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Understanding COVID19 case categories

Understanding COVID19 case categories

  • July 13, 2020

Lockdown, quarantine, social distancing, isolation. Coronavirus has brought with it new words, new rules, and new ways of living. Never has good communication, using plain language, been more important than now. Health rules were never so important before this, people are trying to figure out what to believe and what to let go. Who all are safe and what precautions to be followed during home quarantine.

It’s important to understand who all are eligible for home quarantine and what are the rules for home quarantine. COVID 19 transmission can be categorized into three major categories.

  1. Pre-Symptomatic Transmission Case: The time between the exposure to the COVID 19 virus and onset of the symptoms is an average of 5-7 days which can extend up to 14 days, known as “Pre-symptomatic period”. During this period exposure to the infected person can be contagious. Transmission of infection before the onset of symptoms is known as pre-symptomatic transmission.  It is important to understand that an infected person can infect a healthy person without showing relevant symptoms of COVID-19. Home isolation eligibility criteria: Person can request for home isolation only if clinically assigned as a very mild case/ pre-symptomatic case by the treating medical officer.  Such cases should have the facility of self-isolating themselves and his/her family members at his/her own residence, having separate washroom for patient. 24/7 care giver should be available during the entire period of self-isolation, and is responsible for updating the patient’s health condition to the hospital/District Surveillance Officer. Patient has to download Arogya Setu App on mobile which has an uninterrupted internet and bluetooth connection.

Instructions for patient: Patient should always wear 3-layered medical mask and should be discarded every 8 hours or before if visibly soiled, it should be discarded only after disinfecting with 1% Sodium Hypo-chlorite solution in a closed bin. Patient must stay in an isolated room away from elders and family members with comorbidities or immuno-compromised and follow respiratory etiquettes all time. Hands should be cleaned regularly for 40 secs with soap and water/ alcohol based hand rub. Disinfect anything the patient touches with 1% hypochlorite solution. Self-monitor temperature and inform doctor in case of any deterioration of symptoms. Following physician’s instructions are very important at all times.

When to seek medical attention: Patient or care-giver can keep self-monitoring but should immediately seek medical help in case of difficulty in breathing, pain/pressure in the chest, mental confusion, developing bluish discolorations of lips/face or as advised by treating medical officer.

2. Asymptomatic Case: An asymptomatic laboratory-confirmed case is a person infected with COVID-19 who does not develop symptoms. Asymptomatic transmission refers to transmission of the virus from a person, who does not develop symptoms. Any person or healthcare worker would undergo COVID 19 test showing symptoms of influenza like illness fever or feeling feverish/chills, cough, sore throat, runny or stuffy nose, muscle or body aches, headaches, fatigue (tiredness), some people may have vomiting and diarrhea, though this is more common in children than adults. If found positive the patient has to hospitalized and treated as per the guidelines.

3. Symptomatic Case: A symptomatic COVID-19 case is a case who has developed signs and symptoms compatible with COVID-19 virus infection and is tested positive for COVID 19 test. Such patients require immediate medical assistance and should be transferred to the nearest dedicated COVID 19 facility.

SRV group of hospitals has two dedicated facilities for COVID 19, in case of any emergency patients can reach out to any of the numbers to seek help.

SRV Hospital,  Chembur: 8451800800

SRV Hospiatl, Dombivli: 8603600600

SRV Hospital, Goregaon: 7209600600

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