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Health Ministry Issues Guidelines For Management Of Co-Infection Of COVID-19 With Seasonal Epidemic-Prone Diseases

According to the Ministry of Health, seasonal pattern of epidemic prone diseases like Dengue, Malaria, Seasonal Influenza, can co-exist with the current COVID-19 pandemic and pose clinical and laboratory diagnostic issues

Health Ministry Issues Guidelines For Management Of Co-Infection Of COVID-19 With Seasonal Epidemic-Prone Diseases
Highlights
  • Epidemic prone diseases like Malaria, Seasonal Influenza, occur each year
  • The symptoms of COVID-19 are similar to seasonal diseases like Dengue
  • Co-infection can lead to difficulty in diagnosis: Ministry of Health

New Delhi: The Ministry of Health on Tuesday (October 13) issued guidelines for the management of co-infection of COVID-19 with other seasonal epidemic-prone diseases. With the aim of providing clear guidelines on prevention and treatment of co-infections of coronavirus with other diseases, the Ministry of Health and Family Welfare said, “As per the World Health Organisation (WHO) case definition, a COVID case may present with acute onset of fever and cough, or, acute onset of any three or more of the following signs or symptoms: fever, cough, general weakness or fatigue, headache, myalgia, sore throat, coryza, dyspnoea, anorexia, nausea, vomiting, diarrhoea, altered mental status.”

Also Read: COVID-19, Dengue Double Infection Treatment Complicated; Needs Balanced Approach: Experts

This case definition, although sensitive, is not very specific. Seasonal epidemic prone diseases, as cited in the foregoing paragraphs may all present as febrile illness, with symptoms that mimic COVID-19. If there is a co-infection, then apart from the febrile illness there may be constellation of signs and symptoms that may lead to difficulty in diagnosis. A comparative analysis of disease onset, symptoms, signs, warning signs, complications and diagnosis is given at Annexure, the ministry added.

The seasonal pattern of epidemic prone diseases observed each year includes diseases like Dengue, Malaria, Seasonal Influenza, Leptospirosis, Chikungunya and Enteric fever. They can co-exist with the current COVID-19 pandemic and can also pose clinical and laboratory diagnostic issues.

The Health Ministry has listed approaches to diagnose suspected co-infection which include, a high index of suspicion for epidemic prone diseases existing in specific regions during monsoon and post-monsoon seasons. Bacterial co-infections must also be suspected in moderate or severe cases of COVID-19 not responding to treatment.

It should also be considered that malaria and dengue can coexist with other infections, and thus a diagnosis of either of these does not rule out the possibility of the patient not suffering from COVID-19. Similarly, a high index of suspicion of malaria and dengue must be there when a fever case is diagnosed as COVID-19, particularly during the rainy and post rainy season in areas endemic for these diseases, the Ministry added.

Also Read: United Nations Warns Against Pursuing Herd Immunity To Stop Coronavirus

(Except for the headline, this story has not been edited by NDTV staff and is published from a syndicated feed.) 

NDTV – Dettol Banega Swasth India campaign is an extension of the five-year-old Banega Swachh India initiative helmed by Campaign Ambassador Amitabh Bachchan. It aims to spread awareness about critical health issues facing the country. In wake of the current COVID-19 pandemic, the need for WASH (WaterSanitation and Hygiene) is reaffirmed as handwashing is one of the ways to prevent Coronavirus infection and other diseases. The campaign highlights the importance of nutrition and healthcare for women and children to prevent maternal and child mortality, fight malnutrition, stunting, wasting, anaemia and disease prevention through vaccines. Importance of programmes like Public Distribution System (PDS), Mid-day Meal Scheme, POSHAN Abhiyan and the role of Aganwadis and ASHA workers are also covered. Only a Swachh or clean India where toilets are used and open defecation free (ODF) status achieved as part of the Swachh Bharat Abhiyan launched by Prime Minister Narendra Modi in 2014, can eradicate diseases like diahorrea and become a Swasth or healthy India. The campaign will continue to cover issues like air pollutionwaste managementplastic banmanual scavenging and sanitation workers and menstrual hygiene.  

World

26,43,68,460Cases
22,50,84,762Active
3,40,45,666Recovered
52,38,032Deaths
Coronavirus has spread to 196 countries. The total confirmed cases worldwide are 26,43,68,460 and 52,38,032 have died; 22,50,84,762 are active cases and 3,40,45,666 have recovered as on December 3, 2021 at 1:36 pm.

India

3,46,15,757 9,216Cases
99,976 213Active
3,40,45,666 8,612Recovered
4,70,115 391Deaths
In India, there are 3,46,15,757 confirmed cases including 4,70,115 deaths. The number of active cases is 99,976 and 3,40,45,666 have recovered as on December 3, 2021 at 2:30 am.

State Details

State Cases Active Recovered Deaths
Maharashtra

66,37,221 796

10,882 180

64,85,290 952

1,41,049 24

Kerala

51,51,919 4,700

45,030 252

50,66,034 4,128

40,855 320

Karnataka

29,96,833 363

6,772 169

29,51,845 191

38,216 3

Tamil Nadu

27,28,350 715

8,155 45

26,83,691 748

36,504 12

Andhra Pradesh

20,73,252 159

2,138 11

20,56,670 169

14,444 1

Uttar Pradesh

17,10,417 12

93 1

16,87,413 11

22,911

West Bengal

16,17,408 657

7,690 22

15,90,208 667

19,510 12

Delhi

14,41,190 217

307 21

14,15,785 196

25,098

Odisha

10,49,597 252

2,211 26

10,38,971 276

8,415 2

Chhattisgarh

10,06,870 37

328 12

9,92,949 25

13,593

Rajasthan

9,54,827 21

213 10

9,45,659 11

8,955

Gujarat

8,27,570 50

318 25

8,17,158 24

10,094 1

Madhya Pradesh

7,93,199 12

128 4

7,82,543 8

10,528

Haryana

7,71,760 27

178 9

7,61,528 18

10,054

Bihar

7,26,230 5

32 0

7,16,534 4

9,664 1

Telangana

6,76,376 189

3,680 50

6,68,701 137

3,995 2

Assam

6,17,163 124

2,535 77

6,08,517 198

6,111 3

Punjab

6,03,352 32

344 13

5,86,402 18

16,606 1

Jharkhand

3,49,271 15

95 1

3,44,035 13

5,141 1

Uttarakhand

3,44,325 22

182 4

3,36,735 18

7,408

Jammu And Kashmir

3,37,263 177

1,697 10

3,31,089 167

4,477

Himachal Pradesh

2,27,354 85

835 29

2,22,669 113

3,850 1

Goa

1,79,046 56

367 40

1,75,295 16

3,384

Mizoram

1,35,765 315

3,717 55

1,31,545 368

503 2

Puducherry

1,28,998 33

299 10

1,26,826 23

1,873

Manipur

1,25,269 33

663 4

1,22,627 28

1,979 1

Tripura

84,835 15

94 6

83,916 8

825 1

Meghalaya

84,534 24

296 2

82,764 25

1,474 1

Chandigarh

65,475 4

65 1

64,590 5

820

Arunachal Pradesh

55,285 6

36 1

54,969 5

280

Sikkim

32,267 15

137 10

31,727 5

403

Nagaland

32,128 3

128 5

31,302 6

698 2

Ladakh

21,642 41

306 21

21,122 20

214

Dadra And Nagar Haveli

10,683

0 1

10,679 1

4

Lakshadweep

10,397 1

18 8

10,328 9

51

Andaman And Nicobar Islands

7,686 3

7 2

7,550 1

129

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