District Jind (Haryana)
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(as on 09-04-2020) DISTRICT CONTAINMENT PLAN Novel Corona-Virus Disease 2019 (COVID-19) District Jind (Haryana) 1 Contents: I. Part I – Implementation Orders: Existing Containment Plan for 1 zone in Jind as on 09-04-2020 II. Part II - Conceptual Plan for entire district Part I Implementation Orders: Existing Containment Plan for 1 zone in Jind as on 09-04-2020 Nidani Village Containment Zone (Access Control Map) (Village Boundary Map) ORDER (issued on 07-04-2020) (under Section 30 of the Disaster Management Act, 2005) Since a Corona positive case has been reported in village Nidani, Sub-Division Jind, District Jind, therefore, the entire geographical area falling under this village is declared as Containment Zone villages Nidana, Shamlo Khurd, Padana, Radhana, Dhigana, Sindhvi Khera are declared as Buffer Zone for all the purposes and objective as prescribed in the protocol of nCOVID-19 to prevent its spread in the adjoining areas. For combating the situation at hand, the following action plan is prescribed to carry out screening of the suspects, testing of all suspected cases, quarantine, isolation, social distancing and other public health measures in the Containment Zone as well as Buffer Zone effectively: 1- Sufficient number of Teams for conducting door to door screening/ thermal scanning of each and every person of the entire households falling in the Containment Zone shall be deployed by the Civil Surgeon, Jind. All of them would work under the strict directions of the Civil Surgeon, Jind. All the staff on duty shall be provided with personal protective equipment and other required devices for screening/thermal scanning etc. Gates/Door Knobs of each and every household will be properly sanitized. (Action by: CMO & District Surveillance Officer, Jind) 2 2- Teams comprising of Anganwari Worker, Asha Workers, MPHW (Male) and ANMs for conducting door to door screening/thermal scanning of each and every person of the entire households falling in the Containment Zone shall be deployed by the Civil Surgeon, Jind and each team would be allocated 50 households. Five Anganwari Supervisors and two WCDPOs would be deployed to supervise the work to be carried out by the Asha Workers, Aganwari worker, MPHW (Male) and ANMs. One Anganwari Supervisor will supervise the work of Five Teams and the entire work will be supervised by two Women & Child Development Programme Officer. All of them would work under the strict directions of the Civil Surgeon, Jind. All the staff on duty shall be provided with personal protective equipments and other required devices for screening/thermal scanning etc. Gates/Door Knobs of each and every household will be properly sanitized. (Action by: DPO-WCD Jind, Civil Surgeon Jind) 3- The entire areas of Containment Zone and Buffer Zone will be fully sanitized by the Block Development and Panchayat Officer, Jind. It shall be ensured by him that the staff deployed for complete sanitization of the locality is adequately provided with personal protective equipments viz. face masks, gloves, caps, sanitizers, shoes and also follow social distancing norms. (Action by: BDPO Jind, Gram Panchayats) 4- Movement of public of the inhabitants of Containment Zone shall be absolutely restricted and the entire Containment Zone shall be sealed by deployment of adequate police force and setting up of required number of Nakas etc. by the (Action by: DIG Office, Jind) 5- Necessary barricading of the Containment as well as Buffer Zone shall be done by the Executive Engineer, PWD (B&R), Jind in consultation with Superintendent of Police, Jind. (Action by: XEN, PWD (B&R), Jind & DSP Jind) 6- Sufficient stock of personal protective equipment/devices and required medicines shall be kept at the control room by the Civil Surgeon, Jind. (Action by: Civil Surgeon, Jind; AO (DC Office) Jind) 7- Civil Hospital is declared as Containment/ Isolation/ COVID Hospital. Civil Surgeon, Jind shall ensure that all required health care/medical facilities are in place to meet any emergency. (Action by: Civil Surgeon, Jind) 8- General Manager, Haryana Roadways, Jind shall deploy two buses exclusively for carrying the health teams constituted for door to door screening / thermal scanning from Hospital to the Zones and drops them back. (Action by: General Manager, Haryana Roadways, Jind) 3 9- Demand of essential goods/ commodities such as raw ration/ milk/ grocery/ medicine/ vegetables shall be worked out lists shall be prepared by the Tehsildar, Jind. There shall be separate packets of vegetables, ration/grocery items, milk etc. and delivery of the same would be ensured at the door step. The delivery personnel would wear personal protective equipment and drop the packets at the door itself. He will not go inside of any house or make physical contact with any person. Accountability of the essential goods/items received and distributed to the households shall be maintained by the above officers on daily basis for which they may deploy adequate staff from their own office. (Action by: Tehsildar, Jind) 10- Regular power supply in the Containment/Buffer Zone shall be ensured by SE, DHBVN, Jind. (Action by: SE, DHBVN, Jind) 11- Regular safe drinking water supply shall be ensured by the SE, Public Health, Jind. (Action by: SE, Public Health, Jind) 12- The following officers are hereby appointed as Duty Magistrates for the Containment Zone and Buffer Zone for maintenance of law and order round the clock alternatively on alternate days. a. Sh. Jagroop Singh, DM, SC Finance Devl. Corp., Jind 98135-00882 b. Dr. Karan Singh, Deputy Director, DIC, Jind 90344-30157 13- Ambulances and other para-medical staff shall be deployed by the Civil Surgeon, Jind (Action by: Civil Surgeon, Jind) The Sub Divisional Magistrate, Jind shall be overall In-Charge of the Containment/ Buffer Zone and to over-see all the arrangements. All the officers/officials on duty shall perform/discharge their duties efficiently and any laxity on the part of any officer/ official will attract strict action under the provisions of Disaster Management Act, 2005. Part II Conceptual Plan for entire district 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. 4 In India, as on 26th February, 2020 three travel related cases were reported (all from Kerala). These three quarantined and symptomatic treatments 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 World Health Organization on 30th January, 2020 declared outbreak as Public Health Emergency of International Concern. According to the guidelines issued by government of India and Health Department Haryana, District Jind prepared for containment, including active surveillance, early detection, isolation, case management, contact tracing and prevention of onward spread of COVID-19. 1.3 Epidemiology Corona viruses belong to large family of viruses, some causing illness in people and others circulate in animals. The etiologic agent responsible for current outbreak of SARS- CoV-2 is novel corona virus is closely related to SARS-Corona virus. The virus mainly transmits via respiratory secretions. Nosocomial transmission also documented in COVID-19 a) Incubation Period – COVID-19 range from 2-14 days b) Common Symptoms- fevers, fatigue, dry cough and breathing difficulty. c) Fatality (according to Chinese CDC) 81% cases are mild,14% require hospitalization and 5% require ventilators. 2. Strategic Approach 2.1. Strategic Approach for Current Scenario: “only travel related cases reported from India”. (i) Inter-ministerial coordination (Group of Ministers, Committee of Secretaries) and Centre-State Co-ordination been established. (ii) Early Detection through Points of Entry (PoE) screening of passengers coming from China, Honk Kong, Indonesia, Japan, Malaysia, Republic of Korea, Singapore, Thailand and Vietnam through 21 designated airports, 12 major ports, 65 minor ports and 8 land crossings. (iii) Surveillance and contact tracing through Integrated Disease Surveillance Programme (IDSP) for tracking travelers in the community who have travelled from affected countries and to detect clustering, if any, of acute respiratory illness. (iv) Early diagnosis through a network of 15 laboratories of ICMR which are testing samples of suspect cases. 5 (v) Buffer stock of personal protective equipment maintained. (vi) Risk communication for creating awareness among public to follow preventive public health measures. Following scenario based approach to be followed: 1. Travel related cases reported in India 2. Local Transmission of COVI 19 3. Community Transmission of COVID 19 Disease 4. India becoming epidemic of COVID 19 Surveillance and contact tracing through Integrated Disease Surveillance Programme (IDSP) for tracking travelers in community who have travelled from affected countries and to detect clustering, if any of acute respiratory illness. 2. 2. Local transmission of COVID-2019 disease The strategy will remain the same as explained in para 2.1 as above. In addition cluster containment strategy will be initiated with: • Active surveillance in containment zone with contact tracing within and outside the containment zone. • Expanding laboratory capacity for testing all suspect samples and Establishing surge capacities for isolating all suspect / confirmed cases for medicalcare. • Implementing social distancing measures. • Intensive risk communication. 3. SCOPE OF THIS DOCUMENT In alignment with strategic approach, this document provides action that needs to be taken for containing a cluster. The actions for control of large outbreaks will be dealt separately under a mitigation plan. 4. OBJECTIVES The objective of cluster containment is to stop transmission, morbidity and mortality due to COVID-19.