National

Govt para guidelines olaishe

NEW DELHI: Union Health Ministry  para Tuesday te guidelines khan olaishe etu bi COVID-19 aro dusra seasonal epidemic-prone diseases etu te  dengue, malaria, seasonal influenza (H1N1) and chikungunya khan laga   management  nimete.

Etu  Ministry para koishe ekta high indec  suspicion toh  maintain kuribole  lageh epidemic-prone diseases  nimete etu toh  ekta geographic region  nimete monsoon aro post  monsoon season te.

Bacterial co-infections toh moderate nohoile biya  cases   covid19 nimete seasons nimete nohoikena thakibole lageh.

Ministry para koise  ki  ICMR para test kuribole nimete kuwa toh covid 19 nimete aro manu khan ke  recommend kura toh etu programme  para  vector-borne diseases  nimete etu te malaria, dengue and chikungunya and the NCDC for seasonal influenza, leptospirosis, and scrub typhus toh follow kuribole lageh.Aro  rapid diagnostic kits COVID-19 treatment facilities te ase na nai sabole  nimete.

World Health Organization (WHO) case definition hisaab te ekta  covid  19  case  toh thakibole pareh acute onset bukhar aro khasi thakikena     nohoile toh acute  onset komti hoilebi duita nohoile tita    signs nohoile toh symptoms  khan  fever, cough, general weakness/fatigue, headache, myalgia, sore throat, coryza, dyspnoea, anorexia/nausea/ vomiting, diarrhoea, altered mental status thakile toh.

Etu nishena ekta high index suspicion  malaria/dengue  nimete thakibole  lageh judi ekta bukhar laga case covid19 olaishe koile toh etu bi paani gira  aro post rainy season samay te  areas   etu bemar thaka  jaka phaneh.

Guidelines hisaab te  COVID-19 and Seasonal Influenza Influenza-Like Illness (ILI)/SARI, thaka ase etu nimete  sob ILI/SARI cases COVID-19 cases te thaka  jaka  khan te  evaluate kurikena     test kuribole lageh  COVID-19 and Seasonal Influenza nimete judi duita  viruses  toh  population te olai ase koile toh.

Document  te koikena  janaishe ki  Chikungunya thaka toh acute onset logote eman jor para bi nohoikena  para  high-grade continuous fever and malaise tak etu logote  rash, myalgia and arthralgia logote thakibo. Respiratory failure para  late stages te thakibo. Coinfection    COVID-19 logote  Chikungunya endemic areas te thakibo  monsoon moina phaneh.

Scrub typhus toh Himalayas laga foot hills  etu te Jammu & Kashmir, Himachal Pradesh, Sikkim, Manipur, Nagaland, Meghalaya, etc te thakeh.

Hoilei olop akhe phaneh  scrub typhus outbreaks toh  Delhi, Haryana, Rajasthan, Maharashtra, Uttarakhand, Chhattisgarh, Tamil Nadu and Kerala te bi olai thakishe.

Ministry koikena  janaishe  ki  Etu clinical  picture te sudden high-grade fever, severe headache, apathy, myalgia and generalised lymphadenopathy  khan ase. Scrub typhus infection toh  COVID-19 logote milikena  thakibo.

Aro koikena  janaishe  ki COVID-19 laga  kunba  patients khan ekta secondary bacterial infection experience kureh.enika  case te empiric antibiotic therapy logote local antibiogram hisaab te  sabole lageh.