New Delhi: WHO Health Emergencies Programme Executive Director Michael Ryan on Friday said that the coronavirus disease has not “exploded” in India, but the risk of that happening remains as the country moves towards unlocking its nationwide lockdown that was imposed in March to contain the COVID-19. Also Read - Miss Going to Restaurants? Health Experts Weigh in on the Risks of Dining Out During the Pandemic

Noting that the doubling time of the coronavirus cases in India is about three weeks at this stage, Ryan said that the direction of travel of the epidemic is not exponential but it is still growing. He added that the impact of the pandemic is different in different parts of India and varies between urban and rural settings. Also Read - Music Therapy For Corona Patients in Lucknow Hospital

In South Asia, not just in India but in Bangladesh and…in Pakistan, other countries in South Asia, with large dense populations, the disease has not exploded. But there is always the risk of that happening, Ryan said in Geneva. Also Read - Phase-3 Trial of COVID-19 Vaccine Begins in China

He stressed that as the disease generates and creates a foothold in communities, it can accelerate at any time as has been seen in a number of settings.

Ryan noted that measures taken in India such as the nationwide lockdown have had an impact in slowing transmission but the risk of an increase in cases looms as the country opens up.

The measures taken in India certainly had an impact in dampening transmission and as India, as in other large countries, open up and as people begin to move again, there’s always a risk of the disease bouncing back up, he said.

He added that there are specific issues in India regarding the large amount of migration, the dense populations in the urban environment and the fact that many workers have no choice but to go to work every day.

India went past Italy to become the sixth worst-hit nation by the COVID-19 pandemic.

India saw a record single-day jump of 9,887 coronavirus cases and 294 deaths on Saturday, pushing the nationwide infection tally to 2,36,657 and the death toll to 6,642, according to the health ministry.

The lockdown in India, was first clamped on March 25 and spanned for 21 days, while the second phase of the curbs began on April 15 and stretched for 19 days till May 3. The third phase of the lockdown was in effect for 14 days and ended on May 17. The fourth phase ended on May 31.

The country had registered 512 coronavirus infection cases till March 24.

The nation-wide lockdown in containment zones will continue till June 30 in India but extensive relaxations in a phased manner from June 8 are listed in the Union Home Ministry’s fresh guidelines on tackling the COVID-19 pandemic issued last week.

WHO Chief Scientist Soumya Swaminathan said the over 200,000 current coronavirus cases in India, a country of over 1.3 billion people, “look big but for a country of this size, it’s still modest.”

She stressed that it is important for India to keep track of the growth rate, the doubling time of the virus and to make sure that that number doesn’t get worse.

She said that India is a heterogeneous and huge country with very densely populated cities and much lower density in some rural areas and varying health systems in different states and these offer challenges to the control of COVID-19.

Swaminathan added that as the lockdown and restrictions are lifted, it must be ensured that all precautions are taken by people.

We’ve been making this point repeatedly that really if you want behaviour change at a large level, people need to understand the rationale for asking them to do certain things (such as) wearing masks, she said.

(With agency inputs)