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Health ministry flags concern on COVID rise
Rohit Shishodia
The Union Health Ministry has flagged concern on the rise of COVID19 cases in many states. Officials raised various concerns such as poor testing, surveillance and vaccination in nine states at a high level review meeting that took place on July 20,2022.
Nine states suc
h as Kerala, West Bengal, Tamil Nadu, Maharashtra, Assam, Andhra Pradesh, Himachal Pradesh, Mizoram and Arunachal Pradesh reported increase in COVID19 cases and positivity rate.
Dr Vinod Paul, Member (Health), NITI Aayog, said, “We need to be mindful that COVID has not gone. Looking at the global scenario, we need to be at high alert. There is poor surveillance, poor testing and below average vaccination in many states undergoing the present surge”, he pointed out.
He urged states to improve the testing in areas with high positivity, increase surveillance as per the revised surveillance strategy and speed up COVID vaccination.
Union Health Secretary Rajesh Bhushan stressed that all districts reporting higher positivity rate need to undertake adequate testing with a higher proportion of RTPCR tests. Any laxity will result in deterioration of the situation in these districts.
“There is a need to effectively and strictly monitor home isolation cases so that they are not intermingling and circulating in their neighborhoods, community, village, mohalla, ward etc., and spreading the infection,” he added.
States were advised to conduct surveillance as per revised surveillance strategy issued on June 9, 2022. They were further directed to report district-wise SARI (Severe Acute Respiratory Illness) and ILI (Influenza-like Illness) cases on a daily basis. Also, to send these for genome sequencing to mapped INSACG labs.
States were advised to undertake tests indicating the proportion of international arrivals, with genome sequencing of all positives; identify sentinel sites for INSACOG network to send samples for Whole Genome Sequencing.
He said that states also will send positive samples from large clusters / outbreaks in the community and unusual events for Whole Genome Sequencing.
Bhushan stressed that states will create added awareness regarding reporting of those who opt for home test kits through RAT, for timely identification of those cases that need clinical management. All such positive patients to be advised for home isolation to prevent infection spread in the community.
States were urged to accelerate administration of ongoing free Covid-19 vaccination for 1st, 2nd and precaution dose. States were further urged to intensify the implementation of Free Precaution Doses for 18+ population under ‘COVID Vaccination Amrit Mahotsav’ till 30th September, 2022.
Dr Randeep Guleria, Director, AIIMS, New Delhi advised states to be attentive to clinical symptoms of COVID patients and not wait till their genome sequencing is done to identify whether a cluster is emerging in any state.
“States need to be attentive to the changing pattern of clinical manifestation of hospitalized patients,” Dr Guleria stated.
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