People wait for their turn to receive the Covid-19 vaccination in New Delhi | Photo: Kamal Singh | PTI
Text Size:

Why has there been a second wave of coronavirus?

The primary reason for a resurgence in coronavirus cases, beginning March 2021, is that people who had previously protected themselves well relaxed their guard by increasing their movements, attending classes or workplaces and engaging in social and religious gatherings. The fraction of the population that had isolated itself in 2020 is increasingly becoming exposed to the coronavirus in 2021. As can be seen from the data, the “second wave” is occurring in places where mask wearing, hand hygiene and social distancing was relatively better in 2020. While newer strains of the virus that are more contagious have contributed to the surge, it is the change in human behaviour that is the more important cause.

For instance, in a city where say 20 per cent of the population took adequate protective measures in 2020, the first wave would have come to an end after say, 70 per cent of the poorly protected 80 per cent (that is 56 per cent of the overall population) developed antibodies. Thus, cases would have reduced to a trickle by January 2021, but with 44 per cent of the city’s population still susceptible to the virus. If and when these people relaxed their guard, the second wave began.

Note that there are ‘second waves in certain localities around the country’; it is not very accurate to talk of a ‘second wave in India’.


Also read: Pandemic spreading faster than before, next 4 weeks ‘very critical’, Modi govt says


When will the second wave subside? 

The second wave will subside when a large proportion of the exposed population develops immunity, either through infection or through vaccination. These include both who protected themselves well in 2020 and those who did not but were fortunate to escape infection.

In the above example, the second wave will subside when around 70 per cent of the 44 per cent residual population of the first wave (that is, 31 per cent of the overall population of the city) acquires antibodies.

How long this will take depends on how big the first wave was and how fast the new infection rate is. By my cynically optimistic back of the envelope (COBOTE) estimates, for cities like Mumbai and Bengaluru, (assuming 10 per cent of the population protected itself properly last year; real cases were 20 times larger than official cases; and an average second wave doubling rate of 20 days) this wave should exhaust itself in around 40 days from now, perhaps faster. This assumes the current pace and strategy of vaccination.

How can the second wave be contained? If 50 per cent of the susceptible population in these cities is vaccinated, the second wave can be contained much faster — within a week in Mumbai, and around three weeks in Bengaluru. This will also prevent subsequent waves in the future. There is thus a case for sharply targeted universal vaccination programmes in affected cities like Mumbai, Pune, Bengaluru, Delhi.


Also read: Vaccinate all above 18, make vaccination certificate must in public spaces: IMA writes to Modi


Were you not wrong when you argued that India will not have a major second wave?

In January 2021, I had argued that “it is unlikely that we will have a significant ‘second wave’ across the country, although there will be small second waves in several cities and districts. This does not mean we can drop our guard and get back to pre-pandemic levels of congregation; rather, it means that if we continue to be careful, we will all be safe a few months down the road.”

While I had qualified my assessment with a few caveats, I was wrong to expect that the second wave will be “small” in several cities and districts. I did not anticipate that people would so quickly relax their guard, engage in large gatherings and visit crowded places. The COBOTE model was good enough to estimate when the first wave would end, so I’ve used it again to make estimates for the second wave. Note that this is merely an extremely rough measure to get a better sense of the spread. I am sharing these assessments because some clarity is better than complete uncertainty.


Also read: Vaccine is for most vulnerable, Modi govt says on demands to ease age limit


Is a faster second wave better? 

While a faster second wave might appear desirable for things will calm down sooner, the problem is that it will exhaust healthcare capacity quickly. This is already happening in many affected cities. “Flattening the curve” by masking, social distancing and containment strategies is necessary to ensure healthcare facilities are available. This means a longer wave, as we saw last year, but a less lethal one. So well-considered and targeted containment strategies are necessary.

The best option, of course, is rapid universal adult vaccination in all second-wave-hit cities and districts. This will both shorten the second wave and reduce the burden on hospitals and medical facilities. We must pursue the vaccination campaign on a war footing.

Nitin Pai is the director of the Takshashila Institution, an independent centre for research and education in public policy. Views are personal.

Edited by Anurag Chaubey

Subscribe to our channels on YouTube & Telegram

Why news media is in crisis & How you can fix it

India needs free, fair, non-hyphenated and questioning journalism even more as it faces multiple crises.

But the news media is in a crisis of its own. There have been brutal layoffs and pay-cuts. The best of journalism is shrinking, yielding to crude prime-time spectacle.

ThePrint has the finest young reporters, columnists and editors working for it. Sustaining journalism of this quality needs smart and thinking people like you to pay for it. Whether you live in India or overseas, you can do it here.

Support Our Journalism

VIEW COMMENTS

5 COMMENTS

  1. Data is now trickling in that Covid variants may be responsible for the second wave.

    The first analyses from theorists and modellers are always just based on assumptions. Scientific data takes a lot more time to collect, as it comes in slowly it will reveal what was the most likely cause of the second wave.

  2. Why is vaccination posited as the holy grail to contain the second wave?

    I thought many Indians believed Ayurveda, kabasura kudineer etc. and Coronil was largely responsible for containing the first wave. Why not use these to defend ourselves until one is vaccinated? Or was the belief in Ayurveda and Coronil being largely reponsible to control the first wave just a claim made without adequate scientific evidence?

  3. The virus will prove you wrong again. It has proven many pundits wrong, all over the world.

    It is smarter than humanity until now because it is always many steps ahead of us. All it wants to do to survive and exist on the planet. It may get less virulent once it figures out it’s chances of co-existing with another species forever is possible if it does not destroy the very species it is dependent upon for multiplying.

  4. I suppose the only the chance when we do not have to suffer from your irritating wisdom is if you are indisposed in some manner… like from a covid 19 infection!

  5. I just hope that scare mongering media outlets (specially the low IQ ones) will not force another lockdown upon the people. I can already see the screaming headlines by these shameless news traders. They should look at the fatality rate of 1.3% in India, and re-think. They should look at the large scale economic disruption for poor people that another lockdown will cause. Media outlets need to stop SCREAMING and calm down. Vaccination is going on, with proper precautions like masks, it can be under control.

Comments are closed.