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LETTER TO EDITOR
Year : 2021  |  Volume : 10  |  Issue : 5  |  Page : 2050-2051  

Let there be the light of science everywhere


1 Department of Medicine, KG's Medical University, Lucknow, Uttar Pradesh, India
2 Department of CFAR (Cytogenetics Unit), KG's Medical University, Lucknow, Uttar Pradesh, India

Date of Submission18-Nov-2020
Date of Decision02-Feb-2021
Date of Acceptance03-Feb-2021
Date of Web Publication31-May-2021

Correspondence Address:
Dr. Harish Gupta
Department of Medicine, KG's Medical University, Lucknow - 226 003, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jfmpc.jfmpc_2254_20

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How to cite this article:
Gupta H, Nigam N, Gautam M. Let there be the light of science everywhere. J Family Med Prim Care 2021;10:2050-1

How to cite this URL:
Gupta H, Nigam N, Gautam M. Let there be the light of science everywhere. J Family Med Prim Care [serial online] 2021 [cited 2021 Jun 23];10:2050-1. Available from: https://www.jfmpc.com/text.asp?2021/10/5/2050/317296



Dear Editor,

Pillai et al. assess socio-economic impact of coronavirus disease 2019 on India in November 2020 issue of the Journal. In the introduction, they write that … resultant (COVID) mortality is more in some countries than others. And they emphasize that the USA, Italy, France, the UK, Germany, Spain, and China have more number of deaths.[1] What we want to add to this list is Brazil. This South American country has had the third highest number of cases of coronavirus in May 2020[2] and still is in lead on this parameter. Earlier this year, news in the British Medical Journal stated that its president, Jair Bolsonaro, had downplayed the threat of the virus and resultantly there was a rapid spread of the disease in that country.[3]

At the other end of the spectrum lie New Zealand, Australia, Japan, Singapore, Taiwan, and Iceland as these countries got good control of the scourge. Therefore, what lesson we learn here is that when a visionary leader correctly assesses the risk of a new pandemic in the beginning, gives a clear direction to its bureaucracy, sends an unambiguous message to its people, and believes in science; both lives and livelihoods are saved from the onslaught of the virus. On the other hand, when they miss the bull's eye and make a delay in taking a decision, its people suffer. The challenge for our modern-day leaders is to understand that no economy can run properly if its people continue to die, and hospitals have no beds for critically ill patients when they need it the most.

This virus can be controlled by simple behavioral alterations viz. wearing a mask, maintaining physical distance, gather outdoors only, and practice hand hygiene. The experiences we learn from observing various countries/territories and the course of the pandemic should be shared with our primary care physicians and aangan wadi workers. They'd inform households and patients that by practicing these simple measures together we can have a hold on this pandemic. And if we don't, disaster is not far away.

Second, under the heading, “A Global Scenario,” the authors write about a group of people who when infected, can get critically sick. Those with older age, diabetes, high BP, heart and lung problems, and cancer constitute the group. However, recently a living meta-analysis published in the British Medical Journal finds that when pregnant women get infected with this virus, they are at a higher risk of developing a serious illness. Compared with nonpregnant women of reproductive age, pregnant women are more likely to need admission to an intensive care unit (ICU) and mechanical ventilation.[4] In this analysis, the researchers also found that those women having pre-existing comorbidity e.g., obesity, hypertension, diabetes, and higher maternal age had higher odds of developing complications. Therefore, pregnant women, especially those having medical vulnerabilities need to be added to this pool of high-risk group and be considered for epidemiological and vaccination studies.[5]

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Pillai DD, Nagappan N, Dharani SV, Subramanian K, Champakesan B, D'Cruz TM. Socio-economic impact of coronavirus disease 2019 (COVID-19) – An Indian outlook. J Family Med Prim Care 2020;9:5103-6.  Back to cited text no. 1
  [Full text]  
2.
Londono E, Andreoni M, Casado L. Bolsonaro, isolated and defiant, dismisses coronavirus threat to Brazil. New York Times. June 18, 2020 available from: https://www.nytimes.com/2020/04/01/world/americas/brazil-bolsonaro-coronavirus.html.  Back to cited text no. 2
    
3.
Andrade RO. Covid-19: Brazil has the third highest number of cases behind US and Russia. BMJ 2020;369:m2059.  Back to cited text no. 3
    
4.
Allotey J, Stallings E, Bonet M, Yap M, Chatterjee S, Kew T, et al. Clinical manifestations, risk factors, and maternal and perinatal outcomes of Coronavirus disease 2019 in pregnancy: Living systematic review and meta analysis. BMJ 2020;370:m3320.  Back to cited text no. 4
    
5.
Heath PT, Doare KL, Khalil A. Inclusion of pregnant women in Covid-19 vaccine development. Lancet 2020;20:1007-8.  Back to cited text no. 5
    




 

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