The Pandemic -COVID 19 and us

The Pandemic – COVID 19 and us

By Colonel (Retd) B M Bhatt L/RAMC, MD FRCP

Hon. President, Welfare Association of Residents of Royal Residency

 

Part 1 Introduction

 Part 2 India and the Pandemic – Covid 19                                                        

Part 3 Traveller Discovery and Home Quarantine                                       

Part 4 Action to be taken by Welfare Association                                      

Part 5 Clinical Syndromes associated with Covid 19                                   

 Part 6 Summary                                                                                                          

Part 7 Helplines, Hospitals and Covid 19 testing labs                                

Part 8 References                                                                                                      

Part 9 In lighter vein                                                                                                 

Part 10 Self-Declaration form for Returning Traveller                               

 

PART 1 – INTRODUCTION

The Pandemic – Covid-19 — Navigating the Uncharted

The latest threat to global health is the ongoing outbreak of the respiratory disease that was recently given the name Coronavirus Disease 2019 (Covid-19). Covid-19 was recognized in December 2019. It was rapidly shown to be caused by a novel coronavirus called SarsCoV 2, that is structurally related to the virus that causes Severe Acute Respiratory Syndrome (SARS) and is as in two preceding instances of emergence of coronavirus disease in the past 18 years — SARS (2002 and 2003) and Middle East Respiratory Syndrome (MERS) (2012 to the present) — the Covid-19 outbreak has posed critical challenges for the public health, research, and medical communities.

Corona virus has been spreading rapidly across the world, affecting 176 countries and claiming more than 21000 lives.  It has so far affected more than 500,000 people but the true figure is difficult to estimate as there aren’t enough testing kits for this Virus.

The Corona virus outbreak was declared a pandemic by WHO on 11 March 2020.

On the basis of a case definition requiring a diagnosis of pneumonia, the currently reported case fatality rate is approximately 2%

The efficiency of transmission for any respiratory virus has important implications for containment and mitigation strategies. The current study indicates an estimated basic reproduction number (R0) of 2.2, which means that, on average, each infected person spreads the infection to an additional two persons. Until this number falls below 1.0, it is likely that the outbreak will continue to spread. Recent reports of high virus load in the oropharynx (Throat) early in the course of disease, arouse concern about increased infectivity during the period of minimal symptoms.

A robust research effort is currently under way to develop a vaccine against Covid-19. The first candidates will enter phase 1 trials by early spring this year but the vaccine may not be available till next spring.

Therapy currently consists of supportive care while a variety of investigational approaches are being explored. Among these are the antiviral medication lopinavir–ritonavir, interferon-1β, the RNA polymerase inhibitor remdesivir, and chloroquine. Once available, intravenous hyperimmune globulin from recovered persons and monoclonal antibodies may be attractive candidates to study in early intervention. Critical to moving the field forward, even in the context of an outbreak, is ensuring that investigational products are evaluated in scientifically and ethically sound studies.

The Covid-19 outbreak is a stark reminder of the ongoing challenge of emerging and re-emerging infectious pathogens and the need for constant surveillance, prompt diagnosis, and robust research to understand the basic biology of new organisms and our susceptibilities to them, as well as to develop effective countermeasures.

PART 2 – INDIA and the Pandemic of Covid 19

The coronavirus that causes COVID-19 mainly spreads from person to person. When someone who is infected coughs or sneezes, they send droplets containing the virus into the air. A healthy person can then breathe in those droplets. You can also catch the virus if you touch a surface or object that has the virus on it and then touch your mouth, nose, or eyes.

The first 3 Covid 19 cases detected in India was in Kerala amongst the 3 students who had returned from Wuhan in China which was the epicentre for the start of the Pandemic. Kerala and India swung into action in a remarkable way to contain and mitigate the spread of the viral infection.

Schools were shut in the first week of Karnataka and on 22 March a 14-hour pan India curfew was announced by the Prime minister and this was a very successful exercise.

On 24 March Prime Minister Modi announced a complete lockdown of India for 21 days.

CONTAINMENT is preventing further viral infection coming into India from travellers arriving from abroad. All incoming flights from overseas have been banned from22 March. And domestic flights too will shortly be banned.

MITIGATION is preventing spread from one individual to another inside the country. For this purpose, a lockdown throughout India has been imposed.

PREVENTION is for individual protection by way of washing hands with soap and water for 20 seconds or by hand sanitizers (Sanitizers are not readily available) and wearing of masks when outdoors (masks are no longer available).

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Coronavirus: What you Need to KnowFrom John Hopkins University

* The virus is not a living organism, but a protein molecule (RNA) covered by a protective layer of lipid (fat), which, when absorbed by the cells of the ocular, nasal or buccal mucosa, changes their genetic code (mutation) and convert them into aggressor and multiplier cells.
* Since the virus is not a living organism but a protein molecule, it is not killed, but decays on its own.  The disintegration time depends on the temperature, humidity and type of material where it lies.
* The virus is very fragile; the only thing that protects it is a thin outer layer of fat.  That is why any soap or detergent is the best remedy, because the foam CUTS the FAT (that is why you have to rub so much: for 20 seconds or more, to make a lot of foam).  By dissolving the fat layer, the protein molecule disperses and breaks down on its own.
* HEAT melts fat; this is why it is good to use water above 25 degrees Celsius for washing hands, clothes and everything.  In addition, hot water makes more foam and that makes it even more useful.
* Alcohol or any mixture with alcohol over 65% DISSOLVES ANY FAT, especially the external lipid layer of the virus.
* Any mix with 1 part bleach and 5 parts water directly dissolves the protein, breaks it down from the inside.
* Oxygenated water helps long after soap, alcohol and chlorine, because peroxide dissolves the virus protein, but you have to use it in the pure form and it hurts your skin.
* NO BACTERICIDE SERVES.  The virus is not a living organism like bacteria; Bactericides cannot kill what is not alive.

* NEVER shake used or unused clothing, sheets or cloth.  While it is glued to a porous surface, it is very inert and disintegrates only between 3 hours (fabric and porous), 4 hours (copper, because it is naturally antiseptic; and wood, because it removes all the moisture and does not let it peel off and disintegrates).  ), 24 hours (cardboard), 42 hours (metal) and 72 hours (plastic). Newspapers are reportedly safe. But if you shake it or use a feather duster, the virus molecules float in the air for up to 3 hours, and can lodge in your nose.
* The virus molecules remain very stable in external cold, or artificial cold air as in air conditioners in houses and cars.  They also need moisture to stay stable, and especially darkness.  Therefore, dehumidified, dry, warm and bright environments will degrade it faster.
* UV LIGHT on any object that may contain it breaks down the virus protein.

* The virus CANNOT go through healthy skin.
* Vinegar is NOT useful because it does not break down the protective layer of fat.
* NO SPIRITS, NOR VODKA, serve.  The strongest vodka is 40% alcohol, and you need 65%.
* The more confined the space, the more concentration of the virus there can be.  The more open or naturally ventilated, the less.
* You have to wash your hands before and after touching mucosa, food, locks, knobs, switches, remote control, cell phone, watches, computers, desks, TV, etc.  And when using the bathroom.
* You have to HUMIDIFY your dry HANDS after so much washing them, because the molecules can hide in the micro cracks.  The thicker the moisturizer, the better.
* Also keep your NAILS SHORT so that the virus does not hide there.
The coronavirus can live for hours to days on surfaces like countertops and doorknobs. How long it survives depends on the material the surface is made from.

Food: Coronavirus doesn’t seem to spread through exposure to food. Still, it’s a good idea to wash fruits and vegetables under running water before you eat them. Scrub them with a brush or your hands to remove any germs that might be on their surface. Wash your hands after you visit the supermarket. If you have a weakened immune system, you might want to buy frozen or canned produce.

Water: Coronavirus hasn’t been found in drinking water.

 

STAY DISTANT…STAY COOL…STAY HOME

 

Coronavirus Transmission: What You Need to Know

What You Can Do

To reduce your chance of catching or spreading coronavirus, clean and disinfect all surfaces and objects in your home and office every day. This includes:

  • Countertops, Tables, Doorknobs, Bathroom fixtures, Phones
  • Keyboards, Remote controls, Toilets

Use a household cleaning spray or wipe. If the surfaces are dirty, clean them first with soap and water and then disinfect them.

Keep surfaces clean, even if everyone in your house is healthy. People who are infected may not show symptoms, but they can still shed the virus onto surfaces.

SOCIAL DISTANCING: In the current situation of the pandemic, the known virulence of the novel Corana virus and the ease with which it spreads, the only preventive measure that we can adopt nationwide is SOCIAL DISTANCING.

This means that you do not socialise- no visits to homes of family or friends, no invites to your family and friends to your home.

SOCIAL DISTANCING IS A WAY TO SLOW DOWN THE SPREAD OF INFECTIOUS DISEASE BY LIMITING CONTACT BETWEEN YOU AND OTHER PEOPLE. BY REDUCING INTERACTIONS WITH PEOPLE AND THINGS & VARIOUS OTHER TOUCHPOINTS – THE CHANCES OF INFECTION & SUBSEQUENTLY SPREAD OF INFECTION REDUCES SIGNIFICANTLY. The idea of slowing a virus’s spread so that fewer people need to seek treatment at any given time is known as “flattening the curve.” Hence many countries are implementing “social distancing” guidelines. SOCIAL DISTANCING HELPS FLATTEN THE COVID CURVE, ALONG WITH PERSONAL (PERIMETER RULES & SANITIZATION) & ENVIRONMENTAL (Disinfection) HYGIENE MEASURES.

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GUIDELINES – SAFE DISTANCE, NO TOUCH & SANITIZATION PROTOCOLS

  1. Closure &/or Restrictions of areas of social gatherings- within layout – like community halls, clubhouse, temples, parks, sit-outs/ gazebos, swimming pools etc.
  2. Closure of all in-house/ within apartment tuitions, satsangs, hobby and other classes.
  3. No group gatherings of more than 4 people.
  4. Keep SAFE Distance from everyone – 1 meter/ 3 feet.
  5. No handshakes, no hugs, contact sports etc. NAMASTE will do very nicely!
  6. Follow due sanitization steps (washing hands/ not touching face or things, maintaining a safe distance etc while & after accepting any deliveries.
  7. Special scenarios- marriages/ demise in family/ emergencies etc. Extreme care to be exercised by the affected resident in ensuring maintenance of social distance.
  8. Play in small groups of 2 or 3 (2/3 close knit families non affected, non-travel history, safe) – “FAMILY RING CONCEPT” i.e If some kids / residents have been interacting regularly with others, keep such groups small and closed. No contact across groups to ensure non-overlapping circles.
  9. Observe health of the circle of contacts we come in connect with before interacting.
  10. Social distance even when we go for a walk etc. It may be okay to walk with your spouse or family member, but larger groups should be completely avoided. Keep a healthy 1m/ 3feet distance. Any sneeze / cough…..move away.
  11. No shared transport/ Use personal vehicles if at all to go out. (HOW TO FUMIGATE / DISINFECT YOUR VEHICLE or A CAB IN CASE YOU HAVE TO TAKE or say you are picking up someone from airport? (Check containment guidelines)
  12. No Touch / No Fiddling – things, animals and other humans when outside the house unless it is essential. Virus spreads from surface, and we never know who may have touched that surface before us. PERSONAL SPACE/ DISTANCE – no touching railings/ lift handles / door knobs etc.

 

FAMILY ENGAGEMENT – BE OCCUPIED CONSTRUCTIVELY AT HOME / USE THE ME & WE TIME

  1. Stay at home routine activities – Cook, Clean utensils, run the washing machine/ dishwashers, water the plants, Get all family members involved in the chores and help each other out.
  2. Physical – In-house walks/ outside – if asymptomatic adhering to distancing guidelines, light exercises, dining table Table tennis, Arm wrestling, yoga & aerobics, Short walks on terraces if accessible, DIY exercise videos, On the spot jogging etc.
  3. Mental – Board games, floor puzzles, Reading the books – you never did/ Borrow books from “safe neighbour”, meditation etc.

 

DELIVERED ITEMS / PURCHASES

Milk packets and delivery boxes can be washed or wiped clean with disinfectants. However basic hand hygiene: Do not touch face, mouth, nose, eyes with unwashed hands still holds true.

Wash your hands often when cooking, including: before, during, and after preparing any food; after handling raw meat, poultry, seafood, and eggs; before eating; after touching garbage; after wiping counters or cleaning surfaces with chemicals; after touching pets, pet food, or pet treats; and after coughing, sneezing, or blowing your nose. Wash kitchen cloths in hot water.

Wash fruits and vegetables well.

Follow sanitization protocols once you come from outside/ intermittently/ periodically/ Carry & Use sanitizer wherever.

Delivery boxes may be wiped by surface disinfectant solutions. Note some of the delivery services (eg.Bigbasket) are also offering “contactless service”. These are all new measures that are voluntarily being practiced without much advisory. Do read their guidelines on respective service provider web pages. Note on Disinfectants: Common household disinfectants, including soap or a diluted bleach solution, can deactivate corona viruses on indoor surfaces. Disinfectant most commonly used outdoors is a diluted solution of sodium hypochlorite, or household bleach. Limit outdoor cleaning to items people are commonly in contact with, like railings and knobs. Please note those exposed to sprayed disinfectants— especially the workers who spray them—are at risk of respiratory troubles. More info on disinfectants: https://www.epa.gov/coronavirus

PEOPLE – DELIVERY ITEMS, PAPER, MILK, VISITORS, MAIDS / STAFF ETC, CABS.It is advisable to Cook at home – Parents and kids can share the house work. Reduce ordering out – No Swiggy/MacD/etc.

Reduce all non-essentials& deliveries from e-commerce sites- Amazon/ Flipkart

Essential deliveries – follow distancing guidelines for collection and sanitization protocols

Special services like waste collection etc- follow distancing norms

Voluntarily ask residents to give up non-essential services- visitors, deliveries, cabs, maids/ drivers etc.

And if mandated – there may be need to impose restrictions on visitors including maids and other help (with exceptions of course) in future, if necessitated.

Residents who have immune compromised family members (elderly or ill members) must strictly follow social distancing.

Domestic help who are pregnant, old or are immunocompromised (have other health issues), should ideally remain at home

If it is essential to have support of house-help (caregivers / nurses/ physios etc) they MUST wash hands while coming in and while going out to each household.

Note on Paid Leave: Consider giving paid leave to all home help especially those who need to travel by public transport. Their health and safety is also our responsibility. If it is essential to have the support of home help (like caregivers), they MUST wash hands while coming in and while going out of EACH household & at home and NOT touch face / mouth / hands / eyes.

And maintain SOCIAL DISTANCE. All residents must educate their house help – maids, drivers, attendants, etc. on all above aspects.

Note on Visitor Ban: WA management may have to take a call on restricting deliveries & couriers up to the gate to avoid too many visitors inside the layout. In such situations we ask residents to cooperate with WA, MCs/Covid Teams and ensure they go to gate at designated times & pick up their delivery. And in general, co-operate with any such logical restrictions as situation mandates. Exceptions can be discretely handled without compromising safety of the community

PASSES for DOMESTIC HELPERS and SECURITY PERSONNEL:

Domestic helpers: Please request your domestic helpers to go on leave but, do pay them. Beware – Domestic helpers work in several homes and may bring the virus into your home. A report appeared in the Newspaper that a number of people living in a slum in Mumbai had got infected with Corona virus that was picked up by a maid who had been working in the home of a man who had returned from a posting abroad. She had also been working in several other people’s home.

There is no question of applying for passes for domestic helpers – BBMP and the police are currently overworked and do not want domesticworkers to crowd their offices.

Security Personnel: Govt of Karnataka Police Dept say that passes will be issued to private security personnel. I will ask Manju (Security supervisor to talk to the police to find out about passes for security personnel.

PART 3COVID-19:TRAVELLER DISCOVERY & HOME QUARANTINE GUIDELINE

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TRAVELLER DISCOVERY

Request everyone to please empathize with travellers who are coming back from outside India. They would have had to undergo a harrowing ordeal to get back and then the 2 weeks self-quarantine. It’s tough on them.
We assure them of all help. Let’s all step up and try to help each other during this tough phase.

  1. Welfare Association (WA) can detect the resident who needs home quarantining by:
  2. Traveller Self declaration of the resident as done at the entry gate or by the Resident in person. (Refer Bengaluru Apartment Federation (BAF) guidelines on Perimeter rules on Traveller identification & Copy of Self Declaration Form
  3. WA may conduct a survey in cooperation with residents to find out potential travellers / guests who have travelled from abroad since March 1st 2020. There may be a stamp on the wrist given by airport authority. However, in absence of that (as the process started late) self-declaration is mandatory.
  4. List will also be given by the Police department (handed to them by the airport / airlines authority) to WA. Police officials are visiting such residents who have travel history as per advisory.
  5. Note: WA may initiate any additional door-to-door survey in cooperation with residents on any other criteria as it emerges from the government advisory from time to time during this virus outbreak & lockdown periods
  6. A list of citizens that are required to be Home Quarantined is also published
  7. Bengaluru Apartments Federation (BAF) sincerely urges all residents to:
  8. Co-operate in the interest of their personal safety as well as community safety.
  9. Support or volunteer for the survey (if and when undertaken). Note- survey can be telephonic/ online survey and follow social distancing guidelines
  10. Furnish all necessary data as asked in line with the advisory (as in Traveller Information Request Form or similar form)
  11. Not Fear or Panic. Residents identified as potential carriers need not be fearful, but cooperate and seek help of WA and follow the quarantine guidelines issued. The resident details can be kept confidential, however, in the interest of visitors & neighbours it may necessitate the WA management team to label the home as “Quarantined Home” outside the affected apartment door.
  12. Strictly adhere to home quarantine advisory issued to affected residents under the government advisory and seek help from WA team or call 104 or 1075 helpline numbers for any queries or support
  13. Share their status update voluntarily to the WA or Authority on periodic basis/ or answer any query raised in course of their monitoring
  14. Inform WA and authority on their status on the 15th day, at the end of quarantine period (14 days from date of travel) and if there are no symptoms, the affected resident shall inform the WA/authority and only then step out of the home.
  15. Read the details on Home Quarantine process and how to manage routine activities and interactions within the home & for delivery of essential services for their own, family and community safety.

i. Reach out by phone to WA team for any assistance during this entire process.

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TO WHOM IS Home Quarantine (HQ)APPLICABLE?

  1. Any international traveller, coming into their residence since March 1st, will be termed as Covid19 suspect. This definition may be changed or enhanced based on government advisory.
  2. These persons do not have any Covid 19 symptoms at the airport screening, however the infection may develop over period of 15 days, and hence the advisory on HQ.
  3. All COVID19 suspects are mandated to compulsorily be under HQ
  4. Any Covid suspect who develops symptoms during HQ must consult physician/ family doctor over phone – for identifying cause of symptoms, and medicines if symptoms are that of common flu/ viral. If doctor advises to check for Covid testing – Please call the emergency numbers 104/ 1075 or the designated COVID19 hospitals. Guidance will be provided and an ambulance will come and help moving the suspect to the designated hospital for treatment.
  5. Visit http://www.baf.org.in for more helpline numbers and process to be followed
  6. For any difficulty in above – HQ resident should not hesitate to call on phone the WA, Managing Committee (MC) for support & guidance or any other help
  7. Covid19 positive person (tested positive by laboratory) – will not be home quarantined but will be in isolation in the government designated facility and under treatment.

HOME QUARANTINE (HQ) GUIDELINES

Steps to be followed by person identified for Home Quarantine involve:

  1. To stay in well ventilated room
  2. If you are staying alone & doing all your own work- ensure you do not touch unnecessary surfaces not needed till the HQ period is complete. Maintain cleaning & hygiene of all objects you use.
  3. If staying with other family members, use independent toilet and bathroom that no one else in the house uses. Other household members should stay in a different room or, if that is not possible, maintain a distance of at least one/ two meter from the suspect. Family members must stay at a distance of 2 meters during only necessary interactions. Possibly only one person maintains interaction. Children & elderly to be kept away.
  4. Food may be served with least interaction. Covid suspect must clean the eating utensils and dishes after use. Must wash own clothes with detergent.
  5. And keep any waste to be discarded in closed bins. These bins may be collected by another family member (preferably wear gloves while handling). These masks must also be discarded, gloves, tissues, masks and other waste generated by ill persons or in the care of ill persons should be placed in a lined container in the ill person’s room before disposal with other household waste. Maintain distance while interacting when you open door to accept essential services.
  6. All sanitization -frequent hand washing & not touching face, cough etiquette (mask/ tissue etc), social distancing norms should be followed by all members of the family including Covid suspect. While coughing or spitting the infected person must use a clean tissue, put it into a waste bag / wash and frequently wash hands.
  7. Also keep away from PETS. (Refer Information Resources page for PET support)
  8. Avoid entry of any visitors and help during this period – maids, cooks, drivers etc. Stock up all essential items so that visitors/contacts are reduced. Stop any repair renovation works unless essential with due care & precaution using gloves & masks.
  9. In general clean all household surfaces with notified disinfectants, bleach etc frequently. For details on sanitization advisory pl visit BBMP RWA ADVISORY.
  10. Do maintain a Personal Journal noting all those you have come in contact with post landing at airport, during this time. This will help occupy not only time, but in case symptoms develop – others in the list can be contacted & supported.
  11. During the period of HQ – pl do keep your WA updated on telephone/ email/WhatsApp on your status of health or co-operate for any questions asked. They want to support & protect you as well as your family and the entire community.
  12. It is recommended that family members also follow all rules and if possible, stay at home during this period.
  13. In case they need to come out for essential supplies – please wear masks & maintain social distance and do not mingle around. All supplies can be online ordered as well. Reduce contact as much as possible with anyone in the community.
  14. HQ persons may enjoy watching TV and various online/ mobile options for entertainment, games, stress busting activities or home exercise – yoga/ walks/ on-the-spot jogging etc. to keep themselves occupied. For more activities please refer the information resources listed in BAF Guideline of Social Distancing.
  15. At the end of the designated HQ period- a. Persons with symptoms should remain at home until their symptoms are resolved based on either clinical and/or laboratory findings by contacting the family doctor or helplines. b. If there are no symptoms/ illness at end of designated quarantine period, it is recommended that the COVID suspect inform WA management team and then step out – and align with normal prevailing government advisory.
  16. At end of HQ period – you may wish to clean up entire home and surfaces using appropriate disinfectant just for added precautions.

STAY SANITIZED … STAY COMPLIANT … STAY SAFE!

 

NOTE: The local authority as well as the community management is keen to help you recover and at same time not spread the contagion. Hence utmost co-operation is required by both the resident and the community. Please note failure to do HQ as advised, the police will visit apartment/home and force the quarantine. Also running away from apartment without information during quarantine period/ or when developing any flulike symptoms is a punishable offence as declared by the state & central governments. For any violations of HQ, WA can complain to Bangalore City Police at 9154153916.

PART 4 – ACTION to be taken by Welfare Association.

The Complete advice from Bangalore Apartments Federation is available at

https://eur02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fbaf.org.in%2Fcovid-19%2Fbaf-guidelines&data=02%7C01%7C%7C4ee8dae56aab4765877908d7d13d3e46%7C84df9e7fe9f640afb435aaaaaaaaaaaa%7C1%7C0%7C637207933269133528&sdata=VaNymaZ%2Bx6oWMs2TE5bTTATQsC9oQeZxmeBV%2BsZqwrw%3D&reserved=0

  • Thermal Screening: We do not have to screen anyone who enters or leaves our layout by non-touch thermometer gun. Ours is not a gated community.
  • COMMUNICATION & AWARENESS CREATION FOR COVID-19 a. All the advisory from authorities plus additional measures to be put in place will be communicated to all residents by email from time to time.
  • Co-operation is sought from all voluntarily (unless it becomes a mandate)
  • COMMUNICATING ON BASIC RULES OF SOCIAL DISTANCING, COUGH ETIQUETTE & HAND HYGIENE & AVOID CONTACT WITH FACE & OBJECTS a. Residents will be made aware of not to touch their face, other common areas like railings etc. indiscriminately b. Visitors & Residents must be warned to use the handkerchief/ tissue or mask, if sneezing or coughing. (Should not be running any fever) c. And also made aware to maintain a social distance with other persons they would meet and also not randomly touch any surfaces unless unavoidable.
  • Posters will be put up in due course of time on hygiene and Social distancing.
  • SELF DECLARATION FOR TRAVEL
  1. All residents must inform managing committee about their international travel since 1st March 2020. a) They must also declare voluntarily if they have guests. b. At entry –exit, Security can monitor movement of airport taxi/ baggage additionally – they are pointers to those who have travelled. c. There may be further guidelines on the domestic travellers also. WA must keep watch on developments and government notifications on day to day basis. Follow MoHFW website https://www.mohfw.gov.in/index.html and accordingly update their entry / exit screening process to fulfil any mandate from the advisory d. Travel Self Declaration form can be created and filled with details of the resident/ visitor, apartment, date of travel, countries/ transit points of travel. Also ask person to maintain a Personal Journal (Annexure 1: Travel Self Declaration Form) e. Visitors / Residents must be asked to self-quarantine as per Travel Advisory guidelines issued from time to time. (Refer BAF COVID-19 Quarantine Guidelines for more details) f. Visitors/Residents must contact emergency number 104 / 1075 for clarification of quarantine or if symptoms develop and also keep the Managing Committee informed of developments & for support if needed.
  2. Residents under quarantine will be monitored and MCs /Taskforce teams may call upon them to check on daily/periodic basis. Any resident violating quarantine rules can be reported to police and government health authorities. The police will either way visit apartment and force the quarantine upon the violating resident/ guest. Any violation – moving outside the house or running away from apartment – during quarantine period is a punishable offence as declared by the state & central governments. The MC or any member can complain to authorities for penal action. The WA/Authority may choose to display a quarantine card outside HQ home/ apartment to protect any visitor or neighbours. The local authority as well as the community management is keen to help HQ individuals recover and at same time not spread the contagion. Hence utmost co-operation is required by both the resident and the community.
  3. DELIVERIES & MISCELLANEOUS LABOUR: All above screening and hygiene rules are applicable.  Appeal to be made to residents to cut down as much deliveries as possible. If allowed inside – ensure that safe distance is maintained between delivery person and resident.  Further Vendor may be asked to stop at the gate and resident asked to collect the delivery from the gate as need arises. If Corona Outbreak situation does not improve, harsher measures may have to be implemented.
  4. NOTE FOR STAFF & VOLUNTEERS AT ENTRY & EXIT: STAFF & VOLUNTEERS MUST STAY SANITIZED, MAINTAIN SOCIAL DISTANCE & FOLLOW PROPER COUGH ETIQUETTE. ADDITIONALLY, THEY MUST WEAR GLOVES & MASKS. STAFF & VOLUNTEERS MUST AVOID TOUCHING ANY VISITOR OR THEIR ITEMS. (Further guidelines for frontline workers on BAF website)
  5. SECURITY CAN ALSO BE INFORMED OF QUARANTINED RESIDENTS AND IF THEY SEE THEM VIOLATING THE RULES and THEY in TURN CAN INFORM THE WA-MC OR COVID19-TASKFORCE FOR FURTHER ACTION.

TRAVEL SELF DECLARATION FORM

This is a voluntary declaration form to be submitted in case of travel. All residents and guests staying in the premise, who have travelled OOUTSIDE INDIA are required to self-quarantine for a period of 14 days from the date of arrival. ( Note: This may apply to domestic travellers if any new advisory as passed by govt, prevailing on the date of filling this form) NAME OF WA (:_______________________________________________________ 1. Please fill out this form & hand it over at the Property Management Office or scan and send to / whatsapp : ________________ 2. Same form may be used for 1 family. Please mention name & age of each family member in the form. 3. This has to also be filled and submitted by guests coming to stay with the resident. 3. The contents of this form will be kept confidential from residents. If mandated quarantine board may be put up outside home for notice of neighbours &staff.. 4. This form may be shared with Govt. Officials (BBMP/ POLICE etc) and will enable the RWA to coordinate with health officials to keep RWA safe, hence please do not misrepresent facts. See attached form at end of this document.

PART 5 – From the Royal College of Physicians, London

Clinical syndromes associated with COVID-19 

  1. Mild illness
  2. Pneumonia
  3. Severe pneumonia
  4. Acute respiratory distress syndrome
  5. Sepsis
  6. Septic shock

Mild illness

Patients with uncomplicated upper respiratory tract viral infection may have non-specific symptoms such as fever, fatigue, cough (with or without sputum production), anorexia, malaise, muscle pain, sore throat, dyspnoea, nasal congestion or headache.

Rarely, patients present with diarrhoea, nausea and vomiting.

Older people and immunosuppressed individuals may present with atypical symptoms. Symptoms due to physiological adaptations of pregnancy or adverse pregnancy events, eg dyspnoea, fever, GI symptoms or fatigue, may overlap with COVID-19 symptoms

Spectrum of disease

Summary of a report of 72,314 cases from the Chinese Center for Disease Control and Prevention:

a)Mild (no or mild pneumonia): 81%

  1. b) Severe disease (eg with dyspnoea, hypoxia or >50% lung involvement on imaging within 24 to 48 hours): 14%
  2. c) Critical disease (eg with respiratory failure, shock or multi-organ dysfunction): 5%
  3. d) Overall case fatality rate was 2.3%; no deaths were reported among non-critical cases

b), and c), need hospitalisation

Home care

Home management is appropriate for those with mild infection who can be adequately isolated in the outpatient setting.

It is important to focus on prevention of transmission to others and monitoring for clinical deterioration, which should prompt hospitalisation.

Outpatients with COVID-19 should isolate at home, separating themselves from other households and animals. They should wear a facemask when in the same room as other people and when presenting to healthcare settings.

Disinfection of frequently touched surfaces is also important.

Home care

When a test-based strategy is used, patients may discontinue home isolation when there is:  a)resolution of fever without the use of fever-reducing medications and

b)improvement in respiratory symptoms (cough, shortness of breath) and

  1. c) negative results of a US FDA Emergency Use Authorised molecular assay for COVID-19 from at least two consecutive nasopharyngeal swab specimens collected ≥ 24 hours apart (total of two negative specimens)

Home care

When a non-test-based strategy is used, patients may discontinue home isolation when the following criteria are met:

  1. a) at least 7 days have passed since symptoms first appeared and
  2. b) at least 72 hours have passed since recovery of symptoms (defined as resolution of fever without the use of fever-reducing medications and improvement in respiratory symptoms (cough, shortness of breath))

Hospital care

Some patients with suspected or documented COVID-19 have severe disease requiring hospital care.

Management of such patients consists of ensuring appropriate infection control. > Patients with severe disease often need oxygenation support.

The safety of high-flow oxygen and non-invasive positive pressure ventilation in these measures is uncertain, and they should be considered aerosol-generating procedures that warrant specific isolation precautions.

If patients develop acute respiratory distress syndrome, intubation with mechanical ventilation will be needed.

ECMO (extracorporeal membrane oxygenation) may be indicated in patients with refractory hypoxia.

Summary

Once COVID-19 is diagnosed, identify which syndrome and decide on home or hospital care. Treat each syndrome accordingly.

Use paracetamol as fever-lowering agent.

Use hydroxychloroquine for most patients.

Avoid corticosteroids and NSAIDs.

 

STAY WELL… STAY HEALTHY… STAY DISTANT

PART 6 – SUMMARY

  • Covid 19 (Corona Virus Disease 2019) caused by the virus SarsCoV 2 virus, has become a pandemic disease and is causing havoc worldwide.
  • Covid 19 is a respiratory illness spread by person to person contact.
  • The virus can survive outside the human body for varying periods.
  • We are in uncharted waters and have no vaccine to prevent the disease or any known treatment to cure the disease.
  • All that we can do at present is to contain and mitigate the spread of the disease.
  • Total lockdown has been imposed by our government for 21 days starting on 24 March 2020.
  • Social distancing is our main method of limiting the spread of the disease.
  • Strict hand washing, not touching face, and keeping the environment clean by sanitising it should be stringently followed.
  • Wear a mask if available when you go to the shops for buying essential items. If you cannot find a mask then improvise.
  • No visitors/relatives should be allowed to your homes and you too must not visit other people’s homes.
  • No satsangs or community prayers are allowed.
  • Domestic helpers must be given paid leave. No passes will be given to them by the Police Department.
  • Do not move around in groups of more than 2 people.
  • All residents who have recently returned to their homes from abroad must declare to the welfare Association about their movement in the prescribed form. This may apply to those who have returned to their home from other parts of India.
  • Returning traveller must remain in Home Quarantine for the prescribed period of 15 days.
  • Welfare Association will provide maximum support to those in-home quarantine.
  • Security will be informed of those who have been quarantined.
  • From time to time Welfare Association will communicate to residents updated messages from the government.
  • A list of Covid 19 testing centres and hospitals treating Covid illness is provided.
  • Try and do a telephonic consultation with your doctor if you think you are ill because of Covid 19
  • Please go through the references provided

STAY SAFE… STAY DISTANT… STAY HEALTHY.

PART 7 – Helpline, Hospitals and Covid testing centres

Karnataka helpline: 104 / 1075 Central Helpline Number: +91-11-23978046 Additional Numbers (refer baf.org.in)

Rajiv Gandhi Institute of Chest Diseases (RGICD) Address: Someshwarnagar 1st Main Road, Dharmaram College Post, 1st Block, Hombegowda Nagar, Bengaluru, Karnataka 560029. Contact: +080 26088500

Manipal Hospitals: Address: 98, HAL Old Airport Rd, Kodihalli, Bengaluru, Karnataka 560017. Dr. Mable: Contact: 080-25211200 (hotline)

Narayana Health 258/A, Bommasandra Industrial Area Anekal Taluk, Hosur Rd, Bengaluru, Karnataka 560099. Phone: 080675 06870

Fortis Hospital 154, 9, Bannerghatta Main Rd, Opposite IIM, Sahyadri Layout, Panduranga Nagar, Bengaluru, 560076. Phone: 080-66214444.

COVID-19 TESTING CENTERS IN KARNATAKA: 1. Bangalore Medical College & Research Institute, Bangalore 2. National Institute of Virology Field Unit Bangalore 3. Mysore Medical College & Research Institute, Mysore 4. Hassan Inst. of Med. Sciences, Hassan, Karnataka 5. Shimoga Inst. of Med. Sciences, Shivamogga, Karnataka

PL FOLLOW RWA ADVISORY TIME TO TIME FOR UPDATES. SEEKING YOUR COOPERATION &SUPPORT .

FOR ANY SYMPTOMS OF ILLNESS- CONSULT THE FAMILY DOCTOR ONLINE/TELECON/WHATSAPP FIRST AND FOLLOW INSTRUCTIONS FOR SELF MEDICATION.

VISIT THE CLINIC ONLY ON DOCTORS ADVICE ON PHONE.

THIS IS NOT THE TIME FOR “I AM SUPERMAN or NOTHING CAN HAPPEN TO ME” syndrome.

ALL ARE RESPONSIBLE for keeping the society safe and free from COVID-19. Every resident (kids, adults and elderly alike) should follow the precautions-operate with their managing committees and keep themselves safe.

STAY DISTANT… STAY SAFE!

PART 8

OFFICIAL REFERENCES:

I have referred to the BMJ (British Medical Journal), NEJM (New England Journal of Medicine, The BBC, Directives from GOVT of India and Govt of Karnataka , ICMR (Indian Council of Medical Research), BBMP initiatives and BAF (Bengaluru Apartments Federation) whilst preparing this document.

  1. https://www.mohfw.gov.in/pdf/advisoryforbiometricattendance.pdfhttp://bbmp.gov.in/en/we

b/guest/covid-19

  1. http://bbmp.gov.in/documents/10180/19138700/Advisory+-

+Resident+Welfare+Association.pdf/1613e4bf-ee7a-412d-a464-a12f15dd14fb

  1. https://www.mohfw.gov.in/pdf/Guidelinesforhomequarantine.pdf).
  2. https://www.mohfw.gov.in/index.html

covid19@baf.org.in / info@bafonline.org.in

  1. https://www.mohfw.gov.in/pdf/SocialDistancingAdvisorybyMOHFW.pdf
  2. http://bbmp.gov.in/en/web/guest/covid-19 3. https://www.who.int/#
  3. https://www.epa.gov/coronavirus

Other references are from BBC, NICE Guidelines and from the Royal college of London.

ANNEXURE 1 : READING & VIEWING MATERIALS ON SOCIAL DISTANCING

  1. https://en.wikipedia.org/wiki/Social_distancing
  2. https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public
  3. https://www.thenewsminute.com/article/malls-pubs-theatres-shut-parties-banned-week-acrosskarnataka-over-covid-19-120138?amp
  4. Flattening the Outbreak Curve: https://timesofindia.indiatimes.com/india/what-we-can-do-toflatten-the-coronavirus-curve/articleshow/74574441.cms
  5. https://www.usatoday.com/story/news/health/2020/03/11/coronavirus-flattening-curvequarantine-stop-spread/5021564002/
  6. Social Distancing: https://www.buzzfeednews.com/article/davidmack/social-distancingcoronavirus
  7. https://www.mangalorean.com/govt-issues-karnataka-epidemic-diseases-covid-19-regulations2020/
  8. Ministry of health and Family https://eur05.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwebcache.googleusercontent.com%2Fsearch%3Fq%3Dcache%3Ahttps%3A%2F%2Fmohfw.gov.in%2F&data=02%7C01%7C%7C269cf665456f4889738808d7d1856121%7C84df9e7fe9f640afb435aaaaaaaaaaaa%7C1%7C0%7C637208243095067505&sdata=mAhH%2Fd26sXSWXa4X%2BvIEt6eERDo605sdyCW9%2BJNIKdI%3D&reserved=0
  9. https://eur05.safelinks.protection.outlook.com/?url=https%3A%2F%2Fyoutu.be%2FsjDuwc9KBps&data=02%7C01%7C%7C09659de3106a4936072908d7d19b1b91%7C84df9e7fe9f640afb435aaaaaaaaaaaa%7C1%7C0%7C637208336412754396&sdata=WPRKaCW%2FP9wN1xdSWjFQdAVeFshKIRzv3hzkuzSJZ40%3D&reserved=0
    Please please watch this video. Even though we’re in lockdown but exposure to virus can be at many points including going out to buy essentials….so just take a look at how to deal with grocery coming from outside.
    # Stay safe.

KEEPING FAMILIES ENGAGED AT HOME

*Scholastic has created a free learn-from-home site with 20+ days of learning and activities. https://classroommagazines.scholastic.com/support/learnathome.html

*Pretend to travel the world..Go on a virtual tour of these 12 famous museums. https://www.travelandleisure.com/attractions/museums-galleries/museums-with-virtual-tours *

Everything from preschool activities to 12th grade is here!

https://allinonehomeschool.com/

*More awesome free learning websites that we like to use*

https://www.starfall.com/h/

https://www.abcya.com/

https://www.funbrain.com/

https://www.splashlearn.com/

https://www.storylineonline.net/

https://pbskids.org/

https://www.highlightskids.com/

https://kids.nationalgeographic.com/

https://www.coolmath4kids.com/

http://www.mathgametime.com/

https://www.uniteforliteracy.com/

http://www.literactive.com/Home/index.asp

http://www.sciencekids.co.nz/

https://www.switchzoo.com/

https://www.seussville.com/

https://www.turtlediary.com/

https://www.e-learningforkids.org

BrainPop – Curiosity Stream – Tynker – Outschool – Udemy – iReady – Beast Academy (Math) – Khan Academy – Creative Bug – Discovery Education YouTube Channels: – Crash Course Kids – Science Channel – SciShow Kids – National Geographic Kids – Free School – Geography Focus – TheBrainScoop – SciShow – Kids Learning Tube – Geeek Gurl Diaries – Mike Likes Science – Science Max – SoulPancake

https://nam03.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.quarantime.in%2F&data=02%7C01%7C%7C3fbe210a024548d7ad2208d7d25468e0%7C84df9e7fe9f640afb435aaaaaaaaaaaa%7C1%7C0%7C637209132280599109&sdata=1kt74zGe2cJ7rPnxIMSVVaC%2F3puATd%2BFnAUu9yAi%2FVg%3D&reserved=0
Enter your pin and know how safe are you? Check out this app which shows the list of quarantined people around you. Keep Calm and Stay Safe!
Currently only for Karnataka.

I urge our Managing Committee and Residents to visit these websites periodically as it is being updated on a daily basis.

 

 

STAY SAFE … STAY DISTANT… STAY CALM… STAY HEALTHY

 

 

 

PART 9

In lighter vein

  • Xi Jingping’s message to the world – “No Ming Ling”

 

  • A notice from the Psychiatric Association: *
    *Dear citizens: *
    *During the QUARANTINE time it is considered normal to talk to your walls, plants and pots. Kindly contact us only if they reply. *

pc7pc8pc9

PART 10– Self Declaration Form

Self-Declaration form for traveller andhome quarantine

Comments
Name
Age
House number
Mobile Number
Email Id
Date of Arrival
Domestic Flt
International Flt
Recent Travel History
Countries visited
Transit airports
Flight numbers

Please journal your post travel movement – if you have stepped out of home anytime and visited places or people – as this declaration has come into force at later date and there was no advice on such quarantine restrictions I hereby declare that the contents filled in this form are true to the best of my knowledge.

DATE:

PLACE:

SIGNATURE:

NOTE: NON-COPERATION ON QUARANTINE RULES IS A PUNISHABLE OFFENCE UNDER THE LAW.

ASSOCIATION CAN INFORM BBMP HEALTH AUTHORITIES OR POLICE TO ENFORCE STRINGENT ACTION.

PLEASE REACH OUT TO WA-MC FOR ANY ASSISTANCE USING BELOW DETAILS: WA COVID19 Helpline Name and Contact Number of your lane member:

STAY CALM … STAY HOME … STAY SAFE

 

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