As part of the collective efforts to address the Corona Virus outbreak in the country, led by the leadership and overall guidance from the Centre for strengthening the health infrastructure and efforts of various States/UTs, Punjab has shown good progress in containing the virus spread. The State continues to post a high recovery rate.

Government Quarantine

A key feature of the multi-pronged strategy of Punjab is its focus on Government quarantine for the high risk/vulnerable population from containment zones. With a view to reducing mortality, vulnerable population groups are line listed including more than 60 years old, those having cardiac or renal disease, hypertension, diabetes or with immune-compromised conditions etc. Such persons are offered facility of Government quarantine outside their containment zone till their area comes out of containment. Quarantine facilities are being offered at hotels/lodges or other suitable places. One care giver is allowed to accompany the vulnerable person. All the medical needs of the person are taken care of in the quarantine facilities. A Medical Officer supervises and inspects the persons in the quarantine facility twice a day.

Stringent Containment Strategy

Punjab has implemented a stringent containment strategy. The containment zones are clearly delineated as a street or two adjoining streets, a Mohalla or a residential society. These can be the entire society in case of small societies or a part of it if the societies are large, depending upon distribution of the COVID-19 cases. In the rural areas, it can encompass the whole village or be limited to a part of village. The principle underlying this detailing is to focus on effective containment of smaller/limited areas. Early identification has helped in containing the spread of the infection. So far, 19 containment zones have been established in 8 districts containing population of about 25000. Perimeter control ensures restriction of all movements and activities except the essential services. Rigorous house-to-house search is carried out to identify persons with symptoms/suspected COVID-19. Those testing positive for COVID-19 are promptly shifted to the isolation centers. Thus the whole population in the containment areas is screened regularly and all possible suspected cases of COVID-19 are tested and positives shifted to isolation centers.

Surveillance through house-to-house survey

“Ghar Ghar Nigrani” is a mobile-based App launched by Punjab Government to check the spread of COVID-19. The door-to-door survey is undertaken with the help of ASHA workers/community volunteers to ensure early detection and timely testing. Through the App, the entire rural and urban population above the age of 30 years is being surveyed. This includes checking for people with co-morbidities and SARI/ILI surveillance. The data generated is being used for risk mapping which facilitates targeted interventions. As on 22^nd June 2020, 840223 persons have been surveyed, of whom 836829 were found to be asymptomatic and 3997 with symptoms like cough, fever, sore throat, breathlessness etc.

The survey which is still underway has been completed in 5512 villages and 1112 urban wards.

Testing

Punjab has ramped up the testing capacity; presently it is conducting about 8000 tests/day. Mobile testing vans are being used to boost testing. While the number was 71 tests /million on 10^th April, 2020, it has significantly been ramped up to 5,953 tests/ million. With this increase, Punjab has recorded more than 83 times increase in testing.

In order to restrict the spread of the virus, Punjab has imposed restrictions on weekends and holidays, and strict enforcement of all protocols are being ensured through fines.

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MV/SG