The province of Sindh reported the first COVID-19 case in Pakistan on 26th February 2020. The Government of Sindh has employed numerous control measures to limit its spread. However, for low-and middle-income countries such as Pakistan, the management protocols for controlling a pandemic are not always as definitive as they would be in other developed nations. Given the dire socio-economic conditions of Sindh, continuation of province-wise lockdowns may inadvertently cause a potential economic breakdown. By using a data driven SEIR modelling framework, this paper describes the evolution of the epidemic projections because of government control measures. The data from reported COVID-19 prevalence and google mobility is used to parameterize the model at different time points. These time points correspond to the government’s call for advice on the prerequisite actions required to curtail the spread of COVID-19 in Sindh. Our model predicted the epidemic peak to occur by 18th June 2020 with approximately 3500 reported cases at that peak, this projection correlated with the actual recorded peak during the first wave of the disease in Sindh. The impact of the governmental control actions and religious ceremonies on the epidemic profile during this first wave of COVID-19 are clearly reflected in the model outcomes through variations in the epidemic peaks. We also report these variations by displaying the trajectory of the epidemics had the control measures been guided differently; the epidemic peak may have occurred as early as the end of May 2020 with approximately 5000 reported cases per day had there been no control measures and as late as August 2020 with only around 2000 cases at the peak had the lockdown continued, nearly flattening the epidemic curve.
Dyspnea is a disorder that occurs because of shortness of breath and may lead to multiple complications. Intoxicated dyspnea patients are those who are addicted to alcohol, as well as have breathing problems. Mostly, problems faced by dyspnea patients are inhalation, when they take alcohol with severe concentration. For intoxicated dyspnea patients, there is a continuous need for alcohol breath testing along with breath indicators, since, an individual is prone to alcohol addiction, and faces problems of breathing such as asthma, hypertension, etc. The severe outbreak of dyspnea in these individuals may be deadly. To handle this condition, an alcoholic meter along with an incentive spirometer is designed that helps in the assessment of breathing problems by measuring the alcohol concentration and inhaled air. Several parameters have opted for both inhalation detection and alcohol concentration which include the severity of health problems encompassing asthma, hypertension for the detection of inhaled air, and normal, moderate, severe alcohol concentration. The working of the proposed device is validated through the analysis of these parameters. The results are obtained on the graph as well as on display, which shows a variation in the range among every individual with respect to selected parameters either in incentive spirometer (inhalation detection) or alcoholic meter, and these ranges are also displayed in a numeric form on LCD. The idea is to design an economical and portable device for intoxicated dyspnea patients for emergency conditions which is a combination of an alcoholic meter with an incentive spirometer (IS) for the measurement of alcohol concentration along with breathing problems by making use of sensors. This unique idea of combining an alcoholic meter with an incentive spirometer will aid intoxicated dyspnea patients in case of emergency.
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