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New Delhi, May 26: With India now in the bracket of top 10 nations worst hit by the novel coronavirus, experts have attributed the surge in cases to easing of travel restrictions and movement of migrants besides enhanced testing capacity.

According to AIIMS Director, Randeep Guleria, the present rise in cases has been reported predominantly from hotspot areas but there is a possibility of further rise in the number of COVID-19 cases in the coming few days due to increased travel.

"Those who are asymptomatic or are in presymptomatic stage will pass through screening mechanisms and may reach areas where there have been minimal or less cases," Guleria said.

He said there was a need for more intense surveillance and monitoring in areas where migrants have returned to contain the spread of the disease.

If proper social distancing and hand hygiene is not maintained at a time when people are out on roads, the coronavirus infection will transmit much faster, he said.

Guleria also noted that testing capacity has been significantly ramped up which is reflecting in the increasing number of cases being detected.

Commenting on the partial resumption of rail and road transport services and migrants returning to their native places, Dr Chandrakant S Pandav, former president of the Indian Public Health Association and Indian Association of Preventive and social medicine, said the floodgates have been opened.

"This is a classic case of creating an enabling environment for coronavirus to spread like wildfire. In the coming few days, the number will rise dramatically. While it is true that lockdown cannot go on forever, the opening up should have been in a measured, calibrated and informed manner," he said.

"Travelling leads to spread of the infection. Now, the government will have to ensure even stronger surveillance to curb the infection but if that will be done is something to be observed," he said.

The death toll due to COVID-19 rose to 4,167 and the number of cases climbed to 1, 45,380 in the country, registering an increase of 146 deaths and 6,535 cases since Monday 8 am, according to the Union Health Ministry.

Dr K K Aggarwal, President of the Confederation of Medical Association of Asia and Oceania (CMAAO), and former IMA President, said there will be a further surge in cases in the coming days if migration continues without any proper social distancing.

"Within the next ten days, the cases will cross two lakh. The very fact that number of cases was rising before the end of the third lockdown and continuing during the fourth lockdown means that people are not following physical distancing as required," he said.

"Even in the last week of May when the temperature is very high, the rising number of cases would mean that human-to-human transmission is more important than surface-to-human transmission. Normally in heat the surface-to-human transmission should have reduced the new cases by half which has not happened," Aggarwal said.

However, Professor K Srinath Reddy, president of the Public Health Foundation of India, said an increase in the number of cases reflects both an increase in testing rates and an increase in spread.

"What we need to see is the number of new tests performed per day and the number of new cases that were identified from them. That gives a better idea of the rate of spread than the total number of new cases alone.

"We also have to see if the testing criteria has remained the same between the two periods of comparison.We may open up gradually but will have to continue case detection, contact tracing and follow personal protection measures as vigorously as possible," he added.

A total of 31,26,119 samples have been tested as on May 26, 9 am and 92,528 samples have been tested in the last 24 hours, ICMR officials said.

India is the tenth most affected nation by the pandemic after the US, Russia, UK, Spain, Italy, Brazil, Germany, Turkey and France, as per the John Hopkins University data.

The country has recorded 6,088, 6,654, 6,767 and 6977 cases on May 22, 23, 24 and 25 respectively. Also, the number of RT-PCR tests for detection of COVID-19 in the country crossed the 30-lakh mark on Monday.

The first two phases of the lockdown led to 14-29 lakh COVID-19 cases being averted, while the number of lives saved in that period was between 37,000 and 78,000, the government said last Friday, citing various studies, and asserted that the unprecedented shutdown has paid "rich dividends" in the fight against the pandemic.

The World Health Organisation (WHO) on Saturday launched a Health Alert on WhatsApp where over 1.5 billion users can ask questions and they will be provided with reliable information about new coronavirus 24/7.

This will also serve government decision-makers by providing the latest numbers and situation reports, WhatsApp said in a statement.

To contact the WHO Health Alert, save the number +41 79 893 1892 in phone contacts, and then simply text the word 'Hi' in a WhatsApp message to get started.

The service responds to a series of prompts and will be updated daily with the latest information.

"You can also visit the WhatsApp Coronavirus Information Hub at whatsapp.com/coronavirus," and click on the WHO link on the homepage to open up a chat with the WHO Health Alert if you have WhatsApp installed," said the micro-blogging platform.

The WHO Health Alert will provide official information on topics such as how to protect yourself from infection, travel advice, and debunking new coronavirus myths.

The service is initially launching in English but will be available in all six languages within the coming weeks (English, Arabic, Chinese, French, Russian and Spanish.)

"Digital technology gives us an unprecedented opportunity for vital health information to go viral and spread faster than the pandemic. We are proud to have partners like Facebook and WhatsApp, that are supporting us in reaching billions of people with important health information," said Dr Tedros Adhanom Ghebreyesus, Director-General of the WHO.

The WHO Health Alert is the latest official NGO or government helpline to become available on WhatsApp, joining the Singapore Government, The Israel Ministry of Health, the South Africa Department of Health, and KOMINFO Indonesia.

Earlier this week, WhatsApp, in partnership with the World Health Organization, UNICEF, and UNDP, launched the WhatsApp Coronavirus Information Hub. The hub offers general tips and resources for users around the world to reduce the spread of rumours and connect with accurate health information.

WhatsApp also announced a $1 million grant to the International Fact Checking Network to support fact-checking for the #CoronaVirusFacts Alliance.

Jul 6: Tony Award-nominated actor Nick Cordero, who specialized in playing tough guys on Broadway in such shows as Waitress, A Bronx Tale and Bullets Over Broadway, has died in Los Angeles after suffering severe medical complications after contracting the coronavirus. He was 41.

Cordero died Sunday at Cedars-Sinai hospital after more than 90 days in the hospital, according to his wife Amanda Kloots. “God has another angel in heaven now,” she posted on Instagram. “Nick was such a bright light. He was everyone’s friend, loved to listen, help and especially talk. He was an incredible actor and musician. He loved his family and loved being a father and husband.”

Nick Cordero entered the emergency room on March 30 and had a succession of health setbacks, including mini-strokes, blood clots, septis infections, a tracheostomy and a temporary pacemaker implanted. He had been on a ventilator and unconscious and had his right leg amputated. A double lung transplant was being explored.

Kloots, sent him daily videos of her and their 1-year-old son Elvis, so he could see them if he woke up, and urged friends and fans to join a daily sing-a-long. A GoFundMe page to pay for medical expenses has raised over $600,000.

“I tell him, I say, ‘You’re gonna walk out of this hospital, honey. I believe it. I know you can,’” she told “CBS This Morning” over the summer. ”‘We’re gonna dance again. You’re gonna hold your son again.’ My line is, ‘Don’t get lost. Get focused.’”

The lanky Cordero originated the menacing role of husband Earl opposite his estranged wife, played by Jessie Mueller, in Waitress as well as the role of Sonny in Chazz Palminteri’s A Bronx Tale. It was at Bullets Over Broadway where Cordero met his wife. The two married in 2017.

Cast members from “Waitress” — Jessie Mueller, Keala Settle, Kimik Glenn and songwriter Sara Bareilles — helped raise money for Cordero by covering his song “Live Your Life.” Sylvester Stallone sent a video with best wishes.

Kloots had said that it was difficult to tell whether Cordero understood what happened to him, but said he could respond to commands by looking up and down when he was alert.

Her husband played a mob soldier with a flare for the dramatic in Broadway’s Woody Allen 1994 film adaptation of Bullets Over Broadway, for which he received a Tony nomination for best-featured actor in a musical. He moved to Los Angeles to star in Rock of Ages.

On the small screen, Nick Cordero appeared in several episodes of Blue Bloods and Law & Order: Special Victims Unit, and he had a role in the film Going in Style.

Actor and guitarist for Bruce Springsteen, Stevie Van Zandt offered Cordero his first TV acting gig in the final episode of Lilyhammer. After he was hospitalized, Van Zandt teamed up with Constantine Maroulis and Vincent Pastore to make a video performing “Live Your Life.”

Cordero was last onstage in a Kennedy Center presentation of Littler Shop of Horrors. His off-Broadway credits include The Toxic Avenger and Brooklynite.

The coronavirus has sickened other Broadway veterans, including the actors Danny Burstein, Tony Shalhoub, Brian Stokes Mitchell, Gavin Creel, Aaron Tveit and Laura Bell Bundy as well as composer David Bryan. It has also claimed the life of Tony-winning playwright Terrence McNally.