India has begun preparing for Stage-3 of the outbreak following the recommendation from members of the COVID-19 task force, even as the Indian Council of Medical Research (ICMR) continues to maintain that there is no evidence of community transmission in the country yet.
The preparations have already begun in Delhi, where thegovernment has started scaling up its health infrastructure to handle theevolving situation.
Stage 3 is community transmission, when the source of infection is not known for the majority of the infected population and new positive cases can no longer be traced to diagnosed cases. This would mean the scale of the outbreak increases.
According to the government, currently, India is largely reporting cases either having a travel history to the virus hit countries or contact history with an infected person.
"When cases with no travel history or direct contact to diagnosed cases start coming in large numbers, then we take it as a beginning of community spread. Though in that sense, we are not in Stage 3, but it would be better that we do our preparations as if we are in phase-3. In the case of community rise, numbers start rising exponentially," said Dr. Girdhar Gyani, Director General, and Association of Healthcare Providers.
According to the Indian Council of Medical Research (ICMR), India still remains at Stage 2 (local transmission) and is yet to enter Stage-3 of the disease cycle.
"We started the implementation of strategies way early, while a few other countries started late. We do not have community transmission yet," said Dr. Raman R Gangakedkar, Head of Epidemiology and Communicable Disease at Indian Council of Medical Research (ICMR), New Delhi, and the apex body for biomedical research in India.
India also looks to expand its testing capacity over the next few days, as more private laboratories come on board. Private hospitals, too have begun gearing up to help when there is likely surge in infected cases by creating an adequate number of isolation wards.
"India is currently between Stage 2 and Stage 3 of the COVID-19 disease spread. The Government is taking the right measures to curtail its spread. We can support the government's efforts towards testing of the asymptomatic individual currently and later asymptomatic individuals, as it may be required to augment the travel ban, identify individuals with the infection, isolate them so that the virus can be curtailed," said Dr. GSK Velu, Chairman and Managing Director, Neuberg Diagnostics Private Limited, that recently started testing for COVID-19.
