National Journal of Community Medicine│Volume 11│Issue 8│Aug 2020 Page 339 SHORT COMMUNICATION pISSN 0976 3325│eISSN 2229 6816 Open Access Article www.njcmindia.org Covid-19: Mitigation Approach towards Pandemic Aditi Bharti 1 , Arvind Sharma 2 Author’s Affiliation: 1 Post graduate student; 2 Professor, Dept. of Community Medicine, NSCB, Medical College, Jab- alpur Correspondence: Aditi Bharti, Email: draditi2019@gmail.com Date of Submission: 25-07-2020; Date of Acceptance: 28-08-2020; Date of Publication: 31-08-2020 How to cite this article: Bharti A, Sharma A. Covid-19: Mitigation Approach towards Pandemic. Natl J Community Med 2020;11(8):339-340 ABSTRACT The COVID-19 pandemic affected all layers of the population in the world. It has been spreading all over the world rapidly. In a large country like India, elimination may be achieved locally, but in every area, it may be daunting. Control measures would be attained by administering the actions to attenuate the infec- tious source, transmission route, and susceptible population epidemiologically. It could be possible in the collaboration of the following "approach" which potentially will turn out to be a hindrance to the spread of COVID-19 to combat the challenge of diminishing this pandemic. Keywords: COVID-19, mitigation approach, reverse quarantine, MCH care The COVID-19 pandemic affected all layers of the population in the world. It started on 31st Decem- ber 2019, in Wuhan City, Hubei Province of China, the first case of pneumonia with unknown etiology was detected and since then it has been spreading all over the world rapidly.1 In a large country like India, elimination may be achieved locally but, in every area, it may be daunting as one should al- ways expect some spread. Control measures would be attained by administering the actions to attenu- ate the infectious source, transmission route, and susceptible population epidemiologically. It could be possible in the collaboration of the following “approach”- Surveillance activities include contact tracing, testing, early isolation, quarantine and follow up of contacts. Testing of all suspect cases, symptomatic contacts, and asymptomatic direct and high-risk contacts of a confirmed case, ILI / SARI cases, and red zone travelers by installing “Testing booths” at the Community level. Social distancing measures should be carried out properly and create aware- ness on hand hygiene, respiratory etiquette, and sanitation. Workplace surveillance of symptoms could be undertaken by companies daily by pre- vailing Thermal screening and should be reported to public health authorities. While the spread of COVID19 from high-intensity areas to low intensi- ty areas could be prevented by restrictions of hu- man travel/contact. Epidemiological consideration for Herd Immuni- ty and SARS Cov-2, as SARS Cov-2 is a novel pathogen so variation in the transmissibility plays a major role as it does depends on the various epi- demiological factors such as, population density differences, population age structure, cultural be- haviors, underlying co-morbidity rates, and con- tact rates. As there is no effective intervention still known so, the most relevant measures to achieve SARSCoV-2 herd immunity are the reproductive number (R0), and overall infection fatality rate (IFR). Specifically, (1 – 1/R0) is the fraction of indi- viduals in the population who need to be infected to generate herd immunity. Assuming an R0 of 2.5 for SARS-CoV-2 in India, the herd immunity threshold is approximately 60%. This means that the incidence of infection would start to decline once the proportion of individuals with acquired immunity in the population with SARS Cov-2 ex- ceeds 0.60. Thus, with the above-mentioned strate- gic approach, India can shift its efforts to slow down the spread of the SARS Cov-2 virus to flatten the curve.