New Delhi: Asserting that the Omicron variant is at least thrice more transmissible than Delta, the Centre Tuesday asked states and union territories to “activate” war rooms, keep analyzing even small trends and surges and keep taking strict and prompt containment action at district and local levels.
In a letter to the states and union territories, Union Health Secretary Rajesh Bhushan advised implementing strategic interventions for containment like imposition of night curfew, strict regulation of large gatherings, curtailing numbers in marriages and funerals besides increasing testing and surveillance.
The letter highlights measures that need to be taken in view of initial signs of surge in cases of COVID-19 as well as increased detection of the variant of concern Omicron in different parts of the country.
“At the district level there should be constant review of emerging data regarding the population affected by COVID-19, geographical spread, hospital infrastructure and its utilization, manpower, notifying containment zones, enforcement of perimeter of containment zones etc. This evidence should be the basis for effective decision making at the district level itself.
“Such a strategy ensures that infection is contained at the local level itself before it spreads to other parts of the state,” Bhushan said in the letter.
“Kindly activate the war rooms/EOCs (emergency operation centres) and keep analyzing all trends and surges, no matter how small and keep taking proactive action at the district/local level. Regular reviews with field officers and proactive action in this regard will definitely control the spread of infection and flatten the curve,” he said.
In case of all new clusters of Covid positive cases, prompt notification of “containment zones”, “buffer zones” should be done, strict perimeter control of containment zone according to extant guidelines must be ensured.
All cluster samples must be sent to INSACOG Labs for Genome Sequencing without delay, Bhushan underlined.
The letter highlighted that test positivity of 10 per cent or more in the last one week or bed occupancy of 40 per cent or more on oxygen supported or ICU beds should be main elements of the framework to be used by states and union territories to facilitate decision making at the district level.
“Based on current scientific evidence, the VOC (variant of concern) Omicron is at least 3 times more transmissible than the Delta VOC. Besides, the Delta VOC is still present in different parts of the country.
“Hence, even greater foresight, data analysis, dynamic decision making and strict and prompt containment action is required at the local and district level. The decision making at the state and UT and district level must be very prompt and focussed,” he said.
Listing some of the strategic areas of intervention focusing on containment, test, track, surveillance, clinical management to be taken, Bhushan asked states and union territories to ensure door to door case search, testing of all SARI/ILI and vulnerable/co-morbid people and right proportion of RT PCR tests in total tests being conducted daily.
Contact tracing of all Covid positive persons and utilizing the access to “AIR SUVIDHA Portal by State Surveillance Officers (SSOS) and District Surveillance Officers (DSOS) to monitor the international passengers who have arrived in their states and districts was also stressed.
States and union territories have been asked to increase bed capacity, other logistics like ambulances, mechanism for seamless shifting of patients, availability and operational readiness of oxygen equipment, buffer stock of drugs to be ensured by prompt utilization of Emergency Covid Response Package (ECRP-II) funds released by central government and other available resources etc.
The existing National Clinical Management Protocol remains unchanged for Omicron, the letter stated.
“Ensure stringent enforcement of home isolation as per extant guidelines. This would include among others: customized kit for persons undergoing home isolation, their regular monitoring through call centres as well as home visits etc. This will be a very critical activity in the days to come specially to ensure that persons under home isolation do not spread the virus to others in view of its higher transmissibility,” the letter underlined.
The states and union territories have been asked to ensure 100 per cent coverage of left out first and second dose eligible beneficiaries in an accelerated manner. Special focus to be given to those districts where the first second dose coverage is less than the national average, the letter stated, adding the door-to-door vaccination campaign need to be strengthened.
They have also been asked to ensure advance engagement and information so that there is no misinformation or panic, transparent communication on hospital and testing infrastructure availability, regular press briefings etc.
“Participation of community backed by strict enforcement is necessary for ensuring Covid appropriate behaviour,” the letter said.
India records 5,326 new COVID-19 cases, 453 deaths
New Delhi: Two hundred cases of Omicron variant of coronavirus have been detected across 12 states and UTs in India so far out of which 77 patients have recovered or migrated, the Union Health Ministry said on Tuesday.
Maharashtra and Delhi have recorded 54 cases of Omicron variant each, while Telangana registered 20 cases, Karnataka 19, Rajasthan 18, Kerala 15 and Gujarat 14 cases.
The ministry data updated on Tuesday also stated that India recorded 5,326 new cases of coronavirus infections, the lowest in 581 days, taking the total tally of COVID-19 cases to 3,47,52,164, while the active cases declined to 79,097, the lowest in 574 days .
The death toll climbed to 4,78,007 with 453 fresh fatalities, according to the data updated at 8 am.
The daily rise in new coronavirus infections has been recorded below 15,000 for the last 54 days now.
The active cases have declined to 79,097 comprising 0.23 percent of the total infections, the lowest since March 2020, while the national COVID-19 recovery rate has further improved to 98.40 percent, the highest since March 2020,the ministry said.
A decline of 3,170 cases has been recorded in the active COVID-19 caseload in a span of 24 hours.
The daily positivity rate was recorded at 0.53 percent. It has been less than two percent for last 78 days. The weekly positivity rate was also recorded at 0.59 percent. It has been below one percent for the last 37 days, according to the ministry.
The number of people who have recuperated from the disease surged to 3,41,95,060, while the case fatality rate was recorded at 1.38 percent.
The cumulative doses administered in the country so far under the nationwide COVID-19 vaccination drive has exceeded 138.35 crore.
