Thread by @albyjohnV

1) Surveillance

All houses in Chennai are surveiled on a 'DAILY' basis for ILI ( Influenza like Ilness) Symptoms.

Gate meeting for the Survey Staff at 7.30 am & previous day's work is audited to see any ILI's were missed.
Also given fresh instructions for the day.
(2/n)

Each survey worker covers 100 to 150 houses daily.
Infra Red Thermometers are used universally by all survey staff & helps in picking up mild fevers.

Now Pulse Oxymeters are also given to most staff to help in early identification of Severe Acute Respiratory Illness.
(3/n)

"Early Identification helps in better clinical outcome and also prevents further spread." - This is reiterated every day during the gate meeting and senior officials are deputed to each ward to motivate the staff and to improve the fever survey.
This video is from Zone 14.
(4/n)

2) Fever Camps.

@chennaicorp has appointed a Divisional Health Officer to each Division ( Ward) of Chennai.

Each DHO conducts 2 #FeverCamps on a daily basis along with monitoring other Corona Prevention activities in the Division.
(5/n)

The camps are conducted in places where the case density is more or recent cases are identified.

Patients with ILI symptoms identified in the Fever Survey are referred to the Fever Camps.
(6/n)

The Divisional Health Officers follow helps in all the #COVID19 prevention activities in the Division.

They take part in the morning gate meeting and the afternoon debriefing meeting and also follow up the health status of home patients on home isolation.

3) Testing

It's ensured that all ILI patients identified are tested on the 'SAME' day itself.
It is ensured either by 'ENSURING A VEHICLE' @ the fever camp to transport all the symptomatics to the testing centres or by collecting the swab at the 'FEVER CAMP' itself.
(7/n)

Swab Collection Centres - 4 to 5 testing centres are started in all zones to ensure that any symptomatic person / close or extended contact can be easily mobilized for testing

These are the pics of a Swab Collection centre from Kamarajar Avenue, Adyar.
(8/n)

Targeted Testing.

Universal Testing is done in Markets, for shop keepers and street vendors.
Also done in hotspot areas.
Vans are converted to Mobile Swab Collection Centres and used for this purpose.
(9/n)

4) Quarantine

Its ensured that ALL who are tested are Quarantined immediately.
This is to prevent the spread in the initial days of the illness and since the test results takes 24 to 48 hours on average.
Quarantine is continued for those who turns positive for 14 days.
(10/n)

A Focus Volunteer is allotted to each Quarantined house for the total period of the Quarantine.

The focus volunteers helps in the daily chores of the quarantined family.
(11/n)

Focus ( Friend of Citizen under Surveillance) Volunteers are monitored through a mobile app and through a manual register.

They also have a gate meeting at 8.00 am and an Exit meeting at 4.00 pm and this vertical is looked after by the Tax Collectors in the division.
(12/n)

5) Treatment.

All #Covid19 patients are shifted to a Triaging centre .
While patients can also opt for private hospitals, a free triaging facility is run by the Nodal Hospital in association with @chennaicorp in the zones.

(13/n)

X ray, Blood investigations, Detailed Medical Examination is done at the Sceening centre to check whether the patient is eligible for HOME ISOLATION.
If the patient is medically fit and has sufficient facilities to Quarantine himself at home, he is permitted for home isoation.

A home isolation kit with instructions to b followed is given to the patients who go on home isolation.
(Pic in earlier tweet)

In case the medical team feels that the patient need to undergo treatment at a hospital instead of home isolation he is sent to the Hospital.

(15/n)

In case the patient is medically fit, but does not have enough facilities to Quarantine himself at home; he is sent for institutional Quarantine at a Covid Care Centre.

Here is a pic of Chennai Trade Centre, one of the first CCC's started in Chennai.

(16/n)

6) Contact Tracing

It is done through a web based portal. SI visits each patient's home and enters the names of the household contacts. Extended contacts are identified through Tele Calling system & field investigation by specially trained contact tracing volunteers.

Along with the web based system, a manual register is given to the SI's to keep track of the contact tracing.

Also field contact tracing volunteers are posted division wise to trace the missed extended contacts.

7) Mask Distribution
Masks were distributed free of cost in all the slums and Economically weaker section areas.
Strict enforcement and fine collection for not wearing masks is also being done.
These pics are from Kannagi Nagar, zone 15.

8) NGO outreach

A Community intervention program with the help of 92 NGO's is being implemented in informal settlements and economically weak areas.
Awareness and IEC activities on #WearAMask and #Fevercamps are conducted on regular basis.

The importance of Masking, Hand washing and Social Distancing is being explained to each household on a daily basis.

Along with that, weekly cultural or IEC activities are also done by NGO's in hotspot areas.

9) Dedicated Control Room

A dedicated control room and call centre is operating in all the zones to cordinate the work of various departments and to follow on grievances.

10) Field Support Teams.

15 IAS officers & police officers are coordinating the prevention activities along with zonal and regional team.

South Region
Zone 11 - @prabhusean7
Zone 12 - Nirmal Raj IAS
Zone 13 - Chandrakala JU
Zone 14 - Amudavalli IAS
Zone 15 - @Vish_speaks

With consistent hardwork by all the teams and Cooperation from the public the numbers have been brought down to an extent.

But we need to follow the basic principles of SMS - Soap, Mask and Social Distancing to sustain the good results. @chennaicorp