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Maharashtra In Beginning Of Second COVID-19 Wave, Says Central Team Report

According to Union Health Secretary Rajesh Bhushan, to stop the surge in COVID-19 cases, the state of Maharashtra need to focus on strict containment strategies, strengthening surveillance and augmenting testing

Maharashtra In Beginning Of Second COVID-19 Wave, Says Central Team Report
Highlights
  • Maharashtra is the worst affected state by COVID-19: Centre
  • Measures such as night curfews, weekend lockdowns have low effect: Centre
  • Maharashtra currently has over 1.31 lakh COVID-19 cases

New Delhi: Maharashtra is in the beginning of the second COVID-19 wave, a central team report has said, highlighting that there is very limited active effort to track, test, isolate cases and quarantine contacts, and there is no adherence to COVID appropriate behaviour among people in rural and urban areas. Based on the central team report, Union Health Secretary Rajesh Bhushan has written a letter to the Maharashtra government, stating “measures such as night curfews, weekend lockdowns etc. have very limited impact on containing/suppressing the transmission” and urged the state to focus on strict containment strategies, strengthening surveillance and augmenting testing.

Also Read: Pune Expert On Ways To Prevent Virus Spread Year After City’s First Case

In a letter to Maharashtra Chief Secretary Sitaram Kunte, Mr. Bhushan said even though the health infrastructure is adequate as of now, the “state should plan for a worse-case scenario with sufficient lead time”. The central team which visited the state from March 7-11 inferred in its report that the administrative mechanism should be re-instated to the level witnessed in August-September 2020 to contain/supress COVID transmission.

ln all the districts visited by the central team, the test positivity rate was high, ranging from 51 per cent in Mumbai to 30 per cent in Aurangabad, implying that there are lot many cases that are not being tested and there is high transmission in the community, the report underlined.

ln view of limited contact tracing, a large pool of asymptomatic and pre-symptomatic people among contacts are not tracked and tested, the report said and stressed that testing must be considerably enhanced and protocol laid down by ICMR followed.

The absence of rigorous tracing, testing and containment is leading to sustained community transmission. The case-contact ratio is more than 1:20. Though it appears high, a deep dive into the methodology of contact tracing revealed that the main concept of contact tracing was not clearly understood by field level staff, who were mainly listing the immediate family and neighborhood contacts, for the sake of listing. The high-risk contacts in workplace settings, social settings and family settings were not investigated and listed, the report highlighted.

Also Read: Pandemic Fatigue, Lack Of Fear Behind Maharashtra COVID-19 Surge: Government

The report stated that the current case fatality was found to be very high among admitted cases in Government Medical College in Aurangabad and in Vasant Rao Pawar Medical College, Nashik which needs to be investigated in detail, including sending samples for whole genome sequencing, it said.

Referring to the findings of the team, Mr. Bhushan said that containment strategy needs to be re-introduced, containment zones must be better defined based on contact listing, digital mapping of cases and contacts and should be much larger to include the area of influence of cases/ contacts.

The buffer zones need to be delineated. The perimeter control needs to be strictly enforced. For each containment zone, the Rapid Response Teams should develop an operational plan, he said.

Mr. Bhushan also stressed on augmenting testing to bring the test positivity rate to less than 5 per cent and strengthening surveillance by active house to house search for active cases/contacts in containment zones (as per the containment plan). Further, passive surveillance for ILI and SARI must be enhanced through health institutions,and involvement of private practitioners.

The Incident Command under the leadership of district collector and municipal commissioner should be actively re-instated with whole of government approach to contain/ suppress the transmission. This should be monitored at the highest level, Mr. Bhushan said.

For every positive case, at least 20 to 30 close contacts (including family contacts, social contacts’ workplace contacts and other casual contacts) need to be promptly traced and tracked and the practice of isolating 80-85 pre cent of active cases kept in home isolation needs to be reviewed, he said in the letter.

Vaccine hesitancy among frontline workers needs to be addressed as their services would be required if the trajectory follows the upward swing as is being witnessed now. The state should also expedite vaccinating those with co-morbidities and elderly, Mr. Bhushan stated.

Also Read: Home Quarantine Norms Breach Among Reasons For COVID-19 Surge: Officials

(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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