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Asian Angle | India, a coronavirus catastrophe waiting to happen?

  • India’s sprawling, populous and high-density cities offer fertile ground for the virus, yet the country’s defences pale in comparison to China’s
  • So far, it has been lucky. We must hope it stays that way

Reading Time:4 minutes
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Passengers have their temperatures taken at Netaji Subhash Chandra Bose International Airport in Kolkata. Photo: AFP

As the novel coronavirus spreads alarmingly through China, with reports suggesting more than 70,000 infected, and the number of fatalities slowly climbing, many neighbouring countries are alarmed. One which is high on the list of potential crisis zones is India, almost as populous as China and considerably less well-organised to cope with a disaster of this nature.

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The worst may yet not come to pass. Only three cases of infection have been confirmed in India, whereas Singapore has reported 75, Hong Kong 57 and Thailand 35. Still, there is genuine concern that cases are not being identified and reported accurately. The World Health Organisation has declared the outbreak a Public Health Emergency of International Concern, which means any country could be at risk. India, with all its vulnerabilities, could be a prime candidate.

The three cases in India, all involving medical students from Wuhan who are now home in the state of Kerala, are all in stable condition and are being closely monitored – one in hospital isolation and two at home. India successfully evacuated 324 students from Wuhan who are now in quarantine in a detention facility in Manesar, less than two hours from the nation’s capital, where none has so far tested positive for the virus. Some 4,000 people are reported to be under observation at isolation wards across the country, but the number of confirmed cases has remained at three for over a week.

A nurse at an isolation ward in the government run Fever Hospital in Hyderabad. Photo: AFP
A nurse at an isolation ward in the government run Fever Hospital in Hyderabad. Photo: AFP

The government has sprung into action and instituted health measures at airports and ports, including entry screening, travel advisories and signages at major ports of entry, with checks of any travellers showing signs of cold or fever. But infected persons could still slip through in the asymptomatic but infectious phase of the illness. One sees very few staff or passengers sporting masks at Indian airports. If a carrier enters any Indian city and mingles normally with people, the potential for the virus spreading rapidly remains high. With one of the world’s highest population densities, especially in urban cities like Delhi and Mumbai, it is impossible to maintain the WHO-recommended three-feet distance between individuals.

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Anyone in close contact with a person who turns out to have been infected would need clinical assessment and restricted mobility till the two-week period within which the virus incubates is over. But there is no doubt that India would never be able to replicate China’s draconian measures to control the outbreak, which have both been criticised by human rights groups and praised by the WHO. The ongoing lockdown of Wuhan would be inconceivable in any Indian city.
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