Summer Training Report

on

Impact of Covid 19 in top 5 most affected states

India and USA

Submitted in partial fulfillment of the requirements of

Post Graduate Diploma in Management
by
Surendra Singh Pawar
PGDM
2019-21
Under the Supervision of
Dr. Tauseef sir
Assistant Professor

IILM Academy of Higher Learning, Lucknow

1, Viraj Khand, Gomti Nagar, Lucknow – 226010

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 ACKNOWLEDGEMENT

BETWEEN THE CONCEPTION

AND THE CREATION,
BETWEEN THE EMOTION
AND THE RESPONSE,
BETWEEN THE HARD WORK
AND THE RESULT,
LIES MY THANKS TO YOU.

Before we get into thick of things, I would like to add a few words of
appreciation for the people who have been a part of this project right from its
inception. The writing of this project has been one of the significant academic
challenges. I have faced and without the support, patience and guidance of the
people involved, this task would not be completed. It is to them I owe my
deepest gratitude. It gives me immense pleasure in presenting this project report
on “impact of covid 19 in top 5 most affected states India and USA”

The success of this project is the result of so much hard work, and
determination put in by me with the help of my project guide. I am extremely
grateful to my college professor, Tauseef Irfan as college mentor who gave
their valuable time and proper guidance in the entire project. Without their
insights, support and energy, this project would not have kick-started and
neither would have reached fruitfulness.

Surendra Singh
Pgdm 2019-21

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 TABLE OF THE CONTENT

1.EXECUTIVE SUMMARY ………………………………………………6

2.PROJECT OBJECTIVE ………………………………………………….7
3.COMPANY PROFILE ……………………………………………………8
4.WORK METHOLOGY……………………………………………………9-10
5.ANALYSIS ……………………………………………………………11-34
6.FINDING & CONCLUSION ……………………………………………..35
7.RECOMMENDATION …………………………………………………..36

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 EXECUTIVE SUMMARY
Today all countries in the world is facing humanity’s biggest crisis. Which is
similar to crisis of the World War I and II. Almost every country has been
affected by the devastating Corona virus disease(COVID-19).and the whole
world is trying to win by fighting with corona viruses. Today its influence is
being seen all over the world and it’s would not be wrong to say that every coin
has two sides positive and negative. Corona virus has seen both positive and
negative effects all over the World.The topic I choose is on present situation I
just took the top 5 most infected states of data (INDIA & USA) .if we talk about
India it come in 3rd place in term of cases but recovery rate is prety impressive
due to the high mortality rate.On the other hand if we talk about USA the
situation is worst, their health care system collapse even they have better health
care than India. But Due to covid -19 ,where all India has been lock down since
24 march 2020 to 31 may 2020.the effect of which is visible on society,
economic condition and environment. The negative impacts have been seen on
society and economic condition while it has also seen many positive effects on
the environment . Before the year of 2020, in every year millions of people died
of air, water or land pollution. Every year nearly 1.2 million people died
because of air pollution alone. In Delhi and the National Capital Region (NCR)
itself, millions are affected.To study on this topic I collect all the data from from
official sites and on the different parameters like number of cases ,death rate &
recovery rate and so on.As we already know India and USA are two most
infected country to study the what impact on both countries with that crisis and
try to find out co-relation between number of cases and death ,number of cases
and recovery rate , there are three steps to analyse the data first step is to collect
the data from the government official sites after that after that trying to find out
the the relation between them and third step on the basis of analysis trying to
give the recommendation that what they can do and what steps they can take
for their people to control the spread of the virus.Before coming up any
conclusion I just clearly telling you that all the recommendation and suggestion
are on basis of analysis.

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 PROJECT OBJECTIVE
Covid -19 was begin with recognized in China, which in the long run got to be a
majorworldwide wellbeing concern due to its pathogenicity and broad
conveyance around the world. This study is based on descriptive and analytical.
In this study I have analyzed the impact of Covid-19 in both countries with the
parameters of cases ,population,sample test . I have summarized the problem of
Covid-19 in India and USA and provided the solutions regarding the same.
Impact of covid 19 – On the basis of study try to understand that what impact
on both the countries what they are trying to control the situation. How much
the people aware of it and whether they are taking precaution or not and what
government is doing for their people in this pandemic situation.
Government- We all know government played an vital role in this , how the
government is taking steps to slowdown the virus and what policies are
introduced by the government for the fulfillment of their people.
WHICH COUNTRY IS DOING BETTER- On the basis of the analysis on
different parametres tried to give the overview about which country is
performing better and what they can do to control the spread.
IMPROVE HEALTHCARE – On the basis of analysis try to gave
recommendation that how the both countries can improve their health care
system and how they can gave health services to their people because we never
faced these kind of situation before if there is something happen in the future
we have prepare for it.

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 Company profile
Sapio is a team spread across India, UK, and Silicon Valley, focused on creating
high end data based algorithms powered by AI, on the path to become the first
purely artificially intelligent policy making system in India and probably the
world. Its on its path to become the go-to product for any government body to
take decisions- the go-to product that all stakeholders (government
representatives, citizens, data experts) would want the government to use before
taking decisions. We use data based decisions to optimize COST for Government across
sectors. We help create new government policies, we optimize expenses and earnings for
government bodies within the boundaries of existing policies, and we even mitigate risks at
various levels. And we do all this by unleashing the true power of data using our expertise in
P&L optimization.
Vision- We believe policies need to be supported by data, and
governments/organisations across the globe have now started to realize this
need.  Our raison d’être is choosing areas of work within this ambit, that can
positively impact lives. We provide futuristic solutions that are changing the
way the world operates now.
Mission- Our mission is to ensure that our work is all-pervading in it’s scope,
giving it universality, as our domains encompass not just Governments – both at
the national and state level in India, but also the thriving private sector, heritage
and cultural institutions, charitable organisations, and other NGOs.

The four pillars that define Sapio’s Mission are: –

 Building a wide product range

 An ability to synergize with other organizations thereby creating a robust
ecosystem
 Strong customer relationships and institutional tie-ups
 Dovetail insights from domain experts to improve technology solution
Together, these 4 pillars coupled with the help of new-age technologies will
help us deliver our stated goal.

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 METHODOLOGY

RESEARCH METHODOLOGY-
We will be going to use secondary data type for collecting the data for our
research, as per the current situation of the world global issue of COVID 19, it
is nearly impossible in the current social distancing situation to take survey
forms to the universities, schools, colleges, malls or other platforms, or conduct
interviews for data collection. Keeping in mind the current situation of country,
it is more important to save time, cost and efforts in collecting the data
physically (Blog, n.d.). In the secondary form of data, we will be addressing
research journals, research papers, relevant articles, research reports, websites,
newspapers and blogs as our data collection tools.

DESIGN-DESCRIPTIVE DESIGN RESEARCH

For the study purpose we have used Descriptive research design:This research is
the most generally used and the basic reason for carrying out descriptive
research is to recognize the cause of something that is happening.Quantitative
research involves collection of data, numerical interpretation and statistical
inferences.to collect the Primary data is not possible that’s why I took the
secondary data and find the co relation between them and try to find out how we
can take the steps to control this situation. We will use quantitative research
because by quantifying actual numbers of unusual and un-wanted things which
are happened due to different type of uncertainties.
DATA COLLECTION- we use secondary data from government
sites for more accuracy but some information I took from the
newspaper,article and internet .

RESEARCH PROCESS-

1.DATA COLLECTION

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2.ANAYLSE THE DATA ON DIFFERENT PARAMETRES.

3.RECOMMENDATION

There are 3 steps illustrated in this research process .The first step
collect the data from official sites second step is anaylse the data
on different paramertres like cases,death recovery,sample test and
etc the final and third step is to on basis of analysis give the
recommendation.

DATA INTERPRETATION
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Method of Data Analysis-
Data collection and analysis of the factors based on co-relation try to find out
the solution. Correlation is a term that is a measure of the strength of a linear
relationship between two quantitative variables (e.g., height, weight). This
define positive and negative correlations, illustrated and explanations of how to
measure correlation. Finally, some pitfalls regarding the use of correlation will
be discussed.
Positive correlation is a relationship between two variables in which both
variables move in the same direction. This is when one variable increases while
the other increases and visa versa.
While  negative correlation is a relationship where one variable increases as the
other decreases, and vice versa.
All the collected data through applying different techniques will only be useful
if proper analysis is performed on that. In our research, we will go for
inferential analysis which comes under statistical analysis technique. As we are
going to find out almost all impacts due to uncertainties on both countries
therefore we will be reaching different conclusions from the same data by
selecting the secondary data.

CUREENT SITUATION TILL 21 AUGUST

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If we talk about India the number of cases are 2.98m which is far less than
USA and and death rate of 55074 and recoveries till 21 august is
2.22million.sample tested till 21 august is 34lalk.but India is increasing the
number of testing rapidly which is good indication but according to the
poplation which is around 135crore still it is so less than USA.and according to
the WHO report patient per doctor is to high which is awful for india the ideal
ratio is 1:1000 which is still less.now if we talk about the USA it come up with
1 position in the number of cases and death is also rapidly increasing which
means that the situation is also out of control even the health care system is far
better than india but still USA is struggling.Test per million is far far bette than
india on daily basis they tested 3 lakh persons which is gud signal according to
population the cases ar more than india due to health care system collapse.The
patient per doctor is gud in America as compared to the india . When we look at
the numbers of deaths or confirmed cases, there is no doubt that India looks
much much better than the US.But this does not actually mean that India
handles COVID 19 better than the US. The US conducted 49207 tests on Mar
15, it was still about 1000 tests more than today’s India With only 47951 tests
have been conducted, the Indian government locked down the entire country.

Hundreds of millions of workers are going back to their villages from the cities,
they need to travel hundreds of miles to get back home. And most of them are
not being tested or quarantined before they do so.but the Indian government has
taken actions to contain the virus, but just “contain” is not enough, medical

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service is also needed. And this is something that India lags far behind the
US.

Why the USa fail ?

 Laziness. Some people just don’t care.

 Invincibility complex. Not so much of the entire country as just
individuals who think “This won’t happen to me.” (This does not
describe many Americans, who are very serious about the virus. Almost
too serious.)
 The huge number of asymptomatic people with Covid: if 40% of
people who have it barely even know they’re carrying it (and might
never get sick at all), and if freedom of movement is kept in place,
then… duh… the thing’s going to spread.
 The vastness and diversity of the country, with rolling hotspots
around the whole place. If people in Wyoming aren’t taking it
seriously, that’s not because they’re clones of Trump.
It’s mostly because they know they don’t face the same challenges as
New York City. This is not false.

Many rural Americans, on the other hand, are scared to death by this
virus and are taking it extremely seriously. Many more know that it’s
just not unreasonable to assume that rural areas will almost certainly
not turn into the worst-hit boroughs of New York, where 20,000 people
died in a few weeks.
 Diabetes, obesity and other health issues that are more common
among Americans than in some other countries. It’s not that everybody
here participates in that stereotypical “unhealthy American lifestyle,”
where the story goes that we all have a Big Mac for breakfast. But that
does describe some Americans, and the fact is, they have a worse Covid
outcome.
 It’s damn hot in most of the U.S., especially right now. If you live in
Norway, don’t lecture someone in Phoenix or South Florida about how
wonderful and comfortable your mask feels on your face in the cool
breeze off Oslo Fjord. 95 degrees and 100% humidity feels like
suffocating yourself in a jacuzzi, anyway. Now put a mask on that.
People who have to work in that mask, especially outdoors,
understandably want to take it off the first chance they get.

Do I think this compares to the sacrifices of another generation of

Americans on D-Day? No.
 It’s popular to pin mask resistance onto rich white Republicans, crazy
evangelicals who think these things are the Mark of the Beast, bonkers

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 anti-vaxxers, and the smorgasbord of just downright nutters that you’re
going to find in every other country. But from what I’ve seen, low-
income Americans are the ones most likely to not be wearing a mask. I
see a lot of this at Walmart.

This isn’t just “rich people who want to kill poor people.” People just
don’t like wearing the things.
 If you broke the resistance to masks down by race, I don’t think any
group would stand out. It would mirror the racial composition of the
United States. But… considering that blacks and Latinos are 4–5 times
more likely to die from Covid (for lots of reasons), I’d expect to see 4
or 5 times more of them wearing masks. And that’s just not true.
 While some Republicans were being cavalier about the virus to get
the economy open again, some Democrats were wasting our time
fussing around about statues of dead men. I don’t care about those
statues one way or the other. But vandalism did not help improve the
huge partisan divide in this country — which inhibits an adequate
response to a pandemic.

I don’t think the protests themselves had much to do with viral spread.
In fact, in Minneapolis, the urgency of testing for Covid after the Floyd
protests actually helped bring about more free tests. In a way, the
protests helped curb the virus. The uptick in Minnesota took well over a
month after the protests died down, so I don’t think they spread Covid,
at least not in the Twin Cities.
 It’s summer. People want to be outside. Winter in the North is
depressing. People there didn’t want a depressing, lonely, boring
summer. They went to parties, beaches and campfires. Summer in the
South is unbearably hot, so people went indoors and spread the virus to
their families in air-conditioned, sealed-off rooms.
 Americans just don’t like being told what to do and we hate
government interference. Some people will say, “Well, but you love
your laws against breastfeeding in public, the ban on topless beaches,
liquor and marijuana laws, and you love it when Miss Kentucky, a
teacher, goes to jail for two years for sending a student a picture of her
boobs!” Americans do not love these laws. Most of us believe this stuff
is absurd. Why these laws haven’t been reformed… I don’t know.
We’ve been actively changing some of them.
 Scientific insight into this virus did not exist in its current form on
March 15. So… shifting theories.

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NUMBER OF CASES
3.000
2.735

2.500
2.195
2.000 1.922 1.880
1.693
1.500

1.000

0.475 0.400
0.500 0.345 0.369
0.070
0.000
H A H S E S
ES TR ES DU KA NI
A
XA DA AT OI
A D A S A D NA
A TA
O R TE O RI ST IL N
PR AR PR IL LIF FL RK IL
H M RN A
R A A A KA C YO
TTA M DR T
W
U AN NE

According to the above figure most afftected states are USA states, and florida
is in the first postion with the 2.73% but if we talk about India the percentage of
cases are less than USA which shows that they are struggling a lot in term of
population this thing is happen why because the government of America didn’t
take serious step for their people as we all know America is come up in the first
position in term economy so to manage the economy they didn’t lockdown the
country. The United States continues its steady march along another
coronavirus plateau, as the seven-day average for new coronavirus cases has
been floating around 40,000 since August 23. But new milestones beckon: The
nation could surpass 6.5 million total cases in the coming days and is currently
on track to reach 200,000 deaths in a fortnight.The virus continues to spread
uncontrollably in approximately 20 states. Each day has brought around a
thousand deaths stretching back to late July, even though hospitalizations have
continuously declined since peaking at 58,000 around the same time.

NUMBER OF DEATH.

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 7.000
5.906
6.000
5.000
4.000 3.364 3.654
3.000
1.828 1.815 2.089
2.000 1.596 1.723 1.709
0.920
1.000
0.000

E
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AD

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In the above figure we can see that the most number of deaths in new york state
with the 5.5% which means the number of deaths are rapidly increasing. New
York is being hit the hardest by the novel coronavirus spreading across the US,
with more cases and more related deaths per capita than any other state, As of
AUGUST 21 New York's death rate linked to COVID-19 was 513 deaths per
million people, compared with California's 17 deaths per million. With more
than 70% of the state's related deaths being reported in New York state all this
because New York state is the densest metropolitan area in the U.S. with
populations above 100,000. With such close quarters, it seems likely that a virus
would spread faster there compared with a rural or even a less-dense city. But
when Rutherford looked at counties and boroughs within the NYS metro area,
there wasn't a trend toward more cases and deaths as density increased.
(Whereas tightly-packed Manhattan has 730 cases per 100,000 people, Staten
Island has reported about 1,644 cases per 100,000 people, and lower death rate
percent is in Andra Pradesh with 0.92% which indicate that number of death are
lower than among all states. An average doubling rate is currently 30 days,
while the reproductive rate between August 23 and 29 is at 1.09 per cent. In a
span of one week, over 72,000 cases have been registered, which is 56 per cent
in rural and 44 per cent in urban areas. 96 per cent of the cases are coming from
containment zones and only 4 per cent of the cases are from non-containment
zones.The United States remained the world's worst-affected country, with
deaths exceeding 190,000 and cases exceeding 5.3million. The average daily
death toll had declined from more than 2,000 per day in April to a low of 463
per day in early July. But as people began to resume more normal activities,

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new covid-19 cases soared, and deaths soon followed.By August the virus was
killing an average of more than 1,000 people each day.

NUMBER OF RECOVERY
120.000

100.000 95.349
88.358 90.654

80.000 76.690
67.901 71.220 71.519 66.148
60.000

40.000 33.696

20.000
0.000
0.000
ES
H
TR
A
ES
H U A
NI
A
XA
S A TE OI
S
S AD AK R ID TA IL N
A D A A D N A T O TE O R S
IL
PR AR PR IL RN LIF FL RK
H M A
R A A TA KA C YO
TTA M DR W
U AN NE

As we can the above diagram we clearly see that recovery rate of Illinois is 95
percent which is highest among all the states because with increasing number
of cases they recovery rate is also fast and there is also one reason is that
Illinois has the less number population that’s why situation is in control and
people of Illinois know the what are consequnces of this virus.And government
also rapidly increasing the number of test.. India’s mortality rate is 15 per
million of its population compared to 405 deaths per million for the US, 315 per
million for Brazil, 73 per million for Russia and 332 per million for Peru.

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SAMPLE TEST
40.000 38.065
35.000
30.000 28.657 28.291
25.000
20.110
20.000
15.208
15.000
10.000
3.353 4.100 3.161
5.000 1.554 2.250
0.000
H S E S
ES TR
A
ES
H DU KA NI
A
XA DA AT OI
A D A S A D NA
A TA
O R TE O RI ST IL N
PR AR PR IL LIF FL RK IL
H M RN A
R A A TA KA C YO
TTA M DR W
U A N NE

As compared to India the USA is conducted more sample test till now which
shows positive indiction but there is also increasing the number cases daily
despite from that they can track the covid patients with increasing the number of
testing.

TEST PER MILLION

30 27.5

25 23.6
21.5
20
15.5
15 13.5

10
5.89 5.27
5 2.8 3.43
1.86
0
SH RA H U A IA S E S
ES AD AK RN XA ID
A AT OI
A DE A ST A D N A T O TE R ST LIN
IL O IL
PR AR PR M RN LIF FL RK
R AH A TA K A CA YO
TA M DR W
UT AN NE

According to the above we figure we can clearly see that test per million is far
far better in USA because during the covid period they tested the people and
among all countries test per million people is low in india which is awful for
us.The biggest reason behind this is that during the lockdown the government

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didn’t take the action to in test the people fast at that time We don’t have
enough test kits to test the people.
NUMBER OF HOSPITALS
600
533 523
500

400 386
349
321
300 275
214 205
200
150 134
100

0
SH RA SH U KA IA S E S
AD RN XA ID
A AT OI
A DE A ST A DE N A TA O TE R ST IL N
IL O IL
PR AR PR N LIF FL RK
R AH RA TAM K AR CA YO
TTA M D W
U AN NE

AS we can see the above figure we clearly see that in both countries number of
covid hospitals are almost same but the American people take the advantage of
their health care system.And also the population consider because the
population of USA so less than india that’s why there are more chances that
people of America get treatement well.According to population the Uttar
Pradesh has least number of hospital so It is difficult for the government to treat
the covid patients.
CO –RELATION
INDIA( CASES AND DEATH)
  cases death
cases 1  
0.94738213
death 2 1

As we can see the above diagram there is highly positive co relation between
the cases and death which means with the increasing number of cases the deaths
are also increasing.
USA(CASES AND DEATH)

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  cases death
cases 1  
death 0.015898184 1

IF we can see the above figure we can clearly find that there is no relation
between the cases and death which means the number of cases are increasing
but the are decreasing if we take the top most five infected states.

CO-RELATION
INDIA(CASES AND RECOVERY)
  cases recovery
cases 1  
0.97510952
recovery 4 1

As we can see the above diagram we can find that there highly positive
correlation between the number of cases and recovery which means with the
increasing number of the cases the recovery is also increasing which shows
good indication for India.
USA(CASES AND RECOVERY)
recover
  cases y
cases 1  
0.282995
recovery 99 1

As we can see the above figure we can it is positive but very low relation which
means with the increasing number of cases the recovery is low.which clearly
indicate that the recovery rate far less than India.
CO-RELATION
INDIA(CASES AND SAMPLE TEST)
SAMPLE
  CASES TEST
CASES 1  

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SAMPLE -
TEST 0.181780361 1

According to the figure the relation between cases and sample test is negative
which means with the increasing number cases the sample test is
decreasing.which clearly define india has to increase the number of sample
test.Otherwise it is difficult to track the covid patients.
USA(CASES AND SAMPLE TEST)
SAMPLE
  CASES TEST
CASES 1  
SAMPLE 0.49328377
TEST 8 1

In the above figure we can see that there is positive correlation between cases
and sample test not much high positive relation but it’s a moderate positive
relation which means with the increasing number of cases the sample test is
also positive which is good but they can improve it with more number of
testing.

HEALTH CARE SYTEM OF INDIA AND USA

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INDIA HEALTH CARE SYTEM
 Shortage of doctor- As per WHO report the doctor-density ratio in
India is 8 per 10,000 people as against one doctor for a population of
1000. Data by IndiaSpread also conveys the same message.
 Finance- Most of the Indians fail to get themselves treated even after
knowing about their illness as they are unable to afford the treatment.
About 70% of the medical spending is from the patient’s pockets.
 Poor Public Health Infrastructure - Poor public health
infrastructure forces people to approach private hospitals for to seek
medical facilities which ultimately push them towards poverty. There is
a shortage of PHCs (22%) and sub-health centres (20%), while only 7%
sub-health centres and 12% primary health centres meet Indian Public
Health Standards (IPHS) norms.
 Insurance- Most of the people do not have insurance as they can’t
afford it. Government contribution to insurance stands at roughly 32
percent, as opposed to 83.5 percent in the UK.
 Poor healthcare ranking: India ranks as low as 145th among 195
countries in healthcare quality and accessibility, behind even
Bangladesh and Sri Lanka.

22
  Commercial motive: lack of transparency and unethical practices in
the private sector.
 Flop schemes: Government has come up with many schemes. But
they have failed to improve the system and make it accessible to
people. The NHM’s share in the health budget fell from 73% in 2006 to
50% in 2019 in the absence of uniform and substantial increases in
health spending by States

HOW THEY CAN IMPROVE

Improve healthcare workforce: Healthcare workforce is one of the most
competitive and dynamic workforce. They are continuously faced with
challenges and pressure of delivering. There mistake can be fatal to the patient.

So they need to be trained efficiently and effectively so they can give their
100%. From doctors to dietitians from nurses to healthcare administrators we
need them in abundance. We need to build more government colleges to
increase our workforce.

Number of government seats for MS is very few as compare to bachelor seats so

a doctor is forced to go for a private college with high fees which indirectly
increases doctors fees to repay the loan he/she has taken to complete his/her
education. So immediately we need to increase number of government seats for
doctor.

We also need some policies which allows nurses with experience in OT to

takeover the simple job of the doctors like prescribing medicines and doing
minor surgeries. This will fulfill the huge gap between rural and healthcare
workforce.

Insurance Penetration: Health insurance in India is still around 1% and this

adds to the out of pocket expenditure of patients. Many families take loans to
payback healthcare bills this is mainly due to lack of knowledge.

Government should encourage health insurance scheme like

Rashtriya Swasthya Bima Yojana: It is a government-run health insurance

scheme for the Indian poor. It provides for cashless insurance for hospitalization
in public as well as private hospitals.

Yeshasvini: Yeshasvini is the world's cheapest comprehensive health insurance

scheme, at Rs. 10 (20 cents) per month, designed by Shetty and the Government
of Karnataka  for the poor farmers of the state. It is very well-used in Karnataka
with 4 million people covered.

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Adopting Technology: Adopting technology can be proved very vital step as it
is one time investment but it helps in
Saving time which can be utilized to treat another patient.
Improving accuracy and precision and thus helping in saving lives.

Public private partnership: With the help of private hospitals who are doing
excellent job in private healthcare and taking healthcare to new heights we can
definitely use their knowledge and skill with government spending. Ultimately
providing best healthcare.

Some policy changes like

Patients undergoing treatment in government hospital can be transferred to
private hospital with the recommendation of doctors.

Minimum 20% patient treated in private hospitals should be poor and they
should be treated with minimum charges.

Cross subsidiaries(charging rich patients a little high and using that money to
help poor) should be used which will help in treating poor patients.

Improve Literacy: Improving literacy has many benefits and good healthcare

is one of them. By improving education a person becomes wiser and thus it
helps him/Her to make correct choices in terms of healthcare.

We should also educate them about bad effects of tobacco and smoking.

Tax rebate: Big hospitals like Naryan health, Apollo hospitals who are working
to bridge the gap in healthcare society should be given tax rebate so that they
can be encouraged to work in rural areas.

Improve infrastructure: Improving infrastructure is very important and I am

not talking about making big and state of art hospitals. Most of the primary
healthcare centers don't even have the basic facilities like connected roads,
Continuous water, electricity, not even simple pain killers. All this make doctors
reluctant when they are asked to work in rural areas.

Price Cap on life saving drugs: Government should continuously look into

pharmacy sector they should put a price cap on special drugs which are used for
saving lives.

USA HEALTH CARE SYSTEM

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1. Getting basic healthcare is complicated: Getting a bag of chips and
coke at any time of the day is so easy in the US, but getting treated for
fever or a headache is super complicated. People don’t even question
that. There are no simple clinics, where you can walk in and out in 10
minutes, paying only a few dollars to treat simple illnesses. Getting 5
minutes of a doctor’s time should not be more expensive than a haircut
or an oil change and should not require an insurance — but it is not.
That means people wait for illnesses to get big and then pay for super
expensive emergency room treatments.
2. Lack of family support means old people spend too long in
hospitals. The biggest cost for the health care system comes in the last
few months of living. Medicare allows for longer than necessary stays
in the hospital and without families the patients are more reluctant to go
back home. There is no big uptake for hospice unlike Europe.
3. Fear of lawsuits mean doctors test a lot. A roommate went for a throat
infection and they did a X-ray and many more things costing $1000. In
India, the solution would have been Crocin and gargling.
4. Hospitals are over-luxurious. When I got my wife in a private room
for her delivery, my mother-in-law could not believe it was a hospital.
The room was massive and more like a luxury hotel than a place we
have come to get a painful job done. I spent days walking through
cancer wards and the frivolous expenditures on needless infrastructure
was painful. In those obscenely carved marble pathways, I saw so many
women crying alone for their loved ones, probably unable to pay for
key treatments.
5. Getting a medicine degree is way too long and expensive. It takes
probably 10–15 years to become a doctor and that is way too much
complicated. If we can design bridges (that will carry thousands every
hour) with just a 4 year degree, why cannot a GP treat a cold with a 4–5
year degree? Medical doctors don’t hold more lives at stake than
engineers and a lot of family medicine might not require unusually
complicated stuff (that should go to the specialists). Why make it too
long, expensive and painful — requiring a huge salary in the end?
6. There is no real transparency on pricing. US hospitals are super
opaque. Any procedure or stuff can cost anything from $0.10 to $1
million. It is just a wild, wild world. There must be some brackets that
must be standardized. More complex things in the world are
standardized and you cannot be serious to not standardise the rate of
stuff used in a hospital — from bandages to medicines.
7. No free market. A lot of medical procedures are not of emergency type.
People have both time and flexibility to move. Why cannot someone
easily shop for prices for a root canal or a meniscus tear or a heart stent,
just as we do black friday shopping? Again, dealing with doctors are

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 not a one time thing, but often can be a continuous experience — repeat
purchases and flexibility should allow for a freer market.
Without fixing the fundamental problems that balloon up the expenses,
things are not going to get fixed with just insurance. You don’t need an
insurance to get a haircut with a professional for about $25. A doctor might
spend a lot less time with you than the stylist and why should the doctor
visit cost more and require more paperwork?

HOW USA CAN IMPROVE ?

 We need to have one health insurance program that covers everybody

with a complete set of benefits with no copayments or coinsurance. It
should be tax financed for the greatest efficiency and to create the fairest
way to pay for health care. That is the simplest and most efficient and
effective way to make sure everyone has access to the best care in the
world at an affordable price.
 Health care is clearly a priority for Americans. We spend nearly half as
much more again as a percent of gross domestic product on health
services compared to the next closest nation (Canada). We could get so
much more out of the money we spend if we switched to one health
insurer that covered everyone with the same inclusive set of benefits.
 There would be no copays, no prior authorizations needed, and all
medically necessary health care, including hospitals, doctors, other
medical professionals, the health portion of nursing home care,
medications, medical equipment, and other medical services would be
covered, and by most estimates, this would actually cost less than the
current total amount of money spent on health services in the US.
 We’d no longer have to deal with any health care bureaucracy. We’d
have no hassles about payment. We’d have no hassles about whether we
were eligible for a health service. We could pay for so-called
“alternative” or experimental care modalities if we wanted to, and still
save money, overall.
 Employers would no longer have to be concerned about how much health
insurance cost. They’d all pay their fair share. It would no longer be an
issue in labor negotiations. It would no longer be an issue that hampered
competitiveness of American businesses. It would all be off the table as
far as the relationship between health services and the rest of the
economy is concerned.
 Fixing the health system has always had a simple solution. The problem
is that not enough people want to give up their freedom of choice to not
pay their fair share for health services. They want to be able to leach off
of others if they ever get sick, while avoiding premiums when they are

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 well. While this makes no sense, economically, people still value freedom
of choice over economic efficiency and their own welfare

IMPACT OF COVID IN SECTORS

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India
With the worst pandemic hitting the world in a century, India will
face recession and job losses in the coming years and many more years to
come. With no jobs, lakhs of people will go below poverty line (BPL) which
will eventually decrease the rate of consumption, which is the biggest
component of GDP.

· The growth rate and GDP will be at its lowest. Quoting Moody, it downgraded

India’s rating and expects the country’s GDP to contract by 4% in the current
financial year due to the shock from the pandemic and related lockdown
measures

· The private sector is the worst hit with the current pandemic, facing loss of
business which includes

1. Transport sector

2 Entertainment industry

3. Tourism sector

4. Aviation sector

5. Real estate

These sectors will be the worst affected with tremendous job losses and
unemployment.
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· Medium, Small and Micro Enterprises (MSMEs) is another sector which is
worst hit by the current pandemic. 99.5% of all the MSMEs fall in the micro
category and are generally in rural India. The remaining 0.5% fall under the
category of medium and small enterprises. So, the hurdles faced by MSMEs
are-

5. Lack of financing as most of them are not registered anywhere. A big reason
for this is that they are just too small. So in the time of crisis, it constrains
government’s ability to help them.

6. Delayed payments to MSMEs- be it from buyers (which includes the

government also) or things like GST refunds etc.

7. MSMEs do not have revenue to wait for crisis. This is leading to job losses.
According to a recent survey, many MSMEs will not be able to survive for
more than 3 months if they remain closed.

· Reverse migration : With thousands of migrant labourers moving from big

cities to their villages due to lack of employment and capital, there will be
shortage of skilled and unskilled labour which will further impact production in
different sectors, mainly construction.

PSYCHOLOGICAL

· Teenagers (online classes), youth working from home on laptops are

developing psychosomatic symptoms- skipping meals, sleep deprived,
backache, dry eyes, aggressive behavior. This is further resulting into strained
relations with parents.

· Uncertainty coupled with the anxiety they sensed in their parents mingled with
household talks of poor economy, job losses etc is worrisome. Freshers passing
out from colleges and universities not getting jobs is leading to depression.

· Nervousness in 15-17 years old due to cancellation/ postponement of board

exams.

· Children not able to socialize and meet their friends is causing a negative
impact on their healthy upbringing.

· Panic attacks in children due to massive news coverage of Covid.

· Increasing rise of mental health issues and suicides.

· Pressure on youngsters who have taken student loan and its repayment with no
jobs.

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SOCIAL

· Ostracization of people who have tested positive for coronavirus. There have
been numerous examples wherein people are subjected to immense
discrimination and attacks from the society.

· Transgenders and migrants are those two sections which are facing hardships
of acceptance from society as well as their homes. Health workers are facing the
wrath of the family of patients and there have been many cases where they are
subjected to violence and threat of life.

· Domestic violence, gender based and child abuse is on an increasing trend.

· Divorce rates are increasing when couples are spending more time together.

· Xenophobia for north-east people is rising as people misunderstand them to be

Chinese.

HEALTH

· Health system has collapsed. Budget of this sector should be increased as in

future, such contingency could be faced again.

· No beds in hospitals, lack of PPE kits and N95 masks, ventilators, testing kits,
oxygen supply and sanitisers.

· Private hospitals are charging exorbitant prices for admission.

POSITIVE IMPACT OF CORONAVIRUS IN INDIA

· With lesser emissions, environment is being healed. With lesser air pollution
and greenhouse gas emissions, ozone layer is healing and many endangered
species have revived.

· Family bonding has improved.

· Awareness of hygiene increased immensely with people sanitizing themselves

at regular intervals.

· Skill development of people in spare time as they are working on their hobbies
like yoga, cooking, internet awareness, computer literacy etc.

· India became the second largest producer of PPE kits and masks.

TOURISM-

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The global travel and tourism industry is estimated to lose USD 2.7 trillion in
2020 with 100 million jobs at risk

• The India travel and tourism industry is facing an overall loss of USD 16.7
billion with up to 50 million jobs (both direct and indirect) at risk

• The aviation sector globally has been impacted the most facing losses up to
USD 314 billion in the current scenario. Up to 25 million jobs are at risk in the
global aviation market

• In India, the aviation sector is looking at an estimated loss of USD 11.2 billion
with up to 2.9 million jobs at risk

• The Indian hotel industry has also been hit by the pandemic; estimated losses
for 2020 increased to USD 6.3 billion and may reach USD 14 billion depending
on the persistence of the lockdown. This includes hotels and accommodation in
both organised and unorganised segments

The pandemic is estimated to have a debilitating impact on the Indian travel and
tourism sector, which includes hotels, travel agencies, tour operators,
destinations, family entertainment venues, restaurants and air, land and sea
transportation, amongst others. Overall, losses are estimated to total up to USD
16.7 billion. Being a large employment generator for the country, 40-50 million
jobs will be at risk in 2020, both directly and indirectly employed in the
industry. The Ministry of Tourism has constituted a National Tourism
Taskforce, to be headed by the Minister of State (I/C) for Tourism to meet the
challenges posed by COVID-19 and will include state tourism ministers, joint
secretary level officers of the concerned central ministries, and representatives
from associations, such as FICCI, CII, ASSOCHAM and WTCII, as well as
heads of tourism and hospitality associations. With large scale cancellation of
travel plans by both foreign and domestic tourists, there has been a drop in both
inbound and outbound tourism of approximately 67% and 52% respectively
from January to February as compared with the same period last year. The
aviation sector, which contributes 2.4% of Indian GDP, is among the worst
affected sectors due to COVID-19. The spread of the pandemic across the
country, in the last two months, has led to a 47% decline in the passenger
traffic. Following the lockdown in March, airlines have been incurring parking
charges as nearly 650 planes of Indian carriers are now grounded. These airlines
are liable to pay a lump sum amount of INR 6 million of parking and housing
charges. Airlines are also refraining from increasing prices for the summer
season. According to the Centre of Aviation (CAPA), the Indian aviation
industry could bear losses up to USD 3.6 billion during AprilJune 2020 alone.

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Employment

 The travel and tourism sector in India employs around 87.5 million
people, directly or indirectly. This pandemic could render up to 40-50
million people unemployed, which is up to approximately 57% of this
sector’s entire workforce. Due to COVID-19, the Indian tourism industry
is looking at pan India bankruptcies, unemployment and closure of
businesses.
 Several hotel businesses and travel operators in India including Ixigo,
MakeMyTrip, OYO, Mariott International, Treebo Hotels, FabHotels, and
Lemon Tree Hotels have announced plans to reduce senior employee
salaries and introduced unpaid leave options in order to cope with the
financial impact caused by the crisis.
 Approximately 8-10% of the total staff strength of the global cruise liners
comprise Indians and approximately15-20% of employees across the
branded hotel chains in India are contracted or casual staff. With the
industry facing financial woes due to COVID-19, these employees may
have to face layoffs.
 The aviation industry in India is also expected to see job reduction due to
global travel restrictions to contain the spread of COVID-19. The
International Air Transport Association (IATA), the global airlines
association, estimates over 2.9 million jobs at risk in the Indian aviation
space and its dependent industries.

ECONOMY
COVID-19 spreading rapidly in India. so to reduce the effect of covid-19,the
period of lock down has been extended till 31 may 2020 and policymakers are
worried about how to fight the virus and minimize its impact on the economy
therefore ,several relief funds have been announced by the Indian government .
Undoubtedly, this Corona virus has put the Indian economy at a major risk.
Corona virus ravages the economic foundations of Indian trade .According to
many experts ,economists, policy makers `have estimated that its many
economic impact can be seen which is as follows.
 Decline in exports due to global lockdown
 Decline in import due to global lockdown
 According to SBI research report ,the GDP growth rate for the financial year
2010 may be decrease by 1.1 present
 Production interruption in many area
 Possibility of retrenchment due to lack of work
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 Loss of income due to lack of jobs.
 Decline in price of petrol, diesel due to lack of demand.

USA
COVID-19 is expected to affect a number of US-based companies with
operations in China and other coronavirus-affected countries. Coronavirus
impact on the US economy is, however, yet to be fully estimated.

the economic impact of the coronavirus outbreak will be minimal on the US.
The U.S. Federal Reserve, however, noted that the outbreak could result in
elevated asset values and low-grade corporate debt, which may impact the
already shrinking economic growth in the US.

US-based aircraft manufacturer Boeing has announced that fall in demand from
airlines would affect new plane deliveries in Q1 2020.

Pharmaceutical and medical device industries, apart from tourism, are also
likely to be affected by the outbreak spreading to other countries on which US
companies are dependent, such as EU nations and India.

TOURISM
China accounted for the third-highest volume of overseas visitors to the US in
2018 after the UK and Japan, according to the US Travel Association. Chinese
tourists spent approximately $34.6bn in 2018 during their visit to the US. The
data also indicates that the trade deficit between the two countries would be
7.2% higher without the inbound travel from China.

Inbound travel from China declined by 2.2% during the first six months of 2019
due to the US-China trade war and is forecast to further decline in 2020 due to
the coronavirus outbreak.

The US tourism industry is projected to lose $10.3bn cumulatively in Chinese

spending due to coronavirus, half of it being in 2020, according to estimates by
Tourism Economics, an Oxford Economics Company. The number of visitors to
US from Mainland China alone will drop by 1.6 million, while those from the
rest of Asia will add-up to the losses.

The losses to tourism are expected to extend through 2024, since China is the
single largest export market for the US, adds the company.

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The US hotel industry is expected to be affected due to fall in visitors from
China. Early estimates by Tourism Economics hint at a 28% drop in visits to the
US from China.

Hotel room nights lost in 2020 will be 4.6 million, considering that
approximately 65% of Chinese visitors to the US stay in a hotel for an average
of 15 nights.

The states of California, New York, Utah and Oregon are expected to be
affected the most, since they are the biggest beneficiaries of overseas visitors
from China. The top three cities that drew the highest overnight visits from
China in 2019 were Los Angeles, New York City, and San Francisco.

ECONOMY

A large number of companies in the US procure parts and components from

China. With just 30% of small businesses having resumed production in China
post the coronavirus outbreak, manufacturers in the US are scrambling to
procure parts that they previously imported from China in order to avoid
production disruptions.

Companies such as Apple, Caterpillar, Deere & Co, Komatsu, and Morton
Industries are searching to find local suppliers for tools and components.
Limited supply and heavy demand have increased the costs of components with
domestic components being priced at 30% higher than Chinese components.

As of the 11th April 2020, the total jobless hit 22 million.

Workers everywhere in restaurants, hotels, factories, offices, have been laid off.
No income. Zilch.
Sure, $2.2 trillion has been passed as a “support package” by Congress; workers
will get an enhanced dole, including $600 more per week for 4 months. (And
then?)
But—

Nearly 1/3 of the economy’s output has been wiped out for the current quarter.
48 states have closed non-essential businesses.
Non-grocery retail business plunged 97% in the last week of March, compared
with 2019.
Airline passengers have dropped by 95%. Hotel revenue has dropped 80%.

Meanwhile, America depends on China for, hmm, let’s see—

penicillin, antibiotics, analgesics, vitamins,
surgical masks, medical devices,
electronics, computers, car parts, toys, clothes,
every kind of cheap consumable crap.

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So, while the Chinese and American societies are locked down to save the lives
of the poor and the old and the already ill—
the poor and the old and the already ill who should long ago have been
provided with—
affordable hospital care,
decent living conditions,
and jobs that did not keep them on the edge, physically and financially,
so that they did not die like flies at the advent of some new disease—
while governments try to save lives they never cared about much before—
they are killing the livelihoods of everyone else.

FINDINGS
 After the analysis we can see that the recovery rate is far better than the
USA.
 The number of deaths are more in India if we compare to the USA
according to the above co-relation.
 If we talk about the sample testing it shows the negative co-relation
which means the number of testing is too low as we compare to the USA.
 Health care system is collapse in both countries due to the virus.Due to
the excessive cases in both countries there is a shortage of equipments
that’s why the people are struggling.

RECOMMENDATION

35
  The death rate is high in indian states which I selected in those region the
old age people are more they have chances that their life are more in
danger that’s why first track those people whose age 50+ and test it.If the
test is positive isolate and treat them.
 India has to increase the number of covid testing to control the situation.
 Health care system In India is worse as we compare to the USA. In India
most of the people gave money from their pocket because they don’t have
any Insurance that’s why all burden comes to patient.The government
launches the insurance but the people are not aware of it they don’t what
are benefits of health insurance.

Conclusion-
So the purpose of this study to know that out of these top 5 most infected states
(USA AND INDIA) to know what consequences they are facing during covid
situation.we all know USA and INDIA are on the top in term covid cases that’s
why I took that study to know what are consequences they are facing try to give
the recommendation that what both countries can do for their people.as we
know COVID-19 has emerged out as an outbreak which seems uncontrollable
all over the world, and people all over the globe are struggling to deal with it in
terms of health, education, environment, economy etc. To deal with this
uncertainty is very difficult and therefore we have seen economies all over the
world are crashing. With proper planning and strategies this problem can be
resolved at all levels or at least reduced to a certain level where it might not
drastically impact people across the world, but this requires a lot of research in
this domain by experts all over the globe to propose a solution which can be
adapted in case of any outbreak in future.

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After finding the co- relation what I got is that the recovery rate is good in
Indian 5 states but the sample test are low if we talk about USA the
recovery rate is less but test per million is high.But both of countries are
doing well for the betterment of their people so but they can do better and
recify the mistake & implement the solution of the problem.

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