|LETTER TO THE EDITOR
|Year : 2022 | Volume
| Issue : 7 | Page : 116-117
COVID-19: Our quest to find solutions: Authors' response
Sachin Atre, Gautami Walunj
Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India
|Date of Submission||17-Nov-2021|
|Date of Decision||29-Nov-2021|
|Date of Acceptance||29-Nov-2021|
|Date of Web Publication||28-Jan-2022|
Dr. D. Y. Patil Medical College, Hospital and Research Centre, Sant Tukaram Nagar, Pimpri, Pune - 411 018, Maharashtra
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Atre S, Walunj G. COVID-19: Our quest to find solutions: Authors' response. Med J DY Patil Vidyapeeth 2022;15, Suppl S1:116-7
We thank the author/s for his/their letter in response to our guest editorial. They have a disagreement on certain points and we would like to respond to those. We stated the fact that people were hospitalized out of fear to acquire beds. We agree with the author/s that such things can happen in panic situation. But, in support to our statement, we would like to bring to author/s' attention that this happened as a result of negative impact of social media and the poor communication from the Government health systems which led to panic among people. The situation became worse because of extended lockdowns. People who were actually in need of hospital beds were waiting outside and those who could afford but might not have required hospitalization got admitted in some hospitals due to this unnecessary fear. This could have been avoided with a responsible timely response from the governmental bodies, which unfortunately did not happen. The authors need to also note that we do not intend to blame patients at all, but we expect that the governmental bodies should have shown a more coordinated response to minimize fear and confusion in peoples' minds.
With reference to comorbidities, we had a different viewpoint. Some anecdotal evidences suggest that the primary cause of death was comorbid conditions such as heart attack or diabetes related complications, but if patients also had COVID-19 positive status, in some places, they were still labelled as COVID-19 deaths. Such mislabeling can suddenly result in rise of COVID-19 deaths and the figures shown in media could have resulted in creating fear among many people.
With reference to nosocomial transmission, the outdoor crowding in hospitals was an issue and in case of indoor or IPD, the hospital staff had a frequent movement in and out. This could be one of the reasons for spread of infection. We explained this as one of the modes of transmission of infection, which has a scientific basis. We agree with authors that isolation facilities would definitely help in minimizing the spread, but given heath facility set up in our country, isolation is not possible everywhere. However, we do not agree with the authors that more testing would help because there is no way to detect when and under what circumstances infection spread happens. In fact, once the disease is known to spread in the community, such a strategy of blind testing can result in undue wastage of resources especially in countries like India. As mentioned in our editorial, a massive screening for COVID-19 hardly yielded 7% positive samples.
Finally, the author/s agree that remdesivir had a very limited role in COVID-19 management and that to at an early stage, yet its use was rampant. We raised a question that despite this evidence, why such practices were continued.
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Conflicts of interest
There are no conflicts of interest.
| References|| |
Kadam AB, Atre SR. Negative impact of social media panic during the COVID-19 outbreak in India. J Travel Med 2020;27:1-2.
Atre SR. Lessons from COVID-19 in India: Extended lockdowns – At what cost? Med J Dr DY Patil Vidyapeeth 2020;13:192.
Atre S, Walunj G. COVID-19 situation in India: Fundamental epidemiological, operational, and ethical questions for the policy-makers. Med J Dr DY Patil Vidyapeeth 2021;14:479.