Government of India is acutely aware of the need to balance our central concern about the welfare of our citizens with our global responsibilities.

            On April 14, 2020 Mr. Narendra Modi, Prime Minister of India addressed the nation to announce that the lockdown in the country will be extended to May 3, 2020 in view of the need to stop the spread of Corona virus. Such a decision was expected and largely welcomed despite the economic hardship it entails for the country, particularly for the poor. There is national consensus that lockdown and social distancing is the  only effective way to prevent the spread of the virus and also  reduce the burden on the healthcare system.

         

          However, India’s anti-corona virus strategies are not limited to the lockdown. In fact a layered and multi-stakeholder, multi-pronged strategy is in place providing a governance response in India to the COVID-19 pandemic. It is noteworthy that India, a country of 1.3 billion, has been able to limit the number of deaths to 420 in the period since January 30, 2020 when the first case was detected to April 16, 2020 when we go to press. Reported cases in India are much lower than the global incidence rate. The pandemic has also been contained geographically with negligible “community” transmission.

         

          Prime Minister Modi has led a pandemic response that is historic in its ambition and complexity. Technology and administrative methods are supplemented by the strengths of our collective consciousness and our ancient philosophy. It is a sui generis crisis management operation. The strategy leverages the deep reservoir of national resolve to confront the current challenge as one nation and one people. It is being conducted in a democratic setting. Parliament has debated this crisis extensively. Prime Minister has also consulted and sought inputs from the entire political spectrum. The Union and State executives have mobilized and are working as an integrated unit. Prime Minister manages the effort at the highest political and executive level. A Group of Ministers, Committee of Secretaries and Empowered Groups provide political leadership and operational direction. At the operational level, Cabinet Secretary and Health Secretary are coordinating in real-time, through multiple videoconferences, a system-wide response that is being harmonized across all of India’s 728 districts. The decisive Indian response was initiated much before WHO declared COVID 19 to be “Public Health Emergency of International Concern” on January 30, 2020 and before the first confirmed COVID positive case was reported, also on January 30, 2020. This was a day before Italy saw its first case on January 31. By that time, surveillance and screening of passengers had commenced in India and States had been alerted. The crisis management system had started operating at full speed. Let us examine in detail these strategies.

 LOCKDOWN

              The whole country had been placed under a lockdown since March 25 for 21 days. The lockdown which was intended to break the transmission through social distancing met with unprecedented and voluntary nationwide response. As we all know prior to the lockdown, on March 19, the nation had placed itself under a “Janata” or people’s curfew. The extent of the lockdown and the compliance it has received are unique. It was an India specific crisis response measure tailored to Indian conditions and has demonstrated results. Governments, central and states, have used this period to trace and isolate positive cases and their contacts. The graph of COVID 19 cases is flattening. Cases are doubling in 7 days. Projections of the trajectories the pandemic would have taken had there been no lockdown or only a partial lockdown are frightening (please see the graph).

                   The lockdown was not the beginning but the logical continuation of a strategy. Surveillance at points of entry (airports, major and minor ports, land borders) was initiated on January 17, 2020. Visa and travel restrictions were imposed on foreign nationals on February 5. All visas were suspended on March 11 and incoming flights were suspended from March 19. Incoming passengers were placed under daily surveillance through the Integrated Disease Surveillance Program (IDSP) Network and monitored through a national online portal. The portal aggregates data and maintains a log of all community contacts of positive cases. 621,000 passengers were monitored and not a single positive case in this universe has been able to mix with the general population.

 MEDICAL PREPAREDNESS

                   The lockdown is accompanied by a nationwide effort to enhance medical preparedness. A network of labs across the country has been set up to facilitate early and timely sample testing. 223 labs are operational. State Nodal Officers have been appointed and specific labs have been designated for States. A national Hospital preparedness effort is underway to ensure availability of beds. Health facilities of the Defence, Labour, Railways, Home (paramilitary forces) and Steel Ministries and other Central and State government Institutions can be enlisted to augment hospital capacity if required. Currently there are 1,71,415 isolation beds available in Govt. Sector (with 2-3 Stadiums on stand-by in West Bengal), in addition 24,383 beds are available through Army, Para-Military forces, Railways and Labour Ministries. Personal Protective Equipment (PPEs), ventilators, essential drugs and other consumables are being stockpiled and buffer stocks are being constantly monitored.

          Guidelines on every aspect of COVID-19 management have been widely disseminated. Medical and paramedical personnel and Rapid Response Teams nationwide are receiving orientation on infection prevention, clinical management and protocols etc. Videoconferences are held regularly between central and state authorities to review status.

          A massive contact tracing  operation is continuing on a nationwide scale to pre-empt transmission. A public health communication exercise has been in operation since January 2020. Social media platforms and webpages of Government are pushing out information about basic preventive steps. TV & Radio channels were mobilized and an advertisement campaign launched.

          Aarogya Setu (https://www.mygov.in/aarogya-setu-app/), a mobile app has been developed by the Government of India to connect essential health services with the people of India in our combined fight against COVID-19. The App is aimed at augmenting the initiatives of the Government particularly the Department of Health, in proactively reaching out to and informing the users of the app regarding risks, best practices and relevant advisories pertaining to the containment of COVID-19.

  MIGRATION OF WORKERS

          As expected, the lockdown produced a number of challenges. A movement of migrant labor occurred during the initial period of the lockdown. A national effort was launched to mitigate the hardship faced by them. A detailed protocol was evolved to manage the migrants, and guidelines were issued to ensure essential supplies, rations and food packets for them. Relief camps providing food and shelter were organized on an unprecedented scale within days. This massive administrative effort across a number of states established more than 27,000 camps and shelters housing 1.25 million individuals. An additional 360,000 workers have been provided shelter by industry. 7.5 million individuals are being fed through this network of camps and shelters plus another 19,460 food camps/distribution points. The public health aspect of this movement has not been neglected and the camps have been linked to a network of quarantine facilities and testing laboratories. The nationwide response to assist these workers and their families highlighted the popular understanding of the rationale behind the lockdown.

 

MITIGATION MEASURES

           Prime Ministers Garib Kalyan Package (PMGKP) was launched to mitigate the hardships being faced by the poor and disadvantaged. It attempts to create a security net particularly for the disadvantaged sections of society that are worst affected in such situations. Senior citizens, widows, the physically challenged, women, workers and others who are most vulnerable have been identified. Food supplies, cooking gas, financial support and other forms of support are being delivered on nationwide basis. This enormous exercise involves a financial outlay of INR 170,000 crore/ USD 22 billion. Disbursal has commenced and the support is reaching those who need it the most. The management of essential services for the general population is a very high priority and is being constantly monitored.

INTERNATIONAL ASPECTS

                   This is a global pandemic and requires a global response. Prime Minister Modi has led the SAARC  initiative and is also actively involved in G-20 wide coordination. The Ministry of External Affairs (MEA) has created a COVID cell and is actively coordinating the global response. It is monitoring the condition of stranded Indians on a regular basis. A global procurement and supply chain support effort has been launched to enhance our medical preparedness. More than 4000 requests from 63 countries/regions for medicines like paracetamol have been cleared on humanitarian grounds. It is part of India’s efforts to contribute to the global efforts to combat the Covid-19 pandemic. It is also a symbol of our solidarity towards all the countries who require these medicines during this hour of need. MEA has also coordinated inward and outward evacuations on a massive scale. It is also important to note that evacuation is possible only under very special conditions and for a limited number of people. For some countries such as USA, evacuation is not a readily feasible option due to the large number of people involved as well as the risks posed by international travel.

          India’s Embassy in Washington and Consulates in five cities including New York are actively involved in supporting the members of Indian community who are facing difficulty due to the lockdown in India and suspension of flights. The Consulate General of India in New York has created a special facility in its Pramit web application for addressing the needs of people (www.indiainnewyork.gov.in). We have been able to assist in a wide range of situations including support for accommodation, food, medicines and even personal counseling. In this we are receiving valuable support from community organizations. As people are doing their bit by staying at home, we are doing our bit by taking our programming and events directly to their homes by innovative use of social media tools such as Facebook and Twitter. I would encourage readers to like our Facebook page (@indiainnewyork) so that they remain virtually connected while being socially distant.

          Government of India is acutely aware of the need to balance our central concern about the welfare of our citizens with our global responsibilities. India is a major source of pharmaceuticals. We are committed to acting responsibly during this crisis. There is no outright ban on exports of critical drugs and requests are being examined and responded to appropriately. Several consignments of critical medicines have been cleared and dispatched to the United States. Cooperation between Indian and US scientific organizations is also going ahead on how to mitigate and combat the virus. In a tragic way this crisis has brought us together and we see much greater India-US strategic and economic cooperation in a post-Covid world.

(The author is Consul General of India in New York. He can be reached at

Cg.newyork@mea.gov.in)