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Published on: May 15, 2020
4 minute read
By: Dr Rajan Choudhary

Living With COVID And Returning To BAU!

Hurdles to Business As Usual – Hurdles to Life as Usual – Living with COVID!

Obstacles to re-open the country

As we come to the 2-month mark of lockdown, its effect on the populous is becoming apparent. The extreme restrictions have had a significant impact on people’s physical health, mental health, and general livelihood, and many people are itching for life to get back to normal. Many countries including New Zealand, Germany, Italy, and Spain have seen the first peak of COVID infections pass, and some have already begun reopening parts of their economy. This has led to concerns from public health officials that relaxing the lockdown too early and too liberally will lead to a rapid increase in infection rates. Indeed, Germany has already seen an increase in R0 above 1 (one infected person will infect more than one person, causing the disease to propagate).

Trying to work out how to reopen a country without causing another spike in COVID deaths is probably the biggest issue faced by public health officials across the world. And trying to convey clear instructions to the public is an issue some countries are currently struggling with. In the next few blogs we will look at the issues faced, what has worked and what needs improvement, and what we as the public can do to keep ourselves safe.

THE MASKS WE WEAR

We have discussed masks at the start of the pandemic, and we have discussed masks as the pandemic has progressed. Why are we bringing it up again?

Masks have been a heated point of contention, but their role in public health has matured over the past few weeks. At the beginning of the pandemic, masks were a rare commodity, with DIY stores running dry of masks, stories of people stealing masks from clinical environments, and very confusing advice on whether the public should wear masks in public.

At that time the WHO had recommended only infected patients and those working with infected people wear masks, to save on the precious PPE for medical professionals. N95 respirators are seen as the gold standard in protective equipment, and hospitals are still struggling to provide staff with enough respirators, let alone the public. Concerns have also been raised on whether using masks will provide a false sense of security, especially if they stop washing hands or touch the infected parts of the masks.

But now we are past the first COVID peak, and advice on masks has changed. People should wear a mask if they are in public. Germany has implemented this advice, as has Austria for its public markets. In the US many stores are requesting public wear masks before entry. Rather than surgical masks or respirators, the use of homemade or purchased cotton masks has been encouraged.

LET’S LOOK AT WHY

Surgical masks and respirators aim to protect the user from inhaling microscopic aerosolized COVID particles. Cotton masks do not function this way. Instead, they prevent the wearer from spreading COVID by catching much larger droplets that is coughed/sneezed or generally breathed out.

The majority of people with COVID-19 are able to spread the infection to others up to 3 days before they show symptoms. Indeed as many as 50% of infections seem to occur from pre-symptomatic individuals. During this time they produce the greatest amount of viral particles, and these particles can stay in the air for several hours. Someone with asymptomatic COVID walking around in public or in a shop could infect lots of people.

So wearing a mask, even if you are not symptomatic or around infected patients helps prevent the spread of the infection. We know already just how infective COVID-19 is, so any measures that reduces infection even a little will end up reducing spread drastically on a population level. It has been compared to seatbelts – one person might not feel the benefits, but they save thousands of lives across the country on a yearly basis.

IS THERE ANY EVIDENCE?

In our blogs, we often talk about the importance of evidence. We look at the quality of evidence, how different types of research gives good and bad evidence, and why we should always give evidence-based advice.

So is there any evidence supporting masks? We have evidence that cloth masks can stop 99% of droplets that are coughed up, and whilst it doesn’t block aerosols or actual viral particles it still has a significant impact on transmission. We also have strong evidence from high infectivity in choir groups and at call centers that the majority of transmission is via the air, rather than from surfaces.

But what about the highest level of evidence? Comparing people who do or don’t wear masks is not a study that can be easily performed or one that has been performed adequately. But why should you wait? There is minimal to no risk associated with wearing a cloth mask, it offers some protection to you and a lot of protection to the public. In these cases, we should take a precautionary approach.

We don’t have any high-quality evidence looking at hand washing or physical distancing. But precautionary measures enforced have helped reduce infectivity. The same applies to masks. The best we can offer is an Australian study looking at mask use during influenza. They found observational data suggest that transmission of viral respiratory infection was significantly reduced during the SARS epidemic with the use of face masks as well as other infection control measures” and “in an adjusted analysis of compliant subjects, masks as a group had protective efficacy in excess of 80% against clinical influenza-like illness.”. In compliant users, masks were highly efficacious.

So that’s our advice. If you're going to go out in public, wear a mask.

If you don’t have a mask, you can order one online. Or be adventurous. Make one out of an old T-shirt or sock. Here are some ways to make one without needing to sew.

https://www.theguardian.com/us-news/2020/may/11/make-non-medical-coronavirus-face-mask-no-sewing-required masks

https://www.youtube.com/watch?v=r51YroAFPds DIY Face Mask

MORE INFORMATION

https://www.fast.ai/2020/04/20/skeptics-masks/#mightnt-people-handle-their-masks-wrong-and-make-things-worse Masks - FAQ

https://www.bmj.com/content/369/bmj.m1435 face masks for the public

https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30918-1/fulltext wearing face masks in the community during the COVID-19 pandemic: altruism and solidarity

https://twitter.com/trishgreenhalgh/status/1253244613927874560 twitter trisha

Dr Rajan Choudhary, UK, Chief Product Officer, Second Medic Inc

www.secondmedic.com

Read Blog

Wearable Health Monitoring India Market: Tracking Wellness & Chronic Care | SecondMedic

In India, wearable health monitoring is no longer a nice-to-have accessory - it’s becoming central to how people manage wellness, chronic conditions and preventive care. With the rise of lifestyle diseases, increasing smartphone penetration and growing consumer health awareness, the wearable health monitoring market is gaining serious momentum.

Market Size & Growth Outlook

According to a detailed study, the Indian wearable medical devices market generated approximately USD 2,344.5 million (USD 2.34 billion) in 2024 and is projected to reach USD 5,670.6 million by 2030, growing at a compound annual growth rate (CAGR) of about 16?tween 2025 and 2030. Grand View Research
Another research source puts the medical wearables market in India at USD 1.04 billion in 2024, forecast to reach USD 4.20 billion by 2033 at ~15.5?GR. IMARC Group

These figures underscore a major shift: wearables are becoming an integral part of India’s health-tech ecosystem - not just fitness gadgets, but devices capable of monitoring heart-rate, sleep, activity, arrhythmia, vitals, and enabling remote patient monitoring.

Why This Growth Is Happening

Chronic disease burden: With rising incidences of diabetes, hypertension, cardiovascular disease and obesity, there’s a greater demand for continuous monitoring and early alerts.
Digital health push: Government programmes like the National Digital Health Mission (NDHM) and greater smartphone/internet penetration support connected health solutions.
Consumer awareness & wellness culture: More Indians are adopting health-tech and wearables as part of lifestyle, not just for tracking steps but for meaningful health insights.
Home-based care & remote monitoring: The pandemic accelerated acceptance of home-based diagnostics and monitoring - making wearables more relevant for remote care models.
Device innovation & cost reduction: Improved sensors, cheaper manufacturing and localised device assembly are easing access and lowering barriers for adoption.

Segmentation & Key Areas of Impact

Product type: Smartwatches, fitness bands, smart rings, medical-grade monitors for vitals, remote patient monitoring sensors. For instance, the broader smart wearable market in India shows health & fitness tracking made up ~54.35% of the market in 2024. Mordor Intelligence+1
Application: Chronic disease monitoring, preventive wellness, senior care, remote patient monitoring. The largest revenue segment in 2024 is chronic disease management. Grand View Research
Geography & access: Urban metros lead adoption today but Tier-2/3 towns and rural areas represent the next frontier, especially when paired with telehealth and wearable-data integration.

How SecondMedic Fits In

At SecondMedic, we believe monitoring is as important as diagnostics - and wearables are key to that vision. Our platform integrates wearable-generated data into our digital health ecosystem so we can provide:

Continuous monitoring for individuals managing chronic conditions - enabling earlier interventions when trends suggest risk.
Preventive insights for health-conscious users - wearable data feeds into our dashboards to flag deviations and prompt doctor consults.
Remote care models for seniors or mobility-limited users - wearable alerts tie into tele-consultation and remote monitoring workflows.
Data-driven coaching - using wearable metrics (sleep, activity, heart-rate variability) to personalise lifestyle recommendations and follow-up plans.

By combining wearable health monitoring with virtual consultations, diagnostics and preventive screening, SecondMedic offers a holistic digital health solution - not just episodic care but continuous well-being.

Challenges Ahead

Despite strong growth, wearable health monitoring in India faces some headwinds:

Affordability & accessibility: While top-tier wearables are affordable for many urban users, the device cost and ecosystem (apps, data, follow-ups) can be a barrier for rural and lower-income groups.
Device accuracy & clinical validation: Consumer-grade wearables may lack medical-grade accuracy. For serious clinical usage, device certification and integration with health records are required.
Data integration & usability: Wearable data alone isn’t enough - it needs to be integrated into clinical workflows, trusted by doctors and actionable.
Digital literacy & internet/connectivity: Rural areas and older populations may face challenges using wearables effectively or syncing data.
Regulatory and privacy issues: With health data being sensitive, wearables must ensure strong data security, interoperability and comply with frameworks like NDHM.

Real-World Calculation & Uptake Example

If the market grows from USD 2.34 billion in 2024 to USD 5.67 billion by 2030, that’s roughly a 2.4× increase in six years.
At 16?GR, wearable adoption is expected to double approximately every 4.5 years.
If chronic disease monitoring is the largest segment today, then targeting those affected by diabetes/hypertension (over ~100 million Indians) gives enormous addressable potential for wearable monitoring + telehealth.
For SecondMedic platform users: even if 1% of chronic-disease patients adopt wearables and remote monitoring via our service, that could represent hundreds of thousands of people nationwide - driving meaningful growth in preventive care utilisation.

Looking Ahead

As sensors get cheaper, wearables become more accurate and integrated with digital health platforms, we expect:

Wearables prescribed by doctors as part of home-care plans for chronic patients.
Insurance-linked models where usage of wearables triggers incentives or premium discounts.
Data ecosystems where wearable telemetry flows into platforms like SecondMedic, enabling predictive analytics, alerts and personalised care.
Greater rural uptake with low-cost devices, smartphone penetration and telehealth coupling.

Conclusion

The wearable health monitoring market in India is at an inflection point - moving from fitness gadgets to serious health-tech tools.
For health platforms like SecondMedic, this is a major opportunity: wearable data becomes another input in delivering continuous, personalised, preventive and remote care.

Because health isn’t just about testing now - it’s about monitoring, tracking, and intervening early.

Discover how SecondMedic integrates wearable health monitoring into your care journey at www.secondmedic.com

References

Grand View Research: India wearable medical devices market USD 2,344.5 million in 2024, projected USD 5,670.6 million by 2030. Grand View Research
IMARC Group: India medical wearables market USD 1.04 billion in 2024; projected USD 4.20 billion by 2033. IMARC Group
Mordor Intelligence: India smart wearable market – 54.35% of revenue from health & fitness in 2024; chronic-disease monitoring CAGR ~24.7%. Mordor Intelligence

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