PUNJAB COVID-19 RESPONSE 2021 (May 20)

Department of Governance Reforms and Public Grievances Government of Punjab Prepared by Governance Fellows

Punjab witnessed its ﬁrst wave of COVID-19 in 2020 with a peak in cases and deaths in September 2020. A number of measures were taken to ensure containment, quality treatment and relief to citizens in the State. The cases dropped by January 2021. However, in March 2021 Punjab saw a sudden rise in cases and deaths due to variants, as conﬁrmed by whole genome sequencing. This report is a compilation of efforts taken under the second wave of the COVID-19 pandemic in Punjab (January till date) under containment, quality treatment, vaccination and relief to citizens. Table of Contents

1. COVID-19 Case Load 4. Treatment a. National Comparison a. Infrastructure & Bed Availability b. State Summary b. Ventilator Beds 2. Special Initiatives c. Oxygen Availability a. Covid Fateh Kits d. Treatment Protocols b. Food Ration Kits 5. Vaccination c. Whole Genome Sequencing a. Present Eligibility d. Cova App b. Important Decisions e. 104 Health Helpline c. Vaccination Status f. CSR d. Vaccination Awareness g. Other Relief Measures 6. Notifications Issued 3. Containment a. Restrictions b. Testing c. Corona Mukt Pind d. Awareness

❏ National Comparison 1. COVID-19 CASE LOAD ❏ State Summary 1.1 NATIONAL COMPARISON

State wise Total number (in lakhs) of COVID-19 Cases (1 Jan 2021 onwards)

(in lakhs)

As on 19.05.2021; Source: Media Bulletin, IDSP, Health Dept, www.covid19india.org. 4 1.2 STATE SUMMARY Punjab Active Cases India COVID-19 Status Inc in Testing Recovery Case Fatality Deaths per State Active 10 Apr 2020 – 18 May Rate Rate Million 2021 India 3,135,566 86.7% 1.1% 213 1972.9x Karnataka 558,890 74.8% 1.0% 351 3562.2x Maharashtra 401,695 91.1% 1.5% 684 1053x Kerala 331,864 84.8% 0.3% 190 1429.2x Tamil Nadu 253,576 84.0% 1.1% 246 3282.2x Andhra Pradesh 209,736 85.4% 0.6% 184 2846x Rajasthan 153,126 82.0% 0.8% 92 469.2x Haryana 70,758 89.1% 1.0% 243 3223.4x Delhi 45,047 95.2% 1.6% 1107 1742.3x Punjab 70,499 84.0% 2.4% 418 4184.2x

State COVID-19 Indicators Indicators Status New cases (Today) 6,407 Total Active Cases (Today) 70,499 New Deaths (Today) 208 % Case Fatality (Last 2 weeks) 2.44% Average Daily Tests (Last 2 weeks) 64,522 Average Daily Positivity (Last 2 weeks) 12.53% Contacts Traced:Cases Recorded Ratio (Last 2 weeks) 18.3

As on 19.05.2021; Source: Media Bulletin, IDSP, Health Dept, www.covid19india.org. 5 ❏ COVID Fateh Kits ❏ Food Kits ❏ Whole Genome Sequencing 2. SPECIAL ❏ COVA Punjab INITIATIVES ❏ 104 Health Helpline ❏ Outreach for CSR ❏ Other Relief Measures 2.1 COVID FATEH KITS

Punjab is the ﬁrst State in the country to distribute COVID kits among citizens. COVID Fateh Kit is being provided to every patient under Home Isolation. COVID Fateh Kit was initiated on 14/9/2020. Almost 2.5 lakh Fateh Kits have been distributed as on May 18, 2021 in all 22 districts till date so far.

Contents: 1. Digital Thermometer 11. Tab. Dolo (650mg) 2. Steamer 12. Multi-Vitamin Supradyn Tab. 3. Fingertip Pulse Oximeter 13. Kufdoz Cough Syrup (100ml) 4. Hand Sanitizer (500ml) 14. Povidine Iodine Gargle 5. Giloy Tablets (250ml) (100ml) 6. Vitamin C Limcee Tab. 15. Levo-cetirizine Tab. 7. Vitamin D3 Capsule 16. Face Mask Three Ply 8. Zinc Tablet (50mg) 17. Tab. Doxycycline (100mg) 9. Tab. Topcid (40mg) 18. Tab. Ivermectin (12mg) 10. Ayush Kwath Liquid 19. Balloon Big Size (200ml)(Kahra) To address the shortage of oximeters and prevent their wastage, Punjab government is urging recovered patients to return them back to nearest govt. health institutions to be sanitised and given to new patients in home isolation. 7 2.2 FOOD RATION KITS

Punjab is one of the ﬁrst states in the country to distribute Food Kits for underprivileged COVID patients in home isolation from 15 April 2021. The 1 content of the kit is as follow : ● 10Kg wheat Flour ● 2 Kg Black Chana ● 2 Kg Sugar

These food kits are being distributed to the home 2 isolated underprivileged families who have tested COVID-19 positive.

20,700 kits have been supplied by Punjab Markfed. A 3 total of 5,842 kits have been distributed across all 22 districts.

As on 17.05.2021 8 2.3A WHOLE GENOME SEQUENCING

➔ Punjab was among the ﬁrst few States in the For the 672 samples with Variants of Concern country to start collecting samples for Whole (March 2021) Genome Sequencing to understand the reasons Variant Number (%) behind the sudden rise in cases in March 2021. ➔ After a dip up to 129 reported cases in a day B.1.1.7 635 (94.5%) only (26th January) and positivity at 0.9% in January 2021, Punjab started to show B.1.617 6 (0.89%)

positivity at 9.1% and up to 3122 number of B.1.351 2 (0.29%) cases per day (26th March) in March 2021. ➔ 701 samples were processed in March 2021. B.1 1 (0.14%) Variant of Concern (VoC) was detected in 672 B.1.525 1 (0.14%) samples (95.9%).

A total of 1957 samples have been sent to National Centre for Disease Control and CSIR- Institute of Genomics and Integrative Biology between January and May 2021 for Whole Genome Sequencing. From this, 1107 (56.6%) have been processed. Results for 850 samples awaited. The results of 1107 samples show presence of Variant of Concern (VoC) in 965 samples (87.2%).

As on 19.05.2021 Management System 2.4 COVA PUNJAB at State/District Provision for Citizens Level Realtime Bed Availability Realtime Bed Availability updated by hospitals List of COVID Hospitals & Labs 1st Mobile App in India, Health Status of Home Isolated launched on 9th March Vaccination Centre Locations Individuals reaches Nodal 2020, with geotagging Officers via COVA or Call COVID-19 Vaccine Registration and geofencing features Centres Plasma Volunteer Registration Vaccine Registration at Camps COVA is now available is done over COVA Portal Check COVID-19 Test Results as an App and Web Connect to a Doctor Portal Manage the vaccination drive via COVA platform Access Government Orders

60 Lac+ downloads; Approve Lockdown passes Link to e-Sanjeevani OPD applied by citizens for Available on iOS Apply for Lockdown Pass AppStore and Android movement during lockdown PlayStore Monitor movement of HI Nearby Hotspot/COVID Patient individuals via GPS tracking. District COVID Helplines Report of violators to law enforcement agencies Realtime COVID Data, Punjab As on 18.05.2021 10 2.5 104 HEALTH HELPLINE

1 Hospital Bed Availability General Information Of COVID-19 10

2 COVID-19 Test Related Call for Suspected COVID-19 Cases 11

3 COVID-19 Vaccine Enquiry Other Helpline Information 12

COVID-19 Report Related Medical Advice Related 13 4 COVID-19 COVID-19 Vaccine Adverse COVID-19 Kit Related- 5 14 Effects INFORMATION Fateh Kits and Food Kits

6 Counseling Related ON 104 COVA App 15 HELPLINE 7 COVID-19 Essential Drugs Advisory on Quarantine 16

8 Advisory on Masks Information on Plasma Banks 17

9 Advisory on Home Isolation Rapid Response Team Related 18

11 2.6 CSR SUPPORT

Punjab has notified a team of officers on 8 May 2021 for facilitation and coordination of Foreign-Aid, CSR Funding, 1 Corporate/Individual donations and any other support in the aid of State's fight against Covid-19.

This team has been actively reaching out to Industries within India as well as foreign support under CSR on COVID-19 2 management.

The CSR strategy is continuously revised 3 and suited to the imminent and upcoming needs of COVID-19 management .

12 2.7 OTHER RELIEF MEASURES Since entire families have been affected due to COVID, the Punjab Police department has started an offer to provide 1 free cooked meal for the poor and underprivileged. Those in need can avail this service by calling 181 or 112- Bhojan Helpline.

Social Security Pensions being paid in advance to all beneﬁciaries in the State announced for month of May to be 2 paid by May end.

Rs. 1500 grant to all registered 2.93 lakh Construction Workers in the State as ﬁrst instalment. A second instalment 3 of Rs. 1500 will be released in June.

Empowering all Gram Panchayats and ULBs of the State to incur immediate expenditure of Rs. 5000/- per day upto 4 total of Rs. 50,000/- on COVID-19.

Relief to real estate and housing sector by allowing deferment of payments upto July 2021 without any penal 5 interest.

Punjab government has appointed a team of three nodal ofﬁcers to facilitate the individuals/organizations in getting 6 tax exemption on major COVID relief items donated into the state from abroad. A portal has been developed to manage the tax free import of these items.

7 To curtail the loss of education of students due to closure of schools, Punjab government decided to conduct online classes through DD Punjab starting from 5th May.

8 Punjab has allocated Rs.10 crore to help the needy through NGOs in this crisis. 13

❏ Restrictions 3. CONTAINMENT ❏ Testing ❏ Corona Mukt Pind ❏ Awareness 3.1 RESTRICTIONS Punjab started night curfew from 21 March 2021 and weekend curfew from 26 April 2021. The time for night curfew is now from 6 PM to 5 AM.

1. Essential items include Chemist shops, and those dealing with the supply of essential goods such as milk, bread, vegetables, fruits, dairy and poultry products. No restrictions on laboratories, nursing homes and other medical establishments. 2. Manufacturing industry and construction activities have also been exempted from curfew restrictions. E-commerce, movement of goods and vaccination centres allowed. 3. Nobody can enter the state without a negative COVID report of not more than 72 hours old or vaccination certificate (at least one dose) over 2 weeks old. 4. All government offices will work with 50% of their capacity. Health workers and frontline workers not vaccinated to be allowed in office with RT-PCR reports not more than 5 days old. 5. Not more than 2 passengers allowed in all four-wheelers passenger vehicles, and no pillion riders on two-wheelers. Public transport to be restricted to 50% capacity. 6. Not more than 10 persons allowed in weddings/cremations/funerals. 7. Hotels and restaurants to be closed for in-dining, only home deliveries allowed till 9 pm. 8. All recruitment exams to be postponed unless it is related to COVID management related manpower. 9. Micro-containment zones in high positivity areas to be increased and strictly enforced. Special Monitors to be designated for this purpose. 10. RT-PCR testing of road and streetwise vendors to be carried out. 11. All religious places to close by 6 pm.

In addition to these, supplementary restrictions have been imposed by some district administrations in their districts.

As on 18.05.2021 15 3.2 TESTING

Number of tests per day has increased by 19.5% from 28,280 on January 1, 2021 to 62,082 on May 17, 2021.

Tests per million population per day as on 18 May 2021(district-wise) The tests per million per day in Punjab in the last 30 days is 2024 as on 19 May 2021

Testing & Positivity Trends Date Daily Tests Positivity Rate Jan 1, 2021 17,091 1.92% Jan 14, 2021 17,875 1.34% Jan 28, 2021 19,131 1.05% Feb 11, 2021 20,011 1.20% Feb 25, 2021 25,048 2.40% Mar 11, 2021 33,650 7.30% Mar 25, 2021 36,516 9.10% April 8, 2021 38,965 9.00% April 22, 2021 50,536 10.40% May 06, 2021 64,802 14.0% May 07, 2021 56,708 15.9% May 08, 2021 57,616 14.5% May 09, 2021 53,465 15.9%

Source: IDSP Report, Health Dept. GoP. 16 3.3 ‘CORONA MUKT PIND’

To manage the rising positivity in rural areas and related concerns of access to healthcare, authentic information and facilities, the Punjab Government has launched the ‘Corona Mukt Pind Campaign’ under Mission Fateh 2.0.

❏ Every Gram Panchayat mapped to the nearest Health and Wellness Centre (HWC) ❏ Active surveillance for Inﬂuenza like illness/Severe respiratory infections by ASHA ❏ Data of symptomatic patients to be shared with CHOs and Senior Medical Ofﬁcer ❏ Deputy Commissioners to constitute a 3 member committee at Block Level (SDM, SMO & BDPO). This committee shall constitute a team in every village consisting of PRI members, Anganwadi workers, school teachers, youth volunteers, etc. ❏ Subject to the availability of vaccines, Panchayats to be encouraged for vaccination of all 18+ and become 100% vaccinated villages.

Village level teams to - ❏ Enforce Restrictions ❏ Carry out health survey, COVID screening, sampling, etc. ❏ RAT Sampling and testing in rural areas for suspected patient or patient showing symptom ❏ Monitoring health vitals and providing Mission Fateh kit to COVID positive patients under home isolation and ensuring their families have undergone testing, especially High Risk patients ❏ Meticulously monitor Covid positive pregnant women or if any of their family members has tested positive 3.4 AWARENESS

Government of Punjab is running various COVID-19 awareness activities, through the Department of Information and Public Relations, Chief Minister's Ofﬁce and Department of Health and Family Welfare (DoHFW).

Activities include dissemination of information over social media, through the social media handles of above and also District Public Relations Ofﬁcers' pages, who share daily status for each district and the lists of vaccination centres

IEC vans are deployed for awareness campaigns in urban and rural areas.

Information is being conveyed through hoardings and standees on COVID-19 awareness, bus panels and newspapers advertisements by DIPR.

DIPR is also spreading COVID-19 awareness through electronic media such as TV and radio.

❏ Infrastructure and Bed Availability

4. TREATMENT ❏ Oxygen Availability

❏ Treatment Protocols 4.1A INFRASTRUCTURE- HEALTHCARE FACILITIES & BEDS Between 1st January and 18th May, COVID Healthcare facilities Number of L2 & L3 Beds Available in Punjab have treated more than 6500 patients belonging to Number of L2 Beda Number of L3 Beds other States. (Capacity) (Capacity) Districts September 30, May 19, September 30, May 19, 2020 2021 2020 2021 Two makeshift hospitals are being set up with a capacity of 100 Amritsar 690 955 317 585 L2 beds each in Mohali and Bathinda. Barnala 80 130 0 0 Bathinda 418 961 53 249 HOME Faridkot 225 320 60 128 LEVEL 2 LEVEL 3 Fatehgarh Sahib 149 137 2 5 ISOLATION Fazilka 150 60 0 0 Ferozpur 250 187 0 4 Asymptomatic or Moderately Severely symptomatic Gurdaspur 140 247 0 0 mildly symptomatic symptomatic cases, and Critical Care Hoshiarpur 233 290 13 35 cases patients with patients Jalandhar 1275 1545 318 718 comorbidities, Kapurthala 150 118 6 7 patients who are Total ICU beds with Ludhiana 1242 1779 309 649 Total number of Home Mansa 70 142 0 0 Isolations in Punjab is immunocompromised invasive ventilator: Moga 146 359 9 5 85,423 Government- 538 Pathankot 215 448 14 94 Total oxygen beds in Private- 992 Patiala 895 803 132 386 Govt. facilities - 3938 Other ICU beds Rupnagar 165 262 0 7 Pvt. facilities - 6335 Government- 398 SAS Nagar 620 853 236 410 Sangrur 211 290 0 0 Private- 1299 SBS Nagar 168 166 10 19 Sri Muktsar Sahib 150 455 0 0 2,798 L2 beds and 1,845 L3 beds have been increased since Tarn Taran 318 251 17 40 September, 2021 Punjab 7,960 10,758 1,496 3,341 As on 19.05.2021 4.1B STATE CONTROL ROOM Provide round the clock assistance in terms of A COVID Control Room to look after Bed 1 bed counts, plasma donors, availability of blood, management and other related issues has been set up and medication. at PMIDC ofﬁce, Municipal Bhawan, Sector-35, Chandigarh. Identify, locate and fulﬁl the mismatch between The Control Room has the following verticals: 2 the demand and availability of beds, medicines and infrastructure for the patients. 1. Management/ rationalisation of patients proportionate to availability of medical facilities Establish and Operate a dedicated COVID-19 2. Data collection and management Helpline for conveying availability of beds for 3. Awareness generation 3 admission, medicines etc hospitals to the patients. Look after bed management and other related 4 issues.

Both the Covid Control Rooms on oxygen and on bed availability coordinate and liaise with each other in the Covid-19 Mission so as to be able to complement each other's functioning. In case of absence of officers of one Control Room, the other Control Room looks after the work of the said Control Room also, during the absence. 4.1C VENTILATOR BEDS

There has been an increase of 66% ventilator capacity from 855 total ventilators in September 2020 (Peak Wave 1) to 1420 total ventilators in May 2021.

Number of ICU Beds (With and Without Ventilator)

As on 19.05.2021 4.2A OXYGEN MANAGEMENT & PROVISION- BACKGROUND

To avert any unfortunate incident due to lack of oxygen, an Oxygen Control Room was set up at the State level and in every district on April 24.

Punjab does not produce Liquid Medical Oxygen, hence dependent exclusively on LMO supply from other States

At the time, generation of oxygen in ASUs in Punjab was low due to some defunct plants or plants awaiting licenses.

The Government of India allocated only 126 MT of LMO from plants in Bokaro, Panipat, Dehradun, Barotewala and Roorkee. This implied Punjab needed upto 50 tankers overnight to effective bring all allocated LMO to the State everyday.

The Oxygen Control Room immediately ❏ Revived defunct ASU plants and operationalised ones awaiting licenses to 100% capacity ❏ Created a database of private tankers to support logistics of oxygen in the State. Approx. 28 tankers were operationalized for oxygen transport from private transporters. Nitrogen and argon tankers were converted to carry oxygen. ❏ Fixed prices of transportation of oxygen for uniformity. These were also set sufﬁciently high and lucrative to incentivise transporters ❏ Suspended all private contracts between private hospitals and oxygen providers to ensure oxygen was provided as needed by all public and private healthcare facilities ❏ Set up a tracking mechanism of all oxygen lifting, transport and provision 23 4.2B OXYGEN MANAGEMENT - STATUS

Oxygen Allocation Oxygen Audit Committee constituted in all districts to sensitise doctors, As on May 14, 2021, Allocation staff, patients; identify and plug sources of wastage; and do zoning of wards Date by UOI (MT) Punjab was allocated as per oxygen requirement. April 15, 2021 126 4052 MT by GOI out April 21, 2021 137 of which it has been Only emergency surgeries to be performed in hospitals and no elective April 24, 2021 137 able to lift 3117.6 surgeries permitted. Oxygen concentrators used for patients requiring less April 27, 2021 177 MT from various than 5 L/min oxygen ﬂow. April 30, 2021 227 States owing to the Expert Group constituted at State Level under Dr. KK Talwar, Advisor to May 10, 2021 247 efforts put in guide hospitals and doctors on COVID-19 treatment and utilisation for Presently, Punjab has a total of 32 tankers, 8 of oxygen and drugs. which are small for internal distribution. Guidelines developed on rationalised use of oxygen for COVID-19 Punjab has also been reaching out to the treatment. Indian Air Force for assistance in airlifting empty tankers to Jharkhand. State is procuring 3275 Oxygen Concentrators through the World Bank Group under existing collaboration.

Daily allocation of Medical Oxygen from GoI requested to be increased to 300 MT. Request for Tankers made as well.

Punjab started the ‘Oxygen Express’ with Indian Railways to transport oxygen from outside Punjab. The train has helped procure oxygen from As on 14.05.2021 Bokaro, Jharkhand and Hazira, Gujarat . 4.2C STATE CONTROL ROOM FOR OXYGEN

A Covid Control Room for Oxygen was started on 24 April 2021 at Udyog Bhawan, Sector-17, Identify, locate and fulﬁl the mismatch 1 between the demand and supply of medical Chandigarh to focus on oxygen management and oxygen. provision:

1. Management of getting medical oxygen from Accurate data management w.r.t the outside the state as per GOI quota demand and supply of medical oxygen and 2 2. Efforts to explore new sources of oxygen the demand and availability of beds and 3. Management of supply of medical oxygen medicines for the patients. from within the state 4. Data collection and management Ensure oxygen supply from outside the 3 State as per the allotted quota by GoI is received. Both the Covid Control Rooms on oxygen and on bed availability coordinate and liaise with each other in the Document exact production of Oxygen Covid-19 Mission so as to be able to complement each within the State to get clear picture of other's functioning. In case of absence of officers of one 4 Control Room, the other Control Room looks after the production capacity of Punjab. work of the said Control Room also, during the absence. 4.2D OXYGEN- OTHER INITIATIVES

Punjab has appointed a team of ofﬁcers on 8 May 2021 for facilitation and coordination of import of oxygen 1 concentrators, oxygen tanks, oxygen cylinders, oxygen production equipments and any other COVID relief items in the state of Punjab, from foreign countries or any other state in the country.

2 A total of 3098 oxygen concentrators are presently available with the Government.

3 Punjab has also prepared a policy to provide on returnable basis Oxygen Concentrators to patients who are advised low levels of supplementary oxygen support post COVID recovery by the hospital.

Special incentives announced for setting up Liquid Medical Oxygen manufacturing facilities in Punjab. All oxygen 4 production units have been given “Thrust Sector” status. This makes them eligible for for 100 percent exemption from Change of Land Use (CLU), Property Tax, Electricity Duty, Stamp Duty and Investment Subsidy, etc.

Government of Punjab has been working on making non-functional oxygen generation plants, especially at Mandi 5 Gobindgarh, functional.

6 All nitrogen plants have been mapped and efforts are on with CPCB support to convert these to oxygen.

Efforts being made to source PSA plants within and outside the country, for both Government as well as private 7 hospitals. 4.3 TREATMENT PROTOCOLS

A Group of Health Experts under the Chairpersonship of Dr. KK Talwar had been set up in 2020 to advise the State on COVID-19 treatment related guidelines and protocols.

This Group meets 2-3 times every week over VC with all Government and Pvt. hospitals to discuss latest guidelines, issues, and challenges under treatment.

This Group of Experts reviews and discusses critical cases from all districts and provides guidance on treatment and medicine.

Different experts from AIIMS, PGIMER, other Private Hospitals in India and outside are invited from time to time to discuss new methods of treatment and practices for COVID-19 patients.

This Group has also provided guidance to and conducted reviews of L2 and L3 facilities with the Department of Health and Family Welfare to ensure that each COVID treatment facility is equipped with appropriate infrastructure and manpower. ❏ Present Eligibility ❏ Vaccination Status 5. VACCINATION ❏ Vaccination Coverage ❏ Awareness ❏ Some Important Decisions 5.1 PRESENT ELIGIBILITY FOR VACCINATION

A Vaccination Expert Group was constituted on 23 April 2021 chaired by Dr. Gagandeep Kang, Virologist; and comprising of Dr. Jacob John, Professor of Community Health at CMC Vellore and Dr. Rajesh Kumar, former Head 1 School of Public Health PGIMER. Eligibility under Phase III of vaccination was decides basis their recommendations.

Punjab is ﬁrst State in the country to come with a Vaccination policy based on geography, occupation and 2 demography. District-wise vaccine allocation has been prioritised based on population-index, mortality and density.

Free vaccination for construction workers was started on 10 May 2021 at all districts. Construction workers and 3 their families above 18 years will be covered on priority- as per the recommendations of expert group

Free vaccination for 18-44 age group prioritised for families of healthcare workers, as a gesture of gratitude, from 4 14 May 2021. Free vaccination for people suffering from comorbidities (including prisoners) in 18-44 age group also started on this date.

The list of comorbidities for vaccination priority has been expanded for the 18-45 age group, on recommendation of 5 the Vaccination Expert Group, to include obesity, multiple disabilities etc in addition to those speciﬁed by the central government

6 Free Vaccination has been announced for 18+ age group in Government facilities as per eligibility in phases.

29 5.2 IMPORTANT DECISIONS The state has ordered 30 lakh vials of Covishield for Phase III of vaccination. However, the Government of India has started allocating quantities from domestic manufacturers to each State and only upto that 1 quantity can be procured from these manufacturers by the States. The allocated quantity to Punjab for phase III for the month if May is 4.29 lakhs (Covishield) and 1.14 lakhs (Covaxin).

Requirement of prior online registration for eligible citizens has been removed. Citizens can walk in to 2 register at a Vaccination site. This was done to avoid discrimation based on access to digital media and technology.

Presently, there are 263 vaccination sites in Punjab, none of which are in hospitals to minimise chances of 3 COVID spread to citizens coming for vaccination.

4 The Government is actively partnering with industries in Punjab to provide vaccination for labourers.

5 A global tender is being ﬂoated and manufacturers contacted for supply of vaccines

The Expert group recommended development of a plan for evaluation of vaccine effectiveness for prioritised 6 groups, those with comorbidities and general population. This will be valuable in designing further control strategies. 5.3 VACCINATION STATUS Vaccination Vaccination Indicators Coverage

Indicators Status Total Vaccine Districts Total Vaccination since January 16, 2021 (1st Dose) 39,25,709 Coverage Full Vaccination done since January 16, 2021 (2nd Dose) 6,79,020 Ludhiana 698,062 Total Vaccination of Healthcare Workers (Cumulative) 283,595 Jalandhar 478,573 Total Vaccination of Frontline Workers (Cumulative) 792,140 Gurdaspur 367,968 Total Vaccination of above 45 (Cumulative) 3,054,820 SAS Nagar 364,370 Total Vaccination of 18-44 (Cumulative) 223,813 Amritsar 346,120 Total Vaccination of Construction Workers (Cumulative)- Registered 59,222 Hoshiarpur 342,663 Total Vaccination of Construction Workers (Cumulative)- Unregistered 1,00,153 Patiala 302,238 Total Vaccination of family members of Construction Workers (Cumulative) 3,914 Pathankot 172,100 Total Vaccination of family members of Healthcare Workers (Cumulative) 34,923 Bathinda 143,580 Total Vaccination of people aged 18-45 with comorbidities 44,693 Sangrur 136,074 Total Vaccination of Prisoners 1,057 SBS Nagar 129,286 National Comparison Kapurthala 127,989 Tarn Taran 118,924 First Dose Second Dose Vaccinations done Total Active State Total Doses Given Administered Administrative partially/100 people Vaccination Sites Faridkot 99,563 Moga 97,151 India 186,989,265 144,605,940 42,383,325 10.7 40,289 Ferozpur 96,679 Maharashtra 20,305,921 16,000,236 4,305,685 13.0 4,243 Kerala 8,591,102 6,571,984 2,019,118 18.6 427 Fazilka 91,786 Karnataka 11,714,719 9,162,909 2,551,810 13.8 5,183 Sri Muktsar Sahib 88,236 Haryana 5,118,705 4,191,994 926,711 14.4 801 Rup Nagar 79,149 Rajasthan 15,625,438 12,624,961 3,000,477 16.1 2,589 Barnala 67,308 Delhi 4,893,993 3,791,772 1,102,221 18.8 701 Mansa 62,632 Punjab 4,604,368 3,925,709 679,020 13.0 2,259 Fatehgarh Sahib 60,708 As on 19.05.2021; Source: www.covid19india.org, Health Dept. GoP, Media Bulletin, CoWin Portal. 31 5.4 VACCINATION AWARENESS Vaccination awareness campaign in Punjab undertaken in partnership with by YuWaah (UNICEF), IDFC Institute and Pratham Education Foundation.

Media Awareness Campaign Awareness Campaign pivoting Youth Civic Engagement Youth-Led COVID Awareness Campaign Focus Areas: ● Addresses the anxiety, social impact, Focus Areas: Focus Areas: mental pressures and economic ● Capacity building- developing ● Busting myths and spreading fall-outs of COVID-19, proposing messages and countering fake news awareness around testing, patient vaccine as the solution. ● Public advocacy and management, vaccination and ● Highlighting specific health benefits communications campaign registration at village level. of getting vaccinated. Interventions: ● Providing additional support to the Interventions: ● Develop communication package for village healthcare system. ● Develop communication material training, capacity building and Interventions: for dissemination through print and orientation of youth networks. ● Develop communication material digital media. These include short ● Disseminating information through ● Training of youth at village level to films, print ads, posters, social media whatsapp groups , radio & social spread awareness, support health banners, GIFs, etc. media campaign. workers, facilitate testing, vaccination, etc. Notifications Issued [1/2] Since March 2021

1 Capping of Charges for RT-PCR for COVID-19 (20 April 2021)

2 Capping of charges for Rapid Antigen Test for COVID-19 (20 April 2021)

Letter SOP on Prevention Measures to Contain Spread of COVID-19 in Religious Places or Places of 3 Worship (15 March 2021)

Letter SOP on Prevention Measures in Restaurants, Hotels and other Hospitality units to contain Spread 4 of COVID-19 (15 March 2021)

5 Letter regarding FAQs for Healthcare Workers and Front Line Workers (15 March 2021)

Letter Prevention Measures to Contain Spread of COVID-19 in Skill or Enterpreneurship Training 6 Institution, Higher Educational (15 March 2021) Notiﬁcations Issued [2/2] Since March 2021

Letter on Prevention Measures in Shopping Malls, Entertainment Parks and Similar Places to Contain 7 Spread of COVID-19 (15 March 2021)

8 Order for Capping of Charges for CT HRCT Scan for Chest (8 March 2021)

Order for Capping of Treatment Charges for Self Reporting COVID-19 Patients Availing Treatment at 9 Private Hospitals, Nursing Homes, Clinics (8 March 2021)

10 Order for Treatment Charges for COVID-19 Patients Referred by Government to Private Hospital,

Nursing Homes, Clinics (8 March 2021) Thank You