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Zda Covid-19 Final Emergency Preparedness and Response Plan for COVID-19 Dzongkhag Administration Zhemgang th 18 March, 2020 Contents Dzongkhag Profile .................................................................................................................2 Residential Population Profile in Zhemgang ..........................................................................3 Gewog and Throm wise Population Detail Domiciled in Zhemgang ......................................3 Risk/Vulnerability Assessment ..............................................................................................4 Measures Undertaken ............................................................................................................4 Dzongkhag Task Force ..........................................................................................................4 Dzongkhag Incident Command System (DICS) .....................................................................5 Dzongkhag COVID-19 Response Team .................................................................................8 DESCRIPTION OF ICS ........................................................................................................9 Isolation Facilities ............................................................................................................... 11 Quarantine Facilities ............................................................................................................ 11 Quarantine Backup Facilities ............................................................................................... 12 Map of Tingtibi showing Quarantine Facility and Isolation Room in Yebilaptsa Hospital .... 13 Map of Panbang Town showing quarantine facilities and Isolation Room ............................ 14 Map of Zhemgang town showing Quarantine Facility and Isolation Room in Zhemgang Hospital ............................................................................................................................... 15 Situation: Yellow ................................................................................................................. 16 Situation: Orange ................................................................................................................. 17 Situation: Red ...................................................................................................................... 18 Projection of essential food items......................................................................................... 19 Waste from Isolation Rooms ................................................................................................ 19 Operation Procedure Plan .................................................................................................... 20 SoPs for Dealing with COVID-19 ........................................................................................ 21 Annexure ............................................................................................................................. 22 1 Dzongkhag Profile § Eight Gewogs (Four each in Upper and Lower Kheng) § Total area – 2421.74 km2 § Bordering with five Dzongkhags – Bumthang, Mongar, Pemagatshel, Sarpang, and Trongsa § Ngangla Gewog under Panbang Dungkhag sharing 8 kms. transboundary with Baksa District, State of Assam, India 2 Residential Population Profile in Zhemgang Gewogs/Town Male Female Total All Eight Gewogs 5310 5660 10970 Zhemgang Throm 1019 1004 2023 Tingtibi Throm 322 282 604 Panbang Throm 533 571 1104 Total 7184 7517 14,701 Source: Annual Household Survey 2018 Gewog and Throm wise Population Detail Domiciled in Zhemgang Sl. Gewog / Throm Male Female Total No. 1 Bardo 847 783 1630 2 Bjoka 323 340 663 3 Goshing 481 524 1005 4 Nangkor 591 713 1304 5 Ngangla 857 956 1813 6 Phangkhar 535 566 1101 7 Shingkhar 449 459 908 8 Trong 1227 1319 2546 9 Zhemgang Throm 1019 1004 2023 10 Tingtibi Throm 322 282 604 11 Panbang Throm 533 571 1104 Total Population 7184 7517 14701 Source: Annual Household Survey 2018 3 Risk/Vulnerability Assessment § Porous border with Baksa District, State of Assam, India § Continual Bhutanese traveling via Panbang, Bansbari, Royal Manas National Park, Tingtibi, Nganglam, Gelephu and Trongsa. (5545 people screened as of 21.03.2020) § Movement of day visitors from across the border to Panbang via Mathanguri § Lack of advocacy, surveillance and screening of COVID-19 across the border § Possible outbreak of dengue and malaria with onset of monsoon especially under Panbang Dungkhag § Non-declaration of travel history by the travelers at the checkpoint Measures Undertaken • Eight Coordination Meetings conducted on 6th, 7th, 16th, 17th, 18th March and scheduled on 19th and 20th March 2020 • Constituted Dzongkhag COVID-19 Task Force and Technical Working Group • Established 3 health screening and surveillance points at Panbang checkpoint, Tingtibi and Wangdigang Tri-junctions on 7th March 2020, till further notice • Health screening and surveillance point to be set up at Thinleygang (Nganglam- Panbang Primary National Highway) • Conducted advocacy and awareness in schools, institutions, business communities and Gewogs • Notified public to avoid mass gatherings and minimize unnecessary travels to border towns. • Mobilized distribution of hand sanitizers to the institutions and offices • Established Flu Clinics at all three hospitals under Zhemgang • Designated isolation and quarantine facilities by three hospitals under Zhemgang • Recommended to identify and establish screening and surveillance points including quarantine units in the Gewogs • Reactivated the checkpoint at Tingtibi with effect from 22.03.2020 Dzongkhag Task Force 1. Lobzang Dorji, Dzongdag, Chairperson 2. Norbu, Drangpoen, Deputy Chairperson 3. Lham Dorji, Dungchen, Member 4. Kinzang Dorjee, Dzongrab, Member 5. Sonam Dorji, Drungpa, Member 6. Maj. Pema Dangsel, OC, RBP, Member 7. Capt. Ugyen Dorji, OC, Panbang, Member 8. Dr. Jambay Dorjee, Regional Director, RLDC, Member 9. Wangay, Gup, Trong Gewog, Member 10. Chungla Dorji, CDEO, Member 11. Dr. Tandin Wangchuk, GDMO, Member 12. Dr. Dadi Ram Darjee, GDMO, Member 13. Tshering Tobgay, In-charge, RSTA, Member 14. Jigme Dorji, Chief Forestry Officer, Member 15. Tashi Choden, Thromdhey Thuemi, Member 16. Sonam Nima, DDM focal person, Member 17. Thinley Tobgyal, ADHO, Member Secretary 4 Dzongkhag Incident Command System (DICS) NDMA Office of the Gyalpoi Zimpon Incident Commander Lobzang Dorji, Dzongdag 17832085 Operation Section Chief, Lower Kheng Operation Section Chief, Upper Kheng Sonam Dorji, Dungpa Kinzang Dorjee, Dzongrab 17699898 17666073 Medical Medical Response Logistics Security Planning Response Logistics Security Planning Team Team 5 Upper Kheng Incident Commander Dzongdag, Lobzang Dorji Operation Section Chief, Upper Kheng Dzongrab, Kinzang Dorjee Medical Response Chief ADHO, Thinley Tobgyal 17122680 Logistics Chief Planning Chief Security Chief Procurement Officer, Dorji DDMO, Sonam Nima, Maj. Pema Dangsel, 17800394 Wangchuk, 17368161 16901642 Zhemgang MRS Yebilabtsa MRS Dr. Tandin Wangchuk, Dr. Dadi Ram Darjee, 77343424 17612234 Zhemgang Forest Division CFO, Jigme Dorji, 17638946 Finance and Procurement School Coordination Unit CDEO, Chungla Dorji, Finance Officer, Tshering 17725394 Outbreak Investigation and Choden, 16803313 Surveillance De-Suung Coordinator, ADAO Jambay Ugyen, 17610599 Quarantine Transportation Unit, HRO, Ugyen Dorji, 17381452 Case Management Communication Unit, ICTO, Mohan Subba, 17947527 Supply and Operational Logistics Quarantine & Accommodation Unit, Procurement Officer Risk Communication Backup Force 1. Civil Servants Food Supplies Unit, DAO, 2. Corporates Employees Phuntsho, 17366139 3. Private Employees Routine Health Services Cremation Unit Cultural Officer, Phub Tshering, 17767781 6 Lower Kheng Incident Commander Dzongdag, Lobzang Dorji Operation Section Chief, Lower Kheng Dungpa, Sonam Dorji Medical Response Chief Security Chief Logistics Chief Planning Section Chief ADHO, Thinley Tobgyal Capt. Ugyen Dorji, Dy. CDEO Sherab Jamtsho, 17693138 SCS Principal Rinzin 17122680 17349860 Wangdi, 17668834 Medical Response Team Sangay Tshedup Zhemgang Forest Division Clinical Officer, 17886259 Forest Officer, Ugyen v Finance and Procurement Tenzin, 17529151 Unit School Coordination Accountant, Kelzang DEO, 17693138 Phuntsho, 17230996 Outbreak Investigation and De-Suung Coordinator, Surveillance Sonam Dorji, 17514164 Transportation Unit, Adm Asst, Tashi Minjur, Quarantine 17932611 Communication Unit, IT Case Management Staff, Dorji Samdrup, 17716839 Quarantine & Supply and Operational Logistics Accommodation Unit, DE Principal, Kunznag Tenzin, 17631794 Risk Communication Food Supplies Unit, Adm Asst, Norbu Jamtsho, Backup Force 17661655 1. Civil Servants 2. Corporates Employees 3. Private Employees Routine Health Services Cremation Unit Sonam Tobgay, DH (Panbang Hospital) 17987055 7 Dzongkhag COVID-19 Response Team Sl. Responsibility Designation Name Phone No Email Incident Lobzang 1 Dzongdag 17832085 [email protected] Commander Dorji Operation Kinzang 2 Section Chief, Dzongrab 17699898 [email protected] Dorjee UK Operation Sonam 3 Section Chief, Dungpa 17666073 sonam@ zhemgang.gov.bt Dorji LK Medical Thinley Response ADHO 17122680 [email protected] Tobgyal Chief Medical Response Dr. Tandin 6 GDMO 77343424 [email protected] Chief Wangchuk Zhemgang Medical Response Dr. Dadi 7 GDMO 17612234 [email protected] Chief Ram Darjee Yebilabtsa Medical Sangay 8
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