The Centre has advised caution and continuous alertness to Meghalaya and other states that are seeing a surge in Covid cases during the past few weeks.
Union Health Secretary Rajesh Bhushan today reviewed the status of Covid situation through a video conference with health officials of Meghalaya and 13 other states that are reporting high numbers of cases on a week-to-week basis.
Principal Secretaries (Health) and NHM Directors of Meghalaya, Assam, Mizoram, Delhi, Goa, Gujarat, Haryana, Karnataka, Kerala, Maharashtra, Rajasthan, Telangana, Uttar Pradesh and West Bengal and senior officials of the Health Ministry were present in the meeting.
Bhushan also expressed concern over increased case positivity combined with low numbers of Covid tests and below average vaccination.
Dr. Vinod Paul, Member (Health), NITI Aayog who was also present at the review meeting advised the states that have been reporting a spike in Covid cases to be watchful of the emerging pandemic situation.
“The major action point is to focus on strengthening proactive surveillance as per the Revised Surveillance Strategy issued by the Union Health Ministry on 9th June 2022,” he stressed.
The four-fold strategy highlights surveillance of incoming international travelers; community-based surveillance; sentinel site surveillance (health facility-based surveillance and lab-based surveillance); and Whole Genome Sequencing. States were advised to scan for and report all SARI and ILI cases from all district hospitals, major private hospitals and medical colleges across the districts, and keep a close watch on those geographies where these clusters are emerging.
“Routine surveillance constitutes the steel frame of our Covid response and management strategy and needs continuous and unstinted attention,” Dr. Paul added.
The states were also strongly advised to strictly monitor epidemiological profiles of admitted Covid patients and report the clinical manifestation to the Health Ministry, rather than a random or anecdotal reporting. This will help to identify at an early stage any out-of-the-ordinary or different clinical presentation of the patients.
Both Dr. Paul and the Union Health Secretary highlighted the low level of Covid testing across the states, and drop in RTPCR share. Instead of a thin and wide testing spectrum, states were advised to focus on strategic testing of patients coming to fever clinics, SARI and ILI patients,along with new clusters and geographies in all districts reporting higher positivity.
In addition, states were reminded to undertake Whole Genome Sequencing through the mapped labs of INSACOG network as per the Revised Surveillance Strategy of Union Health Ministry, which has already been shared with the states.
The Health Secretary urged states to ensure that claims under ‘Pradhan Mantri Garib Kalyan Package: Insurance Scheme for Health Workers Fighting Covid-19′ were expeditiously processed to ensure that insurance dues are paid to those public healthcare providers, including community health workers, who have died due to Covid.
The states were also advised to focus on implementation of Covid appropriate behaviour to control the spread of infection, especially in view of the forthcoming festivals in many states.
Underscoring that there was no shortage of Covid vaccines, the states were advised to ensure that vaccines that expire first are administered first, preventing any vaccine wastage.
Noting that the uptake in second and precaution doses in many states reporting the present surge was low, the states were advised to rapidly accelerate the vaccination coverage especially of the 60+ elderly population, and second dose among 12-17 population groups.
It was pointed out that the ongoing Har Ghar Dastak 2.0 drive needed a strong push to ramp up Covid vaccine uptake.
