Containment Plan for Large Outbreaks

Novel Coronavirus Disease 2019 (COVID-19)

District –

Micro-plan for Containing Local Outbreak of COVID-19 1. INTRODUCTION

1.1 Background On 31st December 2019, World Health Organization (WHO) China Country office was informed of cases of pneumonia of unknown etiology detected in Wuhan City, Hubei Province of China. On 7th January 2020, Chinese authorities identified a new strain of Corona virus as causative agent for disease. The virus has been renamed by WHO as SARS-CoV-2 and the disease caused by it as COVID-19. In , as on 26th February, 2020 three travel related cases were reported (all from Kerala). These three were quarantined and symptomatic treatment provided to all three until five samples turned negative. On 2nd March 2020 two more passengers from Italy and Dubai respectively tested positive for COVID-19. 1.2 Risk Assessment COVID-19 was declared a pandemic by WHO on 11th March, 2020. While earlier the focus of spread was centered on China, it has now shifted to Europe and North America. WHO has advised countries to take a whole-of-government, whole- of-society approach, built around a comprehensive strategy to prevent infections, save lives and minimize impact. In India also, clusters have appeared in multiple States, particularly Kerala, Maharashtra, , , , Punjab, Karnataka, Telangana and UT of Ladakh. 211 districts are now reporting COVID-19 cases and the risk of further spread remains very high. 1.3 Epidemiology

Coronaviruses belong to a large family of viruses, some causing illness in people and others that circulate among animals, including camels, cats, bats, etc. Rarely, animal corona viruses may evolve and jump species to infect people and then spread between people as witnessed during the outbreak of Severe Acute Respiratory Syndrome (SARS, 2003) and Middle East Respiratory Syndrome(MERS, 2014).The etiologic agent responsible for current outbreak of SARS-CoV-2 is a novel coronavirus closely related to SARS-Coronavirus. In humans, the transmission of SARS-CoV-2can occur via respiratory secretions (directly through droplets from coughing or sneezing, or indirectly through contaminated objects or surfaces as well as close contacts). Nosocomial transmission has been described as an important driver in the epidemiology of SARS and MERS and has also been documented in COVID- 19.

Current estimates of the incubation period of COVID range from 2-14 days, and these estimates will be refined as more data become available. Most common symptoms include fever, fatigue, dry cough and breathing difficulty. Upper respiratory tract symptoms like sore throat, rhinorrhoea, and gastrointestinal symptoms like diarrhoea and nausea/ vomiting are seen in about 20% of cases.

Due to paucity of scientific literature based on community based studies, the available data on host factors is skewed towards cases requiring hospitalization. As per analysis of the biggest cohort reported by Chinese CDC, about 81% of the cases are mild, 14% require hospitalizationand 5% require ventilator and critical care management. The deaths reported are mainly among elderly population particularly those with co- morbidities. At the time of writing this document, many of the crucial epidemiological information particularly source of infection, mode of transmission, period of infectivity, etc. are still under investigation.

2. Strategic Approach India would be following a scenario based approach for the following possible scenarios: i. Travel related case reported in India ii. Local transmission of COVID-19 iii. Large outbreaks amenable to containment iv. Wide-spread community Transmission of COVID-19 disease v. India becomes endemic for COVID-19 2.1 Local transmission of COVID-2019 disease Local transmission will lead to clustering of cases in time and space, epidemiologically linked to a travel related case or a positive case that has links to a travel related case. The cluster containment strategy will be: • Extensive contact tracing and active search for cases in containment zone • Testing all suspect cases and high risk contacts • Isolating all suspect / confirmed cases and providing medical care. • Quarantining contacts • Implementing social distancing measures. • Intensive risk communication. 2.2 Large outbreaks amenable to containment The strategy will remain the same as explained above but vary in extent depending upon spread and response to be mounted to contain it. Geographic quarantine and containment strategy will include: • Defining the area of operation • Active surveillance for cases and contactsin the identified geographic zone. • Expanding laboratory capacity for testing all suspect cases, high risk contacts and SARI cases. • Operationalize surge capacities created for isolation (COVID-19 hospitals/COVID-19 dedicated blocks)to hospitalize and manage all suspect / confirmed cases. • Implementationof social distancing measures with strict perimeter control. • Provide chemoprophylaxis with Hydroxy-chloroquine to all asymptomatic healthcare workers and asymptomatic household contacts of laboratory confirmed cases. • Further intensification of risk communication through audio, social and visual media.

3. District Profile Demographic Profile – Map – Political and Resource Maps District Area 1,860 km² District Population 10,89,406 (2011 Census) No. of Sub Division 4 No. of Blocks 7 No. Municipal Committee 4

4. Human Resources

Administrative and TechnicalPersonnel :- The District Collector/District Magistrate will be Nodal person for cluster containment in their respective districts. Sr. Designation Mobile No. Email Address No.

1. DC Nuh 9050605267 [email protected] 2. SP Nuh 8930900200 [email protected] 3. ADC Nuh 9053387344 [email protected] 4. SDM Nuh 9311810887 [email protected] 5. SDM 9466459199 [email protected] 6. SDM FP Jhirka 9996957207 [email protected] 7. SDM Punhana 7558229960 [email protected] 8. CTM 9466439838 [email protected] 9. Secy RTA/DTO 9053387344 [email protected] 10. DRO 9416245209 [email protected] 11. DIO-NIC 9729423298 [email protected] 12. DDPO 8168229395 [email protected] 13. DySP Nuh 8930900239 [email protected] 14. DySP Punhana 8930900243 [email protected] 15. DySP Taoru 8930900100 16. DySP FP Jhirka 8930900202 17. SE, Irrigation 8708818439 18. SE, PWD (B & R) 9868113500 19. XEN Public Health 9467596075 [email protected] 20. XEN Irrigation 9868233660 xenmwsnuh@ gmail.com 21. XEN PWD (B & R) 8818035003 [email protected]

5. Geographical Area of Containment Zone

7 Clusters have been formed wherein 36 villages of District Nuh have been declared as Containment Zone and 109 villages have been declared as Buffer Zone. Villages which have been declared Containment Zone and Buffer Zone 7 Duty magistrate have been appointed. Detail is as under. Redefine Boundaries- Keeping in view a large outbreak due to number of Corona cases > 15 (37 Cases with daily additions) . The district scenario will be Containment of the whole district. In the containment plan, where in the primary case /epicentre/ index case comes, the containment zone of 3/5 km radius for Rural/Urban population respectively and 7 km radius for buffer zone should be taken, but since multiple clusters and a large rural population in the district around 500 villages(Including Dhanis), the whole district may be declared in containment plan but for rural active surveillance and proper utilisation of force for finding symptomatic cases the customised plan for Nuh () should be 1/ 3 and 5 kilometre instead of 3/5 and 7 km. This will avoid the complacency due to overlapping of containment /buffer zones due to the declaration of whole district as a containmentarea.

Clusters:

Place of Duty Sr. Name of Duty Magistrate Name of Town Name of Town No / Village /Villages of Buffer

Containment Zone Zone Nuh Block 1 Sh. Hemant Kumar, Asstt. Ex. NUH Jogipur, Adbar, Engg., PHED Sahapur Nanagli,

Salahari, Paldi, Palla 9654140870 Untka Meoli Khurd, Meoli Kalan Muradbas Khori, Shekhpur Bai Badoji, Gundbass, Gehbar Salamba, FP Namak, Bajadka Malab Marora, Nizampur, Akera Dihana Birsika Tauru Block 2 Sh. Parkash, SDE, PR Nizampur- Tauru, Gurnawat, Tauru Chundhika 9812512519 Dhidara Kalarpuri Sewka Subahedi, Raniyaki

Shikarpur Padheni, Dhulawat, Malaka, Salaka Chharoda Cheela, Pachgaon, Maseet, Silkho FP Jhirka Block 3 Sh. Ash Mohd. SDE, PWD (B&R) Bhond FP Jhirka- Urban, Dhond Kalan 9813780790 Akhnaka Rigad, Alipur-Tigra, Hirwadi, Ghata Shamsabad Sidhrawat Maholi, Dhadoli-Khurd Agon Sahapur, Pathrali, Badopur, Solpur, Kherla Kalan Kameda Akhnaka, Nangli

Chitoda Sekhpur, Dugri

Raniyala Rawa, Raniyali

Madapur Baghola, Bawantheri

Nagina Block 4 Sh. Lakhan, SDE, MWS Div. Umara Khan-Mohammadpur, 9050774007 Danibass, Partapbass Devla Bhapawli, Bajheda, Thekra, Kalinjar Rithat Umri Shahpur Hasanpur Mahu-Chopra Laturbass, Naharika Khanpur-Ghati Jhimrawat, Dhadola, Dhadoli-Kalan, Marora, Balai, Basai Khanjada Rangad-Bass Punhana Block 5 Sh. Ahmad Khan, SDE, PR Bisru Badka, Aandhaki, Fardari, Gubradi, 9416300586 Gulalta Nai Tirwara, Bichhor, Jharokhdi, Hathangaon Punhana Samsabad Khenchatan, Patakpur, Pema Khera, Thek Mubarikpur, Laharwari, Ghodhola Rahera Naharpur, Jadoli, Bisru Raipur Hinganpur, Katpuri, Otha 6 Sh. Yogesh Kumar, SDE, PR Rahpua, lahabas, Ted Mohd.Pur, Saha 9416296590 Chokha, Satakpuri Papdi Mamlika, Gangwani Jaakh, Dhana, Booblhedi Akbarpur Jharpadi 7 Sh. Farook Ahmed, Principal GSSS, As per advice of Jaisinghpur Devla Nangli, Nuh DC 5 Dhekli villages

Kurthala Golpuri Kontlaka

6. Micro Activity Plan

(Every confirmed case will be considered as an epicenter and micro-plan activities will be done as described above.)

Attached on Annexure – A

7. District RRT (Rapid Response Team), District, Nuh

Sr. No. Name Designation Mobile No.

1. Dr. Arvind Kumar DSO 9416012195

2. Dr. Swati Yadav Pathologist 99911620036

3. Dr. Krishan Kumar Physician 9017940058

4. Dr. Richi Sood ENT Surgeon 9897513467

5. Mr. V N Tiwari Epidemiologist 9728473773

6. Mr. Mukesh Kumar MPHS Male 9991743631

7. Mr. Sabir LT 9053536786

8. Human Resource for operations / fieldactivities: Responsibilities assigned to various functionaries ASHA/ ANM/ Anganwadiworker*: Daily house to house visit to: (i) Search clinically suspect cases. (ii) Identify contacts of confirmed and suspect cases (iii) Maintain line list of suspect/ confirmed cases and contacts (iv) Monitor contacts daily (v) Inform Supervisory Medical Officer about suspect cases and their contacts (vi) Create awareness among community about disease prevention, home quarantine, common signs and symptoms and need for reporting suspect cases by distributing fliers, pamphlets and also by inter-personal communication.

Counsel individuals to take precautions to avoid contact with those with symptoms suggestive ofCOVID-19.

Ensure that contacts are on home quarantine use 3 layered surgical masks at all times. Educate them on proper use and disposal of masks. The team will also educate the family members about precautions to be taken while taking care of persons under home quarantine.

* If there is human resource constraint to engage as many ASHA/AWW/ANMs, then Indian Red Cross society/NDRF/Civil Defence/NSS/NCC volunteers available in the district shall be engaged after proper briefing on roles and responsibilities and infection, prevention and control practices.

LHV/ MPWMW

 Supervisory duty at the village/ block covering the epicenter.  Daily visit to allocated sectors to oversee and cross-check the activities of ASHA/Anganwadi workers/ANM. Report on real time basis, any person reporting of symptoms of COVID-19. Block

Extension Educator and other communication staff

 Public information education and communication campaign targeting schools, colleges, work place, self-help groups, religious leaders, teachers, postman etc.  Arrangement of making.

Municipal/ village Panchayat staff / Civil society volunteers

 Create awareness in the community  Encouraging community to follow frequent hand wash, respiratory etiquettes, self- monitoring of health and reporting to the health workers about persons in their vicinity having cough, fever, breathing difficulty.

Supervisory Officer

 Supervises the fieldwork  Verifies suspect case as per case definition.  Arranging shifting of suspect case to health facility.  Random Check of persons under home quarantine.  Submit daily report to control room

Block NHM Manager/ any other designate of DM

 Information management within the containment zone  Contingency funding of the containment operations  Managing finances.

Norms for deployment of human resource:

A health care worker (ANM/ ASHA/Anganwadi Worker) will be able to visit 50 houses in a day (30 in difficult areas).

A supervisory Medical Officer shall be deployed to cover 1000 population.

Human Resource requirement forfield operations S. Designation of Nature of work No. of Mobilized Mobilized No. staff assigned personnel from from deployed within adjoining for the District containment District operation

1. District Collector Incident Command or his assignee 2. Central/ State Planning and operations RRT 3. Sector Medical Supervisory 01 Y N Officers

4. LHV Intermediate 01 Y N Supervisory

5. ANM/ ASHA/ Field work 10 Y N Anganwadi Worker 6. Block Extension IEC 01 Y N Educator and other communication staff 7. Municipal/ Community 55 Y N village mobilization Panchayat staff Civil society volunteers 8. NHM -District/ Logistics 01 Y N Block Manager Information Management Financial management

9. Component of Micro Plan Surveillance Active Surveillance :-

Constituting Teams for HumanHealth Surveillance:

Each health worker would cover 50 houses in the sector assigned to them. The listing of municipality wards/ villages allocated to surveillance teams, their names, name of supervisors for each team and their contact number.

Assigning Tasks to the Teams

The Medical Officer in-charge will assign tasks to the Supervisory Officer/ANM/ASHA/Anganwadi Worker. During the course of their house to house visit, the ANM/ASHA/Anganwadi Worker will identify suspect case, if any, as per case definition. The name, age, sex, and the address of such persons to be recorded. The Health worker willcounsel household members to take basic precautions to avoid direct contact with a suspect case. He / she will provide a mask to the (i) suspect case (till such time he/she is examined by thesupervisory officer). The concerned ANM/ASHA/Anganwadi Worker will immediately inform his/her supervisory officer about the suspect case.

Role of Supervisory MedicalOfficer/LHV

The door to door surveillance will be supervised by Medical Officers/ LHV assigned sectors within the defined surveillance zone. He/she will also collect data from the health workers under him/ her, collate and provide the cumulative data to the control room by 4.00 P.M. He / she will visit any suspect case brought to his/ her notice by the ANM/ASHA/Anganwadi Worker during their daily house to house visit. He/ she will immediately call for the ambulance and ensure transfer of the patient to identified hospital after ensuring on the basic precautions. Details of the registration number of the ambulance, shifting time to the hospital and contact number will be kept and conveyed to the Control Room.

Passive Surveillance :-

Health Centre Details Sr.No Name of CHC Name of PHC 1 CHC Nuh PHC Bai 2 PHC 3 PHC Sudaka 4 PHC Kaliyaki 5 PHC Ghasera 6 CHC Tauru PHC Padheni 7 PHC Jaurasi 8 PHC MP Ahir 9 CHC Punhana PHC Pinagwan 10 PHC Shikrawa 11 PHC Tigaon 12 PHC Jamalgarh 13 PHC Singar 12 PHC Bichor 13 CHC F. P. Jhirka PHC Biwan 14 PHC Nagina 15 PHC Marora 16 PHC Guryani

9. Contact Tracing: i. confirmed cases/ suspect cases of COVID-19 will be line- listed. ii. Supervisory will inform the Control Room about all the positive contacts and their residential addresses. iii. The control room will inform the supervisory officers of concerned sectors for surveillance of the contacts. iv. These contacts will be tracked by assigned ANM/ASHA/Anganwadi Worker of that sector and kept under home quarantine for 14 days. v. They will be monitored for clinically compatible signs and symptoms of COVID-19 for 28 days in total. vi. If the residential address of the contact is beyond the containment zone or in adjoining district / State, the district IDSP shall be informed.

10. Health Facility Name of Name of Name & No. of No. of ICU No. of Institution Nodal Contact beds beds Ventilator / Hospal Officer for No. of dedicated dedicated available Isolation ENT Corona for corona Ward with Surgeon Virus Virus Contact No. Civil Dr. Dr. Richi 20 Beds No N/A Hospital, Krishan Sood Mandikhera Kumar, 9897513 Physician 467 CHC, Mandikher a 981730803 3 SHKM Dr. Kapil Dr. 600 Beds 2 3 Ventilators GMC Sharma Prakriti Nalhar 7389265550 Vohra, 8076953 650

Quarantine Facility

Sr. Name of Hotel/Resorts/Social Contact Person & Capacity No. Hall/Shelter/other (Specify) with Mobile No. address 1 Govt. Polytechnic College Malab Dr Govind Sharan, 250 Beds 9468203772 2 PHC Bai Dr Pardeep, 8221879877 60 Beds 3 Govt Polytechnic College Indri Dr Ravi, 8397029838 250 Beds 4 PHC Kaliyaka Dr Ravi, 8397029838 60 Beds 5 Girls Hostel, Mewat Modal School, Dr Dharmender, 120 Beds Nuh 9813585251 6 ITI Ujina Dr Harpreet, 200 Beds 9654141583 7 ITI Pingwan Dr Manpreet, 270 Beds 9671484885 8 Govt Women College Salaheri, Nuh Dr Pardeep, 8221879877 230 Beds

9 Govt. Senior Secondry School, FP Dr Chiranjeev, 320 Beds Namak 9873131069 10 Shamsuddin Rehna Hostal Dr Dharmender, 126 Beds 9813585251 Total No. of Beds 1886 Beds

11. Laboratory Support Presently, the testing is being done by the PGI and SRL ltd. Gurugram, SHKM Govt. Medical College, Nuh is in process for establishing the lab for testing of COVID-19

12. TRANSPORTATION AND AMBULANCE MANAGEMENT TEAM

The teams should compile the data regarding the availability spacing, training of drivers of ambulances and vehiclescarryingpatientsfromhomeisolationtothehospitalisolationfacilitiesandbac k.It shouldbeensured that there should be continuous availability of vehicles 24 x 7 in all districts. All possible challenges at the district should be addressed there itself and decision taken could be compiled and addressed during control roompresentation

Ambulances need to be in place for transportation of suspect/confirmed cases. Such ambulances shall be manned by personnel adequately trained in infection prevention control, use of PPE and protocol that needs to be followed for disinfection of ambulances (by 1% sodium hypochlorite solution using knapsack sprayers).

Ambulance Facility

Sr. No. Vehicle No. Drive Name and Mobile No. 1. HR 74 B 2625 1. Mr. Jahul (7027838976) 2. Mr. Bijender (9671236571) 3. Mr. Irshad (9813340083)

2. HR 74 B 7497 1. Mr. Muddin (9813898265) 2. Mr. Ikbal (9671030135) 3. Mr. Usman (9991551685) Hospital Infection Prevention and Control The PPEs are to worn as per the risk assessment for various categories of personnel S. No Name of the item Remarks 1 Full complement of PPE (N To be used by: 95 Mask, Gloves, Goggles,  Doctors attending to patients in health coveralls, headgear, foot wear) facilities in the containment zone and referral hospital for isolation/ critical care, where aerosolization can occur (like intubation, non-invasive ventilation, tracheostomy, and manual ventilation before intubation, suctionetc.)  Doctors collectingsamples.  EMTs attending patient inambulances  Staff in thelaboratories

2 N-95 Mask and gloves  To be used by supervisory doctors verifying a suspectcase  Doctors/nurses attending patients in screeningclinics/OPD 3 N-95 mask, gloves  Sanitary workers involved in sanitation and disinfection activities for COVID- 19 cases 4 Triple Layer medical mask/ To be used by: examination gloves  fieldworkers,  suspect casesand  care giver / by stander of the suspectcase  Ambulancedrivers.  All functionaries at the perimetercontrol.

12. Logistics (Availability and Requirement)

PPE No. of N95 VTM Gloves Triple Layer Hand Mask Sanitizer Avai Addl. Avai Addl. Avai Addl. Avai Addl Avail Addl. Avai Addl. lable Requi lable Requi lable Requi lable . able Requi lable Requi remen remen remen Req remen remen t t t uire t t ment 932 2000 1150 10000 75 925 1697 2000 9000 91000 250 3350 5 0 ltr ltr

13. Capacity Building Dy. Civil Surgeon, Training Sr. No. Name Designation Contact No. 1. Dr. Monika Yadav Deputy CS 8505910009 (Training Officer) Training content Trainings will be designed to suit requirement of each and every section of healthcare worker involved in the containment operations. These trainings for different target groups shall cover: 1. Field surveillance, contact tracing, data management and reporting 2. Surveillance at designated exit points from the containment zone 3. Sampling, packaging and shipment of specimen 4. Hospital infection prevention and control including use of appropriate PPEs and bio- medical waste management 5. Clinical care of suspect and confirmed cases including ventilator management, critical care management 6. Risk communication to general community TRAINING SCHEDULE OF THE DISTRICT (UNDER Process) Sl No Segment Subject Place Number of persons attended Govt Sector 1 Doctor/MO I/C & SMOs Training o covid- Training Centre 68 19 Mandikhera 2 Paramedical Staff All PHC 839 3 ASHA All PHC 955

4 Ambulance Driver District & PHC 48

5 Nursing Student Training Centre 26 Mandikhera 6 District RRT Teams Training Centre 16 Mandikhera 7 DTF Conference Hall, 32 Nuh 8 RBSK Team Training Centre 52 Mandikhera 9 Medical Officer SHKM GMC 27 Nalhar

Private Sector 1 IMA, Doctor & Training o covid- Training Centre 17 Paramedical Staff 19 Mandikhera Other Sector 1 Judiciary and All Staff Training o covid- Session Court 51 19 2 Anganwadi Worker / All PHCs Helper 3 Panchayati Raj BDPO Office, 78 Nuh, Punhana, & FP Jhirka 4 Police Department Police Line, Nuh 31 5 Tourism Department District 5 6 Transport Department Transport Deptt, 17 Nuh 7 Industries Department CHC Nuh 6

Target trainee population Various sections of healthcare workforce (including specialist doctors, medical officers, nurses, ANMs, Block Extension Educators, MHWs, ASHAs) and workforce from non-health sector (security personnel, Anganwadi Workers, support staff etc.). Trainings will be tailored to requirements of each of these sections. The training will be conducted by the RRT a day prior to containment operations are initiated. Replication of training in other districts The State Govt. will ensure that unaffected districts are also trained along the same lines so as to strengthen the core capacities of their RRTs, doctors, nurses, support staff and non-health field formations. These trainings should be accompanied with functional training exercises like mock-drills 14. Communication Block Extension Educator / or any other designated communication staff will be allocated the work of public education outreach on COVID-19. Public information education and communication campaign shall target schools, colleges and work place within the containment zone. The key messages (including that used for Inter-personal Communication) have already been conveyed to the States. The sector wise allocation of BEE their name and contact no. will be listed. Municipal/ Village Panchayat Officers will be allocated sectors within the surveillance zone for encouraging and participating in public awareness campaigns and participation 15. Data Management The Control Room will have data managers (deployed from IDSP/ NHM) responsible for collecting, collating and analyzing data from field and health facilities. They will work in 3 shifts. Output variables to be generated at micro level on daily basis. 16. Control Room

Incharge : Dr. Arvind Kumar, DSO District 24*7 Helpline No. 9416012195 / 9728473773 Control Room Toll Free No.7027855102

17. Budgeting

Sr. Item Number Unit Total cost No cost (approx 10 days) 1. Transportation No. of vehicles to be 25 1500 37500.00 hired(per Day) POL expenditure for Office 250 Ltr 70 17500.00 vehicles/ ambulances(per Day) 2. Communication Cost of printing posters 10000 10 100000.00 (one Time) Hiring personnel for display of 10 1500 15000.00 posters(one time) Cost of hiring vehicles for 10 1200 12000.00 Milking(One Time) Advertisement cost : 25000 25000.00 local dailies cablenetwork local TV channels SMS 3. Logistics Three layered surgical mask 3300000 9 29700000.00 N 95 mask 165000 75 12375000.00 PPE 82500 1200 99000000.00 Gloves 330000 5 1650000.00 4 Bio Hazard Waste Bags 200 Kg 220 44000.00 5 Contingency Expenditure (Per 2000*15 30000.00 day) Total 143006000.00 18. Scaling down of operation The operations will be scaled down if no secondary laboratory confirmed COVID-19 case is reported from the geographic quarantine zone for atleast four weeks after the last confirmed test has been isolated and all his contacts have been followed up for 28 days. The containment operation shall be deemed to be over 28 days from the discharge of last confirmed case (following negative tests as per discharge policy) from the designated health facility i.e. when the follow up of hospital contacts will be complete.

The closing of the surveillance for the clusters could be independent of one another provided there is no geographic continuity between clusters.However the surveillance will continue for ILI/SARI.

However,ifthecontainmentplanisnotabletocontaintheoutbreakandlargenumbersofcase sstartappearing, then a decision will need to be taken by State administration to abandon the containment plan and start on mitigationactivities.

Annexures List:

Annexure No. Subject I Spot Map and Microplans of Containment zone: Identified Sectors for surveillance (1-6) II Data collection tool at field level Data collection tool at field level (Field Level Data Compilation Sheet) III Daily Line listing of Patients detected at health facilities

IV Recommended guidance for contact tracing, quarantine and isolation for Coronavirus Disease (COVID-19) V Line listing of Contacts VI Sample collection proforma to be attached with the samples VII Transportation arrangement for containment Operation VIII Identified Sectors for Public Education Outreach and rostering of identified communication staff

IX Daily report of COVID-19 Outbreak X District Mitigation Plan XI IEC Material

Annexure :1 COVID CLUSTER SPOT MAP OF DISTRICT NUH

Micro Plan for Containment of Local Transmission of Coronavirus Disease (COVID-19) Micro Plan for Cluster 1 Epicentre Name Nuh Block Name Name Nuh State Name

Geographic Location Municipal Committee Nuh Block Urban District Name Nuh State Name Haryana

Objective of the Micro Plan:- To contain the outbreak of COVID-19 in geographic area as defined below Demographic details of District

District Area 1,860 km² District Population 10,89,406 (2011 Census) No. of Blocks 7 No. of Municipal Committee 4

Block Detail Name of Block Urban Population 2,65,114 No. of Ward 15 No. of UPHC

Epicentre Details Name of Area Nuh (Urban) Population 5727 No. of Houses 863

Name of Name of Nodal Name of Supervisor Tea Name of No. of Epicentre Officer m Members House cover d Nuh Urban Dr.Rashida Rameshmaan HI 1. Hajra ANM 56 Dental Surgeon CHC Nuh 2. Rijwana AWC 56 3. Pinky ASHA 56 4. Rajan ASHA 56 5. Sunita ANM 56 6. Amita AWW 56 7. Pankaj 56 MPHW 8. Sunita AWW 56 9. Indra ANM 56 10. Aarif 56 MPHW/M 11. Fhoola ASHA 56 12. Bismillaha 56 AWW 13. Sarojkant 56 ANM 14. Mukhlesh 56 AWW 15. Parbhati 56 ASHA 16. Saroj AWH 56 Rabina ANM 65 Saroj ASHA 65 Perema 65 ASHA Bimla AWW 65 Sunita Rani Krishna ANM 65 Meena AWW 65 Sunita Goyal 65 Yogender 65 MPHW/M Sharmila 60 ANM Laxmi ASHA 60 Geeta AWW 60 Seeta ASHA 60 Meena ICTC Seenat ANM 60 Mamta AWW 60 Harwati 60 ASHA Niraj ASHA 60 Sunita AWW 60 Lalita AWH 60 Pinky ASHA 60 60 Asmina ANM 60 Vedparkash M 60 Reena AWW 60 Radha ASHA 60 Shahnaj ANM 60 Rita ASHA 60 Savitri ASHA 60 Vishwas M 60 Chanchal 60 Wasim S/N ANM

Usha ASHA 60 Raghbir M 60 60 Premlata 60 AWW Laltia ASHA 60 Mamta ASHA 60 Kamlesh 60 ASHA Untka DrGovindSharan Savita LHV, 32 Babli ANM 75 , 9416071601 9896706406 Ravinder 75 Singh MPHW Suman Asha 75 Afsana AWW 75 Sunita ANM 75 Rajni Asha 75 Usha AWW 75 MURADBA DrGovindSharan Mukesh HI, Sunita 50 S , 9416071601 8053285616 Rajni 50 Afsana 50 Babli 50 Suman 50 Ravinder 50 Singh MPHW Bai DrGovindSharan Seema S/N, Tea Kirpa ANM 55 , 9416071601 9812288169 m 1 Rekha Asha 55 Shahin ANM 55 Savita ANM 55 Ravinder 55 MPHW Shahina Asha 55 Guddi ANM 55 Indra Asha 55 Kavita AWW 55 Ghasera DrGovindSharan Dr. Pavitra CHO 1 Munesh aww 55 , 9416071601 8587870411 Ruksana asha 55 Anju awh 55 Meena anm 55 2 Nirmala aww 55 Manbhari asha 55 Prita LT 55 Ravindera LT 55 Dr. Pinki CHO 3 Poonam aww 55 8168438364 Nitika asha 55 Rashidan awh 55 Lalita 55

chhapera anm 4 Jaibun aww 55 Rukaiya asha 55 Kishni awh 55 Bhagmati anm 55 Dr. Jyoti RBSK 5 Kela aww 55 7703870193 Geeta asha 55 Arstun awh 55 Saraswati anm 55 6 Kamlesh aww 55 Sushma asha 55 Monika awh 55 Archna anm 55 Mr. Sakeel Pharmacist 7 Savita aww 55 9416594112 Seema asha 55 Phool awh 55 Veena Kumari 55

anm 8 Santosh aww 55 Jyoti asha 55 Asiya asha 55 Rekha anm 55

RBSK Smt. Neelta Kumari 9 Geeta aww 55 LHV 7027014343 Sabnam asha 55 Rahisan asha 55 Dr. Sonu RBSK 10 Sarda aww 55 7703870193 Shatabdi asha 55 Shyambati 55

awh Sudhir mphw- 55

m 11 Sakila asha 55 Asmina awh 55 Ritu asha 55 Dinesh mphw- 55

m Malab DrGovindSharan Savita LHV, Tea Rinesh ANM 88 , 9416071601 9896706406 m -1 Sunita ASHA 88 Parbha AWW 88 Anaro AWH 88 Parmila ANM 88 Sunita Balbir 88

ASHA Mewa AWW 88 Maksudan 88

AWH Guddi ANM 88 Premwati 88

ASHA Kiran AWW 88 Kishani AWH 88 Kirpa ANM 88 Maimwati 88

ASHA Manisha 88

AWW Sunita AWH 89 Dihana DrGovindSharan Seema S/N, 44 Sunita 2 ANM 71 , 9416071601 9812288169 Urmila AWW 71 Sheela ASHA 71 Nurima AWH 71 SUMLESH 65

7027849235 PREMWATI 65 MUKESH (HI) 9617647589 9416273274 MANJU 65

8053850259 DURGA 65

9083823369 MANJU T 65

9053834226 RASMEENA 65 DR HARPREET Devla DR SUNITA JAIN 9050012825 9654141583 9812006243 SHAKUNTL 65 A 7027849236 JYOTI 65

9050834506 MAYA 65

7027849243 SHIV CHARAN (HI) PUSHPA 65 9315248824 8053400872

ANITA 65

9991934312 SHILA 65

9813461381 ANURADHA 65

8930185312 SUREKHA 65 DR HEMRAJ 8396004875 9467192818 JAGVINDER 65

9812718189 SANJAY 65

9992529894 UMED 65

9891010005 SATBIR 65

9466358345 DR ANURAAG 65

KRISHAN870804709 7082828962 3 JAIVIR 65

9671051261 DINESH 65

8950357264 SUNIL 65

9813383593

Micro Plan for Containment of Local Transmission of Coronavirus Disease (COVID-19) Micro Plan for Cluster 2 Epicentre Name NIZAMPUR TAORU Block Name Taoru District Name Nuh State Name Haryana

Geographic Location Block Taoru District Name Nuh State Name Haryana

Objective of the Micro Plan:- To contain the outbreak of COVID-19 in geographic area as defined below Demographic details of District

District Area 1,860 km² District Population 10,89,406 (2011 Census) No. of Blocks 7 No. of Municipal Committee 4

Block Detail Name of Block Taoru Population 1,38,172 No. of Ward 13 No. of House 20117

Epicentre Details Name of Area NIZAMPUR TAORU Population 2934 No. of Houses 329

Name of Name of Name of Team Name of Members No. of Epicentre Nodal Officer Supervisor House coverd Nijampur DR.Devender Ravinder 1 Permilla 62 Solanki M/O 870866903 Renu 62 9599447832 Urmilla 61 Geeta 66 Dr bindu 2 Ravina 66 9812776482 Sanjida 66 Meena 66 Hanisa 66 DIDARA DR.Devender Vipin 1 Kavita 66 Solanki M/O 9991424313 9599447832 Bimla 66 Nihali 66 Sunita 66 DR Rinku 2 Anita 66 Sharma 8295828501 BINA 66 Sunita 66 Sunita 72 SEWKA DR.Devender Azzrudeen 3 Soniya 66 Solanki M/O 9255658786 9599447832

Babita 66 Birbati 66 Santosh 66 Chharora DR.Devender Rakesh L.T 1 Kamla 50 Solanki M/O 9812997664 9599447832 Nasima 50 Farjana 50 Savita 50 BIRMATI 50 JYOTSANA ANJU BALA 50

S/N MUBINA 50 ARJANA 50 BASSA 50 DR YOGESH SAROJ 50 PRADEEP KUMAR Shikarpur SAKILA 50 MISHRA PHARMCIST INDU 50 D/S POONAM 50 RAKESH SARMILA 50 GOYAL MUBINA ( 50 MPHW-M MALAKA) SUMAN 50 Micro Plan for Containment of Local Transmission of Coronavirus Disease (COVID-19) Micro Plan for Cluster 3 Epicentre Name AKHNAKA Block Name FP Jhirka District Name Nuh State Name Haryana

Geographic Location Block FP Jhirka District Name Nuh State Name Haryana

Objective of the Micro Plan:- To contain the outbreak of COVID-19 in geographic area as defined below Demographic details of District

District Area 1,860 km² District Population 10,89,406 (2011 Census) No. of Blocks 7 No. of Municipal Committee 4

Block Detail Name of Block FP Jhirka Population 1,75,665 No. of Ward 15 No. of House 25323

Epicentre Details Name of Area AKHNAKA Population 1925 No. of Houses 326

Name of Name of Name of Supervisor Team Name of Members No. of Epicentre Nodal House Officer coverd AKHNAK Dr. Yogesh Team SAVITRI 54 A MO I/C 1 8813818358 SAHJADI 54 DR.BHAGYASHRE MONIKA 55 E MOB NO - NEETU 55 8222001890 SANGITA 56 KAMLESH 56 AGON Dr. Yogesh MR.RAJESH PHAR. Team 67 MO I/C MOB NO - 1 SUMAN 8813818358 8684087078 PINKI 67 HEM LATA 67 SUMAN 67 PUSPA 67 GEETA 67 MANISHA 67 WARISHA 67 OMWATI 67 KIRAN 67 67 LAILA 67 SHAVITRI MR.LOKESH PHAR. Team 68 MOB NO - 2 KAMLESH 9416660890 REKHA,KIRPA, 68 68 NEETU,AYESHA

Rajpal MPHW M Rajiya 9 39 9996045427 Memuna 39 Sama parvin 39 Rahisan 39 Dr. Yogesh Rukaiya 39 Raniyala MO I/C 8813818358 Poonam 39 DR.NAIMMUDDIN KAMLESH MOB NO - 7417885353 10 39 8059519105

MAMTA822206142 39

SAVITA9813275066 39 MR.HARI KISHAN MPHW MOB NO - RAM 11 39 9468459865 RAJA9588143020

SANTOSH 39 7027840259 SUKHWANTI 39 9812642272 DR.BHAGYASHREE LOKESH 12 58 MOB NO - 8222001890 CHO9351188781 Dr. Yogesh MUKTI/7027840240 58 Madapur MO I/C / 8813818358 MUBINA8930503982 TABBASUM 58

9813957256 RAJESH PHARMACIST 58 13 Dr. Yogesh 8684087078 NEETU 9518805424 Kameda MO I/C SEEMA9350300090 58 8813818358 ANITA7011368571 58 FAKRUDDIN (7027840370) 14 MINTU ( 8607579078 ) 58 VIJETA 58 RUKSEENA 58 ANJU (8950593157 ) 58 AMNA 58 RUKSEENA 58 MENKA ( 7027838930 ) 58 VIJETA 58 RUKSEENA 58 Dr. Yogesh NAVEEN ( 9812807161 58 Bhond MO I/C ) 8813818358 AMNA 58 RUKSEENA 58 RITU ( 93094826 DR SWATI SHARMA ( 15 58 9887568379 ) 87 ) VIJETA 58 RUKSEENA 58 REKHA ( 90505164 58 14 ) AMNA 58 RUKSEENA 58 PARVEEN MPHW- 58 M VIJETA 58 RUKSEENA 58 SAHIL MPHW-M 58 AMNA 58 RUKSEENA 58 LAXMI ( 6350298515 16 ) 76 ANITA 76 USHA 76 SUSHMA ( 76 7419024586) SAHINA 76 SANNO 76 DR. VIJENDER ( 7976151554 ) NEETU ( 76 7027838907) ANITA 76 USHA 76 GANGA ( 76 9034636669) SAHINA 76 Dr. Yogesh SANNO 76 Sidhrawat MO I/C ARVIND ( MPHW- 76 8813818358 17 M) ANITA 76 USHA 76 SANDEEP ( MPHW - 76 M ) SAHINA 76 SANNO 76 MANISH ( 7206979724 ) SUNITA ( 76 7027838932) ANITA 76 USHA 76 MANISHA ( 76 8813891250) SAHINA 76 SANNO 76 PARDEEP 85 Chitora 9017867900 MR.HARI KISHAN 85 Dr. Yogesh SEEMA7027840252 MO I/C MPHW MOB NO - 9468459865 85 8813818358 PADMA9050608175

Micro Plan for Containment of Local Transmission of Coronavirus Disease (COVID-19) Micro Plan for Cluster 4/ KHANPUR GHATI Epicentre Name KHANPUR GHATI Block Name NAGINA District Name Nuh State Name Haryana

Geographic Location Block NAGINA District Name Nuh State Name Haryana

Objective of the Micro Plan:- To contain the outbreak of COVID-19 in geographic area as defined below Demographic details of District

District Area 1,860 km² District Population 10,89,406 (2011 Census) No. of Blocks 7 No. of Municipal Committee 4

Block Detail Name of Block NAGINA Population 1,36,009 No. of Ward 15 No. of House 19909

Epicentre Details Name of Area KHANPUR GHATI Population 4225 No. of Houses 670

Name of Name of Name of Supervisor Team Name of No. of Epicentre Nodal Members House Officer coverd Dr. Aarif CHO 2 laxmi 60 Khanpur Ghati 7014725641 Sehjadi 60 Suman 62 Dr. Yogesh MO I/C Mona 60 8813818358 Kavita 60 Kiran 60 Kavita 60 RITHAT Dr. Yogesh Dr. Rakesh CHO TEAM Bharti 72 MO I/C 9466503218 1 8813818358 Dr. Rakesh CHO 9466503218 Reena 72 Aaisa 72 Sonwati 72 Priti 73 Rajwati 73 Chandarwati 72 Rajendari 72 Kanta 72 Rama 72 Bimlesh 72 Priya 72 MAHU- Dr. Yogesh Dr. Arshad Ghayaas 1 Reena Kumari 78 CHOPRA MO I/C 8396922121 8813818358 Manisha 78 Kamla Devi 78 Abrar Khan 78 Manesh Kumar 78 Kuldeep 78 Vakila 78 Vasila 78 Jakiya 60 Basgar 57 Priti 57 Bimla 57 Suman 57 Dr. Yogesh Renu 57 Dr. Mubarik AMO RANGARBASS MO I/C 7027841655 Rekha Rani 57 8813818358 Manju 57 Monika 57 Laxmi 57 Sunita 57

Micro Plan for Containment of Local Transmission of Coronavirus Disease (COVID-19) Micro Plan for Cluster 5 Epicentre Name NAI Block Name PUNHANA District Name Nuh State Name Haryana

Geographic Location Block PUNHANA District Name Nuh State Name Haryana

Objective of the Micro Plan:- To contain the outbreak of COVID-19 in geographic area as defined below Demographic details of District

District Area 1,860 km² District Population 10,89,406 (2011 Census) No. of Blocks 7 No. of Municipal Committee 4

Block Detail Name of Block PUNHANA Population 2,50,197 No. of Ward 15 No. of House 35912

Epicentre Details Name of Area NAI Population 11658 No. of Houses 1818

Name of Name of Nodal Officer Name of Team Name of Members No. of Epicentre Supervisor House coverd NAI Dr. Vikram Jakhar 1 RAMBATI 93 NAPISA 93 MONI 93 BASKARI 93 BABITA KHATUN 93 SAVITA 93 BABITA 93 RAJNI 93 2 SANTOSH 93 FAREEN 93 YUSUF TAHIRA 93 MUBEENA 93 ANJUM 93 3 KAMLESH 93 RUKSANA 93 SAHNAJPARWEEN 93 ANIL KUMAR SAHNAJ BEGAM 93 AIJAJ 93 UMESH 93 RAHERA Team RUKSAR 1 50 ASINI 50 DR. BHANU VARMA NAND LAL 7840037594 9541759740 MUMTAZ 50 SAINA 50 SACHIN 50 1 DR. BHANU GULSHAN 50 VARMA DR. BHANU VARMA SEHNAZ 50 RAIPUR 7840037594 7840037594 NAVEEN DEEPTI 50 KUMAR SARLA 50 PHARMACIST 2 NIRMLA 50 8059044770 SAMTA 50 KUSUMLATA 50 Dr.Rajnikant Bisru Dr.ASHA(8607149179 3 Sunil Kumar(7027838953) (9813361584) Sunita(7027839948)

Khalid(9350411518) Suman

Kumari(9050634361) Khalid(9350411518) Svita(7027839954) Jamil(HI) 4 9813281299 Syambati(7027838918) Satpal(9812714730) Anita(7027839956) Anju Kumari(7027838954) Satpal(9812714730) Sangita(9992634165) Dr.Vijaypal 5 (7015914834) Dharamwati(7082154712) Rajkumar(8168291283) Savita

sharma(7027839722) Manju(9518018883) Rajkumar(8168291283) Maya

sharma(7027839957) Rohtash(HI) 6 9416954093 Aarti(7027838944) Subash(7988741820) Saroj(7027839953) Memwati(8700457722) Subash(7988741820) Nusrat(7027839952) Choudhary 7 (7988637733) Jyoti(7015794933) Rajpal(9812816832) Farjana(7027839951) Suresh

Kumari(8930423063) Rajpal(9812816832) Nargish(7027839950) Jahammanlal(HI) Rajan 8 9467935135 Sharma(9996120633) Rakam

singh(9728529643) Anjum(9813952576) Nirmala(9813061314) Rakam

singh(9728529643) Reshma(7027839945)

Micro Plan for Containment of Local Transmission of Coronavirus Disease (COVID-19) Micro Plan for Cluster 6 Epicentre Name PINANGWAN Block Name PINANGWAN District Name Nuh State Name Haryana

Geographic Location Block PINANGWAN District Name Nuh State Name Haryana

Objective of the Micro Plan:- To contain the outbreak of COVID-19 in geographic area as defined below Demographic details of District

District Area 1,860 km² District Population 10,89,406 (2011 Census) No. of Blocks 7 No. of Municipal Committee 4

Block Detail Name of Block PUNHANA Population 2,50,197 No. of Ward 15 No. of House 35912

Epicentre Details Name of Area PINANGWAN Population 12612 No. of Houses 1982

Name of Name of Name of Team Name of Members No. of Epicentre Nodal Supervisor House Officer coverd ASHA RANI 50 Dr. Manpreet SUSHILA 50 singh RENU 50 9671484885 ANIL KUMAR 50 2 MUNU SHARMA 50 VED BHUSHAN 50 Dr. Liyakat Ali CHANDAN 9813092786 50 YADAV ANITA 50 3 RAJBALA 50 Dr. Rizwan ANITA 50 Ahmed RENU 50 7015023384 RANI 50 4 KAMLESH 50 LALITA 50 Naveen CHO RAJVATI 50 Dr Manpreet 9314213142 SAVITA W/O PINANGWAN Singh 50 VINOD

5 SAVITA 50 Nirmal LHV SHARDA 50 8398834513 SARITA 50 RAJNI 50 6 MANOJ 50 Pushpa LHV BIMLESH 50 9211104707 PRIYA 50 KANTA 50 7 RAJWATI 50 Amarchand D/A SEEMA 50 9671245709 LALITA 50 MANJU BALA 50 8 SALESH 50 Shashi bala PRIYANKA 50 ANM LAKSHMI 50 9050817666 RANI 50 Nirmal LHV 1 HANISRA 50 Dr Manpreet 8398834513 PAPDI Singh RESHMA 50 RAHEESHA 50 1 AASHIYA 50 POONAM Dr Manpreet MUNNI 50 GANGWANI MPHW -F Singh NASIMA 50 8708938288 ANJUM 50 2 MOSAM 50 SUNITA HAJRA 50 MPHW -F SUNNIAT 50 8607013530 SARIPAN 50 MONU 1 FARMINA 50 SHARMA RUKSEENA 50 MPHW -M HASINA 50 Dr Manpreet Akbarpur 9812703532 SABILA 50 Singh

SHAHSI BALA 2 MPHW -F MAHMOODI 50 9050817666

Annexure-II

Data collection tool at field level (Line listing of suspect cases)

State&District : Haryana & Sector : Name of thefieldworker : Phone: Name oftheSupervisor : Phone: Name of thePHCdoctor : Phone:

c/o Fever, Cough, S.No Name of patient Age Sex Address Difficulty Remarks in breathing

Data collection tool at field level (Field Level Data Compilation Sheet)

Total Total No. of number of S. Name of population M F Suspect cases contacts put Remarks No. village surveyed identified under home quarantine

Total Annexure-III

Daily Line listing of Patients detected at health facilities

Symptoms or Sample contact with S. No Name Age Sex Address taken Remarks COVID-19 (Y/N) suspect case

Appendix- IV

Recommended guidance for contact tracing, quarantine and isolation for Coronavirus Disease(COVID-19):

I. ContactTracing: a. Contact means a person:

 Providing direct care without proper personal protective equipment(PPE) for COVID-19patients  Staying in the same close environment of a COVID-19 patient (including workplace, classroom, household,gatherings).  Traveling together in close proximity (1 m) with a COVID-19 patient in any kind of conveyance within a 14‐day period after the onset ofsymptoms in the case underconsideration. b. Each worker or person responsible for contact tracingshould:

 Enlist all the contacts for tracing along with their names, address and contact details and submit to the supervisordaily  Daily visit the contact and ask him/her if had developed any fever,cough, shortness of breath, difficulty in breathingetc.)  Educate contacts and their family members on importance ofcontact tracing and homequarantine  Distribute Triple layer surgical masks to the contact and keepsufficient stock.  Create awareness on symptoms and provide information on self-health monitoring  Contacts should be informed that if they developsymptoms: o Immediately wear a triple layer mask and avoid close contact with any otherperson. o Inform concerned health worker who will arrange for medical examination by supervisory medical officer and transportationto hospital, ifrequired. o Provide details on all possible contacts since the time he/shehas developed symptoms and inform healthworker  Duration of follow up of contacts would be 28 days from the time oflast contact with acase II. Active surveillance:

Active surveillance shall be done within containment zone (or 3 Km radius from the periphery of the affected area)

What has to be done:

 Enlist all houses (and persons)  Daily visits to each house and enquire about any person developing any symptoms (like fever, cough, shortness of breath, difficulty in breathing etc.)  In case of a person is detected to be developing symptoms of COVID-19, the same shall be brought to notice of supervisory medicalofficer  Daily reporting: as per the format (AnnexureV)

III. Home Quarantine:

 Who has to be quarantined: all households and close contacts ofa confirmed and suspect cases are to be homequarantined  Duration of home quarantine: Those being home quarantined need to be followed up till the time test results of suspect case (whose contacts are being home quarantined and followed up) comes negative. If the test result comes positive then all such persons become ‘true’ contacts and have to be home quarantined for 14 days and followed up for 28days.

IV. Isolation:

 Suspect cases detected on active surveillance need to be in isolated in a room in the house temporarily till the time he/she is examined by the supervisory medical officer or shifted by the designated ambulance tothe designated healthfacility.  Following shifting to health facility, place of temporary isolations needsto be disinfected in accordance with prescribed SOPs by 1% sodium hypochlorite Appendix V

Line listing of Contact (Name ofPatient):

To be Symptoma Date under tic (Y/N). S. on Sample surveill If Yes, is Remar N Name Age Sex Address which taken ance person ks o. expose (Y/N) (till isolated/re d date) ferred

(Please use separate sheet for contacts of different patients)

List Attached – 34 Contacts Annexure VI

Sample collection proforma to be attached with the samples

21 Appendix-VII

Transportation arrangement for containment Operation

Sector Name of the Purpose for Vehicle Driver Contact Sector Vehicle Regn. name Number Deployed number A House to house surveillance Supervisory Staff B House to house surveillance Supervisory Staff C House to house surveillance Supervisory Staff

D House to house

surveillance

FP Supervisory Staff

22 Appendix-VIII

Identified Sectors for Public Education Outreach and rostering of identified communicationstaff

Sector Name of Name of Contact Name of Contact Municipal ward/ Municipal/ Number Supervisory Number village Panchayat BEE staff

23

Appendix-IX Cluster Containment Format for daily report of COVID-19 virus disease Date : State: District: Block : Epicentre: Total No. of Village in the block: No. of affected Municipalty /village:

Population Population surveyed A) A 1 Population BasedInformation No. of villages/municipality/localities (Cumulative) 0-3 Km Population from Epicenter

A-2 Morbidity data

Daily Cumulative Persons with fever / symptoms consistent (only new Cases) with COVID-19 virus disease 0-3 Km from Epicenter

B) Hospital based Information: Name of Hospital - …………………………………………………………………………… In patient Daily Cumulative Suspect COVID-19 viral disease cases Laboratory Confirmed case of COVID-19 virus disease No of deaths (suspected or confirmed)

D) Contact Tracing Number of contacts under surveillance

E) Laboratory Testing Number of Samples taken Number of Samples found Positive Daily Cumulative Daily Cumulative

24

F) Public Education outreach No of houses in No. of houses 0-3 km Visited Percentage Villages covered by Public Education Outreach

G) Monitoring Health Staff Health personnel deployed in field Health personnel deployed in field including complaining of Fever/ symptoms medical officers, Health supervisors/health consistent with COVID-19 virus workers etc. disease

Hospital staff complaining of Fever/ Hospital staff including Medical Officers, Nurses, symptoms consistent with COVID-19 Attendants etc. virus disease

H) Stock Position Stock to be requisitioned if Previous days stock at District HQ Consumed for the day Stock at hand( s) any Item PPE N-95 Masks Triple layer surgical Mask

Note: Daily report to be faxed by 11.00 a.m. · Director NCDC (Fax No: 011-23922677;011-23921401) Signature DSO · Director EMR ( Fax No: 011-23061457) (Name &Desg. Of the reporting officer) Phone No. of DSO

25 Annexure 10 District Mitigation Plan