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Guidelines on Covid-19 Preparedness and Control in Ranchi (Cpcr)

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Guidelines on Covid-19 Preparedness and Control in Ranchi (Cpcr) GUIDELINES ON COVID-19 PREPAREDNESS AND CONTROL IN RANCHI (CPCR) District Administration, Ranchi March 20, 2020 CONTENTS INTRODUCTION 1 OVERARCHING PRINCIPLES 2-3 CPCR MACHINERY 4-16 2.1 Control Team 5 2.2 Single-Window Helpline Team 6-7 2.3 Public Awareness and Media Management Team 8-9 2.4 Perimeter Surveillance Team 10 2.5 Material and Facility Management Team 11 2.6 Healthcare Training and Surveillance Team 12-14 2.7 Human Resources, Troubleshooting and Quarantine Planning Team 15 2.8 District Level Control Room 16 PERIMETER MEASURES 17 3.1 Airport 17 3.2 Railway Stations 17 3.3 Road Transport 17 MEASURES FOR PUBLIC PLACES/ COMMUNITY 18-19 4.1 Workplaces 18 4.2 Taxi and auto associations, vehicle showrooms 18 4.3 Resident Welfare Associations 18 4.4 Civil society/ religions associations 18 Gyms, swimming pools, clubs, malls, sports/ education coaching/ training 4.5 18 centres, private educational institutions 4.6 Restaurants and hotels 19 4.7 Shops 19 4.8 Parks, tourist places, etc. 19 4.9 Ranchi Municipal Corporation 19 4.10 Delivery personnel, drivers, workers 19 4.11 Banks 19 4.12 Salons/ road-side hair-cutting places 19 MEASURES FOR PUBLIC PLACES (GOVERNMENT FACILITIES) 20 5.1 Government offices/ buildings 20 5.2 Government schools/ colleges/ universities 20 5.3 Shelter homes/ orphanages/ remand/ observation homes 20 5.4 Flu corners 20 5.5 Anganwadi Centres 20 OTHER PREVENTIVE MEASURES 21 TESTING AND SCREENING FACILITIES 22 ISOLATION AND TREATMENT FACILITIES 23 REGULATIONS FOR PRIVATE HOSPITALS/ LABORATORIES 24 SPECIAL MEASURES FOR VULNERABLE GROUPS 25 APPENDIX 26 INTRODUCTION In light of the declaration of COVID-19 as a pandemic by WHO, its notification as a ‘disaster’ under the Disaster Management Act, 2005, and the notification of the Jharkhand State Epidemic Disease (COVID-19) Regulations, 2020 (in exercise of powers of the Jharkhand state government under Epidemic Diseases Act, 1897) (APPENDIX-1) ; the District Administration, Ranchi (“Administration”) has developed these guidelines with the objective of ensuring all possible measures for meaningful control of this epidemic in the district. As of March 20, 2020, there has been no reported case of COVID-19 in Jharkhand. However, in order to prepare for a possible outbreak in the district of Ranchi, there is a crucial need to generate societal awareness through verified sources, develop accessible facilities for sample testing, train healthcare and other personnel, prepare accessible isolation and treatment facilities, and create a support structure which incentivises people from all sections of the society to report symptoms and follow prescribed procedure – and thus effectively control COVID-19 in Ranchi. In this context, this document: (i) seeks to explain the machinery being developed specifically to address this epidemic. (ii) describes the rights, roles, and responsibilities of government and private bodies/ entities, individuals, and associations in Ranchi District. (iii) includes references to the advisories/ orders/ guidelines from international, central government, and state government levels which form the basis of the preparedness/ mitigation measures. (iv) explains the overarching principles guiding the district machinery and its orders/ actions. Page 1 of 26 OVERARCHING PRINCIPLES It is important to remember a few overarching principles guiding the CPCR machinery. These principles pertain to all components of this document. 1.1 The CPCR Guidelines are not static; and are intended to be read in line with latest updates from the World Health Organisation (WHO); Ministry of Health and Family Welfare, Government of India (MoHFW); Indian Council of Medical Research (ICMR); National Centre for Disease Control (NCDC); the Jharkhand State Government; and other international, national, and state-level bodies authorised to disseminate information/ issue orders. Owing to the nature of the epidemic and the speediness of action required to address the same, daily updates - as notified by the Administration/ CPCR machinery - shall be deemed to add to or amend the relevant parts of these guidelines. 1.2 The Administration seeks to address panic, fear, and curiosity of the people of Ranchi in relation to the Covid-19 epidemic. The guidelines and actions prescribed are intended to increase transparency, inclusion, information exchange, societal awareness, and healthcare support in Ranchi. Therefore, the Administration aims to simultaneously curb any misinformation that causes or is likely to cause fear mongering and ill-informed panic in the district. 1.3 No person should, irrespective of caste, religion, race, financial ability, bodily ability, age, sex, gender identity, educational qualifications, tribe, profession/ work, etc. : 1.3.1 face hostility, ridicule, or discrimination before government or private bodies; especially on the basis of misinformed/ prejudiced assumptions of hygiene, contagiousness, moral standing, social status, etc. 1.3.2 be denied healthcare support or treatment, except in compliance with WHO/ ICMR/ MoHFW/ NCDC guidelines or specific district order(s) made in good faith. However, special or prior treatment/ facilities may be provided to those who fall within categories deemed to be vulnerable to the COVID-19 infection and its effects (including senior citizens; persons with HIV-AIDS, Tuberculosis, Diabetes, auto-immune diseases, cancer, and other immune-suppressive conditions; persons with cardiovascular disease or lung disease; persons undergoing treatment which includes immunosuppressant medication; pregnant women; etc.). Page 2 of 26 1.4 In case a person declares experiencing or is found to display symptoms of COVID-19, they should be made to feel welcome to approach relevant authorities for prompt testing and further information/ treatment. While precautionary and protective measures should be adopted in line with relevant advisories, such persons should, at all times and by all persons, be treated with respect and consideration. If such person is found to be non-compliant with instructions from the CPCR machinery even after adequate counselling and warning, the Administration may exercise appropriate powers under the Indian Penal Code, 1860 (Section 188 - Disobedience to an order lawfully promulgated by a public servant) or any other appropriate legal provision, in a fair and proportionate manner. 1.5 Unless specifically mentioned in this document or future orders issued in good faith by the Administration, no essential or non-essential government service/ facility provided by/ via the District Administration shall be stalled. COVID-19 preparedness and control measures shall take place in addition to the provision of such services/ facilities; and the Administration shall exercise its powers under various applicable rules and directions to recruit additional human resources and build additional capacity in its machinery, as and when required. This includes expedited measures for creating and operationalising procurement for PPE/ scanning, appointment/ deputation for training, specimen collection, screening, isolation/ quarantine wards, and treatment/ symptom management. 1.6 With the passage of time and changes in the nature and effect of the epidemic, the CPCR machinery shall continue functioning in line with directions/ guidelines from WHO, MoHFW, ICMR, NCDC, and central/ state government. Such functioning should continue in compliance with the guidelines irrespective of the socio-economic status of persons primarily affected by COVID-19 at any given stage of the epidemic. However, modifications may be made to the machinery and the range/ extent of measures adopted, depending on the severity of the situation. Owing to the nature of the epidemic, addressing it meaningfully is dependent on collaboration and cooperation between the government (with inter-departmental convergence), private entities, and the civil society. Therefore, the Administration seeks support from all relevant departments, entities, and persons to successfully control and mitigate the effects of COVID-19 in Ranchi. Page 3 of 26 CPCR MACHINERY This section describes the CPCR machinery in Ranchi District, and a brief explanation of the background and functions. The SoP for district control room has been relied upon to develop this structure. At the district level, the CPCR machinery shall consist of the following teams and organs: Page 4 of 26 2.1 CONTROL TEAM The Control Team shall be the apex body in the CPCR machinery. All other teams shall send their reports to this team, for smooth and coordinated functioning. 2.21 Composition- Deputy Commissioner-cum- Chairperson, District Disaster Management Authority, Ranchi (Head) Senior Superintendent of Police, Ranchi Deputy Development Commissioner-cum- CEO, Zila Parishad, Ranchi Sub-Divisional Officer (SDO), Ranchi SDO, Bundu Civil Surgeon-cum-Chief Medical Officer, Ranchi District IDSP Officer, Ranchi Dr Deepawali (MO, NHM) and Ms Annapurna Devi (Regional Consultant, UNICEF), State Monitoring Officials for COVID-19 (Ranchi) Dr Manoj Kumar, Rajendra Institute of Medical Sciences (RIMS), Ranchi; PI, State Nodal VRDL for Jharkhand 2.22 Functions- The control team shall be the ultimate decision-making authority at the district level. The members shall formulate the overall district plans and issue orders, in consultation with relevant stakeholders. The members shall meet at least once in every three calendar days (and more frequently as required) to review reports from all other teams, discuss and modify plans
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