New Delhi, Sep 1 (IANS) While there is no direct indication of a third wave in the country, state-specific waves are seen, say health experts.
In an interview to a news outlet, Dr Samiran Panda, Head of Epidemiology and Communicable Diseases at the Indian Council of Medical Research (ICMR), stated that rising infections in some states are indicative of a third wave.
Dr Vikas Maurya, Director and HOD, Pulmonology, Fortis Hospital, Shalimar Bagh, told IANS that "there are some ongoing conversations around the much-anticipated third wave of the Covid-19 pandemic, but I think as India is a large country, we can talk of state-specific waves".
"Delhi had seen a second surge in cases in October-November 2020, when the first wave was already about to end in the country and the second wave did not begin. It's happening the same for Kerala now," he added.
India on Wednesday witnessed a surge in new Covid cases with 41,965 fresh coronavirus infections reported in the last 24 hours, taking the total tally to 3,28,10,845, according to the Union Health Ministry's data.
Kerala reported the most (63 per cent) new cases at 19,622 in the last 24 hours, followed by Maharashtra (3,741), Tamil Nadu (1,523), Mizoram (1,157), and Karnataka (973). These five states account for 87 per cent of all the new cases reported in India.
Kerala also reported 132 new deaths, the most, as per the August 31 update, followed by Odisha (67), Maharashtra (52), Tamil Nadu (21), Assam (15), and Karnataka (15). These six states account for 86 per cent of all deaths reported in the country.
The emergence of new strains is complicating matters in Kerala, Merlin Moni, Associate Clinical Professor, Division of Infectious Disease - Department of Internal Medicine, Amrita School of Medicine, Amrita Hospitals, Kochi, told IANS.
"The concept of herd immunity can be attained if the threshold reaches by around 60 to 70 per cent but it's now being complicated by the emergence of new strains. This has pushed the target immune population for achieving herd immunity beyond 80 to 90 per cent.
"Currently, in Kerala 70 per cent of the population above 18 years have received at least one dose of vaccine, however the incidence of vaccine escape mutants renders further predictions imperfect. However, the increased incidence of vaccine escape mutants could herald a third wave," Moni told IANS.
On the other hand, Dr Jayalaxmi T.K., Consultant, Pulmonologist at Apollo Hospitals, Navi Mumbai, contended that "there is no direct indication of the third wave as such".
Jayalaxmi noted a steady fall in OPD numbers. Over the last month in Navi Mumbai and Mumbai, the number of patients has reduced to one out of five among symptomatics who test positive as compared to 20-40 per cent of the OPD positive patients during the peak.
However, there has been a slight increase in cases in Mumbai in the last one to two weeks which could be due to the opening of the local trains, opening of shops and restaurants, she added.
Moni further added that while the cases are definitely on the surge in Kerala, the state does not fully meet the indicators of a third Covid wave -- number (of cases), deaths, and hospitalisation.
"Although Kerala has consecutively recorded more than 30,000 cases in the past 3-5 days, the ICU capacity and ventilator usage haven't surged, parallelly pointing towards lower severity of the disease. In the setting of vaccine escape mutants and possible waning of vaccine related immunogenicity, re-infections are possible. However, data regarding severity of disease in reinfection is still lacking," she noted.
Maurya said: "We must be more concerned about the prevention aspect rather than how many waves may or may not come. People should be more cautious about taking necessary precautions like using masks properly, maintaining hand hygiene, social distancing etc. Vaccinations should be done on priority, at a much faster pace."
After Taliban took over Kabul on August 15, Afghanistan has plunged into a big humanitarian crisis. Pakistan is perceived as having played a major role in bringing the Taliban back to power. As evacuation of foreign nationals winds down, a US missile defence system intercepted rockets fired towards the Kabul international airport.
Adityanath visited the families of those who lost their members and assured them of help. The Chief Minister also visited the 100-bed district hospital at Firozabad where children showing symptoms of the disease are being treated.
The Punjab Chief Minister reminded Khattar and his deputy Dushyant Chautala that the farmers who were protesting against the Bharatiya Janata Party (BJP) meeting in Karnal when the police baton charged them belonged to Haryana and not Punjab.
A video had gone viral of the SDM shouting out instructions to policemen to use force to stop the protesting farmers. Khattar had told a press conference that the officer's "choice of words was not correct" but said, "if any action has to be taken (against the officer), it would first have to be assessed by the district administration."
Speaking at a party function in Amritsar city, Sidhu said "if he is allowed to work according to his own policy of hope and faith, he will ensure Congress rule in the state for 20 years".
Of them, 2,35,768 challans were issued to those not wearing a mask, 28,539 to those found violating social distancing norms, 1,415 for consumption of liquor, pan, gutka, etc, 1463 for holding large public gatherings or congregations and 1,460 for spitting, the data showed.
