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Covid-19 death data highlights need to check young-old transmission

This trend was borne out by data of deaths classified by age and pre-existing illnesses, which is also a known factor that raises the likelihood of fatalities (as does being male). The data corresponded to the first 90,000 fatalities in India.

Updated on: Oct 3, 2020, 07:16:50 IST
Hindustan Times, New Delhi | By
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At least 88% of Covid-19 fatalities in India are in people above the age of 45 – with those above 60 accounting for most of the deaths among these – but this age band accounts for less than half (40%) of infections, data from the Union health ministry showed. The data suggests that Indians must take precautions to ensure its younger population, which appears to be more prone to being infected, does not pass it on to older people, who have higher odds of succumbing.

Healthcare workers during Covid-19 screening and swab test at Goregaon in Mumbai. (Satyabrata Tripathy/Hindustan Times)
Healthcare workers during Covid-19 screening and swab test at Goregaon in Mumbai. (Satyabrata Tripathy/Hindustan Times)

This trend was borne out by data of deaths classified by age and pre-existing illnesses, which is also a known factor that raises the likelihood of fatalities (as does being male). The data corresponded to the first 90,000 fatalities in India.

“What we need to understand about this virus is that it is highly contagious and that everyone is equally exposed to it. It may seem like those who are more likely to be mobile are the ones most affected but we are seeing that even if one family member is infected and brings the infection home then all family members are likely to contract the infection,” says Sanjay Rai, professor, community medicine department, All India Institute of Medical Sciences (AIIMS), Delhi.

Infection statistics show a markedly different trend: at least 60% of all Covid-19 infections in India have been among people below the age of 45 years, and at least half of the infected people have been between the ages of 18 and 44. Pre-existing diseases raising the risk of severe or fatal Covid-19 include hypertension, diabetes, liver disease, heart disease, asthma, chronic renal disease, chronic obstructive pulmonary disease (COPD), low immunity, malignancy, bronchitis and chronic neuromuscular disease.

Hypertension and diabetes are the two most common comorbidities that lead to the disease progressing to severe levels among Covid-19 patients.

Experts, however, said they expect a clearer picture about the fatality trends once states become better in terms of surveillance concerning Covid-19 cases. “Sometimes during an outbreak, data surveillance takes time to pick up at some places. It is normal but gains momentum with experience as the outbreak progresses. It needs to be monitored carefully though,” said Dr Giridhara Babu, head, epidemiology division, Indian Institute of Public Health, Public Health Foundation of India.

 
ABOUT THE AUTHOR
Rhythma Kaul

Rhythma Kaul is the national health editor of the Hindustan Times. She has been reporting on public health, medicine, and medical research, with a particular focus on how government decisions and health system reforms shape people’s lives. Rhythma has over 25 years of journalistic experience. She joined Hindustan Times in 2008, and has since covered everything from pandemics and infectious diseases to cutting‑edge medical research and climate‑related health challenges. Her stories routinely track the work of the Ministry of Health and Family Welfare, department of pharmaceuticals, and key national health programmes, making complex medical science and policy accessible to a wide audience. One of her prominent news breaks has been the 2012 Baby Falak case: A two-year-old brutally battered baby girl was admitted to AIIMS-Delhi with severe head injuries, multiple fractures, human bite marks, and burns. The police investigation revealed this to be a case of multi-state human-trafficking racket. She was profiled by The Wall Street Journal for breaking this story. Rhythma holds a Master’s degree from Jawaharlal Nehru University, Delhi. Prior to Hindustan Times, she worked with the India Today Group. Rhythma can be contacted at rhythma.kaul@hindustantimes.com. Her X handle is @RamblingBrook.

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