covid 19 state report on clusters - kerala
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COVID 19
STATE REPORT ON CLUSTERS
(9th July 2020)
Department of Health & Family Welfare
Government of Kerala
2
Index
Message………………………………………………………………………………..3
Introduction……………………………………………………………………………4
State abstract…………………………………………………………………………5
Summary of clusters in Kerala……………………………………………………...6
Cluster specific action plan ……………………………………………………….9
District reports…………………………………………………………………………11
Annexure………………………………………………………………………………74
Acknowledgement………………………………………………………………….77
3
Message
I am happy to note that as per the instructions of Hon Chief Minister Shri Pinarayi
Vijayan, the Department of Health and Family Welfare has prepared a frame
work to identify the clusters by studying the epidemic. The document will give
guidance to the field teams to conduct the study of epidemic concurrently
and take immediate actions at the field level by identifying the COVID clusters.
The report will also give information to the reader regarding the analytic
method to be adapted for doing similar exercise for any other epidemic.
This initiative reflects the strength of the Department and the capacities of
health functionaries at the grass roots for taking evidence-based interventions
in the fight against COVID19.
I urge all the functionaries to analyse the data, draw sound inference, decide
focused interventions based on the inference and implement them to contain
and control COVID 19 epidemic.
I wish all the success to your efforts.
I also take this opportunity to congratulate the District Surveillance teams and
the team at the state level who have done the analysis and published this
report.
K.K Shailala Teacher
Minister for Health & Family Welfare
Social Justice
Woman and Child Development
Government of Kerala
4
Introduction
The Department of Health and Family Welfare has developed a well-structured
surveillance mechanism in the State. The journey started with the Sector Reform
Project in the country under EU funding in late 90s and the initiative of using
post cards for informing communicable diseases later on evolved into
Integrated Disease Surveillance Project in the country. The State has taken
various initiatives to strengthen the surveillance further by doing extensive
capacity building, institutional strengthening and involving grass root level
structures and Panchayat Raj Institutions. The department of Health and Family
Welfare has established District Surveillance Units (DSU) in every district. In all
Medical Colleges Prevention of Epidemic and Infectious diseases cell ( PEID
Cell) were established. These units have been functioning in integrated way
and providing insights regarding various outbreaks and assist in developing
containment strategy. This is further supported by the involvement of private
Medical colleges in establishing PEID Cell in their respective institutions. The
private sector Hospitals also have been contributing in sharing information and
coordinating activities in disease containment.
As the whole world started experiencing COVID 19 pandemic, the department
has initiated strong surveillance mechanism such as risk identification, symptom
surveillance, testing surveillance and sentinel surveillance. Simultaneously the
Department has been constantly building capacities of the Surveillance Unit
to examine various aspects such as infectivity among Health Care Workers and
front-line workers, Death audits, Positivity studies etc. In order to understand the
progression of epidemic specific guidelines such as mapping of cases to
identify the clusters were issued.
In Ponnani from the Sentinel Surveillance the cases were detected and right in
time the whole containment strategy was put in place. Similarly, in
Thiruvananthapuram the cases were identified in Ward 66, 74 and 75 and
intensive activities in these clusters could be initiated.
The District surveillance unit has studied the data of the two weeks as on date
9th July 2020 and submitted the mapping reports. These reports were further
studied and analysed and a detailed report is submitted for taking specific
actions in these clusters and the districts. All the DSUs and PEID Cell have been
instructed to study regularly and analyse the cases to take effective control
measures in time.
The report is presented by giving -
a. State basic data on COVID19.
b. Definition of clusters categorization.
c. State abstract of categories of clusters
d. Details of each district
5
State Abstract
KERALA
Total number of confirmed cases 6534
Total cases recovered 3708
Deaths 27
Total active cases 2795
AFTER 4TH MAY
Import 5161
Contacts 874
Total 6035
Proportion of locally acquired cases (after May 4) % 14.48
Imported: locally acquired ratio (after May 4) 5.9 : 1
CONTACTS UNDER SURVEILLANCE
Total contacts currently under observation 29819
Primary contacts 25306
Secondary contacts 4513
Travellers 17833
Local contacts 11986
Definition of Cluster
Term Definition
Large Community
Cluster
More than 50 locally transmitted cases in an identified
geographical area
Limited Community
Cluster
More than or equal to 2 locally transmitted cases in a
division/ward within 14 days but not in same households.
Closed Community
Cluster
More than or equal to two cases of locally transmitted
cases in ‘closed community’ like CISF camps/ Defence
camps/ Labour camps etc.
Institutional Cluster More than or equal to two cases of locally transmitted
cases in an institution like Hospital/ Office within 14 days
*The definitions are given to complete the report. The definitions will be further improved and a
separate advisory will be issued for the Health functionaries.
6
Summary of Clusters in Kerala
Total
Clusters
Active Clusters
where
containment
ongoing
Contained Clusters
Large Community Cluster 2 2 0
Limited Community Cluster 35 27 8
Closed Community Cluster
(CISF, Defence camps etc)
4 3 1
Institutional Cluster
(Hospital, Office)
6 3 3
Total 47 35 12
Details of Clusters in Kerala
District Number
of
Clusters
Name of Cluster Characteristics of
Cluster
Current
Status of
Cluster
Thiruvananthapuram 6 Attukkal Limited
Community
Cluster
Containment
strategy
ongoing
Poonthura Large Community
Cluster
Puthenpally Limited
Community
Cluster
Manacadu
Muttathara
Palayam
Kollam 11 Chathanoor Limited
Community
Cluster
Contained
Kalluvathukkal
Kadakkal
Kulathupuzha
Kavanadu Limited
Community
Cluster
Containment
strategy
ongoing Sakthikulangara
Eravipuram
Pulamon,
Kottarakara
Mulankadakam
Jn
Sasthamcotta
Chavara
7
Pathanamthitta 4 Ranni
Pazhavangadi
Limited
Community
Cluster
Contained
Vadasherikkara
Pathanamthitta
Municipality
13,14,21,23,24
Limited
Community
Cluster
Containment
strategy
ongoing
Thiruvalla 33,28
Alapuzha 4 Indo Tibetian
Force,
Nooranad
Closed
Community
Cluster
Containment
strategy
ongoing
Kayamakulam
M (4,9)
Limited
Community
Cluster Pallithodu
Thekkekkara,
Kurathiyadu
Kottayam
2 Chirakkadavu
(4,5)
Limited
Community
Cluster
Containment
strategy
ongoing
Pallikkathodu-8
ward
Idukki 2 Kanjikuzhy Limited
Community
Cluster
Containment
strategy
ongoing Kattappana 8
ward
Ernakulam 4 Ernakulam
Market
Limited
CommunityCluster
Containment
strategy
ongoing Chellanom
Munabam
Aluva
Thrissur 5 THQ
Chavakkad
Institution Contained
CHC
Vadakkekad
Institution
PHC
Porathishery
Institution
Corporation
Office
Institution Containment
ongoing
Warehouse, TSR Institution
Malappuram 3 Ponnani Large Community
Cluster
Containment
ongoing
Thanoor Limited
Community
Transmission Nilambur
Kozhikode 1 Cresecent Flat,
Vellai,
Institution Containment
ongoing
8
Kannur 2 CISF,
Kuthuparamba
Closed
Community
Cluster
Containment
ongoing
DSC Cluster,
Kannur
Closed
Community
Cluster
Wayanad 2 Ladder Resort,
Sulthan Batheri
Closed
Community
Contained
Manathawadi Limited
Community
Cluster
Kasaragod 1 Chengalam Limited
Community
Cluster
Contained
*The cluster categorization is done to give guidance to Health functionaries for taking intensive
activities in the field
9
CLUSTER SPECIFIC ACTION PLAN
1. Contact Tracing
2. Active Case Finding
3. Intense Testing
4. Reverse Quarantine
5. Information Education Communication
6. Intersectoral coordination
7. Involvement of community leaders, NGOs, Community
8. Mobilisation of vehicles for transportation
9. Setting up of CFLTC
10. Ensure Psychosocial support to people in containment one
11. Ensuring good quality quarantine
12. Addressing other medical needs of people in cluster zone
Daily Review of activities
1. Daily COVID trend within the cluster
2. Review of trend of fever, ARI/ILI, Pneumonia and unknown death
3. Identification of cases of local transmission (with and without history)
4. Early identification of new clusters; cases of locally acquired infection in
time and place in nearby areas
5. Contact tracing status of cases of locally acquired transmission within
the clusters
6. Review of number of persons in quarantine (travellers, contacts;
primary/secondary, HCW) within the cluster
7. Review action taken reports from clusters and provide
recommendations
8. COVID Testing status within clusters (samples sent category wise,
pending results, positivity, logistics etc)
9. Occupancy status of CFLTCs, COVID hospitals and critically ill patients’
status
10. Review of Cluster specific IEC activities
Generic guidelines to districts
• District Administration to map cases and identify newly evolving
clusters and initiate timely containment action.
• District to impose rigorous social distancing and break the chain
campaign with more community ownerships.
• District to get ready with a greater number of CFLTCs and open more
COVID hospital based on trigger plan to manage the rapid increase
in number of cases. HR, equipment to be mobilised.
10
• District to be map the Human resource pool LSG wise irrespective of
sector and train all the available HR- Doctors, nurses, AYUSH, interns on
COVID clinical management protocol
• District to have a good patient transportation plan mobilising and
training double chambered jeep/taxi/auto with proper facilities for
disinfection.
• District to ensure triage and strengthen infection control in all hospitals
including private hospitals so as to ensure that even if a COVID
suspects land in any health facility, no transmission should happen
within health facility.
• Second tier of administrative and clinical teams to execute the
responsibilities alternatively so as to reduce the fatigue among staff.
• A system for catering to the medical and psychological needs of
those in containment zone need to be established.
• Strengthen surveillance in coastal, tribal and urban slums and deploy
array of tests in a judicious manner.
11
THIRUVANANTHAPURAM
Population - 33 Lakhs
Population density - 1508/km2.
Thiruvananthapuram- COVID scenario
KERALA
TVM
Percentage
in TVM as
compared
to state
total
Total number of confirmed cases 6534 505 7.73
Total cases recovered 3708 197 5.31
Deaths 27 5 18.52
Total active cases 2795 303 10.84
AFTER 4TH MAY
Import 5161 230 4.46
Contacts 874 260 29.75
Total 6035 490 8.12
Proportion of locally acquired cases (after may
4) % 14.48 53.06
Imported: locally acquired ratio (after may 4) 5.91 : 1 0.88 : 1
CONTACTS UNDER SURVEILLANCE
Total contacts currently under observation 29819 1549 5.19
Primary contacts 25306 608 2.40
Secondary contacts 4513 941 20.85
Travellers 17833 548 3.07
Local contacts 11986 1001 8.35
Thiruvananthapuram constituted 11.47 % of COVID cases reported in last 14
days and 7.73% of total cases in state.
12
Recovery rate is 39 % as on 9-07-2020
Daily report of New cases
416510
373 339415
197 212276 219 194 224 172
84 77
5
1
43
0
5 12
1 22
0
0 1
435 236
274215
134
303 237166
185 191 144122
91 62
0
100
200
300
400
500
600
700
800
900
MPM856
PKD748
KNR651
TSR557
KGD549
TVM505
ALP451
KLM444
PTA406
EKM388
KKD370
KTM294
IDK175
WYD140
DISTRICT WISE DISTRIBUTION
Recovered
Death
Active
03 2 2
13
5 7 52 4 3
7
14
5 5 3 4 3
106
14
14 3 5
85
9 11
4 4 27
49
4 5 49
1716
27
7
54
64
95
0
10
20
30
40
50
60
70
80
90
100
5-4
-20
5-6
-20
5-8
-20
5-1
0-2
0
5-1
2-2
0
5-1
4-2
0
5-1
6-2
0
5-1
8-2
0
5-2
0-2
0
5-2
2-2
0
5-2
4-2
0
5-2
6-2
0
5-2
8-2
0
5-3
0-2
0
6-1
-20
6-3
-20
6-5
-20
6-7
-20
6-9
-20
6-1
1-2
0
6-1
3-2
0
6-1
5-2
0
6-1
7-2
0
6-1
9-2
0
6-2
1-2
0
6-2
3-2
0
6-2
5-2
0
6-2
7-2
0
6-2
9-2
0
7-1
-20
7-3
-20
7-5
-20
7-7
-20
7-9
-20
New cases
13
Active Cases
Thiruvananthapuram- Clusters
Distribution of case in Manacade (Ward 72),Atukal (Ward 70),Kaldy (Ward 5)
ares
0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 6 7 9 1010242929293641424848546166717477797778
63636061615144404449586970757784869697979995
109109130131
178
238
326
0
50
100
150
200
250
300
350
5-4
-20
5-6
-20
5-8
-20
5-1
0-2
0
5-1
2-2
0
5-1
4-2
0
5-1
6-2
0
5-1
8-2
0
5-2
0-2
0
5-2
2-2
0
5-2
4-2
0
5-2
6-2
0
5-2
8-2
0
5-3
0-2
0
6-1
-20
6-3
-20
6-5
-20
6-7
-20
6-9
-20
6-1
1-2
0
6-1
3-2
0
6-1
5-2
0
6-1
7-2
0
6-1
9-2
0
6-2
1-2
0
6-2
3-2
0
6-2
5-2
0
6-2
7-2
0
6-2
9-2
0
7-1
-20
7-3
-20
7-5
-20
7-7
-20
7-9
-20
Active Cases
14
Poonthura and Kumarichantha – Largest cluster in Trivandrum district was
identified in Poonthura ward and Kumarichantha. The index case was the
source of infection for 13 other cases; the potential source of infection which
was from Kanyakumari district of Tamil Nadu. The index case was a fish
merchant, who brought fish wholesale from Kanyakumari harbour, unloaded it
at Kumarichantha, engaged in fish auction in Kumarichantha. In addition, he
also used to visit many other households. In Kumarichantha, lorries carrying fish
for sale, from Tamil Nadu was unloaded. Fishermen from Poonthura area
happens to come in contact with lorry drivers and headload workers in this
area. Most of the cases reported from this area were fish vendors. Medical
representative, who resided in the same area, turned positive, due to frequent
visits to Kumarichantha, whose family member had also turned positive.
Attukal – An auto-driver cum teleserial actor who had travelled extensively in
Attukal, Manacaud and Konchiravila and Kalady, eventually transmitted the
infection to eight others. He had frequent visits from relatives from Kuzhithurai,
Tamil Nadu. There is potential history of contact with commuters from Tamil
15
Nadu. This cluster also involves two healthcare workers in the private hospital
he had visited at Attukal.
The following wards have been identified to have higher risk of cases due to
density of contacts, potential sources and epidemiological linkages.
1. 16 – Medical College
2. 27 - Palayam
3. 55 - Kalady
4. 61 -Kottappuram
5. 62 - Vizhinjam
6. 63 - Harbour
7. 66 – Poonthura
8. 67 – Ambalathara
9. 68 – Kamaleswaram
10. 69 - Kalippankulam
11. 70 – Attukal
12. 71 – Chalai
13. 72 – Manacaudu
14. 73 – Kuriyathi
15. 74 – Puthenpally
16. 75 – Manikyavilakom
17. 76 – Beemappally east
18. 77 – Beemappally
19. 78 – Muttathara
20. 80 – Fort
21. 82 – Vanchiyoor
22. 87 – Valiyathura
23. 88 – Vallakkadavu
24. 99 – Poundukadavu
16
Out of the above wards, 6 wards are identified as Top priority high risk areas,
namely,
1. Attukal (70)
2. Poonthura (66)
3. Puthenpally (Kumarichantha) (74)
4. Manacaud (72)
5. Palayam (27)
6. Muttathara (78)
Action Taken
Triple lock down was declared in TVM Corporation 05.07.2020.
The Poonthura ward was brought under containment zone, the main strategy
in the containment zone was planned with the leadership of the District
Collector and technical advices were provided by the District Medical Officer
and The District Programme Manager.
The main activities were as listed below
• Meeting with Local Leaders
• Coordination meeting with Deputy Commissioner of Police and Team.
• Meeting with Priest at Poonthura Church
• Planning meeting with Local Community Health Centers
IEC activities
• Joint mike announcement with Health and Police Department (11am to
1pm, 4.30pm to 7pm)
• Mike announcement through church by the Priest
• With the help of the Social Service Volunteers street to streets
announcements are planned at Local areas within Poontura
• During announcement priority will be given for Social Distancing,
Environmental hygiene, Hand hygiene, Important COVID19
symptomatology, Influenza like Illnesses, Sever acute Respiratory
Infections etc
• Importance of protecting the Vulnerable Populations of the Community
(Reverse Quarantine)
17
Commencement of Help Desk
• Help desk will be setup at three sites with the help of corporation and
church- The places identified are Fides centre, Cheriyamuttom
Junction and Poonthura bus stop.
• The functions of this centre are reassurance, information regarding
Covid 19 illness, information about results, and information about place
of admission.
• Other functions include checking of temperature using infrared
thermometer, monitoring oxygen saturation with pulse oxymeter,
necessary contact numbers in an emergency such as DISHA and
control room Poonthura are available from here (7594822922).
Anti-infectivity methods
• Local Hypochloride spraying was done with the help of corporation in
the morning and in the evening.
CONTACTS UNDER CONTACTS UNDER SURVEILLANCE strategy
• House to house monitoring with the help of social service volunteers.
• The monitoring is based on symptomatology, using a checklist, etc.
• Strict contact tracing.
• Broadcasting.
• Reverse quarantine.
Details of Antigen Testing in Containment Zone
Date Sample Tested Positives
05.07.2020 46 03
06.07.2020 60 19
07.07.2020 311 60
08.07.2020 365 71
09.07.2020 340 88
Total 1122 241
In addition to these 8315 RTPCR tests were conducted in the district in last 7
days including routine samples of all eligible from Cluster Containment zone.
18
District Specific Actions- Recommendations
Thiruvananthapuram is showing evidence of recent local transmissions and
increase in locally acquired cases. New clusters are evolving. Monitor the
cases and do mapping daily to identify early warning signs such as stray
positive cases in more numbers not knowing the source of infection, sudden
death, sudden increase in fever cases, respiratory illnesses in OPD.
19
MALAPPURAM
Population - 44 Lakhs
Population density - 1157/km2.
Malappuram is the most populous district in Kerala.
Malappuram- COVID scenario
Kerala Malappuram
Percentage
in
Malappuram
out of state
total
Total number of confirmed cases 6534 856 13.10
Total cases recovered 3708 416 11.22
Deaths 27 5 18.52
Total active cases 2795 435 15.56
AFTER 4TH MAY
Import 5161 722 13.99
Contacts 874 111 12.70
Total 6035 833 13.80
Proportion of locally acquired cases (after
may 4) % 14.48 13.33
Imported: locally acquired ratio (after may 4) 5.9 : 1 6.5 : 1
SURVEILLANCE
Total people currently under observation 29819 3613 12.12
Primary contacts 25306 3514 13.89
Secondary contacts 4513 99 2.19
Travellers 17833 2973 16.67
Local contacts 11986 640 5.34
Malappuram constituted 16.67 % of COVID cases reported in last 14 days and
13.1 % of total cases in state.
20
Recovery rate is 48.5 % as on 9-07-2020
Daily report of New cases
416510
373 339415
197 212276 219 194 224 172
84 77
5
1
43
0
5 12
1 22
0
0 1
435 236
274215
134
303 237166
185 191 144122
91 62
0
100
200
300
400
500
600
700
800
900
MPM856
PKD748
KNR651
TSR557
KGD549
TVM505
ALP451
KLM444
PTA406
EKM388
KKD370
KTM294
IDK175
WYD140
DISTRICT WISE DISTRIBUTION
Recovered
Death
Active
02 1 1
3 35 4
24
13 4 5 4
85 5
85
3
1415
118
18
12
27
14
6 710
1415
36
15
11
4
18
5
10
17
1110
6
16
47
5
13
3234
24
3537
26
35
63
46
55
0
10
20
30
40
50
60
70
5-4
-20
5-6
-20
5-8
-20
5-1
0-2
0
5-1
2-2
0
5-1
4-2
0
5-1
6-2
0
5-1
8-2
0
5-2
0-2
0
5-2
2-2
0
5-2
4-2
0
5-2
6-2
0
5-2
8-2
0
5-3
0-2
0
6-1
-20
6-3
-20
6-5
-20
6-7
-20
6-9
-20
6-1
1-2
0
6-1
3-2
0
6-1
5-2
0
6-1
7-2
0
6-1
9-2
0
6-2
1-2
0
6-2
3-2
0
6-2
5-2
0
6-2
7-2
0
6-2
9-2
0
7-1
-20
7-3
-20
7-5
-20
7-7
-20
7-9
-20
New cases
21
Active Cases
Clusters at Malppuram
First major cluster identified was at Ponnani Taluk
Following the diagnosis of five COVID 19 cases from Vattamkulam panchayath
and another five positive health care workers from two private hospitals in the
panchayath, the entire Ponnani Taluk was declared as containment zone by
0 0 0 0 0 0 1 2 4 6 11151721222630353644494851445256575765799089107120
147163169176185199205204202210221223226230
210201197199193191218224235244
265
226248
278278301
356389
431
0
50
100
150
200
250
300
350
400
450
500
5-4
-20
5-6
-20
5-8
-20
5-1
0-2
0
5-1
2-2
0
5-1
4-2
0
5-1
6-2
0
5-1
8-2
0
5-2
0-2
0
5-2
2-2
0
5-2
4-2
0
5-2
6-2
0
5-2
8-2
0
5-3
0-2
0
6-1
-20
6-3
-20
6-5
-20
6-7
-20
6-9
-20
6-1
1-2
0
6-1
3-2
0
6-1
5-2
0
6-1
7-2
0
6-1
9-2
0
6-2
1-2
0
6-2
3-2
0
6-2
5-2
0
6-2
7-2
0
6-2
9-2
0
7-1
-20
7-3
-20
7-5
-20
7-7
-20
7-9
-20
Active Cases
22
the State disaster management authority on 29/06/2020, based on the
recommendations from district administration.
The activities in the containment zone were based on
• Aggressive contact tracing
• Active case search
• Intense Testing including all ILI from zone, SARI and Random Testing for COVID-19
Aggressive Contact Tracing at Ponnani
23
Details if CLIA Antibody based test at Ponnani Taluk
Number
Total Sample Tested 1479
Total Sample Reactive 06 (0.4%)
Details of Confirmatory Test at Ponnai Taluk
Name of LSG Tested Positives
Vattamkulam 356 1
Edappal 420 1
Kaladi 553 2
Alamkode 489 2
Nannamukku 519
Thrikkanapuram 467 1
Veliamcode 557 2
Ponnani 1084 38
Maranchery 299 1
Perumpadappu 569 2
Total 5311 50
24
Evolving Clusters at Malppuram
Nilambur Taluk is another cluster in Malappuram
25
Suggestions
Malappuram is showing evidence of recent local transmissions and increase in
locally acquired cases. New clusters are evolving. Monitor the cases and do
mapping daily to identify early warning signs such as stray positive cases in
more numbers not knowing the source of infection, sudden death, sudden
increase in fever cases, respiratory illnesses in OPD.
26
ERNAKULAM
Population - 32.82 Lakhs
Population density - 1364/km2.
Ernakulam- COVID scenario
KERALA
EKM
Percentage
in EKM of
state total
Total number of confirmed cases 6534 388 5.94
Total cases recovered 3708 194 5.23
Deaths 27 2 7.41
Total active cases 2795 191 6.83
AFTER 4TH MAY
Import 5161 289 5.60
Contacts 874 79 9.04
Total 6035 368 6.10
Proportion of locally acquired cases (after may
4) % 14.48 21.47
Imported: locally acquired ratio (after may 4) 5.91 : 1 3.66 : 1
SURVEILLANCE
Total people currently under observation 29819 1091 3.66
Primary contacts 25306 480 1.90
Secondary contacts 4513 611 13.54
Travellers 17833 207 1.16
Local contacts 11986 884 7.38
Ernakulam constituted 6.5 % of COVID cases reported in last 14 days and 5.94
% of total cases in state.
27
Recovery rate is 50 % as on 9-07-2020
Daily report of New cases
416510
373 339415
197 212276 219 194 224 172
84 77
5
1
43
0
5 12
1 22
0
0 1
435 236
274215
134
303 237166
185 191 144122
91 62
0
100
200
300
400
500
600
700
800
900
MPM856
PKD748
KNR651
TSR557
KGD549
TVM505
ALP451
KLM444
PTA406
EKM388
KKD370
KTM294
IDK175
WYD140
DISTRICT WISE DISTRIBUTION
Recovered
Death
Active
01 1 1 1 1
45
2
4 4
1
3 3
5
2
10
3 34
12
5
7 7
1313
56
11
3
5
1413
8
109
14
7
5
10
12
9
17
1312
25
21
16
12
0
5
10
15
20
25
30
5-4
-20
5-6
-20
5-8
-20
5-1
0-2
0
5-1
2-2
0
5-1
4-2
0
5-1
6-2
0
5-1
8-2
0
5-2
0-2
0
5-2
2-2
0
5-2
4-2
0
5-2
6-2
0
5-2
8-2
0
5-3
0-2
0
6-1
-20
6-3
-20
6-5
-20
6-7
-20
6-9
-20
6-1
1-2
0
6-1
3-2
0
6-1
5-2
0
6-1
7-2
0
6-1
9-2
0
6-2
1-2
0
6-2
3-2
0
6-2
5-2
0
6-2
7-2
0
6-2
9-2
0
7-1
-20
7-3
-20
7-5
-20
7-7
-20
7-9
-20
New cases
28
Active Cases
0 0 0 0 1 2 3 3 3 3 4 5 5 6 7 8 109 9 9 1312151718222829323440435048485255585556637083
95101102115117122127134140147153
167173174180191191186191194
207209215213
0
50
100
150
200
250
5-4
-20
5-6
-20
5-8
-20
5-1
0-2
0
5-1
2-2
0
5-1
4-2
0
5-1
6-2
0
5-1
8-2
0
5-2
0-2
0
5-2
2-2
0
5-2
4-2
0
5-2
6-2
0
5-2
8-2
0
5-3
0-2
0
6-1
-20
6-3
-20
6-5
-20
6-7
-20
6-9
-20
6-1
1-2
0
6-1
3-2
0
6-1
5-2
0
6-1
7-2
0
6-1
9-2
0
6-2
1-2
0
6-2
3-2
0
6-2
5-2
0
6-2
7-2
0
6-2
9-2
0
7-1
-20
7-3
-20
7-5
-20
7-7
-20
7-9
-20
Active Cases
29
One main cluster is that of Ernakulam Market, Where 12 COVID 19 cases
were reported. This belong to 2 different shops in nearby areas. All
contacts were traced and tested. Area under strict Surveillance
Other clusters are Munambom, Chellanom and Aluva.
Actions Taken
• Special teams at the DSU level & Peripheral level has been constituted
• Block Level Nodal Officers (Revenue block) Have been identified
&trained in Contact tracing & other Surveillance activities.
• These team can be deployed to any area as an when needed.
• Sample collecting facility is provided in 12 different institutions.
• 4 mobile sample collection teams are in position, working as per
schedule daily
• DSU has 10 different teams with specific assigned roles and 2 public
health experts is there
Suggestions
Strengthen surveillance in coastal areas and private hospitals
30
KANNUR
Population - 25.23 Lakhs
Population density - 851/km2.
Kannur- COVID scenario
KERALA
KNR
Percentage
in Kannur
out of state
total
Total number of confirmed cases 6534 651 9.96
Total cases recovered 3708 373 10.06
Deaths 27 4 14.81
Total active cases 2795 274 9.80
AFTER 4TH MAY
Import 5161 446 8.64
Contacts 874 87 9.95
Total 6035 533 8.83
Proportion of locally acquired cases (after may
4) % 14.48 16.32
Imported: locally acquired ratio (after may 4) 5.91 : 1 5.13 : 1
CONTACTS UNDER SURVEILLANCE
Total people currently under observation 29819 6622 22.21
Primary contacts 25306 5349 21.14
Secondary contacts 4513 1273 28.21
Travellers 17833 3450 19.35
Local contacts 11986 3172 26.46
Kannur constituted 9.4 % of COVID cases reported in last 14 days and 9.96 %
of total cases in state.
31
Recovery rate is 57.3 % as on 9-07-2020
Daily new cases
416510
373 339415
197 212276 219 194 224 172
84 77
5
1
43
0
5 12
1 22
0
0 1
435 236
274215
134
303 237166
185 191 144122
91 62
0
100
200
300
400
500
600
700
800
900
MPM856
PKD748
KNR651
TSR557
KGD549
TVM505
ALP451
KLM444
PTA406
EKM388
KKD370
KTM294
IDK175
WYD140
DISTRICT WISE DISTRIBUTION
Recovered
Death
Active
01
2 23
53
4
12
16
1210
8
1
10
7
18
75
2
6
12
24
54
7
3
14
4
10
7
4 4
8
4
10
3
6
17
9
1311
26
14
2627
9
18
35
25
11
19
22
8
0
5
10
15
20
25
30
35
40
5-4
-20
5-6
-20
5-8
-20
5-1
0-2
0
5-1
2-2
0
5-1
4-2
0
5-1
6-2
0
5-1
8-2
0
5-2
0-2
0
5-2
2-2
0
5-2
4-2
0
5-2
6-2
0
5-2
8-2
0
5-3
0-2
0
6-1
-20
6-3
-20
6-5
-20
6-7
-20
6-9
-20
6-1
1-2
0
6-1
3-2
0
6-1
5-2
0
6-1
7-2
0
6-1
9-2
0
6-2
1-2
0
6-2
3-2
0
6-2
5-2
0
6-2
7-2
0
6-2
9-2
0
7-1
-20
7-3
-20
7-5
-20
7-7
-20
7-9
-20
New cases
32
Active cases
Clusters:
1. CISF Cluster,Veliyavelicham,Kuthuparamba (70 case)
2. DSC Cluster,Kannur (23 case)
Transmission Routes Established. Poor quality quarantine with common
bathroom was the reason.
181818155 5 3 3 3 4 5 6 4 6 9 14162136
55677785849399
113114108115118117119127125127133124123123128136124132136136
123125135120125135144
157152
179179204
221217226246
274286299324319
0
50
100
150
200
250
300
350
5-4
-20
5-6
-20
5-8
-20
5-1
0-2
0
5-1
2-2
0
5-1
4-2
0
5-1
6-2
0
5-1
8-2
0
5-2
0-2
0
5-2
2-2
0
5-2
4-2
0
5-2
6-2
0
5-2
8-2
0
5-3
0-2
0
6-1
-20
6-3
-20
6-5
-20
6-7
-20
6-9
-20
6-1
1-2
0
6-1
3-2
0
6-1
5-2
0
6-1
7-2
0
6-1
9-2
0
6-2
1-2
0
6-2
3-2
0
6-2
5-2
0
6-2
7-2
0
6-2
9-2
0
7-1
-20
7-3
-20
7-5
-20
7-7
-20
7-9
-20
Active Cases
33
• All inmates of camps shifted to different places
• Instructions given to CISF through District collector to all such
cantonment areas and places where central gov employees come
regarding precautionary measures and COVID19 norms.
• Zoom meeting was conducted in the presence of District Collector
where members of DSC, KIAL, CISF participated.
• SIT visited the area did detailed investigation on 3.07.2020
34
Steps taken to ensure good quality quarantine at CISF camps.
35
Suggestions
Kannur is showing evidence of recent local transmissions and increase in locally
acquired cases. Monitor the cases and do mapping daily to identify early
warning signs such as stray positive cases in more numbers not knowing the
source of infection, sudden death, sudden increase in fever cases, respiratory
illnesses in OPD.
District to take special attention regarding CISF, Defence camps.
36
ALAPPUZHA
Population - 21.27 Lakhs
Population density - 1504/km2.
Alappuzha - COVID scenario
KERALA
ALP
Percentage
in
Alappuzha
of state
total
Total number of confirmed cases 6534 451 6.90
Total cases recovered 3708 212 5.72
Deaths 27 1 3.70
Total active cases 2795 237 8.48
AFTER 4TH MAY
Import 5161 394 7.63
Contacts 874 52 5.95
Total 6035 446 7.39
Proportion of locally acquired cases (after may
4) % 14.48 11.66
Imported: locally acquired ratio (after may 4) 5.91 7.58
CONTACTS UNDER SURVEILLANCE
Total people currently under observation 29819 1858 6.23
Primary contacts 25306 1341 5.30
Secondary contacts 4513 517 11.46
Travellers 17833 1204 6.75
Local contacts 11986 654 5.46
Alappuzha constituted 7.4 % of COVID cases reported in last 14 days and 6.9
% of total cases in state.
37
Recovery rate is 52.5 % as on 9-07-2020
Alappuzha daily new cases
416510
373 339415
197 212276 219 194 224 172
84 77
5
1
43
0
5 12
1 22
0
0 1
435 236
274215
134
303 237166
185 191 144122
91 62
0
100
200
300
400
500
600
700
800
900
MPM856
PKD748
KNR651
TSR557
KGD549
TVM505
ALP451
KLM444
PTA406
EKM388
KKD370
KTM294
IDK175
WYD140
DISTRICT WISE DISTRIBUTION
Recovered
Death
Active
0
2 21 1
2
54
3 3
7
1
32
6
2
10
78
54
7
5
11
3
13
9
5
7
1
9
13
4
10
12
19
15
18
21
13
10
5
98
16
2120
13
15
1818
22
0
5
10
15
20
25
5-4
-20
5-6
-20
5-8
-20
5-1
0-2
0
5-1
2-2
0
5-1
4-2
0
5-1
6-2
0
5-1
8-2
0
5-2
0-2
0
5-2
2-2
0
5-2
4-2
0
5-2
6-2
0
5-2
8-2
0
5-3
0-2
0
6-1
-20
6-3
-20
6-5
-20
6-7
-20
6-9
-20
6-1
1-2
0
6-1
3-2
0
6-1
5-2
0
6-1
7-2
0
6-1
9-2
0
6-2
1-2
0
6-2
3-2
0
6-2
5-2
0
6-2
7-2
0
6-2
9-2
0
7-1
-20
7-3
-20
7-5
-20
7-7
-20
7-9
-20
New cases
38
Active cases
Cluster identified in Alapuzha
Indo Tibetian Force, Nooranad
Kayamakulam M (4,9)
Pallithodu
Thekkekkara, Kurathiyadu
District Specific Suggestion
Alapuzha is showing evidence of recent local transmissions and increase in
locally acquired cases. Monitor the cases and do mapping daily to identify
early warning signs such as stray positive cases in more numbers not knowing
the source of infection, sudden death, sudden increase in fever cases,
respiratory illnesses in OPD.
District to focus on Clusters at Indo Tibetan camp
Improve surveillance at coastal areas
0 0 0 0 0 0 0 0 0 0 0 2 2 2 4 4 5 7 7 121619212828313136384855
6363667074837676
89989599100
858492
848597
116118133
154161165161169169
178196
179191195
210208224
0
50
100
150
200
250
5-4
-20
5-6
-20
5-8
-20
5-1
0-2
0
5-1
2-2
0
5-1
4-2
0
5-1
6-2
0
5-1
8-2
0
5-2
0-2
0
5-2
2-2
0
5-2
4-2
0
5-2
6-2
0
5-2
8-2
0
5-3
0-2
0
6-1
-20
6-3
-20
6-5
-20
6-7
-20
6-9
-20
6-1
1-2
0
6-1
3-2
0
6-1
5-2
0
6-1
7-2
0
6-1
9-2
0
6-2
1-2
0
6-2
3-2
0
6-2
5-2
0
6-2
7-2
0
6-2
9-2
0
7-1
-20
7-3
-20
7-5
-20
7-7
-20
7-9
-20
Active Cases
Active Cases
39
THRISSUR
Population - 31 Lakhs
Population density - 1026/km2.
Thrissur- COVID scenario
KERALA
TSR
Percentage
of total in
TSR
Total number of confirmed cases 6534 557 8.52
Total cases recovered 3708 339 9.14
Deaths 27 3 11.11
Total active cases 2795 215 7.69
AFTER 4TH MAY
Import 5161 460 8.91
Contacts 874 83 9.50
Total 6035 543 9.00
Proportion of locally acquired cases (after may
4) % 14.48 15.29
Imported: locally acquired ratio (after may 4) 5.91 : 1 5.54 : 1
CONTACTS UNDER SURVEILLANCE
Total people currently under observation 29819 3511 11.77
Primary contacts 25306 3057 12.08
Secondary contacts 4513 454 10.06
Travellers 17833 2541 14.25
Local contacts 11986 970 8.09
Thrissur constituted 8.2 % of COVID cases reported in last 14 days and 8.52% of
total cases in state.
40
Recovery rate is 60.8 % as on 9-07-2020
New cases
416510
373 339415
197 212276 219 194 224 172
84 77
5
1
43
0
5 12
1 22
0
0 1
435 236
274215
134
303 237166
185 191 144122
91 62
0
100
200
300
400
500
600
700
800
900
MPM856
PKD748
KNR651
TSR557
KGD549
TVM505
ALP451
KLM444
PTA406
EKM388
KKD370
KTM294
IDK175
WYD140
DISTRICT WISE DISTRIBUTION
Recovered
Death
Active
0
2
4
1
4
12
34 4
76
10
3
9
6
4 4
8
16
2627
6
10
25
14
4
7
3
78
6
1
6
16
12
1415
10
7
22
17
26
4
16
9
2120
12
14
10
25
27
0
5
10
15
20
25
30
5-4
-20
5-6
-20
5-8
-20
5-1
0-2
0
5-1
2-2
0
5-1
4-2
0
5-1
6-2
0
5-1
8-2
0
5-2
0-2
0
5-2
2-2
0
5-2
4-2
0
5-2
6-2
0
5-2
8-2
0
5-3
0-2
0
6-1
-20
6-3
-20
6-5
-20
6-7
-20
6-9
-20
6-1
1-2
0
6-1
3-2
0
6-1
5-2
0
6-1
7-2
0
6-1
9-2
0
6-2
1-2
0
6-2
3-2
0
6-2
5-2
0
6-2
7-2
0
6-2
9-2
0
7-1
-20
7-3
-20
7-5
-20
7-7
-20
7-9
-20
New cases
41
Active Cases
Spot Map of Cases in Thrissur
0 0 0 0 0 0 2 2 2 2 2 2 6 6 1011101316161616181825333940
495557596177
89
114115123
140150151151146150147
131120126
105113117
127134126
142153
173165165165
180189189189193
205202
0
50
100
150
200
250
5-4
-20
5-6
-20
5-8
-20
5-1
0-2
0
5-1
2-2
0
5-1
4-2
0
5-1
6-2
0
5-1
8-2
0
5-2
0-2
0
5-2
2-2
0
5-2
4-2
0
5-2
6-2
0
5-2
8-2
0
5-3
0-2
0
6-1
-20
6-3
-20
6-5
-20
6-7
-20
6-9
-20
6-1
1-2
0
6-1
3-2
0
6-1
5-2
0
6-1
7-2
0
6-1
9-2
0
6-2
1-2
0
6-2
3-2
0
6-2
5-2
0
6-2
7-2
0
6-2
9-2
0
7-1
-20
7-3
-20
7-5
-20
7-7
-20
7-9
-20
Active Cases
42
Clusters Identified in Thrissur
THQH Chavakkad - 149 hospital staff and 32 ASHA workers of which 9 were
found positive (1 Staff nurse, 1 OP receptionist, 2 ASHA workers and 1 cook, 2
JPHN, 1 PRO and 1 Lay Secretary)
CHC Vadakkekad - 47 hospital staff and 22 ASHA workers of which 3 were
found positive (PRO, Doctor, Palliative nurse)
PHC Porathissery - 20 hospital staff and 26 ASHA workers of which 5 were
positive (1 JPHN, 1 JHI, 1 Pharmacist, 1 Ambulance driver, ASHA).
Corporation Office, Thrissur
Warehouse, Thrissur
The possible reason for clustering among the HCW points to compromise in
the general preventive measures in maintaining social distancing, use of
mask and proper sanitation. (eg. Sharing common space for having food
(together) etc. especially in ill ventilated rooms).
43
Actions taken by District
• Preparing spot map of cases
• Active case finding by Detailed contact racing
• Enforcement of rom quarantine
Activities in containment zone
• Testing of contacts as per guidelines
• Testing of al IL/ SARI cases from the area.
• Strict enforcement of social distancing
District Specific Actions
Thrissur is showing evidence of recent local transmissions and increase in locally
acquired cases. Monitor the cases and do mapping daily to identify early
warning signs such as stray positive cases in more numbers not knowing the
source of infection, sudden death, sudden increase in fever cases, respiratory
illnesses in OPD.
Strengthen Hospital Infection control in all hospitals
Strengthen surveillance in coastal areas
44
KASARAGOD
Population - 13.1 Lakhs
Population density - 656/km2.
Kasaragod- COVID scenario
KERALA KGD Percentage
Total number of confirmed cases 6534 549 8.40
Total cases recovered 3708 415 11.19
Deaths 27 0 0.00
Total active cases 2795 134 4.79
AFTER 4TH MAY
Import 5161 349 6.76
Contacts 874 22 2.52
Total 6035 371 6.15
Proportion of locally acquired cases (after may
4) % 14.48 5.93
Imported: locally acquired ratio (after may 4) 5.91 : 1 15.9 : 1
CONTACTS UNDER SURVEILLANCE
Total people currently under observation 29819 448 1.50
Primary contacts 25306 406 1.60
Secondary contacts 4513 42 0.93
Travellers 17833 132 0.74
Local contacts 11986 316 2.64
Kasaragod constituted 4.5% of COVID cases reported in last 14 days and 8.4
% of total cases in state.
45
Recovery rate is 75.6 % as on 9-07-2020
New cases
416510
373 339415
197 212276 219 194 224 172
84 77
5
1
43
0
5 12
1 22
0
0 1
435 236
274215
134
303 237166
185 191 144122
91 62
0
100
200
300
400
500
600
700
800
900
MPM856
PKD748
KNR651
TSR557
KGD549
TVM505
ALP451
KLM444
PTA406
EKM388
KKD370
KTM294
IDK175
WYD140
DISTRICT WISE DISTRIBUTION
Recovered
Death
Active
0
4
10
1 12
1 1
7
45
14
3
10
18
43
10
14
9
3
12
1
10
3
8
2
10
4
9
6
32
9
34
76
9
6
4
2
11
6
4
8
10
5
7
14
28
6
13
4
11
0
5
10
15
20
25
30
5-4
-20
5-6
-20
5-8
-20
5-1
0-2
0
5-1
2-2
0
5-1
4-2
0
5-1
6-2
0
5-1
8-2
0
5-2
0-2
0
5-2
2-2
0
5-2
4-2
0
5-2
6-2
0
5-2
8-2
0
5-3
0-2
0
6-1
-20
6-3
-20
6-5
-20
6-7
-20
6-9
-20
6-1
1-2
0
6-1
3-2
0
6-1
5-2
0
6-1
7-2
0
6-1
9-2
0
6-2
1-2
0
6-2
3-2
0
6-2
5-2
0
6-2
7-2
0
6-2
9-2
0
7-1
-20
7-3
-20
7-5
-20
7-7
-20
7-9
-20
New cases
New cases
46
Active cases
No active clusters in Kasaragod
3 3 3 1 1 1 0 4 4 41413131416161515
2223263435
45
63646776
898986
9891
99969910191
969810110210193
1019293
98100102102108104106
111112114116107
8878
86
114104
115111109
0
20
40
60
80
100
120
140
5-4
-20
5-6
-20
5-8
-20
5-1
0-2
0
5-1
2-2
0
5-1
4-2
0
5-1
6-2
0
5-1
8-2
0
5-2
0-2
0
5-2
2-2
0
5-2
4-2
0
5-2
6-2
0
5-2
8-2
0
5-3
0-2
0
6-1
-20
6-3
-20
6-5
-20
6-7
-20
6-9
-20
6-1
1-2
0
6-1
3-2
0
6-1
5-2
0
6-1
7-2
0
6-1
9-2
0
6-2
1-2
0
6-2
3-2
0
6-2
5-2
0
6-2
7-2
0
6-2
9-2
0
7-1
-20
7-3
-20
7-5
-20
7-7
-20
7-9
-20
Active Cases
Active Cases
47
KOZHIKODE
Population - 30.8 Lakhs
Population density - 1316/km2.
Kozhikode- COVID scenario
KERALA
KKD
Percentage
in KKD of
state total
Total number of confirmed cases 6534 370 5.66
Total cases recovered 3708 224 6.04
Deaths 27 2 7.41
Total active cases 2795 144 5.15
AFTER 4TH MAY
Import 5161 314 6.08
Contacts 874 31 3.55
Total 6035 345 5.72
Proportion of locally acquired cases (after may
4) % 14.48 8.99
Imported: locally acquired ratio (after may 4) 5.91 : 1 10.1 : 1
CONTACTS UNDER SURVEILLANCE
Total people currently under observation 29819 6075 20.37
Primary contacts 25306 6056 23.93
Secondary contacts 4513 19 0.42
Travellers 17833 3714 20.83
Local contacts 11986 2361 19.70
Kozhikode constituted 5 % of COVID cases reported in last 14 days and 5.66 %
of total cases in state.
48
Recovery rate is 60.5 % as on 9-07-2020
Daily report of New cases
416510
373 339415
197 212276 219 194 224 172
84 77
5
1
43
0
5 12
1 22
0
0 1
435 236
274215
134
303 237166
185 191 144122
91 62
0
100
200
300
400
500
600
700
800
900
MPM856
PKD748
KNR651
TSR557
KGD549
TVM505
ALP451
KLM444
PTA406
EKM388
KKD370
KTM294
IDK175
WYD140
DISTRICT WISE DISTRIBUTION
Recovered
Death
Active
01 1
23
2 21
54
1
4
2
6
1
4
2
5
7
10
4 4
6
13
7
10
1
4
12
8
6
4
65
6
12
10
56
3
7 78
7
9
4
67
14
8
20
151515
8
0
5
10
15
20
25
5-4
-20
5-6
-20
5-8
-20
5-1
0-2
0
5-1
2-2
0
5-1
4-2
0
5-1
6-2
0
5-1
8-2
0
5-2
0-2
0
5-2
2-2
0
5-2
4-2
0
5-2
6-2
0
5-2
8-2
0
5-3
0-2
0
6-1
-20
6-3
-20
6-5
-20
6-7
-20
6-9
-20
6-1
1-2
0
6-1
3-2
0
6-1
5-2
0
6-1
7-2
0
6-1
9-2
0
6-2
1-2
0
6-2
3-2
0
6-2
5-2
0
6-2
7-2
0
6-2
9-2
0
7-1
-20
7-3
-20
7-5
-20
7-7
-20
7-9
-20
New cases
49
Active Cases
Spot Map Kozhikode
No active cluster in Kozhikode
0 0 0 0 0 1 1 1 1 2 3 6 9 11131315141822222626283235383842485055595661
7578817780909498102
9498102104109107113
80828089888991
8293
108120
130126135146154
0
20
40
60
80
100
120
140
160
180
5-4
-20
5-6
-20
5-8
-20
5-1
0-2
0
5-1
2-2
0
5-1
4-2
0
5-1
6-2
0
5-1
8-2
0
5-2
0-2
0
5-2
2-2
0
5-2
4-2
0
5-2
6-2
0
5-2
8-2
0
5-3
0-2
0
6-1
-20
6-3
-20
6-5
-20
6-7
-20
6-9
-20
6-1
1-2
0
6-1
3-2
0
6-1
5-2
0
6-1
7-2
0
6-1
9-2
0
6-2
1-2
0
6-2
3-2
0
6-2
5-2
0
6-2
7-2
0
6-2
9-2
0
7-1
-20
7-3
-20
7-5
-20
7-7
-20
7-9
-20
Active Cases
50
KOTTAYAM
Population - 19.75 Lakhs
Population density - 894/km2.
Kottayam- COVID scenario
KERALA
KTM
Percentage
in
Kottayam
of total in
state
Total number of confirmed cases 6534 294 4.50
Total cases recovered 3708 172 4.64
Deaths 27 0 0.00
Total active cases 2795 122 4.36
AFTER 4TH MAY
Import 5161 257 4.98
Contacts 874 17 1.95
Total 6035 274 4.54
Proportion of locally acquired cases (after may
4) % 14.48 6.20
Imported: locally acquired ratio (after may 4) 5.91 : 1 15.1 : 1
CONTACTS UNDER SURVEILLANCE
Total people currently under observation 29819 2253 7.56
Primary contacts 25306 2245 8.87
Secondary contacts 4513 8 0.18
Travellers 17833 2123 11.90
Local contacts 11986 130 1.08
Kottayam constituted 4 % of COVID cases reported in last 14 days and 4.5 %
of total cases in state.
51
Recovery rate is 58.5 % as on 9-07-2020
Daily report of New cases
416510
373 339415
197 212276 219 194 224 172
84 77
5
1
43
0
5 12
1 22
0
0 1
435 236
274215
134
303 237166
185 191 144122
91 62
0
100
200
300
400
500
600
700
800
900
MPM856
PKD748
KNR651
TSR557
KGD549
TVM505
ALP451
KLM444
PTA406
EKM388
KKD370
KTM294
IDK175
WYD140
DISTRICT WISE DISTRIBUTION
Recovered
Death
Active
01 1
23
2 2 2
6
3
1 1
6
8
5
12
3 3
8
32
3
1
3
10
4 4
11
7
1110
13
87
2
18
15
5
34
9
14
6
8
6
3
17
7
0
2
4
6
8
10
12
14
16
18
20
5-4
-20
5-6
-20
5-8
-20
5-1
0-2
0
5-1
2-2
0
5-1
4-2
0
5-1
6-2
0
5-1
8-2
0
5-2
0-2
0
5-2
2-2
0
5-2
4-2
0
5-2
6-2
0
5-2
8-2
0
5-3
0-2
0
6-1
-20
6-3
-20
6-5
-20
6-7
-20
6-9
-20
6-1
1-2
0
6-1
3-2
0
6-1
5-2
0
6-1
7-2
0
6-1
9-2
0
6-2
1-2
0
6-2
3-2
0
6-2
5-2
0
6-2
7-2
0
6-2
9-2
0
7-1
-20
7-3
-20
7-5
-20
7-7
-20
7-9
-20
New cases
52
Active Cases
Spot Map of Kottayam
6 60 0 0 0 0 0 1 2 2 2 2 2 4 4 5 7 9 101012
191922222222191924
2931333437434447494850
6060606968
8088
97939696
114120121
113110108117118116
121116118
136134
0
20
40
60
80
100
120
140
160
5-4
-20
5-6
-20
5-8
-20
5-1
0-2
0
5-1
2-2
0
5-1
4-2
0
5-1
6-2
0
5-1
8-2
0
5-2
0-2
0
5-2
2-2
0
5-2
4-2
0
5-2
6-2
0
5-2
8-2
0
5-3
0-2
0
6-1
-20
6-3
-20
6-5
-20
6-7
-20
6-9
-20
6-1
1-2
0
6-1
3-2
0
6-1
5-2
0
6-1
7-2
0
6-1
9-2
0
6-2
1-2
0
6-2
3-2
0
6-2
5-2
0
6-2
7-2
0
6-2
9-2
0
7-1
-20
7-3
-20
7-5
-20
7-7
-20
7-9
-20
Active Cases
53
Clusters in Kottayam
Chirakkadavu – ward 4,5
Pallikkathodu – ward 8
Erumali – Ward 12
Suggestions for Kottayam
Improve surveillance in markets.
54
IDUKKI
Population - 11 Lakhs
Population density - 254/km2.
Idukki- COVID scenario
KERALA
IDK
Percentage
in IDK of
state total
Total number of confirmed cases 6534 175 2.68
Total cases recovered 3708 84 2.27
Deaths 27 0 0.00
Total active cases 2795 91 3.26
AFTER 4TH MAY
Import 5161 138 2.67
Contacts 874 13 1.49
Total 6035 151 2.50
Proportion of locally acquired cases (after may
4) % 14.48 8.61
Imported: locally acquired ratio (after may 4) 5.91 : 1 10.6 : 1
CONTACTS UNDER SURVEILLANCE
Total people currently under observation 29819 723 2.42
Primary contacts 25306 588 2.32
Secondary contacts 4513 135 2.99
Travellers 17833 34 0.19
Local contacts 11986 689 5.75
Idukki constituted 2.8 % of COVID cases reported in last 14 days and 2.68 % of
total cases in state.
55
Recovery rate is 48 % as on 9-07-2020
Daily report of New cases
416510
373 339415
197 212276 219 194 224 172
84 77
5
1
43
0
5 12
1 22
0
0 1
435 236
274215
134
303 237166
185 191 144122
91 62
0
100
200
300
400
500
600
700
800
900
MPM856
PKD748
KNR651
TSR557
KGD549
TVM505
ALP451
KLM444
PTA406
EKM388
KKD370
KTM294
IDK175
WYD140
DISTRICT WISE DISTRIBUTION
Recovered
Death
Active
01 1 1 1 1
4
1
9
3 3
1
4
1
4
2 2
6
21
11
4
6
32 2
45
1
8
2 2
6 6
1
2020
0
5
10
15
20
25
5-4
-20
5-6
-20
5-8
-20
5-1
0-2
0
5-1
2-2
0
5-1
4-2
0
5-1
6-2
0
5-1
8-2
0
5-2
0-2
0
5-2
2-2
0
5-2
4-2
0
5-2
6-2
0
5-2
8-2
0
5-3
0-2
0
6-1
-20
6-3
-20
6-5
-20
6-7
-20
6-9
-20
6-1
1-2
0
6-1
3-2
0
6-1
5-2
0
6-1
7-2
0
6-1
9-2
0
6-2
1-2
0
6-2
3-2
0
6-2
5-2
0
6-2
7-2
0
6-2
9-2
0
7-1
-20
7-3
-20
7-5
-20
7-7
-20
7-9
-20
New cases
56
Active Cases
Clusters in Idukki
Kanjikuzhi Panchayat, 4 Cases
Kattappana Municipality, Ward 8, 4 cases – Was under lockdown, testing of
al contacts done – 4 primary contacts (9.5%) turned positve, Sentinel
surveilence samples taken from Kattappana high risk groups for 2weks, none
turned out to be positve.
Actions taken
Special teams at the DSU level & Peripheral level constituted
Block Level Nodal Oficers (Health block) identified
Sample collecting facility provided
5 mobile sample collection teams, planning to upscale to 10.
DSU has 20 teams with specific assigned roles, supported by 6public
health experts
1 1 1 1 1 0 0 0 0 0 1 1 1 1 1 1 1 2 2 2 2 2 2 2 3 47 7 8 8
17172022232322
262623
2625272727333536
4749495354
504846514948
42424147
5353
72
85
0
10
20
30
40
50
60
70
80
90
5-4
-20
5-6
-20
5-8
-20
5-1
0-2
0
5-1
2-2
0
5-1
4-2
0
5-1
6-2
0
5-1
8-2
0
5-2
0-2
0
5-2
2-2
0
5-2
4-2
0
5-2
6-2
0
5-2
8-2
0
5-3
0-2
0
6-1
-20
6-3
-20
6-5
-20
6-7
-20
6-9
-20
6-1
1-2
0
6-1
3-2
0
6-1
5-2
0
6-1
7-2
0
6-1
9-2
0
6-2
1-2
0
6-2
3-2
0
6-2
5-2
0
6-2
7-2
0
6-2
9-2
0
7-1
-20
7-3
-20
7-5
-20
7-7
-20
7-9
-20
Active Cases
57
KOLLAM
Population - 25.8 Lakhs
Population density - 1037/km2.
Kollam is the most populous district in Kerala.
Kollam- COVID scenario
KERALA KLM Percentage
Total number of confirmed cases 6534 444 6.80
Total cases recovered 3708 276 7.44
Deaths 27 2 7.41
Total active cases 2795 166 5.94
AFTER 4TH MAY
Import 5161 388 7.52
Contacts 874 35 4.00
Total 6035 423 7.01
Proportion of locally acquired cases (after may
4) % 14.48 8.27
Imported: locally acquired ratio (after may 4) 5.91 : 1 11.1 : 1
CONTACTS UNDER SURVEILLANCE
Total people currently under observation 29819 356 1.19
Primary contacts 25306 272 1.07
Secondary contacts 4513 84 1.86
Travellers 17833 251 1.41
Local contacts 11986 105 0.88
Kollam constituted 5.7 % of COVID cases reported in last 14 days and 6.8 % of
total cases in state.
58
Recovery rate is 62.2 % as on 9-07-2020
Daily report of New cases
416510
373 339415
197 212276 219 194 224 172
84 77
5
1
43
0
5 12
1 22
0
0 1
435 236
274215
134
303 237166
185 191 144122
91 62
0
100
200
300
400
500
600
700
800
900
MPM856
PKD748
KNR651
TSR557
KGD549
TVM505
ALP451
KLM444
PTA406
EKM388
KKD370
KTM294
IDK175
WYD140
DISTRICT WISE DISTRIBUTION
Recovered
Death
Active
01 1
6
21
3 32
4 4
12
4
65
8
5
11
2
19
9
5 54
8
4
1
4 4
1413
17
24
1313
4
18
13
16
12
1011
12
3
9
23
16
101111
8
10
0
5
10
15
20
25
30
5-4
-20
5-6
-20
5-8
-20
5-1
0-2
0
5-1
2-2
0
5-1
4-2
0
5-1
6-2
0
5-1
8-2
0
5-2
0-2
0
5-2
2-2
0
5-2
4-2
0
5-2
6-2
0
5-2
8-2
0
5-3
0-2
0
6-1
-20
6-3
-20
6-5
-20
6-7
-20
6-9
-20
6-1
1-2
0
6-1
3-2
0
6-1
5-2
0
6-1
7-2
0
6-1
9-2
0
6-2
1-2
0
6-2
3-2
0
6-2
5-2
0
6-2
7-2
0
6-2
9-2
0
7-1
-20
7-3
-20
7-5
-20
7-7
-20
7-9
-20
New cases
59
Active Cases
Details of Clusters
Old Clusters (Already Contained)
1. CHATHANOOR
2. KALLUVATHUKKAL
3. KADAKKAL
4. KULATHUPUZHA
Current Clusters
1. KAVANADU
2. SHAKTHIKULANGARA
3. ERAVIPURAM
4. PULAMON
KOTTARAKKARA
3 3 3 3 3 3 3 3 3 2 0 0 0 1 5 4 4 6 7 9 11111519202225303541445253
7278838689949191928286
95100103
124137
150149164
178183180189
181193
173181
204
183
155157162144145
0
50
100
150
200
250
5-4
-20
5-6
-20
5-8
-20
5-1
0-2
0
5-1
2-2
0
5-1
4-2
0
5-1
6-2
0
5-1
8-2
0
5-2
0-2
0
5-2
2-2
0
5-2
4-2
0
5-2
6-2
0
5-2
8-2
0
5-3
0-2
0
6-1
-20
6-3
-20
6-5
-20
6-7
-20
6-9
-20
6-1
1-2
0
6-1
3-2
0
6-1
5-2
0
6-1
7-2
0
6-1
9-2
0
6-2
1-2
0
6-2
3-2
0
6-2
5-2
0
6-2
7-2
0
6-2
9-2
0
7-1
-20
7-3
-20
7-5
-20
7-7
-20
7-9
-20
Active Cases
60
5. MULANKADAKAM
JUNCTION
6. SHASTHAMCOTTAH
7. CHAVARA
Chatthannur cluster
a. Total contacts identified - 352
b. Positive-3
c. Negative- 219
d. Not tested - 349
Kalluvathukkal cluster
The three cases found positive are epidemiologically linked, The possible
source of infection is P16 who belongs to the earlier cluster of cases from
Chathannoor, works in FHC Chathannor, but stays in Kalluvathukkal. No other
contacts have become positive.
District Specific Suggestion
District to strengthen surveillance at coastal areas
61
PALAKKAD
Population - 28 Lakhs
Population density - 627/km2.
Palakkad- COVID scenario
KERALA PKD Percentage
Total number of confirmed cases 6534 748 11.45
Total cases recovered 3708 510 13.75
Deaths 27 1 3.70
Total active cases 2795 236 8.44
AFTER 4TH MAY
Import 5161 678 13.14
Contacts 874 55 6.29
Total 6035 733 12.15
Proportion of locally acquired cases (after
may 4) % 14.48 7.50
Imported: locally acquired ratio (after may 4) 5.91 : 1 12.3 : 1
CONTACTS UNDER SURVEILLANCE
Total people currently under observation 29819 1446 4.85
Primary contacts 25306 1213 4.79
Secondary contacts 4513 233 5.16
Travellers 17833 443 2.48
Local contacts 11986 1003 8.37
Palakkad constituted 10.69 % of COVID cases reported in last 14 days and
11.45% of total cases in state.
62
The second most burdened district in the state, Recovery rate is 68.2 % as on
9-07-2020
New cases
416510
373 339415
197 212276 219 194 224 172
84 77
5
1
43
0
5 12
1 22
0
0 1
435 236
274215
134
303 237166
185 191 144122
91 62
0
100
200
300
400
500
600
700
800
900
MPM856
PKD748
KNR651
TSR557
KGD549
TVM505
ALP451
KLM444
PTA406
EKM388
KKD370
KTM294
IDK175
WYD140
DISTRICT WISE DISTRIBUTION
Recovered
Death
Active
0 1 2 31 2 2 1 1
7
1
5
19
4 5
29
8
1614
912
25 5
7
40
11
6
1
14
6
13
58
6 7 6 6
14
10
23
1516
27
16
242325
4
12
171718
14
2929
8
29
25
50
0
10
20
30
40
50
60
5-4
-20
5-6
-20
5-8
-20
5-1
0-2
0
5-1
2-2
0
5-1
4-2
0
5-1
6-2
0
5-1
8-2
0
5-2
0-2
0
5-2
2-2
0
5-2
4-2
0
5-2
6-2
0
5-2
8-2
0
5-3
0-2
0
6-1
-20
6-3
-20
6-5
-20
6-7
-20
6-9
-20
6-1
1-2
0
6-1
3-2
0
6-1
5-2
0
6-1
7-2
0
6-1
9-2
0
6-2
1-2
0
6-2
3-2
0
6-2
5-2
0
6-2
7-2
0
6-2
9-2
0
7-1
-20
7-3
-20
7-5
-20
7-7
-20
7-9
-20
New cases
63
Active cases
Potential places in Palakkad District where clusters can evolve
1. Kanjikkode Industrial area and Alanallur
2. Tamilnadu border sharing area in Chittoor Thaluka
3. KSRTC,Municipal,Olavakkodeand Stadium bus stands
4. Streets and shops along the NH66 from Walayar to Vaniyampara
where interstate passengers and interstate truck drivers halt for
refreshment/rets
5. Palakkad junction,town and Shornur railway stations
6. Majormarkets:Kanjikkode,Koduvayur,Velanthavalam,Kuzhalman
nam,Vaniyamkulam,Palakkad Major markets in
Valiyangadi,Wadakkanchery
7. Busstands-
Ottapalam,Mannarkkad,Pattambi,Wadakkanchery,Alathur
8. Attapadi area
9. Puthunagaram,Anikkode,Kollangode junctions
Cluster containment measures
1. Aggressive contact tracing activated immediately identifying the
cluster
2. A control room will be started at the block PHC level
3. Active case search
4. Enhanced CONTACTS UNDER CONTACTS UNDER SURVEILLANCE of
ILI/SARI cases in the buffer zone through the Govt.hospitals,private
hospitals and clinics,nursing homes ,general practiotioners,AYUSH
hospitals and practitioners.
1 1 1 1 1 1 0 1 2 4 6 7 9 121313202126444853
8189105
117125138138143148141
180160159158
172178178177176
154146143124127122
135149154
181196
214
237
260261268277283
249
191176
196
172176193
226
0
50
100
150
200
250
300
5-4
-20
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-20
5-8
-20
5-1
0-2
0
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0
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0
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8-2
0
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0-2
0
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2-2
0
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4-2
0
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6-2
0
5-2
8-2
0
5-3
0-2
0
6-1
-20
6-3
-20
6-5
-20
6-7
-20
6-9
-20
6-1
1-2
0
6-1
3-2
0
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5-2
0
6-1
7-2
0
6-1
9-2
0
6-2
1-2
0
6-2
3-2
0
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5-2
0
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0
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0
7-1
-20
7-3
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7-5
-20
7-7
-20
7-9
-20
Active Cases
64
5. Testing all ILI from zone for 28 days or until no unlinked cases reported
for at least 28 days
6. SARI cases at all health facilities will be tested with RT-PCR
7. After ensuring all these measures taken containment zone and buffer
zone will be declared Shops,markets and public movement will adhere
strictly to the containment strategies like double/triple lockdown as per
the situation analysis by the District Authorities Palakkad.
8. Continuous IEC will be given when clusters are being identified giving
on emphasis on various aspects of Covid 19 in a phased manner
Active case search
• Case search will be coordinated by a special team at the Panchayath
level headed by PHC Medical Officer with the support of Block level
Medical officer and Health supervisor by deploying necessary staff from
time to time
• At District levelthis will beimplemented and monitored by the team of
faculty of Dept of Community Medicine, GMC Palakkad, Deputy DMO
&JAMO from the District Medical Office.
• Active case search in the model of Pulse polio model house to house
survey will be conducted strictly adhering to the case definition existing
at that time.
• The basic units of survey will be wards which will be divided equally
among the active search team comprising ASHA, Kudumbashree
workers & volunteers and necessary training will be given by training
team in a decentralised manner.
• Each team will be given 50-75 houses which will be surveyed and data
entered in the concerned forms daily by 12pm which should be
supervised and crosschecked by the RRT member of concerned ward.
• The suspected ILI cases found in the survey will be sent for swab
collection on the same day itself to the nearest swab collection points.
• The data will be compiled at the PHC level and send to the block level
and reporting will happen to the district level before 2pm in excel format
through the block level DEO posted in google spreadsheets on the same
day.
• Every day at block level and district level the team will analyse the
reports, identifies any early warning signals and necessary feedback will
be given back in the virtual meeting platforms with the concerned
blocks.
Survey
• Team members will be in the field on survey days till noon. At the end of
the survey, on each day the forms will be handed over to the team
member in charge of ward by ASHA. Data will be converted to a line
list at the end of each day. The filed team will
1 Do risk assessment of the cases identified
2 Cases after assessment will be send for appropriate testing as per
protocol.
65
Situation analysis and control strategy
• The team will co-ordinate with the medical officer and do a situation
analysis, in which they will identify the threats. They will conduct meetings
with stake holders and conduct field visits. The team will arrive at a locally
feasible, actionable plan for the control of Covid transmission in the
area. The plan should consider locally sustainable measures which can
be practiced for at least next 6 months.
66
PATHANAMTHITTA
Population - 12 Lakhs
Population density - 466/km2.
Pathanamthitta- COVID scenario
KERALA PTA Percentage
Total number of confirmed cases 6534 406 6.21
Total cases recovered 3708 219 5.91
Deaths 27 1 3.70
Total active cases 2795 185 6.62
AFTER 4TH MAY
Import 5161 382 7.40
Contacts 874 7 0.80
Total 6035 389 6.45
Proportion of locally acquired cases (after may
4) % 14.48 1.80
Imported: locally acquired ratio (after may 4) 5.91 : 1 54.6 : 1
CONTACTS UNDER SURVEILLANCE
Total people currently under observation 29819 115 0.39
Primary contacts 25306 105 0.41
Secondary contacts 4513 10 0.22
Travellers 17833 105 0.59
Local contacts 11986 10 0.08
Pathanamthitta constituted 5.1 % of COVID cases reported in last 14 days
and 6.21 % of total cases in state.
67
Recovery rate is 53.9 % as on 9-07-2020
Daily report of New cases
416510
373 339415
197 212276 219 194 224 172
84 77
5
1
43
0
5 12
1 22
0
0 1
435 236
274215
134
303 237166
185 191 144122
91 62
0
100
200
300
400
500
600
700
800
900
MPM856
PKD748
KNR651
TSR557
KGD549
TVM505
ALP451
KLM444
PTA406
EKM388
KKD370
KTM294
IDK175
WYD140
DISTRICT WISE DISTRIBUTION
Recovered
Death
Active
01 1
21
21
23 3
65
4 4
12
14
11
9
13
3
7
3
5
7
12
11
6
1
11
9
17
8
4
27
25
13
4
6
3
13
1
6
27
7
22
3
26
12
77
0
5
10
15
20
25
30
5-4
-20
5-6
-20
5-8
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5-1
0-2
0
5-1
2-2
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4-2
0
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0
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0
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2-2
0
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-20
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-20
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0
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0
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0
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1-2
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0
6-2
9-2
0
7-1
-20
7-3
-20
7-5
-20
7-7
-20
7-9
-20
New cases
68
Active Cases
Spot Map-Pathanamthitta
1 1 0 0 0 0 0 0 1 1 2 2 2 2 4 5 7 7 7 7 9 1210131924232528272942
52597275767478858586
9810197106
115119122126
147
171175177166165
179178179
206
181183176174166170169
0
50
100
150
200
250
5-4
-20
5-6
-20
5-8
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0
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-20
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6-9
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6-1
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0
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0
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0
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0
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1-2
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0
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0
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9-2
0
7-1
-20
7-3
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7-5
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7-7
-20
7-9
-20
Active Cases
69
Clusters at Pathanamthitta
Ayathala and Ranni Pazhavangadi Cluster
Activities and Plan
70
WAYANAD
Population - 8 Lakhs
Population density - 384/km2.
Wayanad- COVID scenario
KERALA
WYD
Percentage in
WYD as
compared to
state total
Total number of confirmed cases 6534 140 2.14
Total cases recovered 3708 77 2.08
Deaths 27 1 3.70
Total active cases 2795 62 2.22
AFTER 4TH MAY
Import 5161 114 2.21
Contacts 874 22 2.52
Total 6035 136 2.25
Proportion of locally acquired cases
(after may 4) % 14.48 16.18
Imported: locally acquired ratio
(after may 4) 5.91 : 1 5.18 : 1
CONTACTS UNDER SURVEILLANCE
Total people currently under
observation 29819 159 0.53
Primary contacts 25306 72 0.28
Secondary contacts 4513 87 1.93
Travellers 17833 108 0.61
Local contacts 11986 51 0.43
Wayanad constituted 2.1% of COVID cases reported in last 14 days and 2.14
% of total cases in state.
71
Recovery rate is 55 % as on 9-07-2020
Daily report of New cases
416510
373 339415
197 212276 219 194 224 172
84 77
5
1
43
0
5 12
1 22
0
0 1
435 236
274215
134
303 237166
185 191 144122
91 62
0
100
200
300
400
500
600
700
800
900
MPM856
PKD748
KNR651
TSR557
KGD549
TVM505
ALP451
KLM444
PTA406
EKM388
KKD370
KTM294
IDK175
WYD140
DISTRICT WISE DISTRIBUTION
Recovered
Death
Active
0
3
0 0 0 0
3
1
0
2
3
5
0 0 0 0 0 0
1 1
0 0 0
3
0
2
0
3
0
6
0
2
3
0 0
2
6
4
0 0
1 1 1
0
3
0
4
5
0
5
2 2 2
5 5 5
0 0
3
1 1
2
6
8
3
14
7
0
2
4
6
8
10
12
14
16
5-4
-20
5-6
-20
5-8
-20
5-1
0-2
0
5-1
2-2
0
5-1
4-2
0
5-1
6-2
0
5-1
8-2
0
5-2
0-2
0
5-2
2-2
0
5-2
4-2
0
5-2
6-2
0
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8-2
0
5-3
0-2
0
6-1
-20
6-3
-20
6-5
-20
6-7
-20
6-9
-20
6-1
1-2
0
6-1
3-2
0
6-1
5-2
0
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0
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1-2
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5-2
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9-2
0
7-1
-20
7-3
-20
7-5
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7-7
-20
7-9
-20
New cases
72
Active Cases
Distribution of Cases in Wayanad
14 4 4 4 4
7 8 811
14191717171716
1111129 8 8 1010
7 7109
14131316161615
2120202020202116
1917222323
2827293034
394343
394040
313233
4141
5458
0
10
20
30
40
50
60
70
5-4
-20
5-6
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5-8
-20
5-1
0-2
0
5-1
2-2
0
5-1
4-2
0
5-1
6-2
0
5-1
8-2
0
5-2
0-2
0
5-2
2-2
0
5-2
4-2
0
5-2
6-2
0
5-2
8-2
0
5-3
0-2
0
6-1
-20
6-3
-20
6-5
-20
6-7
-20
6-9
-20
6-1
1-2
0
6-1
3-2
0
6-1
5-2
0
6-1
7-2
0
6-1
9-2
0
6-2
1-2
0
6-2
3-2
0
6-2
5-2
0
6-2
7-2
0
6-2
9-2
0
7-1
-20
7-3
-20
7-5
-20
7-7
-20
7-9
-20
Active Cases
73
Sulthan Bathery- Guest Worker Camp- 4 Cases in May last week
• Frequent unloading of goods and visit of Truck drivers/workers to the site
from different areas like Calicut, Coimbatore, Rajasthan, Bangalore.
Movement of workers within district and inter district
• Contact tracing and testing all primary contacts with risk prioritisation
• Containment of Bathery municipality divisions by district administration
• 58 primary and 181 secondary contacts identified and quarantined
• Active CONTACTS UNDER CONTACTS UNDER SURVEILLANCE via RRT
started in all divisions, reporting using google form from field.
• Cluster is contained and not active now.
Mananthavadi Cluster- 22 cases in May first week
➢ Strict home quarantine for all the primary and secondary contact
➢ Disinfection of houses and lorry
➢ Contact tracing and testing risk based
➢ Prepared route map and traced out contacts
➢ Quarantine ensured via RRT
➢ Intensified active and passive CONTACTS UNDER CONTACTS UNDER
SURVEILLANCE in affected area, reporting from field using google form
➢ Testing of lorry drivers who visited Koyembedu market was initiated
immediately
➢ Cluster is contained and not active now.
No active cluster in Wayanad as of now
74
COVID-19 (nCorona) Virus Outbreak Control and Prevention State Cell
Health & Family Welfare Department
Government of Kerala
INSTRUCTION TO DISTRICT SURVEILALNCE OFFICERS ON PREPARING A
CONTACT MAP OF CASES FROM LOCAL TRANSMISSION
No. 31/ F2/2020/H&FWD- 2nd July 2020
The COVID-19 pandemic is evolving and the field data and the clinical data is revealing new knowledge into the epidemiology of the disease. It is essential that the technical strategies and guidelines are refined based on the new knowledge for control and prevention of the disease as well as for the efficient resource management. The Department of Health and Family Welfare, Government of Kerala was the first state in India to issue comprehensive guidelines for Testing, Quarantine, Hospital Admission and Discharge for COVID-19 and also for various field works. The District Surveillance Units are doing contact tracing meticulously by using time stamping, rout mapping etc.
In order to facilitate the data analysis specially to identify any cluster of cases formations and need to do intensive prevention interventions in a localized area, the following guidelines are issued.
1. Local transmission cases are those cases which are locally acquired from an international / interstate traveller or cases that may not have a travel or contact history. They are divided into two as follows:
a. Local transmission cases WITH history (contact with an
International / interstate traveller or suspect/confirmed case)
b. Local transmission cases WITHOUT history (NO KNOWN HISTORY)
2. The line list of all such cases in the past 28 days are to be prepared with their age, sex, address etc.
3. Use a plain map of the district with all LSG's names and names of health care institutions
4. The contact map of local cases are to be prepared in three colours.
a. Make a spot map based on the address of the cases identified as local transmission
b. BLUE colour should be given to international / interstate travellers who have become positive in the last 28 days
c. YELLOW colour dots are to be given to cases with history O
d. RED Colour dots are to be given to cases without any known history
75
e. GREEN colour dots are to be provided to Health Care Workers tested positive on their respective institutions marked on the map
f. Epidemiologically linked cases (contacts) are to be linked as per the following with an arrow showing the direction of transmission based on the day of onset of symptoms if available. If no such information is available a straight line should be drawn connecting the dots:
g. If the cases with history have a contact with a traveller then the dot of the traveller should be coloured in blue as follows:
h. Boundary of wards/divisions of Panchayaths / Municipalities with clustering of cases (2 or more local transmission cases in the last 28 days) without any history should be coloured in thick red COIOUr.
i. Clustering of cases in institutions like hostels, camps should be encircled as and labelled as given below:
Secretary
76
Annexure
District Surveillance Officers for COVID
1 Dr. Jose Dcruz DSO, Thiruvananthapuram
2 Dr R Sandhya DSO, Kollam
3 Dr. Nandini C.S DSO, Pathanamthitta
4 Dr.Sushama P.K. DSO, Idukki
5 Dr Rajan K.R DSO, Kottayam
6 Dr. Deepthy DSO, Alappuzha
7 Dr. Sreedevi S DSO, Ernakulam
8 Dr.Anoop T.K DSO, Trissur
9 Dr. K A Nazar DSO, Palakkad
10 Dr. Nandakumar DSO, Malappuram
11 Dr. ASHADEVI DSO, Kozhikkode
12 Dr. Soumya DSO, Wayanad
13 Dr. Shaj MK DSO, Kannur
14 Dr.Manoj.AT DSO, Kasaragode
State level Team to collate the information
1 Dr Sarita R L Director of Health Services
2 Dr Meenakshy
State Surveillance Officer, Addl Director
Health Services Public Health
3 Dr. Vidya Dy Director Health Services Public Health
The Report compilation and analysis
1 Dr Rakesh Consultant WHO Kerala
2 Dr Libu
Asst Professor, Community Medicine, MCH
Thrivuananthapuram
3 Dr Tony
Asst Professor, Community Medicine, MCH
Thrivuananthapuram
77
Acknowledgement
The Department of H&FW is taking all out actions to contain the epidemic. The
Department is taking the efforts to build the capacities of the field functionaries
to bring in scientific rigour in planning and interventions right at the grass roots
so as to mitigate the problem at the right time. This report is the output of the
efforts taken by the field functionaries in meticulously following the people at
risk, conduct symptom surveillance, testing and quarantine or hospital
admissions. After detection of the cases, the District Surveillance Units have
been oriented to study the epidemic regularly and map the cases so as to
know clusters of COVID cases and to take intensive control measures. The work
done by the field teams and District Surveillance Team is highly appreciated.
In any such large-scale operations, the specific nodal units have to put in their
efforts optimally to collate the information. It is appreciated that Dr Sarita R L,
Director Health Services, Dr Meenakshy Addl Director Health Services and Dr
Vidya Dy Director Health Services along with the State Surveillance Unit has
coordinated with the field units and with utmost sense of urgency collected
the information.
After collating the information and reports from various District Surveillance
Units in different forms and shapes, it is noteworthy to mention that at the state
level the team of doctors, Dr Rakesh Bhat, Dr Tony and Dr Libu have interpreted
the information and compiled the report in the shortest possible time.
This framework will guide the DSUs and health functionaries to study the disease
properly and to take appropriate interventions.
Dr Rajan Khobragade
Principal Secretary
Health & Family Welfare
Government of Kerala
78
Department of Health & Family Welfare Government of Kerala Annexe II, Secretariat Thiruvananthapuram
www.health.kerala.gov.in
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