DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20203951

Development of a district level multifaceted first-response strategy to COVID–19 in a resource limited setting in Kerala, India

Raman Swathy Vaman, Mathew J. Valamparambil, Ramdas A. V., Manoj A. T., Basil Varghese, Flory Joseph

Abstract


The SARS-CoV-2 pandemic that began in Wuhan in China has spread rapidly with cases currently confirmed in more than 200 countries worldwide. The first case of the outbreak in India was reported on 31st January 2020 in three medical students who returned to Kerala from Wuhan. We report the district level preparedness and response to the first case of COVID-19 infection confirmed in the district of Kasaragod, Kerala. The identification, diagnosis, clinical course and management of the case including surveillance and contact tracing are described. The district level actions before and after the identification of the first case provide a guidance to other resource limited settings regarding the preparedness and mitigation measures to be adopted in times of a pandemic. The evolution of strategies highlights the importance of coordination between district and state health authorities, district administration and line departments; rapid dissemination of health information, disaster preparedness and engagement of the community for surveillance support and home quarantine.


Keywords


Covid-19, Emergency preparedness, Low-income population, India

Full Text:

PDF

References


WHO. Pneumonia of unknown cause – China. WHO. http://www.who.int/csr/don/05-january-2020-pneumonia-of-unkown-cause-china/en/ Accessed March 16, 2020.

Lu H, Stratton CW, Tang Y-W. Outbreak of pneumonia of unknown etiology in Wuhan, China: The mystery and the miracle. J Med Virol. 2020;92(4):401-2.

David S. Hui, Esam I Azhar, Tariq A. Madani, Francine Ntoumi, Richard Kock, Osman Dar, et al. The continuing 2019-nCoV epidemic threat of novel coronaviruses to global health -The latest 2019 novel coronavirus outbreak in Wuhan, China. Int J Infect Dis. 2020;91:264-6.

Chaolin Huang, Yeming Wang, Xingwang Li, Lili Ren, Jianping Zhao, Yi Hu, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. The Lancet. 2020;395(10223):497-506.

WHO. Novel Coronavirus – China. WHO. http://www.who.int/csr/don/12-january-2020-novel-coronavirus-china/en/ .Accessed March 18, 2020.

Available at: 20200211-sitrep-22-ncov.pdf. https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200211-sitrep-22-ncov.pdf?sfvrsn=fb6d49b1_2. Accessed March 16, 2020.

Statement on the second meeting of the International Health Regulations (2005) Emergency Committee regarding the outbreak of novel coronavirus (2019-nCoV). Available at: https://www.who.int/news-room/detail/30-01-2020-statement-on-the-second-meeting-of-the-international-health-regulations-(2005)-emergency-committee-regarding-the-outbreak-of-novel-coronavirus-(2019-ncov). Accessed April 6, 2020.

Available at: 20200228-sitrep-39-covid-19.pdf. https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200228-sitrep-39-covid-19.pdf?sfvrsn=5bbf3e7d_4. Accessed April 19, 2020.

Vaman RS, Valamparampil MJ, Ramdas A V, Manoj A T, Varghese B, Joseph F. A confirmed case of COVID-19 among the first three from Kerala, India. Indian J Med Res. 2020;151:493-4.

Kerala Launches “Break The Chain” Campaign To Combat Coronavirus. NDTV.com.. Available at: https://www.ndtv.com/kerala-news/kerala-launches-break-the-chain-campaign-to-combat-coronavirus-2196103. Accessed June 16, 2020.