19 -
A CASE STUDY A CASE LATUR’S 100 DAYS OF FIGHT AGAINST COVID AGAINST OF FIGHT DAYS 100 LATUR’S
G SREEKANTH (IAS) (Mentor)
SAGAR SHAH (Author) Latur’s 100 Days of Fight against COVID-19, A Case Study 1
Latur’s 100 Days of Fight against COVID-19, A Case Study 2
Latur’s 100 Days of Fight against COVID-19
A Case Study
Latur’s 100 Days of Fight againstG Sreekanth COVID (IAS)- 19 (Mentor) Case Study Sagar Shah (Author) Latur’s 100 Days of Fight against COVID-19
Latur’s 100 Days of Fight against COVID-19, A Case Study 3
A Case Study by
Sagar Shah under the guidance of
Shri. G. Sreekanth (IAS), Collector & District Magistrate, Latur, (MH)
Developed by: Authors
Copyright: © Authors, 2020
First Edition: July 2020
Co-ordination & Design: Sagar Shah
Content Contributor: Anil Paulkar
Printer & Publisher: Idea Solutions, Pune [email protected]
All Rights Reserved.
No part of this Case Study may be reproduced or transmitted in whole or in part in any form or by any means, including but not limited to, electronics or mechanical, photographing, recording, or by any information storage and retrieval system, without the written permission of the authors.
While adequate care has been taken to cite and reference all the sources of matter in an appropriate manner, if there has been any oversight in citing any author or source then that is purely unintentional and we would request the reader to inform us of the same so that appropriate corrections can be made in the future editions. The authors have no intention of plagiarizing any source.
This Case Study is for capacity building purposes only. It is not intended for sale.
This Case Study is written for the purpose of sharing of ideas and experiences only. It should not be considered as being binding on any entity.
SUGGESTED CITATION: Latur’s 100 days of fight against COVID-19: A Case Study. July 2020 by: Sagar Shah.
Latur’s 100 Days of Fight against COVID-19, A Case Study 4
Contents
Introduction
Preface
Acknowledgements
Abbreviations PART ONE OVERVIEW 01 Chapter ONE, The Story Chapter TWO, Facts about COVID-19 Chapter THREE, Challenges
PART TWO TRANSFORMATION 02 Chapter FOUR, Holistic Approach Chapter FIVE, The Building Blocks
PART THREE ATTAINING
SUSTAINABILITY Chapter SIX, GoI & GoM Initiatives 03 Chapter SEVEN, Latur Initiatives Chapter EIGHT, Statistics
PART FOUR MAINTAINING
SUSTAINABILITY
Chapter NINE, Government Schemes 04 Chapter TEN, Preparedness & Response
05 PART FIVE CONCLUSION Chapter ELEVEN, Media Chapter TWELVE, Comparison Chapter THIRTEEN, Testimonies
About the Authors
Latur’s 100 Days of Fight against COVID-19, A Case Study 5
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human population and contribute to approximately one-third of common cold
infections in humans. The other two viruses are Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV) and
Middle East Respiratory Syndrome Coronavirus (MERS Coronavirus) causing
severe respiratory diseases. Coronaviruses such as SARS and MERS, are zoonotic, and can be transmitted from animals (civet
cats and dromedary camels, respectively) to humans.
INTRODUCTION (SARS-CoV was first reported in 2002-2003 in Guangdong, China and MERS A cluster of pneumonia of unknown coronavirus was first identified in Saudi etiology was reported in Wuhan City, Arabia in 2012). Hubei Province of China on 31 December
2019. On 7 January, Chinese authority The precise zoonotic (animal) origin of the identified a new type of coronavirus as the 2019-nCoV is still uncertain. The virus has cause of pneumonia outbreak, which is been identified in environmental samples different from any other human from a live animal market in Wuhan, China coronaviruses discovered so far. The new and some human cases have been strain is named as 2019-nCoV. Afterwards epidemiologically linked to this market. on 11 February 2020, this virus is named as severe acute respiratory syndrome Epidemiological evidence shows that coronavirus 2 (SARS-CoV-2) and disease is 2019-nCoV can be transmitted from one named as COVID-19 by World Health individual to another. In the previous Organisation (WHO). outbreaks of other coronaviruses such as
MERS-CoV and SARS, human-to-human To date, other six human coronaviruses transmission occurred most commonly (HCoVs) have been identified. Out of through droplets, personal contact, and these, four are globally circulated in the
Latur’s 100 Days of Fight against COVID-19, A Case Study 7 contaminated objects. The modes of advisories, status across States is available transmission of 2019-nCoV are similar. online.
The country's infrastructure is aligned to According to WHO, additional support all containment measures while investigations are needed to determine ensuring safety and sustenance of lives how the patients were infected, the extent of all social strata. of human-to-human transmission, the Policy, plans and announcements from clinical spectrum of disease, and the stakeholders in all critical sectors such as geographic range of infection. Railways, Civil Aviation, Transport and
Finance indicate the preparedness to On 30 January 2020, the Director-General collaboratively combat the pandemic. of WHO declared the 2019-nCoV outbreak a public health emergency of international Latur Administration is taking all necessary concern under the International Health steps to ensure that we are prepared well Regulations (IHR) (2005). to face the challenge and threat posed by the growing pandemic of COVID-19. With COVID-19 outbreak was declared as active support of the people of the district, pandemic by WHO on 11 March 2020. Latur District Administration was able to According to WHO it is a controllable contain the spread of the Coronavirus in pandemic and urged all countries to take a our district. The most important factor in comprehensive approach considering preventing the spread of this virus locally their circumstances and with containment is to empower the citizens with the right measures as the central pillar. information and taking precautions as per the advisories being issued by the Ministry Our nation has geared up to combat the of Health & Family Welfare. pandemic with proactive measures in line with global approaches and guidelines Sagar Shah from the Ministry of Health and Family Consultant Latur District Administration, Welfare, and the Ministry of Home Affairs. Latur, (MH) In the unifying spirit of participation, the *https://www.who.int/emergencies/diseases/n Government is engaging with all citizens to ovel-coronavirus-2019 combat the virus. A dashboard of *https://ncdc.gov.in/index4.php?lang=1&level= 0&linkid=127&lid=432
Latur’s 100 Days of Fight against COVID-19, A Case Study 8
reality in many countries. People all over the world will have to adapt and invent
new lifestyles and it has become the most disruptive event since World War II.
We believe that the current situation needs a new type of outlook and treatment. Humanity is confronting an
unknown and threatening disease which is often severe and fatal. Health care systems are overwhelmed. There is no proven treatment and vaccines and will not be available soon. Such a situation has PREFACE not existed since the flu pandemic in 1918.
In this case study we aimed to describe a For quite some time, prevention will variety of techniques that reflect the wide continue to be the primary pillar of range of initiatives and actions currently pandemic control. In future waves of the being taken to tackle COVID-19 pandemic. SARS-CoV-2 pandemic, we will focus on However, most of the initiatives described the conditions under which SARS-CoV-2 is can also be applicable to other challenges best transmitted: crowded, closed (and similar to this in the future, so we hope noisy) places and spaces. Although that this case study will have wider appeal. hospitals are not noisy, they are crowded As such, we have started this case study and closed, and the battle against the new with an introduction chapter of current coronavirus will be decided at the very situation & understanding of coronavirus. centre of our healthcare system. Over the next months and maybe years, one of all While SARS-CoV-2 seems under control in of our top priorities will be to give all China, the epidemic is moving on a faster healthcare workers and patients all the pace in the west. What only weeks ago support required to fight the pandemic. seemed an impossible feat – imposing and enforcing strict quarantine measures and We believe a clear head is crucial in times isolating millions of people – is now a of over-information, with dozens of
Latur’s 100 Days of Fight against COVID-19, A Case Study 9
scientific papers published every day, news about hundreds of studies being
planned or already on the way and social media blending hard data with rumours and fake news. The tedious work of
screening the scientific literature and the scientific data has to be done – regularly &
constantly, like a Swiss watch.
Highlights • Due to the very recent outbreak of
COVID-19, our knowledge is expanding as new data is presented.
• Pandemic's outbreak behavior and the effectiveness of the initiatives. • A new procedure based on regression approach to calculate the case fatality rate during pandemics.
We would like to thank all those who have contributed to this case study and for the time they have taken to provide required information as well as provide practical hints and tips that are often essential to get a new working protocol.
Latur’s 100 Days of Fight against COVID-19, A Case Study 10
Commissioner, CEO Zilla Parishad, CO of all Nagar Parishad, District Civil Surgeon, All
different Departmental Heads, District Health Officers, Doctors, Para Medical Staff, Sanitation Staff, Print, Electronic
media, Anti Corona Force, NGO’s, respected citizens of the district, and there
are many more for whom we are thankful for their insights and overall direction and guidance, without which this case study
would not have been initiated.
To the following people for their ACKNOWLWDGEMENT S cooperation and assistance with editorial and production matters: Shri. Vikas Many thanks to Government of India, Gadhave Senior Reporter with Leading Government of Maharashtra for Marathi News Paper Sakal Media Group, assistance provided to the District Latur, Shri. Saqueb Osmani District Administration in handling the situation; Disaster Management officer, District we are particularly grateful for the Collector Office, Latur for coordinating support and guidance of Hon. Guardian and collecting data from different Minister Shri. Amit Vilasrao Deshmukh. departments and also to the many We would also like to acknowledge the reviewers who provided their time to read help provided by all respected public and comment on the case study. representatives of the entire district and all those associated directly or indirectly.
MANY PEOPLE provided invaluable support and contribution to prepare this case study. We are grateful for the support and contributions made by officers at the
District Administrative office, Superintendent of Police and his entire team of Police Force, Municipal
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Latur’s 100 Days of Fight against COVID-19, A Case Study 12
CDC Disease Control & Prevention CEO Chief Executive Officer CO Chief Officer COVID-19 Coronavirus Disease of 2019
CPSEs Central Public Sector Enterprises CS Civil Surgeon DCCC Dedicated COVID Care Center DCH Dedicated COVID Hospital DCHC Dedicated COVID Health Center
DHO District Health Officer ABBREVIATION S DoPT Department of Personnel & Training
DDMO District Disaster Management AAY Antyodaya Anna Yojana Officer AB-PMJAY Ayushman Bharat-Pradhan EPFO Employees Provident Fund Matri Jan Arogya Yojana Organization ACF Anti Corona Force ESIC Employees State Insurance ACP Anti Corona Police Corporation
AIIMS All India Institute of Medical FAQ’s Frequently Asked Questions Science GM Gram Panchayat ASHA Accredited Social Health GoI Government of India Activist GoM Government of Maharashtra ATM Automated Teller Machine GPS Global Positioning System AYUSH Ayurveda, Yoga and Naturopathy, Unani, Siddha HCQ Hydroxychloroquine and Homeopathy HIV Human Immunodeficiency BLO Booth Level COVID Officer Virus
BOCW Building & other Construction IAS Indian Administrative Service Workers ICMR Indian Council of Medical CCC COVID Care Center Research
Latur’s 100 Days of Fight against COVID-19, A Case Study 13
IGOT Integrated Government RT-PCR Reverse transcription Online Training polymerase chain reaction
MBBS Bachelor of Medicine and SARS Severe Acute Respiratory Bachelor of Surgery Syndrome
MCA Ministry of Corporate Affairs SHAS State Health Assurance Society MERS Middle East Respiratory Syndrome Coronavirus SHIELD Sealing, Home Quarantine, Isolation and Tracking MJPJAY Mahatma Jyotiba Phule Jan Arogya Yojana SOP Standard Operating Procedure MNREGA Mahatma Gandhi National Rural Employment Guarantee SWOT Strength, Weakness, Act Opportunities and Threats
MSME Micro Small & Medium TB Tuberculosis Enterprises TC Ticket Collector MOH Medical Officer Health TDS Tax Deducted at Source NCC National Cadet Corps UNDP United Nations Development NITI National Institution for Programme Transforming India UPSC Union Public Service NSS National Service Scheme Commission USA United States of America OPD Outpatient Department VDGIMS Vilasrao Deshmukh Govt. PDS Public Distribution System Institute & Medical Sciences
PFRDA Pension Fund Regulatory and WHO World Health Organization Development Authority ZP Zilla Parishad PM Prime Minister
PM CARE Prime Minister’s Citizen Assistance and Relief in Emergency Situation Fund
PMGKAY Pradhan Mantri Garib Kalyan Anna Yojana
PMJDY Pradhan Mantri Jan Dhan Yojana
PPE Personal Protective Equipment R&D Research & Development
Latur’s 100 Days of Fight against COVID-19, A Case Study 14
PART 1 PART
OVERVIEW
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Latur’s 100 Days of Fight against COVID-19, A Case Study 16
The Latur’s fight against COVID-19, is more than anything, is about the importance of ensuring not only following protocol set by Central & State Government but more importantly increasing the health index of the Latur city, Latur District Administration along with other stakeholder departments had initiated new negativities in such a 1 way that the existing life of people is not disturbed and essential supply is not THE stopped for a long period.
STORY This is a story of change - how it can be planned and managed. It describes how individuals, teams, an entire organization The Latur’s fight against COVID-19 100 transitioned from a “reactive and days Story (The Case Study of initiatives, complacent” system to a much desired measures and actions) is like no other state – one that is “proactive and publication in a pandemic in the sense that responsible.” It is about a firm belief in it provides an insider’s view of the people paying off in a big way. It is all initiatives, measure & actions taken using about surviving and thriving against all holistic approach with all stake holder odds because of the complexity of the consultation. It also chronicles the situation. Change became evident not only achievements of Latur’s District in the administration, but also among the Administration in reforming the fight citizens who began to take notice of the against COVID-19 pandemic. While the initiatives, measures and actions. reform is central to this case study, what sets it apart is the coming together of a As in most transformation initiatives, the truly unique experience culled from initiatives were developed over a period of different points of view in the these 100 days. While the broad vision and implementation of one of coordinated strategy were clear from the very start, efforts to achieve larger interest to fight most of the change was incremental. We against the deadly virus. knew that the transformation would not
Latur’s 100 Days of Fight against COVID-19, A Case Study 17 be evident in the initial days of planning area of 7157 sq. km, headquarters is but as we shape up the measures it will located at Latur town, it is divided in 10 transform the way we deal with pandemic talukas viz, Latur, Ahmedpur, Udgir, in the future. Through hard work and Nilanga, Ausa, Renapur, Chakur, Shirur- commitment, and by motivating, inspiring, Anantpal, Deoni and Jalkot, Latur district and engaging all its stake holders to be has 1 Municipal Corporation, 4 Nagar part of this fight against COVID-19, our Parishads, 5 Nagar Panchayat, 10 initiatives has transformed itself into an Panchayat Samitis and 786 Gram effective implementation mechanism. Panchayats and occupies 2.39% of the Maharashtra’s geographical area. Through administrative transformation When government started taking and instituting the building blocks of measures like Janata Curfew on 22nd change, Latur’s fight against COVID-19 will March, 2020 and followed by lockdown for be able to harvest the fruits of change. By the entire country from 24th March, 2020 sharing this story, Latur District to 31st May, 2020 in different phases. Administration hopes to: The entire exercise of lockdown was to • Share its experience in initiating avoid the spread of virus in other parts of new initiatives; the country. • Identify the key challenges faced All this was followed very closely by the and results achieved; Latur District Administration as no one • Define the key risk mitigation knew how fast and how it will spread at strategies adopted; the initial days as this enemy of mankind • Determine the impact of key was invisible. unforeseen factors; and • Identify emerging issues and We felt we would have control over this challenges to continue to deliver invisible virus in spreading in other parts of and provide better the country and it won’t enter our district administration. as there were no positive cases in the Latur district but unfortunately we have Latur District is one of the drought prone many invisible pores borders and the virus districts of Marathwada Region of finally got in to our district. Maharashtra State, has a geographical
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The first Corona suspect were identified from Nilanga Town in the Latur District on
2nd April 2020, 12 suspects had traveled from Ferozepur and were heading towards their home to in Andhra Pradesh. As soon as the District Administration learnt about the suspects, the Police detained them and their samples were collected and sent to National Institute of Virology in Pune, out of 12 persons results 8 persons results came positive and all of them were immediately moved to Vilasrao Deshmukh
Government Institute of Medical Science,
Latur, gave them proper treatment as per the protocols set by the government and ensured that not only get good medical treatment but also good treatment on humanitarian front by not sending them out of the district without treatment, in MAHARASHTRA spite of the first positive cases were not from Latur district the District
Administration made sure to treat them and safely send them to their hometowns.
When we successfully treated these LATUR DISTRICT persons we felt we have won the battle, but it was just the beginning but this gave us the first-hand experience of treating
Coronavirus positive patients and from that day and till today the 100 days of fight against COVID-19 is what we tried to put in this Case Study.
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In 2019, the Centers for Disease Control and Prevention (CDC) started monitoring
the outbreak of a new coronavirus, SARS- CoV-2, which causes COVID-19. Authorities first identified the virus in
Wuhan, China.
Since then, the virus has spread to nearly
2 every country, leading the World Health Organization (WHO) to declare a pandemic. FACTS ABOUT
COVID-19 The new coronavirus has been responsible for millions of infections globally, causing
hundreds of thousands of deaths. The
Researchers first identified a coronavirus United States has seen the highest in 1937, isolating one that was responsible number of these deaths. for a type of bronchitis in birds that had The first people with COVID-19 had links to the potential to devastate poultry stocks. an animal and seafood market. This
Scientists found evidence of human suggests that animals initially transmitted coronaviruses in the 1960s, in the noses of the virus to humans. Then, people with no people with the common cold. connections to the market developed the disease, confirming that humans can pass
Human coronaviruses that are particularly the virus to each other. prevalent include 229E, NL63, OC43, and HKU1. Most people who get COVID-19 will have a mild form of the disease. According to the
The name “Coronavirus” comes from the WHO, around 80% of people who get crown-like projections on their surfaces. COVID-19 will recover without needing “Corona” in Latin means “halo” or hospitalization. The remaining 20% “crown.” become seriously ill and develop difficulty breathing.
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Some groups are more at risk of severe who have the virus but are not disease, including older adults and people experiencing symptoms. with underlying medical concerns, including high blood pressure, heart and According to the CDC, the following lung problems, diabetes, and cancer. groups have a higher risk of developing serious illness from COVID-19: According to the CDC, people may start to experience symptoms 2–14 days after • people aged 65 years or older, exposure to the virus. Symptoms may • people living in nursing homes or include: care facilities,
• people of any age who have • a fever serious underlying medical • chills conditions, including chronic lung • a cough disease, serious heart conditions, severe obesity, a compromised • shortness of breath or difficulty in breathing immune system, or diabetes.
• sore throat The CDC noted that although there have • congestion or a runny nose been reports of complications in young
• fatigue children, these are rare. COVID-19 most commonly produces mild symptoms in • headache children. • muscle pain
• new loss of taste or smell The best way to prevent and slow down transmission is be well informed about the • nausea or vomiting COVID-19 virus, the disease its causes and • diarrhea how it spreads. Protect yourself and others from infection by washing your No vaccine is currently available for hands or using an alcohol based rub COVID-19. However, scientists have now frequently and not touching your face. replicated the virus. This could allow for early detection and treatment in people The COVID-19 virus spreads primarily through droplets of saliva or discharge
Latur’s 100 Days of Fight against COVID-19, A Case Study 22 from the nose when an infected person Government of India, Government of coughs or sneezes, so it’s important that Maharashtra and Latur District you also practice respiratory etiquette (for Administration is taking all necessary steps example, by coughing into a flexed elbow). to ensure that we are prepared well to face the challenge and threat posed by the At this time, there are no specific vaccines growing pandemic of COVID-19 the or treatments for COVID-19. However, Corona Virus. With active support of the there are many ongoing clinical trials people of India, we have been able to evaluating potential treatments. WHO will contain the spread of the Virus in our continue to provide updated information country. The most important factor in as soon as clinical findings become preventing the spread of the Virus locally available. is to empower the citizens with the right information and taking precautions as per India witnessed an outbreak of the coronavirus, otherwise known as COVID- the advisories being issued by the Ministry 19, or SARS-CoV-2 in late January 2020 of Health & Family Welfare. when three Indian students travelled to the southern state of Kerala from Wuhan in China - the epicenter of the outbreak. All three tested positive for COVID-19, confirming a local contagion. At the same time, several other cases were detected in other parts of the country, most of which were linked to people with a travel history to affected countries. Infections increased rapidly since March, with a significant growth in testing. In June 2020, India’s fatality rate for positive COVID-19 cases stood at about 2.8 percent. However, like in other regions of the world, this does not include unreported infections or delays from illness to death.
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equipped healthcare workers, poor handling of migrant workers and meagre
support for the industry, is being debated threadbare in locked-down drawing rooms and overheated social media. It’s
understandable when the nation is at war with a deadly invisible enemy — a virus.
Panic-stricken citizens, confined to their 3 home bunkers, are closely monitoring grim news flowing in from home and CHALLENGES abroad. Infections and death counts are rising. Doctors are attacked. Healthcare
staff demand masks and protective gears
even as hotels and trains are converted into quarantine zones and hospitals. Shortly after Hon. Prime Minister Shri.
Narendra Modi exhorted his countrymen The war against Covid-19 has also opened to light candles and lamps as a gesture of a battlefront elsewhere. The a united fight against Covid-19, polarised unprecedented lockdown has unsettled reactions poured out on social media. Why lives, halted the economy and is the PM focusing on a seemingly pushed India Inc deeper into crisis even as pointless ritual while he needs to be telling pain on the employment front looks the nation the details of how we are inevitable. These difficulties are only fighting the pandemic, asked the sceptics. dwarfed by the hardships and devastation It’s extremely important to keep the faced by millions of migrant workers and morale of a nation high during trying times daily-wage labourers, with little economic and this will inspire people and give them buffer or welfare safety net. Some have hope, countered others. questioned the lockdown and some feel Such debates about the merits of the we have a fundamental problem of decisions India has made in tackling Covid- misframing the issue. We are putting 19 are now legion. Everything, from India’s health risk before economic risk. For early handling of foreign travelers and informal workers who survive day to day, airport protocols to testing strategies, ill- health and income are equally proximate
Latur’s 100 Days of Fight against COVID-19, A Case Study 25 issues. You can’t have priorities one over Though the government’s effort to come the other.” out with frequent detailed measures and guidelines/circulars/orders/SOPs/advisori Not everyone agrees, expectedly. “The es (collectively referred to as "guidelines”) lockdown was timely. Any delay could in such a short span of time certainly have resulted in a spike in cases. Without needs to be lauded, it also needs to be doubt, the lockdown has been costly in noted that currently, there are more terms of increasing hunger and rural than 830 notifications pertaining to COVID distress but the benefits are significant in -19 issued merely by state governments terms of a smaller projected epidemic and more than 430 notifications by the peak. We cannot fault the government in Central Government. their preparation. But the decision to lockdown was very brave and the right In addition to this, district administrations one.” Varying outcomes from iron-handed have released guidelines, in some cases China, dismissive US, dithering Italy and almost on a daily basis, in such a hurried procrastinating Spain have all shown the manner that it becomes difficult to be importance of a lockdown in dealing with abreast of the same. Covid-19. Bear in mind that India entered the Covid-19 battlefield with its hands tied The challenges that were faced by Latur and a fragile and under-funded public district was no different than the other healthcare system and a sluggish parts of the country. economy. The District Administration had to plan
The extraordinary, high-stakes situation against invisible enemy and swiftly, with makes navigation tricky for decision the available infrastructure and Human makers. The virus is a known unknown. Resources.
The situation is evolving rapidly. We are Some of the major challenges faced by the taking very tough decisions. Some Latur District Administration are as; assumptions will hold, some may not. We will have the ability to change things as we go. In a country of 1.3 billion people, to do things we have done requires tremendous courage.
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Medical Infrastructure like We never imagined we will have issues to dedicated COVID-19 hospital, Quarantine send back Migrant labourers from Centers, COVID Care Centers. other states, but we have to quickly come to terms with this unique challenge of Human Resource specially when no sending them home safely and hence wants to come out of their house, i.e. appointed special officer to manage this doctors, nurses and all other support staff, issue. waste management staff and police Latur District Administration took all the personal. challenges one by one and planned in Communication has been a major detail to handle the situation, by ensuring challenge in these situations when all the and implementing major government means of accurate information to the projects very efficiently in the lockdown citizens is restricted. period, using the Human Resources wisely as we knew that the pandemic is going to We have been advocating good last for long and we need to be prepared Hygiene practice by using mask and to rotate available manpower hand sanitizer or washing hands using appropriately for better results. soap and sanitizing premises, in the initial Even in these challenging times days getting stocks of these basic items Government schemes like PM Kisan or was a fight in itself. Crop Insurance, we were able to achieve We had to ensure that our Farmers get greater numbers than in earlier years. the required material just before the sowing season begins like seeds and fertilizers.
The movements were restricted because of lockdown and hence there was also panic among the citizens for Essential Commodities.
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2
PART PART
TRANSFORMATION
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The consciences was built on the broader approach towards the preparedness and
measures, it was decided that measures and actions need to be taken at many fronts, the idea was to involve people from
different walks of life to prepare an action plan to be more effective in fighting
against this pandemic. 4 A basic matrix was prepared to involve all
the stake holders. We divided the matrix HOLISTIC in five major groups. Further we divided APPROACH these five groups in seventeen sub groups i.e. Govt. of India & Govt. of Maharashtra
guidelines, Action by District Latur District Administration along with all Administration, Police Force & Municipal the stakeholders decided to take a holistic Corporation, similarly monitoring by approach towards resolving the issues different organizations, while tracking the faced by the citizens. After several rounds Positive, Recovery & Death cases keeping of meeting with Hon. Guardian Minister an eye on the required Infrastructure with and other public representatives and focus on Prevention by taking measures officials of different departments a road like Lockdown, Strict Action and Effective map was prepared to fight against COVID- Communication. 19.
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Travel Advisories
24.05.2020 Guidelines for international arrivals https://www.mohfw.gov.in/pdf/Guidelinesfo rinternationalarrivals.pdf
24.05.2020 Guidelines for domestic travel (air/train/inter-state bus travel) https://www.mohfw.gov.in/pdf/Guidelinesfo
rdomestictravel(airortrainorinter- statebustravel).pdf
5 20.03.2020 Instructions to all major and minor ports for dealing with(COVID-19) https://www.mohfw.gov.in/pdf/DGSOrder04 THE BUILDING of2020.pdf
19.03.2020 Additional Travel Advisory BLOCKS https://www.mohfw.gov.in/pdf/Traveladviso ry.pdf
18.03.2020 Standard Operating Procedure for Passenger Movement post Disembarkation GoI & GoM from time to time issued https://www.mohfw.gov.in/pdf/SOPQuaranti guidelines and protocols as per the neofPassengers.pdf prevailing situation and recommendations 17.03.2020 Additional Travel Advisory https://www.mohfw.gov.in/pdf/TravelAdviso by the Indian Council of Medical Research ry17thMarch.pdf (ICMR) and other medical experts 16.03.2020 Additional Travel Advisory worldwide. https://www.mohfw.gov.in/pdf/TravelAdviso ry16thMarch.pdf A summary and reference details are listed 14.03.2020 Restrictions on International down for ready reference; passenger traffic through Land Check Posts https://www.mohfw.gov.in/pdf/Newinstructi onsDt14032020Restirctiononinternationalpas sengertraffic.pdf
13.03.2020 Restrictions on International passenger traffic through land check posts- COVID 19 https://www.mohfw.gov.in/pdf/GuidelinesDT 13032020.pdf
11.03.2020 Consolidated Travel Advisory - 11 March 2020 https://www.mohfw.gov.in/pdf/Consolidated TraveladvisoryUpdated11032020.pdf
Latur’s 100 Days of Fight against COVID-19, A Case Study 33
10.04.2020 Audio Visual on "Managing Mental Stress and Depression During Lockdown https://youtu.be/wRYP0vjOeck
10.04.2020 Video on Addressing Social Stigma Associated with COVID-19 (Hindi) https://youtu.be/ca0gl2C3SVI
08.04.2020 Video on Addressing Social Stigma Associated with COVID-19 https://youtu.be/1GCv8_BIWeY
08.04.2020 Addressing Social Stigma Associated with COVID-19 https://www.mohfw.gov.in/pdf/AddressingS ocialStigmaAssociatedwithCOVID19.pdf
08.04.2020 Video on Yoga for stress management (English) https://youtu.be/NkWbaBYabwo
08.04.2020 Video on meditation for stress management (Hindi) https://youtu.be/gur9p17XBFk
Behavioural Health 05.04.2020 Lockdown to Knockdown COVID- 19 18.06.2020 Video on Addressing Psychosocial https://youtu.be/3Xrse108SbA Concerns of Healthcare Workers https://youtu.be/8I5xaKLhwBE 05.04.2020 Lockdown to Knockdown COVID-
19 - additional tips 20.04.2020 Audio Visual on Addressing https://youtu.be/WuY68_iN17o Stigma Related to COVID-19 https://youtu.be/yJZ06JsREW4 01.04.2020 Taking care of mental health of
children during COVID - 19 15.04.2020 Audio Visual on How to Safely https://www.mohfw.gov.in/pdf/mentalhealt Quit Tobacco During Lockdown (Hindi) hchildrean.pdf https://youtu.be/qkdB_2htNe0
01.04.2020 Taking care of mental health of 13.04.2020 Video on Yoga for Stress elderly during COVID -19 Management (Hindi) https://www.mohfw.gov.in/pdf/mentalhealt https://youtu.be/3uvcqsLKnw0 helderly.pdf
11.04.2020 Video on meditation for stress 01.04.2020 Psychosocial issues among management (English) migrants during COVID-19 https://youtu.be/5wr4hq-4HQk https://www.mohfw.gov.in/pdf/RevisedPsyc
hosocialissuesofmigrantsCOVID19.pdf 10.04.2020 Audio Visual on "How to Safely
Stop Drinking During Lockdown 31.03.2020 Video on Practical tips to take https://youtu.be/6HJNFex2v5E care of your Mental Health during the Stay In
https://youtu.be/uHB3WJsLJ8s
Latur’s 100 Days of Fight against COVID-19, A Case Study 34
31.03.2020 Minding our minds during the 18.06.2020 Video on Addressing Psychosocial COVID-19 Concerns of Healthcare Workers https://www.mohfw.gov.in/pdf/Mindingour https://youtu.be/8I5xaKLhwBE mindsduringCoronaeditedat.pdf 03.06.2020 Guidelines for safe ENT practice 28.03.2020 Various Health Experts on how to in COVID-19 manage Mental health & Well Being during https://www.mohfw.gov.in/pdf/ENTCOVID03 COVID-19 outbreak 06.pdf https:/youtu.be/iuKhtSehp24 27.05.2020 Advisory on re-processing and re- 27.03.2020 Dr. Shekhar P. Seshadri on use of eye protection – Goggles 'Connecting with little ones during the https://www.mohfw.gov.in/pdf/Advisoryonre COVID19 Lockdown- English processingandreuseofeyeprotectiongoggles.p https://youtu.be/OYD9bogtJlU df
27.03.2020 Dr. Shekhar P. Seshadri on 27.05.2020 Guidance note on Essential 'Connecting with little ones during the RMNCAH+N Services during and post COVID COVID19 Lockdown- Hindi https://www.mohfw.gov.in/pdf/GuidanceNot https://youtu.be/GPwn_e9iuvg eonProvisionofessentialRMNCAHNServices24 052020.pdf Hospitals 22.05.2020 Revised advisory on the use of 29.06.2020 Second Interim National Hydroxychloroquine (HCQ) as prophylaxis for Guidance to Blood Transfusion Services in COVID-19 infection India in light of Covid-19 pandemic, 25th June https://www.mohfw.gov.in/pdf/Revisedadvis 2020 oryontheuseofhydroxychloroquineasprophyla https://www.mohfw.gov.in/pdf/2ndNBTCGui xisforSARSCOVID19infection.pdf danceinLightofCOVID19Pandemic.pdf 21.05.2020 Guidance note for Immunization 27.06.2020 Clinical Management Protocol for services during and post COVID outbreak COVID-19 [Updated on 03.07.2020] https://www.mohfw.gov.in/pdf/3Immunizati https://www.mohfw.gov.in/pdf/ClinicalMana onServicesduringCOVIDOutbreakSummary15 gementProtocolforCOVID19dated27062020.p 0520202.pdf df 20.05.2020"List of manufacturers of PPE 18.06.2020 Updated Advisory for managing coveralls who have been approved by Health care workers working in COVID and accredited testing facilities is available on the Non-COVID areas of the hospital Ministry of Textiles website at the following https://www.mohfw.gov.in/pdf/updatedAdvi URL " soryformanagingHealthcareworkersworkingin http://texmin.nic.in/covid/certificates.php COVIDandNonCOVIDareasofthehospital.pdf 19.05.2020 Guidelines for Dental Professionals in Covid-19 situation https://www.mohfw.gov.in/pdf/DentalAdviso ryF.pdf
18.05.2020 Revised Strategy for COVlD-19 testing in India https://www.mohfw.gov.in/pdf/Revisedtesti ngguidelines.pdf
15.05.2020 Updated Additional guidelines on rational use of Personal Protective Equipment
Latur’s 100 Days of Fight against COVID-19, A Case Study 35
(setting approach for Health functionaries 15.04.2020 Advisory for personal use of N95 working in non-COVID areas) masks issued to all healthcare workers by https://www.mohfw.gov.in/pdf/UpdatedAddi AIIMS, New Delhi Hindi tionalguidelinesonrationaluseofPersonalProte https://youtu.be/buyKfZD8J6M ctiveEquipmentsettingapproachforHealthfunc tionariesworkinginnonCOVID19areas.pdf 15.04.2020 Advisory for personal use of N95 masks issued to all healthcare workers by 14.05.2020 Guidelines for RT-PCR based AIIMS, New Delhi English Pooled Sampling https://youtu.be/b4vF_B9FFxk https://www.mohfw.gov.in/pdf/Guidelineforr tPCRbasedpooledsamplingFinal.pdf 14.04.2020 Advisory on feasibility of using pooled samples for molecular testing of 11.05.2020 District level Facility based COVID-19 by ICMR surveillance for COVID-19 https://www.mohfw.gov.in/pdf/letterregguid https://www.mohfw.gov.in/pdf/DistrictlevelF anceonpoolingsamplesfortesting001.pdf acilitybasedsurveillanceforCOVID19.pdf 11.04.2020 Video for Insurance coverage for 10.05.2020 Updated Frequently Asked our Health workers - Caring for those who are Questions (FAQs) on Revised Discharge taking care of the nation Policy https://youtu.be/BVccVXxZlSQ https://www.mohfw.gov.in/pdf/FAQsonRevis edDischargePolicy.pdf 11.04.2020 Insurance coverage for our Health workers - Caring for those who are taking 08.05.2020 Updated Revised discharge policy care of the nation (GIF) for COVID-19 https://www.mohfw.gov.in/pdf/videogif.gif https://www.mohfw.gov.in/pdf/Reviseddisch argePolicyforCOVID19.pdf 09.04.2020 COVID-19 & Pregnancy & Labour Management 20.04.2020 Guidelines to be followed on https://youtu.be/MJwgi1LCu8o detection of suspect or confirmed COVID-19 case in a non-COVID Health Facility 09.04.2020 Advisory for Voluntary Blood https://www.mohfw.gov.in/pdf/Guidelinesto Donation during COVID- 19 scenario befollowedondetectionofsuspectorconfirmed https://www.mohfw.gov.in/pdf/NBTCGUIDA COVID19case.pdf NCEFORCOVID19.pdf
18.04.2020 Advisory against spraying of 08.04.2020 Video on use of PPE in different disinfectant on people for COVID-19 areas of the hospital management https://youtu.be/LzB5krucZoQ https://www.mohfw.gov.in/pdf/Advisoryagai nstsprayingofdisinfectantonpeopleforCOVID1 07.04.2020 Revised Guidelines for Dialysis of 9managementFinal.pdf COVID – 19 patients https://www.mohfw.gov.in/pdf/RevisedGuid 18.04.2020 Modification in Medicine List in elinesforDialysisofCOVID19Patients.pdf Telemedicine Practice Guidelines https://www.mohfw.gov.in/pdf/Modificationi 07.04.2020 Pradhan Mantri Garib Kalyan nMedicineListinTelemedicinePracticeGuidelin Package: Insurance Scheme for Health es.pdf Workers Fighting COVID-19 - FAQs https://www.mohfw.gov.in/pdf/FAQPradhan 17.04.2020 Guidelines issued by ICMR for MantriGaribKalyanPackageInsuranceSchemef Rapid antibody test' in Hotspot Area' orHealthWorkersFightingCOVID19.pdf https://www.mohfw.gov.in/pdf/ProtocolRapi dAntibodytest.pdf 07.04.2020 Guidance document on appropriate management of
Latur’s 100 Days of Fight against COVID-19, A Case Study 36 suspect/confirmed cases of COVID-19 - Types 27-03-2020 Office Order-CGHS-Guidelines in of Covid-19 dedicated facilities view of the Corona Virus (COVID-19) https://www.mohfw.gov.in/pdf/FinalGuidanc Infection-issue of medicines eonMangaementofCovidcasesversion2.pdf https://www.mohfw.gov.in/pdf/officeorder2 0032020.pdf 05.04.2020 Guidelines for Handling, Treatment and Disposal of Waste Generated 27-03-2020 Office Order-CGHS-Guidelines in during Treatment/Diagnosis/ Quarantine of View of COVID-19 COVID-19 Patients https://www.mohfw.gov.in/pdf/officeorder1 https://www.mohfw.gov.in/pdf/6394860950 8032020.pdf 1585568987wastesguidelines.pdf 26-03-2020 Gazette Notification - 05.04.2020 Guidelines for Quarantine Hydroxychloroquine now a schedule H1 drug, facilities COVID-19 can be sold on prescription only https://www.mohfw.gov.in/pdf/9054265331 https://www.mohfw.gov.in/pdf/218927g.pdf 1584546120quartineguidelines.pdf 26-03-2020 Webinar schedule of COVID-19 of 05-04-2020 Advisory & Strategy for Use of AIIMS New Delhi Rapid Antibody Based Blood Test https://www.mohfw.gov.in/pdf/COVIDWebin https://www.mohfw.gov.in/pdf/Advisory&Str arSchedule26March2019.pdf ategyforUseofRapidAntibodyBasedBloodTest. pdf 26-03-2020 Doorstep Delivery of Drugs to Consumers 31-03-2020 Revised National Clinical https://www.mohfw.gov.in/pdf/Doorstepdeli Management Guidelines for COVID-19 very26B.pdf https://www.mohfw.gov.in/pdf/RevisedNatio nalClinicalManagementGuidelineforCOVID19 25-03-2020 Telemedicine Practice Guidelines 31032020.pdf https://www.mohfw.gov.in/pdf/Telemedicin e.pdf 31-03-2020 Essential Technical Features for Ventilator for COVID-19 24-03-2020 Letter from Ministry of Consumer https://www.mohfw.gov.in/pdf/EssentialTec Affairs, Food & Public Distribution to States to hfeaturesforVentilators.pdf take appropriate measures to ensure the availability of Ethyl Alcohol/Ethanol/ENA to 29-03-2020 Standard Operating Procedure the manufacturers of hand sanitizers in order (SOP) for transporting a suspect/confirmed to contain Corona Virus COVID- l9 case of COVID-19 https://www.mohfw.gov.in/pdf/Reviewofpric https://www.mohfw.gov.in/pdf/StandardOpe esofEssentialCommodities.pdf ratingProcedureSOPfortransportingasuspecto rconfirmedcaseofCOVID19.pdf 24-03-2020 Guidelines on rational use of Personal Protective Equipment 27-03-2020 SOP for allocation of https://www.mohfw.gov.in/pdf/Guidelineson Residents/PG Students and Nursing Students rationaluseofPersonalProtectiveEquipment.p as part of hospital management of COVID-19 df https://www.mohfw.gov.in/pdf/COVID19SOP fordoctorsandnurses.pdf 23-03-2020 Advisory on the use of Hydroxy- chloroquin as prophylaxis for SARS-CoV-2 27-03-2020 Office Memorandum-CGHS- infection [Revised guidelines issued on Reimbursement of OPD Medicines Special 22.05.2020] Sanction in view of COVID-19 https://www.mohfw.gov.in/pdf/Revisedadvis https://www.mohfw.gov.in/pdf/OM27march oryontheuseofhydroxychloroquineasprophyla 2020.pdf xisforSARSCOVID19infection.pdf
Latur’s 100 Days of Fight against COVID-19, A Case Study 37
22-03-2020 Notification of ICMR guidelines Training Material for COVID-19 testing in private laboratories in India 21-05-2020 Webinar Series on Obstetric Care https://www.mohfw.gov.in/pdf/Notificationo during COVID-19 fICMguidelinesforCOVID19testinginprivatelab https://www.mohfw.gov.in/pdf/AIIMSWHOO oratoriesiIndia.pdf bsGynFlyer.pdf
20-03-2020 Advisory for Hospitals and 22-04-2020 Onboarding of States / Union Medical Institutions Territories' COVID-19 Warriors to iGoT https://www.mohfw.gov.in/pdf/AdvisoryforH (Integrated Government Online Training) ospitalsandMedicalInstitutions.pdf courses on DIKSHA Platform on COVID-19 pandemic 17-03-2020 Latest Testing Guidelines of https://www.mohfw.gov.in/pdf/Onboardingo Indian Council of Medical Research (ICMR) fStates.pdf https://www.mohfw.gov.in/pdf/LabTestingA dvisory.pdf 19-04-2020 Webinar on Mechanical Ventilation for physicians by AIIMS, New 17-03-2020 Guidelines for notifying COVID-19 Delhi affected persons by Private Institutions https://youtu.be/l_HQTG8MvMU https://www.mohfw.gov.in/pdf/Guidelinesfo rnotifyingCOVID- 16-04-2020 Webinar schedule for training of 19affectedpersonsbyPrivateInstitutions.pdf Physicians officers on COVID-19 and Mechanical Ventilation by AIIMS New Delhi 17-03-2020 Discharge policy for suspect or https://www.mohfw.gov.in/pdf/MechanicalV confirmed Novel Coronavirus (2019-nCoV) entilationWebinarAIIMSNewDelhi.pdf cases https://www.mohfw.gov.in/pdf/Corona 13-04-2020 iGOT (Integrated Govt. Online Discharge-Policy.pdf Training) courses on DIKSHA platform on COVID-19 pandemic 15-03-2020 SOP for Mock Drill on 22nd https://www.mohfw.gov.in/pdf/iGOTCovid19 March 2020 for Hospital Preparedness Circular(2).pdf https://www.mohfw.gov.in/pdf/MockDrill.pd f 11-04-2020 Second COVID Webinar Series for Nurses by AIIMS New Delhi 15-03-2020 Revised Guidelines/Strategy for https://www.mohfw.gov.in/pdf/SECONDCOVI COVID-19 testing by Indian Council of Medical DWEbinarforNursingofficers.pdf Research (ICMR) 07-04-2020 Webinar on COVID-19 and https://www.mohfw.gov.in/pdf/ICMRrevised Management of Pregnancy testingstrategyforCOVID.pdf https://www.mohfw.gov.in/pdf/COVID19Pre gnancyAIIMSWebinar.pdf
07-04-2020 iGOT Training Modules for COVID-19 Management https://www.mohfw.gov.in/pdf/iGOTCOVID1 9Circular.pdf
07-04-2020 Ayush master trainers Training by Ministry of Ayush https://www.youtube.com/watch?v=L4DWH P_mpwY&feature=youtu.be
Latur’s 100 Days of Fight against COVID-19, A Case Study 38
06-04-2020 Updated List of Training Resources for COVID - 19 Management https://www.mohfw.gov.in/pdf/BASEDOCfor RESOURCESrev06042020.pdf
02-04-2020 Webinar schedule for training of Physicians officers on COVID-19 by AIIMS New Delhi https://www.mohfw.gov.in/pdf/RevisedCOVI DWebinarforPhysicianofficers2.pdf
02-04-2020 Revised Webinar schedule for training of Nursing officers on COVID-19 by AIIMS New Delhi https://www.mohfw.gov.in/pdf/RevisedCOVI DWebinarforNursingofficers2.pdf Employees 02-04-2020 Video on Training for Ventilatory Support for COVID-19 04.06.2020 Reimbursement of OPD https://www.youtube.com/watch?v=mXEAqR medicines to CS (MA) beneficiaries: Special aqafY Sanction in view of COVID - 19 https://www.mohfw.gov.in/pdf/OPDmedicin 02-04-2020 Advisory for Human Resource esspecialsanctionCOVID.pdf Management of COVID-19 https://www.mohfw.gov.in/pdf/AdvisoryforH 18.05.2020 Guidelines on preventive Rmanagement.pdf measures to contain spread of COVID-19 in workplace settings 31-03-2020 Training for Nursing Personnel https://www.mohfw.gov.in/pdf/Guidelineson https://youtu.be/mdrK_zhHD88 preventivemeasurestocontainspreadofCOVID 19inworkplacesettings.pdf 31-03-2020 Revised Webinar schedule of COVID-19 of AIIMS New Delhi 05-05-2020 Reimbursement of OPD https://www.mohfw.gov.in/pdf/AIIMSCOVID medicines to CS (MA) beneficiaries: Special WebinarScheduleRevised.pdf Sanction in view of COVID - 19 https://www.mohfw.gov.in/pdf/OPDMedicin 30-03-2020 Training Resources es.pdf https://www.mohfw.gov.in/pdf/Trainingreso urcesforCOVID1930MARCH.pdf 19-04-2020 Preventive Measures to be taken by officials of Ministry of Health and Family 30-03-2020 Webinar series for Epidemiology, Welfare Infection Control, Clinical Management and https://www.mohfw.gov.in/pdf/preventiveor Nursing of COVID-19 by AIIMS New Delhi ders.pdf https://www.youtube.com/channel/UClhIpq B1ENbKtsWsVk0P_vg 19-04-2020 Consolidated Revised Guidelines on the measures to be taken by 28-03-2020 Webinar schedule for Nursing Ministries/Department of Government of officers training of COVID-19 in AIIMS New India, State/UT Governments for Delhi containment of Covid-19 https://www.mohfw.gov.in/pdf/COVIDWEbin https://www.mohfw.gov.in/pdf/consolidated ar.pdf revisedguidelines.pdf
Latur’s 100 Days of Fight against COVID-19, A Case Study 39
03-04-2020 Extension of Validity of CGHS https://www.mohfw.gov.in/pdf/advisoryforbi Card in view of the Corona virus (COVID_19) ometricattendance.pdf infection https://www.mohfw.gov.in/pdf/ExtensionofV alidityofCGHSCardtill30AprilinviewofCOVID19 .pdf
01-04-2020 Reimbursement of OPD medicines to CS(MA) beneficiaries: Special sanction in view of COVID-19 https://www.mohfw.gov.in/pdf/20200401CS MAOM.pdf
31-03-2020 Advisory for quarantine of migrant workers https://www.mohfw.gov.in/pdf/Advisoryforq uarantineofmigrantworkers.pdf
29-03-2020 Guidelines on disinfection of common public places including offices https://www.mohfw.gov.in/pdf/Guidelineson disinfectionofcommonpublicplacesincludingo ffices.pdf
19-03-2020 DOPT OM - Preventive measures to contain the spread of COVID-19 in Training Institutes https://www.mohfw.gov.in/pdf/Instructionsf orTrainingInstitutes.pdf Based on the protocols set by the GoI & 18-03-2020 Directives from MoHRD for all Educational Institutions and Examination GoM, an action plan was prepared after Boards regarding precautions to be taken in consultation with all the stake holders, the light of COVID-19 https://www.mohfw.gov.in/pdf/DOSecyHE.p District Administration in association with df Police Force and Municipal Corporation 18.03.2020 DoPT OM - Preventive measures and Local bodies would implement the to be taken to contain the spread of Novel Coronavirus (COVID-19) action plan based on the protocols and https://www.mohfw.gov.in/pdf/Preventivem easuresDOPT.pdf guidelines from time to time.
18.03.2020 DO Letter from Secretary, DoHFW When all the action was happening at the to State Chief Secretaries regarding Social Distancing Measures ground zero the District Administration https://www.mohfw.gov.in/pdf/Letterdated2 along with Police Force, Municipal 032020toCSs.pdf Corporation and a new initiatives by the 06.03.2020 Advisory for Exemption to mark District Administration called Anti Corona biometric attendance in AEBAS Force (ACF) and Anti Corona Police (ACP)
Latur’s 100 Days of Fight against COVID-19, A Case Study 40 were monitoring closely all the action that citizens of the district because of fake and was carried out by different departments incorrect new or rumors on the social at different levels. media.
Different monitoring systems were put in place as regular updates were sent to the District Administration to track the progress and to check if the actions that were put in place are yielding results. The detailed action plan, monitoring system is listed out in detail in chapter no. 11 Preparedness & Response by Latur District Administration.
The District Administration along with the other stake holders always kept a close watch on the numbers, a details analysis is provided in the chapter no. 9 Statistic, we were so focused on number of tests carried, Positive cases, what was the recovery rate and how many are unfortunate deaths, the reasons for the deaths and how we are coping with the need for the infrastructure with increasing numbers.
This approach helps Latur District Administration to prevent major spread of virus by ensuring following protocols of Central or State government to Lockdown the district, take strict actions and more importantly we focused on having an effective communication to avoid any misunderstanding or unease among the
Latur’s 100 Days of Fight against COVID-19, A Case Study 41
Latur’s 100 Days of Fight against COVID-19, A Case Study 42
3
PART PART
INABILITY
ATTAINING
A
SUST
Latur’s 100 Days of Fight against COVID-19, A Case Study 43
Latur’s 100 Days of Fight against COVID-19, A Case Study 44
government undertook many initiatives to defend the country against covid-19.
However, to devise an effective strategy for fighting covid-19 while minimizing risks and maximizing results, it is crucial to
identify the internal and external factors correctly. A SWOT analysis has been done
by NITI Aayog to assess India’s current 6 position in tackling the pandemic.
This analysis examines India’s Strengths, GoI & GoM Weaknesses, Opportunities and Threats on the COVID front and aims to come out INITIATIVES with recommendations that can help battle the crisis. This will also act as the
A couple of months into the fight against foundation for various stakeholders to COVID-19, India has seen a mature pursue and convert opportunities into populace that has largely put up a brave strengths and prevent weaknesses from face not only coping with the adversity as turning into threats. individuals, but large heartedly extending Strengths a helping hand to the lesser privileged in Institutional (Government and the community. Governance) and Infrastructure It is perhaps due to the restraint exercised • Existing infrastructure like schools, by the citizens, guided by the cautious and railway coaches, hotels, offices, etc., meticulous approach of the government were converted into isolation wards that despite being the second most • India is the largest producer and populous country, the contagion has been supplier of hydroxychloroquine, a contained to a number that is significantly prospective drug for treating covid-19 lower than in many other nations. • Rapid measures were undertaken such
as imposing travel restrictions and Lockdown for India was both a historic and lockdown that enabled India to balance necessary step for countering the spread its supply and demand of the virus. In the meantime, the
Latur’s 100 Days of Fight against COVID-19, A Case Study 45
• All domestic/international travelers • Psychological barrier relating to and offices are mandated to undergo a isolation: people fear the quarantine compulsory thermal screening check conditions • Transparent communication by the • Highly susceptible to diseases and poor leadership led to compliance of immunity (India ranks 135 out of 195 on requisite directions given to the masses UNDP Health Index to slow down the spread of covid-19. • High incubation period ranging from 1 day to 14 days Academicians and Practitioners Academicians and Practitioners • The medical and health system is gradually gearing up to take on the new • Shortage of emergency healthcare challenge infrastructure and professionals: • Doctor to patient ratio: 1:1445 Innovation and Economy Drivers • Hospital beds to people ratio: 0.7:1000 Huge repository of start-ups, intellectual • Ventilators to population ratio 40000: property, platforms generated to fight the 1.3bn crisis* Innovation and Economy Drivers Weaknesses Lack of flexible employee working Institutional (Government and arrangements Governance) and Infrastructure Opportunities • Lack of testing kits and relief materials Institutional (Government and like medical equipment, PPE, masks, Governance) and Infrastructure and ventilators • Challenge in manufacturing testing kits • Create a robust third-tier structure of and relief material indigenously, governance (at panchayat/gramin making us dependent on imports level) for monitoring and spreading awareness Community and Civil Society • India can emerge as a world leader (setting example for other nations on • Lack of awareness among specific sections of the society how to fight the crisis)
Latur’s 100 Days of Fight against COVID-19, A Case Study 46
• Development of standard operating • Coronavirus has attained level 3 of the policies and procedures in the form of epidemic, i.e. community transmission emergency preparedness and response stage plan for the present and future • Breach of lockdown protocols and outbreaks* social-distancing norms • Increased chances of spread of Academicians and Practitioners infection (high population density with 27.9% people lying below the poverty • Development of a vaccine/antidote for line) covid-19
Innovation and Economy Drivers Academicians and Practitioners
• Higher chances of frontline workers • Involve start-ups, MSME, corporate R&D and academic institutions for contracting the disease providing innovative solutions for Innovation and Economy Drivers fighting COVID. • Dwindled the economy and overall Explore the allied sectors that became growth of the nation prominent due to the covid-19 pandemic, • Impact on stock markets as well as a including technological interventions like global, national, and local trade video conferencing for carrying out work from home and education.
Threats Institutional (Government and S W Governance) and Infrastructure
• Failure in contact tracing may lead to worsening of the present situation and increase in the probability of being hit T O by the second wave of covid-19*
Community and Civil Society
Latur’s 100 Days of Fight against COVID-19, A Case Study 47
Few other initiatives and measures taken ready for pan-India roll out from Day 1. up by GoI. With Aarogya Setu, a step forward has Aarogya Setu been taken to protect ourselves and our family & loved ones. Aarogya Setu is a location-based mobile app launched by the Government of India to connect health services and the people of India in the combined fight against COVID-19. The app has augmented GoI's initiatives in proactively reaching out to and informing the users the potential risk of infection, best practices and relevant medical advisories pertaining to the containment of COVID-19 pandemic. The app has been developed through Public Private Partnership under guidance of NIC.
The app serves a very critical purpose of contact tracing, that is helping the Government implement a graded plan for relaxation of the lockdown in areas across the 733 Districts of India. The app detects and tracks a user's movement with the help of GPS and Bluetooth sensors and notifies if the user is in the vicinity of infected people by using its database and algorithms.
Going forward, the app may be used as an e-pass to move around the city if the users' app displays green colour with "you are safe" message on the screen. The app is privacy-first by design and currently available in 11 languages. The app has highly scalable architecture and is
Latur’s 100 Days of Fight against COVID-19, A Case Study 48
COVID Warriors Citizens may also volunteer in the cause to serve according to their capabilities during COVID Warriors website serves the the crisis, using the MyGov Platform. purpose of augmenting human resources As Doctors and health workers diligently and capacity building in India's crusade to continue treating patients wholeheartedly save lives in the times of Novel amidst the outbreak of Corona in the Coronavirus (COVID-19). country, the COVID Warriors website
serves as a dashboard reflecting The website offers information about approximately 1.25 crore enlistments various resources available nationwide in from Specialists, Medical Caretakers, NCC the war against the COVID-19 contagion. Cadets, and Common Society This covers a detailed list of Hospitals Associations. Technology is being (CPSEs Hospitals, ESIC Hospitals, Railway optimally used to prepare the frontline Hospitals, Defense Hospitals and Port warriors in this crusade with the help of a Hospitals), Nodal Officers by States and first of its kind iGOT e-learning Platform, Districts, Associations, and personnel launched by Department of Personnel & which includes and is not limited to MBBS Training (DoPT). Doctors (& MBBS Students), Nurses,
Dentists, Pharmacists, AYUSH personnel, ASHA Workers, NSS, NCC, Ex-Service men and others related to these disciplines.
A detailed Training Matrix with Role is available outlining the training modules that can help prepare adequately by sensitizing about several topics ranging from the basics of COVID to Social Distancing to preventing infections with best practices and Personal Protective
Equipment (PPE) to managing the Bio Medical Waste.
Latur’s 100 Days of Fight against COVID-19, A Case Study 49
GoI also announced many relief B. KEY HIGHLIGHTS OF FINANCE initiatives admist COVID-19. MINISTER'S ANNOUNCEMENTS
I. Income Tax Act, 1961 A. LABOUR & EMPLOYMENT BENEFITS TO 1. Financial year 2018-2019 - last date for CONSTRUCTION AND DAILY WAGE filing Income tax return has now been WORKERS st th extended from 31 March, 2020 to 30 June, 2020. The Government has announced relief for
Daily wage workers and construction 2. Upon delayed filing, the Interest rate workers for an amount of Rs.1000 per has been reduced from 12% to 9% for the person for all States and Union Territories. Financial Year 2018-2019. Such amounts shall be made via Direct Benefit Transfer from the BOCW Cess Pool 3. TDS - no extension but on delayed th under the Building and Other Construction deposit of TDS till 30 June, 2020 the of Workers (Regulation of Employment interest chargeable has been reduced th and Conditions of Service) Act, 1996. from 18% to 9% - till 30 June, 2020.
4. Adhar pan linking - date extended from 31st March, 2020 to 30th June, 2020.
5. Vivad se Vishwas - extended till 30th June, 2020 (No 10% additional charge shall be applicable).
6. Due date for issue of notice intimation, notification, approval order, sanction order, filing of appeal, furnish return, return statement, application, reports any other documents and compliances by tax payer including investment on saving instrument or investment for roll over
benefit of capital gain, under various acts, time limit extended till 30th June 2020.
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II. Goods And Service Tax ("GST") 2. Period of holding a board meeting as 1. For the month of March, April and May, required under Companies Act, 2013 2020 returns 3B, GSRT 1 and Composition ('Companies Act') has been relaxed by a return - Due date shall be 30th June, 2020. period of 60 days for next two quarters.
2. Companies less than 5crore turnover - 3. Applicability of CARO 2019 shall be No interest, penalty, late fees shall be applicable from 2020-2021 instead of charged. 2019-2020.
3. Companies having turnover more than 4. If an Independent Director of a 5 crore- No late fee however interest Company has not attended even one chargeable shall be 9%. meeting it shall not be considered as violation under Schedule VI of the 4. Date for opting Composition scheme Companies Act. shall be 30th June, 2020 however staggering dates shall be provided in due 5. For newly incorporated companies, course. declaration of commencement of business can be filled upto 1 year which was earlier III. Customs Act,1962 and Central Excise 6 months from the date of incorporation Act,1944 of such company. 1. Sab Ka Vishwaas Scheme extended till 30th June 2020, indirect tax regime 6. Residency clause relaxed if a director of settling dispute scheme (No interest a Company doesn't reside in India for levied). more than 182 days, it shall not be considered as violation of Section 149 of 2. Customs clearance will be working 24x7 Companies Act. till 30th June, 2020 inspite of lockdown as it is an essential service. 7. 20% Deposit Reserve Date extended to 30th June, 2020 which was earlier 30th IV. Ministry of Corporate Affairs ("MCA") April, 2020. Compliances 1. With respect to MCA 21 registry there is 8. 15% Debentures maturing in a a moratorium issued from 1st April, 2020 particular year investment in specified till 30th September 2020. There shall be no instruments before 30th April 2020, additional fees applicable. extended till 30th June 2020.
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V. Insolvency and Bankruptcy Code, 2016 2. No minimum balance requirement for ("IBC") Savings Bank Account. The existing threshold of Rs.1,00,000 3. Bank Charges reduced for digital trade (Rupees One Lakh) for triggering transactions for all trade finance insolvency is raised to Rs. 1 crore so as to consumers. prevent triggering insolvency proceedings against MSME. In the event the lockdown VIII. Commerce th continues beyond 30 April, 2020, the For all practical purposes, extension of Ministry shall consider suspending Section time for procedural and eligibility point of 7, 9 and 10 of IBC. view, no extension or modification of scheme guidelines shall apply VI. Fisheries 1. Compliance related to import permits, SIP, brood stock and other aquaculture inputs which were to expire by 1st April 2020 - 15th April 2020, now extended for 3 months. Till 15th April 2020
2. Delay up to 1 month in arrival of consignments, to be condoned
3. Rebooking of quarantine cubicles for cancelled consignments, which is in Chennai, no additional booking charges
4. Verifications of documents and grant of
NOC to be relaxed to 3 days instead of 7 C. INSURANCE REGULATORY AND days. DEVELOPMENT AUTHORITY OF INDIA (IRDAI) RELIEF MEASURES VII. Banking/ Department of Financial 1. In case of life insurance policies, there is Services a grace period for payment of renewal 1. Debit Card holders withdrawing cash premiums. Insurers have been asked to from any ATM, no charges for 3 months enhance the grace period by additional 30 shall be applicable. days if desired by the policyholders.
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2. In case of health insurance policies, the insurers may condone delay in renewal up to 30 days without deeming such condonation as a break policy. However, insurers are requested to contact the policyholders well in advance so as not to have discontinuance in coverage.
3. In case of Board Meetings of insurers, the meetings due till 30th June 2020 may be held through video- conferencing or other audio-visual means in accordance with Rule 3 of the Companies (Meetings of AatmaNirbharBharat Abhiyan Boards and its Powers) Rules 2014 as
th amended on 19 March 2020. When India speaks of becoming self- reliant, it doesn't advocate a self-centred 4. In case of submission of monthly returns system. In India's self-reliance; there is a for the month of March 2020 by insurers concern for the whole world's happiness, and insurance intermediaries, additional cooperation and peace. time of 15 days will be allowed. Similarly, in case of quarterly returns, an additional The Prime Minister has announced a Rs. 20 period up to one month will be permitted lakh crore economic package under the 'AatmaNirbhar Bharat Abhiyaan', to aid our country out of the Coronavirus crisis (by making us self-reliant).
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Maharashtra Government’s plan of action Two task forces have been deployed to to win #WarAgainstVirus, detailing 5 work in the economic sector one under action plans in the areas of health, Deputy Chief Minister, will focus on migrants, economy, agriculture and day- how to gradually lift the lockdown, to-day administration. While the state is permissions to be given and to whom baffling with multiple fronts in the battle and economic measures. Another against the deadly Covid-19 virus. team headed economist & bankers will work on ways to curb the impact on
the economy. Under the health category, the state has designated Covid-19 and Non- On the agricultural front, there are no Covid-19 hospitals; 17 government restrictions on farming activities and and 15 private venereal disease commodities. Measures are being research laboratories; task force to taken to distribute essentials to tribal treat critically ill Covid-19 patients, a communities before the monsoon team of experts for dialysis, cardiac arrives. arrest and diabetes at Covid-19 hospitals. In addition to this, the As far as day-to-day activities are government is procuring Personal concerned, meals are being served at Protective Equipment (PPE) kits and ₹5 and wheat and rice is provided to ventilators; production of sanitizer has orange ration cardholders. started in the state; contact tracing; testing home to home; increased quarantine and isolation facilities and fever clinics and rapid test kits launching soon.
Relief camps have been set up all over Maharashtra for more than five lakh migrant workers; three meals every day are being offered to seven lakh migrant labour and homeless along with medical assistance.
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Anti-Corona Force has been formed under the District Administration in every village
and in every ward in the town, and they were given specific job of 6 to 8 hours as per the willingness of the people and the
local administration, each member of the Force were given ID cards and they were
stationed at every entry and exit points of 7 Corona Naka to thoroughly check every person and vehicle before entering the
village or the ward. Any person was found LATUR’S coming from outside were asked to get
INITIATIVES thoroughly checked and get themselves home quarantine if they are asymptomatic. Latur District Administration had come up with many new ideas to control the spread In 940 villages we have around 15000 of Coronavirus. Most of the initiatives are members registered as Anti-Corona Force, mentioned in this chapter. each and every member of the force have Anti-Corona Force (ACF); been issued an felicitation certificate in recognition of their service to the district. The idea was struck when the District The duties of the Anti-Corona Force at Administration realized that many young Corona Nakas; people of the district who are aspiring to join government service, like police force, • Ensure all the information of the Soldiers and other establishments to serve movement of vehicles and people the nation are idle because of lockdown are registered at the respective and hence they decided to channelize the Corona Naka before entering a young energy in the right direction by particular town. setting up Anti-Corona Force (ACF), so that • They were trained to counsel they get a chance to serve the nation by citizens about wearing masks, assisting the District Administration in washing hands using soap and controlling the spread of deadly disease.
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other guidelines by the government from time to time.
• If Anti-Corona Force member suspect any person traveling without proper permission or reason a thorough interrogation was carried out, specially which all area he has travelled and accordingly they would inform the respective departments.
• Anti-Corona Force members would take rounds in the villages and wards to check if people are following physical distancing and other instructions.
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Booth Level COVID Officer; These Booth Level COVID Officers are playing very important role of preventing
and containing the spread of Coronavirus. India is the largest democracy in the world and the elections in our country is managed by the Election Commission of India very meticulously by reaching to the grassroot level. One of the grassroot level officer is the Boot Level Officer. The roles of the BLO is to ensure eligible citizens are registered in the electoral process, carry out physical verifications, mapping of persons with disabilities and interacts with local people and political representatives to keep the electoral list updated. District Administration came up with an idea to appoint these Booth Level Officers as Booth Level COVID Officers.
The Booth Level COVID Officers will identify all the citizens above the age of 50 years from the electoral list and prepare a separate list of all those citizens as they are considered to be on the high risk category. Booth Level COVID Officer will visit each and every house and meet the citizens above 50 years of age and check there oxygen level using Pulse Oximeter and temperature using Infrared Thermometer and make note of the same. If they find any of these citizens having symptoms of Coronavirus immediate information is passed on to the respective officer for further action.
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Psycho-Social Support In addition to this, major population is Counselling; having withdrawal symptoms. It is the need of the hour, to manage them The COVID-19 disease has achieved effectively. pandemic status. The World Health Latur District Administration is working Organization has issued guidelines for round the clock to address the mental managing the problem from both health battle against coronavirus by biomedical and psychological points of setting up a unit as a District Counselling view. Cell & appointed experienced Counsellor. Coronavirus affects mental health in a Human psychology plays a vital role in dreadful volume and intensity throughout dealing with Coronavirus (COVID -19) the world and also affected India at large patients. and Latur District is not different. Counsellor have been given special In reality as per the psychological view we training and specific checklist when don’t think there is a single human being counselling quarantine persons and who is not feeling some degree of stress or positive patients from time to time. With anxiety. The intensity and impact may our experience we realized that in this diverse from person to person. scenario counselling is more of listening as
Nervousness, fears of contamination, most of them are not used to staying in constant reassurance seeking behaviors, isolation away from their loved ones. Over panic attacks, sleep disturbance, excessive the past 100 days more then 40,000 worry and feelings of helplessness, individuals have been counseled through probability of an economic slowdown, calls as our Counsellors make more then potential job losses, financial burden, 400 calls each day for counselling sessions uncertainty about future possibilities, from 10.30 am to 6.00 pm every day, they Fears of running out of food and have been done a commendable work by necessities etc., are some major triggering counselling and providing mental support factors to depression and anxiety and to those effected by Coronavirus. further worsening depression may leads The purpose of counseling sessions are to to severe mental health issues and suicidal Reducing depression in patients / thoughts. suspects, Creating positive energy, Providing mental stability, Reducing
Latur’s 100 Days of Fight against COVID-19, A Case Study 59 inferiority complex, Relieve anxiety, Misconceptions about the disease, Help to build defense Mechanism ill treatment from the society and finally to raise awareness about COVID-19.
When we interacted with the persons who got cured completely and discharged for their feedback to improve the facilities, for our pleasant surprise more then 90% of them told us that talking with Counsellor regularly helped them to recover faster.
When the entire world was talking about Social Distancing, Latur District Administration was the first to change it to Physical Distancing, which made such a huge impact and then onwards everyone started saying Physical Distancing.
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Immunity Booster Diet for centers which is rich in Vitamin C & D, Zinc and COVID-19; other healthy food like turmeric and garlic. District Administration realized it at the early While it is crucial to mention hygiene stage of this pandemic that an nutritious diet standards like washing your hands frequently, and an optimally functioning immune system or using an alcohol sanitizer, wearing a mask can never go wrong. If you have a healthy (cover your nose and mouth) and avoiding immune system, your body can safeguard you touching your hand or mouth to prevent from any disease, even the novel coronavirus getting infected, but unknowingly there is a or COVID-19. While as of now, there is neither possibility of us getting infected in that case it any vaccine available nor proven home is of paramount importance to improve our remedy to protect us from the COVID-19, immunity. there are some vitamins and foods which we Individuals in certain pre-existing illnesses can inculcate in our diet to have a strong like diabetes, hypertension, cardio vascular immune system and in turn, fight the disease, and respiratory issues are at a higher infectious disease. Based on the worldwide risk of having Covid-19 complications, it also findings and guideline of Ministry of AYUSH, aggravates with age as the general immunity an immunity booster diet plan was followed reduces as you get older. In the younger strictly, which has helped to increase the generation with no underlying illnesses, Covid- recovery rate. 19 can result in a minor infection, provided The immunity Booster Diet for COVID-19 was you have a robust immunity and do not engage in activities like smoking or vaping to developed by Ranjita Sharma Chobe a combat the onslaught of the virus. Here is a list Nutrition Counsellor with Public Health of measures that were suggested to improve Department, Government of the immunity. Maharashtra.
• Don’t Compromise on Sleep We have ensured the following diet is • Stay Hydrated followed religiously and it has yielded • Don’t Skip on Exercise great results and helped to increase the • Destress Yourself recovery percentage. • Supplements and immunity boosting foods
As per the government guidelines Immunity Booster Diet was strictly followed at all the
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06.30 am: Hot Water + Half Lemon One Glass
(Vit C) Half Tsp Jeera With Warm Water. Two Anjeer Or Khajoor + Four Soaked Almonds (Vit E) Indoor Exercise For 40 Mins.
07.30 am: Green Tea (Pudina, Adrak, Elaichi, Lavang, Dalchini, Jaggery, With Lemon Drops
One Big Cup) Immunity Booster.
09.00 am: Breakfast - Sprouts With Salad Or Moong Dal Dosa Or Upma or Oats Or Vegetable
Dalia Or Dhokala Or Boiled Eggs Two Pcs Or
Omelet (Protein Rich) 11.00 Am: Oranges Two / Water Melon /
Pomegranate.
01.00 pm: Lunch Salad One Plate , Jawahar Roti
One Or Chapati Two, Any Vegetable One Cup, Dal One Cup, Rice (Optional), Jawas Chutney
One Tbsp. Any Citrus Fruit One (Vit-C)
Indoor Exercise For 40 Mins
05:00 pm: Green Tea As Above One Big Cup
08:00 pm: Dinner Dal Khichadi With Kadi Or
Besan Bhakari Or Vegetable Mis Daliya Or
Vegetable Thalupith Or Subji Roti With Jawas Chutney.
10.00 pm: Sleeping Time 1/4 Tsp Turmeric + 1⁄4
Ginger + ONE Cup Of Hot Water (Immunity
Booster)
Tips: Drink 10 -12 Glass Of Water Per Day.
Avoid Sugar And Sweets, Fried Foods & Excess Salt.
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Art of Living, YOGA at CCC; These are few simple yoga poses that boost immunity. At the time of setting up COVID Care Centers Deep Yogic Breath Dhanurasana all the checklists provided by the Central & 5 to 7 Breaths (Bow pose) State government were followed by the Bhastrika (Bellows Adhomukhswanasana District Administration, along with that we Breath) 2 rounds of (Downward dog pose) realized that it is important to have activities 20 breaths that would develop positivity mentally and Marjari Asana (Cat Makarasana help increase the immunity. pose) (Crocodile pose) with humming sound for Art of Living came forward with their trained mental relaxation teachers to take yoga sessions in the CCC. Ardhachakrasana Setubandhasana Yoga is a holistic practice that strengthens our (backbend) (Bridge pose) physical body, as well as the microscopic Hastapadasana Sarvangasana or systems that are not visible to the eye. As a or Ardhauttanasana Vipritkarni (Shoulder result, the body’s natural defense mechanisms (Standing forward stand or simple leg also improve. A healthy, disease-free body can bend Hand to lift) be easily achieved by adopting a healthy knee/toe) lifestyle, including eating unprocessed, whole Trikonasana (Triangle Matsyasana (Fish foods, maintaining a regular yoga and pose) pose) meditation practice, getting plenty of sleep, Ardha Natarajasana (Supine and minimizing stressors. Ayurveda, yoga, and Matsyendrasana spinal twist) meditation are the keys to achieving our full or Vakrasana (Half potential. To reap the immune-boosting spinal twist) results of yoga these teachers conducted daily Paschimottanasana Pawanmuktasana sessions. (Seated forward (Wind-release pose) bend) While a regular yoga practice, combined with Shishuasana (Child’s Yog nidra a 20-minute meditation, can result in pose) (Relaxation) increased health. However, know that it is not Bhujangasana (Cobra Nadishodhan a substitute for medical treatment. It is pose) pranayama (Alternate important to learn and practice yoga postures Nostril Breathing) under the supervision of a trained teacher. In the case of a medical condition, practice yoga postures after consulting a doctor.
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Facebook Live, made most of the citizens at this time are able to Communication Simple; tune in to catch him live. District Administration uses Facebook LIVE
to share very important facts about Facebook LIVE, is not just a tool for the Corona Virus, communicates guidelines business world, it could be a very effective set by state and central governments from tool for the District Administration as well time to time, takes questions that were to communicate with the citizens of the received by our office on that particular area. District Administration mastered the day and immediately put out team in to art of making best use of this platform. action to resolve it. We also invite guest on When we are struggling to get things back to the Facebook LIVE program like Sr. on track and fight effectively against the Doctors, Sr. Agriculture officers, officials Corona Virus, the last thing we need is the from different departments to give wrong information or rumours spread like information and to make citizens aware wild fire on the social media. This was about other government schemes. realised by the District Administration in Facebook LIVE has been very effective and the initial days of Lockdown and has posted more then 100 live episodes immediately called for a meeting to figure reached more then 10 million people, out best and effective ways to 60,000+ followers who from time to time communicate accurate facts to the people tune in to get there facts right and in 100 at large. District Administration came up days we have received 2,50,000 with an idea to use Facebook LIVE, so that comments, Shares and Reactions through we could communicate directly and speak Facebook LIVE. out the facts about the district and more importantly also receive suggestions from District Administration wanted to be the citizens to improve and better the transparent with the citizens and get all efforts of District Administration to fight the stake holders on to the same page to against the pandemic. develop a positive strategy to mitigate the risks of spreading the virus. Facebook Live was started on 22nd March
2020 and every day it is live in the evening In Short it is all about “3S” Initiative after the office hours so that it does not Samparka (Contact), Samwad take up office hours and more importantly (Communication), Samādhāna (Redressal).
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In containment zones, a standard operating procedure (SOP) regarding WhatsApp groups and how they are WhatsApp groups are the to be administered was published through the District Administration as soon as the new lifelines WhatsApp groups were created.
Before the groups were created it was “WhatsApp has turned out to be a useful observed that other than health workers resource in the 28 containment zones, in no other government officers were visiting terms of ensuring delivery of essentials to the areas and cases increased residents,” exponentially in the containment zones as the residents were moving freely to WhatsApp groups have been created and one purchase essential items and medicines member from each family become a and unknowingly infecting other people in members. The administrators are police the zone. officers, officials from the District Collector’s office, and one female officer exclusively This effort has paid in terms of reduced nominated to attend women related needs complaints and in several containment and challenges. zones, no fresh case has been reported since they were sealed. Many In the containment zones measures are taken containment zones in district have as per the drafted protocol. That include periodic sanitization drives, police patrolling, emerged as model zones under the District door-to-door health checks and test sample Administration operation SHIELD. collections for individuals with cold or flu-like symptoms. “SHIELD” is an acronym for “Sealing, Home Quarantine, Isolation and Tracking, Amid all that, residents keep making lists of Essential Supply, Local Sanitization and essential items – food, fruits, milk, vegetables, Door-To-Door Checking”. and groceries – as and when they remember it. They then post these on the WhatsApp District Administration instructions were group. clear. One cannot enforce containment without ensuring that residents get all This leads to Step 2: A nodal official makes essentials regularly. a note of the lists and ensures all the essential items are delivered at their door “This strategy is to ensure nobody comes steps, in case the demands are not met in out of their homes at any cost. Not even time it is immediately escalated to the till the barricades. WhatsApp groups have higher ups. made our task much easier,” in the 143 active containment zones we have 258 Earlier, we were receiving a lot of complaints active cases in the district which are about people in containment zones not being limited to only 91 families. able to get essentials. A containment zone should not be perceived as a punishment zone. It is for people’s own safety. That is why
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We have been receiving positive feedback from the residents of the containment zones and they gave a great thumps UP to the District Administration for creating the WhatsApp group and resolving these issues in the shorts time which has made them strong physically and psychologically.
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Anti-Corona Police (ACP); supposed to ask questions such as whether it was really necessary for the
Latur District Administration has come up family member to step out of the home; if with many different plans to check the it was really necessary, then the family spread of Coronavirus. One of the plan member should be asked whether he or used is by implementing the concept of she was wearing a mask. ACPs (Anti-Corona Police) in each and every family of the district. Similarly, ACPs should ask family members, who have come from outside, A brilliant idea came from the District whether they have sanitized their hands or Collector G Sreekanth to have an ‘Anti- washed them with soap for 20 seconds. Corona Police’ (ACP) at each home, the “Like these, there are 12 questions which citizens of Latur District embraced the idea the ACPs are supposed to ask their family enthusiastically and almost all the homes members,”. The District Administration in Latur District have atleast one member believes that if at least one member of the of their family as an ACP to take up the family acts as the “ACP or a tough cop”, challenge of controlling the spread of the there is no reason why coronavirus can’t disease. be contained.
The Anti-Corona Police or ACPs concept is As they say actions speak louder than based on the belief that if one or two words, District collector himself has taken persons in a family take responsibility, the lead in this case by “appointing” his then the spread of coronavirus can be five-year-old daughter Shaswati as an ACP effectively controlled. and his wife Sonam as another ACP to keep coronavirus away from their home. District administration has framed 12 “Similarly, every family in the district questions that the ACPs are supposed to should have an ACP. We are getting a good ask their family members. response from across the district,” this
simple but effective concept has helped The ACP should first ensure that physical District Administration to effectively distance (and not social distance) is control the spread of the Coronavirus. maintained at their homes. The ACPs are
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TB & HIV Aids;
HIV or active tuberculosis (TB) persons have high risk of developing serious complications if infected by COVID-19. HIV compromises the immune system, making carriers more susceptible to TB and, possibly, COVID-19. And TB can damage the lungs, perhaps leaving people more susceptible to severe COVID-19.
Till date there have been no deaths who have TB or HIV, because of continuous counselling by the TB & HIV Counsellor appointed by the District Administration, also extensive use of social media to create awareness and precautions that need to be taken by these groups, many videos have been created by the District Administration to ensure proper care is taken.
District Administration had also prepared a list of medicines that are required by these persons and in advance enough stocks were procured and given to the persons in time. They have been advised to take Vitamins rich diet and regular breathing exercise and yoga to increase their immunity.
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Final Disposition of the place where the last rites are performed. Deceased Human Bodies; Standard Precautions are followed by the In a pandemic of this nature the ultimate Administration Staff while disposition of consequence is to face death of our loved the deceased human bodies; once, it makes the situation worse when the family members are not able to or are • Maintaining Hygiene, ready to do the last rituals as per their • Use of Personal Protective religious beliefs in the fear of they getting Equipment’s, infected with the deadly COVID-19. • Safe Handling of Sharps,
Latur District Administration along with • Disinfect bag housing dead body, the staff from Latur Municipal Corporation instruments and devices used on the ensured that proper disposition of patient, deceased human bodies were done as per • Disinfect linen, environmental their religious rituals and following surface. guidelines set by Government of India, Ministry of Health & Family Welfare, Directorate General of Health Services (EMR Division) dated 15th March 2020.
For the bravehearts in the COVID-19 Dead Body Disposal team, who have so far accomplished their task despite the odds. They have been living their worst nightmare since the outbreak of the pandemic, spending hours alongside dead bodies while carrying out their high-risk job of transporting bodies from the morgue to wherever they are disposed of.
Presently, the body disposal team sprays and sanitizes an area up to 40 feet around
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Stay Prepared; Prepare your schedule for all these 14 days and you will see how fast these 14 days In the past two months there has been lot pass and you will come out a much of information about what to do in a stronger person then before. lockdown, but now as we have started It is important that we do not panic and be easing out the lockdown and the District fully prepared to stay healthy and be Administration is taking all the precautions cautious for the days to come till the time to ensure sooth shift from Lockdown to we have permanent solution for the Un-Lockdown in the district. Corona Virus. With a clear planning and When we are trying to get back to our some simple tips, we can help reduce our normal life in the process we should also risk, prepare our family and do our part to be prepared if we or our family become protect others. COVID-19 positive in that case how we • Moving out of the house only when should Stay Prepared. necessary. Some of the tip District Administration • When going outside, be extra recommended and followed by many and cautious. could overcome those stressful 14 days. • Wash your hands with soap.
Make a list of things that you would like to • Take special care of children and do when you are in a Quarantine Center / senior citizens and those suffering Hospital / Home Isolation center for from illness. recovery for example what all books you • Follow healthy diet rich in Vitamins D & C and Zinc, consume food that would like to read, what all movies you increases your immunity. would like to watch, what kind of physical activities you would be doing, would you Very important to fight Coronavirus is to stay like to write something which you wanted physically and mentally strong and healthy, to do for a long time, would you like to follow proper exercise regime, specially do learn any new language, skill, art through Yoga and breathing exercise. online course, want to play any musical instrument, you may want to make phone calls to your loved one and friends.
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As of 10th July according to the latest
figures published by John Hopkins University, 12,333,740 cases have been
detected worldwide, with 556,211 deaths
and 6,784,579 people recovered. In India, there have been 793,802 cases confirmed,
21,604 people have died and 495,516 people have recovered from the Virus.
8
STATISTICS
This chapter collects the various statistical initiatives developed in response to the COVID-19 outbreak and shares the official data on different parameters.
Without statistics on COVID-19 we cannot possibly understand how the pandemic is progressing.
Without statistics we cannot respond appropriately to the threat; neither as individuals nor as a society. Nor can we learn where countermeasures against the pandemic are working.
Data are the facts and figures that are collected, analyzed, and summarized for presentation and interpretation for quantitative or qualitative.
Latur’s 100 Days of Fight against COVID-19, A Case Study 79
Statistics of Latur District
Total Testing 400
350
300
250
200
150
100
50
0 2 07/04/20 10/04/20 13/04/20 16/04/20 19/04/20 22/04/20 25/04/20 28/04/20 01/05/20 04/05/20 07/05/20 10/05/20 13/05/20 16/05/20 19/05/20 22/05/20 25/05/20 28/05/20 31/05/20 03/06/20 06/06/20 09/06/20 12/06/20 15/06/20 18/06/20 21/06/20 24/06/20 27/06/20 30/06/20 03/07/20 06/07/20 09/07/20
Total testings Total Total testings Positive Total testings Negative
Doubling Rate, Mortality Rate and Recovery Rate 140 130 120 110 100 90 80 70 60 50 40 30 20 10 0
24/04/20 01/05/20 08/05/20 15/05/20 22/05/20 29/05/20 05/06/20 12/06/20 19/06/20 26/06/20 03/07/20 10/07/20
Mortality Rate Recovery Rate Doubling Rate
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Active-Recovered-Deaths Cases 260
210
160
110
60
10
-40 05/04/20 12/04/20 19/04/20 26/04/20 03/05/20 10/05/20 17/05/20 24/05/20 31/05/20 07/06/20 14/06/20 21/06/20 28/06/20 05/07/20
Total testings Total 3 Total testings Positive 4 Total testings Negative 5
Talukawise Breakup of Deaths 12
10
8
6
4
2
0 Latur Ausa Renapur Nilanga Sh. Anant Deoni Udgir Jalkot Ahmadpur Chakur
Latur’s 100 Days of Fight against COVID-19, A Case Study 81
Comorbidity Wise 25
20
15
10
5
0
Total Diabetes Asthma
Hypertension Heart Disease Travel historyOther Old age, Kidney Disease Non Comorbidic
Diabetes, Hypertension
Multiple disease patients eg.Diabetes…
Containment Zone 20
18
16
14
12
10
8
6
4
2
0 2 07/04/20 10/04/20 13/04/20 16/04/20 19/04/20 22/04/20 25/04/20 28/04/20 01/05/20 04/05/20 07/05/20 10/05/20 13/05/20 16/05/20 19/05/20 22/05/20 25/05/20 28/05/20 31/05/20 03/06/20 06/06/20 09/06/20 12/06/20 15/06/20 18/06/20 21/06/20 24/06/20 27/06/20 30/06/20 03/07/20 06/07/20 09/07/20
Containment Zone Active Containment Zone Closed
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Death Analysis
Likewise around the world in India also the Gender Group majority of deaths havened in the age group of more than 60 years and the second age group is 51 to 60 years. The data also highlights that 75% of the deaths are male and 25% are females.
When the patient is admitted in to the Male Female Transgender hospital as soon as they got symptoms or were detected when tests were done with high risk contacts, the recovery rate is very Difference in Date of high, whereas when the patient is admission & Date of admitted in to the hospital in a serious Death condition the death rates are high in the 18 16 first 1 to 5 days of admitting specially if 14 they have comorbidity. 12 10 8 6 4 2 0 0-1 day 2-5 days 6-10 11-15 > 15 Age Group days days days
Institution wise
20-30 36-50 51-60 60>
VDGIMSL DCH Udgir Other
Latur’s 100 Days of Fight against COVID-19, A Case Study 83
Facility App Adoption 120 100 80 60
Persons 40 20 0 Dr Vilasrao Babasah 1000 Deshmu Girls eb Girls Boys & kh Govt. Ambedk Govt. Girls Girls Girls Govern Hostel, ar School, Govt. General Govt. Social ment Nilanga Dapka Boudh Marshiv School, Hospital Hostel, Welfare Institute SDH II Tq, Resident ni, Tq Bavachi Udgir Midc Hostel, Of Nilanga ial Ahemdp Tq. Barshi Ausa Medical Dist. School, ur Dist. Renapur Road Sciences Latur Tondar, Latur Latur , Latur Pati Udgir Cumulative Admitted 99 117 2 53 18 15 25 13 1 Currently Admitted 14 42 1 34 0 15 11 7 0 Total Discharged 79 62 1 19 18 0 14 6 1 Total Deceased 6 13 0 0 0 0 0 0 0 Total Migrated 0 0 0 0 0 0 0 0 0
Cat. I - Dedicated COVID Hospital's / DCH
350 300 250 200 150 100 50
Persons 0 Vilasrao Vivekanand Deshmukh MIMSR Latur Super Cardiac & Governmen General Medical Speciality Super t Institute of Hospital College Hospital Speciality Medical Udgir Latur Hospital Sciences, Latur Total Isolation beds(excluding ICU 65 85 306 84 40 beds) Isolation beds of Confirmed Cases 35 40 153 42 20 Isolation beds for Suspected cases 30 45 153 42 20 O2 Supported beds 10 25 50 30 25 Total ICU beds 10 15 50 16 10 No of Ventilators 5 5 5 8 5 Total Beds in Facility ( Isolation + ICU ) 75 100 356 100 50
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Cat. II - Dedicated COVID Health Center (DCHC)
200
150
100
50 Persons
0 Udaygiri Fulabai MIMSR Lions Eye B S F Bansude Patil Nilanga Medical Hospital Chakur Hospital, Hospital SDH II College II Udgir Latur Total Isolation beds (excluding ICU 69 198 198 80 49 49 beds) Isolation beds of Confirmed Cases 37 100 100 40 25 25 Isolation beds for Suspected cases 32 98 98 40 24 24 O2 Supported beds 10 20 20 20 10 5 Total ICU beds 1 2 2 20 1 1 No of Ventilators 1 1 1 5 1 1 Total Beds in Facility ( Isolation + ICU 70 200 200 100 50 50 )
Cat. III - Dedicated COVID Care Center (DCCC) 200 180 160 140 120 100 80 60 40 20 0
Potdar School, Nilanga
Girls Social Welfare Hostel, Ausa Govt. Hostel, Navin Imarat Deoni
Social Welfare Hostel Jalkot Dist. Latur Dr Babasaheb Ambedkar Boudh Niwashi… Girls Govt. School, Bavachi Tq. Renapur Samrth Dhodutatya Niwashi Ashram Shala… New Ambika Girls Hostel Udogbhavan LaturReliance CollegeBackward Hostel and Ambejogai Economically Rd Latur Backward Girls… Puranmal Lahoti Shaskiya Tantra Niketan Latur Girls Govt. Hostel, Dapka Tq Nilanga Dist. Latur
Total Isolation beds (excluding ICU beds) Isolation beds of Confirmed Cases Isolation beds for Suspected cases O2 Supported beds Total ICU beds No of Ventilators
Latur’s 100 Days of Fight against COVID-19, A Case Study 85
Cat. III - Dedicated COVID Center (DCCC) 250
200
150
100
50
0
Krushi P G College Chakur Girls Hostel, Sainandn Road… Cocsit Girls Hostel Ambejogai… Hira Nivasi Girls Hostel Udyog… S.C. Shaskiy Girls Hostel School,… Jaihind Public School Mulinche…1000 Boys & Girls Govt. Hostel,… Girls Govt. School, Marshivni Tq… GirlsHostel ShivnariS C Boys College Govt. Shirur… Residential School… Social Welfare Hostel Kawa Road…
Total Isolation beds (excluding ICU beds) Isolation beds of Confirmed Cases Isolation beds for Suspected cases O2 Supported beds Total ICU beds No of Ventilators
Dedicated COVID Hospital (DCH) 120
90 Persons
60
30
0 Vilasrao Deshmukh Government General Hospital Udgir Institute Of Medical Sciences, Latur Cumulative Admitted 99 117 Currently Admitted 14 42 Total Discharged 79 62 Total Deceased 6 13 Total Migrated 0 0 Fatality Rate(%) 6.06% 11.11%
Latur’s 100 Days of Fight against COVID-19, A Case Study 86
Dedicated Covid Health Centre (DCHC) 2
Persons 1
0 Nilanga SDH II Cumulative Admitted 2 Currently Admitted 1 Total Discharged 1 Total Deceased 0 Total Migrated 0 Fatality Rate(%) 0%
Covid Care Centre (DCCC)
50
40
Persons 30
20
10
0 Dr Babasaheb 1000 Boys & Girls Govt. Girls Govt. Ambedkar Girls Govt. Girls Govt. Hostel Girls Social School Boudh School, Hostel, Midc Dapka Tq Welfare Marshivni Tq Residential Bavachi Tq. Barshi Road Nilanga Dist. Hostel, Ausa Ahemdpur School Renapur Latur Latur Dist. Latur Tondar Pati Udgir Cumulative Admitted 53 18 15 25 13 1 Currently Admitted 34 0 15 11 7 0 Total Discharged 19 18 0 14 6 1 Total Deceased 0 0 0 0 0 0 Total Migrated 0 0 0 0 0 0 Fatality Rate(%) 0% 0% 0% 0% 0% 0%
Latur’s 100 Days of Fight against COVID-19, A Case Study 87
Institutional Quarantine
80 600 70 500 60 50 400 Persons 40 Persons 300 30 200 20 10 100
0 0 Girls Govt. Govt.Boys School, hostel Atirikat Somnathpur M.I.D.C. Barshi Udgir Tq.Udgir Road Latur Quarantine Quarantine Facility total bed 50 Facility total bed 75 Capacity Capacity Progressive Progressive 601 0 Quarantine Quarantine No. of persons at No. of persons at Quarantine 0 Quarantine 0 Facility Facility No. of Persons No. of Persons 601 0 Discharged Discharged
150 150
130 130 110 110 90 90 Persons 70 Persons 70 50 50 30 30 10 10 -10 Girls Govt. -10 School, Agriculture Marshivani Girls hostel Tq.Ahmadpur chakur Quarantine Quarantine Facility total bed 150 Facility total bed 50 Capacity Capacity Progressive 117 Progressive Quarantine 106 Quarantine No. of persons at No. of persons at Quarantine 14 Quarantine 59 Facility Facility No. of Persons 103 No. of Persons Discharged 47 Discharged
Latur’s 100 Days of Fight against COVID-19, A Case Study 88
250 120
200 100
150 80 Persons 100 Persons 60
50 40
0 20 S.C. Govt. Girls 0 Residential Girls Hostel School, Jau Dapka Rood Tq.Nilanga ,Nilanga. Dist.Latur Quarantine Quarantine Facility total bed 100 Facility total bed 100 Capacity Capacity Progressive Progressive 49 200 Quarantine Quarantine No. of persons at No. of persons at Quarantine 0 Quarantine 0 Facility Facility No. of Persons No. of Persons 49 200 Discharged Discharged
120 70 100 60 80 50 60 40 Persons Persons 30 40 20 20 10 0 Girls Govt. 0 School, Udaygiri Lions Bavachi Eye Hospital, Tq.Renapur Udgir Quarantine Quarantine Facility total bed 108 Facility total bed 60 Capacity Capacity Progressive Progressive 59 40 Quarantine Quarantine No. of persons at No. of persons at Quarantine 0 Quarantine 0 Facility Facility No. of Persons No. of Persons 59 40 Discharged Discharged
Latur’s 100 Days of Fight against COVID-19, A Case Study 89
250 450 400 350 200 Persons 300 250 150 200 Persons 150 100 100 50 0 50 1000 Boys & Girls Govt. Hostel, 0 Atirikat Girls Govt. M.I.D.C. School, Ausa Barshi Road Tq.Ausa Latur Quarantine Quarantine Facility total bed 100 Facility total bed 250 Capacity Capacity Progressive Progressive 257 430 Quarantine Quarantine No. of persons at No. of persons at Quarantine 41 Quarantine 86 Facility Facility No. of Persons No. of Persons 216 344 Discharged Discharged
50 70 45 60 40 35 50 30 40 Persons 25 Persons 20 30
15 20 10 5 10 0 0 Govt. Hostel, sambhaji Navin Imarat kendre Devani Tq- mahavidhyala Devani cillege jalkot Quarantine Quarantine Facility total bed 50 Facility total bed 50 Capacity Capacity Progressive Progressive 16 68 Quarantine Quarantine No. of persons at No. of persons at Quarantine 4 Quarantine 0 Facility Facility No. of Persons No. of Persons 12 68 Discharged Discharged
Latur’s 100 Days of Fight against COVID-19, A Case Study 90
Dedicated COVID Facilities Cat. II - Dedicated COVID Beds for Health Center / DCHC As soon as we realized the importance of Suspected cases, 1343 developing the required infrastructure for Total dealing with COVID-19 pandemic, we put Isolation beds, 2444 in all the available resources and created
Two Dedicated COVID Hospital (DCH), One Beds for Confirmed Dedicated COVID Health Center (DCHC) cases, 1101 and Twenty Three Dedicated COVID Care Centers (DCCC).
Cat. III - Dedicated COVID Cat. I - Dedicated COVID Beds for Health Center / DCHC Beds for Hospitals / DCH Suspected Suspected cases, 290 cases, 316 Total Total Isolation Isolation beds, 643 beds, 580
Beds for Confirmed Beds for cases, 327 Confirmed cases, 290
Latur’s 100 Days of Fight against COVID-19, A Case Study 91
Lockdown Information
Sr. Halls
Fruits Gardens
No. No. wn , athering o & essential
Industries - d
Grocery
Duration /Medical Lockdown Movement Movement Gymnasium Milk/ Water Intra district district Intra Inter District District Inter Cinema Govt. Offices Veg Non Essential footwear etc) footwear Non Goods(Cloths, Any G Agri Private Offices Manufacturing Transportation rounds School /Colleges Essential Goods) (Essential Goods) (Essential G Essential Hospitals No. of days in Lock Transportation (Non Transportation (Non Public Transportation Inter State Movement State Inter 1 Lock 22/03/20
es es es es es es es down to 1 No No No No No No No No No No No No No Y Y Y Y Y Y 1 23/03/20 Y
2 Lock 23/03/20
es es es es es es es 9 No No No No No No No No No No No down to No No Y Y Y Y Y Y Y 2 31/03/20
3 Lock 01/04/20
es es es es es es down to es es 14 No No No No No No No No No No No No Y Y Y Y Y Y 3 14/04/20 Y Y
4 Lock 15/04/20
es es es es es es es es 20 No No No No No No No No No down to No No No Y Y Y Y Y Y Y Y 4 03/05/20
5 Unloc 04/05/20
es es es es es es es es es es es es es 14
k 1.0 to No No No No No No No Y Y Y Y Y Y Y Y Y Y Y Y Y 17/05/20
6 Unloc 17/05/20
es es es es es es es es es es es es es 15 No No No No No No k 2.0 to No Y Y Y Y Y Y Y Y Y Y Y Y Y 31/05/20
7 Unloc 01/06/20
es es es es es es es es es es es es es es 30 No No No No No k 3.0 to No Y Y Y Y Y Y Y Y Y Y Y Y Y Y 30/06/20
Latur’s 100 Days of Fight against COVID-19, A Case Study 92
Ambulances available in Latur
Sr. No. Registration Number Pincode Mobil Taluka
1 MH13B7297 413515 9922325179 Ahmedpur 2 MH22N0951 413515 9309924028 Ahmedpur 3 MH24AB5840 413514 9767590331 Ahmedpur 4 MH24AB6693 413515 9111111111 Ahmedpur 5 MH24AB8374 413515 8669503409 Ahmedpur 6 MH24AU3803 413515 9284288170 Ahmedpur 7 MH24AB9142 413524 9850545661 Chakur 8 MH24AU1179 413519 9175293132 Deoni 9 MH01LA9496 413512 9111111111 Latur 10 MH04H0953 413510 9763484731 Latur 11 MH06J9392 413512 9822932505 Latur 12 MH06J9395 413512 9822932205 Latur 13 MH09CV2052 413512 9111111111 Latur 14 MH09EM9487 413512 9545727863 Latur 15 MH12FC9762 413512 Latur 16 MH12KQ4070 413512 7875555110 Latur 17 MH13B7209 413512 9960094028 Latur 18 MH24A3680 413512 Latur 19 MH24AB5003 413512 9730270705 Latur 20 MH24AB6391 413512 9158442777 Latur 21 MH24AB6392 413512 9561381099 Latur 22 MH24AB6879 413512 Latur 23 MH24AB7199 413512 Latur 24 MH24AB7758 413531 8390791000 Latur 25 MH24AB7941 413512 Latur 26 MH24AB8468 413512 Latur 27 MH24AB8469 413512 Latur 28 MH24AU0360 413512 9850761107 Latur 29 MH24AU0515 413512 8600006621 Latur 30 MH24AU1327 413512 9960097171 Latur 31 MH24AU1361 413512 9130522007 Latur 32 MH24AU1372 413512 9767874220 Latur 33 MH24AU2802 413512 9423076990 Latur 34 MH24AU3063 413512 9112204804 Latur 35 MH24AU3732 413512 9960094028 Latur 36 MH24AU3821 413512 9137417353 Latur 37 MH24AU3823 413512 9769475169 Latur 38 MH24F4146 413512 Latur 39 MH24F5944 413512 Latur 40 MH24F7467 413512 2382245901 Latur 41 MH24F8126 413512 9111111111 Latur 42 MH24F8381 413512 9422020921 Latur 43 MH24F8487 413512 Latur 44 MH24F8518 413512 Latur 45 MH24J5162 413512 Latur
Latur’s 100 Days of Fight against COVID-19, A Case Study 93
Sr. No. Registration Number Pincode Mobile Taluka
46 MH24J5652 413512 Latur 47 MH24J8950 413512 Latur 48 MH24J9030 413512 Latur 49 MH24J9795 413512 Latur 50 MH26BE1393 413531 9049642324 Latur 51 MH27X9037 411358 7719076710 Latur 52 MH31EM0380 413512 9850071174 Latur 53 MH37B6893 413512 9881390135 Latur 54 MH13AX6004 413521 9767162983 Nilanga 55 MH24AB6171 413522 Nilanga 56 MH24F9856 413521 Nilanga 57 MH27X9250 413521 9767162983 Nilanga 58 MH24AB5825 413517 Udgir 59 MH24AB7324 413517 9922711765 Udgir 60 MH24AB8968 413517 9923362700 Udgir 61 MH24AB9004 413517 9860279615 Udgir 62 MH24AU0435 413517 9422468082 Udgir 63 MH24AU1007 413517 8390261051 Udgir 64 MH24AU1173 413517 9823145210 Udgir 65 MH24AU2896 413518 8390261051 Udgir 66 MH24AU4465 413517 9923952094 Udgir
Ahmedpur, 6 Chakur, 1 Deoni, 1 Udgir, 9 Nilanga, 4
Latur, 45
Ambulance in Latur District
Latur’s 100 Days of Fight against COVID-19, A Case Study 94
Corona Nakas established by Corona Nakas Zilla Parishad Latur.
Gram Panchayat
Sh. Deoni Chakur Anant 5% 5% 5% Jalkot Latur Nilanga 10% Deoni 18% 11% 6% Chakur Sh. Anant 6% 5% Udgir Latur Nilanga 15% Jalkot 14% 15% 9% Ausa 11% Ausa Renapur Udgir 14% 8% 11% Ahmadpur 12%
Renapur Ahmadpur 12% 8%
Anti-Corona Force
Villages
Chakur Deoni 6% Sh. 6% Anant Latur Nilanga Deoni Chakur 8% 15% 13% Sh. Anant 6% 5% Jalkot 5% 9% Latur Nilanga Jalkot Udgir 13% 16% 9% 15% Ahmadpu Ausa Ausa 10% r Udgir 14% 13% 11% Renapur 6% Ahmadp ur Renapur 12% 8%
Latur’s 100 Days of Fight against COVID-19, A Case Study 95
Taluka wise details of numbers Deoni of Gram Panchayat, villages in 100 80 those GM and Corona Nakas 60 40 Persons established. 20 0 Gram Corona Panchay Villages Nakas at Ahmadpur Deoni 45 52 81 200
150 Jalkot 100 200 Persons 50 150 100 0
Gram Persons 50 Village Corona Pancha 0 s Nakas Gram yat Corona Panchay Villages Ahmadpur 97 122 182 Nakas at Jalkot 71 84 145
Ausa 180 Nilanga 160 140 180 120 100 130 80 80 Persons 60 40 Persons 30 20 -20 0 Gram Gram Corona Corona Panchay Villages Panchay Villages Nakas Nakas at at Nilanga 116 152 174 Ausa 109 133 170
Chakur Renapur 90 120 80 100 70 60 80 50 60 40 Persons Persons 30 40 20 20 10 0 0 Gram Gram Corona Corona Panchay Villages Pancha Villages Nakas Nakas at yat Chakur 43 47 79 Renapur 65 73 113
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Udgir Sh. Anant 250 80 70 200 60 150 50 40 Persons Persosn 100 30 20 50 10 0 0 Gram Gram Corona Corona Panchay Villages Pancha Villages Nakas Nakas at yat Udgir 87 98 234 Sh. Anant 42 48 76
TOTAL Police Action in Lockdown 1600 600 1400 500 1200 400 1000 800 300 Persons
Persons 600 200 400 100 200 0 Fine Vehic 0 Colle Gram Arest le Corona FIR's cted Pancha Villages s Seize Nakas in yat d Lakhs TOTAL 785 929 1531 Column2 65 307 522 133
ACF 2000 1800 1600 1400 1200 1000
Persons 800 600 400 200 0 Ahmadp Sh. Latur Nilanga Ausa Renapur Udgir Jalkot Deoni Chakur ur Anant ACF 1918 1740 1260 767 1872 1563 1196 1050 788 825
Latur’s 100 Days of Fight against COVID-19, A Case Study 97
Latur’s 100 Days of Fight against COVID-19, A Case Study 98
4
PART PART
MAINTAINING
SUSTAINABILITY
Latur’s 100 Days of Fight against COVID-19, A Case Study 99
Latur’s 100 Days of Fight against COVID-19, A Case Study 100
the objective to meet the distressed and dreadful situation like COVID-19 in times
ahead. PM CARES was initiated on March 28, 2020 under the chairmanship of the Indian Prime Minister with Ministry of
Home Affairs, Defence Minister and Finance Minister as the ex-officio Trustee. 9
GOVERNMENT SCHEMES
On 26th March, 2020, the Finance Minister of India made new announcements regarding several government schemes in India. This announcement was made as an initiative towards the loss faced due to Covid-19 outbreak in India. A relief package worth Rs 1.70 lakh crore will also be provided by the government to tackle the financial difficulties arising from Covid-19 Atmanirbhar Bharat Abhiyan outbreak under the PM Garib Kalyan The Atmanirbhar Bharat Abhiyan Scheme. (meaning self-reliant India scheme) was announced in four tranches by the Union PM CARES Fund -Prime Minister’s Citizen Finance Minister Nirmala Sitharaman in Assistance and Relief in Emergency May 2020. Situation Fund: Is a public charitable trust initiated by the Prime Minister Narendra The economic stimulus relief package Modi. This national trust is created with announced by the government is touted to
Latur’s 100 Days of Fight against COVID-19, A Case Study 101
be worth Rs.20 Lakh crores. This includes 1. Simple and clear laws the already announced Rs 1.70 lakh crore 2. Rational taxation system relief package, as the PMGKY, for the poor 3. Supply chain reforms in agriculture to overcome difficulties caused by the 4. Capable human resources coronavirus pandemic and the lockdown 5. Robust financial system imposed to check its spread. 5 Important Facts about Atmanirbhar Bharat Scheme
The Prime Minister announced that an Atmanirbhar Bharat or a self-reliant India should stand on the following five pillars:
1. Economy 2. Infrastructure 3. 21st century technology driven arrangements and system 4. Demand
5. Vibrant Demography Pradhan Mantri Jan Dhan The 20 lakh crore worth package is Yojana: Pradhan Mantri Jan Dhan Yojana almost 10% of the GDP of the country. is a National Mission on Financial Inclusion
The package emphasizes on land, labour, that provides an integrated approach to liquidity and laws. bring about a robust financial inclusion and ultimately provide banking services to The package includes measures across all households in the country. With the many sectors such as MSME, cottage outbreak of Covid-19 in India, the Finance industries, middle class, migrants, Minister of India, Nirmala Sitharaman industry, etc. made an announcement to provide Rs. 500 per month to every Women Jan-Dhan Several reforms are announced to make Account Holders for the next three India a self-reliant economy and mitigate months. This announcement was made on negative effects in the future. Some of the reforms are:
Latur’s 100 Days of Fight against COVID-19, A Case Study 102
26th March, 2020 as an initiative towards Direct benefit transfer related the loss caused by the outbreak. Farmers currently receive INR 6,000/- every year through the PM-KISAN scheme (minimum income support scheme) in three equal instalments. The government will now be giving the first instalment upfront for fiscal year starting April 2020. About 86.9 million farmers are expected to benefit from this immediately.
MNREGA workers: Wage increase from INR 182/- to INR 202/-. Such increase will
benefit 50 million families. The wage Food related increase will amount into an additional About two-thirds of population will be income of INR 2,000/- per worker. covered under the Pradhan Mantri Garib 30 million senior citizens, widows, Kalyan Anna Yojana (Food scheme) disabled to get one-time ex-gratia amount
of INR 1,000 in two instalments over the Everyone under this scheme will get 5 kg next 3 months. of wheat and rice for free in addition to the 200 million woman Jan Dhan account current 5 kg allocation for the next 3 holders to be given ex-gratia amount of months INR 500 per month for the next 3 months,
to run the affairs of their household. In addition, 1 kg of preferred pulse (based on regional preference) will be given for Women in 83 million families below free to each household under this Food poverty line covered under Ujwala scheme scheme for the next three months. will get free LPG cylinders for 3 months.
For 630,000 Self-help Groups (SHGs), This distribution will be done through which help 70 million households, the Public Distribution Scheme (PDS) and can government is doubling collateral-free be availed in two instalments. loans to Rs 200,000.
State governments have been directed to use the welfare fund for building and
Latur’s 100 Days of Fight against COVID-19, A Case Study 103 construction workers. The District Mineral (i.e. May, June and July 2020). This will be Fund, worth about INR 310 billion, will be applicable to all employer (other than used help those who are facing economic government company and companies disruption because of the lockdown. covered in bullet point no. 2 above)
EPFO have extended the due date for
Healthcare related payment of contribution for wage month of March 2020 from 15 April 2020 to 15 The Finance Minister has announced May 2020 (30 days grace period) medical insurance cover of Rs 5 million per healthcare worker. About 2 million health Non-refundable advances may be granted services and ancillary workers will benefit to a member of a provident fund, subject from such insurance scheme. to certain conditions.
EPFO issued the circular which states that Organized sector related – Social security no proceedings should be initiated on establishments covered under the EPF Act The Employees Provident Fund for levy of penal damages on account of Organization (EPFO) has announced - any delay in the payment of any employees who contribute to EPF can contributions or administrative charges withdraw upto 75 percent of the account due for any period during the lockdown. balance or 3 months’ basic salary and dearness allowance, whichever is lower. In view of the government’s decision declaring COVID-19 as a pandemic, the Establishments which employ upto 100 Pension Fund Regulatory and employees and if 90 percent of whom earn Development Authority (PFRDA) allowed upto INR 15,000 per month, the partial withdrawals from the NPS to fulfill government will pay the employee financial needs towards treatment of the provident fund contribution both of the COVID-19 illness of a member, his/her employer and the employee (12 per cent spouse, children (including adopted child), each) for March 2020 to May 2020. This or dependent parents. The following support is extended for another 3 months documents must be provided to claim a i.e. June to August 2020. partial withdrawal: Employer and employee contribution o Medical certificate; and reduced to 10% percent each from 12% percent each currently for next 3 months o Formal request for partial withdrawal
Latur’s 100 Days of Fight against COVID-19, A Case Study 104
Mahatma Jyotiba Phule Jan Arogya Beneficiaries under Mahatma Jyotiba Yojana (MJPJAY): Mahatma Jyotiba Phule Phule Jan Arogya Yojana: Jan Arogya Yojana is a flagship health Categories Description of Beneficiaries insurance scheme of Government of Category Families holding Yellow Maharashtra. The scheme provides end to A ration card, Antyodaya Anna end cashless services for identified Yojana ration card (AAY), diseases through a network of service Annapurna ration card, providers from Government and Private Orange ration card (annual sector. The scheme earlier was known as income up to INR 1 lakh) Rajiv Gandhi Jeevandayee Arogya Yojana issued by Civil Supplies which was started from 2nd July,2012 in Department, Government of eight districts and then was expanded to Maharashtra for 36 districts 28 districts of Maharashtra from 21st of Maharashtra. November, 2013. Category White ration card holder B farmer families from 14 SCHEME OBJECTIVE: To provide cashless agriculturally distressed quality medical care to beneficiaries under districts of Maharashtra the scheme for catastrophic illnesses (Aurangabad, Jalna, Beed, requiring hospitalization for surgeries and Parbhani, Hingoli, Latur, therapies under identified specialty Nanded, Osmanabad, services through network of health care Amravati, Akola, Buldhana, providers. Washim, Yavatmal, and Wardha). Insurer - Scheme was run by insurer Category 1. Children of Government National Insurance Company a Public C Orphanages, Students of Sector Undertaking Company from Government Ashram 02.07.12 to 31.03.20. From 01.04.20 Shala, female inmates of Integrated Mahatma Jyotiba Phule Jan Government Mahila Arogya Yojana (MJPJAY) and Ayushman Ashram & senior citizens Bharat-Pradhan Matri Jan Arogya Yojana of Government old age (AB-PMJAY) is run by insurer United India homes. Insurance Company a Public Sector Undertaking Company.
Latur’s 100 Days of Fight against COVID-19, A Case Study 105
2. Journalists & their family or certificate from the dependent family nearest Revenue Officer members approved by stating that the beneficiary is DGIPR a farmer or a family member 3. Construction workers of farmer with valid photo ID and their families having proof of the beneficiary. live registration with Category Eligibility of beneficiaries Maharashtra Building & C shall be decided on the basis other Construction of any identity card / health worker Welfare Board . card or any other identification mechanism as
decided by the State Health Beneficiaries under Mahatma Jyotiba Assurance Society (SHAS). Phule Jan Arogya Yojana:
Categories Description of Beneficiaries The scheme provides coverage for Category All eligible families shall be meeting all expenses relating to A identified with valid Yellow, hospitalization of beneficiary up to ₹ Orange, Antyodaya, and 1,50,000/- per family per policy year. For Annapurna ration card Renal Transplant this limit has been (irrespective of date of issue enhanced up to ₹ 2,50,000 per family per of Ration Card or the policy year. inclusion of the beneficiary’s
name therein) coupled with The benefit is available to each and every any Photo ID proof (as member of the family on floater basis i.e. finalized by the Society). the total coverage of ₹ 1.5 lakh or ₹ 2.5 Category Eligibility for farmers from 14 lakh as the case may be, can be availed by B agriculturally distressed one individual or collectively by all districts of Maharashtra will members of the family in the policy year. be decided based on white ration card with 7/12 extract bearing the name of the beneficiary / head of the
Latur’s 100 Days of Fight against COVID-19, A Case Study 106
MJPJAY Latur (Total Numbers)
2940 2920 2900 2880 2860 2840 2820 2800
Discharge Pre Authorization Surgery / Therapy
Latur District Administration MJPJAY Latur (Amount) achievements under Mahatma Jyotiba 61 Phule Jan Arogya Yojana. 60.5 60 59.5 Millions 59 58.5 58 MJPJAY Latur (Numbers) 57.5 1000 800 Discharge 600 Surgery Therapy 400 Pre Authorization 200 0
Discharge
Pre-Authorization Surgery/Therapy
March April May
MJPJAY Latur (Amount) 25 20 15 10 5 0 Pre Surgery / Discharge Authorization Therapy
March April May
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The Strategic Preparedness and Response Plan for COVID-19 aims to:
• Slow and stop transmission, prevent outbreaks, and delay spread
• Provide optimized care for all
patients, especially the seriously ill • Minimize the impact of the epidemic
on health systems, social services, and 10 economic activity
PREPAREDNESS We ensured all department increase their level of preparedness, alert and response & RESPONSE to identify, manage, and care for new cases of COVID-19. District Administration prepared to respond to different public Many Parts in the Country have health scenarios, recognizing that there is demonstrated that COVID-19 transmission no one-size- fits-all approach to managing from one person to another can be slowed cases and outbreaks of COVID- 19. We or stopped. These actions have saved lives assess its risk and rapidly implement the and have provided the rest of the district necessary measures at the appropriate with more time to prepare to handle scale to reduce both COVID-19 COVID-19: to ready emergency response transmission and economic, public and systems; to increase capacity to detect social impacts. and care for patients; to ensure hospitals have the space, supplies, and necessary COVID-19 is a new disease that is distinct personnel. Every part of the district from other SARS, MERS, and influenza. urgently take all necessary measures to Although coronavirus and influenza slow further spread and to avoid our infections may present with similar health systems becoming overwhelmed as symptoms, the virus responsible for a result of seriously ill patients with COVID-19 is different with respect to COVID- 19. community spread and severity. There is still much to discover about the disease
and its impact in different contexts.
Latur’s 100 Days of Fight against COVID-19, A Case Study 109
Preparedness, readiness, and response actions will continue to be driven by Control Room Structure rapidly accumulating scientific and public health knowledge.
Collector Latur (Controller) The entire exercise was to support
District Disaster Management Officer communication, community engagement (Principal, DIET, Murud) War Room In charge and responders working with national
Shift-1 (07 am to 3 pm) Shift-2 (3 pm to 8 pm) Shift-3 (8 pm to 7 am) health authorities, and other partners to Duty Offcer - 1 Duty Offcer - 1 Duty Offcer - 1 Duty Officer - 2 Duty Officer - 2 Duty Officer - 2 develop, implement and monitor an Peon Peon Peon effective action plan for communicating effectively with the public, engaging with 24X7 District War Room communities, local partners and other stakeholders to help prepare and protect Divisional Commissioner, Aurangabad individuals, families and the public’s
District Disaster health during early response to COVID-19. Management Officer (Principal, DIET, Murud) War Room In charge
Municipal Corporation, Other Departements All Tahsil, Control Room Control Room Health, Police, ULDs, Operating Procedure of Control Room
(Flow of Information)
edback Health Police ULB/PRI Fe Complaints
Latur’s 100 Days of Fight against COVID-19, A Case Study 110
Steps Taken:
CORONA CONTROL ROOM Corona Control Room established on 24X7 basis (Teaching staff of DIET appointed) COUNSELORS Appointment of Counselors (Counseling of Quarantined & Isolated Patients)
NODAL OFFICERS Appointment of Nodal Officers for smooth coordination
COMMUNICATION Daily Facebook Live for easy communication between administration and citizens PLAN Created a containment Plan for COVID-19 as per the Guidelines
WEBSITE Dedicated COVID-19 page created on District Administration website
PRIVATE HOSPITALS Requisite Services of Private Doctors & Paramedical staff under DM Act, 2005 COORDINATION Coordination with other District and States for issues of Stranded
Based on the guidelines & SOP’s issued by recognizes the serious threat that the on- Government of India and Government of going COVID-19 global outbreak poses on Maharashtra, Latur District Administration the district. made few changes based on the local conditions without violating the main The plan has been developed to establish essence of the guidelines. operational procedures for preparedness and response to COVID-19 based on risks The Latur District Administration, in identified by the World Health fulfilling its primary role of protecting the Organization (WHO), Government of lives of its vulnerable citizens during India, Government of Maharashtra and disasters and reducing their exposure to other emerging context-based criteria. risk through preparedness, led the development of a District Coronavirus This multi-sectoral plan aims to ensure prevention of rapid spread of COVID-19 Disease (COVID-19) Preparedness and into the district. Response Plan. District Administration
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Latur’s 100 Days of Fight against COVID-19, A Case Study 112
All orders issued by District Administration Helpline for immediate help with food are available on district official website delivery in lockdown: www.latur.gov.in https://cdn.s3waas.gov.in/s317e62166fc8586 dfa4d1bc0e1742c08b/uploads/2020/03/2020 Important Links & Helplines specially 033094.pdf focused on dealing with COVID-19:
COVID-19 Emergency Helpline: https://cdn.s3waas.gov.in/s317e62166fc8586 dfa4d1bc0e1742c08b/uploads/2020/03/2020 033064.pdf
Appealing NGO’s to support in Pandemic: https://cdn.s3waas.gov.in/s317e62166fc8586 dfa4d1bc0e1742c08b/uploads/2020/03/2020 033094.pdf
Emergency Contact details of Health officials: https://cdn.s3waas.gov.in/s317e62166fc8586 dfa4d1bc0e1742c08b/uploads/2020/03/2020 033090.pdf
Latur’s 100 Days of Fight against COVID-19, A Case Study 113
Points of Action for Containment perimeter iv. Enforceability of Zone perimeter control Activities to i. Active search for IDSP/Hea Points Description Concern be cases through lth ed undertaken in physical house to Agency the house surveillance Institutional The Concerned SDM/ Containment by Special Teams mechanisms SDM will activate Tahsildar zone formed for the and Inter- regional Crisis purpose ii. Testing Sectoral Co- Management of all cases as per ordination Committee sampling Trigger for The trigger could IDSP/Hea guidelines iii. Action be IDSP identifying lth Contact tracing iv. a cluster of Identification of Influenza like local community Illness (ILI) or volunteers to help Severe Acute in surveillance, Respiratory contact tracing syndrome (SARI), and risk which may or may communication v. not have Extensive inter- epidemiological personal and linkage to a travel community based related case communication vi. Deployment District RRT teams IDSP/Hea Strict of Rapid to undertake lth enforcement of Response mapping of cases social distancing Teams (RRT) and contacts so as vii. Advocacy on to delineate the hand hygiene, containment and respiratory buffer zones to hygiene, support and environmental advice. The RRT sanitation and will do listing of wearing of masks / cases, contacts face-covers viii. and their Clinical mapping. management of all Identify The containment SDM/ confirmed cases geographically zone will be Tahsildar Regular Admitted Covid19 Health/ -defined defined based on: / Health Screening of positive patients Isolation- Containment Containment admitted should be treated Quaranti zone and Zones are patients as per protocol. ne Buffer zone delineated based The screening of Center on: i. Mapping of patients should be cases and contacts done on regular ii. Geographical basis in specified dispersion of cases time. and contacts iii. Perimeter Once the SDM/ Area having well Containment Zone Tahsildar demarcated is delineated the / Police/
Latur’s 100 Days of Fight against COVID-19, A Case Study 114
perimeter will be IDSP/Hea distancing by: a. defined and there lth Cancelling all mass would be strict gathering events, perimeter control meetings in public with: i. or private places. Establishment of b. Avoiding public clear entry and places c. Closure exit points, ii. No of schools, movement to be colleges and work allowed except for places medical Surveillance The RRTs will list IDSP/Hea emergencies and the contacts of the lth/VRDL essential goods suspect and services, iii. /laboratory No unchecked confirmed case of influx of COVID-19. population to be Mapping of The containment SDM/ allowed and iv. the and buffer zones Tahsildar People transiting containment will be mapped to / and buffer to be recorded identify the health Police/ID zones and followed facilities (both SP through IDSP. government and /Health Buffer zone A Buffer Zone has IDSP/ private) and to be delineated Health health workforce around each available (primary containment zone. healthcare The activities workers, under the Buffer Anganwadi Zone include: i. workers and Enhanced passive doctors in surveillance for ILI PHCs/CHCs/Distric and SARI cases in t hospitals). the buffer zone Active The residential Police/ID through the Surveillance areas will be SP existing Integrated divided into /Health Disease sectors for the ASHAs/Anganwadi Surveillance workers/ANMs Programme. ii. each covering 100 Create community households (50 awareness on households in preventive difficult areas). measures such as The field workers will be performing personal hygiene, active house to hand hygiene and house surveillance respiratory daily in the etiquettes. iii. Use containment zone of face cover, from 8:00 AM to social distancing 2:00 PM. They will through enhanced line list the family members and IEC activities. iv. those having To ensure social
Latur’s 100 Days of Fight against COVID-19, A Case Study 115
symptoms. The Officials to identify field worker will any missed case of provide a mask to COVID-19 in the the suspect case community. ii. and to the care Enhanced passive giver identified by surveillance for ILI the family. All and SARI cases in ILI/SARI cases the buffer zone reported in the through the last 14 days by the existing Integrated IDSP in the Disease containment zone Surveillance will be tracked and Programme. iii. In reviewed to case of any identify any identified case of missed case of ILI/SARI, sample COVID-19 in the should be community. collected and sent Passive All health facilities IDSP/ to the designated Surveillance in the Health laboratories for containment zone testing COVID-19. will be listed as a Perimeter The perimeter Police part of mapping Control control will ensure exercise. All such that there is no facilities both in unchecked Government and outward private sector movement of (including clinics) population from shall report the containment clinically suspect zone except for cases of COVID-19 maintaining on real time basis essential services (including ‘Nil’ (including medical reports) to the emergencies) and IDSP control room government at the district business level. continuity. Contact The contacts of IDSP/Hea Testing The ICMR strategy Health/ Tracing the laboratory lth criteria for testing is given VRDL confirmed case/ below: 1. All suspect case of symptomatic COVID-19 will be individuals who line-listed and have undertaken tracked and kept international under surveillance travel in the last at home for 28 14 days 2. All days (by the symptomatic designated field contacts of worker). laboratory Surveillance The surveillance IDSP/Hea confirmed cases 3. in Buffer zone activities to be lth All symptomatic followed in the health care buffer zone are as workers 4. All follows: i. Review patients with of ILI/SARI cases Severe Acute reported in the Respiratory Illness last 14 days by the (fever AND cough District Health and/or shortness
Latur’s 100 Days of Fight against COVID-19, A Case Study 116
of breath) 5. infection Asymptomatic prevention direct and high- control, use of risk contacts of a PPE and protocol confirmed case that needs to be should be tested followed for once between day disinfection of 5 and day 14 of ambulances (by coming in his/her 1% sodium contact hypochlorite Control room A control room Local solution using in the shall be set up Authority knap sack containment inside the / IDSP sprayers). zone containment zone Infection Nosocomial Health to facilitate Prevention infection in fellow collection, Control patients and collation and Practices attending dissemination of healthcare data from various personnel are well field units to documented in District the current Hosptial Care These are Covid Health COVID-19 Care Centres outbreak as well. (CCC) to keep pre- There shall be symptomatic/ strict adherence very mild/ mild to Infection cases, Dedicated prevention Covid Health control practices Centres (DCHC) in all health for those facilities. requiring Oxygen FINANCING The fund Health therapy and OF requirement Dedicated Covid CONTAINME would be Hospitals for NT estimated taking those requiring OPERATIONS into account the intensive care or inputs in the ventilator micro-plan and management. Pre- funds will be symptomatic and made available to very mild cases the district have an option of collector from being in home NHM flexi-fund. isolation subject to fulfillment of availability of Containment Plan: earmarked space for isolation at https://cdn.s3waas.gov.in/s317e62166fc8586 home. Pre-hospital Ambulances need Health dfa4d1bc0e1742c08b/uploads/2020/04/2020 care to be in place for 040976.pdf (ambulance transportation of facility) suspect/confirme List of Post office AEPS Payment Facility is d cases. Such ambulances shall available: be manned by personnel adequately trained in
Latur’s 100 Days of Fight against COVID-19, A Case Study 117 https://cdn.s3waas.gov.in/s317e62166fc8586 https://cdn.s3waas.gov.in/s317e62166fc8586 dfa4d1bc0e1742c08b/uploads/2020/04/2020 dfa4d1bc0e1742c08b/uploads/2020/03/2020 041944.pdf 033159.pdf
Anti-Corona Force (ACF): Role of Officers: https://cdn.s3waas.gov.in/s317e62166fc8586 https://cdn.s3waas.gov.in/s317e62166fc8586 dfa4d1bc0e1742c08b/uploads/2020/04/2020 dfa4d1bc0e1742c08b/uploads/2020/03/2020 041963.pdf 033159.pdf Detail order of Lockdown and Guidelines on measures to be taken for Containment of Bank Guidelines: Covid-19 in the district: https://cdn.s3waas.gov.in/s317e62166fc8586 https://cdn.s3waas.gov.in/s317e62166fc8586 dfa4d1bc0e1742c08b/uploads/2020/04/2020 dfa4d1bc0e1742c08b/uploads/2020/04/2020 041341.pdf 041974.pdf Home Quarantine Orders: Divisional & District Control Room Contact https://cdn.s3waas.gov.in/s317e62166fc8586 details: dfa4d1bc0e1742c08b/uploads/2020/04/2020 https://cdn.s3waas.gov.in/s317e62166fc8586 040148.pdf dfa4d1bc0e1742c08b/uploads/2020/05/2020 050294.pdf Homeless, Beggars & Psychiatric prevention measures in the district: Orders & Circulars: https://cdn.s3waas.gov.in/s317e62166fc8586 Public Awareness Team: dfa4d1bc0e1742c08b/uploads/2020/04/2020 https://cdn.s3waas.gov.in/s317e62166fc8586 040929.pdf dfa4d1bc0e1742c08b/uploads/2020/03/2020 033159.pdf Action on Spreading Rumors on Corona Virus: https://cdn.s3waas.gov.in/s317e62166fc8586 Responsibility for the Work of the Tulka level dfa4d1bc0e1742c08b/uploads/2020/04/2020 Superintendent: 040990.pdf https://cdn.s3waas.gov.in/s317e62166fc8586 Prevention of Disabilities / Children in the dfa4d1bc0e1742c08b/uploads/2020/03/2020 District: 033159.pdf https://cdn.s3waas.gov.in/s317e62166fc8586 dfa4d1bc0e1742c08b/uploads/2020/04/2020 Rural Water Supply Department: 040966.pdf
Latur’s 100 Days of Fight against COVID-19, A Case Study 118
All Shops / Establishments (Excluding https://cdn.s3waas.gov.in/s317e62166fc8586 Medical shops / Clinics) Open till 5 pm: dfa4d1bc0e1742c08b/uploads/2020/07/2020 https://cdn.s3waas.gov.in/s317e62166fc8586 071395.pdf dfa4d1bc0e1742c08b/uploads/2020/04/2020 0409100.pdf Around 200 Preventive, instructive, guidelines orders from Collector were Acceptance of a Kit Provided by NGO’s: issued for Civid-19 Management. https://cdn.s3waas.gov.in/s317e62166fc8586 dfa4d1bc0e1742c08b/uploads/2020/04/2020 1. Disaster Management Act, 2005
040922.pdf • Initiated Disaster Management Act, 2005 Counselor’s Service acquisition order: • Lockdown imposed under sec. 10 of https://cdn.s3waas.gov.in/s317e62166fc8586 DM Act • Requisitioned Buildings for dfa4d1bc0e1742c08b/uploads/2020/04/2020 quarantine centers (DCH/CCC) under 041341.pdf sec. 33 and 65 of DM act • Requisitioned vehicles/ ambulances Prohibition of taking photos / videos / for lockdown enforcement and for patient’s transportation. filming while distributing food grains, • Services of Private Doctors are meals to the needy people: requisite https://cdn.s3waas.gov.in/s317e62166fc8586 2. Epidemic Prevention Act, 1897 dfa4d1bc0e1742c08b/uploads/2020/04/2020 042769.pdf • Volume 2 (Power to take special measures and prescribe regulations as
to dangerous epidemic disease.) and 3 Regular Market Schedule Notice: (penalty) initiated. https://cdn.s3waas.gov.in/s317e62166fc8586 • The State government has Declared dfa4d1bc0e1742c08b/uploads/2020/05/2020 District Collector as a competent 051483.pdf authority to take such measures for containment of covid-19 in district. Guideline for Screening of stranded persons 3. Maharashtra Covid-19 Measures wish to go to their Native place: Rules, 2020 – https://cdn.s3waas.gov.in/s317e62166fc8586 Came into existence on Dated 16th March, dfa4d1bc0e1742c08b/uploads/2020/05/2020 2020 and it has been enforced from date 051451.pdf of its gazette publication.
Ambulance Management System:
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Latur’s 100 Days of Fight against COVID-19, A Case Study 120
I feel privileged to work under the dynamic leadership of our District Fear, anxiety about the pandemic was collector Shree G. Shrikant as Incident everywhere. Under guidance of CS sir, Commander and myself as District we visited all Rural Hospitals, Govt. Nodal Corona Officer in this emergency Schools , Hostels and prepared the situation. phase 1 infrastructure for catering to We started planning for Three tier the COVID-19 patients . Everybody
COVID care system. Initially I felt a bit wants this epidemic to end. Just by burdened by this seemingly enormous following the norms of physical task. distancing, hand and respiratory hygiene we can achieve this. We toiled day & night without taking a single holiday and soon we started to - Dr. R.G. Bhalerao, Medical Officer achieve the set targets. We established
1 DCH, 1 DCHC and 23 CCC using the available manpower. 80 % Private
Hospital beds are reserved for Corona patients. Non COVID services are also Atmosphere suddenly changed in the taken care of in the district. Still many month of March. It was Lockdown for targets to be achieved. country but we started to work all days
First one to decrease the COVID-19 of the week ! Days were busy collecting mortality and death rate, of course the all the COVID-19 related data, compiling last one is the victory over the pandemic it, updating it to the portal. Hope our for the district. hard work pays and soon the pandemic is over. Sincere thanks to all my subordinates for being there with me and seniors, Sh. Alim Amir Nadaf, DEIC Manager who guided me whenever needed!
-Dr. S.B. Dhage, Civil Surgeon Latur
Latur’s 100 Days of Fight against COVID-19, A Case Study 121
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करD या6या दृG टीकोनातून आपण ५० !यNन शील आहे.
वषाQवरील 0 यRSंचा , दुधQर व गंभीर आजारी
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शासना6 या िविवध िवभागाम\ ये समaव य
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िजWहा पtरषद, लातूर 0 हॉट h पॉट झोन व कंटेa टम&ट झोनमधील बािधत YKणां 6या िनकट
सहवािसयतांचे ि◌फरN या आरोKय
पथकामाफQत िनकटवािसयांचे h वॅब नमुना
तपासणीसाठी घेण
Latur’s 100 Days of Fight against COVID-19, A Case Study 122
आरोKय िवभागात काम करणा-या अिधकारी आशा कायQकत[ ,अंगणवाडी कायQकत[ यां6 या व कमQचारी यांना तांिfक मािहती साठी मा\य मातून ५० वरील वषाQवरील 0 यRSंचे व वेळोवेळी !िश?ण देणे व वेळोवेळी िमळणा- दुधQर आजाराने िपडीत 0 यxत{ चे सव]?ण या मागQदशQक सुचना सवाyना अवगत करणे. कYन, N यांची दैनं_दन थमQल h x ◌ॅRनंग व , पWस
ऑxसी िमटर ारे तपासणी कYन घेणे व जनतेम\ ये या आजारािवषयी असलेले िविवध आवqय कते!माणे संदभQ सेवा देणे. या समज व गैरसमज याबाबत योK य मािहती कायQÄमाचे पयQवे?ण कYन !भावीपणे जनसामाa यपयyत पोहचिवD यासाठी !िस\दी अंमलबजावणीसाठी !यN नशील आहोत. मा\य मांचा !भावीपणे वापर करणे.
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करणेसाठी पाठपुरावा करणे. गावपातळीवरील कोरोना द?ता सिमती व
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कोरोना पॉिझtट0 ह YKण िनघाWया नंतर N या
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सातNय राहDया साठी पाठपुरावा करणे. संदभQ सेवा देणे. तसेच कॉa टॅxट ÇेRसंग6 या मा\य मातून Çािa स मशन च&ज खंिडत
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Latur’s 100 Days of Fight against COVID-19, A Case Study 123
Latur’s 100 Days of Fight against COVID-19, A Case Study 124
5
PART PART
CONCLUSION
Latur’s 100 Days of Fight against COVID-19, A Case Study 125
Latur’s 100 Days of Fight against COVID-19, A Case Study 126
11
MEDIA
Almost all the initiatives and actions taking by the Latur District Administration were widely covered by the leading print and social media.
Latur’s 100 Days of Fight against COVID-19, A Case Study 127
Latur’s 100 Days of Fight against COVID-19, A Case Study 128
Latur’s 100 Days of Fight against COVID-19, A Case Study 129
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e-Paper , शिनवार, ऑगस 1, 2020
e-Paper , शिनवार, ऑगस 1, 2020
िववाह सोहळातही अवतरला अँटी कोरोना पोिलस शुकवार, 29 मे 2020
एसपीने िववाह समारंभात सहभागी वधु वरांसह वराडी मंडळीचा संसगारपासून बचाव करत तांना सुरिकततेचा संदेश िदला. िववाह समारंभातील एसीपीची भूिमका सवारनाच भावली.
e-Paper , शिनवार, ऑगस 1, 2020 िववाह सोहळातही अवतरला अँटी कोरोना पोिलस शुकवार, 29 मे 2020
एसपीने िववाह समारंभात सहभागी वधु वरांसह वराडी मंडळीचा संसगारपासून बचाव करत तांना सुरिकततेचा संदेश िदला. िववाह समारंभातील एसीपीची भूिमका सवारनाच भावली.
उजनी (िज.लातूर) : कोरोनाला घराबाहेर ठेऊन कु टुंबांतील सवर सदसांची काळजी वाहणारा िजलािधकारी जी. शीकांत यांनी सुर केलेला अँटी कोरोना पोिलसाचा उपकम आता घरातून सावरजिनक कायरकमात आला आहे. रिववारी िववाह(ता. २४) येथेसोहळातही झालेला छोटेखानी अवतरला िववाह समारंभात अँटी कोरोना अँटी कोरोना पोिलस पोिलस (एसीपी) अवतरला. या एसपीने िववाह समारंभात सहभागी वधु वरांसह वराडी मंडळीचा संसगारपासून बचाव करत तांना सुरिकततेचा संदेश िदला. िववाह शुकवार, 29 मे 2020 समारंभातील एसीपीची भूिमका सवारनाच भावली. एसपीने िववाह समारंभात सहभागी वधु वरांसह वराडी मंडळीचा संसगारपासून बचाव करत तांना सुरिकततेचा संदेश िदला. िववाह समारंभातील एसीपीची भूिमका सवारनाच भावली.
उजनी (िज.लातूर) : कोरोनाला घराबाहेर ठेऊन कु टुंबांतील सवर सदसांची काळजी वाहणारा िजलािधकारी जी. शीकांत यांनी सुर केलेला अँटी कोरोना पोिलसाचा उपकम आता घरातून सावरजिनक कायरकमात आला आहे. रिववारी (ता. २४) येथे झालेला छोटेखानी िववाह समारंभात अँटी कोरोना पोिलस (एसीपी) अवतरला. या एसपीने िववाह समारंभात सहभागी वधु वरांसह वराडी मंडळीचा संसगारपासून बचाव करत तांना सुरिकततेचा संदेश िदला. िववाह समारंभातील एसीपीची भूिमका सवारनाच भावली. िजलािधकारी शीकांत यांनी कोरोनाचा घरामधे िशरकाव होऊ नये मणून अँटी कोरोना पोिलस उपकम सुर केला आहे. या उपकमात घरातील लहान मुल िकं वा जबाबदार वकीची एसीपी मणून िनयुकी केली जाते. हा एसीपी घरातील सवर सदसांची काळजी घेतो. घरातील वकी िवनाकारण बाहेर जाणार नाही, गेला तरी जाताना ताने तोडाला मास बांधला बांधेल. बाहेरन घरी आलानंतर वकीकडून सॅिनटायजरने हात तसेच अन वसूचे िनजरतुकीरण करन केले जाईल, याची काळजी एसीपी घेतो.
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यासोबत घरातील जेष तसेच आजारी वकीचीही काळजी करेल. वकीने औषधी घेतला आहेत का, तांना काही तास आहे, याचीही तो काळजी करेल. या उपकमामुळे अनेक कु टुंबांत कोरोनािवषयी पभावी जागृती झाली. अनेक कु टुंबांतील एसीपीमुळे कोरोना तांचा घराचा बाहेरच थांबला. या उपकमाचे अनुकरण माजीमंती सुिनल तटकरे, नािशकचेउजनी (िज पोिलस.लातूर आयुक) : कोरोनाला िवशास घराबाहेर नांगरे पाटील ठेऊन, कनांदेडचेु टुंबांतील िजलािधकारी सवर सदसांची डॉ. काळजीिविपन ईटनकर वाहणारा यांचासह िजलािधकारी अनेक जी. मानवरांनीशीकांत यांनी केले सुर. उपकमाचे केलेला अँटी मुखमंती कोरोना उदव पोिलसाचा ठाकरे यांनी उपकम दोनवेळा आता कौतुकघरातून केलेसावरजिनक. कायरकमात आला आहे. रिववारी (ता. २४) येथे झालेला छोटेखानी िववाह समारंभात अँटी कोरोना पोिलस (एसीपी) अवतरला. या एसपीने िववाह िजलािधकारी शीकांत यांनी कोरोनाचा घरामधे िशरकाव होऊ नये मणून अँटी कोरोना पोिलस उपकम सुर केला आहे. मात, राजभर गाजलेला हा उपकम घरापुरता मयारिदत न ठेवता येथील ढवण पिरवाराने तो सावरजिनक कायरकमातही. समारंभात सहभागी वधु वरांसह वराडी मंडळीचा संसगारपासून बचाव करत तांना सुरिकततेचा संदेश. िदला िववाह या उपकमात .घरातील लहान मुल िकं वा जबाबदार वकीची एसीपी मणून िनयुकी ( . केली जाते) हा एसीपी घरातील समारंभातीलआणला आहे एसीपीचीयेथील िशवाजी भूिमका ढवणसवारनाचयांचा भावलीमुलगा. संभाजी याचा िववाह आंदोरा ता औसा येथील सुरेश मुळे यांची सवर सदसांची काळजी घेतो. घरातील वकी िवनाकारण बाहेर जाणार नाही, गेला तरी जाताना ताने तोडाला मास कना सेहल िहचाशी रिववारी कोरोनाचा सुरका उपाययोजनांना पाधान देऊन उताहात झाला. घरी झालेला या बांधला बांधेल. बाहेरन घरी आलानंतर वकीकडून सॅिनटायजरने हात तसेच अन वसूचे िनजरतुकीरण करन केले िववाह समारंभात कोरोनाचा संसगर होऊ नये, याची काळजी घेणासाठी सतंत अँटी कोरोना पोलीसाची िनयुकी जाईल, याची काळजी एसीपी घेतो. करणात आली होती.
हेही वाचा - तरणाईसाठी आदशर : मराठवाडातील या भिगनीचे नोएडात कौतुक, कारण... हे देखील वाचलेच पािहजे - मुदतीपूवीच उदगीरातील पोिलस िनरीककांचा तडकाफडकी बदला यासोबत घरातील जेष तसेच आजारी वकीचीही काळजी करेल. वकीने औषधी घेतला आहेत का, तांना काही सुरज ढवण यांनी ही जबाबदारी पार पाडत िववाह समारंभात सॅिनटायजरने सवारना िनजरतुकरीणाची उपाययोजना सांगत तास आहे, याचीही तो काळजी करेल. या उपकमामुळे अनेक कु टुंबांत कोरोनािवषयी पभावी जागृती झाली. अनेक ती करन घेतली. सहभागी वराडीना मास बांधणाचे बंधन घातले. बाहेरन येणारा व जाणारांवर िवशेष लक ठेऊन कु टुंबांतील एसीपीमुळे कोरोना तांचा घराचा बाहेरच थांबला. या उपकमाचे अनुकरण माजीमंती सुिनल तटकरे, तांचेही वेळोवेळी िनजरतुकीकरण केले. िववाह समारंभ संपेपयरत तांचे काम सुरच होते. कोणीही सुरका उपायांचे नािशकचे पोिलस आयुक िवशास नांगरे पाटील, नांदेडचे िजलािधकारी डॉ. िविपन ईटनकर यांचासह अनेक उलंघन करणार नाही, याबाबत ते जागरक रािहले. यामुळेच अॅटी कोरोना पोिलसाचा उपिसतीत पार पडलेला येथील मानवरांनी केले. उपकमाचे मुखमंती उदव ठाकरे यांनी दोनवेळा कौतुक केले. पिहला िववाह सोहळा सवारचाच सरणात रािहला. उपिसतांना हा उपकम खूपच भावला. तांनी ढवण पिरवाराचे
मातकौतुक, राजभरकेले आिण गाजलेलाआपला हा उपकमकु टुंबांसोबत घरापुरतासावरजिनक मयारिदत तसेचन ठेवताकौट येथीलुंिबक कायरकमातहीढवण पिरवारानेहा तोउपकम सावरजिनकराबवणाचा कायरकमातहीिनधारर . आणलाकेला आहे. येथील िशवाजी ढवण यांचा मुलगा संभाजी याचा िववाह आंदोरा (ता. औसा) येथील सुरेश मुळे यांची . िजलािधकारीकना सेहल िहचाशी शीकांत रिववारीयांनी कोरोनाचाकोरोनाचा घरामधेसुरका िशरकावउपाययोजनांना होऊ नयेपाधान मणून अँटीदेऊन कोरोनाउताहात पोिलसझाला उपकमघरी झालेलासुर केला याआहे. , यािववाह उपकमातसमारंभात घरातीलकोरोनाचा लहानसंसगर मुल िकहोऊं वा नयेजबाबदारयाची काळजीवकीचीघेणासाठी एसीपी मणूनसतंत िनयुकीअँटी कोरोना केली जातेपोलीसाची. हा एसीपीिनयुकी घरातील संबंिधत बातमा . सवरकरणात सदसांचीआली काळजीहोती घेतो. घरातील वकी िवनाकारण बाहेर जाणार नाही, गेला तरी जाताना ताने तोडाला मास बांधला बांधेल. बाहेरन घरी आलानंतर वकीकडून सॅिनटायजरने हात तसेच अन वसूचे िनजरतुकीरण करन केले हे देखील वाचलेच पािहजे - मुदतीपूवीच उदगीरातील पोिलस िनरीककांचा तडकाफडकी बदला जाईल, याची काळजी एसीपी घेतो. सुरज ढवण यांनी ही जबाबदारी पार पाडत िववाह समारंभात सॅिनटायजरने सवारना िनजरतुकरीणाची उपाययोजना सांगत हेही वाचा - तरणाईसाठी आदशर : मराठवाडातील या भिगनीचे नोएडात कौतुक, कारण... ती करन घेतली. सहभागी वराडीना मास बांधणाचे बंधन घातले. बाहेरन येणारा व जाणारांवर िवशेष लक ठेऊन . . यासोबततांचेही वेळोवेळी घरातील िनजरतुकीकरणजेष तसेच आजारीकेले वकीचीहीिववाह समारंभ काळजीसंपेपयरत करेलतांचे. वकीनेकाम सुरच औषधीहोते घेतलाकोणीही आहेतसुरका का,उपायांचे तांना काही , . तासउलंघन आहेकरणार, याचीहीनाही तो काळजीयाबाबत करेलते जागरक. या उपकमामुळेरािहले यामुळेच अनेक कअॅटीु टुंबांतकोरोना कोरोनािवषयीपोिलसाचा पभावीउपिसतीत जागृती झालीपार पडलेला. अनेकयेथील . . कपिहलाु टुंबांतीलिववाह एसीपीमुळेसोहळा सवारचाचकोरोना तांचासरणात घराचारािहला बाहेरचउपिसतांना थांबला. याहा उपकमउपकमाचेखूपच अनुकरणभावला माजीमंतीतांनी ढवण सुिनलपिरवाराचे तटकरे,
नािशकचेकौतुक केले पोिलसआिण आयुकआपला िवशासकु टुंबांसोबत नांगरे पाटीलसावरजिनक, नांदेडचेतसेच िजलािधकारीकौटुंिबक कायरकमातही डॉ. िविपन ईटनकरहा उपकम यांचासहराबवणाचा अनेकिनधारर . मानवरांनीकेला केले. उपकमाचे मुखमंती उदव ठाकरे यांनी दोनवेळा कौतुक केले.
मात, राजभर गाजलेला हा उपकम घरापुरता मयारिदत न ठेवता येथीलLatur’s ढवण पिरवाराने 100 तो सावरजिनक Days कायरकमातही of Fight against COVID-19, A Case Study संबंिधतआणला आहे बातमा. येथील िशवाजी ढवण यांचा मुलगा संभाजी याचा िववाह आंदोरा (ता. औसा) येथील सुरेश मुळे यांची कना सेहल िहचाशी रिववारी कोरोनाचा सुरका उपाययोजनांना पाधान देऊन उताहात झाला. घरी झालेला या 138 िववाह समारंभात कोरोनाचा संसगर होऊ नये, याची काळजी घेणासाठी सतंत अँटी कोरोना पोलीसाची िनयुकी करणात आली होती.
हे देखील वाचलेच पािहजे - मुदतीपूवीच उदगीरातील पोिलस िनरीककांचा तडकाफडकी बदला आयटीआय पवेश पिकया ◌ः मराठवाडात यंदा १९ हजार २४४ जागा... अनुतीणर िवदाथारनाही िमळणार संधी
औरंगाबादसुरज ढवण ◌ःयांनी कोरोनामुळेही जबाबदारी यंदा आटीआयपार पाडत पवेशाचीिववाह समारंभात पिकया सॅिनटायजरनेकेदीय पदतीनेसवारना ऑनलाईनिनजरतुकरीणाची करणात येतउपाययोजना आहे. यंदा सांगत . . औरंगाबादती करन घेतली िवभागातूनसहभागी १३२वराडीना संस�...मास बांधणाचे बंधन घातले बाहेरन येणारा व जाणारांवर िवशेष लक ठेऊन तांचेही वेळोवेळी िनजरतुकीकरण केले. िववाह समारंभ संपेपयरत तांचे काम सुरच होते. कोणीही सुरका उपायांचे उलंघन करणार नाही, याबाबत ते जागरक रािहले. यामुळेच अॅटी कोरोना पोिलसाचा उपिसतीत पार पडलेला येथील पिहला िववाह सोहळा सवारचाच सरणात रािहला. उपिसतांना हा उपकम खूपच भावला. तांनी ढवण पिरवाराचे कौतुक केले आिण आपला कु टुंबांसोबत सावरजिनक तसेच कौटुंिबक कायरकमातही हा उपकम राबवणाचा िनधारर केला.
संबंिधत बातमा
आयटीआय पवेश पिकया ◌ः मराठवाडात यंदा १९ हजार २४४ जागा... अनुतीणर िवदाथारनाही िमळणार संधी औरंगाबाद ◌ः कोरोनामुळे यंदा आटीआय पवेशाची पिकया केदीय पदतीने ऑनलाईन करणात येत आहे. यंदा औरंगाबाद िवभागातून १३२ संस�...
'सकाळ' िवषयी.. आयटीआय पवेश पिकया ◌ः मराठवाडात यंदा १९ हजार २४४ जागा... अनुतीणर िवदाथारनाही िमळणार संधी औरंगाबादबातमा ◌ः कोरोनामुळे यंदा आटीआय पवेशाची पिकया केदीय पदतीने ऑनलाईन करणात येत आहे. यंदा औरंगाबाद िवभागातून १३२ संस�... सकाळ माधम समूह आिण उपकम
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'सकाळ' िवषयी..
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Latur’s 100 Days of Fight against COVID-19, A Case Study 139
Latur’s 100 Days of Fight against COVID-19, A Case Study 140
Latur’s 100 Days of Fight against COVID-19, A Case Study 141
Latur’s 100 Days of Fight against COVID-19, A Case Study 142
Latur’s 100 Days of Fight against COVID-19, A Case Study 143
Latur’s 100 Days of Fight against COVID-19, A Case Study 144
Latur’s 100 Days of Fight against COVID-19, A Case Study 145
Latur’s 100 Days of Fight against COVID-19, A Case Study 146
We have done comparison with the nearby districts and not all the districts of
the state. But just to understand where Latur District stands an overview of Maharashtra Map is shown.
12
COMPARISON
COVID-19 Pandemic in Maharashtra, The comparison is just to understand Maps of districts with confirmed cases. where we stand and the effects of the District Map of deaths due to the COVID- actions and initiatives taken by the 19 in the state of Maharashtra. District Administration.
Comparison 8000
7000
6000
5000
Persons 4000
3000
2000
1000
0 Aurangabad Solapur Latur Nanded Osmanabad Beed Parbani Total Cases 7413 3539 552 502 329 185 177 Total Deaths 314 361 28 19 14 4 4 Recovered 3408 1907 277 246 203 101 96 Active Cases 3691 1302 247 237 112 80 68
Latur’s 100 Days of Fight against COVID-19, A Case Study 147
Total Cases 8000
6000
4000
2000
0 Aurangabad Solapur Latur Nanded Osmanabad Beed Parbani Total Cases 7413 3539 552 502 329 185 177
Deaths 400 350 300 250 200
Persons 150 100 50 0 Aurangabad Solapur Latur Nanded Osmanabad Beed Parbani Deaths 314 361 28 19 14 4 4
Recovered 4000
3000
2000 Persons 1000
0 Aurangabad Solapur Latur Nanded Osmanabad Beed Parbani Recovered 3408 1907 277 246 203 101 96
Active Cases 4000 3500 3000 2500 2000 1500 Persons 1000 500 0 Aurangabad Solapur Latur Nanded Osmanabad Beed Parbani Active Cases 3691 1302 247 237 112 80 68
Latur’s 100 Days of Fight against COVID-19, A Case Study 148
Recovered in Percentage 70.0%
60.0%
50.0%
40.0%
30.0% Percentage
20.0%
10.0%
0.0% Aurangaba Osmanaba Solapur Latur Nanded Beed Parbani d d Recovered in Percentage 46.0% 53.9% 50.2% 49.0% 61.7% 54.6% 54.2%
Deaths in Percentage 12.0%
10.0%
8.0%
6.0% Percentage 4.0%
2.0%
0.0% Aurangaba Osmanaba Solapur Latur Nanded Beed Parbani d d Deaths in Percentage 4.2% 10.2% 5.1% 3.8% 4.3% 2.2% 2.3%
Latur’s 100 Days of Fight against COVID-19, A Case Study 149
Latur’s 100 Days of Fight against COVID-19, A Case Study 150
03 बंकटलाल राजगोपाल मुंदडा (कोरोनाने मतृ पावलेH या
9य िKतL या कु टूंबातील सदO य)
मी आिण मा#या कु टूंबातील विडल तसेच आई, भाऊ कोरोना पॉिझिटS ह होतो. लातूरU या िसिSहल हॉ=पी टल मP ये आमU यावर उपचार झाले. दुदैवान े उपचारादरC यान मा#या वडीलांचा मृF यू झाला पण डॉMट रांनी F यांना वाचिव_ यासाठी आटोकाट XयFन के ल े होते. िजTहा िधकारी साहेबांनी आमU याकडे व 13 आC हाला िमळणा-या सुिवधांकड े भरपूर लa िदले.
िवनंती आहे कb, लोकांनी जागVक होऊन कु टूंबाची काळजी c यावी.
TESTIMONIES
04 शेख युसूफ नरू मोहQ मद
01 (उदगीर, ,वलगीकरण कT) कु लभषू ण महा,वर क/डेकर मी व मा#या कु टूंबातील इतर सद= य करोना पॉिझिटSह (पॉ5झ7ट9ह :; ण) VWणा Uया संपकाRत आT यामुळे उदगीरमP ये तdडारपाटी मा#या कु टूंबातील मी आिण माझा मुलगा असे दोघेजण येथे वेगळे ठेव_या त आले होते. आC हाला कोिवड कोराना<=त होतो. कोिवड सBटरवर आCहा ला सुिवधा सBटरमP ये खूप चांगT या सुिवधा िदTया . आयुG यभर
उF तम होF या. जेवण,नाG टा आिण दररोज काढा आC ही िजTहा िधकारी साहेबांचे ऋणी आहेत. िनयिमतपणे िमळत होता तसेच डॉMट र आिण इतर
= टाफने सुP दा आC हाला खप सहकायR के ल. े
05
संजय O वामी 02 (अलगीकरण समपू देशक) ह:ण शेख मा.िजTहा िधकारी साहेबांनी सुV केलेT या (पॉ5झ7ट9ह :; ण) समूपदेशनाचा हा उपgम अितशय पhरणामकारी आिण
करोना पॉिझािटS ह आT यानतं र मला लातूरU या सरकारी Xभावी ठरंत आहे. कोिवड पॉिझिटS ह असणा-या VWणा लयात उपचार सुV होते. दरCया नU या काळात . VW णांमP ये मनोबल आिण आF मिवiवा स वाढत आहे , . आC हाला डॉMट र = टाफने सहकाायR के ल े कलेMट र Fया मुळे करोनामुM त होऊन VWण चांगल े होत आहेत. साहेब, डॉMट र यानी आC हाला खप XोFसा हन िदले. ं ू समूपदेशन Xिgयेमुळे VW णांना कोिवड सBटरमP ये जेवणसुP दा खपू चागं ले होते. िजTहा Xशासनाचे िमळणा-या सुिवधा याबjल सुP दा मािहती िमळंत . आभार मानावे तेवढे कमीच आहेत आहे.
Latur’s 100 Days of Fight against COVID-19, A Case Study 151
06 09 Vी. अXमत भारतराव पांडे Vी. महेश चंZकांत बनसोडे, अँट\ मी कोरोना पॉिझिटS ह आहे असं कळाTया वंर मला कोरोना फोस], लामजना ता. औसा सुVवातीला थोडा धM का बसला नंतर मला लातूरU या . शासकbय VWणा लयात अॅडिमट के ल े हॉ= पीटलमPये असताना लातूर िजTहाचे लाडके िजTहािधकारी जी. lीकांत सर . आC हाला सुिवधा उFत म िमळाTया िजTहा िधकारी यांUया संकTपेतून आCहाला अँटी कोरोना फोसRमPये . . मा जी lीकांत XFय a वाडRमP ये येऊन आमची चौकशी समाजकायR कर_याची संधी िमळाली. कोरोना महामारीचा के ल ी . आC हाला आधार िदला दररोज होणा-या काळात कायR असताना ला◌ॅकडाऊनUया काळात बाहेरील समूपदेशनामुळे मानिसक बळ िमळाले आलेले वाहन, Sयpb यांची गावUया बाहेर पिहली भेट ही अँटी कोरोना फोसRमधील =वयंसेवकांची Sहायची. ती Sयpb ही पा◌ॅझीिटSह आहे कb िनगेिटSह याची मािहत Fयावेळी नसायची. Fयानंतर आCही <ामपंचायत येथील <ामसेवक, िलपीक िकं वा Xाथिमक आरोWय कB q ा त ी ल डा◌ॅMटरसाहेब 07 यांना याबjल मािहती देत होतो. सवाsUया सहकायाRमुळे !ीमती महादेवी *भुअ. पा िचH लरगे (68) ् लामजना गाव आCही 115 िदवस कोरोनामुp ठेव ू शकलो. (उदगीर) या संकटसमयी िजTहा Xशासन व पोलीस Xशासन यांचेसाठी , . मी उदगीरची राहणारी आहे. मी आिण माझा मोठा कायR कर_याची संधी िमळाली मा िजTहािधकारी साहेब व , मुलगा दोघांनापण करोना झाला होता. आC ही <ामपंचायत कायाRलय लामजना यांनी िदलेला संधीचे आCही . लातूरU या शासकbय VWणा लयात उपचार घेतले. मला सवR =वयंसवे क यांनी सोने के Tयाचं समाधान वाटतं धtयवाद शुगर आिण िकडणीचा सुP दा खूप uास होता पण डॉMट र आिण िजTहा Xशासनाने आमची काळजी घेतली. आCही दोघेजण सP या आनंदी आहोत. सवाsचे मनापासून खपू आभार.
10 !ीमती महानंदा िशवराज कनाडे (60) 08 डॉ.बाजीराव जाधव (उदगीर)
मी आिण माझा मुलगा करोना झाT यानंतर उदगीरUया शासकbय VWणा लयात उपचार घेतले. सुVवातीला वय संपकाRत आT यामुळे मी कोरोना पॉिझिटS ह आलो होतो जा= त असTया मुळे मला खूप uास झाला पण नतं र मी = वत: डॉMट र आहे मी शासकbय VWणा लयातच डॉMट रांनी चांगल े उपचार कVन आC हाला दुV= त के ल े . उपचार घेतले. िजTहा Xशासनाने डॉMट रांनी आमची जेवण, नाG टा चांगला िमळत होता. कलेMट र खूप काळजी घेतली. मा.िजTहा िधकारी जी.lीकांत ऑफbसमधून सुP दा आमची दररोज चौकशी होत होती. साहेबांनी XFय a वाडRमP ये येऊन आC हाला िमळणा- Fया मुळे मानिसक आधार िमळाला. सवाsचे आभार. या सुिवधांची पाहाणी के ल ी . डॉMट र, = टाफ आिण िजTहा Xशासनाचे मनापासून आभार.
Latur’s 100 Days of Fight against COVID-19, A Case Study 152
11 अॅड. अिमत िवर>? रेड्डी (अहमदपरू ) 15 !ी.मोहन मेडाबलमेवार, सुिनल पाटील, िवनोद मी करोना झाT यानतर अहमदपरU या कोिवड सBटरला उपचार ं ू सावंत, रामानुज िH वेदी, सIय> ? कु मार, पराग भुरे घेतले. डॉMट र, नसR यांनी खपू चांगली Sय व=था कVन उपचार (सव] CRPF चे जवान, लातरू ) के ल े . जेवणाची Sय व=था चांगली होती. काऊtसे िलंगमुळे मनोबल वाढ_या स खूप मदत झाली. िजTहा िधकारी साहेबांचे आC ही सवRजण लातूर येथील 12 नंबर पाटी येथील कोिवड
मनापासून आभार. के अ र सBटरला उपचार घेतले या कोिवड के अ र सBटर मधील औषधोपचार, सुिवधा खपू चांगT या होF या. आC हाला
आमU या CRPF Uया zेिनंग कॅ पं मP य े असTया सारखे वाटले. 12 योगा, Xाणायाम, डाtस , असे अनेक उपgम राबिवTया मुळे
मा. अिभमA यजीू पवार (औसा आमदार) शाhरhरक तंदुV= ती िटकू न रािहली. कलेM टर ऑफbसहwन संजय , . मला करोना झाT यानंतर मी मा#या मुलासह िवलासराव = वामी िदपक सगर यांचे काऊtसे िलंग कॉल येत हाते Fया मुळे देशमुख शासकbय VWणा लयात उपचार घेतले. कोिवडचा मनोबल वाढले. कलेM टर lी.जी.lीकांत साहेबानं ी आC हाला . XादूभाRव रोख_या साठी डॉMट र, नसR, तसेच िजTहा िधकारी XFय a भेटून त{ येतीची िवचारपूस के ल ी आC ही साहेबांचे खपू महोदय अिवरत XयFन करत असTया चे िदसले. VWणा लया खूप आभारी आहोत. जय िहंद असतांना बहतw ांश सोयी सुिवधा चांगT या होF या. काही उणीवा िदसTया Fया िनदशRनास आणनू िदTया . सवाsचे मनपूवRक आभार.
13 16 !ी.संजय िहबारे (पोXलस cनdरTक) जफरउM लाखान मोहO मद (वय 57 वषQ) कतRS य बजावंत असताना नकळत मला करोनाची लागण कनQल (आंS*देश) . झाली मनात कु ठलीच िभती न बाळगता मी लातूरU या भारतात कोरोना रोगाची लागण सुV झाT यानंतर लातूरमP ये . शासकbय VWणा लयात उपचारासाठी दाखल झालो सवR सवRXथम आC ही पोहोचलो. आमU या गावी जा_ यासाठी , , . डॉMट सR कमRचारी यांनी मा#यावर खपू चांगले उपचार के ल े मा#यासोबत इतर सातजण होते. Xवासात सगळीकडे आमची िजTहा िधकारी महोदयांनी वेळोवेळी भेटी सवR VW णांUया सवाsची खूप कु चंबणा, अवहेलना झाली. पण लातूरचे Xकृ तीची िवचारपूस के ल ी . आज मी पूणपR ण े दुV=त होऊन िजTहा िधकारी lी.जी lीकांत साहेबानं ी आC हाला खूप मोठा कतRS य बजावत आहे. मानिसक आधार िदला. आC हाला पाठबंळ िदले आमU या सवR 8 जाणांU या कोिवड टे=ट घेतT या आCहा ला कोरोनाची लागण झाT यानंतर कलेM टर साहेब, तेथील डॉMट सR, नसR सवाsनी आमची खूप काळजी घेतली त{ बल जवळपास दोन महीने 14 आवटे िवलास सोपान (12 नंबर पाटी, आमU यावंर उपचार कVन सुखVप घरी पाठिवले. दरCया नU या कोिवड स>टर लातर) ू काळात तेथील आहार,राहणे व वै|कbय सुिवधा खपू उFत म - या कोिवड सBटरमP ये पॉिझिटS ह असणा या VW णांना िजTहा होF या. आमU या सवाsतफ} िजTहा िधकारी जी.lीकांत साहेब Xशासनातफ} आिण आरोW य िवभागातफ} सुिवधा उFत म पुरिवT या यांना िदघR आयुG य िमळो. जातात. जेवण, नाG टा वेळेवर आिण पौि~क असतो. योगा, Xाणायाम या सारखे उपgम राबिवले जातात. मा.िजTहा िधकारी महोदय, वेळोवेळी भेट देऊन VW णांचे मनोबल वाढिवतात.
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Latur’s 100 Days of Fight against COVID-19, A Case Study 154
him to go for UPSC Civil Services Examination.
He appeared for the UPSC Civil Services and subsequently cleared in 2009 with an All India Rank of 97. He got IAS and Maharashtra Cadre.
His first posting was at Kinwat in Nanded district as an Sub Divisional Magistrate, Municipal Commissioner of Nanded Waghala City Municipal Corporation, Nanded, Chief Executive Officer of Zilla MENTOR Parishad Satara, District Collector of Akola
and at present he is posted as Collector G Sreekanth an IAS officer belongs to 2009 and District Magistrate Latur. batch, born and brought up in Jawalgera He is doing commendable work at Latur in village in Raichur district of Karnataka. His the field of Water Conservation, Health & parents, Narsappa & Jayalaxmi are from Sanitation, Sports, Administrative farming community. Strengthening and lot more. An initiative G Sreekanth during his 10th class schooling appreciated not only in the city of Latur he was selected for the vocational course but across India not to immerse Ganesh in Indian Railways and subsequently he Idol because of acute water shortage. He was appointed as Ticket Collector with has been a recipient of several awards Indian Railways. throughout his illustrious career, including, but not limited to, He was While working as a TC, he completed his awarded best Collector by Government of graduation in B. Com through Distance Maharashtra in 2015-16, he was awarded Education program of the Osmania as Mahrashtrian of the year of 2017 by University, Hyderabad. He was considered Lokmat Media Group in governance a brilliant guy among Railway employees category and was selected based on the fraternity and everyone was motivating maximum votes received from the
Latur’s 100 Days of Fight against COVID-19, A Case Study 155 citizens. He also got National Water award in 2018 from Government of India, Ministry of Water Resources, River for best work in water conservation.
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availability of for managing the difficult times.
Sagar Shah has expertise in Analyzing issues, Decision Making, Project Management, Strategic Planning, & creative documentation for effective communication for bringing in
accountability and transparency in the system.
Main and focused activity being Management Strategies with cross- functional expertise in promoting and implementing innovative concepts and A U T H O R O H T U A technologies in the sector of Water, Wastewater & Sanitation. Sagar Shah associated with Latur District
Administration as a Consultant is a Consistent record of achieving great passionate Strategist with an innovative results, forging strong relationships with outlook, blessed with a deep colleagues and associates. Readily understanding of the complexities of the establish a positive rapport with team challenging situations in Indian and members and work collaboratively to worldwide. Leveraging 26+ years of rich achieve instructional goals. experience to make things better. He wholeheartedly believe that things can be Having done Business Management from turned around by looking at the situation LifeSchool, he is India’s first Certified from positive result point of view, putting ProfitFirst Professional from the PF systems & processes in place, improving University, New Jersey USA for Financial efficiency and strengthening the entire Management. He has been associated process of Planning, Documentation and with some leading organizations in India Management. He strongly advocate the and abroad, introduced new and standpoint that innovative technologies, innovative solutions and received awards when applied appropriately, would greatly for his contribution in the respective improve availability of solutions, for fields. delivering better results. Consequently, it will lead to increasing the resources
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Latur’s 100 Days of Fight against COVID-19, A Case Study 159
The COVID-19 spread so rapidly that it has changed the rhythm of the globe. Whether from the perspective of a single country or multilateral levels, the solidity of international relations has been put under test.
The most obvious consequences include economic recession, a crisis of global governance, trade protectionism and increasing isolationist sentiment. People-to-people, cultural and travel exchanges have all been restricted. Nonetheless, this is just a tip of the iceberg.
After we overcome the pandemic, which will surely happen, we must carry out a comprehensive evaluation of our ability to maintain stability when faced with similar challenges in the future. We must also craft measures to cope with these challenges together. But perhaps at the current phase, we can already draw some conclusions.
A pandemic is not new in human history. But what makes the COVID- 19 pandemic special is that it takes place in an unprecedented backdrop when the interconnectivity and interdependence between people, between countries and between continents are so deep. The achievements people have made in technology, intelligence and transportation make them both physically and psychologically globalized.
The consequence is that problems in one country or state or district could become a global problem.
Similarly, if one isolates oneself and relies on others to solve one's own problems, it is simply impossible. The effect of the virus has clearly proved this. The pandemic reminds us that we need to stay humble in the face of disasters. Any country or individual, regardless of their geography, fortunes or political ambitions, is equal. The novel coronavirus crisis rips off all fanciful illusions and superficial things and displays the lasting value of human life.
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