyIndia resources are designed for early detection and isolation of infected persons which are crucial in respect of spread of this disease
With the use of this metadata and imagery creating a robust GIS and comprehensive geo-databases in an analysis-ready format thus opening a new path for redefining epidemiological studies in concert with the pathways and vector based differentiations across the world. With the use of data mining and machine learning algorithms like Python and Anaconda with the integration of geographical knowledge, it can help us in the accurate and reliable prediction of threats and stresses whether related to health or environment. Google Earth Engine uses this algorithm based geographical and environmental variables for predicting and subsequently providing the effective management strategies for the better and sustainable bio-physical and social environment.
Critical Geographies and Coronavirus
There has been an overarching ‘complexity turn’ within the geographical studies and it forms the essential pivot when it comes to the health landscape of any region as put forward by Anthony Gatrell .This has turned out to be the potential paradigm for social sciences having transformed much of physical and biological sciences with dissolution of binary divides whether media/socio-cultural, structure/agency, institutional/individual, environment/social etc..There is an immediate need to move beyond the traditional epistemes of geographical analysis and to explore further the added value of critical geographies for our research in health inequalities, disease ecology, and spatial diffusion. Many examples of critical geographies can be cited from the fact that institutions, organisation and governments have undermined the character and configurations of ‘geography’ when it comes to health infrastructure and individual healthcare facilities thus coronavirus has laid bare the response and system of approach of countries around the world. There are widespread inequalities when it comes to the healthcare geographies around the world, thus arising a need for global and uniform approach of healthcare governance in consonance with the changing contours of political and economic landscapes around the world. Critical geographies deconstructs the hegemonic geographies of the world in the lens of radical perspective and the consequent geo-economic and geopolitical undercurrents which is needed for the current disarrayed healthcare system of the world .At last keep resisting the virus and the injustices around your geographies.
The Myth and Reality of Social Distancing in India: Challenges to fight COVID 19
Authors: Dr. Manasi Sinha and Pratyush Bibhakar
“Social distancing”—The Way out :A nasty and deadliest Spanish flu that started spreading around the world infecting and killing over 50 million of world’s population during world war I, was contained to a large extent by following measures now known as “social distancing”. This social distancing may be understood as creating a safety net by maintaining physical distance between two or more people so as to prevent or control or ‘flatten the curve’ of the transmission process of virus/flu. In the wake of uncertainty looming over safe and effective measures to eliminate pandemic COVID 19 which is the biggest, trickiest and deadliest war on humanity ever, many countries across the world are now implementing measures like “social distancing” in form of prohibiting mass gatherings, restricting entry to public spaces, shutting down schools, colleges and in some places a total lockdown is enforced by keeping people stay indoors.
India’s Strategy against COVID: However, in an unequal social system that thrives on stratification of class and communities, differentiation of labour, status and capital, social distancing may not be a successful strategy to get by. In an unequal stratified system like India, social distancing turns out to be a ‘privilege’ available only to the upper-class well-off Indians. For people at the lower strata, social distancing stands unbearable, as more than fighting a disease, they fight against hunger, wage and shelter in their daily lives. This may magnify their miseries and distress substantially. In the midst of21 days nation-wide lockdown in the largest democracy of the world, India has just witnessed how it has been tumbling not only in executing its strategy of social distancing to fight the growing coronavirus pandemic, it also has failed larger chunk of its mass–around 85% of this constitutes the informal workers— mostly migrated ones, who are the worst hit in absence of a contingency plan to fight and survive this situation.
In line with following global strategy of enforcing strict lock downs, Prime Minister Narendra Modi on 24th March 2020 had announced a 21 days lockdown to contain the spread of COVID 19. A ‘Janta Curfew’ was initiated two days before on 22nd March to prepare Indians to fight the long battle against coronavirus outbreak. As the lock down continues, a total of 1251 COVID-19 cases (including 49 foreign nationals) have been reported in 27 states/union territories in India as on 30th March 2020(Source: Ministry of Health & Family Welfare (MoHFW).
The Ground Reality: While the infected numbers do not project a grim picture compared to other countries that are struggling to contain the virus, concerns growing in India, as nearly 85% of India’s population (roughly 120 million) appears to be stranded without basic security of food, wage and shelter. Migrant workers forms majority of this population, who work in construction sites, drive taxis, work in restaurants, staff factories, work in saloon, houses etc. thus often employed in low paid hazardous jobs. This informal workforce is also deprived of any social security benefits including paid leave etc. and they thrive on low wages. As such, they succumb to inevitable cycle of poverty, hunger and death as the city shuts down. COVID 19 pandemic is setting up similar ground for these people. In absence of availability of basic needs walking home for hundred miles remains an only option left for them. They prefer to leave the city, they have lived for all their lives as it no longer shelters them and feeds them; itno longer brings hope of surviving poverty, hunger and their daily mundane needs—the city of dreams turns hostile and deeply inhospitable. As they set forth, many of them are stranded in big cities or stuck midway and are struggling to keep themselves safe and healthy. On 28th March, Saturday tens of thousands of workers flocked at various city-bus stations in efforts to reach home. In Anand ViharInter-state bus terminal, New Delhi, several migrant workers including women stood in a long 3 km queue for hours carrying their baggage with kids in hope of returning to their relatives and families in different parts of the country. “For two days the ration guys were not giving us any food, we were hungry for two days. So, we decided, ‘let us go to our parents’,” said Raju, a 24-year old migrant worker walking from Noida, a satellite town of Delhi, to Agra, nearly 200 km away. As such, this mass exodus becomes a potential blow to India’s coronavirus containment strategy as it presents a miserable scenario awaited in coming days. As on 30th March 2020 the situation got worsened further killing around 20 lives.
As other countries across the world havei nitiated measures to support their citizens, voices from civil society in India already mounting up pressure on the government to provide immediate cover of social security measures including cash transfers for daily wagers, informal sectors and migrant labourers particularly women who have little social and community support and therefore remain most vulnerable.
As ground reality remains challenging, diverse measures are taken by the Central and state governments to control the mass exodus of daily-waged workers. To fight against this deadliest pandemic, Indian government extended its support to protect the poor people hit by this lock down, by unveiling $22.6bn stimulus plan. The plan seeks to provide direct cash transfers and food security measures, thus offering relief to millions of people at this critical juncture. Further, the centre decided to provide three meals a day to more than 100,000 people living in 1500 shelter homes for the urban homeless across the country. There are directives given to all the states and union territories to use State Disaster Response Fund (SDRF)to make arrangements for temporary accommodation, food distribution, clothing and medical facilities to the downtrodden ones particularly the migrant labourers. Some Indian states like Uttar Pradesh, Kerala, Delhi have speeded up their initiatives to meet the basic needs of migrant workers by scaling up monetary assistance and providing ration facilities to the homeless.
However, panic continues and migrant workers still on their way back home because of two more reasons: First: the lock down triggered a wave of panic making hundred thousand of homeless workers frightened and terrified in absence of any administrative assistance and coordination from government machinery. Second: with the expensive private healthcare and insufficient and unavailability of public health care facilities, the fear psychosis persists amongst these migrant workers making them non-complicit of ‘social distancing’.
The Anticipated Calamity and Lessons: Considering the gamut of India’s population and its diverse nature including these migrant population, immediate steps are required to provide a contingency plan for the migrant workers—who form the backbone of India’s economy. Failing to respond quickly to address this problem may lead to a worst situation that may further claim deaths of millions. As tens of thousands of migrants are in limbo and are not distancing themselves from others–they are prone to get infected quickly and in large numbers. After days of journey and returning to their villages, they may carry the symptoms of corona virus and may spread it among other communities, resulting into the dangerous III phase in which the pandemic advances towards community transmission across the country. Although the number of COVID 19 cases are still low in India as compared to other countries, experts have already warned against community spread as they think this may result into increased need for health facilities and India is yet to be equipped to facilitate and strengthen its health care sector. The existing measures like ‘Janata Curfew’, ‘Social distancing’ ‘21 days lock-down’ that India has opted for, may possibly protect its upper class people who could afford to stay inside home, however, the same is a fallacy for people at the lower strata because of the precarious life they live in. A calamity like COVID 19 may be taken as an experience to introspect upon a combination of development agenda, a contingency plan and management of strategies that India should keep as a stand by formula to mitigate any future crisis like this.
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