COVID-19 #BREAKCORONA - CORONAVIRUS - Indraprastha Apollo Hospitals
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IN THIS BOOK YOU WILL FIND : Covid 19 : About Signs & An Overview Coronavirus Symptoms Important Spread of Telephone Coronavirus Numbers Corporate Precautions Myths about Advisory to take Coronavirus
OVERVIEW The global number of confirmed Coronavirus COVID-19 in India (COVID-19) cases has edged Total number of COVID-19 toward a million while death positive cases rise to 2088 in toll has neared 50,000 as the India (including 1764 active cases, 157 cured / discharged / outbreak continues to hit the migrated people and 56 world. deaths), according to the As per WHO, currently, there is latest tally published by the Union Ministry of Health and no vaccine or specific Family Welfare this morning treatment for COVID-19, but (April 4, 2020). Among the 27 supportive care can help most states and Union Territories patients recover. Precautionary having Coronavirus patients, Maharashtra has the highest measures include regular tally of positive cases at 338, hand-hygiene practices with an followed by Kerala at 241. alcohol-based rub or soap and India has been under a 21-day water and strictly practising lockdown in a bid to prevent the spread of COVID-19 social distancing. infection.
ABOUT CORONAVIRUS COVID-19, is a new strain of (COVID-19) coronavirus that has not been previously identified in humans. COVID-19 is the name of a disease caused by the newly Why is it called COVID-19? discovered Coronavirus, called Covid-19 (Coronavirus novel coronavirus (nCoV), first disease-19) is the official name identified in Wuhan, China, given to the novel coronavirus in December 2019. disease under commonly agreed Coronaviruses are a large family guidelines between WHO, the of viruses, named for the World Organization for Animal crown-like spikes on their Health, and the Food and surface. Notorious for mutating Agricultural Organization of the quickly and acquiring new UN. It was earlier being called qualities, these viruses are 2019-nCoV. highly contagious and can spread from human to human. Coronaviruses can cause diseases ranging from the common cold to more severe diseases like Middle East Respiratory Syndrome (MERS) and Severe Acute Respiratory Syndrome (SARS. The novel Coronavirus, now renamed as
SIGNS & SYMPTOMS The following symptoms may appear 2-14 days after exposure. Flu like symptoms Fever Cough Shortness of breath Fatigue Gastrointestinal symptoms like diarrhoea
SIGNS & SYMPTOMS Emergency warning signs include: Trouble breathing Persistent pain or pressure in the chest Confusion Blue lips or face Excessive Drowsiness
COVID-19 SPREAD • People may also get infected (TRANSMISSION) if they breathe in droplets from an infected person who • The disease can spread from coughs out or exhales person to person through droplets. This is why it is small droplets from the nose important to stay more than or mouth when an infected 6- feet away from a person person coughs or exhales. who is sick. These droplets land on objects and surfaces around the person. • People can also catch COVID-19 by touching these objects or surfaces, then touching their eyes, nose or The airborne route of mouth. transmission is under investigation. Of late, this has acquired a ‘superspreader’ status, wherein cases have been implicated through asymptomatic transmission or in some where the mode of transmission is unexplainable.
MYTHS AROUND COVID-19 1. Will I die if I get 2. Can the COVID-19 3. Can eating meat, Coronavirus? virus be passed on poultry products like No. Mortality rate through food? chicken or eggs cause ranges between 2-3% No. Currently, there Coronavirus? only. Almost 80% of is no evidence yet No. Currently, there is people have mild that suggests that no evidence yet symptoms and COVID-19 virus be suggesting spread of recover in 2 weeks. passed on through coronavirus directly Risk of death is food. through poultry higher only in older products. But, it is people (above an age always good option to of 60 years) and eat only properly people with cooked meat. pre-existing health conditions 4. Can eating garlic 5. I will not get the • Wear a mask if you prevent infection virus as long as I are coughing or with the wear a mask. Is this sneezing. coronavirus? true? • Masks are effective No. There’s no Not necessarily. only when used in science-backed While wearing a combination with evidence that proves mask in a crowded frequent hand - its ability to protect place is advisable, cleaning with alcohol against the you only need to - based hand rub, or coronavirus. wear a mask if you soap and water. are taking care of a • If you wear a mask, person with the then you must know suspected COVID-19 how to use it and infection if you are dispose of it healthy. properly.
MYTHS AROUND COVID-19 6. Can I catch the virus 7. Can foods like 8. Can high temperature, through my pets? garlic help prevent humidity affect No. There is no the spread of the transmission rate of evidence to support virus? COVID-19? that this virus can be No. Garlic has No. This is a myth. The transmitted through many health WHO has observed domestic pets benefits, and more that this infection can people should be be transmitted in any eating it. No food and all areas out there is regardless of climate. guaranteed to prevent you from contracting the virus. It is not backed up by any medical studies. 9. Can taking a hot 10. Can holding the bath prevent breath for 10 infection? seconds act as No. This is also a test for detecting myth. WHO says that COVID-19? the normal body No. Experts say temperature remains that a person stable between infected with the 36.5°C - 37°C COVID-19 virus despite the can also hold temperature. his/her breath for longer than 10 seconds. On the contrary, the elderly will not be able to accomplish this task but it does not in any way mean that they are infected.
PRECAUTIONS Systems (crowded busses, metro trains, etc.) • If you are not well, seek INDIVIDUAL CARE immediate medical attention • Wash your hand regularly with • If you have fever, cough, or plenty of soap and water. difficulty breathing, stay indoors. • Keep an alcohol-based sanitizer Call the nearest health centre or ready for times when soap and call 011-23978046 and follow water are not available their advice. • Do not touch your eyes, mouth or • If you have come in contact with nose with unclean hands a confirmed case or a suspect • Keep at least 1-meter distance case, follow the home quarantine from anyone coughing or period is for 14 days sneezing. • During the quarantine period, • Follow no-touch greeting. Prefer strictly follow the hand hygiene “Namaste” or hand-waving over rules and avoid sharing handshake household items within the family members utensils, clothes towels etc COMMUNITY CARE • Sneeze or cough in the inner side SURFACE CONTACT CARE of your elbow and not into your hands. Or, use a tissue and throw • Morning milk bags it away immediately. • Elevator buttons • Do not travel or visit crowded • Doorbells places if you are sick • Newspapers • Do wear a mask if you are sick • Car door after wash and also if you are taking care of • Garbage can exchange with someone with the symptoms housekeeping staff (also their • Practice Social Distancing, which ingress into housing society, and means avoid Group & Social movement from house to house) Gatherings, Theatre outings, • Raw vegetable and fruits Crowded Retail Stores, Gyms, purchased Malls, Mass Transport • Shop counters
• Office pantry, lunchroom, washroom, and door handles • Garden seats • Play area swings, etc. (though for DOMESTIC an unknown reason, young children thankfully are less • Use wet wipes for cleaning affected) around your seats • Maids touching multiple surfaces • Do not touch your eyes, nose or at home mouth • All doorknobs. • Cough or sneeze inside the elbow • Packets of Delivery boys - or use tissues Amazon, Flipkart, Swiggy, etc. • Clean your hands with soap and • Any shopping packets water or hand sanitizer • Currency notes and coins • Sanitize your hands after • Cabs (Uber, Ola Auto), etc. touching railings, trolleys, poles, • Bus and train handles handgrips etc. • Shoes, etc., which may step on • Follow the protocols as advised spit by respective airport authorities • If travelling by air, then multiple points from departing terminal to the arrival terminal PUBLIC TRANSPORT • Cough or sneeze inside the elbow or use tissues TRAVEL ADVISORY • Wash your hands often, with soap INTERNATIONAL and water, for at least 20 seconds. • All the International and domestic This is the most critical way to flights have been banned amid a control infections, and it's first 21-day nation-wide lockdown among the announced by the Government of guidelines for preventing the India to prevent the COVID-19 due spread of disease on commercial to a nation-wide 21-day lockdown aircraft announced by the Government of • Sanitize your hands after touching India. railings, trolleys, poles, handgrips etc. • Maintain 3ft distance with anyone who is coughing or sneezing • Avoid touching your eyes, nose and mouth with unwashed hands
SOCIAL DISTANCING AVOID • Group Gatherings • Sleep overs SAFE TO DO • Play Dates • Concerts • Take a walk • Theatre outings • Go for a Hike • Athletic Events • Yard work • Crowded Retail Stores • Play in your Yard • Malls • Cleaning out a Closet • Workouts and Gyms • Read a Good Book • Visitors in your house • Listen to Music • Non-essential workers in your • Cook a meal house • Family Game night • Mass Transmit Systems • Go for a Drive • Group Video Chats • Stream a favorite show • Check on Friends • Check on Elderly Neighbor USE CAUTION • Visit a local Restaurant • Visit Grocery Store • Get Take out • Pick up Medications • Play tennis in a Park • Visiting the Library • Church Services • Travelling
Corporate Advisory Follow the 3A – Augment, Apprise and Assist – MODEL to prevent COVID at workplace Augment Workplace Hygiene Be Supportive of Sick Encourage Individual Hygiene At Employees Workplace • Monitor employee health when at • Provide instructions and work – empathize and encourage reminders at prominent places in health checks in case employee the work area for practising “good is not feeling well hygiene practices.” • Leverage in house clinical • Provide sanitization tools – hand strength for information sanitizers at common areas, dissemination sanitized/ disposable tissues at • Provide sick leaves for workplaces, additional hand quarantined cases washes in hand washes • Have a mechanism to make employees on leave be a part of the system when on leave via regular updates • Adopt hygiene guidelines as part Encourage Workplace Hygiene of the regular work charter Practices • Replace handshake with Namaste • Have an internal “hygiene • Adapt the workplace sick leave champion” who encourages good policy as per the situation, relax hygiene practices working hours • Provide Instructions at work • Consider extending support to desks as desktop backgrounds, the family of the employees, if table tops etc. sick, e.g: unpaid sick leaves for • Review and encourage desk affected family members cleaning practices, - swiping surfaces with alcohol swabs • Increase washroom cleaning cycles if necessary • Maintain cough etiquettes
APPRISE THE WORKFORCE Identify Communication Channels and Structure Ensure that all employees have access to real-time communication on COVID 19, including updates on internal policies Make a senior resource responsible for all communication and disseminate information via a single source Ensure the medium chosen to share information is accessible to all resources across the hierarchy, display the information in prominent places. Use multiple channels of information Correct Information at Correct Educate Time • Distribute / Display FAQs, Myths • Keep track of new developments and Facts, Helpline Numbers, from WHO, Govt. of India, MoHFW Symptoms and prevention at • Send information as and when it prominent places comes from verified sources • Get a medical professional to talk • No room for rumours policy to the employees to instil • Try setting up a special internal confidence and clarify their helpline number to help doubts employees for addressing their • Extend the scope of information • Queries to employees family
ASSIST THE WORKFORCE Support Employees And Their Strengthen And Learn From Families Different Companies In The • Empathize with employees who Same are sick or are on quarantine by • Learn, Reach out and relaxing work norms for them communicate within and across • Relax work norms by means of industries for practices adapted work reallocation, work from by them to handle such home policies, relaxed working situations hours, minimizing large gatherings and meetings etc Be Part Of The Bigger Picture • Create and implement interim • Train leadership on maintaining policies for essential but high employee engagement and vulnerable population like elderly empathy and pregnant women • Assist and “adopt” impacted • Encourage them to work from areas and people in the nearby home unless work critical community • Keep a tab on their health and encourage health checks if required • Provide separate transport facilities if the need be • Consider unpaid family care leave to employees
HOME QUARANTINE Home quarantine is applicable to all such contacts of a suspect or confirmed case of COVID-19. A Contact may be defined as follows: • A person living in the same household as a COVID-19 case; • A person having had direct physical contact with a COVID-19 case • A person who was in a closed environment or had face to face contact with a COVID-19 case at a distance of within1metre including air travel; The home quarantine period is for 14 days from contact with a confirmed case or earlier if a suspect case (of whom the index person is a contact) turns out negative on laboratory testing
• Avoid shaking the soiled linen or direct contact with skin • Use disposable gloves when cleaning the surfaces or Instructions for contacts handling soiled linen (people) being home • Wash hands after removing quarantined gloves • Needs to stay away from elderly • Visitors should not be allowed people, pregnant women, children • In case the person being and persons with co-morbidities quarantined becomes within the household. symptomatic, all his close • Restrict his/her movement within contacts will be home the house. quarantined (for 14 days) and • Under no circumstances attend followed up for an additional any social/religious gathering e.g. 14days or till the report of such wedding, condolences, etc case turns out negative on lab • Follow strict hand hygiene rules testing • Avoid sharing household items within the family members utensils, clothes towels etc • Use surgical masks at all times. Do not reuse masks, change masks every 6-8 hours. Dispose off masks separately and treat Environmental sanitation them as biohazards • Clean and disinfect frequently • If symptoms appear immediately touched surfaces in the inform the nearest health center quarantined person’s room (e.g. or call 011-23978046. bed frames, tables etc.) daily with 1%Sodium Hypochlorite Solution. • Clean and disinfect toilet surfaces daily with regular household bleach Instructions for the family solution/phenolic disinfectants members of persons being • Clean the clothes and other home quarantined linen used by the person • Only an assigned family member separately using common should be tasked with taking care household detergent and dry of the such person
HEALTH WORKERS • The staff to follow hand – hygiene guidelines at all times. • The staff who is likely to come in contact with such a patient, should be wearing N 95/three ply surgical mask at all times. • The patient should be kept at least 6 feet (or two arm’s length away). • A three-ply surgical mask should be offered to the patients and relatives. • The patient and relatives should be requested to wear the mask immediately. • For patients presenting with a history of travel to China, Korea, Japan, Iran and Italy (the list shall expand based on GOI directives), the patient should be taken to a confined area for detailed history and examination. Such an area (away from patient care areas) needs to be identified immediately. • Instead of circulating papers, all communication including details of the patient (Name, Age, Mobile Number, Address) should be sent by SMS/ WhatsApp to the hospital nodal officer. • The patient should be transferred to the Government designated facility in patient’s own vehicle / Govt. designated ambulances. • All surfaces need to be cleaned by hypochlorite every shift. • The masks should be disposed properly as per standard State guidelines and regulations. In case of a telephonic conversation with a suspect patient requesting directions: • Such patients should be directed to designated State Nodal Hospital • Request the patient not to travel by public transport • Provide the helpline number at designated Nodal Hospital
HELPLINE If symptoms appear immediately inform the nearest health center or call 011-23978046 / 1075 / 1800 112 545 Helpline Numbers of States & Union Territories (UTs) S. No Name of the State Helpline Nos. 1 Andhra Pradesh 0866-2410978 2 Arunachal Pradesh 9536055743 3 Assam 6913347770 4 Bihar 104 5 Chhattisgarh 077122-35091 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 9366090748 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 3323412600
S. No Name of Union Territory (UT) Helpline Nos. 1 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 1912520982, 0194-2440283 6 Ladakh 1982256462 7 Lakshadweep 4896263742 8 Puducherry 104
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