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

Anyone With Flu Like Symptoms Are Now Encouraged

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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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Community

Community Health Wellness Programs: Building Healthier Communities Together

Healthcare does not begin in hospitals—it begins within communities. Community health wellness programs play a vital role in strengthening preventive healthcare systems, improving early detection and reducing disease burden. In India, where both urban and rural populations face increasing lifestyle and infectious disease risks, community-level initiatives are essential.

According to the World Health Organization, preventive and primary healthcare services delivered at community level significantly reduce morbidity and mortality. Indian Council of Medical Research (ICMR) reports also highlight the rising burden of non-communicable diseases such as diabetes and hypertension, emphasizing the need for community-based interventions.

 

What Are Community Health Wellness Programs?

Community health wellness programs are organized efforts designed to:

  • promote preventive healthcare

  • increase health awareness

  • provide screening services

  • encourage healthy lifestyle adoption

These programs may be conducted by healthcare organizations, NGOs, corporate CSR initiatives or government agencies.

 

Why Community Programs Matter in India

India’s healthcare challenges include:

  • high population density

  • urban-rural disparities

  • limited early screening access

  • rising lifestyle diseases

NFHS-5 data shows increasing prevalence of hypertension, diabetes and obesity, especially in urban areas. Community-level screening improves early detection.

 

Key Components of Community Health Wellness Programs

1. Preventive Health Screening

Health camps often provide:

  • blood pressure checks

  • blood sugar testing

  • cholesterol screening

  • BMI measurement

Early detection prevents complications.

 

2. Health Education and Awareness

Workshops on:

  • balanced nutrition

  • physical activity

  • tobacco cessation

  • mental health

help individuals adopt healthier habits.

 

3. Vaccination Drives

Immunization programs reduce spread of infectious diseases.

Community outreach increases coverage.

 

4. Maternal and Child Health Services

Programs focus on:

  • prenatal care

  • nutrition guidance

  • child immunization

Protecting vulnerable populations strengthens long-term health.

 

5. Chronic Disease Management Support

Community programs support patients with:

  • diabetes

  • hypertension

  • asthma

Education improves medication adherence.

 

Benefits of Community Health Wellness Programs

Improved Early Detection

Screening identifies disease before symptoms worsen.

 

Reduced Healthcare Costs

Preventive care is more affordable than emergency treatment.

 

Increased Public Awareness

Educated communities make informed health decisions.

 

Better Access for Underserved Populations

Rural and low-income groups benefit significantly.

 

Strengthened Public Health Systems

Community-level intervention reduces burden on tertiary hospitals.

 

Role of Technology in Community Health

Digital health platforms enable:

  • teleconsultations

  • electronic health records

  • AI-assisted risk assessment

Technology improves efficiency and outreach.

 

Corporate and CSR Involvement

Many organizations integrate community health programs into CSR initiatives.

Such programs:

  • enhance brand reputation

  • promote employee engagement

  • contribute to social impact

Corporate-community partnerships amplify reach.

 

Addressing Urban Health Challenges

Urban populations face:

  • pollution exposure

  • sedentary lifestyles

  • high stress

Community programs provide screening and awareness to mitigate risk.

 

Addressing Rural Health Gaps

Rural areas may lack access to:

  • specialists

  • diagnostic services

  • preventive screening

Mobile health camps bridge this gap.

 

Measuring Impact

Successful programs track:

  • number of screenings conducted

  • disease detection rates

  • follow-up adherence

  • reduction in risk factors

Data-driven evaluation improves sustainability.

 

Long-Term Impact on Public Health

Community health wellness programs contribute to:

  • reduced chronic disease burden

  • improved life expectancy

  • stronger healthcare infrastructure

Preventive care at grassroots level creates systemic improvement.

 

Challenges in Implementation

Common challenges include:

  • limited funding

  • awareness barriers

  • logistical constraints

Collaboration between government, private sector and NGOs improves scalability.

 

The Future of Community Wellness in India

With rising lifestyle diseases and growing awareness, community wellness initiatives will become central to public health strategy.

Integration of digital tools, preventive screenings and education campaigns will enhance impact.

 

Conclusion

Community health wellness programs are essential for building resilient and healthier societies. By promoting preventive care, early screening and health education, these initiatives reduce disease burden and improve quality of life. In India’s diverse and rapidly evolving healthcare landscape, community-based wellness efforts serve as a foundation for sustainable public health progress. Investing in community health today ensures stronger, healthier generations tomorrow.

 

References

  • World Health Organization (WHO) – Community Health and Preventive Care Reports

  • Indian Council of Medical Research (ICMR) – Non-Communicable Disease Data

  • National Family Health Survey (NFHS-5) – Public Health Statistics

  • NITI Aayog – Primary and Preventive Healthcare Strategy

  • Lancet – Public Health and Community Intervention Research

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