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LESSONS LEARNED
AND NOT LEARNED
IN PANDEMIC
Dr Harivansh Chopra
National President-Elect , IAPSM
Former Professor & HOD
Community Medicine,
LLRM Medical College, Meerut
WHAT IS THE
MEANING OF
LESSON
LEARNED?
DISEASE WAS TREATED AS DISASTER
TWO APPROACHES
AUTHORITATIVE
MOTIVATIONAL &
PARTICIPATORY
PUBLIC HEALTH
EXPERTS WERE NOT
CONSULTED
DYNAMIC OF
TRANSMISSION
WAS NOT
UNDERSTOOD
FREQUENT CHANGE IN
GUIDELINES BY ICMR GOVT /
CDC / WHO / REPUTED
JOURNALS
RISK MITIGATION VS
COMPULSORY QUARANTINE
AND HOSPITALISATION
PREPARATIONS WERE
MADE FOR
TREATMENT IN
APPROVED
HOSPITALS ONLY
NO FEEDBACK MECHANISM ON
INFRASTRUCTURE AND SERVICES
ROLE OF MEDIA IN CREATING
PANIC
PRIVATE SECTOR WAS NOT
INVOLVED
NO EFFORT WAS MADE TO REDUCE
SUFFERING
INABILITY TO STOP BLACK
MARKETING AND HOARDING
OF DRUGS AND MATERIAL
LACK OF PROPER
IMPLEMENTATION OF MASK,
DISTANCE AND HYGIENE
VACCINE IS A BIG BOON
VACCINATION STRATEGY
BLINDLY FOLLOWED THE INTERNATIONAL
STRATEGY
DIFFERENT COUNTRIES, DIFFERENT
SETTINGS
Factors to Consider
DEMAND WASTAGE HESITANCY
ACCESS
TRUST
VACCINATION
STRATEGY
SUPPLY
City
State
Ward
Society
Family
1
2
3
4
5
VACCINATION STRATEGY
UNIMMUNIZED
VACCINATION
IMMUNIZED
ANTIBODY TESTING
COVID APPROPRIATE
BEHAVIOUR
Mask Distance Hygiene
STATE
FUND
FREE
DISTRIBUTION
FINE
PRODUCTION
HOW TO
INCREASE MASK
USE ?
HOW TO
INCREASE MASK
USE ?
IEC
MOHALLA
COMMITTEE
MICRO
PLANNING
NGO &
COMMUNITY
LEADERS
SURVEILLANCE
PRIVATE
PRACTITIONERS
MUNICIPAL
BODY
HEALTH
TREATMENT
CENTERS
POLICE
PUBLIC
HEALTH
EXPERT
QUARANTINE
CENTERS
MICRO-
PLANNING
ROBUST IEC
FREE SUPPLY
OF FOOD &
MILK
POLITICAL WILL
LACK OF COMMUNITY PARTICIPATION
AND INTER-SECTORAL COORDINATION
PRIMARY HEALTH CARE DEVELOPMENT IS
STILL NOT FOCUSED AND IMPLEMENTED
NO PANDEMIC CAN BE MANAGED IN THE
HOSPITAL AND NO PANDEMIC CAN BE
PREVENTED BY THE GOVT
EPIDEMIOLOGICAL RING
When natural and artificial (vaccine)
immunity both are available then the
golden epidemiological ring is formed
and disease is effectively controlled.

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