How much COVID testing do we need: (1) Introduction

The most urgent need today is for Sri Lanka to increase the rate of testing.The current rate of testing—around 250 tests a day—is completely inadequate. It is far less than other developing countries like Bhutan, Maldives and Viet Nam, which have been able to keep the virus at a low level, and far less than the countries we should be copying like Singapore. Many people are asking us how much we need to test. I am going to post here details of IHP’s initial estimates of the testing capacity that Sri Lanka needs by end of April. Before doing that, a few words. Continue reading

Thank you Brandix for true leadership!

Brandix CEO Ashroff Omar just told his staff that Brandix is making big cuts in executive pay in response to the COVID-19 crisis. Brandix is suspending Mr Omar’s own pay as CEO and that of all Board members for six months, and cutting the pay of all managers by 5 to 60%. Continue reading

COVID-19 crisis will not be over soon – We need to prepare for a long slog

The current lock-down – not only here but affecting two billion people around the world – should make it clear to everyone how serious COVID-19 is. What many still do not appreciate is that closing our ports and even a one month lockdown will not make the problem go away.

Let me be clear first about the good news – we appear on track to control the current surge in cases. So far almost all cases are linked to Sri Lankans returning from foreign travel, and there is little transmission between people in Sri Lanka.

When we get through this lockdown, life will not return to normal for at least the next 12 months. Our political leaders need to explain this, to prepare everyone for a long slog. To adapt the words of Winston Churchill at a similar moment: Defeating the current surge would not be the end. It would not even be the beginning of the end. But it might be, perhaps, the end of the beginning. In the absence of any effort to trust the public with what the long term strategy is, I provide an expert assessment of prospects. Continue reading

தற்போதைய MOH மூலோபாயத்தை விட செலவு பயன் பகுப்பாய்வு அதிக சோதனையை ஆதரிக்கிறது

பணிநிறுத்தம் (தேசிய ஊரடங்கு உத்தரவு, வீட்டிலிருந்து வேலை செய்தல், பள்ளி மூடல்) மற்றும் வெளிநாட்டு வருகையாளர்களின் தொடர்புகளை MOH தேடுதல் ஆகியவை நோயின் தற்போதைய வெடிப்பைக் கட்டுப்படுத்துவதில் உதவும். மேலும் பத்து நாட்களுக்குள் புதிய நோய்தொற்றுகளை பூஜ்ஜியத்திற்குக் கொண்டு வரக்கூடும். சமீபத்திய தரவுகளில் அது நடப்பதற்கான அறிகுறிகள் உள்ளன.

வைரஸின் பரவலைத் தடுக்க MOH-இன் மூலோபாயம் செயல்படும், ஆனால் அது போதுமானதும் இல்லை அதைத் தக்கவைக்கவும் முடியாது. தற்போது பொருளாதாரம் இயங்க முடியா நிலை, வேலையின்மை அதிகரிக்கும், வணிகங்கள் நொடித்துவிடும், வாழ்க்கைத் தரம் வீழ்ச்சியடையும், அரசாங்கத்திற்கு வருவாய் இராது. அன்றாட வாழ்க்கையை மீண்டும் துவங்கவும் பொருளாதாரம் முன்னேறவும் வணிகங்களையும் பள்ளிகளையும் திறக்க நாம் அனுமதிக்க வேண்டும்.
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Cost benefit analysis supports much more aggressive testing than current MOH strategy

The lockdown (national curfews, work at home, school closures) plus MOH actively tracing contacts of foreign arrivals should work in controlling the current outbreak and could bring new cases down to zero within ten days. There are signs of that happening in the latest data.

MOH’s strategy will work in stopping the spread of the virus, but it is not sufficient and it cannot be sustained. The economy is at a standstill, unemployment will rise, businesses will go bankrupt, living standards will fall, and the government has no revenue. We need to allow businesses and schools to re-open to restart normal life and to get the economy going. Continue reading

India may be failing to detect community transmission of Covid-19 because of inadequate testing

Our graphical vizualisation of the Epidemiology Unit’s data on Covid-19 cases in Sri Lanka attracted attention in India, and I was interviewed by The Hindu, whose article appears here. Continue reading

Visualization of the source of COVID-19 cases in Sri Lanka

Sri Lanka has still to start releasing daily details of its Covid-19 cases and the findings of the critically important contact tracing effort, as does Singapore and Hong Kong. See here, here and here for how Singapore’s health ministry keeps Singaporeans informed. This is unfortunate as doing so would help build public confidence and understanding of the difficult measures that are needed, as well as help to combat rumour and fake news. Doubly unfortunate, because greater transparency would probably reflect well on the efforts of the Epidemiology Unit of the Ministry of Health.

On the positive side, the Health Promotion Bureau has been innovative in its decision to publish a regularly updated data feed on overall numbers, and in the past few days the Epidemiology Unit has released online details of cases to date. Based on that initial release, which I really hope is updated daily, our team at IHP – Nilmini Wijemunige, Yasodhara Kapuge, Chathurani Sigera and Nishani Gunawardana– generated the graphic below summarising what we know about the first 78 cases (as of 22 March). Continue reading

COVID-19 cases in Sri Lanka reach 100

As anticipated, the current surge in cases has pushed the tally of total confirmed cases of COVID-19 to 100, as reported by the Epidemiology Unit, MOH. It is likely that numbers will continue increasing for the next week at least, but it’s a positive sign that the number of new cases has dropped on some days and the trend does not show the explosive rate of increase seen in most other countries.

Government needs to urgently increase investment in expanding testing capacity

We face a long struggle with Covid-19 that will last into 2021. Even if we control the current outbreak, fresh outbreaks will happen unless we completely close our borders for the rest of the year. We must think ahead to how we can maintain air links and continue to function in the face of a continuing threat of imported infections. Vastly increased capacity to test for Covid-19 has to be part of that. It will require a significant investment in equipment, supplies and manpower – billions of rupees, but the economic benefits will outweigh the costs.  Continue reading

China reports zero local cases of corona virus

On Thursday 19 March, we reached a significant milestone in the current epidemic which should not go without comment.

China reported reported zero local cases throughout all its provinces including Hubei. The handful of cases it has had in the past few days have all been imported infections in visiting foreigners (mostly Italians) or returning Chinese. China is where the epidemic started three months ago, but it is now on the verge of being able to declare that first wave over and done with.

I wrote an article earlier to explain why the epidemic is no longer a Chinese problem. It was an attempt to alert everyone in Sri Lanka to the need to refocus on the infection threat from other countries, especially Europe. Unfortunately, it took over a week for me to get that published, and during that time the government continue to allow unrestricted arrivals from a range of countries with major and out-of-control outbreaks, such as the UK, France, Spain and Italy. As I wrote a few days ago, it is not therefore surprising that we ended up with the current outbreak with over 50 detected cases and almost certainly over a hundred undetected so far.

Cases to date - China 19/03/20

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