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India: Ministry of Health and Family Welfare Updates on COVID-19: Press releases, government response

Ministry of Health and Family WelfareHigh level Group of Ministers reviews current status, and actions for prevention and management of COVID-19

Ministry of Health issues Comprehensive Advisory on Social Distancing



Posted On: 16 MAR 2020 7:44PM by PIB Delhi

A high level meeting of the Group of Ministers (GoM) on COVID-19 was held at Nirman Bhawan today under the chairpersonship of Dr. Harsh Vardhan, Union Minister of Health & Family Welfare. Sh. Hardeep S. Puri, Minister of Civil Aviation, Dr. S. Jaishankar, Minister of External Affairs,Sh. Nityananda Rai, Minister of State for Home and Sh. Ashwini Kumar Choubey, Minister of State, Health & Family Welfare were present. Sh. Bipin Rawat, Chief of Defence Staff, Ms. Preeti Sudan, Secretary, (HFW), Sh. Pradeep Singh Kharola, Secretary (Civil Aviation), Sh. P.D. Vaghela, Secretary (Pharmaceuticals), Dr. Rajiv Garg, DGHS, Dr. Balram Bhargava, Secretary DHR & Director General ICMR, Sh. Ravi Capoor, Secretary (Textiles), Sh. Sanjeeva Kumar, Spl. Secretary (Health), Sh. Sanjay Bandopadhyay, Addl. Secretary (Shipping), Shri Dammu Ravi, Additional Secretary Ministry of External Affairs, Sh. Anil Malik, Addl. Secy (MHA), Sh. Anand Swaroop, Inspector General (ITBP), and Sh.Lav Agarwal, JS (MoHFW) along with other officials from Army, ITBP, Pharma, and Textiles were also present.

The Group of Ministers (GoM) had detailed deliberation on prevention and management of COVID-19 in their 7th meeting today. After a detailed discussion, social distancing measures as a preventive strategy have been proposed for implementation. These measures are a preventive step to contain COVID-19 in the country and will be temporary measure in force till March 31[SUP]st[/SUP], 2020. The important measures include:
  1. Closure of all educational establishments (schools, universities etc), gyms, museums, cultural and social centres, swimming pools and theatres. Students should be advised to stay at home. Online education to be promoted.
  2. Non-essential travel should be avoided. Buses, Trains and aeroplanes to maximize social distancing in public transport besides ensuring regular and proper disinfection of surfaces.
  3. Encourage private sector organizations/employers to allow employees to work from home wherever feasible.
  4. Meetings, as far as feasible, shall be done through video conferences. Minimize or reschedule meetings involving large number of people unless necessary.
  5. Restaurants to ensure hand washing protocol and proper cleanliness of frequently touched surfaces. Ensure physical distancing (minimum 1metre) between tables; encourage open air seating where practical with adequate distancing.
  6. Local authorities to have a dialogue with organizers of sporting events and competitions involving large gatherings and they may be advised to postpone such events.
  7. Local authorities to have a dialogue with opinion leaders and religious leaders to regulate mass gatherings and should ensure no overcrowding/at least one metre distance between people.
  8. Local authorities to have meeting with traders associations and other stakeholders to regulate hours, exhibit Do’s and Don’ts, and take up a communication drive in market places like sabzi mandi, anaj mandi, bus depots, railway stations, post-offices etc., where essential services are provided.
  9. Keep communities informed consistently and constantly.
Additional Travel Advisory: Travel restrictions have been further tightened to prevent the spread of COVID-19 from high-risk areas.
  • Expanding compulsory quarantine for a minimum period of 14 days for passengers coming from/transiting through UAE, Qatar, Oman, and Kuwait. This will come into effect from 1200 GMT on 18th March, 2020 at the port of first departure.
  • Travel of passengers from member countries of the European Union, the European Free Trade Association, Turkey and United Kingdom to India is prohibited with effect from 18[SUP]th[/SUP] March, 2020. No airline shall board a passenger from these nations to India with effect from 1200 GMT on 18th March, 2020. The airline shall enforce this at the port of initial departure.
  • Both these instructions are temporary measures and shall be in force till 31st March, 2020 and will be reviewed subsequently.


The 4[SUP]th[/SUP] batch of 53 evacuees from Iran has arrived today and is being quarantined at the Army facility in Jaisalmer. All are reported to be asymptomatic at present and are in quarantine as per protocol.

4 new cases – 1 each from Odisha, Jammu & Kashmir, Ladakh and Kerala have been confirmed since the last update. There are now a total of 114 confirmed cases in India as of today, including 13 cured and 2 reported deaths. Contact tracing activity of these positive cases has led to identification of more than 5,200 contacts, who are kept under surveillance.

****

MV


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Coronavirus: Third death reported in India, 64-year-old man dies in Mumbai
Coronavirus: Earlier, a 76-year-old man from Kalaburagi in Karnataka with a travel history to Saudi Arabia and a 68-year-old woman in Delhi died after they tested positive for the infection
PTI Last Updated: March 17, 2020 | 12:29 IST

India on Tuesday reported its third coronavirus fatality with a 64-year-old man dying in Mumbai, Health Ministry officials said as the number of positive cases rose to 125.

The patient, whose wife is stable, is the first COVID-19 death in Maharashtra, the officials said.
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Ministry of Health and Family WelfareAdditional Travel Advisory for Novel Coronavirus Disease (COVID-19)


Posted On: 17 MAR 2020 10:29AM by PIB Delhi

In continuation of the travel advisory issued on 11[SUP]th[/SUP] March, 2020 and 16[SUP]th[/SUP] March, 2020, the following additional advisory is issued:
  1. Travel of passengers from Afghanistan, Philippines, Malaysia to India is prohibited with immediate effect. No flight shall take off from these countries to India after 1500 hours Indian Standard Time (IST). The airline shall enforce this at the port of initial departure.
  2. This instruction is a temporary measure and shall be in force till 31st March 2020 and will be reviewed subsequently.
*****



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Ministry of Health and Family WelfareUpdate on COVID-19: Advisories and Guidelines for Containment and Prevention


Posted On: 17 MAR 2020 8:05PM by PIB Delhi

Cabinet Secretary took a review meeting of concerned officials from various Ministries/Departments, here today. During the meeting, he emphasized on the implementation of Social Distancing measures as detailed by guidelines of Ministry of Health and Family Welfare. He stated that social distancing would have a major impact in limiting the spread of the disease. He also reviewed preparedness of various states for quarantine facilities, hospital management and awareness campaigns.

In order to ensure effective and seamless coordination between the Centre and the States, 30 nodal officers of the level of Joint Secretary and above have been drawn from various Ministries to liaison, coordinate and help the States with respect to anything that is required from the Government of India. They will be deputed to the States, and shall work in close coordination with the State authorities for coordinating the preparedness and response measures. An orientation meeting of all the officers is being held tomorrow.

Secretary (HFW) has also written to the Secretaries of all Ministries/Departments, Govt. of India today requesting them to implement the various guidelines/advisories that have been issued and are applicable to them and the organizations under them.

In continuation of the travel advisory issued on 11th March, 2020 and 16th March, 2020, the following additional advisory is issued today:
  1. Travel of passengers from Afghanistan, Philippines, Malaysia to India is prohibited with immediate effect. No flight shall take off from these countries to India after 1500 hours Indian Standard Time (IST). The airline shall enforce this at the port of initial departure.
  2. This instruction is a temporary measure and shall be in force till 31st March 2020 and will be reviewed subsequently.


In addition to this, three guidelines have also been issued (these are available at www.mohfw.gov.in):
  • Guidelines on Clinical Management of COVID-19 triage (early recognition of patients), implementation of infection prevention and control measures have been revised and updated.
  • Guidelines have been issued for Dead Body Management towards standard precautions, infection prevention and control measures, handling of the body and environmental disinfection.
  • Guidelines have also been issued for Private Sector Laboratories Intending to Initiate COVID-19 Testing.
  • Laboratory test should be only offered when prescribed by a qualified physician as per ICMR guidance for testing. Since the guidance evolves periodically, the latest revised version should be followed.
  • ICMR will share the SOPs for laboratory testing and provide positive controls for establishing the test as soon as the concerned private laboratory has procured the primers, probes and reagents as per SOPs. Adoption of commercial kits for testing should be based on validations conducted by lCMR-National institute of Virology (NIV),Pune.
  • Appropriate biosafety and biosecurity precautions should be ensured while collecting samples from a suspect patient. Alternatively, a disease specific separate collection site may be created.
  • All the private testing laboratories to ensure immediate/ real-time reporting to the State officials of IDSP (Integrated Disease Surveillance Program of Govt. of India) and ICMR HQ for timely initiation of contact tracing and research activities.
  • ICMR strongly appeals that private laboratories should offer COVlD-19 diagnosis at no cost.
An advisory has issued by the Department of Personnel and Training (DoPT) citing preventive measures to be taken by all employees of Ministries/ Departments to control the spread of COVID-19. All Ministries/ Departments have been advised the following:
  • Installation of thermal scanners at the entry of Government buildings, as feasible. Mandatory placing of hand sanitizers at the entry of Government buildings. Those found having flu-like symptoms may be advised to take proper treatment/quarantine etc.
  • Discouragement to the maximum extent, entry of visitors in the office complex. Routine issue of visitors/temporary passes should be suspended with immediate effect. Only those visitors whom have proper permission of the officer who they want to meet, should be allowed after being properly screened.
  • Meetings, as far as feasible, should be done through video conferencing. To minimize or reschedule meetings involving large number of people unless necessary.
  • Avoidance of non-essential official travel.
  • Undertaking essential correspondence on official email and avoid sending files and documents to other offices, to the extent possible.
  • Facilitating delivery and receipt of dak at the entry point itself of the office building, as far as practicable.
  • Closing all gyms/recreation centres/creches located in Government buildings.
  • Ensuring proper cleaning and frequent sanitization of the work-place, particularly of the frequently touched surfaces. Ensuring regular supply of hand sanitisers, soap and running water in the washrooms.
  • All officials may be advised to take care of their own health and look out for respiratory symptoms/fever and, if feeling unwell, should leave the workplace immediately after informing their reporting officers. They should observe home-quarantine as per the guidelines issued by MoHFW (available at the following URL: www.mohfw.gov.in/DraftGuideIinesforhomequarantine.pdf.)
  • The leave sanctioning authorities are advised to sanction leave whenever any request is made for self-quarantine as a precautionary measure.
  • Issuance of advisory to all employees who are at higher risk i.e. older employees, pregnant employees and employees who have underlying medical conditions, to take extra precautions. The Ministries/Departments may take care not to expose such employees to any front-line work requiring direct contact with the public.
*****

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Coronavirus claims 4th life in India, 72-yr-old Punjab man who died tests positive for Covid-19

Press Trust of India
Chandigarh
March 19, 2020UPDATED: March 19, 2020 17:54 IST

A man who had recently returned from Italy has tested positive for coronavirus after his death in Punjab. (PTI)

Novel coronavirus has claimed another life in India.
A 72-year-old man in Punjab who passed away earlier has tested positive for Covid-19
he died at Banga community health centre on Wednesday
The sample of a 72-year-old man, who returned from Germany via Italy a fortnight ago and died at a hospital in Punjab's Nawanshahr district after severe chest pain, has tested positive for novel coronavirus, senior officials said on Thursday. It is the fourth confirmed death from the novel coronavirus in India.

The septuagenarian, who had diabetes and hypertension, tested positive after he died at the Banga community health centre on Wednesday, Postgraduate Institute of Medical Education and Research (PGIMER) Director Jagat Ram said.
...
https://www.indiatoday.in/india/stor...432-2020-03-19


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Total number of passengers screened at airport : 14,59,993

Total number of Active COVID 2019 cases across India * : 171


Total number of Discharged/Cured COVID 2019 cases across India * : 19

Total number of Migrated COVID-19 Patient * : 1

Total number of Deaths due to COVID 2019 across India * : 4

(*including foreign nationals, as on 20.03.2020 at 09:00 AM)
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https://www.mohfw.gov.in/
 
Cabinet Secretary reviews COVID-19 status with Chief Secretaries of States; important decisions taken to check the disease


Posted On: 22 MAR 2020 2:18PM by PIB Delhi

A high level meeting was held today morning with Chief Secretaries of all the States by the Cabinet Secretary and the Principal Secretary to the Prime Minister. All the Chief Secretaries informed that there is overwhelming and spontaneous response to the call for Janta Curfew given by the Hon’ble Prime Minister.

In view of the need to contain the spread of COVID 19, it was agreed that there is urgent need to extend the restrictions on the movement of non-essential passenger transport including inter-state transport buses till 31[SUP]st[/SUP] March 2020.

Following detailed discussions, the State Governments were advised to issue appropriate orders to allow only essential services to operate in the 75 districts which have reported confirmed cases or casualties relating to COVID 19. The State Governments may expand the list depending on their assessment of the situation. It was noted that several State Governments have already issued orders in this regard.

Decisions:

The following important decisions were taken:

? All train services suspended till 31[SUP]st[/SUP] March 2020 including sub-urban rail services. However, goods trains are exempted.

? All metro rail services suspended till 31[SUP]st[/SUP] March 2020. State Governments to issue orders allowing only essential services to operate in about 75 districts with confirmed COVID 19 cases.

? Inter State passenger transport also to be suspended till 31[SUP]st[/SUP] March 2020.

***

KSD/BN


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Prime Minister's OfficeText of PM’s address to the nation on Vital aspects relating to the menace of COVID-19


Posted On: 24 MAR 2020 8:57PM by PIB Delhi

Namaskaar !

My dear fellow citizens,

Today, once again, I am in your midst to discuss Corona Global Pandemic.

On 22[SUP]nd[/SUP] March, we took the resolution of Janata-Curfew. As a nation, every Indian contributed with full responsibility and sensitivity to ensure its success.

Children-elders, big-small, poor-middle class- upper class, everyone came together in this hour of crisis.

Every Indian made Janata-Curfew a success.

Through one day of Janata-Curfew, India proved that at the time of crisis befalling our nation, at the time of crisis befalling humanity, how each and every Indian comes together to put forth united efforts to deal with it.

All of you deserve praise for ensuring the success of Janata-Curfew.



Friends,

All of you are listening to and watching news items regarding Corona Global Pandemic situation around the world.

All of you are also witnessing how the most advanced countries of the world have been rendered absolutely helpless by this pandemic.

It is not that these countries are not putting in adequate efforts or they lack resources.

The Coronavirus is spreading at such a rapid pace that despite all the preparations and efforts, these countries are finding it hard to manage the crisis.

The analysis of happenings in all these countries since the last two months, and the opinion of experts has proved that there is only one way to effectively deal with Coronavirus - Social Distancing.

That is, maintain physical distance with others and stay within the confines of one’s home.

There is no other method or way to escape Coronavirus.

If we want to restrict spread of Coronavirus, we will have to break its chain of infection.

Some people are under the delusion that social distancing is essential only for sick people.

It is wrong to make those assumptions.

Social distancing is necessary for each citizen, for each family, and for each member of the family.

Carelessness of a few, ill-conceived notions of a few can put you, your children, your parents, your family, your friends, the entire country in grave jeopardy.

It will be impossible to estimate the price India will have to pay if this carelessness continues.



Friends,

In the last two days, several parts of the country have been put under lockdown.

These efforts by State Governments should be taken with utmost sincerity.

In light of health sector experts and experiences of other countries, the nation is taking a very important decision today.

From midnight tonight onwards, the entire country, please listen carefully, the entire country shall go under complete lockdown.

In order to protect the country, and each of its citizens, from midnight tonight, a full ban is being imposed on people from stepping out of their homes.

All the States in the country, all the Union Territories, each district, each municipality, each village, each locality is being put under lockdown.

This is like a curfew only.

This will be a few levels more than Janata-Curfew, and also stricter.

This is a necessary step in the decisive fight against Corona Pandemic.

The nation will have to certainly pay an economic cost because of this lockdown.

However, to save life of each and every Indian is mine, Government of India’s, each state Government’s, each local unit’s top most priority.

Hence, It is my plea to you to continue staying wherever you are right now in the country.

Considering the circumstances at present, this lockdown will last 21 days.

The next 21 days are of critical importance for us.

As per health experts, a period of at least 21 days is extremely critical to break infection chain of Coronavirus.

If situation is not handled in these 21 days, the country and your family could go back 21 years.

If situation is not handled in these 21 days, several families will get devastated forever.

Hence, you must forget what going out means for the next 21 days.

Stay inside your home, stay inside your home, and do just one thing- stay inside your home.



Friends,

This decision of a nationwide lockdown that has been taken today has drawn a ‘Lakshman Rekha’ at your doorsteps.

You must remember, that a single step outside your home can bring a dangerous pandemic like Corona inside.

You must also remember that at times, a person infected with Corona may seem to be completely healthy in the beginning, since it is not evident that the person is infected.

Therefore, take necessary precautions and stay inside your homes.

By the way,

The people who are staying at home, are employing new methods over social media to disseminate information in an innovative manner.

There is one banner that I also liked, which I would like all of you to see.

Corona, i.e., Koi Road pe Na Nikle (no one should go out on the road)



Friends,

Experts have even said that when Corona infects a person, it may take a few days for the symptoms to manifest.

During this time, such a person unknowingly infects others who he may come in contact with.

According to a World Health Organization’s report, a person infected with this virus can transmit this to hundreds of people within the span of 7 to 10 days.

This means, that it spreads like wildfire.

Another estimate given by the World Health Organization is very important.



Friends,

It took 67 days for the count of people infected with Corona to reach the 1[SUP]st[/SUP] one lakh all over the world.

After this, it took only 11 days for another one lakh people to get infected.

Think, it took 67 days for it to infect one lakh people at first, but only 11 days to reach a total of two lakh people.

This is even more alarming that it took only 4 days for this disease to reach three lakh people from the count of two lakh.

You can imagine how rapidly Coronavirus spreads.

Once it begins to spread, it is very difficult to contain it.



Friends,

This is the reason that situation became uncontrollable when Coronavirus started spreading in countries such as China, US, France, Germany, Spain, Italy and Iran.

Also remember, whether it is Italy or US, the healthcare services in these countries are considered to be among the best in the world. Despite this, these countries have not been able to contain the impact of Corona. The question at hand is, where does one see a ray of hope in this situation? What is the solution, what are the options?



Friends,

The ray of hope to combat Corona comes from the experiences of those countries that have been able to contain Corona to some extent.

Citizens of these countries have not stepped out of their homes for weeks. Citizen of these countries have fully adhered to the government rules and hence, these countries now are heading towards overcoming this pandemic.



We should also accept that this is the only way before us. We must not step outside our homes. Whatever happens, we have to stay indoors. We can save ourselves from Corona only if we do not cross Lakshman Rekha of our homes. We have to stop the spread of this pandemic, and break the chain of the infection.

Friends,

Currently India is at a stage where our current actions will determine how much we are able to minimize the impact of this disaster.



It’s time to consistently keep strengthening our resolve. It’s time to exercise caution at every step. You have to remember that Jaan hai toh Jahaan hai.



Friends,

This is the time for patience and discipline. Until the lockdown situation remains, we must keep our resolve, we must keep our promise.



It is my plea to you, that while you are staying at home, you must think about and pray for the wellbeing of people who are fulfilling their duties, who are exposing themselves to great risk.



Think about the doctors, nurses, paramedical staff, pathologists who are working day and night in hospitals to save each and every life. Think about hospital administration staff, ambulance drivers, ward boys, sanitation workers who are working to serve others in these difficult conditions. Pray for those people who are working to sanitize your society, your locality, your streets, and public places to ensure that this virus is eradicated completely.

Think about the media persons as well who are working round the clock and risking infection while reporting from the streets and hospitals.

Think about the Police force around you, who are working relentlessly without worrying about the welfare of their family. They are working day and night to save you and, on several occasions, also bearing the wrath of the public.



Friends,

In the conditions that the Corona global pandemic has created, the Central and State Governments countrywide are working swiftly. We are constantly striving to ensure that citizen do not face much inconvenience in their daily life. We have made provisions to ensure that supplies of all essential items continue smoothly.

This crisis has certainly brought on a very difficult time for the poor.

Along with the Central and State Governments, individuals from civil societies and institutions are constantly striving to reduce the problems of the poor. Several people are collaborating their efforts to help the poor

Friends,

In addition to the basic necessities, lifesaving necessities have to be given top most priority

In order to tackle this novel pandemic, the Central Government is constantly working towards better equipping the healthcare facilities of the country

The Government has been taking decisions on the advice of the World Health Organization, country’s top medical and research organizations and top health experts.

The Central Government has put in place a provision of 15 thousand crores for treating the Coronavirus patients and strengthening the medical infrastructure of the country.

This will allow for quickly boosting the number of Corona testing facilities, Personal Protective Equipment (PPE), Isolation Beds, ICU beds, ventilators and other essential equipment. Simultaneously, training of medical and paramedical manpower will also be undertaken.

I have requested the State Governments to ensure that healthcare is the topmost priority at the moment

I am pleased that the private sector is standing shoulder to shoulder with fellow citizens in full capacity during this crucial time

Private labs and hospitals are eagerly coming forward to work with the Government during these challenging times

But, friends, be careful that during such times, knowingly or unknowingly, several rumors are circulated. I appeal to you to beware of any kind of rumors or superstitions

It is extremely important for you to abide by the instructions and advice given by the Central and State Governments and the medical fraternity.

I request you not to take any medication without consulting doctors if you are showing any symptoms of this infection. Any sort of medical experiment can put your life to great risk.

Friends, I am confident that every Indian will abide by the instructions of the Government and local authorities during this crucial hour.

21 days of lockdown is a long time, but it is equally essential for your safety and that of your family.

I am confident that every Indian will not only successfully fight this difficult situation but also emerge victorious.

Take care of yourself and your loved ones.

Jai Hind!

***

VRRK/AK


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Ministry of Health and Family Welfare
UPDATE on COVID-19
Posted On: 24 MAR 2020 7:51PM by PIB Delhi
The prevention, containment and management of COVID-19 in the country are being monitored at the highest level and various actions have been initiated in collaboration with the States. Hon’ble Prime Minister is regularly monitoring and reviewing the situation with top officials of the concerned Ministries/Departments and States/UTs. He had a Video Conference with the representatives of doctors and healthcare professionals to express his gratitude and to seek their continued involvement and support in handling this crisis. He thanked the doctors, nurses and all healthcare professionals for their relentless service to the nation in these times. He also had a Video Conference with the print media today wherein he sought their support in dissemination of correct information to general public.

In addition, the Cabinet Secretary has been holding high level meetings to review and monitor the emerging scenario and preparedness of the states/UTs for management of COVID-19 in the country. He has asked Chief Secretaries of the States to further enhance surveillance and contact tracing of positive cases in order to break the chain of transmission. He has written to the Chief Secretaries suggesting that States should focus their efforts and financial resources on preparing the healthcare infrastructure to deal with this challenge. This should be the top most priority at this stage. They should devote adequate resources for creating dedicated COVID-19 hospitals, equipping the medical institutes with PPEs, ventilators and other essential equipment etc. States have been asked to ensure that essential services and supplies remain open. These include hospitals, medical shops and establishments engaged in manufacturing of medicines, vaccines, sanitizers, masks and medical devices. States have been asked to mobilize the civil machinery under DMs to supplement surveillance and strengthen rapid response teams at the field level and to ensure that no suspect and high risk person is left during surveillance.

The Centre is monitoring the progress with respect to States having earmarked hospitals dedicated for COVID-19 cases. Gujarat, Assam, Jharkhand, Rajasthan, Goa, Karnataka, MP and J&K are setting up hospitals dedicated for the management of COVID-19.

In order to enforce implementation of social distancing, almost all the States/UTs have issued orders for lockdown. More than 30 states and UTs have imposed full lockdown. States have been asked to enforce implementation of lockdown measures. It has been emphasized that partial implementation will not achieve the intended objective of preventing the speed of COVID-19. Cabinet Secretary has addressed a letter to Chief Secretaries of all States.

In addition, manufacturers have been identified domestically and procurement has been initiated to ensure that there is no shortage of PPEs, N95 masks and other protective equipment needed by doctors to carry out their duties.

In addition, 118 laboratories have been included in the ICMR network of COVID-19 testing with a capacity to test 12,000 samples per day. In the last five days, on an average 1338 samples have been tested per day. Furthermore, 22 private lab chains have registered with ICMR (till 24th March 2020) for COVID-19 testing. They have 15,500 collection centers nationwide. Also, out of 15 kit manufacturers, NIV Pune has approved three PCR based kits and 1 antibody detection kit. One of these is Indian manufacturer.

The use of hydroxy-chloroquine for prophylaxis of SARS-CoV-2 infection is recommended ONLY for the following:

1) Asymptomatic healthcare workers involved in the care of suspected or confirmed cases of COVID-19;

2) Asymptomatic household contacts of laboratory confirmed cases.



*****

MV



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