Monday 26 April 2021

Indian Endgame?

Allowing Sars-CoV-2 to circulate unchecked must increase the risk of dangerous new strains arising to prolong the pandemic. The Covid-19 virus is no longer limited to a small population of bats in Asia! So, the Indian second wave of the pandemic is actually a problem for all humans (https://www.theguardian.com/world/2021/apr/25/the-world-must-act-indias-covid-crisis-is-a-dire-problem-for-us-all). India is a country with a population of 1.4 billion. The Republic clearly has a fragile health system as evidenced by its crowded hospitals, people being turned away, chronic shortages of oxygen etc. Having a large, diverse population (with different states, languages, religions and life-styles) also makes country-wide surveillance of viral transmission highly improbable. Clearly, political mistakes have been made (these are far from limited to India). We can't, however, wait for a combination of the WHO's Comex vaccine-sharing scheme and putting India on a 'red' travel list, to solve the problem. Countries that have (or are) rolling out their vaccination programmes must not be complaisant. India must clearly be a candidate for 'focused firefighting'. Vaccines need to be rapidly directed to India to get the virus under control in that country. Decisions to give up limited vaccines are unlikely to prove popular in some donor countries. It would, however, be ultimately in their best interest. Otherwise, the pandemic will go on and on.

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