Roving Journalist
JF Roving Journalist
- Apr 18, 2017
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Kwa mujibu wa ripoti ya Serikali ya Mapinduzi ya Zanzibar SMZ iliyochapishwa kwenye ukurasa wa kijamii wa Twitter wa mbunge Zitto Kabwe ambayo imetoka ndani ya Serikali, inaonyesha kuwa mpaka jana mei 6, 2020 Zanzibar ina visa vya COVID 235 na vifo vitokanavyo na ugonjwa huo vipatavyo 32.
Tunasubiri mamlaka zetu zitoe kipaumbele cha kipekee cha mapambano dhidi ya ugonjwa huu kutokana na takwimu hizo zinazoonekana kwa Zanzibar pekee.
MAONI YA Zitto KUHUSU TANZANIA KUFICHA UKWELI
-------------------
Soma > MOH. only - Zanzibar Daily Sitrep 50 06..5.2020.pdf.pdf.pdf.pdf
---------
SURVEILLANCE
Zanzibar summary statistics as of 2020 hrs
*9 samples collected for control test, 1 from died bodies
Description of COVID-19 Confirmed Cases a. COVID-19 Cases today
Eight (8) new COVID-19 confirmed cases were reported today making a total number 235 COVID-19 confirmed cases since 18th March 2020. All are Tanzanian, 5 living at Unguja and 3 at Pemba, the reported results were tested on 3rd May 2020
One death of confirmed COVID-19 case reported today, making a total number of 32 death of confirmed COVID-19 cases.
One COVID-19 suspect died today at Mnazi Mmoja Hospital, post mortem oral and nasopharyngeal swabs were collected for confirmation
b. Epidemic curve of confirmed COVID-19, by date of report in Zanzibar
Zanzibar Epi curve for confirmed cases show downward trend in COVID-19 cases, the main reason is low number of samples tested compare to previous day which is due to unavailability of Virus transport media.
However, the data shows new infection increases more rapidly over time and the positivity rate is high and almost remain the same. This means that if our Rapid respond Team (RRT) were able to collect 100 samples per day from 17th April to date, Zanzibar would have more than 1800 COVID-19 confirmed cases (Figure 1and 2)
Cumulative confirmed cases (Case load) show rapidly progressive increasing of confirmed cases but still does not represent a true picture as the number of tested is very small compare to number of alerts reported per day (Figure 3)
d. COVID-19 Cases distribution by Sex
As of today, Male are more 146 (62%) infected with COVID-19 as compare to female, this might be due to male involved more in social economic activities and behaviour of siting at congested area (Maskan, market at Minada) (Figure 4)
e. COVID-19 Cases distribution by Age and Sex
The young adult aged between 15 years to 39 years have higher rate of COVID-19 infection compare to elder. Comparing age and sex distribution, the number of male and female infected with COVID-19 approximately equal distributed at age group of 10-19 years and 20-20 years, while there is huge different in other age group (Figure 4).
With activeness and day to day movements of this young population, we expect more spread of COVID-19 infection in our community and elder are anticipated to be infected and died with complication of COVID-19
f. COVID-19 Cases distribution by Islands
Unguja reported 89.9 % Confirmed cases in Zanzibar as compare to 10.1% of Confirmed cases in Pemba. This might be due to high population movement in Unguja as compare to Pemba.
g. COVID-19 Cases distribution
Mjini Magharib region is epicenter of COCID-19 transmission in Zanzibar with 78.9% of the COVID-19 confirmed cases has been reported since 18th March 2020. Mjini and Magharib B district account for 33.6% and 31.1% respectivelly among all reported cases in Zanzibar. (Figure 7 and Figure 8)
h. Hot-spot street/Mtaa
Fuoni, Kwarara and Mombasa are hot-spot area for COVID-19 infection in Magharibi B district.
Likewise, Michezani and Vuga are hot-sport area for COVID-19 infection in Mjini district.
Bububu and Kijichi has report more cases as compaired to other street in Magharib A (Table 1)
i. COVID-19 infection on health care worker
As of today, 23 of confirmed cases are health care worker, six of them provided care for COVID-19 confirmed cases in Zanzibar, three among the health care workers hem died. The rest are non-health care worker where by most of them are self-employed. (Figure 9)
As of today, a total of 32 COVID-19 confirmed cases died from COVID-19 infection and 6 recovered and discharged. More than 46% of elder aged from 60 years and above infected with COVID-19 died.
Case fatality rate (CFR) has been observed to be high (13.2%) partly due to; poor heath seeking behaviour in which people either do not attend hospital or they attend very late, the small number of cases tested in the community (denominator) may be the other reason
With this rapid increase in COVID-19 infection, and inadequate medical equipment and supply, the CFR rate might be higher than 20% in few days to come.
k. Distribution of COVID-19 Sex by outcome of death
Male account for majority of COVID-19 deaths (72%) as compare to female 28%. This might be poor health seeking behaviour among male population
Mjini Magharib report 24 death of confirmed COVID-19 with CFR is 13.6% followed by Kusini Pemba 4 with CFR is 23.5% and Kusini Unguja 4 with CFR of 17.4%
The high CFR in Kusini Pemba might be due to low COVID-19 detection rate (Low denominator).
A cross section study can give us true a real picture of CFR in both Unguja and Pemba.
m. Description Contact of COVID-19 confirmed cases and surveillance activities
35 more contacts of COVID-19 confirmed cases were identified and listed today; this added up to 2022 contacts that have been listed for follow-up. Currently there are 1084 contacts under follow up.
14 contact finished 14 days follow-up today, 917 contacts of cases have completed their 14day follow-up and 22 of primary contact become a confirmed case.
Surveillance team conducted ongoing surveillance and screening at port of entries
Delay of laboratory result
Shortage of Viral Transport Media thus a smaller number of people are tested
Some of the contacts cannot be reached due to wrong/unreachable phone numbers or change of address
NEXT STEPS:
Procurement of enough VTMs to test more Covid-19 suspects
Involve Community Health Volunteers in conducting contact follow up to the confirmed case and further identification of more contacts
COORDINATION
Ten (14) alerts were reported today; RRT teams investigate of them, 8 alerts meet COVID-
19 case definition, 8 samples from suspects and 9 from control were collected, all from Unguja
Based on increased number of new COVID-19 cases, and delay of getting laboratory confirmation results, the coordination team recommend; o Urgent installation of real time PCR machine at Mnazi Mmoja Laboratory that will give Zanzibar capacity to conduct COVID-19 test
o Home based treatment for mild and stable COVID-19 confirmed and suspected cases. o Facilities treatment for patient with comorbid condition even at mild symptom o 100% involvement of District commissioners, Shehas and Village leader to enforced home isolation for all COVID-19 cases under home based treatment
Conducted ongoing routine coordination of emergency response activities
Coordination team conducted COVID-19 data analysis and report writing (Daily situation report)
CHALLENGE(S):
Inadequate PPE especial N95 for health care working at Kidimni treatment centre, JKU treatment and Rapid response team
The number of alerts from community has decreases dramatically for three consecutive day
To start using identified facilities in the district for COVID-19 screening and sample collection
National RRT to support district team to start oral and nasopharyngeal sample collection in their respectively
CASE MANAGEMENT AND INFECTION PREVENTION AND CONTROL, IPC
One death of COVID-19 confirmed and one death of suspects reported today, Post mortem nasopharyngeal swab collected for confirmation
A total of 42 COVID-19 patients admitted at treatment unit; 10 Kidimni, 6 at JKU, 13 at Vitongoji and 10 at Kidongo chekundu COVID-19 treatment centre and 3 at Kihinani treatment centre. Among them 2 are severe cases under continuing Oxygen therapy since admitted at Kidimni Treatment center.
Cas management team advising Pemba to consider the ndugukitu isolation center as main treatment center in the area.
Continuing Providing care and symptomatic treatment to all confirmed cases in COVID-19 treatment centre and isolation facilities.
CHALLENGE(S):
Delay of laboratory result for COVID-19 suspect and control for confirmed cases
Lack of oxygen cylinders and concentrators, vital signs monitor and other basic resuscitation equipment and medical supplies in staff treatment center at Kihinani.
Lack of portable oxygen cylinder and flow meter in ambulances which is required for severe ill patient transfer between facilities.
Inadequate knowledge, skills, and human dignity on handling suspects in some of the facilities which lead into complications and increasing mortality.
Patients discharged from our facilities after their clinical condition to improve reported not to follow the government instruction of self-home isolation to prevent the spread of disease.
NEXT STEPS
Trained and mentor health care workers on COVID – 19 case management and IPC at Tawakal hospital.
Involving social workers in making follow up of patients who are in self-home isolation and home-based care and also patients in the facilities.
Visiting, assessing and mentoring health facilities which has delivering services in different district for caring of
COVID – 19 pregnant women during antenatal, natal and post-natal, considering safe and early referral system for all with complication.
Involving multi-specialties in caring COVID 19 patients in our facilities.
RISK COMMUNICATION AND COMMUNITY ENGAGEMENT
RCCE pillar has been continuing with implementation of various communication activities to Zanzibar population aimed at engaging them complying with right information on COVID -19 delivered via different sources.
1. Public awareness
Raising awareness for Covid-19 to public continued to take place in the North region, which involved:
In the Urban villages: Mombasa Kwamchina, Kwa Dokta Shein, Mwanakwerekwe C, Nyumba mbili, Mwanakwerekwe Sokoni, Welezo,Masingini, Mwera Mtofaani, Mwera Meli sita, kianga, Dole, Kijichi, Darajani, Saateni,Mtoni Skuli, Kwa Kisasi, Bububu, Kwanyanya, mbuzini, mkanyageni, Bumbwisudi, Mwakaje, Mfenesini In these areas a total of IEC/BCC 1800 pieces of posters were distributed in all Shehias visited. 2. TV and Radio sessions conducted at the following media
ZBC – TV and radio session with the topic named home based care for COVID-19 patients with mild symptoms, under UKWELI SI UVUMI where 2 participants attended.
Conducting live TV (ZBC) session with the topic How Community and other stakeholders can help the people living with disability which stipulated roles and responsibilities of community in helping people with different types of
disabilities whereby the program was presented by 3 presenters from MoH (RCCE team), Department of Disabilities Affairs (DDA) and Umbrella of people with Disabilities Associations.
The last session will be conducted at 9😛m-10pm (night) with the topic named relationship between HIV and COVID-19. Two participants were involved one from Mnazimmoja Hospital and the rest from ZIHHTLP.
Inspection: (measurements for good environmental sanitation to overcome corona) The inspection team today was visited at Fish market at Mazizini, In general the market was in bad condition (no hand washing facilities, no social distances, massive gathering everywhere, no one wearing mask)
Health education provided for reduction of overcrowding, importance of wearing masks and consideration of social distancing.
Most Questions raised
How you will assure the community if discharged patients with a mild symptom can’t affect others?
Why COVID-19 patients are not announced?
Who is at risk for COVID-19?
Where can we get Barakoa?
Does community Health Volunteers knows about home based care for COVID-19?
CHALLENGES
Inadequate protective gears for RCCE members specifically those who goes to media and community
None allocated/ supply of fuel for picking people (going to and from) various TV and radio stations.
LOGISTICS
Received food package from Korea Fight Hunger International (KFHI) through 2nd VPO disaster commission Pemba.
The logistic team distribute medical supplies to Vitongoji, JKU, Mental Hospital, Kidimni treatment centres
RECOMMENDATIONS
Given the rapidly increasing number of confirmed cases, severe and critical COVID-19 confirmed and suspected cases, and delay of laboratory result, the coordination team recommend;
Urgent installation of real time PCR machine at Mnazi Mmoja Laboratory that will give
Zanzibar capacity to conduct COVID-19 test
Emergency provision of 15 oxygen cylinders and 15 Oxygen concentrator and its accessories; o Kidimni 10 large Oxygen cylinders and 10 flow meters, 5 Oxygen concentrators o JKU: 1 large Oxygen
cylinders, 1 flow meters and 5 Oxygen concentrators o Vitongoji treatment centres: 4 large Oxygen cylinders, 4 flow meters and 5 Oxygen concentrators
Emergency provision of 2 portable Xray, 2portable (ECG) that could save the lives and prevent avoidable deaths of these patients in our facilities.
Involvement of District commissioner, Shehas and Village on enforcement of strictly home isolation to COVID-19 patients on home-based treatment
Provision of COVID-19 home treatment option for mild and stable patients that does not require hospitalization and meet the criteria for home treatment with exception of mild cases with co-morbid condition
END OF THE DOCUMENT
Tunasubiri mamlaka zetu zitoe kipaumbele cha kipekee cha mapambano dhidi ya ugonjwa huu kutokana na takwimu hizo zinazoonekana kwa Zanzibar pekee.
MAONI YA Zitto KUHUSU TANZANIA KUFICHA UKWELI
-------------------
Soma > MOH. only - Zanzibar Daily Sitrep 50 06..5.2020.pdf.pdf.pdf.pdf
---------
REVOLUTIONARY GOVERNMENT OF ZANZIBAR
MINISTRY OF HEALTH
COVID-19 DAILY SITUATION REPORT No.50
06th MAY 2020
MINISTRY OF HEALTH
COVID-19 DAILY SITUATION REPORT No.50
06th MAY 2020
Highlights |
Eight (8) new COVID-19 confirmed cases were reported today making a total number 235 COVID-
19 confirmed cases since 18th March 2020. All are Tanzanian, 5 living at Unguja and 3 at Pemba
One death of confirmed COVID-19 case reported today, making a total number of 32 death of confirmed COVID-19 cases.
One COVID-19 suspect died today, post mortem oral and nasopharyngeal swabs were collected for confirmation
The number of alerts from community has decreases dramatically for four consecutive day
Screening of COVID-19 suspects and sample collection to be conducted at district level
SURVEILLANCE
Zanzibar summary statistics as of 2020 hrs
Description of COVID-19 Confirmed Cases a. COVID-19 Cases today
Eight (8) new COVID-19 confirmed cases were reported today making a total number 235 COVID-19 confirmed cases since 18th March 2020. All are Tanzanian, 5 living at Unguja and 3 at Pemba, the reported results were tested on 3rd May 2020
One death of confirmed COVID-19 case reported today, making a total number of 32 death of confirmed COVID-19 cases.
One COVID-19 suspect died today at Mnazi Mmoja Hospital, post mortem oral and nasopharyngeal swabs were collected for confirmation
b. Epidemic curve of confirmed COVID-19, by date of report in Zanzibar
Zanzibar Epi curve for confirmed cases show downward trend in COVID-19 cases, the main reason is low number of samples tested compare to previous day which is due to unavailability of Virus transport media.
However, the data shows new infection increases more rapidly over time and the positivity rate is high and almost remain the same. This means that if our Rapid respond Team (RRT) were able to collect 100 samples per day from 17th April to date, Zanzibar would have more than 1800 COVID-19 confirmed cases (Figure 1and 2)
Cumulative confirmed cases (Case load) show rapidly progressive increasing of confirmed cases but still does not represent a true picture as the number of tested is very small compare to number of alerts reported per day (Figure 3)
d. COVID-19 Cases distribution by Sex
As of today, Male are more 146 (62%) infected with COVID-19 as compare to female, this might be due to male involved more in social economic activities and behaviour of siting at congested area (Maskan, market at Minada) (Figure 4)
Figure 4: Sex distribution
e. COVID-19 Cases distribution by Age and Sex
The young adult aged between 15 years to 39 years have higher rate of COVID-19 infection compare to elder. Comparing age and sex distribution, the number of male and female infected with COVID-19 approximately equal distributed at age group of 10-19 years and 20-20 years, while there is huge different in other age group (Figure 4).
With activeness and day to day movements of this young population, we expect more spread of COVID-19 infection in our community and elder are anticipated to be infected and died with complication of COVID-19
Figure 5: Sex and age distribution
f. COVID-19 Cases distribution by Islands
Unguja reported 89.9 % Confirmed cases in Zanzibar as compare to 10.1% of Confirmed cases in Pemba. This might be due to high population movement in Unguja as compare to Pemba.
Figure 6: Case distribution by Island
g. COVID-19 Cases distribution
Mjini Magharib region is epicenter of COCID-19 transmission in Zanzibar with 78.9% of the COVID-19 confirmed cases has been reported since 18th March 2020. Mjini and Magharib B district account for 33.6% and 31.1% respectivelly among all reported cases in Zanzibar. (Figure 7 and Figure 8)
h. Hot-spot street/Mtaa
Fuoni, Kwarara and Mombasa are hot-spot area for COVID-19 infection in Magharibi B district.
Likewise, Michezani and Vuga are hot-sport area for COVID-19 infection in Mjini district.
Bububu and Kijichi has report more cases as compaired to other street in Magharib A (Table 1)
Table 1: COVID-19 confirmed hot-spot
District Street/Village Cases Reported Percentage
District Street/Village Cases Reported Percentage
i. COVID-19 infection on health care worker
As of today, 23 of confirmed cases are health care worker, six of them provided care for COVID-19 confirmed cases in Zanzibar, three among the health care workers hem died. The rest are non-health care worker where by most of them are self-employed. (Figure 9)
As of today, a total of 32 COVID-19 confirmed cases died from COVID-19 infection and 6 recovered and discharged. More than 46% of elder aged from 60 years and above infected with COVID-19 died.
Case fatality rate (CFR) has been observed to be high (13.2%) partly due to; poor heath seeking behaviour in which people either do not attend hospital or they attend very late, the small number of cases tested in the community (denominator) may be the other reason
With this rapid increase in COVID-19 infection, and inadequate medical equipment and supply, the CFR rate might be higher than 20% in few days to come.
k. Distribution of COVID-19 Sex by outcome of death
Male account for majority of COVID-19 deaths (72%) as compare to female 28%. This might be poor health seeking behaviour among male population
Mjini Magharib report 24 death of confirmed COVID-19 with CFR is 13.6% followed by Kusini Pemba 4 with CFR is 23.5% and Kusini Unguja 4 with CFR of 17.4%
The high CFR in Kusini Pemba might be due to low COVID-19 detection rate (Low denominator).
A cross section study can give us true a real picture of CFR in both Unguja and Pemba.
m. Description Contact of COVID-19 confirmed cases and surveillance activities
35 more contacts of COVID-19 confirmed cases were identified and listed today; this added up to 2022 contacts that have been listed for follow-up. Currently there are 1084 contacts under follow up.
14 contact finished 14 days follow-up today, 917 contacts of cases have completed their 14day follow-up and 22 of primary contact become a confirmed case.
Surveillance team conducted ongoing surveillance and screening at port of entries
Delay of laboratory result
Shortage of Viral Transport Media thus a smaller number of people are tested
Some of the contacts cannot be reached due to wrong/unreachable phone numbers or change of address
NEXT STEPS:
Procurement of enough VTMs to test more Covid-19 suspects
Involve Community Health Volunteers in conducting contact follow up to the confirmed case and further identification of more contacts
COORDINATION
Ten (14) alerts were reported today; RRT teams investigate of them, 8 alerts meet COVID-
19 case definition, 8 samples from suspects and 9 from control were collected, all from Unguja
Based on increased number of new COVID-19 cases, and delay of getting laboratory confirmation results, the coordination team recommend; o Urgent installation of real time PCR machine at Mnazi Mmoja Laboratory that will give Zanzibar capacity to conduct COVID-19 test
o Home based treatment for mild and stable COVID-19 confirmed and suspected cases. o Facilities treatment for patient with comorbid condition even at mild symptom o 100% involvement of District commissioners, Shehas and Village leader to enforced home isolation for all COVID-19 cases under home based treatment
Conducted ongoing routine coordination of emergency response activities
Coordination team conducted COVID-19 data analysis and report writing (Daily situation report)
CHALLENGE(S):
Inadequate PPE especial N95 for health care working at Kidimni treatment centre, JKU treatment and Rapid response team
The number of alerts from community has decreases dramatically for three consecutive day
To start using identified facilities in the district for COVID-19 screening and sample collection
National RRT to support district team to start oral and nasopharyngeal sample collection in their respectively
CASE MANAGEMENT AND INFECTION PREVENTION AND CONTROL, IPC
One death of COVID-19 confirmed and one death of suspects reported today, Post mortem nasopharyngeal swab collected for confirmation
A total of 42 COVID-19 patients admitted at treatment unit; 10 Kidimni, 6 at JKU, 13 at Vitongoji and 10 at Kidongo chekundu COVID-19 treatment centre and 3 at Kihinani treatment centre. Among them 2 are severe cases under continuing Oxygen therapy since admitted at Kidimni Treatment center.
Cas management team advising Pemba to consider the ndugukitu isolation center as main treatment center in the area.
Continuing Providing care and symptomatic treatment to all confirmed cases in COVID-19 treatment centre and isolation facilities.
CHALLENGE(S):
Delay of laboratory result for COVID-19 suspect and control for confirmed cases
Lack of oxygen cylinders and concentrators, vital signs monitor and other basic resuscitation equipment and medical supplies in staff treatment center at Kihinani.
Lack of portable oxygen cylinder and flow meter in ambulances which is required for severe ill patient transfer between facilities.
Inadequate knowledge, skills, and human dignity on handling suspects in some of the facilities which lead into complications and increasing mortality.
Patients discharged from our facilities after their clinical condition to improve reported not to follow the government instruction of self-home isolation to prevent the spread of disease.
NEXT STEPS
Trained and mentor health care workers on COVID – 19 case management and IPC at Tawakal hospital.
Involving social workers in making follow up of patients who are in self-home isolation and home-based care and also patients in the facilities.
Visiting, assessing and mentoring health facilities which has delivering services in different district for caring of
COVID – 19 pregnant women during antenatal, natal and post-natal, considering safe and early referral system for all with complication.
Involving multi-specialties in caring COVID 19 patients in our facilities.
RISK COMMUNICATION AND COMMUNITY ENGAGEMENT
RCCE pillar has been continuing with implementation of various communication activities to Zanzibar population aimed at engaging them complying with right information on COVID -19 delivered via different sources.
1. Public awareness
Raising awareness for Covid-19 to public continued to take place in the North region, which involved:
In the Urban villages: Mombasa Kwamchina, Kwa Dokta Shein, Mwanakwerekwe C, Nyumba mbili, Mwanakwerekwe Sokoni, Welezo,Masingini, Mwera Mtofaani, Mwera Meli sita, kianga, Dole, Kijichi, Darajani, Saateni,Mtoni Skuli, Kwa Kisasi, Bububu, Kwanyanya, mbuzini, mkanyageni, Bumbwisudi, Mwakaje, Mfenesini In these areas a total of IEC/BCC 1800 pieces of posters were distributed in all Shehias visited. 2. TV and Radio sessions conducted at the following media
ZBC – TV and radio session with the topic named home based care for COVID-19 patients with mild symptoms, under UKWELI SI UVUMI where 2 participants attended.
Conducting live TV (ZBC) session with the topic How Community and other stakeholders can help the people living with disability which stipulated roles and responsibilities of community in helping people with different types of
disabilities whereby the program was presented by 3 presenters from MoH (RCCE team), Department of Disabilities Affairs (DDA) and Umbrella of people with Disabilities Associations.
The last session will be conducted at 9😛m-10pm (night) with the topic named relationship between HIV and COVID-19. Two participants were involved one from Mnazimmoja Hospital and the rest from ZIHHTLP.
Inspection: (measurements for good environmental sanitation to overcome corona) The inspection team today was visited at Fish market at Mazizini, In general the market was in bad condition (no hand washing facilities, no social distances, massive gathering everywhere, no one wearing mask)
Health education provided for reduction of overcrowding, importance of wearing masks and consideration of social distancing.
Most Questions raised
How you will assure the community if discharged patients with a mild symptom can’t affect others?
Why COVID-19 patients are not announced?
Who is at risk for COVID-19?
Where can we get Barakoa?
Does community Health Volunteers knows about home based care for COVID-19?
CHALLENGES
Inadequate protective gears for RCCE members specifically those who goes to media and community
None allocated/ supply of fuel for picking people (going to and from) various TV and radio stations.
LOGISTICS
Received food package from Korea Fight Hunger International (KFHI) through 2nd VPO disaster commission Pemba.
The logistic team distribute medical supplies to Vitongoji, JKU, Mental Hospital, Kidimni treatment centres
RECOMMENDATIONS
Given the rapidly increasing number of confirmed cases, severe and critical COVID-19 confirmed and suspected cases, and delay of laboratory result, the coordination team recommend;
Urgent installation of real time PCR machine at Mnazi Mmoja Laboratory that will give
Zanzibar capacity to conduct COVID-19 test
Emergency provision of 15 oxygen cylinders and 15 Oxygen concentrator and its accessories; o Kidimni 10 large Oxygen cylinders and 10 flow meters, 5 Oxygen concentrators o JKU: 1 large Oxygen
cylinders, 1 flow meters and 5 Oxygen concentrators o Vitongoji treatment centres: 4 large Oxygen cylinders, 4 flow meters and 5 Oxygen concentrators
Emergency provision of 2 portable Xray, 2portable (ECG) that could save the lives and prevent avoidable deaths of these patients in our facilities.
Involvement of District commissioner, Shehas and Village on enforcement of strictly home isolation to COVID-19 patients on home-based treatment
Provision of COVID-19 home treatment option for mild and stable patients that does not require hospitalization and meet the criteria for home treatment with exception of mild cases with co-morbid condition
END OF THE DOCUMENT
