Even though Kerala was the first state to report a coronavirus case in late January, the number of new cases in the first week of April dropped 30 percent from the previous week. With just two deaths, 34 percent of positive patients have recovered in the state, higher than elsewhere in India.
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The success in Kerala could prove instructive for the Indian government, which has largely shut down the country to stop the spread of the contagion but continues to see the curve trend upward, with more than 6,700 confirmed cases and more than 200 deaths. Its challenges are plenty — from high population density to poor health care facilities — but experts say Kerala’s proactive measures like early detection and broad social support measures could serve as a model for the rest of the country.
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The state faced a potentially disastrous challenge: a disproportionately high number of foreign arrivals. Popular for its tranquil backwaters and health retreats, the coastal state receives more than 1 million foreign tourists a year. One-sixth of its 33 million citizens are expatriates, and hundreds of its students study in China.
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In more than 30 years of Communist rule, the state has invested heavily in public education and universal health care. Kerala has the highest literacy rate and benefits from the best-performing public health system in the country. It tops India’s rankings on neonatal mortality, birth immunizations and the availability of specialists at primary care facilities.
The strength of its health care system allowed it to follow the World Health Organization’s recommendation on aggressive testing, even as central agencies maintained that mass testing was not feasible in a country like India. Through the first week of April, Kerala had conducted more than 13,000 tests, accounting for 10 percent of all tests done across India. By comparison, Andhra Pradesh, a larger state with a similar number of cases, had carried out nearly 6,000 tests while Tamil Nadu, with more than double the number of cases, had done more than 8,000 tests.
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