FAQs on SARS-CoV-2 Variant-Omicron MoHFW, GoI

It is a new variant of SARS-CoV-2 that has recently been reported from South Africa on 24th November 2021 called as B.1.1.529 or Omicron (based on Greek alphabets like alpha, beta, delta etc). This variant has shown a very large number of mutations, especially more than 30 on the viral spike protein, which is the key target of the immune response.
Given the collection of mutations in Omicron, which earlier individually have been associated with increased infectivity and/or immune evasion, and the sudden rise in number of positive cases in South Africa, World Health Organization has declared Omicron as a Variant of Concern (VoC).

The most accepted and commonly used method of diagnostic for SARS-CoV- 2 Variant is RT-PCR method. This method detects specific genes in the virus, such as Spike (S), Enveloped (E) and Nucleocapsid (N) etc to confirm the presence of virus. However, in case of Omicron, as the S gene is heavily mutated, some of the primers may lead to results indicating absence of the S gene (called as S gene drop out). This particular S gene drop out along with the detection of other viral genes could be used a diagnostic feature of Omicron. However, for final confirmation of the omicron variant genomic sequencing is required.

WHO declares a variant as a VoC after assessment when there is increase in transmissibility or detrimental change in COVID-19 epidemiology; OR increase in virulence or change in clinical disease presentation; OR decrease in effectiveness of public health and social measures or available diagnostics, vaccines, therapeutics. (Source: WHO)
It is important to highlight that Omicron has been declared VoC based on the observed mutations, their predicted features of increased transmission and immune evasion, and preliminary evidence of detrimental change in COVID-19 epidemiology, such as increased reinfections. The definitive evidence for increased remission and immune evasion is awaited.

The precautions and steps to be taken remain same as before. It is essential to mask yourself properly, take both doses of vaccines (if not yet vaccinated), maintain social distancing and maintain good ventilation to the maximum possible.

Omicron cases are increasingly being reported from countries outside of South Africa and given its characteristics, it is likely to spread to more countries including India. However, the scale and magnitude of rise in cases and most importantly the severity of disease that will be caused is still not clear. Further, given the fast pace of vaccination in India and high exposure to delta variant as evidenced by high seropositivity, the severity of the disease is anticipated to be low. However, scientific evidence is still evolving.

While, there is no evidence to suggest that existing vaccines do not work on Omicron, some of the mutations reported on Spike gene may decrease the efficacy of existing vaccines. However, vaccine protection is also by antibodies as well as by cellular immunity, which is expected to be relatively better preserved. Hence vaccines are expected to still offer protection against severe disease and, vaccination with the available vaccines is crucial. If eligible, but not vaccinated, one should get vaccinated.

Indian government is monitoring the situation closely and is issuing suitable guidelines from time to time. Meanwhile, the scientific and medical community is geared up for developing and deploying diagnostics, carrying out genomic surveillance, generating evidence about viral and epidemiologic characteristics, and development of therapeutics.

Variants are normal part of evolution and as long as the virus is able to infect, replicate and transmit, they will continue to evolve. Further, not all variants are dangerous and most often than not, we don’t notice them. Only when they are more infectious, or can reinfect people etc they gain prominence. The most important step to avoid generation of variants is to reduce the number of infections.

Source:
WHO and MoHFW, GoI

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Dated: 08 JUL 2020

Unmarried disabled sons eligible for ECHS facilities even after attaining 25 years

Till now unmarried permanently disabled and financially dependent sons of ECHS beneficiaries after attaining the age of 25 years are not considered dependant and hence are not eligible for availing medical facilities under Ex-servicemen Contributory Health Scheme (ECHS). This is as per the Central Government Health Scheme (CGHS) Rules which are followed by ECHS. However, vide their OM No 4-24/96-C&P/ CGHS(P)/EHS dated January 1, 2020, the CGHS has declared such sons of CGHS beneficiaries who have become disabled after attaining the age of 25 years, dependant and hence eligible for availing CGHS benefits subject to fulfilment of conditions laid down in the Ministry of Health and Family Welfare (MoHFW) Office Memorandum (OM) No 4-24/96-C&P/ CGHS(P)/EHS dated May 5, 2018.

It has now been decided by the Ministry of Defence (MoD), Department of Ex-Servicemen Welfare (DESW) to similarly treat unmarried permanently disabled and financially dependent sons of ECHS beneficiaries who have become disabled after attaining the age of 25 years as dependant and hence eligible for availing benefits under ECHS subject to fulfilment of conditions laid down in the MoHFW OM of May 7, 2018.

PIB

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[As per Ministry of Home Affairs (MHA) Order No. 40-3/2020-DM-I(A) dated 15th April, 2020]

No.40-3/2020-DM-I(A)
Government of India
Ministry of Home Affairs

North Block, New Delhi-110001
Dated 15th April 2020

ORDER

Whereas, in exercise of the powers, conferred under Section 10(2)(1)of the Disaster Management Act 2005, the undersigned, in his capacity as Chairperson, National Executive Committee, has issued an Order dated 14th April, 2020 that the lock down measures stipulated in the Consolidated Guidelines of Ministry of Home Affairs (MHA) for containment of COVID-19 epidemic in the country, will continue to remain in force upto 3rd May, 2020 to contain the spread of COVID-19 in the country;

Whereas, to mitigate hardship to the public, select additional activities will be allowed, which will come into effect from 20th April, 2020. However, these additional activities will be operationalized by States / Union Territories (UTs)/ District Administrations based on strict compliance to the existing guidelines on lockdown measures. Before operating these relaxations, States / UTs/ District Administrations shall ensure that all preparatory arrangements with regard to social distancing in offices, workplaces, factories and establishments, as also other sectoral requirements are in place. The consolidated revised guidelines incorporating these relaxations are enclosed;

Whereas, the consolidated revised guidelines will not apply in containment zones, as demarcated by States / UTs/ District administrations. If any new area is included in the category of a containment zone, the activities allowed in that area till the time of its categorization as a containment zone, will be suspended except for those activities as are specifically permitted under the guidelines of Ministry of Health and Family Welfare (MoHFW), Government of India;

Whereas, in exercise of the powers, conferred under Section 10(2)(1)of the Disaster Management Act, 2005, the undersigned, in his capacity as Chairperson, National Executive Committee, hereby issues directions to all the all Ministries/ Departments of Government of India, State/Union Territory Governments and State/Union Territory Authorities for the strict implementation of enclosed consolidated revised guidelines.

sd/-
Union Home Secretary

Also check: List of central government offices will remain open on 20th April, 2020

As per the revised guidelines issued by the Ministry of Home Affairs on 15 April 2020:

• All domestic and international air travel of passengers, except for purposes enumerated in para 4 (ix), and for security purposes.
• All passenger movement by trains, except for security purposes.
• Buses for public transport.
• Metro rail services.
• Inter-district and inter-State movement of individuals except for medical reasons or for activities permitted under these guidelines.
• All educational, training, coaching institutions etc. shall remain closed.
• All industrial and commercial activities other than those specifically permitted under these guidelines.
• Hospitality services other than those specifically permitted under these guidelines.
• Taxis (including auto rickshaws and cycle rickshaws) and services of cab aggregators.
• All cinema halls, malls. shopping complexes, gymnasiums, sports complexes, swimming pools, entertainment parks. theaters, bars and auditoriums, assembly halls and similar places
• All social/ political/ sports/ entertainment/ academic/ cultural/ religious
  functions/ other gatherings.
• All religious places/ places of worship shall be closed for public. Religious congregations are strictly prohibited
• In case of funerals, congregation of more than twenty persons will not be permitted.

2. Operation of guidelines in Hotspots and containment zones

1. ‘Hotspots’, i.e., areas of large COVID-19 outbreaks, or clusters with significant spread of COVID-19, will be determined as per the guidelines issued by Ministry of Health and Family Welfare (MoHFW), Government of India (GoI).
2. In these hotspots, containment zones will be demarcated by States UTs
   District administrations as per the guidelines of MoHFW.
3. In these containment zones, the activities allowed under these guidelines will not be permitted. There shall be strict perimeter control in the area of the containment zones to ensure that there is no unchecked inward outward movement of population from these zones except for maintaining essential services (including medical emergencies and law and order related duties) and Government business continuity. The guidelines issued in this regard by MoHFW will be strictly implemented by State/ UT Governments and the local district authorities.

3. Select permitted activities allowed with effect from 20th April, 2020:

• i. To mitigate hardship to the public, select additional activities have been allowed which will come into effect from 20th April, 2020. These limited exemptions will be operationalized by States / UTs/ district administrations based on strict compliance to the existing guidelines. Also, before allowing these select additional activities, States / UTs/ district administrations shall ensure that all preparatory arrangements with regard to the Standard Operating Procedures (SOPs) for social distancing in offices, workplaces, factories and establishments, as also other sectoral requirements are in place.
• ii. The consolidated revised guidelines incorporating these select permitted activities have been enumerated in paras 5-20 below.

4. Strict enforcement of the lockdown guidelines

• i. State/ UT Governments shall not dilute these guidelines issued under the Disaster Management Act, 2005, in any manner, and shall strictly enforce the same.
• ii. State/ UT Governments, may, however, impose stricter measures than these guidelines as per requirement of the local areas.

5. All health services (including AYUSH)to remain functional, such as:

• i. Hospitals, nursing homes, clinics, telemedicine facilities.
• ii. Dispensaries, chemists, pharmacies, all kinds of medicine shops including
  Jan Aushadhi Kendras and medical equipment shops.
• iii. Medical laboratories and collection centres.
• iv. Pharmaceutical and medical research labs, institutions carrying out COVID-19 related research.
• v. Veterinary Hospitals, dispensaries, clinics, pathology labs, sale and supply of vaccine and medicine.
• vi. Authorised private establishments, which support the provisioning of essential services, or efforts for containment of COVID-19, including home care providers, diagnostics, supply chain firms serving hospitals.
• vii. Manufacturing units of drugs, pharmaceuticals, medical devices, medical oxygen, their packaging material, raw material and intermediates.
• viii. Construction of medical health infrastructure including manufacture of ambulances.
• ix. Movement (inter and intra State, including by air) of all medical and veterinary personnel, scientists, nurses, para-medical staff, lab technicians, mid-wives and other hospital support services, including ambulances.

6. Agricultural and related activities:

A. All agricultural and horticultural activities to remain fully functional, such as:

• i. Farming operations by farmers and farm workers in field.
• ii. Agencies engaged in procurement of agriculture products, including MSP operations.
• iii. ‘Mandis’ operated by the Agriculture Produce Market Committee (APMC) or as notified by the State / UT Government (e.g., satellite mandis). Direct marketing operations by the State/ UT Government or by industry, directly from farmers / group of farmers, FPOs’ co-operatives etc. States/ UTs may promote decentralized marketing and procurement at village level.
• iv. Shops of agriculture machinery, its spare parts (including its supply chain) and repairs to remain open.
• v. ‘Custom Hiring Centres (CHC), related to farm machinery.
• vi. Manufacturing, distribution and retail of fertilizers, pesticides and seeds.
• vii. Movement (inter and intra State) of harvesting and sowing related machines like combined harvester and other agriculture/ horticulture implements.

B. Fisheries – the following activities will be functional:

• i. Operations of the fishing (marine and inland)/ aquaculture industry, including feeding & maintenance, harvesting, processing, packaging, cold chain, sale and marketing.
• ii. Hatcheries, feed plants, commercial aquaria.
• iii. Movement of fish/ shrimp and fish products, fish seed/ feed and workers for all these activities.

C. Plantations- the following activities will be functional:

• i. Operations of tea, coffee and rubber plantations, with maximum of 50% workers.
• ii. Processing, packaging, sale and marketing of tea, coffee, rubber and cashew, with maximum of 50% workers.

D. Animal husbandry – the following activities will be functional:

• i. Collection, processing, distribution and sale of milk and milk products by milk processing plants, including transport and supply chain.
• ii. Operation of animal husbandry farms including poultry farms & hatcheries and livestock farming activity.
• iii. Animal feed manufacturing and feed plants, including supply of raw material, such as maize and soya.
• iv. Operation of animal shelter homes, including Gausha/as.

7. Financial sector: following to remain functional:

• i. Reserve Bank of India (RBI) and RBI regulated financial markets and entities like NPCI, CCll, payment system operators and standalone primary dealers.
• ii. Bank branches and ATMs, IT vendors for banking operations, Banking
  Correspondents (BCs), ATM operation and cash management agencies.
• a. Bank branches be allowed to work as per normal working hours till disbursal of DBT cash transfers is complete.
• b. local administration to provide adequate security personnel at bank branches and BCs to maintain social distancing, law and order and staggering of account holders.
• iii. SEBI, and capital and debt market services as notified by the Securities and Exchange Board of India (SEBI).
• iv. IRDAI and Insurance companies.

8. Social sector: following to remain functional:

• i. Operation of homes for children/ disabled/ mentally challenged/ senior citizens/ destitutes/ women/ widows.
• ii. Observation homes, after care homes and places of safety for juveniles.
• iii. Disbursement of social security pensions, e.g., old agel widow/ freedom fighter pensions; pension and provident fund services provided by Employees Provident Fund Organisation (EPFO).
• iv. Operation of Anganwadis – distribution of food items and nutrition once in 15 days at the doorsteps of beneficiaries, e.g., children, women and lactating mothers. Beneficiaries will not attend the Anganwadis.

9. Online teaching and distance learning to be encouraged:

• i. All educational, training, coaching institutions etc. shall remain closed.
• ii. However, these establishments are expected to maintain the academic schedule through online teaching.
• iii. Maximum use of Doordarshan (DO) and other educational channels may be made for teaching purposes.

10. MNREGA works to be allowed:

• i. MNREGA works are allowed with strict implementation of social distancing and face mask.
• ii. Priority to be given under MNREGA to irrigation and water conservation works.
• iii. Other Central and State sector schemes in irrigation and water conservation sectors may also be allowed to be implemented and suitably dovetailed with MNREGA works.

11. Public utilities: following to remain functional:

• i. Operations of Oil and Gas sector, including refining, transportation, distribution, storage and retail of products, e.g., petrol, diesel, kerosene, CNG, LPG, PNG etc.
• ii. Generation, transmission and distribution of power at Central and Statel UT levels.
• iii. Postal services, including post offices.
• iv. Operations of utilities in water, sanitation and waste management sectors, at municipal/ local body levels in States and UTs.
• v. Operation of utilities providing telecommunications and internet services.

12. Movement, loading / unloading of goods / cargo (inter and intra State) is allowed, as under:

• i. All goods traffic will be allowed to ply.
• ii. Operations of Railways: Transportation of goods and parcel trains.
• iii. Operations of Airports and related facilities for air transport for cargo movement, relief and evacuation.
• iv. Operations of Seaports and Inland Container Depots (ICDs) for cargo transport, including authorized custom clearing and forwarding agents.
• v. Operations of Land Ports for cross land border transportation of essential goods, including petroleum products and LPG, food products, medical supplies.
• vi. Movement of all trucks and other goods/ carrier vehicles with two drivers and one helper subject to the driver carrying a valid driving license; an empty truck vehicle will be allowed to ply after the delivery of goods, or for pick up of goods.
• vii. Shops for truck repairs and dhabas on highways, with a stipulated minimum distance as prescribed by the State/ UT authorities.
• viii. Movement of staff and contractual labour for operations of railways, airports/ air carriers, seaports/ ships/ vessels, landports and ICDs is allowed on passes being issued by the local authority on the basis of authorizations issued by the respective designated authority of the railways, airports, seaports, land ports and ICDs.

13. Supply of essential goods is allowed, as under:

• i. All facilities in the supply chain of essential goods, whether involved in manufacturing, wholesale or retail of such goods through local stores, large brick and mortar stores or e-Commerce companies should be allowed to operate, ensuring strict social distancing without any restriction on their timing of opening and closure.
• ii. Shops (including Kirana and single shops selling essential goods) and carts, including ration shops (under PDS), dealing with food and groceries (for daily use), hygiene items, fruits and vegetables, dairy and milk booths, poultry, meat and fish, animal feed and fodder etc, should be allowed to operate, ensuring strict social distancing without any restriction on their timing of opening and closure.
• iii. District authorities may encourage and facilitate home delivery to minimize the movement of individuals outside their homes.

14. Commercial and private establishments, as listed below, will be allowed to operate:

• i. Print and electronic media including broadcasting, DTH and cable services. ii. IT and IT enabled Services, with upto 50% strength.
  iii. Data and call centres for Government activities only.
• iv. Government approved Common Service Centres (CSCs) at Gram Panchayat level.
• v. E-commerce companies. Vehicles used bye-commerce operators will be allowed to ply with necessary permissions.
• vi. Courier services.
• vii. Cold storage and warehousing services, including at ports, airports, railway stations, container Depots, individual units and other links in the logistics chain.
• viii. Private security services and facilities management services for maintenance and upkeep of office and residential complexes.
• ix. Hotels, home stays, lodges and motels, which are accommodating tourists and persons stranded due to lock down, medical and emergency staff, air and sea crew.
• x. Establishments used earmarked for quarantine facilities.
• xi. Services provided by self-employed persons, e.g., electrician, IT repairs, plumbers, motor mechanics, and carpenters.

15. Industries / Industrial Establishments (both Government and private), as listed below, will be allowed to operate:

• Industries operating in rural areas, i.e., outside the limits of municipal corporations and municipalities.
• Manufacturing and other industrial establishments with access control in Special Economic Zones (SEZs) and Export Oriented Units (EoUs), industrial estates, and industrial townships. These establishments shall make arrangements for stay of workers within their premises as far as possible and or adjacent buildings and for implementation of the Standard operating protocol (SOP) as referred to in para 21 (ii) below. The transportation of workers to work place shall be arranged by the employers in dedicated transport by ensuring social distancing.
• Manufacturing units of essential goods, including drugs, pharmaceuticals, medical devices, their raw material and intermediates.
• Food processing industries in rural areas, i.e., outside the limits of municipal corporations and municipalities.
• Production units, which require continuous process, and their supply chain.
• Manufacturing of IT hardware.
• Coal production, mines and mineral production, their transportation, supply of explosives and activities incidental to mining operations.
• Manufacturing units of packaging material.
• Jute industries with staggered shifts and social distancing.
• Oil and gas exploration refinery.
• Brick kilns in rural areas i.e., outside the limits of municipal corporations and municipalities.

16. Construction activities, listed as below, will be allowed to operate:

• Construction of roads, irrigation projects, buildings and all kinds of industrial projects, including MSMEs, in rural areas, i.e., outside the limits of municipal corporations and municipalities; and all kinds of projects in industrial estates.
• Construction of renewable energy projects.
• Continuation of works in construction projects, within the limits of municipal corporations and municipalities, where workers are available on site and no workers are required to be brought in from outside (in situ construction).

17. Movement of persons is allowed in the following cases:

• Private vehicles for emergency services, including medical and veterinary care, and for procuring essential commodities. In such cases, one passenger besides the private vehicle driver can be permitted in the backseat, in case of four-wheeler ; however, in case of two-wheeler, only the driver of the vehicle is to be permitted.

All personnel travelling to place of work and back in the exempted categories, as per the instructions of the State/ UT local authority.

18. Offices of the Government of India, its Autonomous / Subordinate Offices will remain open, as mentioned below:

• Defence, Central Armed Police Forces, Health and Family Welfare, Disaster management and Early Warning Agencies (IMD, INCOIS, SASE and National Centre of Seismology, CWC), National Informatics Centre (NIC), Food Corporation of India (FCI), NCC, Nehru Yuva Kendras (NYKs) and Customs to function without any restriction.
• Other Ministries and Departments, and offices under their control, are to function with 100% attendance of Deputy Secretary and levels above that. Remaining officers and staff to attend upto 33% as per requirement.

19. Offices of the Statel Union Territory Governments, their Autonomous Bodies and Local Governments will remain open, as mentioned below:

• Police, home guards, civil defence, fire and emergency services, disaster management, prisons and municipal services will function without any restrictions.
• All other Departments of State/ UT Governments to work with restricted staff. Group ‘A’ and ‘B’ officers may attend as required. Group ‘C’ and levels below that may attend upto 33% of strength, as per requirement to ensure social distancing. However, delivery of public services shall be ensured, and necessary staff will be deployed for such purpose.
• District administration and Treasury (including field offices of the Accountant General) will function with restricted staff. However, delivery of public services shall be ensured, and necessary staff will be deployed for such purpose.
• iv. Resident Commissioner of States/ UTs, in New Delhi, only to the extent of coord inating COVI 0-19 related activities and internal kitchen operations.
• Forest offices: staff/ workers required to operate and maintain zoo, nurseries, wildlife, fire-fighting in forests, watering plantations, patrolling and their necessary transport movement.

20. Persons to remain under mandatory quarantine, as under:

• All such persons who have been directed by health care personnel to remain under strict home/ institutional quarantine for a period as decided by local Health Authorities.
• Persons violating quarantine will be liable to legal action under Section 188 of the IPC, 1860.
• Quarantined persons, who have arrived in India after 15.2.2020, after expiry of their quarantine period and being tested Covid-19 negative, will be released following the protocol prescribed in the SOP issued by MHA.

21. Instructions for enforcement of above lockdown measures:

• All the district magistrates shall strictly enforce the National COVID 19 directives as specified in Annexure I. Penalties prescribed shall be levied and collected from all persons and entities violating these directives.
• All industrial and commercial establishments, work places, offices etc. shall put in place arrangements for implementation of SOP as in Annexure II before starting their functioning.
• In order to implement these containment measures, the District Magistrate will deploy Executive Magistrates as Incident Commanders in the respective local jurisdictions. The Incident Commander will be responsible for the overall implementation of these measures in their respective jurisdictions. All other line department officials in the specified area will work under the directions of such incident commander. The Incident Commander will issue passes for enabling essential movements as explained.
• The Incident Commanders will in particular ensure that all efforts for mobilization of resources, workers and material for augmentation and expansion of hospital infrastructure shall continue without any hindrance.
• Additional activities permitted in these guidelines shall be implemented in a phased manner, after making all arrangements necessary for strict implementation of the guidelines. These will come into force with effect from 20th April, 2020.

22. Penal provisions

Any person violating these lockdown measures will be liable to be proceeded against as per the provisions of Section 51 to 60 of the Disaster Management Act, 2005, besides legal action under Sec. 188 of the IPC, and other legal provisions as applicable. Extracts of these penal provisions are at Annexure III.

sd/-
Union Home Secretary

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1353038/ 2019/ 0/0 JS(RS)
O /o, Joint Secretary (lEe )
Ministry of Health & Family Welfare

Report on the visit to RIMS Hospital, Imphal, Manipur

The undersigned visited the RIMS Hospital, Imphal, Manipur on 11th April, 2019 to review the progress of the Swachhta Pakhwada Activities, and for an assessment of the cleanliness at the Hospital and the Campus.

2. During my visit, I briefly witnessed the proceedings of an ongoing Seminar on Waste Disposal, Sanitation and Hygiene. A complete round of the Campus and the Hospital was taken along with the Director, Medical Superintendent and other Senior Members of the staff. The Hospital is located on a sprawling Campus of more than 300 acres, and caters to a large number of patients in North-East. During my visit, the OPD areas, as well as the IPD Wards of various Departments in the Hospital were found loaded with patients. During the Campus tour the following were inter-alia covered:-

i) Gynae and Obs Ward
ii) General Surgery Ward
iii) Neuro Surgery Ward
iv) AIDS and HIV Ward
v) Paediatrics Ward
vi) Trauma and Emergency Wards
vii) Labour Rooms
viii) Intensive Care Units
ix) Nephrology Ward and ICU
x) Oncology Ward and ICU
xi) Bio-Medical Waste Management Area
xii) Administrative Blocks
xiii) Record Rooms
xiv) Security Rooms
xv) Radiology Department
xvi) Digital X-Ray Room
xvii) Ultrasound Room
xviii) MRI Room
xix) Radiotherapy and new Cancer Wing
xx) Central Sterilization Unit
xxi) Lecture Rooms
xxii) Hostels
xxiii) Kitchen and Stores
xiv) Washing areas etc.

3. A lot of construction activity was found to be in progress on the Campus. The present hospital building is quite old and is in need of regular maintenance and reinforcement. There are some green pockets on the Campus, but given the huge size of the Campus, a lot more needs to be done towards landscaping and beautifying the outdoors.

4. Despite the fact that the building is very old and there is a great deal of space constraint, the OPO areas and the Wards etc. were found to be clean. The toilets, however, throughout the Campus are in need of maintenance and more thorough cleaning. It was noted that there was not even a single disabled friendly toilet in the entire Campus. There was also not found any toilet with the western seat. The provision for the same needs to be made immediately in order to make the building disabled/ handicapped friendly.

5. The Labour Room was found to be clean but the labour tables were found to be old and rusted. The Hospital needs to take action in this regard. The new Maternity OT has become fully operational in the Hospital.

6. The Kitchen and the Cooking Rooms are antique, and require modernization and upgradation.

7. The Gynae OPD, the Central Sterilization Unit, the New Radiotherapy and
Cancer Units were found to be very good. The condition of the Maternity Ward was also fairly good.

8. A CCTV was found to be installed in the office of the Medical Superintendent to monitor the Doctors Room in the Emergency Reception and the Emergency Wards. This initiative has reportedly added to the quality of emergency attendance and medical care.

9. There is one incinerator for Bio-Waste Management in the Hospital which is not sufficient to meet the needs of the Hospital. It was reported that some part of Bio Waste Management had been outsourced by the Hospital.

10. It was noticed that the area outside the PMJAY Help desk was not very well maintained. The open drains outside need to be properly covered and cleaned. Likewise, fans in the General OPO areas also require cleaning.

11 . The tiles on the floors and the plaster on the walls in the Hospital are also in urgent need of reinforcement.

12. In the Administrative Block, old records were found stacked here and there including in the Security Room. It was suggested that old records should be managed through off-site warehousing in an outsourcing model, in order to clean up the working area of the Hospital.

13. There was not found any IEC material in the Hospital Premises despite the fact that there is a huge patient load in the Hospital. It was suggested that IEC activities should be strengthened and every wall of the OPD areas, Doctors rooms and Wards etc. must be utilized to put up the useful EC material. The signages in the Hospital can also be improved further.

14. On the whole, the Hospital and the Campus were found to be clean. Apparently the Director and his team had taken pains to clean up the Campus during the Swachhta Pakhwada, 2019.

JS(PS)

(Rekha Shukla)
Joint Secretary

Source: Mohfw.gov.in

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