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Novel Corona Virus Updates


Novel Corona Virus Updates

 

coronavirus









The Helpline Number for corona-virus: +91-11-23978046 Toll Free No: 1075

 

Central Helpline Number for corona-virus: - +91-11-23978046

 

Helpline Numbers of States & Union Territories (UTs)

 

Central Helpline Number for corona-virus: - +91-11-23978046

 

Helpline Numbers of States & Union Territories (UTs)

 





S. No Name of the State Helpline Nos.

1 Andhra Pradesh 0866-2410978    

                                                      

2 Arunachal Pradesh 9436055743

3 Assam 6913347770

4 Bihar 104

5 Chhattisgarh 104

6 Goa 104

7 Gujarat 104

8 Haryana 8558893911

9 Himachal Pradesh 104

10 Jharkhand 104

11 Karnataka 104

12 Kerala 0471-2552056

13 Madhya Pradesh 0755-2527177

14 Maharashtra 020-26127394

15 Manipur 3852411668

16 Meghalaya 108

17 Mizoram 102

18 Nagaland 7005539653

19 Odisha 9439994859

20 Punjab 104

21 Rajasthan 0141-2225624

22 Sikkim 104

23 Tamil Nadu 044-29510500

24 Telangana 104

25 Tripura 0381-2315879

26 Uttarakhand 104

27 Uttar Pradesh 18001805145

28 West Bengal 1800313444222, 03323412600,

 

 

S. No Name of Union Territory (UT) Helpline Nos.

 

Andaman and Nicobar  Islands  03192-232102

2 Chandigarh 9779558282

3 Dadra and Nagar Haveli and Daman & Diu 104

4 Delhi 011-22307145

5 Jammu & Kashmir 01912520982, 0194-2440283

6 Ladakh 01982256462

7 Lakshadweep 104

8 Puducherry 104


 

Advisory on Social Distancing Measure in view of spread of COVID-19 disease

 

Social distancing is a non-pharmaceutical infection prevention and control intervention implemented to avoid/decrease contact between those who are infected with a disease causing pathogen and those who are not, so as to stop or slow down the rate and extent of disease transmission in a community. This eventually leads to decrease in spread, morbidity and mortality due to the disease.

 

In addition to the proposed interventions, the State/UT Governments may prescribe such other measures as they consider necessary.

 

All these proposed interventions shall be in force till 31st of March, 2020. They will be reviewed as per the evolving situation.

 

 

The following interventions are proposed:

 

1. Closure of all educational establishments, gyms, museums, cultural and social centers, swimming pools and theatres. Students should be advised to stay at home. Online education, to be promoted.

 

2. Possibility of postponing exams may be explored. Ongoing exams to be conducted only after ensuring physical distance of one meter amongst students.

 

3. Encourage private sector organizations/employers to allow employees to work from home wherever feasible.

 

4. Meetings, as far as feasible, shall be done through video conferences. Minimize or reschedule meetings involving large number of people unless necessary.

 

5. Restaurants to ensure handwashing protocol and proper cleanliness of frequently touched surfaces. Ensure physical distancing (minimum 1metre) between tables; encourage open air seating where practical with adequate distancing.

 

6. Keep already planned weddings to a limited gathering; postpone all non-essential social and cultural gatherings.

 

7. Local authorities to have a dialogue with organizers of sporting events and competitions involving large gatherings and they may be advised to postpone such events.

 

8. Local authorities to have a dialogue with opinion leaders and religious leaders to regulate mass gatherings and should ensure no overcrowding/at least one metre distance between people.

 

9. Local authorities to have meeting with traders associations and other stakeholders to regulate hours, exhibit Do’s and Don’ts and take up a communication drive in market places like sabzi mandi, anaj mandi, bus depots, railway stations, post-offices etc., where essential services are provided.

 

10. All commercial activities must keep a distance of one meter between customers. Measures to reduce peak hour crowding in markets.

 

11. Non-essential travel should be avoided. Buses, Trains and aeroplanes to maximize social distancing in public transport besides ensuring regular and proper disinfection of surfaces.

 

12. Hospitals to follow necessary protocol related with COVID-19 management as prescribed and restrict family/friends/children visiting patients in hospitals.

 

13. Hygiene and physical distancing has to be maintained. Shaking hands and hugging as a matter of greeting to be avoided.

 

14. Special protective measures for delivery men/ women working in online ordering

 

15. Keep communities informed consistently and constantly.

Ministry of Health & Family Welfare

 

 

 

Guidelines for notifying COVID-19 affected persons

By Private Institutions

 

In the wake of the prevailing COVID-19 situation and in order to strengthen the containment measures, it is of utmost importance that each and every case of COVID-19 is isolated and provided appropriate treatment and their contacts are traced at the earliest to break the chain of transmission.

 

It is important that support and cooperation of private sector is enlisted, in this regard. Therefore, it shall be mandatory for all hospitals (Government and

Private), Medical officers in Government health institutions and registered Private Medical Practitioners including AYUSH Practitioners, to notify such person(s) with COVID-19 affected person to concerned district surveillance unit.

 

All practitioners shall also get the self-declaration forms, who, within their knowledge, are having travel history of COVID-19 affected countries as per the extant guidelines and are falling under the case definition of COVID-19

 

In case the person has any such history in the last 14 days and is symptomatic as per case definition of COVID-19, the person must be isolated in the hospital and will be tested for COVID-19 as per protocol.

 

 

COVID-19 Case Definitions

 

Suspect Case:

A patient with acute respiratory illness (fever and at least one sign/symptom of respiratory disease and a history of travel to of residence in a country/area or territory reporting local transmission of COVID-19 disease during the 14 days prior to symptom onset;

 

 

 

Total number of passengers screened at airport: 14, 31,734

 

Total number of Active COVID 2019 cases across India *: 149

 

Total number of Discharged/Cured COVID 2019 cases across India *: 19

 

Total number of Migrated COVID-19 Patient *: 1

 

Total number of Deaths due to COVID 2019 across India *: 4

 

 

  

 

S. No

Name of State / UT

Total Confirmed cases( Indian National)

Total Confirmed cases ( Foreign National )

Cured/

Discharged              

Death

1

Andhra Pradesh

2

0

0

0

2

Chattisgarh

1

0

0

0

3

Delhi

11

1

3

1

4

Haryana

3

14

0

0

5

Karnataka

14

0

0

1

6

Kerala

25

2

3

0

7

Maharashtra

44

3

0

1

8

Odisha

1

0

0

0

9

Pondicherry

1

0

0

0

10

Punjab

2

0

0

1

11

Rajasthan

5

2

3

0

12

Tamil Nadu

2

0

1

0

13

Telengana

4

2

1

0

14

Union Territory of Chandigarh

1

0

0

0

15

Union Territory of Jammu and Kashmir

4

0

0

0

16

Union Territory of Ladakh

8

0

0

0

17

Uttar Pradesh

18

1

9

0

18

Uttarakhand

1

0

0

0

19

West Bengal

1

0

0

0

Total number of confirmed cases in India    148     25       20     4

 

 

 

 

1. Scope of the document

 

There are currently over 100 laboratory confirmed cases and two deaths due to Novel Coronavirus disease in India. Being a new disease there is knowledge gap on how to dispose of dead body of a suspect or confirmed

 

Case of COVID-19.

 

This guideline is based on the current epidemiological knowledge about the COVID-19. India is currently having travel related cases and few cases of local transmission. At this stage, all suspect/ confirmed cases will be isolated in a health care facility. Hence the document is limited in scope to hospital deaths.

 

 

2. Key Facts

 

The main driver of transmission of COVID-19 is through droplets. There is

Unlikely to be an increased risk of COVID infection from a dead body to health

Workers or family members who follow standard precautions while handling body.

 

 Only the lungs of dead COVID patients, if handled during an autopsy, can be Infectious.

 

 

3. Standard Precautions to be followed by health care

 

Workers while handling dead bodies of COVID.

Standard infection prevention control practices should be followed at all times.

 

These include:

 

1. Hand hygiene.

 

2. Use of personal protective equipment (e.g., water resistant apron, gloves, masks, eyewear).

 

3. Safe handling of sharps.

 

4. Disinfect bag housing dead body; instruments and devices used on the patient.

 

5. Disinfect linen. Clean and disinfect environmental surfaces.

 

4. Training in infection and prevention control practices

All staff identified to handle dead bodies in the isolation area, mortuary, ambulance and those workers in the crematorium / burial ground should be trained in the infection prevention control practices.

 

5. Removal of the body from the isolation room or area

 

 The health worker attending to the dead body should perform hand hygiene ensure proper use of PPE.

 

 All tubes, drains and catheters on the dead body should be removed.

 

 Any puncture holes or wounds should be disinfected with 1% hypochlorite and dressed with impermeable material.

 

 Apply caution while handling sharps such as intravenous catheters and other sharp devices. They should be disposed into a sharps container.

 

Plug Oral nasal orifices of the dead body to prevent leakage of body fluids.

 

 If the family of the patient wishes to view the body at the time of removal from the isolation room or area, they may be allowed to do so with the application of Standard Precautions.

 

 

 Place the dead body in leak-proof plastic body bag. The exterior of the body bag can be decontaminated with 1% hypochlorite.The body bagcan be wrapped with a mortuary sheet or sheet provided by the family members.

 

 The body will be either handed over to the relatives or taken to mortuary. 

 

 All used/ soiled linen should be handled with standard precautions, put in biohazard bag and the outer surface of the bag disinfected with hypochlorite solution.

 

 Used equipment should be autoclaved or decontaminated with disinfectant solutions in accordance with established infection prevention control practices.

 

 All medical waste must be handled and disposed of in accordance with biomedical waste management rules.

 

 The health staff who handled the body will remove personal protective equipment and will perform hand hygiene.

 

 Provide counseling to the family members and respect their sentiments.

 

6. Environmental cleaning and disinfection All surfaces of the isolation area (floors, bed, railings, side tables, IV stand, etc.) should be wiped with 1% Sodium Hypochlorite solution; allow a contact time of 30 minutes, and then allowed to air dry.

 

7. Handling of dead body in Mortuary

 

 Mortuary staff handling COVID dead body should observe standard precautions.

 

 

 Dead bodies should be stored in cold chambers maintained at approximately 4°C.

 

 The mortuary must be kept clean. Environmental surfaces, instruments and transport trolleys should be properly disinfected with 1% Hypochlorite solution.

 

 After removing the body, the chamber door, handles and floor should be cleaned with sodium hypochlorite 1% solution.

 

8. Embalming

 

Embalming of dead body should not be allowed.

 

9. Autopsies on COVID-19 dead bodies

 

Autopsies should be avoided. If autopsy is to be performed for special reasons, the following infection prevention control practices should be adopted:

 

 The Team should be well trained in infection prevention control practices.

 

 The number of forensic experts and support staff in the autopsy room should be limited.

 

 The Team should use full complement of PPE.

 

 Round ended scissors should be used

 

 PM40 or any other heavy duty blades with blunted points to be used to reduce prick injuries

 

 Only one body cavity at a time should be dissected

 

 Unfixed organs must be held firm on the table and sliced with a sponge – care should be taken to protect the hand

 

 Negative pressure to be maintained in mortuary. An oscillator saw with suction extraction of the bone aerosol into a removable chamber should be used for sawing skull, otherwise a hand saw with a chain-mail glove may be used

 

 Needles should not be re-sheathed after fluid sampling – needles and syringes should be placed in a sharps bucket.

 

 Reduce aerosol generation during autopsy using appropriate techniques especially while handling lung tissue.

 

 After the procedure, body should be disinfected with 1% Sodium Hypochlorite and placed in a body bag, the exterior of which will again be decontaminated with 1% Sodium Hypochlorite solution.

 

 The body thereafter can be handed over to the relatives.

 

 Autopsy table to be disinfected as per standard protocol.

 

10. Transportation

 

 The body, secured in a body bag, exterior of which is decontaminated poses no additional risk to the staff transporting the dead body.

 

 The personnel handling the body may follow standard precautions.

 

 The vehicle, after the transfer of the body to cremation/ burial staff, will be decontaminated with 1% Sodium Hypochlorite.

 

11. at the crematorium/ Burial Ground

 

 The Crematorium/ burial Ground staff should be sensitized that COVID 19 does not pose additional risk.

 

 The staff will practice standard precautions of hand hygiene, use of masks and gloves.

 

 Viewing of the dead body by unzipping the face end of the body bag may be allowed, for the relatives to see the body for one last time.

 

 Religious rituals such as reading from religious scripts, sprinkling holy water and any other last rites that does not require touching of the body can be allowed.

 

 Bathing, kissing, hugging, etc. of the dead body should not be allowed.

 

 The funeral/ burial staff and family members should perform hand hygiene after cremation/ burial.

 

 The ash does not pose any risk and can be collected to perform the last rites.

 

 Large gathering at the crematorium/ burial ground should be avoided as a social distancing measure as it is possible that close family contacts may be Symptomatic and/ or shedding the virus.

 

For more Updates Click Here


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