Lock to unlock: A multidimensional impact of COVID-19 in India

M. Mageshwari, Abhijit Vinodrao
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Abstract

The COVID-19 pandemic forced for first lockdown in India in March 2020. Resurgence of COVID-19 cases has forced many states in India to reintroduce the movement restrictions in March 2021. With four times increase in number of cases, many hospitals are swamped with patients, shortage of doctors and healthcare workers, shortage of personal protective equipment (PPEs), medications, and oxygen. The second wave led to out of pocket expenditures, hike in health care budget, burnouts among the health care workers (HCWs), migration, and hampered education system. The crisis was due to insufficient oxygen and beds, repeated changes in the treatment protocol and testing strategies, violence against HCWs and front line workers (FLWs), vaccination hesitancy to vaccination shortage, and increased morbidity to mortality. The quarantine and isolation of HCWs and FLWs become difficult due to the insufficient workforce. This formed as an opportunity leading to public–private partnership for patient care and successful vaccination. The pandemic brought the concept of advanced technologies and inventions such as use of Robotics, Apps such as Arogyasetu and CoWin, Ventilators, and O2 plants (O2 concentrator), and self-testing kits (COVISELF). Apart from the COVID appropriate behaviors, mass vaccination and newly approved treatments, the policymakers can stabilize the country with helping hand from industries, development of workforce, adequate production, and supply of medicines-vaccine and PPEs to rejuvenate the healthcare industry at the earliest.
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锁定解锁:新冠肺炎对印度的多层面影响
新冠肺炎疫情迫使印度于2020年3月首次实施封锁。新冠肺炎病例的重新出现迫使印度许多邦在2021年3月重新实施行动限制。随着病例数量增加了四倍,许多医院挤满了病人,医生和医护人员短缺,个人防护设备、药物和氧气短缺。第二波疫情导致了自掏腰包的支出、医疗保健预算的增加、医护人员的流失、移民,并阻碍了教育系统。这场危机是由于氧气和床位不足、治疗方案和检测策略的反复变化、针对HCW和一线工作人员的暴力行为、疫苗接种对疫苗接种短缺的犹豫以及发病率上升到死亡率。由于劳动力不足,HCW和FLW的检疫和隔离变得困难。这为患者护理和成功接种疫苗提供了公私合作的机会。疫情带来了先进技术和发明的概念,如机器人、Arogyasetu和CoWin等应用程序、呼吸机和O2工厂(O2浓缩器)以及自检试剂盒(COVISELF)的使用。除了适当的新冠肺炎行为、大规模疫苗接种和新批准的治疗方法外,政策制定者还可以通过行业、劳动力发展、充足的生产以及药品、疫苗和个人防护用品的供应来稳定国家,以尽早振兴医疗行业。
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