Ministry
of Health and Family Welfare
Health Ministry issues Post COVID
Management Protocol for holistic follow up care and well-being of all post-
COVID recovering patients
Posted
On: 13 SEP 2020 2:40PM by PIB
Government of
It has been observed that after acute COVID-19 illness,
recovered patients may continue to report wide variety of signs and symptoms
including fatigue, body ache, cough, sore throat, difficulty in breathing, etc.
The recovery period is likely to be longer for patients who suffered from more
severe form of the disease and those with pre-existing illness.
A holistic approach is required for follow up care and
well-being of all post- COVID recovering patients. Heeding to this, the Union
Health Ministry has issued a Post COVID Management Protocol. This provides an
integrated holistic approach for managing patients who have recovered enough
from COVID for care at home.
The Protocl is not meant to be used as a preventive /
curative therapy.
i.
At the individual level
·
Continue COVID appropriate behaviour (use of
mask, hand & respiratory hygiene, physical distancing).
·
Drink adequate amount of warm water (if not
contra-indicated).
·
Take immunity promoting AYUSH medicine -To be
practiced and prescribed by a qualified practitioner of AYUSH.
·
If health permits, regular household work to
be done. Professional work to be resumed in graded manner.
·
Mild/ moderate exercise
·
o
o
Daily practice of Yogasana, Pranayama and
Meditation, as much as health permits or as prescribed.
o
Breathing exercises as prescribed by treating
physician.
o
Daily morning or evening walk at a
comfortable pace as tolerated.
·
·
Balanced nutritious diet, preferably easy to
digest freshly cooked soft diet.
·
Have adequate sleep and rest.
·
Avoid smoking and consumption of alcohol.
·
Take regular medications as advised for COVID
and also for managing comorbidities, if any. Doctor to be always informed about
all medicines that the individual is taking (allopathic/AYUSH) so as to avoid
prescription interaction.
·
Self-health monitoring at home - temperature,
blood pressure, blood sugar (especially, if diabetic), pulse oximetry etc. (if
medically advised)
·
If there is persistent dry cough / sore
throat, do saline gargles and take steam inhalation. The addition of
herbs/spices for gargling/steam inhalation. Cough medications, should be taken
on advice of medical doctor or qualified practitioner of Ayush.
·
Look for early warning signs like high grade
fever, breathlessness, Sp02 < 95%, unexplained chest pain, new onset of confusion, focal
weakness.
ii.
At the level of community
·
Recovered individuals to share their positive
experiences with their friends and relatives using social media, community
leaders, opinion leaders, religious leaders for creating awareness, dispelling
myths and stigma.
·
Take support of community based self-help
groups, civil society organizations, and qualified professionals for recovery
and rehabilitation process (medical, social, occupational, livelihood).
·
Seek psycho-social support from peers,
community health workers, counsellor. If required seek mental health support
service.
·
Participate in group sessions of Yoga,
Meditation etc. while taking all due precautions like physical distancing.
iii.
In healthcare facility setting
·
The first follow-up visit
(physical/telephonic) should be within 7 days after discharge, preferably at
the hospital where he/she underwent treatment.
·
Subsequent treatment/follow up visits may be
with the nearest qualified allopathic/AYUSH practitioner/medical facility of
other systems of medicine. Poly-therapy is to be avoided due to potential for
unknown drug-drug interaction, which may lead to Serious Adverse Events (SAE)
or Adverse Effects (AE).
·
The patients who had undergone home
isolation, if they complain of persisting symptoms, will visit the nearest
health facility.
·
Severe cases requiring critical care support
will require more stringent follow up.
****
MV/SJ
HFW/Post COVID Management Protocol/13September2020/2
(Release ID: 1653759) Visitor Counter : 379
Ministry
of Health and Family Welfare
Union Health Secretary, Industries
& Internal Trade Secretary and Secretary Pharmaceuticals urge 7 Big States
to ensure adequate Oxygen availability in all Healthcare Facilities
Posted
On: 13 SEP 2020 5:57PM by PIB
The Union Health Ministry held a virtual meeting today
where Union Health Secretary, Secretary DPIIT and Secretary Pharmaceuticals
participated. State Health Secretaries and Industries Secretaries of
Maharashtra, Andhra Pradesh, Karnataka, Telangana,
In the end, all the participants were addressed by the
Union Minister for Commerce & Industry, and Railways Shri PiyushGoyal.
The States were specifically advised to :-
1.
Ensure facility wise/hospital wise oxygen
inventory management and advance planning for timely replenishment so that
there are no stockout.
2.
Ensure that no restriction is imposed on the
movement of Medical Oxygen between States/UTs.
3.
Provision of “Green Corridor” for Liquid
Medical Oxygen (LMO) Tankers within the cities.
4.
Hospitals and institutions have long term
tender/ contract agreement for supply of Oxygen with oxygen manufacturers,
which need to be honoured. Hence, States must not impose restrictions on free
movement of Oxygen.
5.
Ensure timely payment of the due bills to the manufacturers and supplier to maintain
uninterrupted supply of oxygen.
6.
Improve power supply infrastructure and
ensure uninterrupted supply to Oxygen Manufacturing Units.
7.
Ensure proper disinfection of Oxygen
cylinders as per protocols while sending cylinders to fillers of Oxygen.
8.
Effective coordination with steel plants for Oxygen procurement
since steel plants provide approx. 550 MT/day oxygen in addition to oxygen
manufacturers who provide 6400 MT/day.
MV
HFW/COVID Oxygen meeting/13September2020/4
(Release ID: 1653806) Visitor Counter : 40
Mininistry of Health and Family
Welfare
Dr. Harsh Vardhan interacts with
his Social Media followers through 'Sunday Samvad’
“I shall be the first to offer myself for receiving COVID vaccine, if people
have a trust deficit”
“Consensus likely soon on emergency authorization for COVID vaccine”
Frontline Healthcare workers, senior citizens & persons with comorbidities
shall be priority for receiving COVID vaccine: Dr Harsh Vardhan
Posted
On: 13 SEP 2020 4:23PM by PIB
Dr. Harsh Vardhan, Union Minister of Health and Family
Welfare today interacted and answered questions posed by his social media
followers on the Sunday
Samvad platform. These questions covered a
multitude of queries concerning not only the current situation of COVID but
also the government’s approach to it, the likely changes one expects to see in
the post COVID world and the steps taken by government in its facilitation.
The Minister informed that while no date has been fixed for
the vaccine launch, it may be ready by the first quarter of 2021. Dr Harsh
Vardhan stated that the Government is taking full precautions in conducting the
human trials of the vaccine and the National Expert Group on Vaccine
Administration for COVID-19 under the Chairmanship of Dr. V K Paul, Member
(Health), NITI Aayog is drawing up a detailed strategy on how to immunize
majority of the population. “Issues like vaccine security, cost, equity,
cold-chain requirements, production timelines etc., are also been discussed
intensely”, he stated. He assured the vaccine will be first made available to
those who need it the most, irrespective of their paying capacity.
Further, he said that the Government is considering
emergency authorization of COVID-19 vaccination especially in the case of
senior citizens & people working in high-risk settings. “This shall be done
after a consensus has been reached”, he said.
To allay fears regarding the safety aspect of the vaccines,
he said he will be happy to take the first dosage of vaccine if some people
have a trust deficit.
Elaborating on the vaccine candidates and their development
in
The Minister also noted that a safe and effective vaccine
will help in establishing immunity to COVID-19 at much faster pace as compared
to the natural infection. It is hoped that a consensus will emerge in next few
months over the desired level of protective herd immunity in any community, he
stated.
Dr. Harsh Vardhan highlighted how the pandemic became a
turning point for Indian manufacturing. From the time when there were “no
indigenous manufacturers of PPEs with requisite standards, now there are nearly
110 indigenous manufacturers of PPE with requisite standards. The country is in
a position to not only meet its own demands but also export to help out fellow
nations”, Dr Harsh Vardhan said. Similar ‘Make in India’ initiatives were
launched and promoted for enhancing indigenous manufacturing of diagnostic
kits, ventilators, drugs like Remdesivir etc., and reducing reliance on foreign
countries. This was made possible through the ‘Whole of Government’ approach
under the leadership of Prime Minister. A multipronged strategy of promoting
indigenous manufacturers and ensuring market availability was adopted with the
partnership of various Ministries. He added that the Government took a number
of initiatives to promote domestic manufacturing of critical APIs in
In order to make the healthcare cost reasonable and
affordable for the common man, Dr. Harsh Vardhan said that the Government has
directed all States and UTs to fix a reasonable price for COVID-19 treatment in
private hospitals. Free coverage up to ₹ 5 lakhs for COVID patients
for those who are eligible under the Ayushman Bharat PMJAY package was
announced. He added that the Central Government has also asked States/UTs to
proactively engage with the private sector health providers and consider
pooling in public and private healthcare facilities, as this will help in
providing prompt, good quality and reasonable health care to Covid-19 patients.
He has himself appealed to the private hospitals to refrain from over charging
COVID patients, he stated.
The Minister highlighted that measures have been to ensure
accessibility and affordability of all drugs and other therapeutics to all
citizens, irrespective of their paying capacities. The Government has taken
cognizance of reports of alleged black marketing of drugs like Remdesivir and
has asked Central Drugs Standard Control Organisation (CDSCO) to take suitable
action against the same along with their State Counterparts.
Dr Harsh Vardhan stated that the Government is seized of
the evolving nature of the infection and emerging evidence of the systemic
health complications in those who have been infected. AIIMS and other research
institutions have been asked to undertake research to study the long-term
impact of COVID. ICMR is establishing a National Clinical Registry on COVID
that will provide insights into clinical course of COVID-19 disease, its
spectrum and outcome of patients. Expert group consultations are already going
on to review the emerging evidence and generate our own data on organ system
specific (respiratory system, renal system, cardiovascular and
gastro-intestinal) sequelae of COVID, he stated.
The Union Health Minister stated that “NDHM is one of the
most ambitious missions of the Government of India and is set to catapult
To watch the first episode of ‘Sunday Samvaad’, please click at the following links:
Twitter: https://twitter.com/drharshvardhan/status/1305067117172072449?s=19
Facebook: https://www.facebook.com/drharshvardhanofficial/videos/345933476608657/
Youtube: https://youtu.be/wkms035Hlb0
DHV App: http://app.drharshvardhan.com/news/14022/sunday-samvaad-|-episode-1?articleId=14022
****
MV
(Release ID: 1653777) Visitor Counter : 89
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