A vulnerability index for the management of and response to the COVID-19 epidemic in India: an ecological study.

The Lancet Global Health
Rajib Acharya, Akash Porwal

Abstract

COVID-19 is spreading rapidly in India and other parts of the world. Despite the Indian Government's efforts to contain the disease in the affected districts, cases have been reported in 627 (98%) of 640 districts. There is a need to devise a tool for district-level planning and prioritisation and effective allocation of resources. Based on publicly available data, this study reports a vulnerability index for identification of vulnerable regions in India on the basis of population and infrastructural characteristics. We computed a composite index of vulnerability at the state and district levels based on 15 indicators across the following five domains: socioeconomic, demographic, housing and hygiene, epidemiological, and health system. We used a percentile ranking method to compute both domain-specific and overall vulnerability and presented results spatially with number of positive COVID-19 cases in districts. A number of districts in nine large states-Bihar, Madhya Pradesh, Telangana, Jharkhand, Uttar Pradesh, Maharashtra, West Bengal, Odisha, and Gujarat-located in every region of the country except the northeast, were found to have high overall vulnerability (index value more than 0·75). These states also had high vulnerabi...Continue Reading

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Citations

Oct 31, 2020·Emerging Microbes & Infections·Yuanji TangShixia Wang
Jan 28, 2021·Diabetes & Metabolic Syndrome·Kiran GaurRajeev Gupta
Nov 22, 2020·The Lancet Global Health·Saurav Basu
Nov 22, 2020·The Lancet Global Health·Laxmi Kant Dwivedi, Anjali Bansal
Nov 22, 2020·The Lancet Global Health·Rajib Acharya, Akash Porwal
Nov 22, 2020·The Lancet Global Health·Rockli Kim, S V Subramanian
Feb 19, 2021·Frontiers in Public Health·Gede Benny Setia Wirawan, Pande Putu Januraga
Apr 1, 2021·GeoHealth·Bibhash NathMohammad Mahmudur Rahman
May 4, 2021·Frontiers in Public Health·Ashish JoshiAshoo Grover
May 5, 2021·The Science of the Total Environment·Anuj TiwariEdson R A Oliveira
May 11, 2021·Social Indicators Research·Diogo FerrazDaisy Aparecida do Nascimento Rebelatto
May 19, 2021·Health Promotion International·Mira JohriUNKNOWN Gram Vaani Team
May 20, 2021·Nature Medicine·Harald SchmidtAngela A Shen
May 19, 2021·Geospatial Health·Khalifa M Al KindiAhmed M El Kenawy
Jun 22, 2021·Emerging Infectious Diseases·Qiuyan LiaoWendy Wing Tak Lam
Jun 22, 2021·Review of Development Economics·Katsushi S ImaiRaghav Gaiha
Jul 28, 2021·International Journal of Disaster Risk Reduction : IJDRR·Sameer Shadeed, Sandy Alawna
Aug 9, 2021·Vaccine·Akshay MahajanHarpreet Singh
Jul 20, 2020·The Lancet Global Health·Sanjay K Mohanty
Sep 10, 2020·Clinical Epidemiology and Global Health·Apurba Sarkar, Pradip Chouhan

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