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Caring for respiratory disease in India in the COVID era

Nothing in the last hundred years has impacted the practice of medicine as adversely as the COVID-19 pandemic [1]. The effects have been particularly severe in India, struggling with problems of a large population, homeless migrant workers, limited resources, and poor access to health services. Marked slowing down of economic activity due to prolonged lockdowns and restricted mobility had put the health services on the back foot. Resurgence of the pandemic during the current year has further worsened the situation at a time when recovery from the first wave in 2020 had just begun to be seen. The overstretched health-care infrastructure and reassignment of health-care personnel to COVID duties have affected, in particular the care of non-COVID patients and health personnel [2,3]. There had been an extreme shortage to almost complete absence of general medical facilities for several months. Activities related to medical teaching, training and research were not even talked about. Patients with non-COVID infections and non-communicable diseases could not be managed as effectively as needed [3]. Sharing of epidemiological information (and misinformation) through the digital platforms such as the television, social media and the internet have only worsened the situation.