Wednesday, July 22, 2020

How Dharavi, Asia’s biggest slum, fought against COVID-19

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Inshiya Nalawala

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How Dharavi, Asia’s biggest slum, fought against COVID-19

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Global Views 360

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July 22, 2020

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A still from Dharavi, Mumbai

A still from Dharavi, Mumbai | Source: M M via  Flickr

Imagine a place where 8-10 people live in 100 square feet structures. A place which squeezes close to 6,50,000 people, 5,000 small factories, and about 15,000 single-room workshops in just 2.5 square kilometer area. Welcome to  Dharavi, the biggest slum of Asia situated in the heart of fashion, entertainment, and commercial capital of India, Mumbai.

When the first COVID-19 case was discovered in Dharavi, it caused massive panic among the citizens as well as officials. Social distancing is virtually impossible to achieve in Dharavi, which is a maze of narrow congested lanes with tenements on either side of it and where 80% of the population use community toilets.

With their fingers crossed, people were speculating about Dharavi turning into a graveyard. These fears turned out to be misplaced and three months later Dharavi won praise from the WHO for effectively restricting the spread of coronavirus. According to the official data, the COVID-19 case doubling rate improved greatly, from 18 days in April, to 43 days in May, to 108 days in June, and 480 days in July.

Mr. Kiran Dighavkar, Assistant Commissioner of the top civic body of Mumbai, Brihanmumbai Municipal Corporation (BMC) said that their undertaking of an aggressive strategy of 4T’s - Tracing, Tracking, Testing & Treating, is the key to Dharavi’s successful fightback against the pandemic. The fightback plan was aptly coined "Mission Dharavi".

Extensive screening and testing of residents was done to detect the symptoms for coronavirus in "fever camp" which were set up by medical workers in different parts of the slum everyday. Many buildings such as schools, wedding halls, and sports complexes were overtaken by the civic authorities and were repurposed as quarantine facilities. A 200-bed hospital was also set up in record 14 days.

The BMC commissioner, I S Chahal said “Proactive screening helped in early detection, timely treatment and recovery.” Close to six hundred thousand people were screened, 14,000 people tested and 13,000 quarantined in nearby institutions, schools, marriage halls, and sports complexes. Furthermore, continuous monitoring of people’s movement using drones helped reinforce containment measures and scaled progress swiftly.

To further strengthen the measure, locals of the community emerged as “COVID Yodhas” (warriors) to address the concerns, a senior official said.  Many well endowed citizens and NGO’s provided Free meals, ration, PPE gear, oxygen cylinders, gloves, masks, medicines, and ventilators to residents and doctors.th July

On 8th July 2020 Dharavi recorded a total of 2,335 COVID-19 out of which 1,735 patients have recovered and there are only 352 active cases at present. Only 82 deaths were recorded in Dharavi till 8th July as against more than 4500 in the whole of Mumbai.

This phenomenal success has given the world a yet simple and effective technique in curbing the spread of the deadly virus. World Health Organization (WHO) chief Tedros Adhanom Ghebreyesus, in a virtual press conference in Geneva, acknowledging the efforts of various nations and Dharavi to contain the virus, said that “There are many examples from around the world that have shown that even if the outbreak is very intense, it can still be brought back under control”. Further, he added, “And some of these examples are Italy, Spain, and South Korea, and even in Dharavi -- a densely packed area in the megacity of Mumbai -- a strong focus on community engagement and the basics of testing, tracing, isolating and treating all those that are sick is key to breaking the chains of transmission and suppressing the virus.”

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February 4, 2021 4:40 PM

Gaza under Israeli blockade — Its Impact on COVID-19

The Gaza Strip has faced massive destruction due to Israeli-led blockade since 2007. Israel controls all the entry and exit points of Gaza which it uses to restrict the movement of goods and people between Gaza and the outside world, effectively turning it into the “largest open-air prison” in the world. Gaza, as a result of the humanitarian crisis since the last 13 years is now one of the most densely populated yet the poorest spaces in the world. This has adversely impacted the delivery of public services, including healthcare service in Gaza strip. According to the head of the International Committee of the Red Cross (ICRC) sub-delegation to Gaza, Ignacio Casares, the health system in Gaza “is already overstretched, already at its limit,”. Daily power cuts and irregular electricity supply add on to this which forces Doctors to rely on generators during emergencies. This horrible condition was documented earlier as well in a 2017 UN Report which stated that the Gaza Strip would be “unlivable” by 2020. 

The 13 years long blockade has forced the government as well as people living in Gaza to manage the harsh conditions with the meagre resource at their disposal.  The WHO  had pointed out in a report last year that all the patients and their companions were required to apply for Israeli permits to exit the Gaza Strip for accessing the hospitals in the West Bank, including East Jerusalem, and Israel,". "Access has been particularly problematic in 2019, with the patient permit approval rate declining”. 

People in Gaza strip are now battling the COVID-19 pandemic also with the help of simple whatever meagre resources at their disposal. The healthcare and other authorities understood that they would not be able to provide the hospitalization if the pandemic broke out, so they took some immediate steps to contain the COVID-19 from the early stage. The places of large public gathering like street markets, shops, shopping malls, wedding halls were ordered to lock down by State authorities. A senior official with the Hamas movement said at a news conference that officials were considering imposing a curfew. Using the traditional methods, the authorities built more than 1000 quarantine rooms in the Gaza Strip. Palestinian Ministry of Health states that quarantine centres are established in three places: Rafah, Deir Al-Balah, and Khan Younis. More than 1000 people who came from the Israel and Egypt borders were quarantined in schools, hotels, and hospitals. 

With the increase in the number of cases, society started displaying anxiety and fear but it was overcome by mutual cooperation. The State of Palestine and its citizens has proved that the constraints cannot become an obstacle in dealing with the pandemic.

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