Containment, Clinical Management, Community Engagement Key Principles to Battle Covid: Govt

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The Union government on Monday said the management of COVID-19 across states and districts would be by following three main principles — containment, clinical management and community engagement. Physical distancing, use of masks and hand hygiene have to become a part of life, the government said.

Health Ministry official Luv Agarawal said there is no need to panic, while urging citizens to follow norms. “Hospital admissions should be done only when needed,” he said.

Niti Aayog member Dr VK Paul said time has come to wear masks even at home. “Please don’t go out unnecessarily, and even within the family wear a mask. Do not invite people into your home,” Dr Paul said.

Regarding containment, the Union Health Ministry said controlling human host through effective isolation is the key to manage the spread of the infection.

Limit the spread of infection by limiting unnecessary movement

– Following COVID-appropriate behavior at all times to contain the spread and break the chain of transmission

– Early identification is the key for any infectious disease management

– Get tested as soon as any symptoms are noted

– Isolate yourself even while waiting for the test results

As far as clinical management is concerned, the following points were made.

– Managing stress on healthcare delivery systems

– Effective monitoring of home isolation cases

– Need for seamless hospitalisation for eligible cases

– States and districts have to plan a dashboard indicating availability of beds and ensure transparent allocation

– States and districts have to plan additional healthcare infrastructure particularly in areas reporting high surge in cases

– Undertaking clinical management as per National Clinical Management Protocol for COVID-19

– Rational use of oxygen, appropriate prescription for drugs under investigational therapy like Remdesivir, Tocilizumab, etc. is critical.

– Equally efficacious drugs which are part of clinical management protocol and widely available to be prescribed

The government said so far, a total of 14.19 crore of doses against the coronavirus have been administered.

Among those above 45 years of age, 9.79 crore have received the first dose and 1.03 crore have been administered the second dose.

92.98 lakh health care workers have received first dose, while another 60.08 lakh received the second dose. Among frontline workers, first dose has been administered to 1.19 crore and second dose to 63.10 lakh. Ten states have administered first dose to more than 90% of the registered HCWs. While the national average of vaccination is 79.18%, for those above 60 years, the national average is 36.1%.

The government said states have been directed to not give medical oxygen to industries (baring a few). Oxygen storage capacity has also been increased, a senior official said, adding the government is hiring tankers from outside that would be used like ambulances and green corridors would be made.

Niti Aayog Member Dr VK Paul said misinformation being circulated around receiving jabs during menstruation. “COVID-19 vaccination can be administered during mensuration period,” he said.

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