PM Modi Announces Booster Doses And Jabs For Kids Even As DCGI Approves Covaxin For 15-18 Age Group!

Prime Minister Narendra Modi has announced, in another unexpected national address late evening yesterday perhaps as a Christmas gift like he did recently on the occasion of Prakash Parv  (an annual festival of the Sikhs in Punjab and Haryana) to repeal the Three Farm Laws, booster doses or precautionary doses for the healthcare and frontline workers and all citizens above 60 years of age with comorbidities, to start from the 10th of January 2022, amid the rising Omicron scare in India. In a bid to make the parents confident enough to send their children to the schools the Prime Minister further announced vaccines jabs for children between 15 and 18 years of age to start from January 3, 2022. He also appealed to the people to not panic and follow COVID appropriate behavior strictly while cautioning them against rumors, fear mongering and misinformation. This announcement of the PM has been hailed all over as the most welcome move considering the global Omicron crisis—by the medical fraternity and others including even the opposition political parties. The ‘Booster Dose’ debate has been raging in India since the last few months. 

PM Modi has also presented a positive scenario with the logistics of preparation across the country. He hailed India’s vaccination drive started on January 16, 2021 which has now covered 61% of the population with double vaccine jabs and 91% of the population having at least one jab. The Prime Minister informed the nation that at the moment the country has 1.8 million isolation beds, 0.5 million oxygen supported beds, 1,40,000 ICU beds, 90,00 ICU and non-ICU beds specially for the children, more than 3 thousand PSA or Pressure Swing Adsorption oxygen plants, 0.4 million oxygen cylinders and more support to the states is being ensured for buffer stocks of vaccines and facilities for testing. While praising the efforts of the medical doctors, scientists and experts Modi said that India’s pandemic fight has been based on scientific principles, active consultations and methods throughout the period. 

There is some uncertainty about which of the two main vaccines being administered in India—Covishield and Covaxin—would be used for the booster doses. It is being speculated, with some medical logic behind it, that the doubly-vaccinated with Covishield would get Covaxin as the booster dose and the doubly-vaccinated with Covaxin would get Covishield jab as the booster dose. The priority of fully vaccinating about 40% of the Indian population who have either got one dose and not vaccinated at all, remains still. To make it happen as soon as possible experts across different fields and state governments have been asking the Government of India to reduce the gap of 12-16 weeks to a month for Covishield jabs. The gap between Covaxin jabs is 28 days, but Bharat Biotech has not been able to manufacture and supply enough doses in comparison to Covishield. 

It is also to be noted that Bharat Biotech’s Covaxin for children of the 2-18 age group had been approved on October 12 this year by the Subject Expert Committee (SEC) of the Drug Controller General of India (DCGI) and since then the regulatory body’s final seal has been awaited. It has been reported that, to make very sure of the safety issues, the DCGI had appointed another SEC to go through all aspects and finally approved the vaccine yesterday; but only for the 12-18 age group which is a disappointment. The delay has been more frustrating considering the fact that world’s first DNA-based 3-dose non-injectable vaccine for children above 12 years of age Zydus Cadila’s Zycov-D, was approved by the DCGI as far back as in August this year. Anyway, better late than never, and we hope for the best now. Many experts have commented about children having strong immunity against severe disease after infection; but our concern has always been that children may take the virus home where elders also live. 

There is also the issue of the efficacy of the existing vaccines and even the booster doses against Omicron and even the World Health Organization (WHO) is not able to make up its mind yet to suggest or to not suggest the booster doses even as many countries have already gone ahead with that. However, it is more or less accepted that even though the vaccines and the booster doses may not be very effective in preventing COVID-19 and Omicron infections or re-infections the full doses can certainly reduce the severe type of the disease, thus reducing hospitalization and deaths. We further hope that the PM’s steps and the level of preparedness is not used as a justification for going ahead with the assembly elections in 5 states. 

Tick-Tock Suspense In India Amid The COVID-19 Omicron Variant Scare!

Photo: jagran.com

The Technical Advisory Group on SARS-CoV-2 Virus Evolution (TAG-VE) which is an independent group of experts that periodically monitors and evaluates the evolution of SARS-CoV-2 and assesses its specific mutations had convened a meeting on 26 November 2021 to assess the emerging COVID-19 variant B.1.1.529 that was first reported to World Health Organization (WHO) from South Africa on November 24, 2021. The epidemiological situation in South Africa has been characterized by three distinct peaks in reported cases, the latest of which was predominantly the Delta variant that originated in India. In recent weeks, infections have increased steeply, coinciding with the detection of B.1.1.529 variant.

This variant has a large number of mutations, some of which are concerning. Preliminary evidence suggests an increased risk of reinfection with this variant, as compared to other Variants Of Concern (VOCs). The number of cases of this variant appears to be increasing in almost all provinces in South Africa. Current RT-PCR tests continue to detect this variant, pending genome sequencing confirmation.

Based on the evidence presented which is indicative of a detrimental change in COVID-19 epidemiology, the TAG-VE has advised WHO that this variant should be designated as a VOC, and the WHO, on Friday, has designated B.1.1.529 as a VOC, naming it as Omicron.

Countries have been asked by the global apex health body to do the following:

1. Enhance surveillance and genome sequencing efforts to better understand the circulating SARS-CoV-2 variants.

2. Submit complete genome sequences and associated metadata to a publicly available database.

3. Report initial cases/clusters associated with VOC infection to WHO through the IHR mechanism.

4. Individuals are reminded to take measures to reduce their risk of COVID-19, including proven public health and social measures such as wearing well-fitting masks, hand hygiene, physical distancing, improving ventilation of indoor spaces, avoiding crowded spaces, and getting vaccinated.

This scary warning has rudely awakened India from a comfortable slumber registering today the lowest number of active cases in over one and half years, and declining daily infections with only the state of Kerala still showing high figures in both infections and deaths. This situation is significant, because it's now more than three weeks since the biggest festival of Diwali. But the fact remains that laxity creeps in during the festive season in terms of low rates of testing, surveilance and other regulatory measures that implies that the displayed figures may not represent the reality. The most well-known and prominent expert voice, Dr. Randeep Guleria (Director, AIIMS, Delhi), has recently said in his regular interviews to news channels that this time last year too was similar, and surge of infections was taking place in Europe, and then the Delta explosion happened in India. He stressed that preparedness must always be there as we've been again watching multiple surges in Europe at the moment including Russia in particular and the possibility of the much-discussed Third Wave is still lurking in India. Now, the Omicron threat has made the situation here like a lull before the storm. 

The Prime Minister of India, Narendra Modi, has responded immediately to WHO directions by holding a two-hour health preparedness meeting today morning. He has asked citizens to be proactive and follow all COVID norms. The Prime Minister requested the Aviation sector to review its decision to relax international air travel from December 15 this year and to test and quarantine all international travelers from countries at risk. He stressed upon the need to increase surveilance, strict containment in cluster infections and to ramp up genome sequencing, the same point being also raised by Dr. Guleria in an interview today. Modi also also asked for the full mobilization of the efforts by the states in a collective fight against the pandemic. Alerts have been issued to the health sector and the hospitals. 

The Omicron strain having more than 30 mutations within itself has already spread to countries like Belgium, Israel and Hong Kong. As it enters human bodies through the spike proteins it can be much more infectious and can evade vaccines or immunity. Almost all of the infected people in South Africa have got both doses of vaccination. However, enough data is still not there to say if this variant is deadlier than the Delta or if it can lead to severe disease, hospitalizations and deaths. As a hopeful development the Moderna vaccine producer has said that they can come ready with a booster dose in a few weeks' time to effectively tackle Omicron. 

Many European countries already under surges of Delta infections and having the irony of facing protest-demonstrations against COVID controls, and the US have started imposing travel restrictions for South Africa and other African nations. So then, it is tick-tock suspense on the future course of the pandemic in a relaxed and election bound India. Indian citizens including the politicians and the leaders themselves would be better advised to not let down their guards and follow all norms as sincerely as possible. Another disaster like the Second Wave must be avoided at all costs. One must understand the COVID-19 virus is not going to give up easily even after nearly two years, and on the contrary, this virus is busy adding more ammunition to its armour to go on launching merciless assaults on humankind. In Karnataka, there are cluster infections in students after the reopening of educational institutions and most of the infected have been double-vaccinated. It is imperative now to genome sequence their samples as intensively as possible. 

Vaccination of the under-18 should also be given the highest priority. 

 

UK Vs India: India Reciprocate With Tit For Tat COVID-19 Travel Measures!

It is indeed hard to believe that matters would come to a head between two friendly countries even after nearly two weeks of the United Kingdom’s unwarranted imposition of travel restrictionsfor Indian travelers. The Ministry of External Affairs of India then lodged a strong protest against such discriminatory and ‘colonial’ action and warned UK of reciprocal measures; and the UK government reportedly held extensive discussions with the Indian counterpart and decided to include Covishield, the Indian version of their own AstraZeneca COVID-19 vaccine, in the approved list from the 4^th of October 2021, but did nothing about lifting the 10-quarantine restriction even for fully vaccinated travelers refusing to accept the Indian vaccination certification procedure and thus still keeping India in the ‘amber’ list of travel regulations. This has greatly irked the Government of India and they announced the ‘reciprocal’ measures yesterday which are plainly a ‘tit for tat’.

 

From the 4^th of October 2021, like the United Kingdom did after the backlash, the Government of India announced that the British travelers will have to undergo RT-PCR tests 72 hours before departure, another test on arrival in India and again on the 8^thday of their mandatory 10-day quarantine at their Indian home or at their destination irrespective of their vaccination status of whatever vaccine. Again, the British High Commission in India got reportedly hyper-activated holding ‘extensive’ discussions with India once more, both authorities discussing the ‘technicalities’ of the COVID-19 vaccination certification that seemed to be dwelt upon much earlier too. The delay by the World Health Organization in giving the final go to the India-made Covaxin for emergency use is putting India at further disadvantage. It is to be seen now if the friendly bilateral relations between the two countries would be able to prevail upon both   to sort out the matter by the 4^th of October, a date that would start adversely affecting travelers from both the countries.

 

Meanwhile, daily COVID-19 infections in India have been fluctuating again, after achieving the six-month low daily figure of around 18000 and daily deaths below the 200 mark. In the last 24 hours there were more than 24000 cases and 234 fatalities. Kerala, as usual, is leading; and the increase in the national numbers always reflects the rise in cases in Kerala, Maharashtra, Tamil Nadu, Andhra Pradesh, Mizoram and to some extent West Bengal too where daily cases have again been crossing the 700 mark consistently. The step by the West Bengal government to stick to the same restrictions for Durga Puja, the biggest festival of the state, as adopted during 2020 except for lifting the night curfew during the Puja days only is most welcome and timely. Therefore, people of the state will have to take ‘darshan’ 10 meters away from the Puja pandals apart from the mandatory wearing of masks whereas only 25 members of the organizing committee would be allowed within the pandals for the big public pujas and only 12 members for the small pujas.

India Register The Lowest COVID-19 Daily Cases In Six Months As The Festival Season Looms Ahead!

For the last 3-4 days India have been registering less than 30,000 daily COVID-19 cases with daily fatalities also reducing. A lot of hope is being generated now as the country has seen less than twenty thousand cases in the last 24 hours, 18,795 to be exact, which is the lowest in six months, and the daily deaths have also come down to 179 fatalities in the same period. The state of Kerala is still leading, but the daily infections that had reached more than thirty thousand recently are 11699 in the last 24 hours and the daily fatalities that had overtaken Maharashtra crossing the 200 mark have come down to 58 in the same period. Maharashtra, the worst affected state in India with over 6 million total infections, has also registered less than 3000 cases in the last 24 hours which is the lowest since February 2021 and the deaths at 32 during the same period. Only two other states, Tamil Nadu and Mizoram, are still showing a rising trend of daily cases; all of the rest of India seem to be doing well in all respects: as per a recent report of the Government of India the positivity rate is over 5% in only 23 districts of the country.

 

To add to the positive scenario the country has crossed the required 10-million mark in daily vaccine jabs for the 5^th time—recently crossing the unexpected 20-million mark on the Prime Minister Narendra Modi’s birthday. However, to achieve the target of vaccinating the whole country by  December this year the rate needs to be sustained consistently on a daily basis, rather than concentrating on special days to jack up the jabs just to please the authorities examples of which could be seen in the recent past too. No doubt, the Government has been trying very hard to improve its image after the disastrous handling of the Second Wave of the Pandemic that killed hundreds of thousands of infected people, but the realities must be faced at all times in a totally non-political way. If the second wave is finally concluding the Government must ensure that the much-feared Third Wave is never allowed to take off. More than 80% of the country’s population has been given at least one jab; but the India-made Covaxin is yet to be approved by the World Health Organization for emergency use, particularly in light of the restrictions imposed rather irrationally by the United Kingdom for Indian travelers. 

There are various concerns though about the future course of the pandemic in India and if it can be controlled till early part of 2022 then only we too can be sure of being able to shake off the third wave and being assured by the ‘endemic theory’ that effectively ruled out further countrywide spread of the virus. Buoyed by the less than 5% positivity rate seen in most parts of the country, the speeded up vaccination and a new vaccine for children above the age of 12 to be available anytime soon, the states are opening up almost completely, this is being endorsed by the experts too. Quite a few of them have reopened schools and colleges and the worst-affected Maharashtra has also decided to reopen schools from 22^nd October and also reopen cinema halls/auditoriums from the same date. This combined with the looming festival season that would last till February 2022 poses as the biggest challenge for the fight against COVID-19. This is indeed going to be the litmus test. The Government of India has sounded restrictions in crowding, particularly in Durga Puja pandals, in districts where the positivity rate is still higher than 5%. However, considering the extended festivities to come we cannot rule out or be complacent about possible exponential rise again in the other states too. Therefore, the overwhelming needs remain to be strictly following COVID appropriate behaviour, avoiding big gatherings/parties and staying away from unnecessary travel or pleasure trips. The next 3-4 months are going to be crucial.

UK Vs India: The COVID-19 Vaccine Vexation!

In the recent cricket Test Series between England and India the 2-1 result in favour of the visitors still hangs in balance entirely due to the fact that a few non-playing members of Team India were found COVID-19 positive which implies that the fifth and the last Test had to be cancelled only because of India’s fault even though not a single playing member of the team got the infection. Now, the change in travel regulations for Indians visiting United Kingdom could be a fallout of the cricket hanger, meaning that the Indians are feared as more prone to getting or spreading the COVID-19 virus with its variants; that India is the originator of the more infectious Delta variant which is again mutating into the Delta Plus; and perhaps also possibly that the handling of the Second Wave of the pandemic in India had been disastrous. Therefore, basically the Englishmen could be feeling insecure with vulnerable Indians loitering around in their territories after sort of achieving the feat of living with the virus and opening up everything including the cricket stadiums to the crowds without the necessity of even masks. They are conveniently forgetting the basic truth that vaccine breakthroughs are possible also for fully vaccinated people everywhere in the world, not just India.

 

What the UK government has done is very wrong, unexpected and absurd: that the Indian travelers, irrespective of vaccinated or not, will have to undergo at least two RT-PCR tests and have to be on 10-day quarantine after arriving there. Apart from the unnecessary inconvenience and exorbitant costs involved, particularly for the Indian students going there to study, this basically implies that the vaccines in India are fakes, and a fully vaccinated person in India becomes ‘unvaccinated’ once s/he arrives in UK. Why? The Indian vaccine Covishield is in fact a licensed product of UK, being the officially valid version of their homemade AstraZeneca vaccine developed by the Oxford University, and in more significantly India had exported millions of doses of Covishield to their country earlier. The fully India-made Covaxin has been proved to be as effective as any other vaccine of the world in preventing at least the serious form of the disease and hospitalization.

 

The Government of India and the Ministry of External Affairs have already lodged a strong protest with the United Kingdom government calling the measures discriminatory and also warned of adopting reciprocal action. If unresolved, this is going to seriously hamper the healthy bilateral relations between the two countries. The UK foreign department has assured India of a relook into it, but so far the discriminatory regulations are not lifted. The World Health Organization (WHO) has also rebuked UK for such actions. However, it is the WHO that has not yet approved either Covishield or Covaxin for emergency use all over the globe despite the former’s link to the approved AstraZeneca and the latter being proven safe and effective. This raises a crucial question about the authenticity of the respective drug regulatory authorities of various countries: are all the regulators only country-specific and not valid for other regulators? This absurd situation must change, if only to give the proper respect to the medical scientists and experts involved tirelessly in the vaccine-making and the approving process in the shortest possible time. And the Indians figure prominently in the number of medical scientists or experts involved in the process across the world, apart from the fact the India has been the largest vaccine supplier to the world.

 

Earlier the discussion had been about ‘vaccine nationalism’; now as the situation warrants we’ll have to discuss about the syndrome of the ‘vaccine superpowers’ and the inequalities emerging out of that with one block denying or not recognizing the other block. For example, the Russian and the Chinese vaccines are yet to be accepted across the globe without WHO approval. Former US President Donald Trump still seems to have the trump card by giving everything, during his last year in office, into the development of the most modern Messenger RNA (mrna) vaccines, namely Pfizer-BioNTech and Moderna, which are available for use across the globe. However, developing countries like India and other poor countries cannot afford these vaccines due to very high prices and the storage hassles. Ultimately, the WHO has to take up such vexing issues as it had earlier made international sharing of the ready vaccines compulsory for all countries.

 

The absolutely wrong and the discriminatory measures of the United Kingdom, almost smacking of racism, must be lifted as soon as possible and the WHO must expedite the approval process of the Indian vaccines and other proven vaccines of the world. The priority should be completely on freeing Planet Earth from the curse of the pandemic in the fast track, and definitely not on rivalries, racism, nationalism and bilateral or international fights or skirmishes.

As per latest reports UK has included Covishield in their list of approved vaccines which would take effect only from 4th October 2021. But to confound matters further the authorities have refused to accept India's CoWin vaccine certificates, and this means the 10-day quarantine plus tests continues still for Indian travelers. 

India’s COVID-19 Situation: A Crucial Juncture!

The largely preventable or at least controllable marauding second COVID-19 wave in India seems to be ebbing with around 39000 new infections in the last 24 hours and around 700 fatalities in the same period. However, the crisis is far from over with the spree of unlocking taking place all around the nation and the most feared third wave lurking somewhere in the corner. Most of the places except for educational institutions and cinema halls have been reopening in most of the states, with only containment zones still put under strict restrictions. The grim milestone of deaths at over 4 hundred thousand has also been reached with at least two hundred thousand extra fatalities suspected. Further, unlocking cannot be avoided indefinitely due the issue of livelihoods, and in light of the fact that the national positivity rate is now around 2.5% unlocking is technically justified. However, the state governments of India must display extreme caution and aggressive testing, tracing and containment. 

 

Now, the main problem that occurs due to unlocking is the growing COVID inappropriate behavior of the people: social distancing in most Indian markets or in public places is practically impossible, but at least compulsory masking and hand hygiene must follow which, unfortunately, gets forgotten or neglected. With the devastatingly infectious Delta variant still dominant in the country and spreading across the globe it takes little time for another deadly explosion of infections. Besides, there is one more variant called the Delta Plus which could become a cause of concern sooner than later. Then there are the other terrors of black fungus, supplementary infections in hospitals and the long COVID syndrome.

 

In such a situation vaccination becomes the only option for some protection: experts have been maintaining that although the vaccines—three in India at the moment, namely Covishield, Covaxin and the Russian Sputnik V—cannot guarantee full protection against infections these have been proved to provide protection against the severe form of the disease and hospitalization or possible deaths. Unfortunately, India has been infested with the vaccine shortage problem when the doses were desperately needed. The Government of India has been stoutly denying any such shortage consistently the superficiality of which claim has been exposed many times with many vaccination centers closing down across the nation and huge rushes in the existing centers.

 

We can see in the photographs in this piece the rush for jabs in a walk-in center in Kolkata. In fact, such huge gatherings for jabs can be a great risk for infections. Besides, there are several vaccine frauds taking in various places including Mumbai and Kolkata that hardly help matters. We hope the Government of India would, as promised, regularize supply of vaccines from July 2021 and complete vaccination of all target age groups by December this year. Accelerated vaccination is the primary hope of reducing human sufferings if the third wave happens to strike.

 

Of course, there are some hopeful indications too. The COVID-19 national expert panel, severely criticized for keeping mum about the gnawing second wave since March this year, has maintained that if the third wave indeed strikes the cases are likely to be half of that in the second wave. Secondly, as per historical evidence the second wave of any pandemic or epidemic normally wreaks the greatest havoc on humans. Therefore, the third wave may not be as deadly as feared. Lastly, some medical experts believe that as a virus keeps on mutating to develop vaccine resistance or breakthroughs it keeps on getting weaker and weaker, and in the process it stops impacting human lives at some period of time. We hope that period happens now and humankind manages to throw off the greatest curse to have befallen on them in its entire history. 

COVID-19 Second Wave: India Continue To Reel Under A Spell Of Death And Disease!

It has been the most horribly painful and depressing week of my life. There has been the spectre of death and unimaginable sufferings of fellow countrymen across India, from which you cannot turn away; reports are there in all news channels, something even the decidedly pro-government media cannot but report, reports and personal accounts across all social media platforms, the dread of the sudden telephone calls and so on. I am reminded of the horrors suffered by Italy and Spain last year, and shiver to imagine a full repetition in a vast and densely populated country like India; the saving grace so far being that the fatality rate here is fortunately still much lower than witnessed in Italy, Spain and other European countries; but even then, in terms of population the Indian numbers in infections and deaths are numbing, and the mutants are more lethal taking toll equally on the young and the old.      

 

The heart wrenching scenes are everywhere to behold: people crowding the hospitals for admission and on being denied forced to lie down on the streets/pavements/corridors and dying there due to lack of oxygen and medical treatment; patients dying in ambulances after waiting hours for admission and an oxygen cylinder; people dying in many hospitals, mostly in the national capital Delhi and Uttar Pradesh, due the erratic supply of oxygen; no relief even after dying as relatives of the dead patients have to wait hours, first for the ambulances or at the unending queue before the crematoriums with the ominous pyres burning day and night; people watching helplessly their inability to save their near and dear ones either in hospitals or in home isolation as they have to struggle for the precious oxygen cylinder; and huge queues before the vaccination centres with the most vulnerable senior citizens thus exposed for hours as the shortage of the vaccine doses continues still.

 

For the 7^thconsecutive day today the daily new infections in India have been in excess of an incredible (as compared to the first pandemic peak of around 97000 last year) mark of 3 Lakh, that is 3,00,000, and the daily deaths crossing the 2000 mark and even the 3000 mark in the last 24 hours. Such daily figures of new infections and fatalities are never witnessed before in any country of the world. Two days back the daily new cases crossed 3.5 Lakh and the next day a sense of a false relief was created with the new cases coming down to around 3.23 Lakh, because it has again risen to 3, 60,960 in the last 24 hours and the devastating figure of fatalities at 3293, with total COVID-19 deaths also crossing the 2-Lakh mark. The total number of active cases is approaching the never-before 3 million mark, and total pandemic infections closing on the 18 million mark, with the last few millions added in just days.

 

Whatever ‘light’ we seemed to see in our last post turned out to be a mirage, because all shortages of vaccines, oxygen, hospital beds, medicines, burial or cremation spots continue unabated. Despite the decision to cover all above the age of 18 for vaccination from the 1^st of May 2021, the shortage of the doses is yet to be resolved, with the seemingly crucial decision to decentralize the buying/distribution of vaccination turning out to be discriminatory. Within days of the decision the two vaccine manufacturers of India, the Serum Institute of India (SII) and Bharat Biotech, announced the prices: the SII fixing Rs.400/- per dose for state governments and Rs. 600/- per dose for private hospitals while Bharat Biotech fixing a quite a high price of Rs. 1200/- per dose for the states and private hospitals. The feature of the discrimination is that both the firms are going to continue selling the vaccines @150 INR to the Government of India, the biggest bulk purchaser, and that the vaccines are going to be free at all government hospitals across India.

 

While the vaccine manufacturers have no other option but to increase the prices to make the production economically viable, the Indian states, with their limited resources, have been singled out for discrimination; and most of the states have already been forced to declare free vaccines due to the politics of vaccination started by none other than the national ruling party. The Government of India has been boasting of ‘one nation, one identity’, but it has failed miserably to ensure ‘one nation, one vaccination’ ideally based on a uniform buying price and then the provision of free vaccine doses for everyone everywhere across the country. It is feared by many economists/experts that such a differential discriminatory pricing policy would lead to lopsided distribution and even black marketing.

 

Further, although the supply of oxygen can done only by the central government there has been politics of allegations and charges between it and the state governments, as patients continue to struggle, gasp and die from the continuing shortage of oxygen. The bone of contention is apparently clear: while the medial liquid oxygen or oxygen 02 is never in shortage in terms of overall production across the country, the problem is of transporting it to the desired destinations through the extremely limited tankers and cylinders which are mostly at the disposal of the respective state governments.

 

There has been no admission of the naked shortcomings or apology for the unfortunate deaths from the central government whose supreme leader continues to speak his mind to the nation every month, but never wanting to know the minds of his citizens or deciding to admit the hardship and deaths caused to his subjects due to the scarcity. Some state governments also cannot escape the blame of indulging in mindless politics. For example, the Chief Minister of the worst-hit Delhi region by oxygen shortage seems to have only allegations to make rather than doing something concrete, and besides, he has been doing the unpardonable act of appearing in advertising spots across the news channels and spending tons of money at that. The Delhi High Court had to come in the act by severely criticizing both the central and the state governments.

 

And yes, polling yet to conclude in West Bengal with the last phase taking place tomorrow, the 29^th May. With just two phases and around two days left for rallies the Election Commission of India (ECI) finally had done the ‘too little too late’ act, banning political rallies, but still allowing public meetings of up to 500 attendees, it is not being clear under which COVID protocol. This too, had come after scathing attack on the ECI by the Kolkata and then the Madras High courts respectively.

 

Experts are hoping for a peak in mid-May for the second COVID-19 wave in India; however, at what more costs we are even scared to guess, if it comes at all. This huge man-made human tragedy (warnings available early as January 2021 regarding new mutants from UK, Brazil and South Africa that in the meantime having had the Indian forms of the devastating 'double mutant' or even 'triple mutant' were totally ignored) has, obviously, put the health infrastructure under the severest of pressures that led to avoidable loss of precious lives. Accidental hospital fires and other accidents arising out of the chaos add to the absolute disaster. But our ‘leaders’ would not still budge from politicking, and would rush to take credit whenever the second wave comes under control and the peak reached. We have to ask the question: are we Indians the citizens of a democracy or are just the expendables, considering the hopeless numbers of us thronging the miserable country? A question our imperious rulers would never bother about; the onus is on us only to pray and stay safe. 

The IPL-2021 Charge Amid The Second COVID-19 Surge!

It is always debatable to have a major cricket tournament in the midst of an unprecedented surge of the pandemic, even though it is to be played behind closed doors, the new normal cricket variety, and with the imposition of a strict bio-secure bubble. As it has been seen so far several cricketers and support staff have contracted the COVID-19 virus, and since the tournament is being held across six venues—Chennai, Mumbai, Delhi, Ahmedabad, Bangalore and Kolkata—it would entail constant air travel and change of hotels for the eight participating teams. Further, the venues are the capitals of the worst affected states, except perhaps for Kolkata in West Bengal where the rising trend of new cases has not yet caught up with the others. It is to be noted that the IPL-2020 had to be taken out of India to the UAE due to strict lockdowns across the nation, and this means that within six months another IPL is being held, now in India where the second surge has reached unprecedented levels, but of course, complete lockdowns are not the desired goal thus far and travel restrictions are not imposed strictly.

 

However, the importance of the biggest professional T20 tournament of the world, Indian Premiere League, can only be compared to the inevitability of the elections in the country—one injects the much-needed business into the economy and the other new governments—both being considered desperate, particularly under the present circumstances. The assembly elections in five states should have ideally ended on 6^th April 2021, but for West Bengal where desperate reasons needed desperately-long phases of polling that will continue till 29^thof April. Further, the world of cricket in entirety, not just the organizers BCCI, has set their eyes on this competition which would be the last major rehearsal for the upcoming ICC World Cup T20 in October-November in India this year. Almost all of the participating nations have sent in their top players for that precious practice. It is also for this reason only that the BCCI could not afford to postpone the tournament, even by a few months.

 

The eight franchisees—Chennai Super Kings (CSK), Mumbai Indians (MI), Royal Challengers Bangalore (RCB), Kolkata Knight Riders (KKR), Delhi Capitals (DC), Sunrisers Hyderabad (SRH), Rajasthan Royals (RR) and Punjab Kings (PK, changed from the earlier Kings XI Punjab). As we mentioned earlier, the matches will be played across six venues with no ‘home team’ tag assigned to any of the teams. The first match of the 14^th version of the IPL is set to kick off tonight, the 9^th of April 2021, at 7.30 pm in Chennai between defending champions and Rohit Sharma-led MI and India-captain Virat Kohli-led RCB, whereas the second match will take place in Mumbai tomorrow, the 10^th of April 2021, between MS Dhoni-led CSK and DC, led by Rishabh Pant in the absence of Shreyas Iyer due to injury, at the same time. On two-match days the first match will start at 3.30 pm, and all the matches are to be played from 9^thApril to 30^th May. The pre-2020 title sponsor, Vivo, has been brought back too.

 

On the COVID-19 second wave surge, the national daily cases reached 1, 31,968, the highest so far, with a worrying fatality figure of 780 in the last twenty-four hours; out of those cases the worst-affected state Maharashtra accounted for 56286 new daily cases and 376 daily deaths. The following are the others in terms of severity; Chhattisgarh, Uttar Pradesh, Karnataka, Delhi, Kerala, Madhya Pradesh, Tamil Nadu, Gujarat, Rajasthan, Punjab, Haryana and West Bengal. This crisis is not at all helped by the currently raging vaccine-shortage controversy: the shortage staring at several states including the crisis-ridden Maharashtra where, as per news reports, around 50 vaccination centres in Mumbai stopped giving jabs from today; and the Government of India has been on a constant denial of any shortage, emphasizing rather on reducing wastage of the vaccines, and Prime Minister Narendra Modi even talked of a vaccination festival during 11^th –14^th April 2021.

 

Well, politics and cricket go hand in hand in defining India, and irrespective of the intensity with which we hope for at least a politics-free COVID-19 fight the play (of politics) never left us alone, even during the pandemic as we have seen since May 2020. Now, politics is not going to ebb till the 2^ndof May when results of the assembly elections would be announced while the other play (cricket) would continue unabated till May 30 2021. However, in favour of the latter one can say that the worried public, who are basically blamed for their COVID inappropriate behaviour as being the main cause of the surge, will have at least time-pass avenues every evening thanks to the IPL charge.

India COVID-19 Vaccination 2.0: Jabs Set To Accelerate With Private Participation!

The first phase of COVID-19 vaccination in India that started from the 16^th of January 2021 aimed at inoculating around 30 million healthcare sector and frontline workers. Although so far only about half of that target and less for those having double doses has been achieved the Government of India, under pressure to speed up the process allowing participation of the private sector and also in view of the surge in new infections in several states, has decided to usher in the second phase of vaccination that aims at administering the jabs to senior citizens above 60 and people above 45 years of age with comorbidities; as per the earlier estimates this target population will be around 270 million which, of course, targeted all people above 50 with or without comorbidities. The policy decision to allow the private sector come into the picture is the welcome change in Vaccination 2.0 which is bound to accelerate the number of jabs administered, and the process begins from tomorrow, the 1^st of March 2021 all over the country.

 

Around 20,000 private hospitals across India start administering the jabs from tomorrow under payment basis, the price per dose of vaccination being capped by the Government at Rs. 250/. More than 10,000 government hospitals/health centres will continue vaccinating free of cost. As has been decided earlier people will not be able to choose the vaccine, between Covishield (Indian version of the Oxford-AstraZeneca) and the indigenous Covaxin both of which have been declared as fully safe.

 

The process of registering or getting appointment for vaccination has been made easy: people will be able to register from their mobile phones on the recalibrated Co-Win app to be launched from March 1, and also on the Aarogya Setu app; they will have to fill up a simple form uploading documents in support of identity and age, and can get up to four appointments at the centres of their choice from the same mobile; people above 45 with comorbidities will have to upload a certificate from their doctors apart from the identity and age-proof documents; this process of registering can also be done at the website www.cowin.gov.in ; if some senior citizens are not techno-savvy they can either visit a registration center with the required documents to fill up the form or even can use the option of ‘walk-in for vaccination’ depending on availability of slots.

 

The Government of India has already dispelled misgivings about the related Apps of Co-Win and Aarogya Setu saying that everything has been updated and it would be a hassle-free experience for all from the target date of 1^st March 2021. We hope this turns out to be the case in actual practice, and that considering the worldwide phenomena of the vaccines having some adverse events in very elderly people and people with certain medical conditions like allergy the doctors would guide them adequately for getting inoculated. It must also be ensured that the vaccination centres do not become super-spreaders in themselves as pointed out by experts.  

 

Meanwhile, the rise in new COVID-19 infections continues unabated in Maharashtra with cases more than 8000 a day for the last four consecutive days. Lockdowns, partial lockdowns, night curfew and other curbs have been in place in several affected districts of the state. Chief Minister Uddhav Thackeray’s deadline of 8 days for the people of Mumbai ends tomorrow, and with new cases hovering around 1000 daily in the financial capital the decisions of the state government is eagerly awaited. While a pure lockdown in Mumbai would greatly hamper the progress made in the last two-three months strict enforcement of other curbs could be an option. In Kerala, although new cases have been declining, the situation is still far from satisfactory, and spikes have also been noticed in other states like Karnataka, Gujarat, Madhya Pradesh and Punjab. However, Vaccination 2.0 should be welcome news for all of these states too. And of course, the widespread phenomenon of Covidiots must be kept under absolute control. 

Now Showing: Vote For COVID-19 Vaccine And More!

 

Photo: sandesh.com

While there has been a global race among nations for the production of the first effective COVID-19 vaccine India perhaps becomes the first nation to politicize the vaccine that is still a long way off. Yes, COVID-19 pandemic may kindly take note. There has been a lot of ‘finance’ involved in it and so the Union Finance Minister Nirmala Sitharaman, in a way, had to figure in this. Releasing the BJP Manifesto for the three-phase Bihar assembly elections starting October 28, her party promised to distribute the would-be COVID-19 vaccine absolutely free to all citizens of the state. However, it was not clarified about that segment of the state’s citizens who would not perhaps vote for the party’s alliance as to how to exclude or list them out. Apart from this the Finance Minister further justified her presence by promising around 1.9 million new jobs for Bihar.

 

The directly political populism of ‘vote for vaccine’ has, obviously, attracted a series of allegations and attacks from the opposition political parties. They ask, ‘what about other states’ or ‘not free for the non-BJP states’? The immense pressure compelled the party to come out with a clarification that ‘once the vaccine is approved by the ICMR and available for mass production, the central government would distribute the same to all states at nominal costs, and vaccine distribution being a state discretion the Bihar government (if their alliance wins, of course) would make it available free of cost to all people in Bihar. Well, whether the clarification would hold enough water or not the point of poll politics is made squarely and rather too effectively to the gullible and poor voters of the state.

 

Another point needs to be made here. On one hand, the central government has been urging people to adapt to the new normal norms in the strictest way possible while on the other, for motives of politicking the representatives of the ruling class and others have been blatantly violating the norms for wooing the voters who are the people too. Huge political rallies in Bihar have been open invitations for the virus, with more and more rallies to follow. Not only this, almost everyday some protest rallies are taking place in some places, organized by the opposition or the non-ruling opposition or whatever, and here you see only a few leaders wearing masks, and no social distancing at all. The rampant politicking has been one of the major factors for India taking more than six months to reach the pandemic peak.

 

And then, Durga Puja 2020 is one more issue that stinks of direct political play. Bengalis of West Bengal and Kolkata call it their national festival, rightfully so, and this creates a crisis of sorts for the political parties of the state. No party could afford to hurt the peoples’ sentiments by asking them to worship from home and not visit the puja pandals, the shops and the eateries at all. 

Therefore, the ruling TMC government had, as always, announced financial assistance to all puja organizers more than a month back, and then tried to placate them further by allowing pandal-hopping from the third day onward of the bright-moon fortnight or Devi Paksha, with strict norms, of course. The opposition, particularly the BJP huffing and puffing to come to power in the state somehow, has also been trying its best to please the voters who are the devotees too. Finally, it took the Calcutta High Court to clamp down rules for the Durga Puja 2020 celebrations, making all public puja pandals ‘no entry’ zones.

 

No wonder then that Prime Minister Narendra Modi too found time to inaugurate Durga Puja pandals in Kolkata today, albeit virtually. It is apparently more important now for all political parties to assuage the feelings of the Bangla devotees who are also voters, hurt sourly by the High Court ruling and its refusal to consider a review petition by the organizers. Assembly elections are due in the state in the first part of next year, very significantly.

 

One last point. A COVID-19 vaccine can come the earliest by the first part of 2021 only and that too is dependent on so many other factors. Our humble point being that the more the delay in the vaccine coming the more will be the number of possible beneficiaries, because at least two assembly elections are due early next year and more would follow. Once a promise of free vaccine to the people-voters declared it cannot be denied in other states where the same party is going to try its luck in the upcoming elections.

COVID-19 Vaccine Race: Russia Declares Sputnik V Breakthrough!

Photo: wionnews.com

Russia becomes the first country in the world to officially approve a COVID-19 vaccine, significantly named ‘Sputnik V’; Sputnik 1 was the first ever orbital satellite launched in 1957 which set off a space war between the superpowers, the USA prominently. Russian President Vladimir Putin announced on Tuesday, the 11^th of August, 2020 that Russian scientists had achieved a breakthrough in the global COVID-19 vaccine race with Sputnik V which was experimented tested safely on volunteers including the President’s daughter, over a period of two months starting June. He further said that the virus has ‘sustainable immunity’ and it is registered and approved for civilian use. Sputnik V is developed by Moscow’s Gamaleya Research Institute in collaboration with the country’s defence ministry. Thousands of doses are likely to be administered first on the communities at risk, mostly the health workers and teachers, from this month itself, coming ahead of the most promising vaccine candidates: Oxford-AstraZeneca, Moderna and Pfizer. The industrial production is set to kick-start either from September, 2020 or from January, 2021 which is so far not clear, as per media reports and interviews. In any case, millions of doses are to be produced every month from early next year.

The announcement, as expected, set off a chain of reactions around the world, ranging from ‘alarming’ to ‘shocking’. Of course, there are at least two valid reasons for this skepticism among the top scientists and health experts of the world: first, its incredible fast-tracking, getting it done just nine months into the Corona crisis; second, the lack of public data that makes the safety and efficacy aspects of Sputnik V very doubtful which, if used widely at this stage, could create health complications in vaccinated people. The scientists say that the announcement is based only on the results of Phase-1 clinical trials, and the results of Phase-2 and Phase-3, if at all completed, are yet to be published. They add emphatically that without the Phase-3 trials where the vaccine is administered to tens of thousands of volunteers no vaccine could be declared as safe and effective.

The Russian government officials defend Sputnik V success with the contention that this was not entirely a new vaccine, because it is primarily based on the vaccine developed earlier for the Middle East Respiratory Syndrome (MERS) disease that was caused by another Coronavirus. They maintain that there had been experimentation and testing for over two months, Phase-2 has also been completed in July and Phase-3 near completion at the moment. Regarding the ‘lack of transparency’ charge they say that the world must acknowledge Russia’s traditional policy of ‘secrecy’ which was also clearly visible during Sputnik 1 launch. Another reference point given here is that of China’s equally secretive ways, where the Wuhan Vaccine was supposedly developed and tried in military personnel without publishing any public data.

Other critiques allege that the vaccine race has been assuming the color of ‘vaccine nationalism’ and even a ‘cold-war namesake’ with countries trying to rush through the process as a matter of national pride and a victory in the global race beating one’s super rivals. However, this allegation cannot be just Russia-specific or China-specific, this, unfortunately, has been emerging as an international phenomenon based on strategic defence and diplomatic relations and the principles of alignment or non-alignment. Even a large part of the mainstream international media does reflect this conflict: Russia, on one two occasions earlier, had in fact reported on getting close to producing a vaccine, but the news was not widely carried for obvious reasons, while the development of vaccines in the US or in the West was given exhaustive publicity. US President Donald Trump had admitted recently that he had actually been rushing through the process in view of the international crisis, the other strategic reasons being hidden apparently.  For the same reasons, most of the experts from the US or the West are least likely to acknowledge the Russian achievement of a ‘ready’ vaccine and would be more prone to ‘raising an alarm’.

The Russian government claimed that around 20 countries had expressed interest in producing Sputnik V including Brazil, India and others. Accordingly, over a billion doses are to be manufactured from the start of 2021. Meanwhile, the government of India has appointed a National Experts Group on Vaccine Administration to examine the safety aspects of Sputnik V before adopting or approving it. The World Health Organization (WHO), at loggerheads with President Trump at the present moment, has also responded to Russia’s registering of the first-ever COVID-19 vaccine and asked for a rigorous review of safety data to be submitted if the country wants a WHO approval. The WHO has also said that it has been in constant touch with Russian health authorities and brainstorming discussions are going on.

Whatever be the rivalry or nationalistic pride or vaccine cold-war between countries or superpowers of the world the international community, to reemphasize again, must unite and fully cooperate in discovering the most-wanted and eagerly-awaited COVID-19 vaccine as soon as possible. Every vaccine candidate must be assessed on pure merit only, in respect to its safety data and immunity parameters, and definitely not on the basis of which country of what strategic importance or of what governance policy or of what ideology has produced it or has been developing it. Hopefully, considering the various stages of development of various vaccines, primarily, Oxford-AstraZeneca, Moderna, Pfizer, Sputnik V and Wuhan, humankind is very likely to be blessed with a vaccine by end of 2020 or more realistically, in the early part of 2021. Significantly, the Russian vaccine also does conform to this deadline only, one likes it or not.