Abstract

Objectives: To find the underlying reasons for the exponential increase in mortality rate in India due to (coronavirus disease-2019) COVID-19. Methods: The Indian scenario was analysed after the first declaration of the COVID-19 outbreak. Despite the meticulous efforts of the Indian government, the number of deaths rose gradually. Subsequently, an exponential increase was observed, and the trend was analysed cautiously to assess the shortcomings. Findings: The cause of death in the reproductive age group and change in the pattern of death in the first and second waves were analysed. A rapid increase in death might be due to not identifying individuals with comorbidity early. Due to the lack of a centralised government database, a higher death rate is recorded. Novelty: Identifying and communicating with individuals with comorbidities at the right time is essential during the pandemic. Hence, the present study emphasised a centralised database and connected the medical records nationwide to provide early warning signals for such people. In the future, it could be linked with the Geographical Information System (GIS). Keywords pandemic, comorbidity, unique ID card, vulnerable, lockdown

Highlights

  • The coronavirus epidemic that started in China in late December 2019 (COVID-19) has become the deadliest pandemic of the century and devasted the human community in just a few months

  • By the time COVID-19 was declared a pandemic, a 13-fold increase was recorded in China and had spread to more than 114 countries

  • The 20st century has witnessed many pandemics, including the Spanish Flu, Asian Flu, Hong Kong Flu, HIV/AIDS, SARS, Swine flu, Ebola, MERS and the newly added COVID19, all those listed in Figure 1 have a crucial role in disrupting the human community during the specific period

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Summary

Introduction

The coronavirus epidemic that started in China in late December 2019 (COVID-19) has become the deadliest pandemic of the century and devasted the human community in just a few months. COVID-19 outbreaks were officially announced as pandemic on 11 March 2020 by World Health Organization (WHO) because it started affecting a large geographical area, affecting many people and spreading rapidly in the community. By the time COVID-19 was declared a pandemic, a 13-fold increase was recorded in China and had spread to more than 114 countries. The 20st century has witnessed many pandemics, including the Spanish Flu, Asian Flu, Hong Kong Flu, HIV/AIDS, SARS, Swine flu, Ebola, MERS and the newly added COVID19, all those listed in Figure 1 have a crucial role in disrupting the human community during the specific period

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