Naysayers and doomsayers are appears to be more active........
Suo-Moto statement by Dr. Harsh Vardhan, Minister for Health and F.W. ON 5th March, 2020 in Rajya Sabha in view of large number of reported cases across the world and reported cases in India of Novel Coronavirus (COVID-19) and the steps taken by the Government of India
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9. Government of India has also taken several measures to control the risk of novel Corona virus infection spreading to India. Our First Travel Advisory was issued on 17th January 2020 and as situation is evolving, the travel advisories are accordingly getting revised. Presently it prescribes,
- All regular (sticker) Visas/e-Visa (including Visa on Arrival for Japan and South Korea) granted to nationals of Italy, Iran, South Korea, Japan and issued on or before 03.03.2020 and who have not yet entered India, stand suspended with immediate effect.
- Regular (sticker) visa / e-Visa granted to nationals of Peoples Republic of China, issued on or before 05.02.2020 were suspended earlier. It shall remain in force.
- Regular (sticker) visas/e-Visas granted to all foreign nationals who have travelled to Peoples Republic of China, Iran, Italy, South Korea and Japan on or after 01.02.2020, and who have not yet entered India stand suspended with immediate effect.
- Diplomats, officials of UN and other International bodies, OCI cardholders and Aircrew from above countries are exempted from such restriction on entry. However, their screening at point of entry is compulsory.
- Passengers of all international flights entering into India from any port are required to furnish duly filled self-declaration form (including personal particulars i.e. phone no. and address in India) and travel history, to Health Officials and Immigration officials at all ports.
- Indian citizens are advised to refrain from travel to China, Iran, Republic of Korea, Italy & Japan and advised to avoid non-essential travel to other COVID-19 affected countries.
Screening of passengers was initiated in the country since 18th January 2020. Initially airports at Delhi, Mumbai, Chennai, Kolkata, Bengaluru, Hyderabad and Kochi were covered and subsequently expanded in a total of 21 airports. As per the evolving situation, initially Universal Screening was taken up for all passengers coming via direct flights from China, South Korea, Japan, Iran, Italy, Hong Kong, Vietnam, Malaysia, Indonesia, Nepal, Thailand and Singapore. Since yesterday directions have also been issued for Universal Screening for all international passengers coming in the country. Signages have been displayed at prominent places in airports and ports, In-flight announcements are being made and self -declaration forms are being filled up by all passengers. As on 4th March, a total of 6241 flights have been screened covering a total of 6,11,167 passengers. Teams of Specialist doctors were sent to all the airports to ensure effective screening and arrangement for isolation in the attached hospitals.
Screening of passengers has also been initiated in 12 major seaports and 65 minor ports in the country to identify passengers & crew coming from China and to isolate them in case they are found symptomatic. As on 4th March, 16,076 persons have been screened at the ports.
Government has initiated screening in all integrated check posts with bordering countries in collaboration with states of UP, Uttarakhand, West Bengal, Sikkim and Bihar and Seema Shastra Bal (SSB) and Land Port Authorities. Gram Sabhas have been conducted in villages adjoining the borders to create awareness amongst people about the disease and precautions to be taken in collaboration with Panchayati Raj Ministry. Eight Central Teams visited the bordering villages in States of UP, Uttarakhand, West Bengal, Sikkim and Bihar to review the activities at the border crossing, the conduct of Gram Sabhas and risk communication to the community. A total number of 3823 Gram Sabhas have been conducted and 11, 20,529 people have been screened at the border check post.
In view of the continuing lock down of the Hubei Province in China, the Government of India decided to evacuate the Indian students and other professionals working in Wuhan and neighbouring cities in the Hubei Province. In a coordinated operation with Ministry of Civil Aviation, Air India, Ministry of Health and Family Welfare, two Special Air India flights were operated between Delhi and Wuhan on 31 January and 1 February 2020 that brought back a total of 654 passengers that included 647 Indian citizens (including two Indian Embassy officials who were on the ground in Wuhan to coordinate the evacuation operation) and 7 Maldivian nationals. These evacuees were kept in Army Quarantine Centre at Manesar and ITBP Camp at Chhawla. All these evacuees were tested after 14 days and on being found negative, discharged on 18th February, 2020.
Further, Indian Air Force, on 26th February 2020 and evacuated a total of 112 people from Wuhan which included 76 Indians and national from Myanmar, Bangladesh, Maldives, China, South Africa, USA and Madagascar. The evacuees reached Delhi on 27th February morning and are kept at ITBP camp for quarantine for a period of 14 days as per protocol. I am happy to inform that they have all tested negative so far and are stable. This flight also had carried Personal Protective Equipments, disposables and medical equipments which was given as a good-will gesture to China from Indian government.
The Indian Embassy and Consulates are also in regular contact with the Indian Community in other parts of China and is keeping a constant track of their well-being.
Another evacuation was successfully carried out by Air India, by bringing back 124 people on 27th February morning including 5 foreign nationals who were on broad the COVID-19 infected Cruise Ship Diamond Princess from Port of Yokohama, Japan. They are kept in Army Facility at Manesar for 14 days quarantine presently. I am happy to highlight that even these evacuees have tested negative and are stable.
Regular surveillance has been initiated across the country for all cases having travel history from all major COVID-19 affected countries and for people having contact with such persons and having fever, cough or breathlessness. Through Integrated Disease Surveillance network all such persons are tracked and as on 4th March, a total of 28529 persons were brought under community surveillance and monitored. The state surveillance officers, district surveillance officers and rapid response teams of health professionals under the leadership of state Health Secretaries are monitoring all such people on a daily basis. Sufficient isolation beds have been made available in the tertiary facilities across the country to manage any outbreak.
Ministry has issued guidelines to support states on Surveillance and contact tracing, Surveillance at Points of Entry, Laboratory samples collection, packaging and transport, Clinical management protocol and Infection prevention and control in healthcare facilities. To ensure availability of critical items like Personal Protective Equipments (PPE) & N95 masks, the exports of the same was also restricted. A buffer stock of personal protective equipments & N95 masks is maintained by states as well as Union Government.
National Institute of Virology, Pune is the nodal Laboratory. As part of ICMR’s preparedness for emerging/ re-emerging infectious disease, NIV, Pune has established capacity for molecular diagnosis of COVID-19. Next generation sequencing is also established. Testing of clinical samples has also been initiated in 15 more laboratories. Another 19 laboratories are being prepared to test samples to ensure adequate geographical spread across the country. The network is being further expanded.
Risk communication material has been prepared and is widely disseminated even in regional languages through states. Required awareness in community is ensured through technical briefings by experts in radio and Television. Daily Press briefing is being held by Ministry of Health and information is being shared through social media. A 24x7 Control Room is operational with call centre number as 011-23978046. So far, more than 9200 calls have been attended including 667 international calls.
Government of India is in regular touch with WHO headquarters, regional office and country office to get updates on evolving scenario.
Our focus is on adherence to core capacities for disease preparedness and response which include surveillance, laboratory diagnosis, hospital preparedness, logistics management, capacity building of health care staff and risk communication to the community. The scale and extent of our interventions have increased in alignment with the evolving situation of COVID-19 across the world and India in particular.
With the increasing global spread of the diseases, we are confronted with new challenges. The contact tracing of positive cases requires tracing of hundreds of contacts in multiple locations and monitoring their health. Similarly, the cases in Agra being transmitted to family members by the confirmed case has necessitated putting up a containment plan to contain the cluster of cases in Agra.
Another major area of concern is Indian pilgrims and students stranded in Tehran and Quam, Iran, epicentres of the Iran Covid-19 outbreak. Government of India is following up with Iran authorities for their well-being and to tie up evacuation as per need.
In addition to manage travel related cases, additional challenge is to contain clusters due to local transmission that requires highly resource intensive containment operations. We have provided the Containment Action Plan to all the States. A national level training workshop has been planned for all the states and hospitals from other Ministries on COVID-19 management on 6th March 2020 which will then be taken up to district level. Senior Officers of the Ministry have been deputed to States and UTs to review their preparedness and provide required guidance in the containment efforts.
We have designated District Collector as the nodal officer at field level for containment operations. States have been guided in terms of identifying containment zone, buffer zone and preparation of micro plan to ensure effective active and passive surveillance and contact tracing through inter-disciplinary teams in the areas where cases are located.
I want to inform this house that the Government is taking all necessary measures to prevent spread of the COVID-19 in India.
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