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POST-COVID COMPLICATION: MIS-C GETS PARENTS WORRIED

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Covid-19 was not known to affect children in the first wave. However, it has not been the same in the second wave, as children and youngsters have been affected by the coronavirus. Though they are experiencing mild or moderate symptoms of the infection, post-Covid complications are what worry the parents. 

COVID-19 AMONG CHILDREN

Adults were mostly affected by Covid-19 in the first wave. The immediate lockdown and closure of schools helped children to skip Covid’s radar. Though few children got infected, the symptoms among them were mostly mild or were asymptomatic. However, in the second wave, the number of children getting infected due to coronavirus has increased. The most concerning part are the increasing cases of MIS –C (Multi-system inflammatory syndrome in children). 

MIS-C IN CHILDREN

Children affected by Covid-19 in the second wave are experiencing mild or moderate symptoms. However, post their recovery from Covid within two to four weeks or in few cases even beyond, they are found to develop high-grade fever and other complications which are known as MIS-C. This Multi-system inflammatory syndrome in children affects multiple organs like the heart, lungs, and brain. A child can experience different symptoms like:

• Rash on the body

• Conjunctivitis

• Abdominal pain 

• Swelling in the neck

• High-grade fever

• Diarrhoea 

• Vomiting

• Feeling tired 

Some of the severe symptoms of the MIS-C could be trouble in breathing, pain or pressure in the chest, pale, grey or blue-coloured skin, lips, or nail beds, and severe abdominal pain. In few children, these symptoms may go to an extent of seizure or septic shock. 

MIS-C mostly affects children after two to three weeks of testing positive for Covid-19. It is to be noted that, MIS-C is not a life-threatening condition and can be treated effectively if it is identified early. MIS-C is considered as an immunological reaction to a past Covid infection. Children with the condition may commonly test negative for RT-PCR/antigen test and will only be antibody positive. In one-third of infected children, MIS-C can mimic another disease called Kawasaki Disease associated with inflammation of the blood vessels to the heart. While most children with MIS-C recover extremely well with no significant long term sequelae, a small proportion can develop complications related to the heart.

MIS-C can occur in children of any age, however, it is mostly seen in kids in the age group of 3 to 12 years. Babies or older children may also have the risk of developing MIS-C. 

COMPLICATIONS OF MIS-C

MIS-C is a complication that occurs due to Covid-19. Therefore, identifying the symptoms is crucial. A delay in treatment or inappropriate management can lead to severe problems to the vital organs like the heart, lungs, and kidney. In rare cases, MIS-C can lead to permanent damage to the organs or could be even fatal. 

STEPS TO BE TAKEN TO KEEP THE CHILDREN AWAY FROM INFECTION: 

• Hand hygiene –Ensure kids wash hands often with soap and water for at least 20 seconds. If soap is not available, use a hand sanitiser with at least 60% alcohol content.

• Keep children away from people who are sick –It is suggested to keep children away from unwell people, in particular, people who are coughing and sneezing. 

• Social distancing – Ensure that your child maintains social distancing when outdoors. 

• Wear face masks when in the outdoors – There is a high risk of Covid transmission when you and your child are outdoors. Make sure both of you wear a face mask that covers both nose and mouth. 

• Avoid touching your nose, eyes and mouth – Encourage your child to follow your lead and avoid touching his or her face without washing hands. 

• Cover your mouth when you sneeze or cough – Advise the kids to practice covering their mouths when they sneeze or cough to avoid spreading germs.

• Disinfect surfaces –Clean and disinfectareas of your home such as doorknobs, light switches, remotes, handles, countertops, tables, chairs, desks, sinks and toilets.

The writer is a Consultant, Columbia Asia Referral Hospital, Yeshwanthpur (A unit of Manipal Hospitals).

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Health & Wellness

REASONS TO MAKE THE SWITCH TO MENSTRUAL CUP

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Q. How menstrual cups are better than sanitary pads?

A. Menstrual cups are new and safe as compared to sanitary pads. They collect the period blood instead of absorbing the blood and hence there are no chances of vaginal infection. Depending on the flow, one cup can last for four to 12 hours. With lesser chances of leakage, one can sleepy freely with menstrual cups. Sanitary pads tend to give you rashes. They are cost-effective as well, as one cup sanitised the right way, can last for years.

Q. What are the benefits of using menstrual cups for both females and the environment?

A. Menstrual cups are safe and effective as they are cost-effective as well. As cups collect the blood and do not absorb them, so there are no chances of vaginal infection. In terms of environment, Menstrual cups are environment friendly as well as they reduce waste and water usage. Women can reduce plastic waster by using a menstrual cup. One cup produces an estimated 0.4% of the plastic waste that single pads build up or 6% of them is created by tampons in 10 years.

Q. Tell us about the change in the consumer demands of the menstrual cups?

A. With women understanding the usage of menstrual cups and their benefits, there has been a considerable increase in the demand for menstrual cups. A cup could cost roughly five to seven per cent of the cost of using 12 pads (on average $ 0.31 each) or tampons (on average $ 0.21 each) per period. 

Q. What are the things one should keep in mind while buying the cup?

A. Here are the key factors which one should keep in mind while buying the cups:

• The material of menstrual cups, as to what it is made of. Is it medical grade silicone, latex, plastic or rubber? Cups made of medical-grade silicone are the best ones

• Thesize of the cupas per your requirement is small or large. Small-sized cups are good for women below the age of 30 and large size cups are recommended for above 30 women

• Functionalities of the cup in terms of stem, firmness, shape, and seams

Stem: Most menstrual cups have a stem on the bottom. It acts as a guide, which helps you to locate your cup easier while removal.

Firmness: Finding the right firmness for your body, makes a huge difference in comfort and effectiveness.

Shape: Determine the shape of the cup depends on the cervix height as everybody is different.

Seams:In some cups, the seams are around the rim, some have a seam running from stem to rim, while some are seamless. It is important to understand the seam as in some cases a rough seam can cause irritation or scratch in the vaginal wall.

Q. Share some tips to keep the cup clean and sanitised?

A. Tips to keep the cup clean and sanitised:

1. Wash your hands properly before touching the cup.

2. Since silicone cups are bacteria resistant, you don’t need to wash yours every time you empty them. Simply rinsing it in the sink is enough to clean it out before reinserting. To avoid stains, you can initially rinse with cold water, then follow it up with a hot rinse to disinfect.

3. Once your period is over, you might want to give your cup a good clean before you store it, both for peace of mind and to remove any stains.

4. Boil three cups of clean water on the stove. (Tap water is fine if you’re in a place with safe water but if not, use bottled water instead.) Submerge your cup but make sure the cup isn’t touching the bottom or sides of the pot. One way to do this is to put your cup inside a whisk to hold it away from the sides. Boil for five to eight minutes then drain the cup and let it air dry. It is completely safe to boil the cups, but don’t boil the pot dry as this will destroy the silicone. If you feel strange about using a pot you cook with, you can buy a small one specifically for boiling your cup and store it separately.

5. Sterilising tablets for baby bottles isgreat because you can use them in cold water so they’re ideal if you live in a dorm room with no access to a stove or just don’t feel comfortable boiling your cup in a shared kitchen. Follow the manufacturer’s instructions. These tablets are also great at removing stains.

The writer is Director, Namyaa Skincare.

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Health & Wellness

COMMON MYTHS ABOUT PROTEIN YOU SHOULD STOP BELIEVING

RITIKA SAMADDAR

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Protein is an essential nutrient present in every single cell in our body and is required for the growth and repair of the body. Approximately one-fifth of our body weight is protein. The protein requirement for an adult is 0.8g per kg body weight per day for adults. You have to eat protein every day. The body can’t store protein like it can store carbohydrates and fats. The Protein Week is observed from 24 to 30 July to spread awareness about the need to incorporate protein in our daily diet.

There are many myths around protein consumption. The most common myth is protein is only for muscle development and not so important for the general population. On the contrary, protein is an essential nutrient that is key to building immunity and for growth and immunity. It is required not only for muscle but also for bone, joints, tendons, ligaments, hair, antibodies, hormones, and enzymes. The body is made of muscle mass, fat mass, bone and water. A healthy body should have more muscle mass and less fat mass. And replacing our diet with healthy proteins instead of fats and carbohydrates is the ideal way to have a healthy body. 

The other common myth is intake of protein can lead to kidney damage. Most believe that taking a protein-rich diet puts loads on the kidney and damages it. On the contrary, protein is an essential macronutrient and is needed for survival. Also, the common perception is that with age one should reduce protein intake as it can damage the kidneys. Muscle loss is a natural part of ageing, and if one doesn’t take adequate proteins, it leads to reduced energy levels and low muscle strength. The recommended dietary allowance is 0.8 to 1 g /kg body weight, for a healthy adult which is around 50g to 60g per day grams daily, whereas the daily need increases during illness or increased activity level. Deficiency of protein can lead to impaired physical development, oedema, low immunity, and low muscle mass. One can meet the daily needs of protein by eating eggs, fish, dairy, legumes, meat, poultry, and nuts. 

Another very common myth is intake of protein leads to weight gain. Proteins are the key to losing weight the healthy way. Taking good amounts of good quality proteins like eggs and poultry can help healthy weight loss, by increasing satiety, boost up metabolism and loss of fat mass and build-up of muscle mass. Consuming insufficient protein on the other hand can actually make it harder to lose weight. Even if one loses weight by cutting the protein, chances are that its muscle — not fat — will lose. Not eating enough protein can lead to side effects including fatigue, weakness, and a low immune system. Including protein in daily diet is essential and 10% to 15% of the total calories should come from protein. So let’s pledge this Protein Week that we all will make protein a part of our diet plan.

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Health & Wellness

WHAT IS THE LINK BETWEEN PREGNANCY & HEPATITIS E?

Dr. Premashis Kar

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Hepatitis E Virus (HEV) causes acute hepatitis and is a hepatotropic pathogenic virus. Due to insufficient sanitation, this infection is endemic in several impoverished nations, especially in India. HEV infection is one of the leading causes of acute viral hepatitis. This disease is mainly spread orally by contaminated drinking water. World Hepatitis Day is observed on 28 July every year, to raise awareness of the problem of viral hepatitis and how viral hepatitis impacts over 354 million people worldwide.

In India, HEV genotype 1 and genotype 2 which is mostly responsible for the cases of viral hepatitis and is feco-orally transmitted. Viral hepatitis has been a major public health problem in India. HEV infection is responsible for most of the pandemics that have occurred in India and is responsible for 30% to 70% of the sporadic cases of viral hepatitis and the major cause of acute liver failure. It has been observed that viral hepatitis is the most common cause of jaundice during pregnancy and causes HEV infection. Classically acute viral hepatitis occurs during the second and third trimesters of manifesting with malaise and jaundice.

It is not clear why HEV infection has a predilection to occur specifically during pregnancy. Severity had been attributed to the variable immune response or hormonal factors. Many patients are contemplating whether the occurrence of viral hepatitis has a safe course during pregnancy. Most of the patients with viral hepatitis during pregnancy will recover within four to six weeks of the onset of jaundice. However, these patients need to be instructed that they should continue to be under the supervision of physicians and gynaecologists till jaundice settles down clinically and biochemically.

The liver function tests and serological tests (IgM anti-HEV) are the key tools for the diagnosis. In India, HEV infections (genotype 1 and 2) have a fulminant course during pregnancy compared to developed countries where genotypes 3 and 4 are believed to have mild disease. The follow up of the cases during pregnancy is needed to detect complications like acute liver failure, stillbirth and eclampsia, postpartum haemorrhage. Those cases of viral hepatitis during pregnancy that have a severe downhill course, the outcome is associated with premature delivery, stillbirth and abortions.

If there is any indication that the patient has persistent vomiting and altered mental status, it indicates the possibility of acute liver failure and the patient needs immediate hospitalisation and with intensive care, they may recover.

In such a situation the physician and the patient should understand that the termination of the pregnancy does not alter the course of the disease. Early liver transplant has been carried out in some centres even for patients of ALF during pregnancy. This is also possible in some of the centres involved in liver transplantations in India. All patients with viral hepatitis during pregnancy should be advised to have hospital delivery. In conclusion, though viral hepatitis cases during pregnancy may have a safe course, yet it needs close monitoring to detect complications that could be effectively treated.

The writer is a Senior Director & HOD – Gastroenterology, Max Super Speciality Hospital, Vaishali.

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Health & Wellness

A POST-COVID SIDE EFFECT: ALL YOU NEED TO KNOW ABOUT GUILLAIN-BARRÉ SYNDROME

Guillain-Barré syndrome is a rare neurological and potentially life-threatening disorder. Let’s learn about the causes, symptoms, dos and don’ts, and how early detection can help save lives.

Dr Shobha N

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Guillain-Barré syndrome (GBS) is a rare neurological disorder in which the body’s immune system mistakenly attacks part of its peripheral nervous system, that is, the network of nerves located outside of the brain and spinal cord. From very mild cases with brief weakness to critical stages of paralysis that can cause a disability to breathe independently, patients can face a wide range of complications with GBS.

It has been observed that Guillain-Barré syndrome is a potentially serious hurdle associated with Covid-19 today. Many patients developed the GBS three weeks after testing positive for Covid-19. As Covid-19 is also a viral infection caused by a neurotropic virus, it can trigger this syndrome in a patient. The increase in Covid-19 cases has significantly resulted in many Guillain-Barré syndrome cases. People within the age group of 25 to 35, and 50 to 70 are most commonly affected.

It is essential for family members to keep a watch out for any of the symptoms.

Below are the indications:

1. Pricking or pins and needles sensations in the hands and feet

2. Instability and lack of coordination

3. Difficulty swallowing, speaking or chewing

4. Muscle twitching

5. Vision and eye muscle difficulties

6. Abnormal heartbeat/rate or blood pressure

7. Problems with digestion and/or bladder control.

As soon as a person notices any signs of Guillain-Barré syndrome, he or she should see a doctor for a definitive diagnosis. Early detection can aid in the treatment process and make it easier. A neurologist (a specialist who specialises in nervous system illnesses) will be involved in the treatment and may perform certain tests like nerve conduction studies (NCS) electromyography (EMG) that measures the electrical activity of nerves and muscles, lumbar puncture (spinal tap) and analysis of spinal fluid, along with breathing and blood tests.

1. Patients demonstrated considerable improvement after five days of IVIG treatment and plasmapheresis

2. If ventilator assistance is required, the patient must be admitted to an intensive care unit

3. It has also been observed that there is a residual disability at the time of discharge

Here is a list of do’s and don’ts if you are diagnosed with GBS:

1. Do understand that Guillain-Barré syndrome can be devastating because of its sudden and unexpected onset

2. Do realise that recovery isn’t necessarily quick. It might take a few weeks, sometimes months, or even years to recover from GBS.

3. Do call your health care provider if you notice muscle weakness

4. Do call your healthcare provider if you develop numbness or tingling feelings, have trouble swallowing or breathing, feel depressed or get a fever

5. Don’t be afraid to ask for social and emotional support

6. Don’t miss any follow-up appointments after being discharged from the hospital

It is essential for people to be aware of this syndrome as the diagnosis becomes more challenging when the patient visits the hospital at later stages for treatment. More awareness can indeed save lives.

The writer is a Consultant – Neurologist and Stroke Physician, Manipal Hospitals, Malleshwaram.

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Health & Wellness

CORONAVIRUS PANDEMIC: THE TRIGGER FOR AYURVEDA RENAISSANCE

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When a seemingly innocuous virus entered the city of Wuhan in the last month of the last decade, nobody could predict that the whole world would be paralysed for the next entire year and more! Moreover, the ordeal is far from over and the medical and healthcare fraternity world over is still struggling to find the viral antidote, pinning all the hopes on the highly anticipated vaccine. However, with the collapse of the conventional medicinal system, the general population has realised that a sturdy immune system is the best defence against any pathogen and to achieve this, natural health alternatives are being explored vigorously. 

The oldest of all medicinal systems, Ayurveda, has proved its mettle in the pandemic already! Under the guidance of the AYUSH ministry, many Ayurvedic institutions throughout the country have shown excellent results in the management of Covid-19 infections, both in acute and post-Covid phases. Numerous trials are going on and the results look promising.

The science of life, Ayurveda, has generated enormous curiosity in the last few years and many people have shifted to the Ayurvedic way of living and managing disease as it is holistic and believes in reversing the pathology without any side effects. The two-folded aim of Ayurveda is ‘prevention’ and ‘cure’ for which discrete guidelines are given in the stipulated clinical texts about aahar (healthy eating), vihara (healthy lifestyle), nidra (sleeping habits), dinacharya (daily regimen), ritucharya (seasonal regimen), and various treatment modalities incorporating scientific nutrition, thousands of herbo-mineral formulations and detoxifying treatments such as panchakarma.

With the advent of the pandemic can Ayurveda turn this opportunity and redeem itself to its lost glory? Let’s explore in this article:

1. Preventive holistic aspect of Ayurveda in the pandemic – Cellular health support, Immune health support, neuroendocrine support, Nutritional support through phytonutrients

2. Covid-19 and effective Ayurvedic protocol – no side effects, decongestant and lung-protective medications, cardioprotective, immunomodulator, cellular repair, mental support, Rasayan therapy etc. There are numerous successful trials throughout the country.

3. Change in societal perception about health and disease – Recent awareness about the rise and prevalence of metabolical and lifestyle disorders like obesity, diabetes, hypertension, hypercholesterolemia etc and the limitations of conventional medicine to treat them, whereas Ayurveda successfully managing and reversing them.

4. Governmental recognition and approval – The current government with its pro-Swadesi approach has renewed its efforts in reinforcing the traditional Indian medical system. Ayurveda is being given a crucial place in the annual health budget and rigorous steps are being taken to integrate Ayurveda in the present healthcare infrastructure at the ground level.

5. Rise in popularity outside India – Worldwide, Ayurvedic medicine and products are increasing in popularity. Many students have been coming to India in recent years to learn Ayurveda and practice and propagate it back in their countries.

6. Rise in demand for Herbal supplements – With health and wellness being the biggest priorities now, the demand for nutraceuticals and immunity boosters is globally increasing. Many companies like Patanjali and Himalaya have given reports of a phenomenal rise in sales of immune-boosting supplements and respiratory medication. 

7. Refurbished standardisation protocol of Ayurvedic medications and supplements – There have been tremendous upgrades in the standardisation protocols for Ayurvedic medications and nutritional supplements making them safer for a bigger audience and an easy entry into the global market. The required regulations are under the FSSAI, FDA, Good Manufacturing Practices (WHO-GMP), ISO 9000 and Hazard Analysis and Critical Control Points (HACCAP) certifying boards.

8. India as an emerging leader in the global herbal drug market – India is currently the number 1 producer, manufacturer and exporter of herbal raw material and end products. Even the modern pharma industry relies largely on the herbal raw material supplied by India for its active ingredient extraction that is used in numerous modern medications. 

9. Vast scope for the investment in Ayurveda – Multisectoral industries like health, pharma, food, agriculture, media and trade are renewing their investment interests in Ayurveda looking at the current growth patterns in the market trends. 

10. Rediscovering and redefining marketing strategies – All that Ayurveda needs right now is an on-point marketing strategy to reach the masses and the capitalists. There have to be scientific studies, researches and relevant clinical trials that can show the documented potential of Ayurveda to the world. The preventive aspect of Ayurveda should reach the common stakeholders through proper educational channels and the various treatment modalities within Ayurveda should be researched and re-established through relevant institutions and hospitals making it easier for the common man to embrace Ayurveda. 

 The writer is the Founder of Nyrrvana Cosmetics.

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Health & Wellness

IS VACCINE POLITICS LEADING TO VACCINE HESITANCY?

Covid-19 vaccination programmes can affect meaningful resolution only with sufficient participation rates to achieve herd immunity.

Dr Kishore Kumar

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The pandemic can be overcome only with herd immunity — which is achieved either by everyone suffering from the disease or some suffering from it and others getting immunity from the vaccines. Ultimately when 80% of the population has either antibodies from natural disease or vaccination — we can beat the pandemic by herd immunity. To achieve this, vaccine uptake by susceptible individuals is crucial. 

Vaccine hesitancy, also known as anti-vaccination or anti-vax, is a reluctance or refusal to be vaccinated or to have someone dependent vaccinated — is becoming a problem especially in the middle of this pandemic, which can delay our fight against the pandemic.In fact, hesitancy has led to a decline in vaccine uptake and an increase in the prevalence of vaccine-preventable diseases. The Covid-19 pandemic has created a new reality where individuals are facing a previously unknown disease and its effects, providing a unique opportunity to investigate vaccine attitudes during a period of heightened disease salience. Unfortunately, there are always going to be some people who will have anxiety and uncertainty with vaccines leading to vaccine hesitancy  — but some people have been misguided to become hesitant to vaccinate due to a lot of mis/disinformation.

Vaccine Politics as I call it — for lack of better words — is politics behind the vaccine for Covid-19. If you carefully analyse the events that took place over the last 16 months, vaccine politics has played a significant role in vaccine hesitancy. Be it discrediting vaccines, spreading rumours to fuel vaccine hesitancy, frequently changing position on the vaccine distribution process, deliberately asking for the vaccine to be ‘opened up for all’ despite knowing the government was following a scientific order of priority, everything possible has been done to harm India’s vaccination drive. 

At the international level, initially, the Pfizer-Biotech vaccine was licensed in the US — as an emergency use authorisation for political reasons way ahead of schedule than completion of the trial. The initial reports of the adverse effects of the vaccine being highlighted led to a lot of conspiracy theories and vaccine hesitancy. Subsequently, AstraZeneca vaccine faced the wrath of many European countries — for all wrong reasons — as the UK had ordered enough doses first they were supplied first — leading to sanctions/highlighting the adverse effects of clotting — which affected 1:6,00,000 population as opposed to Covid-19 disease itself affecting 1:40 people. Now, in turn, the EU is trying to penalise AstraZeneca by not recognising it as a valid vaccine, especially if it is produced outside the EU? 

At the national level, we saw how the Covaxin licensing controversy initially led people to abandon it, as they felt it was “imperfect vaccine” being hastened in licensure due to its “Made in India” issue. It was not until Covieshield (AstraZeneca) controversies in Europe — people started embracing Covaxin after that. This continued for some time and confused people. At the state level, there were accusations that BJP and non-BJP states are being discriminated against with the supply of Covaxin vs Covieshield that further confused people.  At the district/hospital levels, there were accusations that corporate chains got more vaccines allotted for various reasons than nursing homes which subsequently meant the government took control of the vaccine distribution and effectively issued a new policy from 21 June 2021.

India launched the world’s largest vaccine drive earlier this year. But even before the rollout could take place, the country witnessed many efforts that began to spread vaccine hesitancy, confuse and mislead the public about the vaccination process. In fact, after months of deliberation and discussions, the government’s advisory group for vaccines has allowed pregnant women to get jabbed. It took almost seven months, precisely on 2 July, to release an operational guideline for vaccinating pregnant women. It included details on educating them about the risks from the vaccines vs the risks of being Covid-positive. Those eligible will be able to get any of the three vaccines currently authorised in India — Covishield, Sputnik V or Covaxin. In my view, vaccinations are among the most important public health tools for reducing the spread and harm caused by dangerous diseases. Despite considerable evidence showing vaccines are safe there is increasing scepticism towards vaccination.

WHY VACCINE HESITANCY 

Here are some reasons behind vaccine hesitancy:

1. There are too many rumours about vaccine efficacy. Rumours are nothing but information that is either inaccurate or accurate – with a twisted meaning used in a different context and circulated within a network of people. Ex: Last year, so much information was circulated on social media around steam inhalation + vitamin D, and zinc supplements that it became a standard of treatment by many doctors, many not realising that zinc and vitamin D toxicity could be harmful too. Overuse of steam, inhalation has been blamed for the spread of black fungus by damaging the mucous membranes of people.

2. Misinformation – Inaccurate information. Ex: Last year before the first wave affected India, so much information was propagated about BCG and MMR protecting Indians against Covid-19 that many people came to get BCG and MMR done, only to realise that it was not correct.

3. Disinformation – The misinformation that is specifically designed to achieve an agenda. Ex: A lot of homemade drops and other unproven therapies were being projected as treatments for Covid-19 without proper studies. Ex: Ghee drops into nostrils.

4. Infodemic – What’s happening currently on many WhatsApp groups — an overabundance of information, including mis/disinformation — accompanying this pandemic. Ex: There is so much information recommending steam inhalation, vitamin C, and zinc supplementation — that almost everyone is doing it. This is similar to Hydroxychloroquine prophylaxis last year and the information was so strong that almost everyone took these to “try and protect” themselves.

5. Heuristic behaviour – Heuristics are commonly defined as cognitive shortcuts or rules of thumb that simplify decisions, especially under conditions of uncertainty. They represent a process of substituting a difficult question with an easier one. Ex: The repeated news that certain vaccines can cause a clot in the brain, without mentioning that it is rare and Covid-19 can cause that in 1:40 people, led people to avoid the vaccine.

All these issues led to already confused/infodemic loaded individuals with more confusion and vaccine hesitancy.

WAY FORWARD 

Public health leaders may wish to tap medical providers to herald in more vaccine-positive messages, the data showed. Across both vaccine-hesitant and vaccine-enthusiastic adults, clinicians will prove to be the most trusted advisor on the matter. Many hesitant people have high levels of trust in their healthcare providers, which underscores how crucial it is for clinicians to reach out to patients — especially those who have been most impacted by Covid-19 — to explain the benefits of vaccination. We need to continue to ensure that vaccination efforts shall continue to scale up in the weeks ahead and it’s critical that people receive accurate information from people they trust. Our country should adopt a multi-modal communication approach. Very few people in India have access to good quality and affordable healthcare. Many of the vaccine-hesitant adults don’t have a usual source of care (personal clinicians) and many of them are not even insured. We need more targeted outreach so that the benefits of vaccines can be understood.  

Herd immunity is the most decisive route to freedom from Covid-19. Thanks to the unprecedented efforts of the scientific community, we finally have a solution: safe and effective vaccines. Experts are estimating that up to 90% of the population need to have antibodies to achieve herd immunity. To reach it, we must see society trusting medical professionals and governments to accept vaccination. We need greater transparency on data and consistent messaging on safety.  Despite the science, there is still a section of society that perceives vaccination to be a bigger threat than Covid-19. And India is full of quacks, a lot of people depend on the knowledge of these quacks and suffer. As the Covid-19 pandemic continues to surge worldwide, recent approvals of Covid-19 vaccines raise hope for a light at the end of the long and dark tunnel. In my view, Covid-19 vaccination programs can affect meaningful resolution only with sufficient participation rates to achieve herd immunity. 

The writer is Founder Chairman & Neonatologist, Cloudnine Group of Hospitals, Bengaluru. He is also a healthcare delivery graduate from Harvard Business School.

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