(1/n)There is a mischievous msg being circulated saying the death rate (other than #COVID19) has come down everywhere now that Drs have closed outpatient. As a Dr., I’m happy if death rate has gone down but implicating Drs saying Drs r the reason for death is rubbish. Here's y

(2/n) Here is the list of most common causes of death in India.
( https://www.thelancet.com/gbd )

1. Cardiovascular Diseases
2. Chronic obstructive pulmonary disease (COPD)
3. Diarrhoeal dieases
4. Stroke
5. Lower respiratory infections
6. Tuberculosis
7. Neonatal Diseases

(3/n)
8. Self harm including suicide
9. Road traffic accidents
10. Malnutrition and other childhood infections

(4/n) What risk factors that drive the most death and disability combined in India?

1. Malnutrition
2. Dietary risks
3. Air pollution
4. High blood pressure
5. Tobacco
6. High plasma glucose
7. WaSH (Water Sanitation & Hygiene)
8. Alcohol use
9. High BMI
10. High LDL

(5/n) Now let’s see at the current scenario during lockdown.
1. Most of us r confined to our house n dependant on fresh home cooked food. Road side unhygienic food & junk food unavailable.
2. Alcohol and tobacco are unavailable. Ac exacerbation of Liver and Lung diseases r low.

(6/n)
3. Sanitation including hand hygiene is followed by most at present.
4. Roads are empty and accidents are at the minimum.
5. Air pollution is at the minimum which adds to ease of breathing reducing asthma attacks.

(7/n)
6. Closure of work places / working from home has reduced the stress and occupational risks.
7. Social distancing has prevented many a transmissible diseases.

(8/n)
To summarise, most of the citizens are living in a stress free environment with their families having timely nutritious food. In other words, people are following exactly what every Doctor advises along with medicines.

(9/9)
So it’s not that death rate has come down because people don’t go to Doctors, it’s the other way around. Death rate has decreased because patients are following their Doctor’s advice, unknowingly.

(7/n)
6. Closure of work places / working from home has reduced the stress and occupational risks.
7. Social distancing has prevented many a transmissible diseases.

(8/n)
To summarise, most of the citizens are living in a stress free environment with their families having timely nutritious food. In other words, people are following exactly what every Doctor advises along with medicines.