COVID 19 epidemic in India: impact on health, food security and nutritional status
Main Article Content
Abstract
COVID-19 pandemic was a major challenge that tested the coping capabilities and resilience of nations and people. Two years after the last wave of the epidemic in India, might be the appropriate time to assess the:
- challenges the COVID-19 epidemic posed to the health, food security and nutritional status of the population
- appropriateness, timeliness, and adequacy of the interventions to minimise the adverse consequences and
- impact of these interventions on the health and nutritional status of the population.
India had three waves of the COVID-19 epidemic. The lockdown delayed and flattened the first wave; both cases and deaths were low. The devastating second wave infected millions of persons; the health system was overwhelmed and case fatality rates were high. The third wave infected millions but death rates were low. The age-standardized mortality and longevity reduction due to COVID-19 were low. The stringent lockdown in 2020 resulted in economic contraction. Subsequently, economic growth recovered. During 2020 there was a steep rise in urban unemployment but the situation improved when lockdown was lifted. The demand for rural employment was high in 2020; demand continues to be higher than the pre-COVID-19 levels even now.
To combat food insecurity due to job loss and reduction in earnings, the provisions under the National Food Security Act were utilized to provide highly subsidized and free food grains to over 800 million persons; this enabled the population to remain hunger-free and food secure. The provision of food grain at low cost is being continued even now to prevent the adverse impact of stagnant earning and high food inflation on food security.
Data from the national surveys and our research study in urban low-middle-income families indicate that the COVID-19 epidemic did not result in increase in the prevalence of undernutrition or overnutrition, in children or adults.
These data suggest that the world’s most populous country and its citizens had managed the health and food security challenges of the COVID-19 epidemic relatively well.
Article Details
The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.
References
2. Ramachandran P. Health System Response to COVID-19 Epidemic in India Ann Natl. Acad Med Sci.2020 2:67-76.
3. Govt of India : Economic survey 2020- 21 (1) Accessed on 15.05.2024 https://www.indiabudget.gov.in/budget2020-21/economicsurvey/doc/echapter.pdf
4. Govt of India: Economic survey 2021- 22 Accessed on 15.05.2024 https://www.indiabudget.gov.in/budget 2021-22 economic survey/doc/echapter.pdf
5. Govt of India: Economic survey 2023 Accessed on 15.05.2024 https://www.indiabudget.gov.in/budget2022-23/economicsurvey/doc/echapter.pdf
6. Ramachandran P , Kalaivani K Nutrition Transition in India: Challenges in Achieving Global Targets Proc Indian Natn Sci Acad 2018 ( 4) 821-833
7. Pramanik A, Kalaivani K, Ramachandran P. Food Security and Dietary Intake in Pregnant Women from Urban Low Income Group Ind J Nutr Diet. 2021: 58(2):161-173.
8. Kumari H, Kalaivani K. Ramachandran P Food Consumption and Nutritional Status of Urban Low Middle-Income Families Ind. J Nutr Diet. 2022 59(3). 357-368
9. Lakshmi RV, Sylvia Subapriya M, Krishnamurthy K, Ramachandran P. Nutritional status of pre-school children from urban low income families. Ind J Nutr Diet. 2019;56(3):265-73
10. Goel, A., Devi, A.T., Kalaivani, K. Ramachandran, P. Dual nutrition burden in urban women from low middle income families. Ind. J. Nutr. Diet., 2020, 57 (1) , 10-24
11. Prabhakar K, Kowsalya, Kalaivani, Ramachandran P. Growth monitoring in under-three children using the mother child protection card. Ind J Nutr Diet. 2020 57(4):368-386.
12. Kumari H, Kalaivani, Ramachandran P. Nutritional Status of Parents and their Pre-School Children. Ind J Nutr Diet. 2021 58(4):489-500.
13. WHO COVID 19 dashboard No of COVID 19 cases reported to WHO Accessed on 15.04.2024 https://data.who.int/dashboards/covid19/cases
14. WHO COVID 19 dashboard No of COVID 19 deaths reported to WHO Accessed on 15.04.2024 https://data.who.int/dashboards/covid19/deaths
15. GBD 2021 Causes of death collaborators Global burden of 288 causes of death and life expectancy decomposition in 204 countries and territories and 811 subnational locations, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021. Lancet. Published online 2024. doi:10.1016/s0140-6736(24)00367-2
16. GBD 2021 Demographics Collaborators Global age-sex-specific mortality, life expectancy, and population estimates in 204 countries and territories and 811 subnational locations, 1950–2021, and the impact of the COVID-19 pandemic: a comprehensive demographic analysis for the Global Burden of Disease Study 2021 The lancet published on line March 11, 2024 https://doi.org/10.1016/ PII: S0140-6736(24)00476-
17. IIPS. National Family Health Survey (NFHS-4). Accessed on 15.05.2024 http://www.nfhsindia.org/India4.html
18. IIPS. National Family Health Survey (NFHS-5). INDIA fact sheets Accessed on 15.05.2024 https://rchiips.org/nfhs/NFHS-5_FCTS/India.pdf
19. FAO: The Coping Strategies Index: Field Methods Manual Second edition 2008 Accessed on 15.04.2024 https://www.fsnnetwork.org/resource/coping-strategies-index-field-methods-manual#:
20. WHO Report of the fifteenth meeting of the International Health Regulations (IHR) Emergency Committee regarding the coronavirus 2019 disease (COVID-19) (2023) pandemic, Accessed on 15.05.2024 https://www.who.int/news/item/05-05-2023-statement-on-the-fifteenth-meeting-of-the-international-health-regulations-(2005)-emergency-committee-regarding-the-coronavirus-disease-(covid-19)-pandemic
21. WHO Strategic Preparedness and Response Plan for 2023-2025 (2023) Accessed on 15.05.2024 www.WHO-WHE-SPP-2023.1-eng.pdf
22. CMIE: Consumer Pyramids Household Survey Accessed on 15.04.2024 https://www.cmie.com/kommon/bin/
23. Govt of India NREGA web site Accessed on 15.05 .2024 https://nreganarep.nic.in/netnrega/all_lvl_details_dashboard_new.aspx
24. Ramachandran P. Food & nutrition security: challenges in the new millennium Ind. J Med Res. 2013;138(3):373-382.
25. Dept of food and public distribution Govt of India National Food Security Act, (NFSA) 2013. Accessed on 15.05.2024 https://dfpd.gov.in/
26. RBI Financial stability report Dec 2023 Accessed on 15.05.2024 https://www.rbi.org.in/Scripts/FsReports.aspx