The plan of the Union Ministry of Health outlines how the first official road map to keep the disease out can be walled in areas – cities, villages or neighborhoods with large outbreaks of coronovirus disease or multiple groups.
Can Curb and monitor hot spots when there is generally some withdrawal in other areas after the nationwide lockout ends at the end of this month.
The strategy is based on lessons from the 2009 outbreak of the H1N1 influenza pandemic, which, according to the report, had a major impact on “substantial population movement in well-connected large cities”, while less population and poor connectivity in rural areas and small towns with. Only a few cases reported.
“The current geographic distribution of Kovid-19 mimics the distribution of H1N1 pandemic influenza. This suggests that while the prevalence of Kovid-19 may be higher in our population, it is unlikely that it will affect all parts of the country equally.
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It calls for a differential approach in various areas of the country, furthering a strong participatory effort in the hot spot, “Ministry of Health plans for large outbreaks.
The road map is to deal with the third most serious scenario of the outbreak in the country. The first, and lightest scenario, occurs when matters are limited to those who have traveled. The second is when the cases are locally spread.
The third scenario occurs when there are large groups, while the remaining two occur when there is widespread community transmission and most severe when India becomes endemic to Kovid-19.
The report states that action for the mitigation phase – a scenario when management should be focused on matters rather than focus – will be dealt with under a different plan.
“Major outbreaks in India are still responsible for prevention. All states have implemented aggressive control measures, and we have not reached the stage where the outbreak is rampant, ”said a senior Health Ministry official, requesting anonymity.
Currently, there are 21 clusters in nine regions under close surveillance for the outbreak. However, there are no stricter thresholds to define “large outbreaks” or how many groups are cut, an official apprised of the Nizamuddin neighborhood of Delhi, Bhilwara in Rajasthan and Kasaragod in Kerala, Which as an example of what would happen.
Nizamuddin is home to the Tablighi Jamaat headquarters, which has contributed two-thirds of Delhi’s 445 infections. Bhilwara has 27 out of 200 cases in Rajasthan and Kasaragod 136 out of 306 infections in Kerala.
“This is what is being done at the ground level where a large number of cases are coming up. Most of our cases can still be traced to international travel and the percentage where contacts are not yet traced is too small to cause panic, ”the official said above.
According to the plan, a hot spot would be divided into zones: a quarantine zone and a buffer zone around it. The quarantine area will be where most of the cases are focused, while the buffer will include some blocks or surrounding districts, as decided by the authorities on a case-by-case basis.
For both areas, outbound travel – in particular – will be cut off and all movement of vehicles and public transport will be halted, with the only exception for those with special passes to enable essential services.
“Thermal screening, IEC (information-educating-dialogue: a strategy to raise awareness of risks and consequences) will be performed at all entry and exit points,” the plan states.
Schools and colleges will be closed, mass celebrations will be banned and people will be encouraged to stay indoors for the first 28 days in both areas, the document states: “Risk assessment and successful prevention actions.
Depending on the indication of, an approach staggered work and market hours can be put into practice. ”
These measures will be combined with increased disease surveillance: more randomized trials on hospitalized cases, testing of all suspected cases, isolation of patients and quarantine of contacts.
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The test criterion, however, remains the same. All pathological individuals traveling internationally in the last 14 days, confirmation of all laboratory related disease cases, all pathological health care workers, all hospitalized patients with severe acute respiratory infections (SARI) and direct and direct confirmation With high-risk contacts.
The case should be tested once between day 5 and day 14 of contact. The document says the trial will continue for 14 days after the final test case was declared negative.
