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Published on: Apr 04, 2020
3 minute read
By: Dr Rajan Choudhary

Anyone With Flu Like Symptoms Are Now Encouraged

The Bold Strategy the UK has adopted against COVID-19

The UK government had outlined its Coronavirus strategy in three distinct steps. The first stage was to contain the virus. This was implemented when spread of the virus was primarily by infected patients from abroad. Public health advice was provided, campaigns on washing hands, not touching the face, practicing safe hygiene. Potentially infected individuals were informed to self-quarantine for 14 days whilst waiting for symptoms to develop and testing to occur. Now it is evident this is not enough. The virus has spread to enough people that transmission can now occur locally, between people who have never been abroad. Containment is not the aim, mitigation of number of cases to prevent burdening the health services. The second stage aims to reduce the epidemic’s peak, flatten it out so the number of cases do not occur at once.

Anyone with flu like symptoms are now encouraged to stay home for 7 days, and testing will only occur for hospital admissions. Beyond this little appears to have changed. Schools will remain open, social gatherings have not been cut yet (but is expected over the next week) and general life will continue as normal. This is a risky measure, one that suggests the government is not taking the issue seriously. France, Spain and Italy have enacted lockdown measures, Germany has begun cutting social gatherings. So why is the UK not following in step? Are people going to die as a result of this inaction?

DELAY THE SPREAD

The answer is of course complex. PM Boris Johnson has acknowledged that as a result of his decision people may die, especially the elderly who are seen as a very vulnerable population. But this plan has been discussed with multiple scientists, doctors, public health specialists, and there is method in the madness. Currently the UK is in the early stages of the epidemic. The number of infected are expected to rise sharply in 4 weeks, with a peak in 10–14 weeks. Implementing harsh restrictions too early can lead to “self isolation fatigue”, resulting in people not following the restrictions stringently or leaving their homes at the height of the epidemic. Restrictions also come with their own problems, and implementing them may lead to more harm than good. Simple measures such as hand washing and self isolation can itself reduce the peak of cases by 20%.

Schools have not yet been closed because COVID-19 does not appear to affect children as much. Closure of schools would also mean parents having to stay at home to look after their children (after all, nurseries, creches and other forms of childcare would still result in a spread of infection). In some cases these parents are also healthcare professionals, and the UK needs every single doctor, nurse and allied health professional to be on the frontline treating patients.

So what is the strategy? The NHS is currently full of patients due to the winter burden, one that is expected to taper off in the coming months. Slowing the onset of the epidemic’s peak to Summer, spreading it across the next few months so the maximum number of people can be treated in the hospital setting without overburdening. The aim is no longer to prevent the spread of infection but to protect the most vulnerable age groups. This model allows the young and healthy to become infected, almost encourages it.

INFECT YOUR CITIZENS

Now this sentence may sound ridiculous when said out loud. Allow infection. But why? The UK has acknowledged there is no way to stop the infection. Whilst the mortality in the elderly population and those with medical conditions are high, in the young and healthy it manifests as a mild illness with almost all infected cases recovering. More importantly, recovered patients have immunity against the virus, manifesting as antibodies in their blood. Immune patients cannot infect other people, so the more immune patients there are the slower the virus will spread. This is known as herd immunity, and the process is discussed in length in our blog on vaccines. Herd immunity needs to be achieved before the onset of winter in 2020, as winter admissions alongside COVID admissions would result in a disaster.

https://medium.com/@rajneesh.dwivedi/developing-a-vaccine-for-covid-19-part-1-f7263ae9bf88 Rajneesh secondmedic

The strategy is of course risky, and one that has not been implemented before. And since the infection will not be contained people will die. But by spreading the burden of the infection across a longer time period will allow those who require treatment to receive it in a far less burdened health system. And it has received support from health professionals, even those who are fierce critics of the PM and Conservative government. But it has resulted in confusion amongst the population, a population that looks at authoritative action taking place in other countries and not understanding why their own doesn’t follow suit. The issue is these draconian measures are not sustainable, and if implemented correctly the UK strategy may result in far less lasting damage on its health service and the economy.

Dr Rajan Choudhary, London UK

Head Of Products, Second Medic Inc (www.secondmedic.com)

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Anemia Diet Plan: What to Eat to Improve Hemoglobin Levels Naturally

Anemia is one of the most widespread nutritional disorders in India, affecting people across age groups. According to NFHS-5 and ICMR data, more than half of Indian women and a significant proportion of men suffer from anemia. While supplements are sometimes required, a structured anemia diet plan plays a central role in preventing and managing the condition.

Anemia occurs when the body lacks sufficient healthy red blood cells or hemoglobin to carry oxygen efficiently. Nutrition is the foundation of hemoglobin production, making dietary correction essential.

Understanding the Nutritional Causes of Anemia

Anemia commonly results from deficiencies of:

iron
vitamin B12
folate

Each nutrient plays a specific role in red blood cell formation.

Iron: The Core Nutrient in Anemia

Iron is a key component of hemoglobin.

Iron deficiency leads to:

fatigue
weakness
pale skin
shortness of breath

ICMR identifies iron deficiency as the leading cause of anemia in India.

Types of Dietary Iron

Heme Iron

Found in animal foods and absorbed efficiently.

Sources include:

eggs
fish
chicken
liver

Non-Heme Iron

Found in plant-based foods and absorbed less efficiently.

Sources include:

spinach
lentils
chickpeas
jaggery
dates

Vitamin C improves non-heme iron absorption.

Role of Vitamin B12 in Anemia

Vitamin B12 is essential for red blood cell maturation.

Deficiency causes:

megaloblastic anemia
nerve symptoms
memory issues

Vegetarians are at higher risk due to limited dietary sources.

Role of Folate

Folate supports:

DNA synthesis
red blood cell formation

Low folate intake worsens anemia, especially during pregnancy.

Foods to Include in an Anemia Diet Plan

Iron-Rich Foods

green leafy vegetables (spinach, amaranth)
legumes and pulses
dates, raisins and figs
jaggery
red meat and eggs

Vitamin C-Rich Foods

citrus fruits
guava
tomatoes
bell peppers

These enhance iron absorption.

Vitamin B12 Sources

milk and dairy products
eggs
fish
fortified cereals

Folate-Rich Foods

green leafy vegetables
beans and peas
peanuts
whole grains

Sample Daily Anemia Diet Plan

Breakfast

vegetable omelette or sprouted moong
citrus fruit or guava

Mid-Morning

soaked raisins or dates
lemon water

Lunch

brown rice or roti
dal or chickpeas
green leafy vegetable sabzi
salad with lemon dressing

Evening Snack

roasted peanuts or chana
fruit rich in vitamin C

Dinner

vegetable curry with paneer or fish
whole wheat roti
lightly cooked greens

Bedtime

warm milk if tolerated

Foods That Reduce Iron Absorption

Certain foods interfere with iron absorption:

tea and coffee
excess calcium
highly processed foods

These should be avoided close to iron-rich meals.

Special Considerations for Women

Women require more iron due to:

menstruation
pregnancy
lactation

NFHS-5 highlights anemia as a major women’s health concern in India.

Anemia in Men and Older Adults

In men and elderly individuals, anemia may signal:

nutritional deficiency
chronic disease
gastrointestinal issues

Dietary correction should be combined with medical evaluation.

When Diet Alone Is Not Enough

Diet may not be sufficient if:

anemia is severe
absorption is impaired
chronic illness is present

In such cases, supplements or treatment of underlying causes is required.

Importance of Regular Blood Tests

Monitoring hemoglobin helps:

assess improvement
guide dietary adjustments
prevent recurrence

Preventive checkups are essential for high-risk groups.

Lifestyle Factors That Support Recovery

Along with diet:

adequate sleep
stress management
regular physical activity

support blood health and recovery.

Preventing Anemia Long-Term

Long-term prevention includes:

balanced meals
iron-rich cooking methods
avoiding excessive junk food
periodic screening

WHO and NITI Aayog emphasize nutrition education as a preventive strategy.

Conclusion

A well-structured anemia diet plan is the cornerstone of improving hemoglobin levels and restoring energy. By including iron-rich foods, supporting nutrients like vitamin B12 and folate, and improving absorption through smart food combinations, anemia can be effectively managed and prevented. Early dietary intervention, supported by regular health monitoring, helps avoid long-term complications and improves overall quality of life.

References

Indian Council of Medical Research (ICMR) – Anemia and Micronutrient Deficiency Reports
National Family Health Survey (NFHS-5) – Anemia Prevalence Data
World Health Organization (WHO) – Nutrition and Anemia Guidelines
Lancet – Micronutrient Deficiency and Public Health Research
NITI Aayog – Poshan Abhiyaan and Nutrition Policy Reports
Statista – Nutrition and Health Trends in India

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