Testing,
Confirmed cases and Analysis for the Indian City Pune
Dr
Himanshu Shekhar
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Introduction
During second spell of
COVID-19 in India, Pune figured amongst the top 10 contributing cities, but
slowly some control is visible and now the situation seems to be improving rapidly.
Pune has been pensioner’s paradise and is called the pious city. However, the
rapid spread of COVID-19 has taken toll over the basic socio-economic fiber and
morale of the city. In line with previous posts, where, India, Maharashtra and
7 other countries of the world, where multiple waves of COVID-19 are seen, are analysed,
this article concentrates on the Indian City called Pune, in the first week of
May 2021. Obviously data belongs to that from end April 2021 with 1-2 days
overlap in May 2021.
Current Status
Pune has many testing centres
and daily reported confirmed cases are plotted on same scale. It is clear that
number of confirmed cases increases or decreases depending on nature of number
of testing. So, the myth that increase in number of testing increases daily
number of confirmed cases, is true for Pune. Since number of testing is not constant, the daily number of confirmed
cases could not be commented upon, well.
However, to have a better understanding, the percentage positivity can be calculated. It is percentage confirmed cases per 100 testing. Although data is quite oscillating, but the percentage went down below 10% in the first week of January 2021. However, it rose monotonically to above 30% in the first week of April 2021. Currently the value is around 20%.
One more aspect, which plays a
major role in understanding the status of COVID-19 control in any geographical
region is daily recovery. It helps in calculation of current active cases for assessing
load on infrastructure. Surprisingly, Pune has almost similar trend of recovery
as that for the confirmed cases. Rise in confirmed cases matched well with the
rise in recovery rate to display the health of city, in terms of COVID-19. This
is a positive sign.
However, a negative issue exists with number of deceased. Although confirmed cases are declining now, the number of deceased is rising continuously. This must be controlled, in real sense, rise in deceased number reduces active cases, but poor healthcare system of the city is reflected by this. However, immunity, age-group, infection level, detection area, zone of hospital, etc are also factors contributing to the number of daily deceased.
Calculated Parameters
Doubling period of total
confirmed cases in Pune, displayed continuous improvement. It reached to 191
days by the end of March 2021. After this the control somehow got lost and
rapid decline in doubling period was observed. Doubling period is the duration
in which total confirmed cases double. Currently the doubling period for Pune is
52 days. The doubling period curve for Pune must go up to maintain effective
control.
Another parameter of significance
is daily growth rate, which is calculated on weekly basis. The data of 7-days
gap are considered for the calculation of daily growth rate. Before September 2020,
it was very high. However, it is controlled to a very low level later on. It
went below 0.20% by 5 December 2020 and remained below 0.20 % till 20 February
2021, a duration of almost 2.5 months. However, the tendency to rise was
visible and it reached to around 1.90% by 09 April 2021. Currently daily growth
rate has declining tendency, which is good. The declining tendency must be
maintained.
Conclusion
Pune displayed higher number of confirmed cases, whenever higher number of tests are conducted on daily basis. The recovery is surprisingly following the confirmed cases well. However, current concern should be to reduce number of deceased, which has rising tendency despite a decline in number of confirmed cases. The doubling period for Pune is reducing, which must be controlled. The reduction in daily growth rate is a good sign, indicating a better future. This a purely mathematical exercise and explanation for rise and fall of each parameters, are although known, mathematically, but not made part of this post for maintaining reader’s interest.
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Hope that it is a good reading material for readers. Thank you very much. Do read and share. Be active, take care, be healthy and safe. Regards.
Dr Himanshu Shekhar
Additinal comment
Shri SA Joshi commented to have a look at the mortality rate when COVID was non existent. Data is collected from NHSRC official site of census, which is reproduced below. Annual deceased due to various reasons comes out to be above 20000. The pandemic has cross this number in Pune. The point raise by Mr Joshi is very true to have a holistic picture. I salute his interest and feel proud to have worked with him.







Thank you readers. It reached 100 views in 6 hrs. Regards. Dr Himanshu Shekhar
ReplyDeleteSo, "the myth that increase in number of testing increases daily number of confirmed cases is true." - sounds interesting. Good study. Abhinandan!
ReplyDeleteComments received personally:
ReplyDelete1. Consider daily mortily of Pune in adsense of Pandemic to have correct numbers and conclusion. Mr SA Joshi
2. Jumping to conclusion of reduced number of cases is to be avoided in light of positivity rate and poor healthcare infrastructure. Mr S K Srivastava
3. Less doubling rate may be due to airborne transmission, proposed recently. Mr Dilip Y Patil