Report on Keralites Tested Positive Outside Kerala
As the first case of COVID19 got detected in Kerala, the Surveillance Unit of Directorate of Health Services was alert to identify the
cases and their contacts. Whenever any contacts are found to be of other states, that information was shared with the respective
States. Eg the family came from Italy later got detected positive, the inmates of the flights from other states was informed to them.
When the cases started getting detected in other states, the surveillance unit was active to identify the cases getting detected
outside Kerala. This was important from the point of view of doing contact tracing here and ensure that the infection source, if it is in
Kerala, the containment is possible.
Among the line list from NCDC Portal, a total of 110 persons were tested outside Kerala and found positive as on 30th June 2020. Out
of these 3 were duplicate entry and are excluded from the report.
Out of total 107, a total of 96 persons could be studied and it is deduced from the field investigations, the departure time study that 90
persons have not contracted virus in Kerala and the 6 persons have possible chances of got infected in Kerala.
The Department of Health and Family Welfare is further examining the six cases areas regarding number of positive cases and the
time period of the symptomatic positives. The teams have been asked to do further back series studies to see whether there were
more cases during the same time period. It is also instructed to do more testing in these panchayaths to see whether there is an
active infection source in the localized areas.
COVID19 Death Audit Report June2020
WHO declared nCORONA disease, now known as COVID19 on the 18th of
January 2020 and the very next day, the Department of Health and Family
Welfare has set in motion all the activities such as constituting State Rapid
Response Team, District level structures, roles and responsibilities of various
committees at the district and at the State level. Through these well laid out
structures, the activities such as airport surveillance, field surveillance, home
quarantine, risk stratification-based testing protocols and treatment protocols
were developed and put to practice. As the State identified the first COVID
case in the country, all these structures and processes were put in place well
in time and also shared with the Ministry of Health and Family Welfare,
Government of India for informing to the other States.
The state has kept the objectives to keep the mortality minimum and to ensure
that there is no community spread. With these twin objectives, the department
of Health and Family Welfare along with other line departments have been
doing qualitative interventions to control the epidemic.
While doing the field activities simultaneously, the Department has put in place
structures for each of thematic / niche activities such as constituting State and
Institutional Medical Board, management units for testing, Laboratories, supply
chain management etc.
The department has been practicing scientific methods of death auditing all
- Guidelines – Mapping and cluster identification
- Advisory on Recording and Reporting of COVID19 Tests
- Advisory – Sample for Pooled Testing of TrueNAT-XPERT
The world is going through one of the most difficult times facing COVID19 pandemic. All the countries including India and states are taking measures to contain epidemic. In this back ground, I am happy to state that our state had done detailed planning and contain the epidemic to a great extent in the past four months. However, we are now entering in a decisive phase during which Keralite from all over the world and other parts of the country will be coming back to their home state. In order to ensure proper care and support to them, the Government under the leadership of Hon Chief Minister has taken multiprong approach to tackle the epidemic. I am happy to note that the Department of Health and Family Welfare has introduced a concept of COVID19 First Line Treatment Centres ( CFLTCs) to provide care and support to COVID patients especially the ones are asymptomatic or having milder symptoms. In order to build capacities of all health functionaries, this comprehensive document stipulating Standard Operation Procedures is published. I congratulate the team led by Dr Jameela P K Sate Consultant Aardram. I also appreciate the works done by all others who have contributed for preparing the SOP. I would urge the district teams to use the SOP for establishing CFLTCs in the respective districts and ensure quality services to the patients. I wish all the success to this endeavour.
Strategy for covid-19 testing in Kerala state
The WHO has declared COVID-19 as a pandemic. Kerala had reported the first case in India on January 30th 2020. With proper identification of individuals with risk, rigorous contact tracing, ensuring good quality home isolation, testing all eligible individuals and providing high quality care to COVID cases, Kerala state had managed to contain the COVID -19 epidemic till date. Since January various structures had been put in place for the control of COVID. One of the strong pillars was the setting of testing strategy for diagnosing COVID-19. This report describes the testing strategy of Kerala, which is based on a strong epidemiological and public health approach. Importation and transmission-based approach for Testing Strategy On January 26th 2020, even before the first case of COVID-19 was reported in the state, the Kerala state had issued comprehensive guidelines for prevention and control of COVID-19, followed by guidelines on sample collection, transportation and testing of novel corona virus infections on 1 st February, 20202 . The testing, quarantine, hospital admission and discharge criteria for novel corona virus (earlier name-nCoV) were issued on 1st February, 2020 just before the second case in the state and in the country, the issue of revised surveillance on 1st February 2020, the declaration of two dedicated hospitals for each of the 14 districts in the state for COVID management on 1st February 2020 are measures of the farsightedness and preparedness to deal with the pandemic.