Epidemiological Transition of Covid-19 in India from Higher to Lower HDI States and Territories: Implications for Prevention and Control (original) (raw)
Objective: Social determinants of evolving covid-19 pandemic have not been well studied. To determine trends in transition of this epidemic in India we performed a study in states at various levels of human development index (HDI). Methods: We used publicly available data sources to track progress of covid-19 epidemic in India in different states and territories where it was reported in significant numbers. The states (n=20) were classified into tertiles of HDI and weekly trends in cases and deaths plotted from 15 March to 2 May 2020. To assess association of HDI with state-level covid-19 burden we performed Pearson correlation. Logarithmic trends were evaluated for calculation of projections. A microlevel study was performed in select urban agglomerations for identification of socioeconomic status (SES) differentials. Results: There is wide regional variation in covid-19 cases and deaths in India from mid-March to early-May 2020. High absolute numbers have been reported from states...
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