ABSTRACT
From March to June 2021, India experienced a deadly second wave of COVID-19, with an increased number of post-vaccination breakthrough infections reported across the country. To understand the possible reason for these breakthroughs, we collected 677 clinical samples (throat swab/nasal swabs) of individuals from 17 states/Union Territories of the country who had received two doses (n = 592) and one dose (n = 85) of vaccines and tested positive for COVID-19. These cases were telephonically interviewed and clinical data were analyzed. A total of 511 SARS-CoV-2 genomes were recovered with genome coverage of higher than 98% from both groups. Analysis of both groups determined that 86.69% (n = 443) of them belonged to the Delta variant, along with Alpha, Kappa, Delta AY.1, and Delta AY.2. The Delta variant clustered into four distinct sub-lineages. Sub-lineage I had mutations in ORF1ab A1306S, P2046L, P2287S, V2930L, T3255I, T3446A, G5063S, P5401L, and A6319V, and in N G215C; Sub-lineage II had mutations in ORF1ab P309L, A3209V, V3718A, G5063S, P5401L, and ORF7a L116F; Sub-lineage III had mutations in ORF1ab A3209V, V3718A, T3750I, G5063S, and P5401L and in spike A222V; Sub-lineage IV had mutations in ORF1ab P309L, D2980N, and F3138S and spike K77T. This study indicates that majority of the breakthrough COVID-19 clinical cases were infected with the Delta variant, and only 9.8% cases required hospitalization, while fatality was observed in only 0.4% cases. This clearly suggests that the vaccination does provide reduction in hospital admission and mortality.
Subject(s)
COVID-19/epidemiology , COVID-19/virology , Genome, Viral , Genomics , SARS-CoV-2/genetics , Adult , COVID-19/diagnosis , Comorbidity , Disease Outbreaks , Female , Geography, Medical , High-Throughput Nucleotide Sequencing , Humans , India/epidemiology , Male , Middle Aged , Phylogeny , Public Health Surveillance , SARS-CoV-2/classificationABSTRACT
AIM: The present study was aimed at exploring the indigenous knowledge of native tribes on the utilization of wild plant species for local healthcare management in Malda district of West Bengal. MATERIALS AND METHODS: Successive field surveys were carried out from July 2012 to August 2013 in search of traditional healers or practitioners who ceaselessly use their worthy knowledge to treat several ailments for human purposes. The information was collected by means of open-ended conversations, semi-structured questionnaire, group discussion, etc. Information obtained from the informants was also cross verified to check the authenticity. RESULTS: The present study revealed that a total of 53 medicinal plants belonging to the 37 families are frequently used to treat 44 types of ailments with 88 herbal preparations. Of 53 plants, herbs possess the highest growth forms (32%) that were used in making traditional preparation, followed by shrubs (24%), trees (23%), climbers (17%), and parasites (4%). Roots comprised the major plant parts used (25%), followed by leaves (21%), seeds (17%), bark (13%), whole plant (8%) and fruits (6%) to prepare the medicinal formulations. The chief ailments treated in this province were azoospermia, diabetes, menstrual disorder, dysentery, rheumatism, etc. CONCLUSION: It can be concluded that the documentation of the ethnobotanical knowledge in management of local healthcare is the first step, which will open new door for the researchers in the field of modern drug development.
