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As travel eases, cases will continue rise. Surge in cases in areas of low transmission is mostly due to import from other areas. Syndromic Surveillance & Testing has to be strengthened at every level.

Most parts of India are susceptible.
To reduce mortality, detect every case
1. Expand the case definition of #COVID19.

Include :-
Loss of smell
Loss of Taste
Myalgia
Chills
Headache
2. Follow syndromic approach by following the above expanded case definition .

3. Encourage home isolation for people with mild illness.

4. Breathing difficulties need immediate attention and hospitalization where oxygen supply is available
5. Institutional quarantine for people from low burden areas should be stopped to prevent them becoming foci of intense spread.

6. Use of masks mandatory for anyone who steps outside the house.

7. Migrants should not be made to wait in large groups, irrespective of any reason .
8. Reverse Quarantine: Protest the elderly. If young are moving outside, it is better to have the elderly in separate rooms and avoid close contact. Inside house, masks may be necessary if space is constrained and elderly are cohabitating.
9. Celebrations can wait . Postpone any large gatherings for any reason for at least 3 months. While young may not be affected adversely, they can become vectors for elderly and other vulnerable people.

Be responsible. Our adventure to socialize can inadvertently kill others.
10. Schools, Anganwadis, nurseries, kindergartens can wait. 1 in 3 children are undernourished & their immunity levels aren’t fully equipped to tackle #covid19. Stop the rush, protect the children.

Meal supplementation shouldn’t stop. PRI should find Innovative ways to deliver.
11. India has expanded testing greatly. Yet, there is huge scope to increase testing in some states.

Syndromic approach coupled with testing will provide better results. This will define the success of efficient containment efforts.
12. In addition to masks, be obsessed with hand washing . All those who travel outside home, wash hands at work as many times as possible and before you enter your house, every time and all the time.

Obsession with hygiene is a good thing, especially now !
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