Lockdown answers

Published May 5, 2020

THE government is mulling a relaxation of lockdown restrictions as it is confronted with alarming repercussions. Figures shared by Planning and Development Minister Asad Umar are indeed startling, as they suggest the closure of up to a million institutions, unemployment of 18m people and forcing 70m people below the poverty line. The picture painted by these numbers is one of sheer hopelessness — a scenario the government wants to understandably avoid. To further build a case to ease restrictions, Mr Umar said that Pakistan’s death rate is lower than other countries, and that the hot weather, BCG vaccine or anti-malaria drugs may be underlying factors. “We are living in a region which is blessed for an unknown reason,” he said, adding that many more people die in road accidents each month in Pakistan than they do to Covid-19. There is no doubt that a continued lockdown for an indefinite period will unleash crippling economic hardships on vast segments of the country’s already stressed population. The question now is whether Pakistan is ready to relax restrictions, and what these relaxations will look like.

The answer will come from the data. Pakistan’s confirmed coronavirus cases have crossed the20,500 mark with over 450 recorded deaths. These figures have been calculated after a total of 212,000 tests, with maximum daily testing at 9,500. At this rate, and with some lockdown restrictions still in place, nearly 10pc of those being tested are confirmed positive and 2pc of them are dying. If restrictions are lifted, these figures will worsen, because unlike traffic accidents, the number of coronavirus cases can expand exponentially. An individual with the virus can infect two to three others, and those infected can in turn transmit it to many more. If we are looking at a confirmed death rate of two out of every 100 right now, a situation in which millions are confirmed as having infections may result in a high number of deaths in a population where diabetes, heart disease and cancer are not uncommon. Our hospitals are simply not equipped to handle such a high volume of critical cases.

The practical way forward is mass testing and interim targeted relief for the worst-hit sectors. The government is still too far from its goal of 25,000 daily tests and therefore unaware of the true spread of infection. As it ramps up testing, it must also focus on developing strict, enforceable guidelines and affordable solutions to problems the common person faces when dealing with this unprecedented crisis. Even when the lockdown is lifted, the affluent can afford to stay home whereas low-income workers cannot, so they will unfairly face a higher risk. There are no easy solutions, but the government must be prudent as it walks the tightrope between limiting the loss of lives and loss of livelihoods.

Published in Dawn, May 5th, 2020

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