COVID-19 PREPAREDNESS & STEPS FOR CONTAINMENT - Collector & District Magistrate, Karimnagar - Centre for Innovations in Public Systems (CIPS)
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COVID-19
PREPAREDNESS & STEPS FOR CONTAINMENT
Collector & District Magistrate, Karimnagar
Karimnagar District ‐ Telangana State
1
COVID 19 Preparedness & Containment
Index
• Karimnagar District Profile – Medical and Health
• COVID 19
– Indonesian Module
Snapshot of events
Steps taken for Containment of Possible Spread
– Local Transmission: Containment Plan
– Home Quarantine for International Travellers
– Delhi Module & Other Steps Taken
– Hospital Preparedness
– Implementation of Janta Curfew / Lockdown / Curfew
– IEC and Awareness Activities
– Social Distancing
– Special Sanitation Drive
– Assistance to Migrant Labour
Karimnagar District ‐ Telangana State
2
COVID 19 Preparedness & Containment
Karimnagar District Profile
• Total population: 10,04,897
Urban: 2,61,185
Rural: 7,43,712
• Area: 2,128 sq km
• No. of Municipalities: 5
• No. of Gram Panchayats: 313
• District Hospital - 350 beds
• Huzurabad – 100 beds (Sub-Division level)
• No. of ASHAs – 652, ANMs - 199
• No. of PHCs – 16, UPHCs – 06, CHCs – 02,
Sub-Centers - 139
• Number of 108 Vehicles - 11, 104 - 5, 102 - 7
Karimnagar District ‐ Telangana State
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COVID 19 Preparedness & Containment
Indonesian Module – A Snap Shot
14th 16th SB identifies .1 One +ve case. IDSP
10 Indonesians & 3 17th
March March symptomatic – - Contact tracing
associates arrive March
13 shifted to Hyd
20th 19th 18th
2 more +ves March Active Surveillance March 7 more +ves March
P1 tests +ve 3 Primary Contacts of P1 test
23rd 29th
Local Transmission - Containment Plan positive
March March
Karimnagar District ‐ Telangana State
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COVID 19 Preparedness & Containment
Epi Centre, Buffer Zone & Active Surveillance
Karimnagar District ‐ Telangana State
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COVID 19 Preparedness & Containment
Indonesian Module – Steps Taken
Govt.
Quarantine
TRACE TEST
Isolation Wards
• Traced locations and possible route taken
by the Indonesians during 48 hours spent at
Karimnagar.
• Active Surveillance by Rapid Response
Teams (RRTs) around the Epicenter and
passive surveillance in the Buffer Zone
area.
• Structured Rapid Fever Survey (format
based) in 36,074 HHs by 150+ Health
Teams covering a population of 1,36,348
over 3 days.
• IDSP & SB identifies 73 Primary Contacts
(High Risk) and hundreds of Secondary
Contacts.
• 73 Primary Contacts quarantined and
drawn samples.
Karimnagar District ‐ Telangana State
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COVID 19 Preparedness & Containment
Local Transmission – Containment Plan
• P1 tests positive on 23rd March –
Containment Plan
• Cordoned-off an area of 600m
radius area covering 3500+ HHs.
• No movement zone. Physical
movement in/out of the area
restricted.
• Dialogue with Community
Religious Heads
Public Representatives
Intellectuals & Senior
Citizens
• Deployment of 90+ Police ranks
• Supply of essentials (vegetables,
milk, groceries, medical, ATM) at
the doorstep. Digital Payments.
• Control Room for communication
• Massive IEC in Telugu and Urdu.
Karimnagar District ‐ Telangana State
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COVID 19 Preparedness & Containment
Containment Plan - Implementation
• Health Camp has been set up in this area
• 3 Primary Contacts of the P1 tested positive
• 2nd round of Active Surveillance post 14 days taken up on 31st
March, 2020 covering 2613 HHs and balance HHs coverage is under
progress.
Karimnagar District ‐ Telangana State
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COVID 19 Preparedness & Containment
Home Quarantine
• 622 international travel people have been restrained to home
quarantine for 28 days.
• Each of them have been stamped by inedible ink and handed over a
kit (Instructions pamphlet, mask, sanitizer).
• Instructions sticker on such HH and encouraged Community Watch.
• Multi-disciplinary teams monitored compliance twice a day.
• Random calls to the neighbours from the District Control Room for
feedback. Cases filed against the home quarantine violators.
Karimnagar District ‐ Telangana State
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COVID 19 Preparedness & Containment
Delhi Module & Other Steps Taken
• 19 Delhi (having attended special gathering) returned people are traced and
drawn samples.
• Out of these, 11 tested negative, 3 tested positive and balance 5 results
awaited.
• 38 Primary Contacts (High Risk) of the confirmed +ve cases are traced and
shifted to quarantine. Samples drawn for testing.
• Active Surveillance through Rapid Fever Survey covering 929 houses
surrounding +ve cases of Delhi returned people has been carried out.
• In addition to these, meetings have been conducted with Private Medical
Practitioners through IMA, Karimnagar Branch, RMPs / PMPs on restrain to
treat any patients with such symptoms and to direct to the DH.
• Pharmacies and Druggists are instructed not to sell without a Doctor’s
prescription and to refer to a physician for guidance.
• Local intelligence from RRTs being gathered on possible symptomatic cases.
Karimnagar District ‐ Telangana State
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COVID 19 Preparedness & ContainmentHospital Preparedness
• All facilities in place at the District Hospital (200 beds, 20 ICU), CAIMS (500
beds, 50 ICU), PIMS (500 beds, 150 ICU).
• Similarly, at the Sub Division level, facility at Huzurabad (50 beds, 5 ICU).
• Govt. Quarantine facility with 250+ bed capacity under usage.
• 503 people have visited the Triage till date and total samples drawn are
219. Capacity building of Medical Officers and staff taken up.
• Supply of PPEs, N95 masks, VTMs and other materials being ensured.
• Rational use of supplies is being inculcated through training sessions and
WHO consultants.
Karimnagar District ‐ Telangana State
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COVID 19 Preparedness & ContainmentJanta Curfew / Lockdown / Night Curfew
• Janta Curfew was voluntarily observed by one and all on 22nd March,
2020.
• Lockdown since 23rd March, 2020 is being implemented.
• Night curfew from 7pm – 6am by 570+ Police ranks
• Application of technology – Drone, Mobile Command Control, CCTVs
• District Control Room at the Collectorate
– Essential Commodities Committee to tackle Supply Chain issues
– Price Monitoring Committee
Karimnagar District ‐ Telangana State
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COVID 19 Preparedness & ContainmentIEC and Awareness Activities
• Awareness among
– Religious leaders to avoid mass
gatherings
– Local public representatives
– Various associations / stakeholders
• Social media blitzkrieg - Whatsapp,
Twitter, Facebook to reach out.
• Hoardings in Telugu, Urdu and English
languages.
• Distributed 50,000 posters & pamphlets
• Communication through Women Self
Help Groups (SHGs) and other groups.
• Regular Press briefings and media
releases
• Auto miking in Urdu, Telugu and English
Karimnagar District ‐ Telangana State
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COVID 19 Preparedness & ContainmentSocial Distancing
• Large crowded vegetable markets
are temporarily shifted to other
spacious locations.
• Mini / Colony Veg Markets
established in the urban areas
• Mobile Rythu / Farmer Bazaars
launched.
• Door-delivery of various services
being encouraged.
• e / m - Commerce being facilitated
• Surveillance teams for each division
/ village for implementation of Social
Distancing.
• Marking made mandatory at all
commercial places and responsibility
fixed with the vendors.
Karimnagar District ‐ Telangana State
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COVID 19 Preparedness & ContainmentSpecial Sanitation Drive
• Usage of Sodium hypochlorite solution and
bleaching powder for public places.
• Drones, 3 Fire tenders, 5 tractor mounted jet
guns, 140 automatic power sprayers being
used.
• Specialized safety suits for sanitation workers.
• Each sanitation worker is given 2 sanitizers, 6
reusable masks, two pairs of permanent gloves.
• Masks and sanitizers by MEPMA
Karimnagar District ‐ Telangana State
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COVID 19 Preparedness & ContainmentAssistance to Migrant Labour
• As per the instructions of the State Govt.,
15,000+ migrant labourers have been
identified and provided with 12 Kg rice +
Rs.500 per person.
• Function halls blocked for migrant labour
travelling on foot. Food, medical assistance
being provided. 4 such shelters under
operation.
• Two Annapurna canteens providing free
lunch every day.
• Municipalities coordinating food donation by
private agencies and individuals.
• Revenue authoritites coordinating dry ration
donations.
• NGOs tied up to provide food for 1000+
people.
• Medical aid being provided by PHCs /
UHCs
Karimnagar District ‐ Telangana State
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COVID 19 Preparedness & ContainmentWay Forward
• Trace – Test – Quarantine / Isolation in suspect cases
• To immediately implement micro plan for containment
• Case Management – Hospital Preparedness
• Ring fence the vulnerable groups / persons
• Implementation of Social Distancing effectively
• To encourage voluntary compliance with lockdown restrictions
Thank You
Karimnagar District ‐ Telangana State
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