Harm management With the humanitarian disaster in India worsening, instant and aggressive measures are wanted to stabilize the scenario and purchase time for vaccine manufacturing to ramp up. The disaster is already spreading past India’s borders and would require coordinated world motion. Pace is crucial. As Michael Ryan of the World Well being Group famous in March 2020, “The best error is to not transfer … pace trumps perfection.” Over the previous week, governments in nations together with the UK, EU, Russia, and the US have pledged assist, however they threat offering too little, too late. Medical oxygen is in critically brief provide in India, with an estimated every day want of two million oxygen cylinders far exceeding home manufacturing capability. India additionally wants drugs, hospital beds, ventilators, private protecting tools, covid testing provides, and different fundamental medical items. Extra well being employees might quickly be wanted to enhance India’s personal, who’re presently working below immense strain. The US has pledged oxygen cylinders, oxygen concentrators and technology items, antiviral medication, testing kits, and entry to vaccine manufacturing provides, and the primary assist flights arrived in India on Friday, April 30. The EU has activated its Civil Safety Mechanism to ship oxygen and drugs. The primary assist shipments from the UK arrived on Tuesday, April 27, and included oxygen concentrators and ventilators. Even this world assist response won’t avert a historic tragedy. Projections present that we’re prone to see over 12,000 every day deaths in India by mid-Could, and near 1 million whole deaths by August. REUTERS/AMIT DAVE That’s why Indian central and state governments should instantly enact aggressive public well being measures to maintain the virus at bay. These might embody journey restrictions, office and college closures, and necessities for social distancing and masks carrying, together with social and financial help for probably the most weak populations. Such measures have been deployed inconsistently throughout India, and in some instances they’ve been undermined by political leaders. A number of Indian areas, together with Delhi, Karnataka, and Maharashtra, have not too long ago imposed stringent journey and motion restrictions, however there’s nonetheless no nationwide strategy. Ramping up vaccine manufacturing capability, too, will likely be key to subduing the virus in India in the long run and slowing its unfold all over the world. Doing that may require a coordinated world effort between firms and governments. Slowly, the Indian authorities is beginning to get up to the scenario. The current advance buy funds will enable Bharat Biotech to double its manufacturing capability, to twenty million doses a month, by June and attain 60 million per 30 days by August. Equally, the Serum Institute hopes to be producing 100 million doses a month by mid-year. However this isn’t a near-term answer. Sadly, vaccines won’t remedy the acute disaster, and no main shares of vaccines are presently accessible to import into India. Even the US pledge to share 60 million doses of AstraZeneca vaccine globally will take months to meet.