117-497: Ayushman Bharat Pradhan Mantri Jan Arogya Yojana ( PM-JAY ; lit. ' Prime Minister's People's Health Scheme ' , Ayushman Bharat PM-JAY lit. ' Live Long India Prime Minister's People's Health Scheme ' ), also colloquially known as Modicare , is a national public health insurance scheme of the Government of India that aims to provide free access to health insurance coverage for low income earners in
234-461: A writ petition at the filing counter of the court or by addressing a letter to the Chief Justice of India , highlighting the question of public importance for redress. These are known as public interest litigations . India has a quasi-federal form of government, called "union" or "central" government, with elected officials at the union, state and local levels. At the national level,
351-426: A Coronavirus breathalyzer is a pre-screening test for people who have no or mild symptoms of COVID-19. A not negative result is followed by a PCR or LAMP test. In May 2021, Reuters reported that Dutch researchers at Wageningen University had shown that trained bees could detect the virus in infected samples in seconds and this could benefit countries where test facilities are in short supply. A two-month study by
468-570: A NDA -led government (a coalition of the BJP and its allies) since 2014. The prime minister and their senior ministers belong to the Union Council of Ministers —its executive decision-making committee being the cabinet . The government, seated in New Delhi , has three primary branches: the legislative, the executive and the judiciary, whose powers are vested in a bicameral Parliament ,
585-479: A Prime Minister and a Governor-General as the viceregal representative of the head of state, George VI . Its unicameral legislature, the Constituent Assembly , was tasked with drafting the country's constitution. The Constitution of India came into effect on 26 January 1950 , making India a republic with a president as head of state, replacing the monarch and his viceregal representative,
702-496: A nasopharyngeal swab , sputum (coughed up material), throat swabs, deep airway material collected via suction catheter or saliva . Drosten et al. remarked that for 2003 SARS, "from a diagnostic point of view, it is important to note that nasal and throat swabs seem less suitable for diagnosis, since these materials contain considerably less viral RNA than sputum, and the virus may escape detection if only these materials are tested." Sensitivity of clinical samples by RT-PCR
819-519: A prime minister , and the Supreme Court respectively, with a president as head of state. The Council of Ministers are responsible to the House in which they sit, they make statements in that House and take questions from fellow members of that House. For most senior ministers this is usually the directly elected Lok Sabha rather than the (mostly) indirectly elected Rajya Sabha . As
936-475: A PCR test. Because the loss of the sense of smell shows up before other symptoms, there has been a call for widespread sniff testing. Health care bureaucracies have generally ignored sniff tests even though they are quick, easy and capable of being self-administered daily. This has led some medical journals to write editorials supporting the adoption of sniff testing. Typical visible features on CT initially include bilateral multilobar ground-glass opacities with
1053-440: A beneficiary can avail medical treatment at any PM-JAY empanelled hospital outside their state and anywhere in the country; providing access to free COVID-19 testing . In India, rather than focusing on strengthening essential primary, secondary, and tertiary healthcare in the public system, a shift toward an insurance-based system has been promoted. Chronic underfunding of India's public health sector compared to private sector, and
1170-404: A computerized tomography scan is a strong tool in the diagnosis of COVID-19, it is insufficient to identify COVID-19 alone due to the poor specificity and the difficulties that radiologists may experience in distinguishing COVID-19 from other viral pneumonia on chest computerized tomography scans. The standard blood test (quick scan) taken at the emergency room measures different values. By use of
1287-564: A constitutional crisis. Thus, in practice, the Council of Ministers cannot be dismissed as long as it holds the support of a majority in the Lok Sabha . The President is responsible for appointing many high officials in India. These high officials include the governors of the 28 states ; the chief justice ; other judges of the supreme court and high courts on the advice of other judges;
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#17327918973571404-419: A current infection, while positive antibody tests indicate a prior infection. Other techniques include a CT scan , checking for elevated body temperature, checking for low blood oxygen level, and detection by trained dogs . Detection of the virus is usually done either by looking for the virus's inner RNA , or pieces of protein on the outside of the virus. Tests that look for the viral antigens (parts of
1521-543: A few hours. These tests are also referred to as molecular or genetic assays. Real-time PCR (qPCR) provides advantages including automation, higher-throughput and more reliable instrumentation. It has become the preferred method. The combined technique has been described as real-time RT-PCR or quantitative RT-PCR and is sometimes abbreviated qRT-PCR , rRT-PCR or RT-qPCR, although sometimes RT-PCR or PCR are used. The Minimum Information for Publication of Quantitative Real-Time PCR Experiments (MIQE) guidelines propose
1638-412: A known viral protein, buffer reagents and specific, enzyme-labeled antibodies. The result is luminescent. A chemiluminescent microparticle immunoassay uses magnetic, protein-coated microparticles. Antibodies react to the viral protein, forming a complex. Secondary enzyme-labeled antibodies are added and bind to these complexes. The resulting chemical reaction produces light. The radiance is used to calculate
1755-822: A lab. These tests usually use whole blood , plasma , or serum samples. A plate is coated with a viral protein, such as a SARS-CoV-2 spike protein. Samples are incubated with the protein, allowing any antibodies to bind to it. The antibody-protein complex can then be detected with another wash of antibodies that produce a color/fluorescent readout. Neutralization assays assess whether sample antibodies prevent viral infection in test cells. These tests sample blood, plasma or serum. The test cultures cells that allow viral reproduction (e.g., Vero E6 cells). By varying antibody concentrations, researchers can visualize and quantify how many test antibodies block virus replication. Chemiluminescent immunoassays are quantitative lab tests. They sample blood, plasma, or serum. Samples are mixed with
1872-490: A member of one of the houses of the parliament. The cabinet is headed by the prime minister , and is advised by the cabinet secretary , who also acts as the head of the Indian Administrative Service and other civil services. Other members of the council are either union cabinet ministers, who are heads of various ministries; or ministers of state, who are junior members who report directly to one of
1989-508: A modern national system. While Ayushman Bharat Yojana seeks to provide excellent healthcare, India still has some basic healthcare challenges including relatively few doctors, more cases of infectious disease, and a national budget with a comparatively low central government investment in health care. Some of the problems lay outside the Health Ministry such as urban development or transport. While many government hospitals have joined
2106-477: A peripheral or posterior distribution. COVID-19 can be identified with higher precision using CT than with RT-PCR. Subpleural dominance , crazy paving , and consolidation may develop as the disease evolves. Chest CT scans and chest x-rays are not recommended for diagnosing COVID-19. Radiologic findings in COVID-19 lack specificity. Chest X-rays, computed tomography scans and ultrasounds are all ways
2223-613: A positive result if they find only binding antibodies, these tests cannot indicate that the subject has generated protective NAbs that protect against re-infection. It is expected that binding antibodies imply the presence of NAbs and for many viral diseases total antibody responses correlate somewhat with NAb responses but this is not established for COVID-19. A study of 175 recovered patients in China who experienced mild symptoms reported that 10 individuals had no detectable NAbs at discharge, or thereafter. How these patients recovered without
2340-481: A quarter of the 543 elected members of parliament had been charged with crimes, including murder. Many of the biggest scandals since 2010 have involved high-level government officials, including cabinet ministers and chief ministers, such as the 2010 Commonwealth Games scam ( ₹ 700 billion (equivalent to ₹ 1.6 trillion or US$ 19 billion in 2023)), the Adarsh Housing Society scam ,
2457-486: A similar way, Kerala , despite having its own health program agreed to begin using Ayushman Bharat Yojana from November 2019. West Bengal initially joined the program but then opted out in favor of establishing their own regional health programme. Telangana did the same. By January 2020, Odisha had not joined the scheme. In March 2020, Delhi announced that it would join the program. In May 2020, Prime Minister Narendra Modi said in his radio show Mann Ki Baat that
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#17327918973572574-524: A swab of the anterior nares , or from saliva (obtained by various methods including lollipop tests for children). The sample is then exposed to paper strips containing artificial antibodies designed to bind to coronavirus antigens. Antigens bind to the strips and give a visual readout. The process takes less than 30 minutes, can deliver results at point of care, and does not require expensive equipment or extensive training. Swabs of respiratory viruses often lack enough antigen material to be detectable. This
2691-537: A time per machine. RT-PCR tests are accurate but require too much time, energy and trained personnel to run the tests. "There will never be the ability on a [PCR] test to do 300 million tests a day or to test everybody before they go to work or to school," Deborah Birx , head of the White House Coronavirus Task Force , said on 17 April 2020. "But there might be with the antigen test." Samples may be collected via nasopharyngeal swab,
2808-555: A variety of healthcare settings. There are some downsides to using imaging, however. The equipment needed for computed tomography scans is not available in most hospitals, making it not as effective as some other tools used for detection of the coronavirus disease. One of the difficult tasks in a pandemic is manually inspecting each report, which takes numerous radiology professionals and time. There were several problems with early studies of using chest computerized tomography scans for diagnosing coronavirus. Some of these problems included
2925-513: A vote in the house where he is not a member. A secretary to the Government of India , a civil servant , generally an Indian Administrative Service (IAS) officer, is the administrative head of the ministry or department, and is the principal adviser to the minister on all matters of policy and administration within the ministry/department. Secretaries to the Government of India rank 23rd on Indian order of precedence . Secretaries at
3042-541: A whole is responsible to the Lok Sabha. The Lok Sabha is a temporary house and can be dissolved only when the party in power loses the support of the majority of the house. The Rajya Sabha is a permanent house and can never be dissolved. The members of the Rajya Sabha are elected for a six-year term. The executive of government is the one that has sole authority and responsibility for the daily administration of
3159-481: Is bicameral in nature, with the Lok Sabha being the lower house , and the Rajya Sabha the upper house . The judiciary systematically contains an apex supreme court , 25 high courts , and hundreds of district courts , all subordinate to the supreme court. The basic civil and criminal laws governing the citizens of India are set down in major parliamentary legislation, such as the civil procedure code ,
3276-635: Is means-tested . It was launched in September 2018 by the Ministry of Health and Family Welfare . That ministry later established the National Health Authority as an organization to administer the program. It is a centrally sponsored scheme and is jointly funded by both the union government and the states. By offering services to 50 crore (500 million) people it is the world's largest government sponsored healthcare program. The program
3393-404: Is 63% for nasal swab, 32% for pharyngeal swab, 48% for feces, 72–75% for sputum, and 93–95% for bronchoalveolar lavage . The likelihood of detecting the virus depends on collection method and how much time has passed since infection. According to Drosten tests performed with throat swabs are reliable only in the first week. Thereafter the virus may abandon the throat and multiply in the lungs. In
3510-483: Is a means-tested program, considering its users are people categorized as low income in India . In 2017 an Indian version of the Global Burden of Disease Study reported major diseases and risk factors from 1990 to 2016 for every state in India. This study brought a lot of interest in government health policy because it identified major health challenges which the government could address. A large percentage of
3627-430: Is a measure of how well a test can identify true negatives. For all testing, both diagnostic and screening, there is usually a trade-off between sensitivity and specificity, such that higher sensitivities will mean lower specificities and vice versa. A 90% specific test will correctly identify 90% of those who are uninfected, leaving 10% with a false positive result. Samples can be obtained by various methods, including
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3744-614: Is a process that amplifies (replicates) a small, well-defined segment of DNA many hundreds of thousands of times, creating enough of it for analysis. Test samples are treated with certain chemicals that allow DNA to be extracted. Reverse transcription converts RNA into DNA. Reverse transcription polymerase chain reaction (RT-PCR) first uses reverse transcription to obtain DNA, followed by PCR to amplify that DNA, creating enough to be analyzed. RT-PCR can thereby detect SARS-CoV-2 , which contains only RNA. The RT-PCR process generally requires
3861-411: Is an urgent need for frequent surveillance and rapid availability of results. Test analysis is often performed in automated , high-throughput , medical laboratories by medical laboratory scientists . Rapid self-tests and point-of-care testing are also available and can offer a faster and less expensive method to test for the virus although with a lower accuracy. Positive viral tests indicate
3978-465: Is considered the lower house . The parliament does not have complete control and sovereignty , as its laws are subject to judicial review by the Supreme Court . However, it does exercise some control over the executive . The members of the Council of Ministers , including the prime minister , are either chosen from parliament or elected there within six months of assuming office. The council as
4095-476: Is contained in a unit of convalescent plasma, for COVID-19 treatment, or to verify if a given vaccine generates an adequate immune response. SARS-CoV-2 antibodies' potency and protective period have not been established. Therefore, a positive antibody test may not imply immunity to a future infection. Further, whether mild or asymptomatic infections produce sufficient antibodies for a test to detect has not been established. Antibodies for some diseases persist in
4212-617: Is detected a median 14 days after symptom onset. IgG levels significantly decline after two or three months. Genetic tests verify infection earlier than antibody tests. Only 30% of those with a positive genetic test produced a positive antibody test on day 7 of their infection. RDTs typically use a small, portable, positive/negative lateral flow assay that can be executed at point of care. RDTs may process blood samples, saliva samples, or nasal swab fluids. RDTs produce colored lines to indicate positive or negative results. ELISAs can be qualitative or quantitative and generally require
4329-435: Is especially true for asymptomatic patients who have little if any nasal discharge . Viral proteins are not amplified in an antigen test. A Cochrane review based on 64 studies investigating the efficacy of 16 different antigen tests determined that they correctly identified COVID-19 infection in an average of 72% of people with symptoms, compared to 58% of people without symptoms. Tests were most accurate (78%) when used in
4446-438: Is needed. The body responds to a viral infection by producing antibodies that help neutralize the virus. Blood tests (also called serology tests or serology immunoassays ) can detect the presence of such antibodies. Antibody tests can be used to assess what fraction of a population has once been infected, which can then be used to calculate the disease's mortality rate . They can also be used to determine how much antibody
4563-470: Is not advised for routine screening of COVID-19. Patients with asymptomatic to mild symptoms are not recommended to be tested via chest computerized tomography scans. However, it is still crucial to use, particularly when determining complications or disease progression. Chest imaging also is not always the first route to take with patients who have high risk factors for COVID. High risk patients that had mild symptoms, chest imaging findings were limited. Although
4680-564: Is not as available as chest x-ray, but still only takes about 15 minutes per patient. Computerized tomography has been a known routine scanning for pneumonia diagnosis, therefore can also be used to diagnose coronavirus disease. Computerized tomography scans may help with ongoing illness monitoring throughout treatment. Patients who had low-grade symptoms and high body temperatures revealed significant lung indications on their chest computed tomography scans. They emphasized how important chest computerized tomography scans are for determining how serious
4797-597: Is the ex-officio head of the Civil Services Board, the Cabinet Secretariat , the Indian Administrative Service (IAS) and the head of all civil services under the rules of business of the government. The cabinet secretary is generally the senior-most officer of the Indian Administrative Service . The cabinet secretary ranks 11th on the Indian order of precedence . The cabinet secretary
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4914-411: Is the case in most parliamentary systems, the government is dependent on Parliament to legislate, and general elections are held every five years to elect a new Lok Sabha . The most recent election was in 2024 . After an election, the president selects as prime minister the leader of the party or alliance most likely to command the confidence of the majority of the Lok Sabha . In the event that
5031-403: Is the chief executive of the government and the leader of the majority party that holds a majority in the Lok Sabha. The prime minister leads the executive of the Government of India. The prime minister is the senior member of the cabinet in the executive government in a parliamentary system. The prime minister selects and can dismiss other members of the cabinet; allocates posts to members within
5148-602: Is to act following aid and advice tendered by the Prime Minister, who leads the Council of Ministers as described in Article 74 of the Constitution . The council of ministers remains in power during the 'pleasure' of the president. However, in practice, the council of ministers must retain the support of the Lok Sabha. If a president were to dismiss the council of ministers on his or her initiative, it might trigger
5265-522: Is under the direct charge of the prime minister . Presently, the Cabinet Secretary of India is Rajiv Gauba , IAS . India's independent union judicial system began under the British, and its concepts and procedures resemble those of Anglo-Saxon countries . The Supreme Court of India consists of the chief justice and 33 associate justices, all appointed by the president on the advice of
5382-525: Is used to assess disease prevalence, which aids the estimation of the infection fatality rate . Individual jurisdictions have adopted varied testing protocols, including whom to test, how often to test, analysis protocols, sample collection and the uses of test results. This variation has likely significantly impacted reported statistics, including case and test numbers, case fatality rates and case demographics. Because SARS-CoV-2 transmission occurs days after exposure (and before onset of symptoms), there
5499-485: The Chief Justice of India and 33 sanctioned other judges, it has extensive powers in the form of original , appellate and advisory jurisdictions . As the final court of appeal of the country, it takes up appeals primarily against verdicts of the high courts of various states of the Union and other courts and tribunals. It safeguards fundamental rights of citizens and settles disputes between various governments in
5616-504: The Chief Justice of India . The jury trials were abolished in India in the early 1960s, after the famous case KM Nanavati v. the State of Maharashtra , for reasons of being vulnerable to media and public pressure, as well as to being misled. Unlike its United States counterpart, the Indian justice system consists of a unitary system at both state and union levels. The judiciary consists of
5733-616: The Coal Mining Scam ( ₹ 1.86 trillion (equivalent to ₹ 4.2 trillion or US$ 50 billion in 2023)), the mining scandal in Karnataka and the cash-for-votes scandal . COVID-19 testing COVID-19 testing involves analyzing samples to assess the current or past presence of SARS-CoV-2 , the virus that cases COVID-19 and is responsible for the COVID-19 pandemic . The two main types of tests detect either
5850-588: The Council of State of 60 members (of which 34 were elected and 26 nominated). The next structural modification to the governance of British India , the Government of India Act 1935 (the longest Act of Parliament of the United Kingdom until surpassed by the Greater London Authority Act 1999 ) was aimed at devolution of powers by establishing provincial governments and the creation of civil service institutions . However, it
5967-538: The Governor-General . It was based in large part on the Government of India Act 1935 , which was itself based on the uncodified constitution of the United Kingdom . It also drew notable inspirations from the constitutions of several other Commonwealth dominions and the French , Soviet , Japanese , German and American constitutions. India today prides itself in being the world's largest democracy , and
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#17327918973576084-487: The Indian Armed Forces . The President of India can grant a pardon to or reduce the sentence of a convicted person once, particularly in cases involving the punishment of death. The decisions involving pardoning and other rights by the president are independent of the opinion of the prime minister or the Lok Sabha majority. In most other cases, however, the president exercises his or her executive powers on
6201-484: The Supreme Court of India , high courts at the state level, and district courts and Sessions Courts at the district level. The Supreme Court of India is situated in New Delhi , the capital region of India . The Supreme Court is the highest judicial forum and final court of appeal under the Constitution of India , the highest constitutional court, with the power of constitutional review . Consisting of
6318-668: The Union Government or Union of India and colloquially known as the Central Government ) is the government of the Republic of India , located in South Asia , consisting of 36 states and union territories . The government is led by the prime minister (currently Narendra Modi since 26 May 2014) who exercises the most executive power and selects all the other ministers . The country has been governed by
6435-571: The attorney general ; the comptroller and auditor general ; the chief election commissioner and other election commissioners ; the chairman and members of the Union Public Service Commission ; the officers of the All India Services ( IAS , IFoS and IPS ) and Central Civil Services in group 'A'; officers of the Indian Armed Forces ; and the ambassadors and high commissioners to other countries on
6552-473: The constitution empowers the union government to levy income tax , tax on capital transactions ( wealth tax , inheritance tax ), sales tax , service tax, customs and excise duties and the state governments to levy sales tax on intrastate sale of goods, taxon entertainment and professions , excise duties on manufacture of alcohol , stamp duties on transfer of property and collect land revenue (levy on land owned). The local governments are empowered by
6669-421: The executive , the legislature , and the judiciary , and powers are vested by the constitution in the prime minister , parliament , and the supreme court , respectively. The president of India is the head of state and the commander-in-chief of the Indian Armed Forces , while the elected prime minister acts as the head of the executive and is responsible for running the Union government. Parliament
6786-516: The head of government , the prime minister , is appointed by the president of India from the party or coalition that has the majority of seats in the Lok Sabha . The members of the Lok Sabha are directly elected for a term of five years by universal adult suffrage through a first-past-the-post voting system. Members of the Rajya Sabha , which represents the states , are elected by the members of State legislative assemblies by proportional representation , except for 12 members who are nominated by
6903-477: The penal code , and the criminal procedure code . Similar to the Union government, individual state governments each consist of executive, legislative and judiciary branches. The legal system as applicable to the Union and individual state governments is based on the English common and Statutory Law . The full name of the country is the Republic of India . India and Bharat are equally official short names for
7020-671: The prime minister is not a member of either House upon appointment, he/she is given six months to be elected to either House of Parliament . The first seeds of responsible government during British colonial rule in India were sown by the Indian Councils Act 1909 , commonly known as the Morley - Minto reforms. The Act introduced elections to the Imperial Legislative Council (then the unicameral Legislature for British India). Before that, governance
7137-469: The 4th largest economy in the world. Even though much remains to be done, especially in regard to eradicating poverty and securing effective structures of governance, India's achievements since independence in sustaining freedom and democracy have been singular among the world's new nations. The Government of India is modelled after the Westminster system . The Union government is mainly composed of
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#17327918973577254-589: The Ayushman Bharat scheme had recently benefited more than one crore people. By May 2020, the scheme had provided more than 1 crore treatments with a value of ₹13,412 crore. The number of public and private hospitals empanelled nationwide stands at 24,432. The Ayushman Bharat Yojana programme announced a special collaboration with the Employees' State Insurance programme in November 2019. From June 2020,
7371-462: The Government; is the presiding member and chairman of the cabinet and is responsible for bringing a proposal of legislation. The resignation or death of the prime minister dissolves the cabinet. The prime minister is appointed by the president to assist the latter in the administration of the affairs of the executive. The Union Council of Ministers includes the prime minister, Cabinet Ministers and Ministers of State (MoS). Each minister must be
7488-484: The Republic of India in the Constitution, and both names appears on legal banknotes, in treaties and in legal cases. The terms "Union government", "central government" and " bhārat sarkār " are often used officially and unofficially to refer to the government of India. The term New Delhi is commonly used as a metonym for the Union government, as the seat of the central government is in New Delhi . The powers of
7605-593: The Scheme. Initial analysis of high-value claims under PM-JAY has revealed that a relatively small number of districts and hospitals account for a high number of these, and some hint of an anti-women bias, with male patients getting more coverage. Despite all efforts to curb foul-play, the risk of unscrupulous private entities profiteering from gaming the system is clearly present in PM-JAY. Government of India The Government of India ( ISO : Bhārata Sarakāra, legally
7722-716: The US FDA granted an emergency use authorization for a saliva test developed at Yale University that gives results in hours. On 4 January 2021, the US FDA issued an alert about the risk of false results, particularly false negative results, with the Curative SARS-Cov-2 Assay real-time RT-PCR test. Viral burden measured in upper respiratory specimens declines after symptom onset. Following recovery, many patients no longer have detectable viral RNA in upper respiratory specimens. Among those who do, RNA concentrations three days following recovery are generally below
7839-474: The ability to reduce reinfection severity. Sudden loss of smell can be used to screen people on a daily basis for COVID-19. A study by the National Institutes of Health showed that those infected with SARS-CoV-2 could not smell a 25% mixture of ethanol and water. Because various conditions can lead to the loss of the sense of smell, a sniff test would not be definitive but indicate the need for
7956-493: The advice of the prime minister. Presently, the President of India is Droupadi Murmu . The vice president is the second-highest constitutional position in India after the president. The vice president represents the nation in the absence of the president and takes charge as acting president in the incident of resignation impeachment or removal of the president. The vice president also has the legislative function of acting as
8073-491: The birthday of Pandit Deendayal Upadhyaya . In June 2018 the applications opened for hospitals through an "empanelment process". In July 2018, the Ayushman Bharat Yojana recommended that people access benefits through Aadhaar , but also said that there was a process for people to access without that identity card. AB PM-JAY was first launched on 23 September 2018 at Ranchi , Jharkhand . By 26 December 2020
8190-469: The blocking of steps in the replicative cycle up to and including membrane fusion. A non-neutralizing antibody either does not bind to the crucial structures on the virus surface or binds but leaves the virus particle infectious; the antibody may still contribute to the destruction of virus particles or infected cells by the immune system. It may even enhance infectivity by interacting with receptors on macrophages . Since most COVID-19 antibody tests return
8307-461: The blood quick scan the CoLab score is calculated with a developed algorithm based on how the coronavirus causes changes in the blood. The software is intended for use in emergency rooms to quickly rule out the presence of the disease in incoming patients. A not negative result is followed by a PCR ( polymerase chain reaction ) or LAMP ( loop-mediated isothermal amplification ) test. The breath test by
8424-680: The bloodstream for many years, while others fade away. The most notable antibodies are IgM and IgG . IgM antibodies are generally detectable several days after initial infection, although levels over the course of infection and beyond are not well characterized. IgG antibodies generally become detectable 10–14 days after infection and normally peak around 28 days after infection. This pattern of antibody development seen with other infections, often does not apply to SARS-CoV-2, however, with IgM sometimes occurring after IgG, together with IgG or not occurring at all. Generally, however, median IgM detection occurs 5 days after symptom onset, whereas IgG
8541-526: The budget will be presented on the 1st day of February. The budget has to be passed by the Lok Sabha before it can come into effect on 1 April, the start of India's fiscal year . The Union budget is preceded by an economic survey which outlines the broad direction of the budget and the economic performance of the country for the outgoing financial year India's non-development revenue expenditure had increased nearly five-fold in 2003–04 since 1990–91 and more than tenfold from 1985 to 1986. Interest payments are
8658-431: The cabinet ministers, often overseeing a specific aspect of government; or ministers of state (independent charges), who do not report to a cabinet minister. As per article 88 of the constitution, every minister shall have the right to speak in, and to take part in the proceedings of, either house, any joint sitting of the houses, and any committee of parliament of which he may be named a member, but shall not be entitled to
8775-422: The chairman of the Rajya Sabha . The vice president is elected indirectly by members of an electoral college consisting of the members of both the houses of the parliament following the system of proportional representation employing the single transferable vote and the voting is by secret ballot conducted by the election commission . The Prime Minister of India , as addressed in the Constitution of India ,
8892-516: The coronavirus disease can be detected. A chest x-ray is a portable lightweight machine. This machine is typically more available than polymerase chain reaction and computerized tomography scans. it only takes approximately 15 seconds per patient. This makes chest-x ray readily accessible and inexpensive. It also has quick turnaround time and can be crucial to the clinical equipment in the detection of coronavirus disease. Computerized tomography scans involve looking at 3D images from various angles. This
9009-439: The coronavirus disease infection is. Ultrasound can be another tool to detect coronavirus disease. An ultrasound is a type of imaging exam that produces images using sound waves. Unlike computerized tomography scans and x-rays, ultrasound does not use radiation. Moreover, it is inexpensive, simple to use, repeatable, and has several additional advantages. Using a hand-held mobile machine, ultrasound examinations can be performed in
9126-400: The country. As an advisory court, it hears matters which may specifically be referred to it under the constitution by the president. It also may take cognisance of matters on its own (or 'suo moto'), without anyone drawing its attention to them. The law declared by the supreme court becomes binding on all courts within India and also by the union and state governments. Per Article 142 , it is
9243-432: The country. Roughly, the bottom 50% of the country qualifies for this scheme. People using the program access their own primary care services from a family doctor and when anyone needs additional care, PM-JAY provides free secondary health care for those needing specialist treatment and tertiary health care for those requiring hospitalization. The programme is part of the Indian government's National Health Policy and
9360-425: The disease severity characters being different in severe and hospitalized cases. The criteria for doing a chest computerized tomography scan were not defined. There was also no characterization of positive chest computerized tomography scans results. The computerized tomography scans findings were not the same as positive computerized tomography scans findings of coronavirus. In a typical clinical setting, chest imaging
9477-471: The duty of the president to enforce the decrees of the supreme court. In addition, Article 32 of the constitution gives an extensive original jurisdiction to the supreme court concerning enforcing fundamental rights. It is empowered to issue directions, orders or writs, including writs in the nature of habeas corpus , mandamus , prohibition , quo warranto and certiorari to enforce them. The supreme court has been conferred with power to direct
9594-545: The extra expenses. The revenue of government hospitals has increased due to the Ayushman scheme, patients are receiving better facilities. Previously patients hesitant to visit government hospitals due to the lack of healthcare amenities, people now flock to these hospitals as they trust them for treatment under the Ayushman scheme. India's 28 states and 8 union territories each make their own choice about whether to participate in Ayushman Bharat Yojana. In February 2018, when
9711-538: The first week after symptoms first developed, likely because people have the most virus in their system in the first days after they are infected. While some scientists doubt whether an antigen test can be useful against COVID-19, others have argued that antigen tests are highly sensitive when viral load is high and people are contagious, making them suitable for public health screening. Routine antigen tests can quickly identify when asymptomatic people are contagious, while follow-up PCR can be used if confirmatory diagnosis
9828-480: The help of NAbs and whether they were at risk of re-infection was not addressed. An additional source of uncertainty is that even if NAbs are present, viruses such as HIV can evade NAb responses. Studies have indicated that NAbs to the original SARS virus (the predecessor to the current SARS-CoV-2) can remain active for two years and are gone after six years. Nevertheless, memory cells including memory B cells and memory T cells can last much longer and may have
9945-416: The higher level are assisted by one or many additional secretaries , who are further assisted by joint secretaries . At the middle they are assisted by directors/deputy secretaries and under secretaries. At the lower level, there are section officers, assistant section officers, upper division clerks, lower division clerks and other secretarial staff. The Civil Services of India are the civil services and
10062-466: The hospital or doctor's office; using criteria from the Socio Economic and Caste Census 2011 to determine eligibility for benefits; no restriction on family size, age or gender; all pre-existing medical conditions are covered under the scheme; it covers 3 days of pre-hospitalisation and 15 days of post-hospitalisation, including diagnostic care and expenses on medicines; the scheme is portable and
10179-519: The legislature in India are exercised by the Parliament , a bicameral legislature consisting of the Rajya Sabha and the Lok Sabha . Of the two houses of parliament, the Rajya Sabha (or the 'Council of States') is considered to be the upper house and consists of members appointed by the president and elected by the state and territorial legislatures . The Lok Sabha (or the 'House of the People')
10296-427: The liberalization of the market for private health insurance by the Indian government in the late 1990s resulted in increased health disparities, as private health insurance is only affordable for higher class, richer communities. In the mid 2000s, government-funded health insurance emerged as a new type of healthcare financing, helping individuals prevent catastrophic out-of-pocket health expenditures. Through this model,
10413-474: The number of antibodies. This test can identify multiple types of antibodies, including IgG, IgM, and IgA . Most if not all large scale COVID-19 antibody testing looks for binding antibodies only and does not measure the more important neutralizing antibodies (NAb). A NAb is an antibody that neutralizes the infectivity of a virus particle by blocking its attachment to or entry into a susceptible cell; enveloped viruses, like e.g. SARS-CoV-2, are neutralized by
10530-402: The people themselves. But the handful of ministers is not expected to deal personally with the various problems of modern administration. Thus the ministers lay down the policy and it is for the civil servants to enforce it. The cabinet secretary ( IAST : Maṃtrimaṇḍala Saciva ) is the top-most executive official and senior-most civil servant of the Government of India. The cabinet secretary
10647-461: The permanent bureaucracy of India. The executive decisions are implemented by the Indian civil servants. In the parliamentary democracy of India, the ultimate responsibility for running the administration rests with the elected representatives of the people which are the ministers. These ministers are accountable to the legislatures which are also elected by the people based on universal adult suffrage . The ministers are indirectly responsible to
10764-659: The point-of-care or as self-tests. Self-tests are rapid tests that can be taken at home or anywhere, are easy to use, and produce rapid results. Antigen tests can be performed on nasopharyngeal, nasal swab, or saliva specimens. Antigen tests that can identify SARS-CoV-2 offer a faster and less expensive method to test for the virus. Antigen tests are generally less sensitive than real-time reverse transcription polymerase chain reaction (RT-PCR) and other nucleic acid amplification tests (NAATs). Antigen tests may be one way to scale up testing to much greater levels. Isothermal nucleic acid amplification tests can process only one sample at
10881-462: The population is left underserved by the Indian health system, which relies on out-of-pocket payments from patients to fund care. These payments hinder a lot of patients from being able to receive healthcare services. In 2018 the Indian government described that every year, more than six crores Indians were pushed into poverty because of out of pocket medical expenses. Despite various available regional and national programs for healthcare in India , there
10998-467: The presence of the virus or antibodies produced in response to infection. Molecular tests for viral presence through its molecular components are used to diagnose individual cases and to allow public health authorities to trace and contain outbreaks. Antibody tests (serology immunoassays) instead show whether someone once had the disease. They are less useful for diagnosing current infections because antibodies may not develop for weeks after infection. It
11115-419: The president. India is currently the largest democracy in the world, with around 900 million eligible voters, as of 2019. In India, power is divided between the governments of the union and the states of India , the latter being ruled by the chiefs ministers . The state legislature is bicameral in five states and unicameral in the rest. The lower house is elected with a five-year term, while in
11232-418: The program had entered a pilot to cover 120,000 workers with that insurance at 15 hospitals. When Ayushman Bharat Yojana (Ayushman Card) began there were questions of how to reconcile its plans with other existing health development recommendations, such as from NITI Aayog . A major challenge of implementing a national health care scheme would be starting with infrastructure in need of development to be part of
11349-535: The program was announced 20 states committed to join. In September 2018, shortly after launch some states and territories declined to participate in the program. Maharashtra and Tamil Nadu initially declined to join because they each had their own state healthcare programmes. Those programs, Mahatma Jyotiba Phule Jan Arogya Yojana and the programme for Tamil Nadu, were already functioning well. These states later both joined Ayushman Bharat Yojana with special exceptions to make it part of their existing infrastructure. In
11466-793: The program, many private corporate hospitals have not. The private hospitals report that they would be unable to offer their special services at the government low price, even with a government subsidy. There has been misuse of the Ayushman Bharat scheme by private hospitals through submission of fake medical bills. Under the Scheme, surgeries have been claimed to be performed on persons who had been discharged long ago and dialysis has been shown as performed at hospitals not having kidney transplant facility. There are at least 697 fake cases in Uttarakhand State alone, where fine of ₹ 1 crore (equivalent to ₹ 1.1 crore or US$ 130,000 in 2023) has been imposed on hospitals for frauds under
11583-538: The range in which replication-competent virus has been reliably isolated. No clear correlation has been described between length of illness and duration of post-recovery shedding of viral RNA in upper respiratory specimens. Isothermal nucleic acid amplification tests also amplify the virus's genome. They are faster than PCR because they do not involve repeated heating and cooling cycles. These tests typically detect DNA using fluorescent tags , which are read out with specialized machines. CRISPR gene editing technology
11700-469: The recommendations of the Council of Ministers, among others. The President, as the head of state , also receives the credentials of ambassadors from other countries, while the prime minister , as head of government , receives credentials of high commissioners from other members of the Commonwealth , in line with historical tradition. The President is the de jure commander-in-chief of
11817-551: The scheme was extended to the Union Territories of Jammu Kashmir and Ladakh. The program has been called "ambitious". Features of PM-JAY include the following— providing health coverage to 10 crores households or 50 crores Indians; providing a cover of ₹ 5 lakh (equivalent to ₹ 5.6 lakh or US$ 6,700 in 2023) per family per year for medical treatment in empaneled hospitals, both public and private; offering cashless payment and paperless recordkeeping through
11934-615: The second week, sputum or deep airways collection is preferred. Collecting saliva may be as effective as nasal and throat swabs, although this is not certain. Sampling saliva may reduce the risk for health care professionals by eliminating close physical interaction. It is also more comfortable for the patient. Quarantined people can collect their own samples. A saliva test's diagnostic value depends on sample site (deep throat, oral cavity, or salivary glands). Some studies have found that saliva yielded greater sensitivity and consistency when compared with swab samples. On 15 August 2020,
12051-494: The single largest item of expenditure and accounted for more than 40% of the total non-development expenditure in the 2003–04 budget. Defence expenditure increased fourfold during the same period and has been increasing to defend from a difficult neighbourhood and external terror threats. In 2020–21, India's defence budget stood at ₹ 4.71 trillion (equivalent to ₹ 5.5 trillion or US$ 66 billion in 2023). In 2009, several ministers are accused of corruption and nearly
12168-469: The state bureaucracy. The division of power into separate branches of government is central to the republican idea of the separation of powers . The executive power is vested mainly in the President of India , as per Article 53(1) of the constitution. The president has all constitutional powers and exercises them directly or through subordinate officers as per the aforesaid Article 53(1). The president
12285-405: The state government to levy property tax and charge users for public utilities like water supply , sewage etc. More than half of the revenues of the union and state governments come from taxes, of which 3/4 come from direct taxes . More than a quarter of the union government's tax revenues are shared with the state governments. The tax reforms, initiated in 1991, have sought to rationalise
12402-584: The state would pay premiums to private insurers that would allow eligible individuals to receive free treatment at any public or private institution that has joined the PMJAY scheme. The Indian government recognized that individual out-of-pocket expenditures were pushing people into poverty and treatment in government hospitals could not protect people against catastrophic health expenditures. The alternative of government-funded health insurance allows poorer individuals to still be able to access private health care without
12519-456: The tax structure and increase compliance by taking steps in the following directions: The non-tax revenues of the central government come from fiscal services, interest receipts, public sector dividends, etc., while the non-tax revenues of the States are grants from the central government, interest receipts, dividends and income from general, economic and social services. Inter-state share in
12636-414: The term RT-qPCR , but not all authors adhere to this. Average sensitivity for rapid molecular tests depend on the brand. For ID NOW, the average sensitivity was 73.0% with an average specificity of 99.7%; for Xpert Xpress the average sensitivity was 100% with an average specificity of 97.2%. In a diagnostic test, sensitivity is a measure of how well a test can identify true positives and specificity
12753-480: The transfer of any civil or criminal case from one state high court to another state high court, or from a Court subordinate to another state high court and the supreme court. Although the proceedings in the supreme court arise out of the judgment or orders made by the subordinate courts, of late the supreme court has started entertaining matters in which the interest of the public at large is involved. This may be done by any individual or group of persons either by filing
12870-554: The union tax pool is decided by the recommendations of the Finance Commission to the president. Total tax receipts of Centre and State amount to approximately 18% of national GDP. This compares to a figure of 37–45% in the OECD. The Finance minister of India usually presents the annual union budget in the parliament on the last working day of February. However, for the F.Y. 2017–18, this tradition had been changed. Now
12987-411: The upper house one-third of the members in the house gets elected every two years with six-year terms. Local governments function at the basic level. It is the third level of government apart from union and state governments. It consists of panchayats in rural areas and municipalities in urban areas. They are elected directly or indirectly by the people. India has a three-tier tax structure, wherein
13104-566: The viral surface. In the case of a coronavirus , these are usually proteins from the surface spikes . SARS-CoV-2 antigens can be detected before onset of COVID-19 symptoms (as soon as SARS-CoV-2 virus particles) with more rapid test results, but with less sensitivity than PCR tests for the virus. COVID-19 rapid antigen tests are lateral flow immunoassays that detect the presence of a specific viral antigen , which indicates current viral infection. Antigen tests produce results quickly (within approximately 15–30 minutes), and most can be used at
13221-579: The virus) are called antigen tests . There are multiple types of tests that look for the virus by detecting the presence of the virus's RNA. These are called nucleic acid or molecular tests, after molecular biology . As of 2021 , the most common form of molecular test is the reverse transcription polymerase chain reaction (RT-PCR) test. Other methods used in molecular tests include CRISPR , isothermal nucleic acid amplification , digital polymerase chain reaction , microarray analysis , and next-generation sequencing . Polymerase chain reaction (PCR)
13338-647: Was carried by an all-European Legislative Council and Viceroy's Executive Council . As such, no Indians were represented in government before 1909. India's current bicameral Parliament has its roots in the Government of India Act 1919 , commonly known as the Montagu - Chelmsford reforms, which introduced a greatly expanded Imperial Legislative Council . It comprised a lower house, the Central Legislative Assembly of 145 members (of which 104 were elected and 41 nominated) and an upper house,
13455-530: Was modified to perform the detection: if the CRISPR enzyme attaches to the sequence, it colors a paper strip. The researchers expect the resulting test to be cheap and easy to use in point-of-care settings. The test amplifies RNA directly, without the RNA-to-DNA conversion step of RT-PCR. An antigen is the part of a pathogen that elicits an immune response . Antigen tests look for antigen proteins from
13572-526: Was much more to be done. The Indian government first announced the Ayushman Bharat Yojana as a universal health care plan in February 2018 in the 2018 Union budget of India . The Union Council of Ministers approved it in March. In his 2018 Independence Day speech Prime Minister Narendra Modi announced that India would have a major national health program later that year on 25 September, also commemorating
13689-525: Was unpopular amongst Indians and is considered a failure as it did not give Indians self-rule and permanent dominion status (the form of government followed in Canada , Australia and New Zealand ) as was previously promised. Between midnight on 15 August 1947 and 26 January 1950 , India was an independent, self-governing dominion of the Commonwealth of Nations , a constitutional monarchy with
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