By Apollo 24/7, Published on - 21 August 2020
At this time of the COVID-19 pandemic, the term ‘herd immunity’ has garnered a lot of attention. Many discussions and debates have sparked on whether it will work against the Coronavirus. In this article, we will understand what herd immunity is, how it can be attained, and look at some early indicators of herd immunity in the context of COVID-19. We will also discuss if developing antibodies can ensure immunity against the Coronavirus.
Herd immunity, also known as ‘community immunity’, occurs when a large part of the population becomes immune to a disease. This makes the further person-to-person spread of the disease unlikely, as there are fewer people that are susceptible to be infected. Herd immunity may reduce the vulnerability of high-risk groups which comprise newborn babies, pregnant women, elderly, people with co-morbid conditions, and individuals with weakened immune systems.
To achieve herd immunity, a minimum percentage of the population, known as ‘herd immunity threshold’ needs to be infected with the disease in question. For example, if a COVID-19 positive patient is surrounded by people who are vaccinated against the Coronavirus or have developed immunity through prior infection, the disease will not be easily transmitted. This may lead to the quicker disappearance of COVID-19.
As stated above, herd immunity for a disease can be achieved if a certain percentage of the population is infected with a virus. This figure can vary depending on the type of virus and disease. Herd immunity can be achieved in the following ways:
A serological survey is conducted to assess the prevalence of a disease in the community. It is done by analyzing the presence of antibodies in samples of the population. The higher number the percentage of people in the population who have been detected with antibodies, the closer that community may be to attaining herd immunity, thereby slowing down the further spread of the disease.
The serological surveys conducted in different parts of the country could be early indicators that several areas within cities could be steadily reaching the threshold requirement of building herd immunity. In places like Dharavi where a larger proportion of the population has already been infected and has developed antibodies, new infection numbers appear to have slowed down considerably.
Various researchers and experts have pegged the herd immunity threshold value anywhere between 40-70%. They also maintain that herd immunity is better attained in closed or isolated groups of the population. But it is hard to identify such closed group populations with no movement. Hence, the exact number at which herd immunity kicks in is still debatable and needs more surveys and studies.
Herd immunity prevailing in the world's second-most populous country cannot be the only solution to overcoming the pandemic and other strategic options like vaccination are also being accelerated. So while the herd immunity effect slows down the daily infection numbers and the COVID-19 vaccine efforts are gathering pace, we have to continue to carefully follow social distancing, hand hygiene, cough etiquette, using masks, and disinfection protocols to ensure safety against this viral infection.
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The Ministry of Health and Family Welfare (MoHFW) has issued clinical guidance on proning, a medicaly accepted position that can help improve breathing and oxygenation in COVID-19 patients.
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Data available to date shows that children are less likely to get COVID-19 as compared to adults. In children with previous existing medical conditions, it may cause severe illness.
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