Visualizing the Pandemic Wave (s)

Source :

The above picture refers to an Op Ed by a senior colleague , who is an eminent epidemiologist, and well known in academia. It is a very well conveyed perspective on the ‘Pandemic of Panic’ being reported everywhere ( I recommend a click on the link given below the above image to read through the write up).

We are constantly being bombarded with saddening images of public distress across India and accusatory media personages indulging in the blame game. If you would cast your memory back to the early days of the pandemic, ,you would remember that the coverage of the pandemic in Italy and in the USA was similar. Now it seems that the world media is fascinated with the Indian story, till something new comes along. In the modern times, everyone of us knows (or should know) that what we see on social media and the mass media is not what is and that what is , is not what we come to know of. Simply put, we have a large population, and we do not have adequate resources to match the requirements. This can only be addressed by advance planning and preparation over many years if not decades. However, it is never too late!

However, not to distract from the theme of today’s post! The one term that even a toddler in these times knows all about is – “The Pandemic Curve”. What with everyone wanting to flatten it, one can almost conjure up the image of homicidal burly people chasing some ephemeral curvaceous thing to flatten the life out of it.

This is how the chart showing cases in India and the USA looks like. if you see absolute number of cases only! Please note how it appears that India is having more of a problem that the other country with which it is being compared with. Our media prefers this format as it is more sensational. Please see the next chart which shows the same data as “Cases per million population” to see the difference the same data brings about when presented as per convenience of the presenter.

Source: Our World in Data website -Accessed 02 May 2021

The above two lines are for the USA and India respectively, and while you take a deep breath (yes, breathing deep is good for you at all times!), let me clarify that this data is representative of “Cases per million population” as on 01 May 2021. This is the preferred way to have a look at data, the way that scientists and epidemiologists do, (i.e to have a denominator, to lend perspective and ensure comparability between countries or regions). In the above case, population in millions is the denominator.

Source : Our World in Data website, with the labels added on for the viewer’s understanding

This image is for you to understand what these “waves” are all about…. You can straight off identify the ‘waves’ in USA…. and then look at the Indian wave(s) identifiable by the arrows. The data is “Incidence” i.e the number of new cases per day. You can see the shape form that the lines are conveying…. they look like waves dont they ? This is the ‘Epidemic Curve‘ , which is very happily referred to by everyone, when they talk about ‘flattening the curve’.

In the Public Health domain, those of us who are professionals and not WhatsApp experts or astro- forecasters, usually we cannot know whether we have crested the wave till after we have crossed it. To inform you, this kind of data is best looked at retrospectively. Data modellers who have proliferated during this pandemic, are amateur graphic artists who love to draw projections which progress beyond the curve…Their guesstimates are as good as a kindergarten kid with a crayon.

Now who can comment whether the curve will rise or fall at this point of time? That is conjecture and based on a lot of assumptions, most of which hindsight proves to be fallacious. Every wave has to have a crest. The crucial question is when will it be reached ? …

Data is only as good as what it can convey. Pragmatically, for an individual who loses a loved one, data doesnt make a difference. A loss is a loss, and requires our empathy. Lives in India are as important as Lives in the western world. This is what we must focus on going ahead.

Someone somewhere said this sometime “If we have data, let’s look at data. If all we have are opinions, let’s go with mine.” In this modern infodemic , everyone has an opinion. Mine is that we should be circumspect when we look at the data presented by Mass Media and circulated on Social Media. Rely only on authentic, verified information from credible sources. Peruse the interpretation of scientists and epidemiologists and then only form your own world view.

Vaccine Tales- Let there be spaces in your togetherness- Increase the Gap between doses

With due apologies to Kahlil Gibran!

Vaccination for protection against COVID19 began in mid Jan 2021, with Health Care Workers being focused upon, subsequently, other ‘Frontline workers’ were included in the prioritization list. After the government machinery got its logistics systems up and running, through an internet based CO-WIN system, the vaccination umbrella was extended on 01 Mar 2021 to cover those above 60 years of age and also those in the 45-60 years age group with a co -morbidity which needed to be certified by a medical doctor. This has been modified again whereby w.e.f 01 May 2021, all people above 18 years of age have been made eligible for corona vaccination.

Just to reassure you and your families, in case you have not yet been covered by the vaccine umbrella….. Everyone who is above 18 years of age will eventually be getting the vaccine as and when the supply chain gets its act together. At present this age / risk stratified approach is just a method adopted to ration scarce resources (yes, ,vaccine diplomacy is an essential part of the global outlook of the Govt and we must accept that global equity is desirable for all societies, so its not as if the exported vaccine could have been given to you and me). Trials are on for other categories to assure safety, including pregnant women and children.

There has been a lot of confusion prevalent in people’s minds, exacerbated by social media misinformation, about the gap to be maintained between doses of the vaccine. The Govt of India has recently (in May) issued instructions to the States, taking cognizance of the increasing scientific evidence to increase the gap between doses from the original 28 days (which by the way, was not a sacrosanct gap… was just intended to serve as a point of reference for the common man). And again, this situation highlights that in the governance of a country, decisions do take time, after all the evidence has been digested. As some wise person said a while ago, it is better to be somewhat right about things most of the time, than to be absolutely wrong about things, all the time! Erring on the side of caution, not being hasty and being deliberate in decision making is what one expects from leadership of a nation. That is how Public Health functions ! May seem slow, but circumspect deliberateness is what I would expect even if seemingly delayed.

The current (latest as on 22 May 2021) Govt guidance for folks on the subcontinent, is to obtain the second dose of COVAXIN in the time frame of four to six weeks (I am recommending pushing this limit to the six weeks margin), and for COVISHIELD to be taken after twelve to sixteen weeks (again, here I am recommending pushing this limit to the sixteen weeks margin). Even before these guidelines were issued today, I was advocating a longer gap, as the past few decades of vaccination history the world over, has shown that better immunity is obtained when there is a suitable gap between doses of a vaccine. Now, vaccine experience in the COVID scenario is pointing towards this understanding!

Please keep in mind that if you have taken COVISHIELD in the first dose, then you need to take the same vaccine in the second dose, and go to a centre which will provide you the same. You may or may not get a SMS reminder from the COWIN system, just schedule your appointment based on the outer limit of the gap and go for it!

For those who have already received two doses of any vaccine, even if you have strictly adhered to the 28 day gap originally dictated, you need not worry. Hopefully you will have acquired some level of protective immunity, and while there is no knowledge as of now about the requirement of a booster dose, you should be as ‘safe’ as if you had a longer gap between doses. The available vaccines are intended to provide you with protection from getting severely sick.

And yes, we all, irrespective of having received one dose, two doses, gap of 28 days or more, or even no vaccine, …..we all will have to continue to follow COVID Appropriate Behaviour.… till such time as the pandemic is truly tamed, which might take any where from a few months to a year or more. i.e Wear a mask in public spaces, disinfect hands periodically, avoid touching our face, Avoiding Crowds, Crowded Places and Close Contact.

Please do post any comments you would like addressed. You can subscribe to this blog by simply entering your email address somewhere towards the end of this page, and click on submit! You can also share this post with anyone and everyone! Information from a verified and credible source is always good to have in this infodemic , right ?

Stay safe.

Vaccine Tales Part 4: I had COVID already! Do I need this vaccine now?

“Doctor, why should I get the vaccine, when I have already come out of a COVID infection (unscathed)?”

” I believe that natural immunity acquired through having been infected, is better than vaccine derived immunity….”

Well, again, on the lighter side of things, social media has educated a lot of people and given their opinions a stage! If only life and science were so simple !

Like a stuck record, I must repeat “We dont know enough about this ‘novel’ Coronavirus as yet, We dont know how it affects us in the medium to long term…..!” Do keep in mind that this virus has been causing havoc for just about a year now and it truly does take many years for indepth scientific information to be collated, analysed and assimilated into the knowledge ecosystem. As of now we are learning on the fly….. So, possibly , you and I know as much as the real ‘experts’ out there.

As on 18 Mar 2021, it is recommended that all people should be vaccinated regardless of whether they have already had COVID-19 in the past.

We do not know as yet, for how long we are protected from getting sick again (i.e repeat infection) after recovering from COVID-19. There have been numerous reports from across the world of repeat infections. Hence, it is important to be aware that even if you have already recovered from COVID-19, it is possible that you can be infected again by the coronavirus, either the original coronavirus strain or even the new mutant strains which are emerging. While you may have some / partial immunity to the original coronavirus, you definitely may not have any immunity against the new mutant strains. Immunity development is a very complex process and we can at best guess our individual responses, as the human body is unique to each of us!

By now everyone of us is aware that getting COVID19 is like gambling with a loaded gun….. You do not know with certainty whether you will get seriously sick or not if you are infected! Vaccination provides you immunity without you falling sick the way you would, if you were actually infected with the coronavirus. Hence if I were to choose with getting some immunity, I would prefer the vaccine route as compared to getting infected with the coronavirus and getting sick with COVID19. You can read the CDC recommendation here.

Vaccination should be deferred for four to eight weeks after recovery from a COVID infection. Do not be in a rush, however do get vaccinated in due course of time, to harvest the benefit of the protection of vaccine derived immunity.
Another question that will keep pestering us : “Does vaccination with currently available vaccines, protect me against the newer strains / mutated virus of this Coronavirus?”
Again, no simple straight forward answer for this one too. Yes, at the current state of evidence, there is a likelihood of the currently available vaccines, providing protection against the newer strains / mutated virus variants. However, do keep in mind, that the vaccines are presently understood to be protecting us against getting severe illness or falling seriously sick even if we get infected. In all probability they will not prevent the virus (old, new, variant etc) from entering the body, i.e we can still get infected and spread the virus to others (hence the need to continue COVID Appropriate Behaviour even after vaccination).

In case you are taking any medications (and not just blood thinners), it is advisable to consult your doctor on telephone , prior to going to a vaccination centre. There are far too many medications and combinations thereof, to address through a generic post like this. Do not rely on social media, instead count on direct communication with your doctor, before you go for vaccination.

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At present (18 Mar 2021), I will recommend that you should take whatever vaccine you can get in India (i.e Covishield or Covaxin ). Millions have already been vaccinated with these two vaccines. Safe to say that it is safe , as of now. I am not commenting about the current social media scaremongering about the Astra Zeneca (Covishield) vaccine and its supposed linkage with clots. As and when the data is sifted more thoroughly, the ‘truth’ will come to light. Will be reading up on the evidence as it comes through and will distill the same for you to read subsequently.

COVID Vaccine Tales Part 3 : Side Effects- Should you be worried?

Vaccines save lives! There can be no further debate on this! Since the past 100 years or so, vaccines have transformed human survival in the ongoing fight against microbes . These vaccines are virtually the only specific protection we have against our microscopic enemies (i.e for those which we have vaccines against).

COVID-19 affects all age groups; however, morbidity & mortality is several times higher in adults particularly in those above the age of 50 years and those with co-morbidities such as Diabetes, Hypertension, Obesity (amongst a long list of such). Children usually have either asymptomatic or mild infection. The Govt of India has prioritized availability of vaccines (at present , in mid Mar 2021 subject to change in the days ahead) to those above 60 years and those in the 45-60 age group with specified co-morbidities. Eventually, as and when more and more of the ‘higher’ risk population is covered, the Govt will surely include the rest of the population in a phased manner, i.e all those above 18 years of age. Given the size of our population this will take a few months for sure. So if you are young(er) , have patience! Apna time aayega!

The currently available vaccines have not been thoroughly evaluated in children so far . There are now clinical trials underway to test the effectiveness and safety of the COVID 19 vaccines in children. Whenever this phase is satisfactorily completed, I am sure that the suitable vaccine will be provided for children too! There need not be ‘vaccine envy’ within a family…. it is essential for their well being to reassure young and old alike, that prevention remains best in the form of avoidance of crowds, crowded spaces and close contact. The vaccine is just another tool .

Side Effects : For those who have been vaccinated already (i.e those who have received even one dose of any COVID vaccine), there would have been apprehension about ‘Adverse Effects’ and ‘Side Effects’. For those who are yet to get the vaccine, there would be more apprehension, in case you have been reading about Adverse Effects or Side Effects in the news or through the Univ of WhatsApp. Relax, chill! Take a deep breath and a long sip of cool water!

Some mild symptoms may occur such as injection site tenderness, injection site pain, headache, fatigue, myalgia (muscle aches and pains), malaise (feeling unwell), pyrexia (low grade fever), chills and arthralgia (pain in joints), nausea (feeling vomitish). Please disregard media reportage of very rare events of disorders following vaccination with these vaccines. The rarer it is, the less likely that you will be affected !

Share in others misery : Here is a compilation of unedited comments from a cross section of people who received the vaccine in March from across India . For those who have already received a dose of the vaccine, you may relate to some of this:

“I was alright till I drifted off to sleep. At 5.30 am when I woke up, I had a severe backache- worse than ever. I could barely straighten myself. By midday I was running low grade fever- a complete day 0 for me. Next day slight backache persisted , felt better largely. Day 3 – I am ok.”

“I didnt feel anything at all! I even played 9 holes of golf the next day, and I am 72 years old”

“I started feeling dizzy by evening . I even felt disoriented and my body ache was horrible. Felt so feverish that couldn’t eat much. Next day I felt slightly better”

“My arm, where I had the shot became stiff and painful. Luckily I was fine otherwise. The pain became ok the next morning when I woke up”

“Through the day I stayed well- told myself “ you will be fine!” and then body ache started with fever- did I speak too soon? Only reason I forced myself to eat was to take a tablet”.

“What nonsense are people talking about, when I am feeling hale and hearty- these are all faint hearted people imagining reactions” , said some.

“I felt listless for the whole day- didn’t want to do anything at all, and then by evening I was fine”.

Recommendations for dealing with side effects : Firstly, please accept that side effects may occur. Next, avoid physical exertion for at least a day after the jab. Drink lots of water, eat nourishing meals and avoid alcohol or tobacco in the day(s) after the jab. If you feel slightly unwell, you can consider taking a paracetamol tablet (after something to eat, with a full glass of water). If feeling very unwell, consult your doctor on telephone sooner than later. [Its best that you be the judge of how ‘unwell’ you feel] You can have a look at this link to the CDC USA website giving you info about side effects…..

Common Misconceptions : “Alcohol cannot be consumed for upto 45 days after vaccination” Be reassured! If you are an occasional consumer of the spirit that cheers, do not get overly perturbed. Going by reports , this recommendation was essentially targeted at those receiving the Sputnik vaccine , as the consumption of alcohol in Russia is much higher than elsewhere, and it is a known fact that excessive alcohol consumption affects the immune system. My advice is If you drink, drink less, If you dont drink , dont start!!” And, yes, definitely avoid alcohol on the day of your vaccination and drink less in the days afterwards, if its possible, better for your health overall, to not drink at all.

Will I test positive on the corona test after the vaccine ?” Getting the vaccine will not make you test positive for COVID-19 on a Rapid test or a PCR test. If you test positive and it’s an accurate result, you were most likely exposed before you got the vaccine or before the protection kicked in.

How long does it take for the protection effect of the COVID vaccine to set in?” This is still being studied and we will know for sure only a few months later. As of now, it is reasonably assumed that within two to three weeks after completion of a two dose schedule of the vaccine (whichever), some immunity will be established for sure.

If I dont get any side effects after the vaccine, it means that the vaccine has not worked” Not true. Some people develop side effects, and some people dont. Which does not mean that the vaccine has ‘not worked’.

Do I need to wear masks / follow other COVID Appropriate Behaviour after receiving the vaccine?” Yes, it is absolutely necessary that everyone who has received the COVID vaccine should continue to follow COVID Appropriate Behaviour i.e., Wear masks, Keep Physical Distance, and undertake frequent hand sanitization to protect themselves and those around from spreading the infection.

How long will I remain protected after vaccination?” Longevity of the immune response in vaccinated individuals is yet to be determined as there is not much we know about the duration of protection , given that this coronavirus and its vaccine is new on the scene.

I had COVID last year, hence I do not need the vaccine” The current recommendations are for people to be vaccinated irrespective of their past history of having COVID, with a gap of at least a few weeks after having recovered.

I have been vaccinated, now I am safe, I will not get infected ” Not true. The vaccine is just going to protect you (hopefully) to some extent from getting seriously sick. The vaccine doesnt prevent you from getting infected and spreading it to your loved ones. You still can get infected with the virus and can even become an asymptomatic carrier.

Please share this post with your friends and family. Let us work together to dispel misconceptions and address vaccine hesitancy. Please post your additional queries in the Comments section for these to be addressed in subsequent posts.

Vaccine Tales – Part 2 of many : Fear of Missing Out and “To Vaccinate or not To Be…”

India, era of the pandemic, 2020. Despondence, desperation, rumours and hearsay. “What do we do to safeguard ourselves from COVID 19?” “Will there ever be a vaccine?” “Will we ever be safe from this virus?”

India, pre 01 March 2021. Intense anticipation and speculation, heated discussions, sweeping opinions… “Will the vaccine(s) against COVID 19 be effective? Let us refer to this study or that study, let us see what happens in UK!” “Can we afford to take the vaccine?” “I am safe, I need not take the vaccine”….”Doctor, which Vaccine should I take?”

India, post 01 Mar 2021. Frantic rush to vaccination centres, First Day First Show mindset (this refers to those people who simply love to watch a new Bollywood movie on its first screening, to get bragging rights!) , Irritation and frustration at technical glitches in COWIN system, Anger at being deprived of the opportunity to flaunt wealth to get priority or VIP vaccination ! “The COWIN registration is not happening!” “There are no appointment slots available for me!” “I am safe, I need not take the vaccine”….”Doctor, which Vaccine should I take?” “Why cant I get it now, I deserve to get it and I can afford it” “Will I get side effects?” “When can I get my next dose”

Well, we know all of the answers to all of the above rhetorical questions, as the ubiquitous Whatsapp and other tools of social media, have made these a part of our lives over the past couple of months. But do we have the correct answers?

I am a Public Health Specialist, let me not aver that I am an ‘expert’, let me just reassure you that I do not formulate my opinions, views and recommendations, based on an education through the University of Whatsapp. I do due diligence, and undertake a daily reading of the available and evolving literature on websites for professionals, and follow guidances issued periodically by the WHO, the Govt of India and CDC, USA, and then only formulate the aforementioned views and recommendations.

Should I take the COVID Vaccine at all ? I lead a ‘safe’ lifestyle and am careful! A no brainer this one. Just take the vaccine , whenever you get the opportunity to. Do not fight to be at the front of the line, there is enough vaccine under production to be available to all of the world (eventually). The vaccine will provide you “some” protection, do not bother yourself with percentages of effectiveness / efficacy, or waste effort to assiduously study the medical literature for clinical trial reports. Let people like me interpret these for you. Would you want the pilot of your plane to receive inputs on flight conditions from your local kirana (provisions) store chap ?

Based on current evidence , there is a strong likelihood that you will not get seriously sick if you are vaccinated and contract the COVID infection. Which means that you can still contract the infection, even if you are vaccinated. Hence the benefits of getting vaccinated far outweigh the potential risks of the vaccine.

Avoiding Crowds, Crowded places and Close Contact, combined with ensuring adequate ventilation of places and spaces that you frequent are at present the only ways to keep yourself safe. Wear a mask , and frequently use sanitizer or simply wash your hands with soap and water, and you will be safer!

Wear a mask correctly! And insist on others similarly!

Which Vaccine should I take? Any vaccine that is made available to you! Thats the vaccine that you should take! In India presently, there is no choice that is available to the recipient between Covishield (Serum Institute) or Covaxin (Bharat Biotech). In the days to come, it is possible that there may be a larger number of vaccines available commercially, and then the matter of choice will arise. By then, there will be more scientific studies available, and more evidence will have been generated. As of now, as long as its a vaccine against COVID19, and has received regulatory approval, take whatever vaccine you can get. And for the second dose, make sure that you take the same vaccine.

Will I be “free” to mingle and be unmasked for who I am, after I get vaccinated? Well, there is no simple answer to this one. Till the entire world is ‘safe’, you can never be truly ‘safe’. Wisdom lies in exercising caution and moderating your exposure to potential infection.

Would you willingly step into a pit which has poisonous snakes ? Would you venture forth bravely into a crowded room not knowing whether the others are well or ill or vaccinated or not? Does a person being an asymptomatic carrier have any visible signs , which you can recognise easily?

President Biden in the USA has recently announced to his people that they can anticipate being ‘free’ to mingle by the 04th of July, subject to many ifs and buts, with a full coverage with vaccine of the entire population at risk, being the most crucial. Would you like to take a chance with mingling maskless and in close proximity, breathing the same air as potentially infected individuals….. Remember, the vaccine does not safeguard you from getting infected with the coronavirus! It merely reduces the likelihood of a serious illness. You and others who are vaccinated can still get infected and transmit coronavirus to others!!

As a rough guide a recent release from the CDC USA gives us some insights to make an informed decision on our life ahead in the immediate future, after getting vaccinated .. Interpret this diagram with caution please.

My summary recommendation for a post vaccine life (for the first few weeks at least, till our experts are able to study the situation and issue updated guidances) remain the same….. Whether you are vaccinated or not , continue avoiding Crowds, Crowded places and Close Contact, combined with insisting on and ensuring adequate ventilation of places and spaces that you frequent. Consistently wear a mask and insist on others covering their nose and mouth when around you, frequently use sanitizer or simply wash your hands with soap and water, and you will be safer!

In subsequent parts of this ongoing narration, I will address other queries and concerns. Please share this post with your friends and relatives and enable them to get information that is up to date and relevant.

In case you have any specific queries or concerns which you feel will benefit the larger population to be informed about, please post in the Comments section below and I will address in subsequent posts.

Vaccine Tales Part 1 of many

Questions are being posed by all and sundry, about this vaccine for COVID 19. The WhatsApp intelligentsia are at it hammer and tongs. There is a degree of vaccine envy and a frisson of anticipation for those who will become eligible soon (when, is the vexatious question). Apparently the vaccine will not have any effect, if a selfie is not taken while getting vaccinated. A whole new fashion paradigm has come into being, of off shoulder clothing to pose for that mandatory selfie.

Amongst the many gems of wisdom floating around the social media circus, one analogy in response to the oft answered question on vaccine effectiveness struck me as very apt to be shared with due tweaking. The author of the original post is unknown (though maybe with the new Privacy settings on Whatsapp, Facebook knows!).

My recommendation at this juncture on 27 Jan 2021, when vaccines (from different manufacturers) have barely begun to make a dent on the 7 billion plus world population. It might take many years before we even achieve any kind of reasonable coverage . Till then, the best approach is a risk stratified approach to prioritise people in the public health system, while making it commercially available to cater for those who can afford to purchase whatever protection that may be afforded. However, governmental prudence is being exercised in balancing the two requirements at present.

Those who drive cars, wear seatbelts (or at least should irrespective of whether it is compulsory or not, depending on laws of the Land – For info, in India it is compulsory for those in the front seats to wear seat belts when the vehicle is in motion. ) And those who drive two wheelers surely will appreciate the fact that a proper helmet , worn properly with the strap fastened under the chin, will save their lives by minimizing the effect of head injuries.

So now, a properly worn seatbelt in a car and a properly worn helmet for a two wheeler driver, does it afford protection ? A no brainer surely…. the answer has to be Yes .
Just like the COVID vaccineit does afford some protection (going by clinical trials). How much protection, or for how long? To answer that we will have to travel ahead a few years in time to be certain of the answer.

Do seat belts for cars and helmets for two wheelers protect you 100%? –
No they dont protect 100%.
Just like the COVID vaccinePossibly, it would afford some protection (going by clinical trials). How much protection, or for how long? To answer that we will have to travel ahead a few years in time to be certain of the answer.

Do seat belts for cars and helmets for two wheelers prevent you from getting into an accident?
No they dont!
Just like the COVID vaccineit most likely would not prevent you from getting infected by some variant of the virus (going by current knowledge, though we would all like it to prevent infection totally). So what would the vaccine do for you? The body’s immune response would be stimulated and it is hoped that either your infection would be tackled up front and dealt with, or you would develop a milder disease than if you were unvaccinated.

If at all we have an accident while driving a car or a two wheeler, does wearing a seat belt or a helmet reduce severity? –
Yes indeed! It makes sense surely!
Just like the COVID vaccine – If you were to be infected by the nCOV, it most likely would result in a milder disease than if you were unvaccinated.

Does wearing a seat belt or a helmet imply that you drive recklessly and unsafely?
No, absolutely not, unless you have a death wish.
Just like the COVID vaccineEven if you are vaccinated, you still would need to continue to practice COVID Appropriate Behaviour – i.e Wearing of Masks, Avoidance of Crowds, Close Contact and Closed Spaces , Physical distancing and Handwashing , till that point of time in the future when we can be reasonably certain that the threat of infection has diminished totally.

Your health and your safety is literally in your hands.

Wearing a helmet or putting on a seat belt , does it translate into not causing injury to others on the road ?
Obviously not! Pedestrians are mostly innocent victims in Road Traffic Accidents.
Just like the COVID vaccinewhile you might get a milder disease when infected with the virus in case you are vaccinated, however you can still infect others, and those not vaccinated are at risk from you!

When we wear seatbelts or helmets do we give a thought to the manufacturers profits (it is assumed that you will choose wisely when it comes to safeguarding your head- as you have only one) ?
Well, most of us may not think of this at all….,
Just like the COVID vaccinethose companies that have manufactured these, will undoubtedly profit from sales. However they have also invested their own money in doing so, and hence, if you can, you should buy into their company! There is no such thing as a free lunch in life. So why grudge them their billions. You could be the one who discovers the next big vaccine, in another life. For info, you cannot buy shares of Serum Institute as it is a privately held company.

So, are we happy that some company / agencies / persons invented seatbelts and helmets?
Absolutely. I and my family have been wearing seatbelts long before it even became compulsory in India. And having been in the military, we all are aware that helmets are compulsory for soldiers to save their heads from bullets, and from the road too.
Just like the COVID vaccineI am very happy and pleased that there are some very smart people working to develop vaccines ,not just for COVID19 but for all kinds of threats that humanity faces on a daily basis.

Do helmets and seatbelts themselves cause injuries?
Yes, seatbelt injuries do occur and helmets can be problematic especially if sub standard.
Just like the COVID vaccines, which can all have side effects, mostly mild, some serious.

Knowing all of the above, should we still wear helmets for two wheelers and seatbelts for cars, even if these were not legally enforced?
Yes, I would ! And I will !
Just like the COVID vaccine.

Someday, I would surely get a vaccine, you would not find me fighting to get in line to be in the front of the queue. But yes, eventually I will get the vaccine.
Just like wearing a seatbelt or a helmet, getting the vaccine doesn’t mean you can be a COVidiot , it just gives you some amount of protection.

So at the end of it all, it boils down to just how much of a risk taker you are!
Are you willing to take the risk of side effects for the x% chance of protection? How much do you see yourself as at risk of getting infected and developing serious disease? Which could be prevented or minimized by getting the vaccine?

Irrespective of your age, dont get perturbed. Go for it with your eyes wide open. Neither expect miracles nor give up hope. And continue to Mask and Distance and wash your hands off concern..

New Year 2021

As we embark on the journey through yet another year in our lives after a washed out 2020, no one, nay not one person, can aver that the potential end of the pandemic is not in their mental horizon.

Will I get the vaccine? Will the vaccine work? Will I get infected with this coronavirus? What will be the effect of the vaccine to safeguard me and my family? Can I stop all these precautionary measures? Can I get my life back? Will things go back to the ‘normal’ that I have been used to for all these years?

Seemingly rhetorical questions , these all…. as no one can answer them with certainty. When asked by someone to comment on them, I candidly stated that these are best answered after one calendar to the date. No one knows, despite all the science being brandished on social media to intimidate the lay person!

Masterly inactivity and watchful expectancy are the key words I am going to be relying upon in this New Year. On the lighter side, I have never watched even a Bollywood movie “First Day, First Show”.

Please be careful of misinformation and disinformation. There is a lot of vaccine related information floating around, and a flurry of claims and counter allegations. IGNORE all these please.

Please have a look at this highly relevant poster from the WHO….

If you have to receive the vaccine, you will get it! You dont have to decide anyway , till the last minute. So why fret? As time goes by, more evidence will roll in, more information will be available. So dont rush to the head of the queue.

In 2021, I forecast that Wearing of masks , Avoiding close contact, crowds and crowded places, Hand and personal hygiene will be the mantra to prevent infection, not just from coronavirus, but a host of other infections. About the vaccine, I cannot forecast what will be the reality, as this is best commented upon in hindsight !


Dont get your Blood Pressure up thinking about ‘the vaccine’!

In the current times, to begin anything with a note about the much anticipated vaccine makes sure that your attention is caught!

Whether a vaccine that ‘works’ will reach you, eventually, may just be a matter for speculation! Whether that vaccine will be safe is what will be worrying to you and to everyone!

Wait and watch, masterly inactivity and watchful expectancy is what I recommend for everyone waiting with bated breath. Unless you are yourself involved in either the research or the regulatory supervision, the vaccine development process doesnt need you! So why fret? Dont get all worked up thinking about the vaccine.

High blood pressure (hypertension) is when your blood pressure is consistently too high. Normal blood pressure is when the Systolic (upper number) <120 mmHg and diastolic (lower number) <80 mmHg. Anything more than this can be classified as either Elevated Blood pressure in the early stages or as proper Hypertension (stage 1 and 2 at higher levels).

Hypertension is so common in our modern day lives, that most of us will eventually develop hypertension, sooner than later given our lifestyles.

  • Most of the time there are no obvious symptoms.
  • Certain physical traits and lifestyle choices can put us at a greater risk for high BP.
  • If left untreated, the damage that high BP does to your circulatory system is a significant contributing factor to heart disease, stroke and other effects on health.

Prevention is the best ‘cure’ for high BP. Simple measures are what you and me need to incorporate into our daily lives.

Please circulate the below posters to your family, friends and colleagues, to spread the correct information. Might as well read something other than vaccine news !

Pandemic Wave – Let it pass you by

There is a lot of conjecture, a lot of speculation, and indeed, a lot of erudite folks educated mostly through social media, who are tossing about their views on the ongoing pandemic and its epidemiological trends. So, should you care?

Well, wise is the person who heeds the lessons that life offers ever so often. While waiting for an effective vaccine may be akin to waiting for Godot, let us not get swayed by the rhetoric all around.

Irrespective of whether we need to anticipate second or third waves or whatever, of the ongoing pandemic, please be reassured that current evidence still reaffirms that preventive measures remain the same, i.e. Avoid Crowds, Crowded Places and Close Contact. Stay Masked, and Wash hands frequently.   

A ready reckoner of the symptoms which should warrant seeking medical attention is as below.   There are many other symptoms which may not be mentioned here. Just keep your wits about you, and confer with your friendly health care provider on telephone when you are in doubt and are unwell.

Stay calm and Stay aware. Do not neglect symptoms.   

And, do not unnecessarily get yourself tested unless it is required to get tested.   

Rely only on authentic sources of information and do not be swayed by social media misinformation.

Diabetes – A sweet you?

Dear Reader,

Happy Diwali to you and your loved ones!
As we inch towards the end of 2020, and it becomes that time of the year to make resolutions for the New Year…we all must endeavour to recognize the insidious threat to our health that Diabetes poses.

We all know someone or have a family member who is affected by Diabetes. This is not a ‘modern’ disease, though it definitely is a lifestyle disease! Young or old, all are potentially threatened by Diabetes! It is an inescapable reality, that the years ahead will have non communicable diseases such as Diabetes and Hypertension in store, for most of us.

Simple lifestyle measures have been shown to be effective in preventing or delaying the onset of Type 2 Diabetes.

To help prevent Type 2 Diabetes and its complications, we all should:-

  • achieve and maintain a healthy body weight;
  • be physically active – doing at least 30 minutes of regular, moderate-intensity activity on most if not all days of the week. Keep in mind that more activity is required for weight control;
  • eat a healthy diet, avoiding sugar and saturated fats;
  • avoid tobacco use – smoking increases the risk of diabetes and cardiovascular disease.
  • cut down on consumption of alcohol.

Diabetes is not about sweetness of your foods or your personality. Diabetes is about your lifestyle. .

In this festive season,
Prevention is all about Moderation… Think before you eat 😁

You can indulge yourself for sure…. keeping in mind that moderation is key!

Best wishes for the festive season!

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