COVID-19 time bomb ticking

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 There has been some disturbing events with regard to management of stranded persons of Nagaland who arrived from various states particularly with regard to testing for COVID-19. Earlier it was the May 26 Tuensang fiasco when 169 returnees were sent to Tuensang by bus before COVID-19 test results were out. It later turned out that one of the returnees travelling in one of the buses, was confirmed positive for COVID-19. Another fiasco took place on June 4 when some of returnees of Peren district were released from Dimapur quarantine centres after completing the mandatory 14-day period and as none had shown symptoms of COVID-19. The returnees were then sent to Peren and kept in quarantine centres for 14 days and were eventually released when none of them showed any symptoms. Former chief minister and leader of opposition T.R.Zeliang said the returnees on arrival at Peren were taken to community quarantine centres and second testing was not done. On the other hand, health authorities had confirmed that 31 of the returnees were tested positive for COVID-19 and the remaining who were tested negative were kept at quarantine centres for 14 days and subsequently released. On the other hand, sources from the Joint Action Committee (JAC) which has been demanding better medical facilities including a BSL-(Level 2) set up in the district and which held a protest over management of quarantine centres, said the returnees were sent to their respective villages without conducting the second test and that some of the returnees had already gone to their villages and homes for home quarantine. This was the crucial point of concern- that those who had gone home etc may have been exposed to the virus while being placed under the same batch with those who were later tested positive. The point is that if the second testing was not done, then transmission cannot be ruled out. The entire issue of testing has come under scanner owing to such apprehensions. However, such apprehensions may not be based on scientific thinking but more on hunch since most are ignorant of COVID-19. On the other hand, there are medical reports stating that some people who may not symptoms of COVID- 19 had mild symptoms or had a false-negative test, or could not get tested for any reason. Serologic tests will provide a more accurate picture on whether a person has developed antibodies against COVID-19 and of how many people have been infected with, and recovered from COVID-19 as well as the true fatality rate. The reputed Food and Drug Administration(FDA) in the US has cautioned that negative results do not rule out infection from COVID-19 . Serological tests are done to detect SARS-CoV-2 antibodies in serum or plasma components of blood. The fight against COVID-19 is not going to end when all returnees are released from various quarantine centres across Nagaland. The virus has already made its presence beyond the quarantine centres when several persons across Nagaland were infected with the virus even if they had not been to the quarantines nor had contact with known COVID-19 patients. What former chief minister T.R.Zeliang had feared was that due to large number of confirmed COVID-19 cases under the district, community transmission was more likely. Containment to such is a knee jerk reaction since what is needed is immediate tracing and tracking.

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