COVID-2019

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Anil Kumar Sinha, IAS (Retd.)

Founder Vice Chairman, Bihar State Disaster Management Authority, Patna

APPROACH, MANAGEMENT AND RESPONSE BY GOVT. OF BIHAR

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Government of Andhra Pradesh established Andhra Pradesh Human Resource Development Institute

Developed as a State of the Art Training Complex to meet the training needs and capacity building requirements of officers and staff of Govt. Departments, Undertakings and other Public functionaries.

Encompasses Induction, Orientation, skill development, physical and Psychological fitness a sense of ownership of the Government programmes.

Govt. of Andhra Pradesh consider that the APHRD Institute should emerge as a National Institute of Excellence duly focusing on modern administrative and management techniques as also the right mix of service and self-sufficiency

Background of the state

Bihar is located in eastern India. 3rd largest state by population and 12th largest by territory ; has 38-districts.

shares boundary with Uttar Pradesh, West Bengal and Jharkhand as well as with Nepal.

has rich water resources, as several rivers originating in Himalayas flows through the state.

prone to multiple hazards that include flood, earthquake, drought, cyclone, storm, fire, hailstorm and lightning of high intensity.

Flood is the major natural hazard that threaten the lives and livelihood of the communities of the state.

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TOTAL=38 Districts

PHC (Primary Health Centre) =

534

RH or CHC (Referral Hospital or Community Health Centre) = 67

SDH (Sub-Divisional Hospital) = 38

DH (District/SadarHospital) = 36

Medical College & Hospital =10 [Govt-7, Private-3]

Public Health Facility in the state

Over the years, the government has introduced various health programmes and policies to better the standard of life of its citizens.

This has improved the life expectancy of males and females at birth every year and there has been a good decline in infant mortality rate as well.

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Past epidemics In Bihar

The incidence of various diseases remains high and socioeconomic status low in Bihar.

Kala-azar or visceral leishmaniasis epidemic in 1992 had reported 75,523 cases and 1417 deaths.

Other infectious diseases are malaria, tuberculosis, leprosy, and HIV/AIDS.

In June 2019, an outbreak of Acute Encephalitis Syndrome (AES) occurred in Muzaffarpur and the adjoining districts in Bihar resulting in deaths of more than 150 children, mainly due to hypoglycemia

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The Chief Minister of Bihar Nitish Kumar announced an ex gratia payment of ₹4 lakh.

The Union minister of Health Harsh Vardhan visited and announced the set-up of 100-bed pediatric ward at the SKMCH as well as five virology laboratories in Bihar.

Seven pediatric intensive care units were being established.

The interdisciplinary team consisting of experts from Indian Council of Medical Research, National Institute of Mental Health and Neurosciences, National Institute of Malaria Research; National Institute of Nutrition, National Institute of Virology; National Institute of Epidemiology and All India Institute of Medical Sciences, New Delhi was formed and sent to Bihar to study the syndrome and establish the cause.

GOVT. RESPONSE TO ‘AES’

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COVID-19BIHAR’S PRESENT CHALLENGE

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A pneumonia of unknown cause detected in Wuhan, China was first reported to the WHO Country Office in China on 31 December 2019.

The outbreak was declared a Public Health Emergency of International Concern on 30 January 2020.

On 11 February 2020, WHO announced a name for the new coronavirus disease: COVID-19.

THE GLOBAL UNFOLDINGS

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The Government of India confirmed India's first case of Covid-19 on 30 January 2020 in the state of Kerala,

a university student from Wuhan travelled back to the state.

PM Modi on 19 March, asked all citizens to observe 'Janata Curfew' (people's curfew) on Sunday, 22 March.

while addressing the nation second time on 24 March, he announced the nationwide lockdown from midnight of that day, for a period of 21 days.

On 14 April, PM Modi extended the nationwide lockdown till 3 May.

On 16 April, lockdown areas were classified as "red zone", indicating the presence of infection hotspots, "orange zone" indicating some infection, and "green zone" with no infections.

INDIA’S TIMELINE

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ARRIVAL IN BIHAR

The first case in Bihar was reported in Munger district on 22 March 2020.

A 38-year-old who was confirmed positive for coronavirus, was also its first victim, had travel history to Qatar.

so far now in 22 districts of the state, Munger has the highest number of cases.

As on April 28, a total of 366 cases, 2 deaths and 56 recoveries.

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A panoramic comparison of COVID-19

cases

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Global 3116680 928712 217168

INDIA 31332 7696 1007

BIHAR 366 64 2

By April 28

Total Cases Recovered Deaths

Bihar’s Districts

Red Zone = 4

Orange Zone= 7

Green Zone = 27

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District wise covid-19 cases in Bihar

As on April 28

Total Cases 366

Recovered 64

Deaths 2

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Testing in numbers

6- Testing Facilities

290-cases out of 18,369 tests

Positivity Rate

Global = 5.73%

National = 4.76%

Bihar = 1.57 %

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State govt. Response to the pandemic

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declared for ex-gratia to the keen of deceased will be given ₹4 Lakh as compensation from the Chief Minister's Relief Fund.

closed all the schools, colleges, coaching institutes, cinema hall, zoo, parks and anganwadi kendras.

Education Department asked closure of private hostels and lodges in the State.

declared COVID-19 as an epidemic and issued the Bihar Epidemic Diseases COVID-19 Regulation 2020.

Invoked Epidemic Act, 1897 in the State.

The Govt. started screening of inbound travelers at two of its airports viz. Patna and Gaya as well as 49 land transit points at Indo-Nepal border.

TO START WITH

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The state govt. started exercising provisions of Disaster Management Act, 2005.

Issued directions and guidelines for assisting, protecting or providing relief to the community in response to COVID situation.

Chief Minister Nitish Kumar announced Rs 1000 allowance for poor people

Also, Rs. 1000 directly into the accounts of those stranded outside the state through Aapda Sahayata app

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Women associated with the Jeevika self-help groups started using their expertise in sewing and stitching to manufacture facemasks for use by the general public

The Government of Bihar (GoB), through the Bihar Rural Livelihoods Promotion Society (BRLPS), an autonomous body under the Department of Rural Development, is spearheading the World Bank aided Bihar Rural Livelihoods Project (BRLP), locally known as JEEViKA with the objective of social & economic empowerment of the rural poor. Subsequently, the Livelihoods Restoration and Enhancement component of Bihar Kosi Flood Recovery Project (BKFRP) was also taken into the fold of JEEViKA.

Over a period of the next 10 years, the mandate is to mobilize 12.5 million rural HHs into 1 million SHGs (Self Help Group), 65000 VOs(Village Organization) and 1600 CLFs (Cluster Level Federation).

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Control Room at Bihar Bhavan, New Delhi

14,78,065 Bihar emigrants provided

helps in form of Food, shelter, and health

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Door to Door Survey on Pattern of Pulse Polio program

House to House Survey in numbers

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Creative Awareness Campaigns

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Exercise of Bihar Epidemic Diseases, Covid-19, Regulations

Directions to all Private Health sectors

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COVID-19 and the ambit of the Disaster Management Act

The Present national lockdown was imposed under DM Act as per Order dated 24-03-2020 of NDMA ‘to take measures for ensuring social distancing so as to prevent the spread of COVID 19’ (S 6(2)(i)).

Additional guidelines were issued on the same day by the Ministry of Home Affairs, being the Ministry having administrative control of disaster management (S. 10(2)(l)).

In Bihar, Hotel Patliputra Ashok with 200-bed capacity in Patna and an another hotel in Gaya with 100-bed capacity earmarked for isolation purpose.

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Exercises of DM Act,2005 by District Magistrates

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USES OF TECHNOLOGY As on April 29, a total 3,07,640 migrants registered to have enter Bihar since March 15

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State Emergency Operation

Centre(SEOC), Disaster

Management Department, GoB

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Record set up and operationalization of HEOC (Health Emergency Operation Centre) within 4-days

April 1

April 4

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Bihar’s HEOC – The First in India

The Milestone output of HEOC in Containment of Covid-19

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203 “Aapada Rahat Kendras" set up by Disaster Management Department at District HQ, state borders and in other states.

72,100 have benefited so far.

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Other Measures

Medical professionals including doctors, nurses, and paramedics invited to volunteer.

To engage retired doctors, nurses, and paramedics from defence services for volunteer work

Deputation of AYUSH practitioners to assist at isolation and quarantine centres.

On March 23, announced payment of one-month basic salary as an incentive to all doctors and health workers.

On April 13, an order prohibiting spitting in public places by tobacco, cigarette, and Pan users.

Procurement of test kits from the private sector.

HEALTH CARE

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Measures for Economic and agricultural activities

extension in the deadline for payment of GST from March 31 to June 30,

no interest or penalty charges to be levied for late payment in certain cases,

3-month extension in the deadline for one-time settlement scheme for pre-GST tax disputes, and

On April 16, the Chief Minister issued directions to start procurement of wheat through the Primary Agriculture Credit Society (PACS)

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Essential goods and services

Various departments issued guidelines to the

district administration to facilitate operational

continuity of essential goods and services

including (i) food items, (ii) seeds, fertilisers, and other agriculture-related

items, (iii) livestock fodder, and (iv) petroleum

products.

On March 27, the Food and Consumer Protection

Department brought certain new items under the purview of The Bihar Essential Article (Display

of Prices and Stocks) Order, 1977. These

include: (i) wheat and wheat products, (ii) masks and hand sanitisers, and

(iii) potato and onion.

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Education: On April 8, the cabinet approved the proposal to promote students of Class I to XI (except class X) without annual examination.

Legislature: Salaries of MLAs and MLCs have been reduced by 15% for one year. The amount will be donated to the state’s Corona relief fund.

Labour and employment: On April 16, the Chief Minister issued directions to resume public works under the Saat Nischay Programme, Jal Jeevan Hariyali Yojana, and MNREGA.

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MEANWHILE, RESUMPTIONS OF ECONOMIC AND DEVELOPMENT SCHEMES UNDER MNREGA

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POST LOCKDOWN MEASURES

The state Government is mapping its present capacities in terms of isolation centers, Quarantine camps, Relief Centers, Health equipment, Human Resources and future requirements once the lockdown is lifted and huge influx of emigrants shall happen.

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ALSO, THE STATE GOVT. HAS STARTED PREPARING FOR UPCOMING FLOOD SEASON IN PERSPECTIVE OF ONGOING PANDEMIC

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Chief Minister Nitish Kumar took stock of preparedness for AES, Japanese Encephalitis (JE), swine fever and bird flu.

After two deaths due to AES amid COVID-19 pandemic as on April 27,2020

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AWARENESS CAMPAIGN AGAINST ‘AES’

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April 27 Video Conferencing with PM

The CM raised apprehensions about return of students at Kota and other migrant workers citing social distancing issues.

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INFLOW OF MIGRANTS MAY ADD TO LOAD

COVID CRISIS MAY ESCALATE

“NORMAL MONSOON” MAY RESULT IN FLOODING

PROVIDE RELIEF

RESTORE NORMAL

LIFE

SAVE LIVES

Challenges before state

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Challenges

“The government is doing everything at its own level. Why should we seek NGOs’ support when we have our own system?” state’s disaster management minister.

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THANK YOU !