COVID-19: BMC Issues SOP For Home Isolation Of Asymptomatic & Mild Symptomatic Cases

Bhubaneswar: With the rising number of COVID-19 cases in the Odisha Capital, the Bhubaneswar Municipal Corporation (BMC) has issued a Standard Operating Procedure (SOP) for management of home isolation of asymptomatic and mild symptomatic cases.

COVID-19 positive cases who are asymptomatic or have very mild to mild symptoms and live in the non-slum area in the Capital city and have the adequate facility at his/her own house befitting for home isolation, then he/she may be permitted for home isolation for the requisite period.

However, the following category of persons will not be allowed for home isolation even if they are asymptomatic or mild symptomatic.

1. COVID positive cases suffering from immune-compromised status like HIV, transplant recipients, cancer therapy etc.

2. Elderly persons more than 60 years of age with co-morbid conditions such as hypertension, diabetes, heart disease, chronic lung/liver/kidney disease, cerebrovascular disease etc. shall only be allowed for home-isolation after proper evaluation by treating doctor.

Patients Eligible for Home Isolation: The following type of patients will only be allowed for home isolation.

1. The patient must have an adequate facility at his residence for self-isolation and also for quarantining all other family members.

2. The patient must be clinically assigned as asymptomatic/mild/very mild case for COVID-19 by the treating doctor.

3. A care giver is available for the patient to give care 24×7 basis. A communication link between the care giver and the designated COVID-19 hospital is also a prerequisite for allowing home isolation. The care giver and the family members should take chemoprophylaxis (Hydroxychloroquine) as per protocol after prescription from a medical practitioner.

4. The patient must allow monitoring of his health and also regularly inform his health status to BMC for further follow up of the case.

5. The patient needs to give an undertaking in a prescribed format for self-isolation as per prescribed format and also follow isolation guidelines strictly.
Need for Medical Attention

The patient/caregiver shall keep monitoring their health and bring it to the notice of BMC in case immediate medical attention is needed due to the development of serious signs and symptoms.
The following symptoms can be considered as a serious condition

• Difficulty in breathing
• Dip in Oxygen saturation (Sp02<95%)
• Persistent pain/pressure in the chest
• Mental confusion or inability to arouse
• Slurred speech/seizures
• Weakness/Numbness in limbs or face
• Development of bluish discolouration of lips/face

Procedure for Home Isolation

After a person is diagnosed as COVID positive, during contact tracing he/she will be asked about his current health condition and will also be asked whether he will go for home isolation.
After his consent for home isolation, the nodal officer home isolation management will send the zonal level RRT for verification of his house and health condition.

Since the RRT team is headed by a AYUSH doctor, the doctor will assess the current health condition and will suggest if the case can be considered for home isolation.

The RRT team shall also assess the home condition to check the adequateness of the house for home isolation of the positive case.

Once the RRT team is satisfied with the health condition and adequateness of the house, he will intimate the nodal officer about it and obtain the undertaking in the prescribed format from the patient and the caregiver of the patient.

The RRT team shall also handover the prescribed instructions to be followed by the Patient and the care giver for home-isolation for strict adherence.

The nodal officer for home isolation management will prepare the order for allowing home isolation and communicate to the respective zonal DC.

The zonal DC will ensure affixing of special sticker designed for such purpose in front of the house of the patient and also handover an appeal letter meant for the neighbours for moral support and keeping vigilance on the family.

Along with the person on home isolation, all other members will also have to be kept under quarantine.

The nodal officer will then submit the data to the quarantine monitoring call centre (1929) for regular follow up on the health condition of the patient.

The patient’s home isolation will be over as per the discharge policy of Health & Family Welfare Department.

In case the patient develops serious symptoms during his home isolation, the caregiver should immediately inform 1929 and BMC medical nodal officer & ADUPHO, Bhubaneswar (Mob: 9937549932) for intervention and shifting o CCC/Dedicated COVID hospital.


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