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Published on: Apr 20, 2020
3 minute read
By: Dr Rajan Choudhary

Is Herd Immunity A Valid Strategy For COVID 19?

Yesterday we explained you what Herd Immunity means and how it works, today we will take the discussion further to determine whether it is effective and can be recommended in the current context.

COVID-19 currently does not have a cure or a vaccine. Lockdown is the only strategy that appears to be working. Could implementing policies that encourages herd immunity be used to accelerate immunity in the population without the need for a vaccine?

INFECTIVITY

For the strategy to work we need to know a few things about the virus. How infective is it? In one of our earliest blogs we discussed infectivity at length and determined that the R0 (infectivity) may be between 2 and 3. This means each person with the virus can infect around 2-3 people at a time. Whilst this is not as high as Mumps (10-12) it is much higher than the common flu. The higher the R0 the more people that need to be immunised before herd immunity is achieved. For COVID it is estimated that 70% of the population need to be infected.

This is based off our current testing. Due to shortages in testing kits, only testing those that have a high likelihood of being infected and poorly organised testing infrastructure in some countries, we are likely underestimating. The number of people infected may be much higher as we are missing those that are asymptomatic but still have the disease and are still passing the disease on.

MORTALITY

Secondly, we need to know the mortality from COVID-19. Early estimates of mortality were as high as 10%, as we had little data on how many people were truly infected, but as the number of infected cases rose, and testing amongst the infected and symptomatic population rose, a more accurate mortality has been found to be around 1%. There is a risk we may still be underestimating the true mortality, as some cities have noted a spike in cardiac deaths, and some evidence supports possible cardiac damage due to COVID. But from the data we have, we know its mortality is lower than MERS (34%) and SARS (10%) but more than influenza (0.1%).

estimates of the COVID-19 case fatality rate

Whilst we have some data on who is likely to suffer from severe COVID symptoms (elderly, immunocompromised, people with heart or lung problems) we still cannot accurately determine who will get severe COVID in the “low risk” population. Simply because someone is young and healthy does not mean they will not die from COVID.

LENGTH OF IMMUNITY

Third we need to know how long this immunity will last. Similar coronaviruses responsible for the common cold usually create immunity that lasts for a few months, which is why we often get the cold repeatedly. A virus is also very prone to mutations that can change the structure and functions of its proteins, proteins responsible for tagging, latching on to and entering cells. If the structure of these proteins changes enough, then our antibodies will not be able to bind on, and new types of antibodies will have to be made with a slightly different structure. This effectively means our bodies have to start from step 1 again to create immunity, and we have to make new vaccines. This mutation rate is why we have to make new vaccines every season for the flu.

LONG TERM COMPLICATIONS

Finally, we need to know if there are any long-term implications from a viral infection. Again, this is something we do not know yet, as the virus has only been around for a few months. There may be implications for the cardiovascular system, long term breathing problems or more. And even if the complication rate appears relatively low (say, 1%), if millions of people are allowed to get infected, by definitions thousands or tens of thousands of people will have these complications, complications that can lead to issues later in life or an early death.

CONCLUSION

So, is herd immunity a viable strategy for COVID? Without a safe vaccine the general consensus appears to be no.

We don’t know how infective the virus really is or how many people it has infected

A 1% death rate is still very high. This means for every 100 people to be infected; one will die. This would mean hundreds of thousands of people dead in a country with a population over 10 million. It is unacceptably high.

If the death rate is 1%, then hospitalisation rate is likely higher. Almost all countries do not have capacity to have 1% of the population in hospital. Overwhelming the healthcare system will lead to poorer care, and worse care for those who do not have COVID. Leading to more people coming to serious harm or dying as a result of poor healthcare, not because of COVID.

We don’t know the long-term effects of COVID. By purposefully infecting people instead of waiting for a vaccine we may be causing unnecessary damage to a person’s health that only becomes apparent later in life. But this is speculation as we do not currently know if COVID has long term effects,

We don’t know if all of the risks above will amount to anything. The immunity may not last long enough, leading to another spike in infections and mortality.

Mass vaccination appears to be the safest strategy. And though human clinical trials have started on a number of vaccines, we are still months away from deployment. Until then we should not come out of lockdown prematurely, not until we have received an unbiased assessment from public health officials that states it is safe.

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Best Home Remedies for Glowing Skin

Glowing skin is not simply a cosmetic goal. It is a visible reflection of skin health, hydration, and cellular repair. While the market is flooded with serums and treatments, dermatologists consistently observe that the most sustainable skin glow comes from consistent, simple, and evidence-supported practices. The good news is that many of the most effective ingredients are already available in an Indian kitchen.

Why Skin Loses Its Natural Glow

Before applying any remedy, understanding the root cause of dull skin is essential. Dermatologists identify the following as the most common triggers in the Indian context:

Cause	Effect on Skin
Pollution and sun exposure	Oxidative stress, pigmentation, uneven tone
Dehydration	Reduced elasticity, dryness, dullness
Poor diet and nutrient deficiency	Slowed cell renewal, loss of radiance
Disrupted sleep	Impaired skin repair, dark circles, puffiness
Hormonal imbalance	Acne, oiliness, pigmentation
Harsh skincare products	Damaged skin barrier, redness, sensitivity

Identifying and addressing the underlying cause is as important as applying any topical remedy. Skin that appears dull despite consistent care often signals an internal factor requiring dietary or medical attention.

Which Home Remedy is Best for Glowing Skin?

Among all widely used natural ingredients, raw honey combined with aloe vera gel is considered the most universally effective home remedy for glowing skin. Honey acts as a humectant, drawing moisture into the skin, while its antibacterial and antioxidant compounds protect against environmental damage. Aloe vera complements this by delivering vitamins A, C, and E directly into the skin, supporting collagen synthesis and reducing inflammation.

This combination works across all skin types, requires no preparation time, and demonstrates consistent results in clinical observations relating to skin hydration and barrier repair. Applied three times a week for 15 to 20 minutes, this remedy produces visible improvement in skin texture and brightness within two to three weeks of regular use. For individuals with oily or acne-prone skin, aloe vera used alone without honey is the preferred option as it is non-comedogenic and lightweight.

Top Home Remedies for Glowing Skin by Skin Type

One of the most significant gaps in standard advice is that remedies are rarely matched to skin type. Applying the wrong ingredient can worsen the skin condition rather than improve it. Dermatologists recommend the following skin-type specific approach:

Skin Type	Best Remedy	Key Benefit	Frequency
Dry Skin	Raw honey and milk paste	Deep hydration, lactic acid exfoliation	3 times per week
Oily Skin	Multani mitti with rose water	Sebum control, pore tightening	2 times per week
Combination Skin	Aloe vera gel	Balances moisture without clogging pores	Daily
Sensitive Skin	Oat flour and plain yogurt pack	Soothes inflammation, gentle exfoliation	2 times per week
Normal Skin	Turmeric and honey mask	Antioxidant boost, brightening	2 to 3 times per week
Dull or Pigmented Skin	Potato juice or tomato pulp	Natural kojic acid, reduces pigmentation	3 times per week

Matching the remedy to skin type is the single most important factor in achieving consistent results from any natural skincare routine.

Which Kitchen Ingredients Work Best for Skin Glow?

Several common Indian kitchen ingredients carry clinically recognised skin benefits. The mechanism behind each ingredient matters as much as the application method:

Turmeric (Haldi): Contains curcumin, a potent antioxidant and anti-inflammatory compound. Curcumin inhibits melanin synthesis, which helps reduce pigmentation and uneven skin tone over time. Used as a paste with milk or honey, turmeric is one of the most researched natural brightening agents.

Raw Milk: Contains lactic acid, a naturally occurring alpha hydroxy acid (AHA) that gently exfoliates dead skin cells, stimulates collagen production, and improves skin luminosity. Applying raw cold milk with a cotton pad and leaving it for 15 minutes is a simple and effective brightening practice.

Besan (Gram Flour): Functions as a mild physical exfoliant and oil absorber. Mixed with turmeric and rose water, besan-based face packs have been used across Indian households for generations and remain dermatologically appropriate for most skin types.

Aloe Vera: Rich in polysaccharides that support skin hydration and mucilaginous compounds that form a protective barrier. Clinical data supports its use in reducing UV-induced skin damage and accelerating epidermal repair.

Potato Juice: Contains catecholase, an enzyme with mild skin-lightening properties. Particularly useful for reducing dark circles, tan lines, and post-inflammatory hyperpigmentation.

How to Get Glowing Skin Naturally in One Week

Most competitors list remedies without telling readers how to actually use them together. The following 7-day routine is structured to progressively address cleansing, exfoliation, hydration, and brightening within a single week:

Day	Morning	Evening
Day 1	Raw milk cotton pad cleanse	Aloe vera gel application
Day 2	Rose water toner	Honey and aloe vera mask (15 min)
Day 3	Raw milk cleanse	Turmeric and honey mask (10 min)
Day 4	Rose water toner	Aloe vera gel application
Day 5	Raw milk cleanse	Besan, turmeric and rose water pack (15 min)
Day 6	Rose water toner	Potato juice on dark spots (20 min)
Day 7	Raw milk cleanse	Honey and aloe vera mask (15 min)

This routine uses no more than three to four ingredients across the entire week, minimising the risk of ingredient overload or skin irritation. Always perform a patch test on the inner forearm before applying any new ingredient to the face.

Lifestyle Habits That Support Glowing Skin From Within

Topical remedies address the surface. Skin glow that is deep and lasting is primarily determined by internal health factors that all four competitor articles fail to address:

Hydration: Dermatologists observe that inadequate water intake is the single most common and most overlooked cause of dull skin among Indian adults. A minimum of 2.5 to 3 litres of water daily supports cellular metabolism and maintains skin turgor.

Diet: Skin cells require vitamins C, E, and A along with zinc and omega-3 fatty acids for repair and renewal. Indian dietary staples such as amla (Indian gooseberry), carrots, spinach, walnuts, and flaxseeds provide these nutrients in bioavailable forms. Reducing refined sugar intake is equally important, as excess glucose triggers glycation, a process that breaks down collagen and accelerates skin ageing.

Sleep: The skin's repair cycle peaks during deep sleep between 11 PM and 3 AM. Chronic sleep deprivation elevates cortisol, which degrades collagen and increases inflammatory skin conditions. Clinical specialists recommend seven to eight hours of uninterrupted sleep as a non-negotiable component of any skin improvement plan.

Gut Health: Emerging dermatological research on the gut-skin axis confirms that dysbiosis (imbalance of gut bacteria) is linked to acne, rosacea, and dull skin. Incorporating fermented foods such as curd and buttermilk into the daily diet supports gut microbiome balance, which in turn improves skin clarity.

Home Remedies to Avoid: What Dermatologists Warn Against

This section exists in none of the competing articles and represents the most clinically important addition to this topic. Several widely promoted "natural" skin remedies are actively harmful:

Lemon juice directly on skin: Lemon juice has a pH of approximately 2, far too acidic for direct skin application. It disrupts the skin's natural acid mantle (pH 4.5 to 5.5), causes photosensitivity, and can result in chemical burns or permanent pigmentation when skin is exposed to sunlight post-application.

Baking soda: Despite its popularity on social media, baking soda has an alkaline pH of 9, which severely disrupts the skin barrier, strips natural oils, and causes microbial imbalance on the skin surface.

Toothpaste on pimples: Toothpaste contains fluoride, menthol, and hydrogen peroxide, none of which are formulated for skin. It causes contact dermatitis, dryness, and post-inflammatory hyperpigmentation, particularly on Indian skin tones.

Undiluted essential oils: Applying undiluted tea tree oil, lavender oil, or any essential oil directly on the face without a carrier oil causes irritant contact dermatitis and skin sensitisation.

Dermatologists advise that if a remedy causes stinging, redness, or visible irritation, it should be discontinued immediately regardless of how widely it is recommended online.

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