Shillong, Apr 28: Meghalaya Governor Tathagata Roy, on Tuesday, prescribed detailed protocols for the handling of COVID-19 suspected and infected cases in the state.
According to the order, the infected persons have been categorised as per the severity of the symptoms and the procedure would be referred to accordingly for different categories of infected cases.
It states that on identifying a suspect case, the person will be brought to the nearest hospital, which has been designated with isolation ward, and are equipped with VTM for collecting samples for testing.
For urban areas, additional facilities has been set up as Corona Care Centres to meet surge capacity. CCCs in Shillong have been set up at MATI and IIM. They can refer patients with severe symptoms to designated hospitals.
“Transportation will be arranged by the government medical facility or the district administration and the ambulance driver and handlers should be given personal protection equipment,” Sampath Kumar, the Commissioner and Secretary of Health and Family Welfare Department informed.
The family members of the patient who has tested positive will have to be immediately quarantined at home and provided with counselling.
Following this, instructions will be passed to ASHA worker or the community volunteer and the details of members will be forwarded to District Surveillance Officer for monitoring.
On testing positive for the virus, the order states that contact tracing has to be done immediately. The Surveillance Officer will have to depute a Medical Officer to trace all possible suspects.
Positive patients who are asymptotic have been categorised as Category A, they will be kept under home quarantine or within the CCCs.
For positive persons under Category B, who show mild or moderate symptoms, the patients will be kept in designated rooms within the isolation ward meant for symptomatic patients in the CCCs or Civil Hospital or other designated facility.
“In case of breathing difficulties, they will be shifted to nearby designated hospitals with oxygen support available,“ Kumar stated.
Category C includes COVID-19 patients with severe symptoms. “These patients will require hospitalisation and they will be shifted to designated hospitals with oxygen support available,” the order read.
Critical patients fall under Category D, these patients require ICU support. “They need to be sent to designated hospitals that has invasive ventilator support system,“ it stated.
NEIGRIHMS has been designated as the final referral centre for the state.
According to the order, on full recovery from Coronavirus, the patients along with their family members have been advised to quarantine themselves at home for 14 days to see relapse of any symptoms. Surveillance Officers have been directed to constantly follow up on the recovered patient.
For death due to COVID-19, the protocol states that the body has to be disposed of as per the Ministry of Health and Family Welfare guidelines.
“Any measure that might lead to in section of other should be avoided like touching, post-mortem etc.,” the order stated.