How India marshalled its resources to contain deadly COVID wave

October 09, 2021 - 20:50

Strong political leadership and earnest implementation of policies by a committed bureaucracy have been two key factors in India's relative success in containing the spread of the COVID-19 pandemic, a senior health official said.

Pana Janviroj

NEW DELHI — Strong political leadership and earnest implementation of policies by a committed bureaucracy have been two key factors in India's relative success in containing the spread of the COVID-19 pandemic, a senior health official said.

The two key factors, along with the strategy of regular testing for COVID and vaccination, are the weapons that India and other countries can use to stave off a possible third wave, said Pratyaya Amrit, Additional Chief Secretary at the Health Department of the northern state of Bihar. With 127 million people, the state accounts for almost 9 per cent of India's population.

Amrit was speaking at a webinar on “India’s Vaccines and Vaccination: Mission Possible”, along with Dr Roderico H. Ofrin, WHO Representative to India, and Syed Nazakat, founder of the New Delhi-based DataLeads. The event, organised by Asia News Network (ANN), was co-hosted by The Statesman, a founding member of ANN, and DataLeads.

India has to date vaccinated more than 920 million people of whom over 660 million have been given one dose, and close to 260 million  – over 18 per cent of the country's 1.4 billion population – are fully vaccinated.

The two main vaccines being used are Covishield, the Indian-made version of AstraZeneca's jab, and Covaxin, an indigenous COVID-19 vaccine.

India's success in containing the pandemic is borne out by data in the past six months. From the peak of more than 400,000 daily cases and close to 5,000 deaths in April this year, average daily COVID-19 cases have fallen sharply to about 23,000 with some 250 deaths.

WHO’s Ofrin underscored the significance of the achievement. ”What India does is of global importance.”

He said India has a very good system for mass vaccination. Its routine immunisation is key. “So the plan is not to reinvent something, but strengthen what you have,” he said.

The “routine” vaccination infrastructure he referred to is India’s universal immunisation programme called "Mission Indradhanush" for various diseases, including polio. It is implemented by a vast healthcare workforce, known as ASKA (accredited social health activist), who number close to one million across the country.

Ofrin said ASKA is able to implement a series of micro plans wherein communities can be reached “within five days, down to block level, every day, to make sure to reach certain houses”.

Amrit recalled how India got going in January 2021 with a systematic approach by the central government when they became aware of a vaccine shortage. They adopted a staggered inoculation strategy to contain the spread of infections. Now, state governments interact with the central government every fifth or sixth day where all relevant issues are discussed.

Amrit hailed the achievement as the best example of “cooperative federalism” for a country that prides itself as the world’s largest democracy.

The second wave triggered by a COVID-19 variant plunged the country into a major crisis, as infections and deaths surged exponentially.

“The second wave taught us a lot. For instance, we saw that casualties were far less among healthcare and frontline workers who were given double doses of vaccine, and even a single dose was proving effective. Seeing is believing. Once we made this observation, we knew that these two strategies – regular testing and vaccination – could be strong weapons in fighting the third wave of the virus, if it does come,” he said.

The authorities also learned their lessons along the way, and are now better prepared for exigencies. After struggling to meet the demand for ventilators at the height of the second wave, Amrit said, “Our hospitals now have gas pipelines. We have oxygen cylinders in place. This pandemic has taught the world about the need for health infrastructure, which requires a lot of investment and commitment.” 

Ofrin said the process of learning has continued. The WHO has been involved with training by VDO of some 800,000 healthcare workers delivering vaccination. The improvement in operations at the grassroots level continues to give easy access to people to get vaccinated whether it is at work or near a village. “India has a very agile policy and rollout”.

Amrit said the battle continues, as the country prepares to deal with a third wave, if it does come. Fatigue can set in and people can take things casually. So the authorities have to be creative and implement a “mega-vaccination drive”.

For example, in local elections, contesting candidates must show they are vaccinated and there is competition among candidates to get their voters vaccinated. The services of religious leaders have been tapped to deal with vaccination hesitancy among people of different communities.

Ofrin added that testing is another “amazing story” for India, including its ability to scale up 2,000 to 2,600 RT-PCR testing labs in four-five months. “The policy and operations are swift.”

Amrit said all decisions have pros and cons. “We must learn to live with the coronavirus. We must believe that life must go on. We can’t have children not attending schools for one year; we can’t have the entire economy in a shambles. It's a risk, I do admit, but life must move on.”

“Test, track, treat, follow COVID-appropriate behaviour and vaccination – this is the five-point strategy India is following,” he added. — Asia News Network