Network Transmission: Tests too not many to even consider ruling out chance

The specialists hold adhering to their case there is no network transmission of coronavirus in the nation, however specialists state too scarcely any tests have been directed to arrive at that resolution. 

The administration should run more tests in all locales of the nation to decide the degree of transmission. Something else, the circumstance will be "misevaluated" and the administration programs "confused", the specialists included.

In the mean time, authorities yesterday affirmed that two men and a lady were tried positive, carrying the all out affirmed cases to 27. Establishment of Epidemiology Disease Control and Research (IEDCR), the main office where coronavirus tests are done, has so far tried 365 individuals.

At a public interview, IEDCR Director Prof Meerjady Sabrina Flora yesterday said the two men originated from abroad and the lady got contaminated by interacting with another patient. They are matured 20, 30, and 40.

Of the 27 affirmed cases, five recouped, two kicked the bucket and 20 are being treated at various emergency clinics, Flora told the question and answer session at Bangladesh College of Physicians and Surgeons (BCPS) in the capital.

Moreover, 40 presumed patients are in seclusion in various government offices. In the 24 hours until 10:00pm yesterday, three individuals who originated from abroad were sent to Kuwait-Bangladesh Moitree Hospital in the capital from Dhaka air terminal. They had high temperature, said Group Captain Touhid-ul-Ahsan, chief of the air terminal.

The nation's first coronavirus case was affirmed on March 8 and the principal passing on March 18.

The IEDCR is yet to discover how the second individual who kicked the bucket got tainted, authorities conceded.

Iqbal Abdullah, child of the subsequent casualty, revealed to The Daily Star: "None of our relative as of late visited us. I asked my dad whether he came into contact with any potential Covid-19 patients. He said no. We don't have the foggiest idea how he got tainted."

'NO COMMUNITY TRANSMISSION' 

The IEDCR chief guaranteed that there was no network transmission.

We are gathering data about the subsequent casualty. We will uncover the outcome when we arrive at a resolution. In all the cases, we attempt to recognize the wellspring of disease. Network transmission implies that we have not had the option to distinguish the source," she stated, including that IEDCR authorities administered the second individual's burial service.

She guaranteed that IEDCR was trying each case that could be viewed as suspected coronavirus diseases according to the WHO definition.

"We have gathered examples from various medical clinics and homes. Over the most recent 24 hours, we tried 65 examples and discovered three positive cases. We likewise tried 40 atypical pneumonia cases from various clinics. None of them were certain for Covid-19.

"Network transmission is the following level for us. After we get enough proof, we will term it network transmission," she said yesterday evening.

As per WHO definition, network transmission alludes to nations or zones or domains encountering bigger episodes of nearby transmission characterized through an appraisal of elements including, yet not constrained to huge quantities of cases not linkable to transmission chains, huge quantities of cases from sentinel lab observation, different disconnected bunches in a few territories of the nation or region or territory.

WHAT EXPERTS SAY 

Specialists, be that as it may, said the tests that IEDCR did were insufficient to know the degree of transmission.

They included that numerous individuals who came back from abroad are wandering in various pieces of the nation and the greater part of them ought to have been institutionally isolated.

Except if the quantity of tests is expanded, we won't have the option to get a handle on the circumstance. Also, the reaction program will be misinformed," Prof Nazrul Islam, virologist and previous bad habit chancellor of Bangabandhu Sheik Mujib Medical University disclosed to The Daily Star the previous evening.

The IEDCR ought not hop to an end dependent on these tests, he stated, including, "Possibly there were issues that constrained authorities to let the individuals originating from abroad to return home. Be that as it may, a considerable lot of them are challenging the exhortation of isolating themselves. The specialists must discover them and institutionally isolate them now."

Prof MA Faiz, previous DG of the Directorate General of Health Services (DGHS), stated, "The administration needs to assess what number of individuals may get tainted, what number of may require medical clinic care, ICU and other exceptional intercessions, and the quantity of defensive apparatus for medicinal services experts."

IEDCR STRUGGLING WITH MANPOWER 

As indicated by IEDCR authorities, just 44 disease transmission specialists have been organizing the assignments - running from reacting to calls at hotline numbers to test assortment and from lab research to contract following.

We have authorities in 17 workplaces the nation over. It is hard to oversee everything, particularly during this emergency. We need increasingly HR," IEDCR expert Prof Mushtuq revealed to The Daily Star the previous evening.