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Health and Family Welfare Department
Government of Kerala

Home / Knowledge Management / Categories / Publications

  • COVID19- Death Audit Report July 2020.  

    1. Overview
    The State Death Audit Committee met via Google meet on 7th August 2020 for auditing COVID 19 deaths till July 31st. The team audited 63 COVID- 19 related deaths. Two deaths were from the month of June 2020 and is also considered in the analysis. All 63 COVID related deaths considered for audit on date were lab confirmed cases. In 52 cases it was agreed that the underlying cause of death was COVID-19. In 4 cases decision is kept pending for post mortem findings as the cases were brought dead to the hospitals. Seven cases were Non- COVID deaths as the cause of death was ascertained to be terminal illness as Malignancy -3, Acute Myocardial Infarction -3 and Suicide -1. One COVID death was not included for analysis as the deceased was a native of Tamil Nadu state. Total number of COVID-19 deaths considered for analysis was 51 (2 deaths of June and 49 of July). Deaths which occurred in patients with prolonged hospital stay or recurrent / multiple hospital admissions were opined to be indicative of hospital acquired infection. Co-morbidities were found to be a major threat and most of them had multiple co-morbidities.


  • Report on Health Care Workers The Positive cases– Study

    The Department through the District Surveillance Units is continuing its efforts to study positivity among the Health Care Workers. In the recent workshop conducted by the WHO South East Asia office on 14th August 2020, the focus was on Health Care Workers and how to ensure motivation and health of the Health Care Workers throughout the world. All the experts opined that the Health Care Workers management is very essential and the most integral part of it to give the confidence to the Health Care Workers regarding their protection.

    This volume gives the information regarding HCW getting positive in the month of July.

    • Out of the total Health care workers affected, 98 (22%) were Doctors, 148(33%) were Staff nurses, 85(19%) were either Nursing Assistants/Hospital Attenders, 20(5%) were Field staff (HI/JHI/JPHN), 17(4%) were Asha workers, 46(10%) were paramedical staff and 28(6%) were office staff/support staff.
    • Out of the total Health care workers affected, most were from Thiruvananthapuram district (30%), followed by Kannur (21%), and Kozhikode (12%) districts.
    • Least number of health care workers were affected in Palakkad district.
    • Of the Doctors affected, 74 (75.5%) are from Government sector while 24 (24.5%) are from private sector. For Nurses the figures are 82 (55.4%) and 66 (44.6%) respectively.
    • Of the health care workers contracted COVID 19, 301 (68%) were involved in direct patient care, 103 (23%) were supportive staff and 37 (9%) were field staff.
    • 154 (34.9%) of health care workers were Symptomatic at the time of Diagnosis while 127 (28%) were asymptomatic. No information available about the rest.
    • 257 (58.3%) gave definite history of possible direct contact with a COVID 19 positive individual.
    • Sentinel surveillance picked up 24 (5.4%) of health care workers COVID 19 positive status.


  • Report on Keralite tested Positive outside Kerala- Vol 2.  

    Executive summary
    A total of 227 persons were tested from different labs outside Kerala and found positive as per ICMR Portal on 31/7/2020. Out of these 227 persons, 32 persons could not be traced as their phone numbers were wrong and no specific address was found. Out of 186 persons traced (9 reports pending from Ernakulam district), only 8 persons have probably acquired infection from Kerala (TVM-2, WND-2, 1 each from KTM, PKD, KKD & KGD) whose details are given below.


  • Report on infection source identification of The Positive cases– History of unknown source of infection on Day ‘zero’ July 2020.  

    Background
    Coronaviruses are single stranded enveloped RNA virus belonging to family Coronoviridae that can cause illness ranging from common cold to severe respiratory disease like MERS-CoV and SARS CoV. COVID-19 is a zoonotic disease and the current outbreak was first reported on 31st December 2019 from Wuhan, China. It spread to several countries and WHO declared it as Public health Emergency of International concern on 30th January
    1. On March 11th 2020 WHO declared it as Pandemic as there were more than 118,000 cases and 4291 deaths in 114 countries. In India the first case of COVID- 19 was reported from Kerala on 30th January 2020 from a medical student who returned from Wuhan, China. Three cases were reported from Kerala by the first week of February. Kerala has had a 2nd wave of outbreak starting from 9th March 2020 and with the lockdown it controlled the number of cases. The third wave in Kerala started with the relaxation/ lifting up of lockdown from May 4th and flights starting operation from May 7th 2020. As on July 31st there were 22303 confirmed COVID 19 cases in the state. There was drastic increase in the cases after June 30th with more cases being reported due to local transmission. In the month of July itself 17,861 cases were reported which contributes to 80% of the disease burden in Kerala. The district wise distribution of cases is depicted in Fig.1. Out of these 17,861 cases 12,275 (68.7%) cases got infected by local transmission and among


  • Report Sentinel Surveillance Vol-3.  

    1. Background
    The Department of Health and Family Welfare has been taking all initiatives based on scientific knowledge available regarding COVID19. Sentinel surveillance system with an objective to look for infections spread in the state has been set up on April 19th 2020 onwards. The report of sentinel surveillance of first six weeks has been published and is available in the public domain. With the influx of expatriates after lifting lock down, the state has broadened its testing strategy. The state has decided to further strengthen the sentinel surveillance system which will also help in providing early warning signals and epidemiological information about the next phase of the pandemic in the state. Also, a special surveillance including expatriates was conceived and implemented. RTPCR tests has been used for surveillance. Surveillance using RTPCR based tests also provided early warning signals regarding clusters with active transmission facilitating timely interventions.


  • Guidelines-NEET EXAM 2020.  


  • Weekly Bulletin.  
    Weekly State Summary
    01/08/2020 to 07/08/2020 Cumulative till 07/08/2020
    Total new positive cases 8087 31700
    Total recovered 6124 19147
    Total deaths 29 102
    Total tests done 167798 984208


  • COVID 19 STATE REPORT ON CLUSTERS.  

    The second volume of the State report on Cluster is published by the Department of Health and Family Welfare. The second volume covers the basic facts regarding the COVID epidemic. The district surveillance units are now having good capacity to analyse the data and do interpretations. The sentinel surveillance samples positive cases give lead to the field teams to identify cases in the community. Based on these positive cases, the field teams do intensive testing and through that exercise, the teams are able to identify the cluster of cases. In this report, the districts have presented various identified clusters and intervention plans within the clusters.
    The state cluster report will be of value to all the field functionaries, students and researchers.
    I wish all the success to the efforts of teams at the district and sub district level.
    K K Shailaja Teacher
    Minister Health & Family Welfare
    Social Justice
    Woman & Child Development


  • Advisory- Air Crash Treatment of crew, passengers and rescue workers.  


  • COVID CARE TRIBAL HEALTH ACTION PLAN.  




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Last Updated 05/10/2020