THIRD WAVE: LET US BE CAUTIOUS AND AWARE BEFORE-HAND

 


                                   Image by Creative Cursor from Pixabay 



Let us start on a positive note. The effect of the second wave in India is now decreasing. Once the daily number of infected in India had reached close to four lakhs, but now, it has come close to 45 to 50 thousand. The fear of the second wave was so dreadful that everyone is worried about the third wave of Corona. It is true that vaccination drive is going on full swing but we cannot say that it is a full proof to overcome the Covid fear. Instead, it is being speculated that the third wave of Covid-19 can hit the country in September-October. And we have to be vigilant.


Some experts are of the view that the third wave of corona can begin from the month of August. According to Dr. Giridhar Babu, advisor of the National Covid Task Force, the third wave of corona can come in late November or early December. It is also speculated that the third wave may be at its peak during the winter. Given the nature of the second wave, it is estimated that the third wave may affect the youth and children the most.


WHO confirms that there is more possibility of more waves and children may get more infected in this.  It is because of the Delta variant that is constantly evolving and changing its form.  The Delta variant has now reached more than 111 countries of the world and as such has raised the concern of the world. The WHO chief has been requesting and guiding countries to take precautions, as the havoc of Delta variants seems unstoppable. 



THIRD WAVE

Many experts believe that the third wave of corona can be as dangerous as second wave. Some have been predicting that may attack children. Some are saying that there are no such evidences that it will affect the children alone. The young and old are equally vulnerable. The various opinions are based on the trend so far. The first wave of corona in India became a threat to the elderly, the second wave proved to be dangerous for the young population, now the third wave can be fatal for children. The biggest reason for this is non-availability of vaccine for less than 18 years of age till date. Therefore, those who are most at risk from corona infection, they need to be vaccinated as soon as possible.


While we must be prepared to deal with such situation. Amidst all this, a new report of Lancet has come, in which these things have been denied. However, experts are not unanimous about it as yet.

 



REASON BEHIND THE THIRD WAVE

Dr. Randeep Guleria - AIMS said that these waves come due to the virus and the virus changing its form. But, this is not being considered to be the main reason. Not adopting the covid protocol is also one of the major reasons for the spread. If people do not follow the rules like maintaining cleanliness and wearing masks, then there is every possibility of a third wave of corona virus infection. But we all do, we can avert it. 


All the experts including K. Vijay Raghavan, Principal Scientific Adviser to the Central Government have said that the third wave of Corona is sure to come. The country's top virologist Dr. V Ravi also claims for sure. He has also said that in the third wave there is a high possibility of children getting infected.


Experts say that the possibility of transmission of infection to children from family members or other sources cannot be ruled out.



WHY ARE CHILDREN AT RISK OF INFECTION?


Dr. Anjan Bhattacharya, a pediatrician at Apollo Hospitals, says that the double mutant corona variant is infecting children with a cocktail of other strains. Children are getting infected from their own family members, who constantly go out of the house. The double mutant variant has a tendency to evade the immune system easily. It comes across as our body's system and escapes our immune defenses. In simple language, the immune system/anti body works to fight any disease in the body. As soon as the corona virus enters the body, all these elements clash with it and eliminate it. But new variants/strains of Corona enter in disguise, and get mistaken as antibodies. This is the reason why a large number of children can become victims of Covid-19.



SYMPTOMS OF CORONA


 According to Dr. Sagnik Biswas, Senior Resident at AIIMS, the second wave of corona has shown that COVID-19 symptoms are not limited to the respiratory system only. The most common symptoms include high fever, chills, shortness of breath, cough, cold, loss of smell, sore throat, myalgias and cocutaneous inflammatory sign. But these symptoms are not for adults alone, most of the children infected in the second wave have also been affected with these. They were also showing symptoms of gastro along with loss of appetite, vomiting and diarrhea. In some countries, there have been many cases of children in which their liver has been affected, although such cases are based on clinical experience. In the third wave of corona, a change in the symptoms of the disease can be expected, as seen in the second wave. This time stomach related problems have been seen for the first time.




Present Scenario

As far as the present scenario is concerned, reports of infection among children have started coming from the states of Rajasthan and Maharashtra. In the last few days, 325 children have been found positive with the corona virus in Dungarpur, Rajasthan. Similar situation has been seen in Dausa district of the state. All children who have been found to be corona virus positive are below 19 years of age. So far more than 600 children have been found COVID positive from both the districts of Rajasthan.


Along with this, about 540 patients below 18 years of age have been found infected in Ahmednagar district of Maharashtra. Of these, most patients in the age group of 7 to 14 years have mild to severe symptoms. A 1-year-old child has also been found infected with the corona virus.



 AIIMS sero survey report: A big relief


Amidst the clouds of worry, the sero-survey report of AIIMS has given great relief. This report has been prepared by AIIMS in collaboration with WHO. Report confirms that survey has been done in urban and rural areas of Delhi as well as rural areas of Bhubaneswar and Gorakhpur and tribal areas of Agartala. The survey was conducted between March 15 and June 15. This survey report will certainly reduce the worry lines on the forehead of every parent, but the experts who prepared the report have not ruled out that if the virus mutates itself, it will bypass the immunity and people may become infected.

 


NEED OF ACCELERATION IN VACCINATION PROGRAMME

India is a country with a very large population and if the Government of India and the state governments are able to do the work of vaccination quickly in more and more areas, then perhaps the third wave of Covid pandemic may not even come. On the question of the third wave of corona, Dr Guleria told news agency ANI that it depends on how quickly and how carefully we vaccinate a large number of people, then probably the third wave will not come or its effect will be very less.



ADVANCE PREPARATION

Instructions have been given by the government to the health authorities to stop the third wave by adopting five strategies. This will be possible only through testing, tracking, isolation, treatment and vaccination. Apart from this, corona infection can be prevented from increasing by speeding up the testing of RTPCR and TrueNat at the mass level.


Covid test is necessary at all entry points of the state. Whether it is by road, rail or flight, instructions have been given to check them strictly.


Also, by July 30, the construction of the oxygen plant has been directed to be completed under PM Care and CSR.


Apart from this, it is also to be ensured that 50 beds in private hospitals are ready with oxygen supply and that too directly to the wards through pipelines. The work of Paediatric ICU (PICU), NICU and SDU in Sadar should be completed in advance so that children could not suffer. Health workers should be given proper training as to how they have to deal with the children during any emergency.


Availability of Sufficient stock in the districts must be ensured. Simultaneously, NGO and UNICEF at district level should extend its support and cooperation in order to make vaccination drive a success.


War rooms are required to be strengthened. Also strengthen the IDSP wing of the districts.

 

 

PROTOCOLS ARE A MUST FOR ALL


The head of the World Health Organization, Tedros Adhanom, has warned that unfortunately, the world has reached the initial stage of the third wave of the corona virus and if it is not controlled in time, then it will soon become the most effective variant in the whole world. He further stated that the corona virus is constantly evolving and changing its form. Because of this, more infection-spreading variants are coming into the world.


It is unfortunate that till now no corona protocol has been made regarding children. The central government itself says that the number of children getting infected with corona is very less, so there is no need for any protocol for them at the moment. Anyway, fighting with any enemy in our country is done when he enters the house or is intent on entering.


The countries that have already vaccinated children below 18 years of age or are considering doing so are Brazil Chile, USA, Canada, France, Germany, Austria, Estonia, Hungary, Italy, Spain, Britain, Switzerland, Norway, San Marino, Israel, Dubai, China, Singapore, Japan, The Philippines, Hong Kong.




DUTY OF PARENTS AT THE TIME OF INFECTION

The devastation in the second wave of Corona is a vivid example and we all have seen this. Keeping this in view, Dr. Jaydev Ray says that children who show mild symptoms of corona should be kept at home for 14 days. If the oxygen level is above 94, the patient can recover with nutritious diet, plenty of water and proper care. But if the level of CRP and ferritin is high, then hospitalization should be done immediately. Physical distancing, wearing masks and hand sanitizing are very important.


There is good news that Covid-19 vaccines for children below the age of 18 years will be available very soon as the clinical trials is on the verge of completion. Till then, parents should strictly follow the covid protocol for their children and prevent children from going outside and crowded places.

 

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