COVID-19 Response to Thane Municipal Corporation - Thane City COVID-19 DASHBOARD
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Thane Municipal Corporation
Response to
COVID-19
Report for 6 to12 July 2020
Background
After more than three months of the world battling the COVID-19
pandemic caused by the SARS-CoV-2 virus, countries have started to see a
flattened curve. With several countries opening up their economies, even India
saw the coronavirus-induced lockdown restrictions getting eased starting 8
June 2020, in the form of Unlock 1.0. Maharashtra accounts for about 30 per
cent COVID-19 positive cases in the country and Thane City comprises of 5.5
per cent of cases in the State. Municipal governance of Thane City is looked
after by the Thane Municipal Corporation.
Population – 1.89 Million
Area (sq. km) – 147
Population Density (persons/sq.
km) – 12,857/20,530
Administrative division
9 Administrative Wards; 3 Zones
Topographical Distribution (area-
wise) Urban (Non-slum), Slums
(traditional/vertical), Hills
TMC Ward-wise Map
The first COVID-19 patient in the city, a Thane resident returning from
France, was detected on 13 March 2020. Thane being such a densely
populated city with varied demographics and topographies, early analysis
highlighted the threat of spread of disease in slums, which would be the
probable hotspots. As the lockdown progressed, we saw a steady rise in the
number of cases initially. It took 30 days for the case tally to reach 100 and 63
days for it to reach 1000. The thousandth case followed a spike in daily cases
taking the average case/day to 100 within a week’s time. Detection of new
positive cases in hotspots started growing rapidly and as detected, worst hit
areas were the densely packed informal slum settlements where social
distancing, general hygiene and sanitisation were difficult to follow.
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Initiatives Taken and
Outcome Expected
Initiatives Outcomes
Senior Citizen Survey in Containment Zones Early detection, Lower Death Rate
Proactive tracing of COVID-19 Positive patients Ease in Hospitalisation
and Centralised Hospital Allotment as per status
of symptoms
Thane COVID Hospital, Balkum: A thousand Access to vulnerable/needy population (Municipal
bedded dedicated COVID hospital facility as an Hospital facility at rates less than Private
extension of existing CSM Hospital, Kalwa Hospitals)
Effective Contact Tracing and Containment Zone Early containment activities resulting in curtailing
Activities via Digital Solutions for efficient the spread of disease
workflow (covi-guard app)
Ramping up testing within City premises (45% Improved case detection has aided maintaining
rise) control over the outbreak
Citizen outreach via DigiThane App Educating citizens about precautions, guidelines
and SOPs for emergency situations
Distribution of Homeopathy Medicines in Slums, Enhanced immunity of population more prone to
Containment Zones and Buffer Zones contracting COVID-19
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“Focus on Capacity Building,
Patient care and
Infrastructure.”
1000 Bed TMC COVID Hospital
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Going Digital
COVID-19 is emerging to be an equally big data-management challenge
as it is a health-care challenge. TMC, from the onset of COVID-19 infection, has
been leveraging digital platforms for better data management and for making
COVID-19 facilities more accessible to citizens. Following two platforms were
launched this week to enhance the efficiency further
1 Fever Survey App
2 Bed and Ambulance Allocation
3 E-Pass System
Fever Survey App
One of the most important step of tackling the virus spread is efficient
containment and rapid tracing and tracking of Contacts of infected people. The
activity is undertaken by the corporation through various teams deployed in
Containment zones to carry out door to door fever screening.
Streamlining of Data through Fever App
Without Fever With Fever Survey app
Survey app
Field Team
Survey Field Team
Survey
Hand written
Data transferred
to central cell
Data input into app
Digitised analytics
Dashboard formation
Data digitised
Analysis
Done/Actions
Actions Taken
Taken
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Going Digital
Bed and Ambulance Allocation System
The portal gives citizens who are experiencing COVID-19 symptoms a
direct access to booking a bed in a hospital and booking an ambulance for
transportation to the hospital.
Hospital Timely SMS
Citizen fills
Bed Digital updates to
Information Ambulance
Allocated Tracking of the Patient
required on Allocated
depending Ambulance regarding
Portal
on Severity status
The portal was launched by Hon’ble Minister of Tourism and
Environment, GoM on 4 July.
With the help of two expert teams for bed allocation and ambulance
allocation, the system has successfully digitised what was earlier an entirely
manual, conversation based system. The digitisation allows fast-tracking of
actions to be taken for patients with severe symptoms. With in-built check points
like OTP, the system allows for removal of any misuse of the platform.
A real-time dashboard can be
monitored at the Corporation level. The
status and severity of cases is displayed
to ensure timely actions taken.
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Going Digital
DigiThane E-Pass System
Owing to the lockdown being enforced in the city, TMC has launched an
E-pass system that will allow citizens (Essential workers, emergencies) to procure
a permission for movement within the city.
Citizen will
Citizen Enters Application Request
DigiThane’s Receive a QR
details and ID or “Token Processed
E-pass code which
applies for E- Number” is within 36
System can be used
pass received hours
as the E-pass
The QR code to be used as an E-pass will be scanned by Police
personnel at various checkpoints using a specialised App that will display the
details of the pass holder, their movement boundaries once the code is scanned.
The dashboard allows for internal checks to monitor the location of
where the QR code was scanned, staff performance on approval/rejection
actions. It also has mechanism to send out warnings to companies as they near
the e-pass permitted per firm.
Citizen Portal Police personnel App
The QR code system allows no scope for
tampering and provides a quick response with
the citizen information.
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Enhancing Testing
DigiThane E-Pass System
It has been proven world over that the key to conquering the fight
against the SARS-COV-2 Virus is by comprehensive testing. The Traditional testing
infrastructure involving RT-PCR tests, is accurate but time-consuming. In order to
achieve more testing in shorter time, ICMR in June had issued guidelines to
adopt Antigen Testing in Cities.
The Rapid Antigen Testing will be used to test all High Risk Contacts, all
cases of SARI/ILI symptoms in containment zones, and all the citizens with co-
morbidity in containment zones or sealed buildings. TMC has outlined the
commencement of three antigen testing centres as a first step, with additional
ward-level centres being planned as well.
Low Accuracy
(A negative Quicker Decreased
High symptomatic Lesser Turn-
Isolation of spread of
Sensitivity patient will around time
patient infection
be tested
again)
Commencement of Rapid Antigen Testing Centre in Thane
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Way Forward
Last week of June has seen a sharp rise in testing of COVID-19 suspects
from the daily testing tally rising by about 45 per cent. This has led to a greater
extent of detection of COVID-19 patients, with the average daily cases rising
from 150 to 330. Despite the rise in cases after a prolonged period of stagnation,
the fatality rate of the infection remains constant in the range of 3.5-4. The
corporation’s resolve of being able to suffice the hospitalization and isolation
requirements in the form of bed availability in Government, Municipal and
Private Hospital Facilities is intact as current facilities are available for
augmentation.
TMC has ensured clear communication with all the stakeholders
through social media and through engagements. Along with a strict lockdown
being observed in the city from 2 July to 10 July, TMC has outlined the COVID-19
response approach as follows
Enhanced Contact Testing goal till 20 Healthcare Infra
Tracing to 1:25 July> 3000 test daily monitoring
Tracking Testing Treating
Efficient Containment Bill Audit Committee to make treatment
zone Compliance affordable and accessible
TMC’s aim>
Comprehensive Screening, Enhanced testing, Early detection,
Early Treatment!
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