|
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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