Can number of coronavirus cases go into lakhs in India?

While the Indian Council of Medical Research (ICMR) as well as the Government of India maintains that the disease is still restricted to Stage 2 of the pandemic, many states individually are taking measures to prepare for the scaling up of testing and treatment of patients. For instance, Delhi Chief Minister Arvind Kejriwal announced on Twitter that the city is prepared for the eventuality, preparing to handle at least "1000 daily positive cases, for testing, treatment and isolation".

Even before the country had announced a nationwide lockdown, many states in the country had announced curfews to restrict the movement of people. Researchers have warned of an outbreak worse than the ones reported in Italy and Spain due to the sheer population size, along with the lack of access to quality healthcare in the country.

With the scientific community hard at work towards creating an effective line of treatment for COVID-19 patients globally, practising hand hygiene, covering the nose and mouth with masks as well as enforcing people to stay indoors and limit human contact are being promoted as safety measures to flatten the curve.

India had also mandated those who had returned from international travel over the last month to be placed under a 14-day quarantine in their own homes to limit their contact in an effort to stop the infection from spreading.

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Since the first positive case was discovered in late January, the number of patients testing positive for the novel strain of coronavirus remained low up until the beginning of March. Experts believe that was due to the limited number of tests that had been carried out until then, as India didn't have enough testing facilities or kits made available to cater to its large population. 

Until the end of March 2020, India was conducting only about 90 tests on a daily basis, nowhere near the numbers that would satisfy the global health community. However, with the number of testing centres and test kits being ramped up around the country, the figures are projected to rise.

Various studies, conducted by Indian as well as international agencies, have estimated staggering numbers of positive cases in the coming months in the world’s second most populous country. According to the ICMR, strict social distancing measures for those presenting symptoms of the disease can help in reducing the number of COVID-19 cases by a value of 62%. 

Another research group called COV-IND-19 Study Group comprising a team of researchers from all over the world, also pointed out that while the initial numbers of positive cases in the country were a good sign, it wasn't a true reflection of the parameters with the vital component of large-scale testing not applied as yet. According to them, going by the early phases of testing data, India is still looking at about 1-13 lakh positive cases in the next two months.

"So far, the number of people tested in India has been relatively small. In the absence of widespread testing, it is impossible to quantify the magnitude of community transmission," according to the researchers in the report. "Thus, our current estimates are at best underestimates for India based on early phase data."

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The researchers further go on to add that India would have to take draconian measures to curtail the figures and limit them to a minimum until the scientific community is ready with suitable treatments and vaccines. According to World Bank data, India doesn't have adequate healthcare facilities to cater to its significant population, which adds to the problems.

The 21-day lockdown has come as an unprecedented-yet-welcome step towards limiting the spread of the infection in the country, with economic relief packages being readied for the worst-hit industries due to the global pandemic. But with the number of testing centres and treatment facilities rising across the country, the lockdown gives the healthcare community vital time to prepare to handle several cases at a time.