A Perspective on India’s Fight against COVID - 19

  • Deepika Karotia National Consultant (Public Health), Central Leprosy Division, Directorate General of Health Services, Ministry of Health & Family Welfare.
  • Anil Kumar Deputy Director General (Deafness), Directorate General of Health Services, Ministry of Health & Family Welfare. https://orcid.org/0000-0002-5988-7924
Keywords: COVID - 19, SARS-CoV-2, Infectious Disease, Pandemic


The COVID - 19 pandemic which has affected 209 countries/ territories, infected more than a million persons and claimed more than 50 thousands human lives worldwide (till 4th April, 2020). It is caused by SARS-CoV-2 a novel virus genetically similar to SARS virus and reported first in Wuhan, China. In India, the first case was reported in January and until 5th April, 2020 it has spread to 29 States/UTs, affected more than 3 thousand. The fate of this disease in India is to be determined by three elements of epidemiology, i.e. agent, host and environment. The agent is novel, but it has been reported that there are two strains of SARS-CoV-2 under circulation out of which one is more aggressive and spread quickly. As the susceptibility to the virus is there in Indian population, like other countries but its presentation in hosts which range from asymptomatic to severe pneumonia would be affected by the innate immunity of hosts and small proportion of population belonging to high risk group. In addition, the weather of India may also act as an impediment to the fatalities this disease may cause. The measures taken by India first to restrict the entry of this agent in community and further to interrupt its transmission are exemplary. However, still there is need to be future ready and plan strategically, learning from success and failure of other countries. In order to tackle this pandemic, there is need to strengthen the existing medical infrastructure to take care of advance stage of COVID-19 patients and quality epidemiological investigation of COVID - 19 cases at the community level.

How to cite this article:
Karotia D, Kumar A. A Perspective on India’s Fight against COVID - 19. Epidem Int 2020; 5(1): 22-28.


Coronavirus disease (COVID-19) outbreak situation update by World Health Organisation (WHO) accessed

on 3rd April, 2020. https://www.who.int/emergencies/diseases/novel-coronavirus-2019.

Report of the WHO-China Joint Mission on Coronavirus Disease 2019 (COVID-19), 16-24 February 2020.

Online notification published by WHO regarding, “Naming the coronavirus disease (COVID-19) and

the virus that causes it”, accessed on 3rd April, 2020. https://www.who.int/emergencies/diseases/novelcoronavirus-2019/technical-guidance/naming-thecoronavirus-


WHO Director-General’s opening remarks at the media briefing on COVID-19 - 11 March 2020. (https://www.



Coronavirus disease 2019 (COVID-19) Situation Report - 75, World Health Organisation (WHO).

Status update of COVID – 19, published by MoHFW, accessed on 3rd April, 2020. https://www.mohfw.gov.in/.

Tang X, Wu C, Li X, Song Y, Yao X, Wu X et al. On the origin and continuing evolution of SARS-CoV-2. National

Science Review. nwaa036. https://doi.org/10.1093/nsr/nwaa036.

Population pyramid of India, 2019. United Nations, Department of Economic and Social Affairs, Population

Division, World Population Prospects reports accesse on. https://www.populationpyramid.net/india/2019/.

Abel AM, Yang C, Thakar MS, Malarkannan S. Natural Killer Cells: Development, Maturation, and Clinical

Utilization. Front Immunol 9: 1869. 2018. DOI: 10.3389/fimmu.2018.01869.

Du Z, Sharma S, Spellman S et al. KIR2DL5 alleles mark certain combination of activating KIR genes. Genes

Immun 2008; 9: 470-480. https://doi.org/10.1038/gene.2008.39

Wang J, Tang Ke, Feng K, Lv W. High Temperature and High Humidity Reduce the Transmission of COVID-19

(March 9, 2020). Available at SSRN: https://ssrn.com/abstract=3551767 or http://dx.doi.org/10.2139/


Cascella M, Rajnik M, Cuomo A et al. Features, Evaluation and Treatment Coronavirus (COVID-19)

[Updated 2020 Mar 20]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-.

Available from: https://www.ncbi.nlm.nih.gov/books/NBK554776/.

National Centers for Environmental Information (NCEI), National Oceanic and Atmospheric Administration



Press release, Ministry of Health and Family Welfare, Update on COVID-19, India Evacuates its citizens from

Iran, Posted On: 11 MAR 2020 3:57PM by PIB Delhi.

COVID19 for India Updates, March 24, 2020, The Centre for Disease Dynamics, Economics & Policy, Washington DC & New Delhi, Johns Hopkins University.