Covid 19 - CHCP Guideline PDF
Covid 19 - CHCP Guideline PDF
Covid 19 - CHCP Guideline PDF
m~wP
µ: bs welq c„ôv
1 †KvwfW-19 I K‡ivbv fvBivm wK? 1
2 mvaviYfv‡e †KvwfW-19 Gi jÿYmg~n 1
3 †KvwfW-19 m¤úwK©Z msÁv mg~n (wek^ ¯^v¯’¨ ms¯’vi MvBW jvBb Abymv‡i) 1-2
mshyw³
‡Uwej 1 ‡KvwfW-19 †iv‡Mi †ÿ‡Î ‡Kvqv‡i›UvBb, AvB‡mv‡jkb I mvgvwRK `~iZ¡ 5
m¤úwK©Z Zzjbvg~jK Z_¨
wPÎ 1 nvZ †avqvi mwVK avcmg~n 3
m~Ît wek^ ¯^v¯’¨ ms¯’v (WHO) Ges ¯^v¯’¨ Awa`ßi Gi wb‡`©kbv Abyhvqx GB wb‡`©wkKv ˆZwi
KwgDwbwU †nj_ †Kqvi †cÖvfvBWvi (wmGBPwmwc) †`i Rb¨ wb‡`©wkKv
1| †KvwfW-19 I K‡ivbv fvBivm wK?
†KvwfW-19 †ivMwU gvby‡li k^vmZ‡š¿i GK ai‡bi msµgY hv K‡ivbv fvBivm (SARS-COV-2 ev Severve
Acute Respiratory Syndrome Corona Virus 2) Øviv nq| 2019 mv‡j Px‡b GB †iv‡Mi cÖv`yfv© e ïiæ nIqvi
AvM ch©šÍ GB †ivM Ges fvBivmwU ARvbv wQj|
†KvwfW-19 †iv‡M AvµvšÍ e¨w³i kZKiv cÖvq 81 fv‡Mi g„`y msµgY n‡Z cv‡i, 14 fv‡Mi kvixwiK Ae¯’v
Lvivc n‡Z cv‡i (nvmcvZv‡j fwZ© Ges Aw·‡R‡bi cÖ‡qvRb n‡Z cv‡i) Ges 5 fv‡Mi kvixwiK Ae¯’v
AwZgvÎvq Lvivc n‡Z cv‡i [wbweo cwiPh©v †K›`ª (Intensive Care Unit-ICU) ‡Z ivLvi cÖ‡qvRb n‡Z cv‡i]|
eq¯‹ e¨w³ Ges Ab¨vb¨ †iv‡Mi Dcw¯’wZ (Wvqv‡ewUm/D”P i³Pvc/ü`‡ivM BZ¨vw`) G †iv‡M AvµvšÍ‡`i g„Zz¨
SuzwK evwo‡q †`q|
msµgY cÖwZ‡iva I wbqš¿Y (Infection Prevention and Control - IPC) †KvwfW-19 †ivM †gvKv‡ejvi Rb¨
me‡P‡q ¸iæZ¡c~Y©| wbqwgZ I mwVK Dcv‡q nvZ-‡avqvmn msµgY cÖwZ‡iv‡ai Dcvqmg~n †g‡b Pj‡j GB †iv‡Mi
we¯Ívi K‡g hvq|
2| mvaviYfv‡e †KvwfW-19 Gi jÿYmg~n
fvBivmwU gvby‡li kix‡i †XvKvi ci n‡Z msµg‡Yi jÿY †`Lv w`‡Z mvaviYZ 2 †_‡K 14 w`b mgq jv‡M|
jÿYmg~n n‡jvt
• ‡ekxifvM †ÿ‡Î cÖ_g jÿY n‡”Q R¦i (100 wWwMÖ dv‡ibnvBU ev 38 wWwMÖ †mjwmqvm Gi †ekx);
• ïK‡bv Kvwk;
• k^vmKó/wbD‡gvwbqv †`Lv w`‡Z cv‡i;
• Mjv e¨_v n‡Z cv‡i;
• Ab¨vb¨ Amy¯’Zv (Wvqv‡ewUm/D”P i³Pvc/k^vmKó/ü`‡ivM/wKWwb mgm¨v/K¨vÝvi BZ¨vw`) _vK‡j A½
AKvh©Ki (AM©vb †dBwjIi) n‡Z cv‡i|
3| †KvwfW-19 m¤úwK©Z msÁv mg~n (wek^ ¯^v¯’¨ ms¯’vi MvBW jvBb Abymv‡i)
• m‡›`nRbK †ivMx (Suspect case)
K) k¦vmZ‡š¿i msµgYRwbZ †ivMxi (R¡i mv‡_ k¦vmZ‡š¿i †iv‡Mi †h †Kvb GKwU DcmM©, †hgb- Kvwk, k¦vm
Kó) Ges DcmM© ïiæ nIqvi 14 w`‡bi g‡a¨ †KvwfW-19 Dc`ªæZ ev mvgvwRK msµgY Av‡Q Ggb
GjvKvq ågY ev emev‡mi BwZnvm Av‡Q
A_ev
L) k¦vmZ‡š¿i msµgYRwbZ †ivMx Ges mywbwðZ ev m¤¢ve¨ †KvwfW-19 †ivMxi mv‡_ DcmM© ïiæi 14 w`‡bi
g‡a¨ ms¯ú‡k© G‡m‡Qb
A_ev
M) m`¨ ïiæ nIqv gvivZ¥K k¦vmZ‡š¿i †ivMx (R¡i I mv‡_ AšÍZ GKwU k¦vmZ‡š¿i †iv‡Mi DcmM©, †hgb-
Kvwk, k¦vmKó I nvmcvZv‡j fwZ©i c«‡qvRb Av‡Q) Ges †ivMxi DcmM© mg~‡ni e¨vL¨v †Kvb weKí †ivM
w`‡q Kiv hvqbv Ggb †¶‡Î|
• m¤¢ve¨ †ivMx (Probable case)
K) m‡›`nRbK †ivMx hvi †KvwfW-19 cix¶vi dj AgxgvswmZ
A_ev
L) m‡›`nRbK †ivMx hv‡K †Kvb Kvi‡Y cix¶v Kiv hvqwb|
1
• mywbwðZ †ivMx (Confirmed case)
‡Kvb DcmM©B _vKyK ev bv _vKyK j¨ve‡iUix cix¶vq †KvwfW-19 c«gvwYZ|
• ms¯ú‡k© Avmvi msÁv (Definition of contact)
m¤¢ve¨ ev mywbwðZ †KvwfW-19 †ivMxi DcmM© ïiæi 2 w`b c~e© n‡Z 14 w`b ch©šÍ †Kvb e¨w³i wb¤œiƒc
ms¯úk© n‡j:
K) m¤¢ve¨ ev mywbwðZ †ivMxi gy‡LvgywL ms¯úk©- (1 wgUv‡ii g‡a¨ 15 wgwb‡Ui AwaK mgq a‡i _vK‡j)|
L) m¤¢ve¨ ev mywbwðZ †ivMxi mv‡_ mivmwi kvixwiK ms¯úk©
M) m¤¢ve¨ ev mywbwðZ †KvwfW-19 †ivMx‡K h_vh_ e¨w³MZ myi¶v (Personal Protective Equipment- PPE)
e¨ZxZ mivmwi †mev c«`vb|
N) ¯’vbxq SyuwK wbiƒcY c~e©K Ab¨vb¨ Ae¯’v|
4| K‡ivbv fvBivm †hfv‡e Qovq
• k^vmZ‡š¿i gva¨‡g (nuvwP/Kvwk/Kd/mw`©/_yZz) Ges
• AvµvšÍ e¨w³i ms¯ú‡k© Avm‡j GKRb †_‡K Av‡iK Rb‡K Qovq
AvµvšÍ e¨w³i nvuwP ev Kvwki mgq bvK ev gyL †_‡K wbtm„Z nvuwP-Kvwki A`„k¨ ÿz`ª KYvi (Respiratory droplet)
gva¨‡g GB †ivMwU GKRb †_‡K Ab¨ R‡bi gv‡S Qovq| GB ÿz`ª KYv¸‡jv AvµvšÍ e¨w³i Pvicv‡ki †h †Kvb
e¯‘i Dci (1 wgUvi ev 3 dz‡Ui AwaK `yiZ¡ ch©šÍ) c‡o (†hgbt †Uwej, †Pqvi, ˆZRlcÎ BZ¨vw`) Ges Ab¨
†KD nvZ w`‡q H e¯‘mg~n ¯úk© K‡i Lvwj nv‡Z bvK, gyL I †Pv‡L nvZ w`‡j fvBivmwUi msµgY NU‡Z cv‡i|
GRb¨B Amy¯’ e¨w³ †_‡K 1 wgUvi ev 3 dz‡Ui †ekx `yiZ¡ eRvq ivLv ¸iæZ¡c~Y©|
5| ‡KvwfW-19 mbv³Ki‡Y j¨ve‡iUwi cixÿv
‡h †Kvb m‡›`nfvRb †ivMxi (msÁv Dc‡i †`Lyb) †ÿ‡Î gwjKzjvi (AviwU-wcwmAvi) cixÿv K‡i K‡ivbv
fvBiv‡mi Dcw¯’wZ wbwðZ Ki‡Z n‡e|
6| ‡KvwfW-19 msµgY cÖwZ‡iv‡ai Dcvq
K) nvZ †avqv
• mvevb I cvwb w`‡q 40-60 †m‡KÛ mgq wb‡q nvZ ay‡Z n‡e| cÖ‡qvR‡b Gj‡Kvnj hy³ n¨vÛ
m¨vwbUvBRvi e¨envi (20 †_‡K 30 †m‡KÛ) Kiv †h‡Z cv‡i| (nvZ †avqvi mwVK wbqg wPÎ-1 G
†`Iqv n‡jv)
• nvZ †avqvi cvuPwU ¸iæZ¡c~Y© mgq-
1. ‡ivMx‡K ¯úk© Kivi Av‡M;
2. ÿZ cwiPh©v/‡Wªwms Gi c~‡e©;
3. ‡ivMxi kixi †_‡K wbtm„Z Zij (Kd, _yZz, ewg, i³, cu~R BZ¨vw`) nv‡Z jvM‡j;
4. †ivMxi cwiPh©vi ci;
5. ‡ivMxi cvwicvwk^©K/e¨eüZ e¯‘ (weQvbv, †Pqvi, †Uwej, `iRvi nvZj BZ¨vw`) ¯úk© Ki‡j|
• mvevb-cvwb e¨env‡ii ci wUm¨y/wbw`©ó cwi®‹vi †Zvqv‡j/MvgQv e¨envi K‡i nvZ ïwK‡q wb‡Z n‡e|
†Zvqv‡j ev MvgQv wf‡R †M‡j e`‡j †dj‡Z n‡e|
2
wPÎ 1 - nvZ †avqvi mwVK avcmg~n
3
L) nvuwP/Kvwki wkóvPvi †g‡b Pjv-
• ‡hLv‡b †mLv‡b nuvwP/Kvwk †`Iqv I Kd-_yZz bv †djv;
• nvuwP-Kvwk †`Iqvi Av‡M wUm¨y, iægvj ev KbyB‡qi fuv‡R gyL ‡X‡K nvuwP-Kvwk †`Iqv;
• nvuwP-Kvwk †`Iqvi ci mvevb w`‡q Dc‡iv³ wbq‡g nvZ ay‡q ïwK‡q ‡bIqv;
• e¨eüZ wUm¨y/gv¯‹ XvKbv hy³ gqjv †djvi cv‡Î †djv|
gv¯‹ w`‡q bvK gyL fv‡jvfv‡e †X‡K k³ K‡i evau‡Z n‡e †hb gv¯‹ I gy‡Li gv‡S duvKv ¯’vb Kg _v‡K| gv¯‹
e¨env‡ii mgq nvZ w`‡q gv¯‹ aiv †_‡K weiZ _vK‡Z n‡e| gv¯‹ †Lvjvi ci c~‡e©i ewY©Z wbq‡g mvevb w`‡q
fv‡jvfv‡e nvZ ay‡q †dj‡Z n‡e| e¨eüZ gv¯‹wU XvKbvhy³ cv‡Î †dj‡Z n‡e ev cÖ‡hvR¨ †ÿ‡Î mvevb w`‡q
fv‡jvfv‡e ay‡q e¨envi Ki‡Z n‡e|
4
AvB‡mv‡jkb (Isolation)
GB c×wZi gva¨‡g ‡Kvb ‡KvwfW-19 †iv‡Mi jÿY I DcmM© cÖKvk ‡c‡q Ggb Amy¯’ e¨w³‡K Ab¨ my¯’ e¨w³‡`i
KvQ †_‡K Avjv`v K‡i ivLv nq, †hb H Amy¯’ e¨w³ n‡Z my¯’ gvbyl AvµvšÍ bv nq|
‡Uwej 1 - ‡KvwfW-19 †iv‡Mi †ÿ‡Î ‡Kvqv‡i›UvBb, AvB‡mv‡jkb I mvgvwRK `~iZ¡ m¤úwK©Z Zzjbvg~jK Z_¨
5
9. K‡ivbv fvBivm †gvKv‡ejvq RxevYybvkK `ªeY ˆZwii wbqg
¯^v¯’¨ Awa`߇ii MvBWjvBb Abyhvqx K‡ivbv fvBivm cÖwZ‡iv‡a mnR Dcv‡q RxevYybvkK wn‡m‡e `ªeY ˆZix‡Z
evRv‡i cÖvß weøwPs cvDWvi e¨envi Kiv †h‡Z cv‡i|
nvmcvZvj eR©¨ cwi®‹vi Kivi Rb¨ AwaK Nb‡Z¡i RxevYybvkK `ªeY Ges M„n¯’vjx mvaviY cwi®‹vi (†hgb-
AvmevecÎ, †g‡S, Mvox BZ¨vw`) ev RxevYygy³ Kivi Rb¨ Kg Nb‡Z¡i `ªeY e¨envi Ki‡Z n‡e| RxevYybvkK
`ªeY ˆZixi cÖwµqv wb¤œiæc-
6
RxevYybvkK `ªeY ˆZix I e¨env‡i mZK©Zv- mZK©Zvmg~n wb¤œiƒc
1. `ªeYwU ‰Zix Kivi ci m‡e©v”P 24 N›Uv e¨envi Ki‡Z cvi‡eb|
2. weøP AwZgvÎvq ÿqKviK, GwU Z¡‡K jvM‡j R¦vjv-‡cvov n‡Z cv‡i|
3. ‰Zix Kivi Rb¨ Aek¨B i½xb cøvw÷K cvÎ Ges Kv‡Vi bvovwb e¨envi Ki‡eb|
4. cÖ¯‘ZK…Z `ªe‡Y Kvco wfwR‡q gwcs (†gvQv ev cwi®‹vi) Ki‡Z n‡e|
5. ‰ZixK…Z `ªeY ‡¯úª Ki‡Z n‡j Aek¨B Av‡M wcwcB (PPE) ci‡Z n‡e|
7
KwgDwbwU wK¬wbK
AvMZ †mevMÖnxZv
ms¯ú‡k© 1 G‡m‡Qb wKbv wR‡Ám Kiæb ms¯ú‡k© 1 G‡m‡Qb wKbv wR‡Ám Kiæb
n¨uv bv n¨uv bv
• Dc‡Rjv ¯^v¯’¨ Kg‡cø·-G • mgm¨v Abyhvqx ¯^v¯’¨ • mgm¨v Abyhvqx ¯^v¯’¨ ‡mev • mgm¨v Abyhvqx
†hvMv‡hvM Kiæb †mev cÖ`vb Kiæb cÖ`vb Kiæb ¯^v¯’¨ †mev cÖ`vb
• RvZxq ¯^v¯’¨ evZvqb b¤^i • cÖ‡qvR‡b Dc‡Rjv ¯^v¯’¨ • 14 w`b †nvg †Kvqv‡i›UvBb Kiæb
16263 ev miKvix Z_¨ †mev Kg‡cø‡·i Riæix b¤^‡i Ki‡Z ejyb Ges Dc‡Rjv
†hvM‡hvM Kiæb
b¤^i 333 ev AvBBwWwmAvi Gi ¯^v¯’¨ I cwievi cwiKíbv
nUjvBb b¤^i ev ¯^v¯’¨ Awa`߇ii Kg©KZ©v‡K AewnZ Kiæb
mgwš^Z K‡›Uªvj iæ‡g †hMv‡hvM • †nvg †Kvqv‡i›UvBb-G _vKvKvjxb mg‡q Dc‡i D‡jøwLZ
wbwðZ Kiyb †Kvb jÿY †`Lv w`‡j Riæix wfwˇZ Dc‡Rjv ¯^v¯’¨
Kg‡cø·-G †hvMv‡hvM Kiæb|
1 - ms¯úk© ej‡Z GB wb‡`©wkKvi µwgK b¤^i 3-G D‡jøwLZ msÁv AbymiY Kiæb