Thread by @FoolzWizdom

#Delhi #COVID19 situation: We need to watch and learn and fast. @DHFWKA @BSYBJP @epigiri @BBMPCOMM
1. Bed Manangement
2. Testing
3. Home care
4. Co-ordination committee BBMP and Pvt

1/n

2/n
Bed Management:
Ring fencing: COVID +non COVID beds ICU +ward
Real time app: useful only if mechanism of updating is in place (else panicm/misinformation)
Admission and discharge criteria: Clinical parameters (not epidemiological)

#Bangalore #Karnataka needs to prepare

3/n
Testing:
Broaden criteria: Travel, Risk, Symptoms, Pre admission for elective, clinician decision: Test more
Accessibility: Pricing, more labs, TAT of half a day max
Pre and post test counselling: People should know what to follow with either positive or negative results

4/n
Home Care: Needs a huge focus
Patient tracker apps (Seva sindhu and like)
Remote monitoring
Set criteria to admit (clinical, age based, risk based)
'Create Homes for home care': For those in poorly attended accommodation - use schools, marriage halls as holding facilities

5/n
Pvt-Govt Co-ordination: No blame game, join hands
3 member committee Govt, Pvt Hosp and an NGO/Public figure statutory/Executive powers
Multiple task forces: Testing, Bed management, Safe patient transport, Public Edn

Now its Containment --> Mitigation: Preparation is key

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