General Guidelines

1. In case, any of the beneficiary has COVID-19 like symptoms of ILI (Influenza Like Illness) and SARI (Severe Acute Respiratory Illness) they shall immediately report to DAE Hospital at Kalpakkam or Anupuram for further medical management as per doctors' /physicians' advice.
2. Fever Clinics are functional at DAE Hospital at Kalpakkam and Anupuram Hospital from : 09.00 AM to 05.00 PM daily Fever Clinics Contact No Kalpakkam (85888)/Anupuram (87222)
3. 05.00 PM to 09.00 AM: visit Casualty facility at DAE Hospital at Kalpakkam or Anupuram hospital and follow the guidance given by doctor.
4. 09:00 AM to 05:00 PM: Limited/ Selective OPD service with limited group of specialists.
5. 24 x 7 Emergency and Casualty service available at both DAE Hospitals
6. CHSS beneficiaries can also send their message/query by email to hospital@igcar.gov.in and a copy to mspa@igcar.gov.in.
7. If any beneficiary is tested COVID-19 positive, the concerned administrative head WILL BE INFORMED FOR FACILITATING THE CONTACT TRACING. The beneficiary would be shifted based on advice from local State Govt. authorities to Quarantine Centre.
8. If any resident in a particular flat/building is identified as COVID-19 positive, the building will be sealed by the local State Govt. authorities. Movement of residents in and out from this containment area will be highly restricted.
9. On receipt of information about the COVID-19 positive case, local authorities and ESG, GSO will carry out sanitization of common areas in the contained area.
10. Beneficiaries are requested to visit the 'COVID-19 Management @ Kalpakkam' of IGCAR website periodically and to follow the latest instructions. The Medical Division would be sharing important information including audio and video instructions about COVID-19 at this website.
11. If non-CHSS-beneficiary family member is tested positive Head, Medical Division should be intimated immediately.
12. If any resident is Home Quarantined suspecting him/her to be a COVID-19 case, the respective associations/ divisions /units /colleagues of the group or the other residents in the neighborhood are requested to help the quarantined family to meet essential needs from outside.
13. Sealed condition in the containment area will continue until clearance is obtained from the local State Govt. authorities.
14. The residents of DAE Township at Kalpakkam and Anupuram Township are requested to follow the COVID-19 related guidelines issued by the Ministry of Health & Family Welfare and the Government of Tamil Nadu from time to time. All are also encouraged to go through COVID KATHA-A multimedia guide for mass awareness brought out by Department of Science and Technology, Government of India and the COVID-19 related materials by Ministry of Health and Family Welfare, Govt. of India.
15. Residents are requested to remain indoors and minimize their movement only for the essential needs.
16. The norms of social distancing should strictly be followed. Wearing of face mask is mandatory while moving outside the residence.
17. Going out of the townships should be avoided as far as possible.
18. Registering in Aarogya Setu is mandatory for all employees.
19. It is mandatory to declare and visit the FEVER CLINIC for the relatives arriving home at the Townships, from outside state / country.
20. For domestic helpers, ensure their health condition and enquire about their family contact related to COVID-19
21. Ensure special care to senior citizens, children below 10 years and persons with respiratory illness.
22. Vegetables and fruits to be washed properly before use.
23. Avoid visits to other house and visitors as far as possible.
24. Avoid spreading unconfirmed information about COVID-19 in social media.

Guidelines for testing cases

• Considering the apprehensions of the employees and their family members in the wake of recent COVID-19cases in the townships and neighbourhood and requests for testing, it has been decided that DAE Hospital Kalpakkam would follow the Tamilnadu State Govt. Guidelines w.r.t strategy for COVID 19 testing. Wards, relatives and in some cases, employees, are coming from different districts/ states/ countries, and many queries have been received on testing and quarantine conditions. To address these apprehensions and queries, the extracts from the TN Health and Family Welfare Dept. GO.Ms.No.219 dt. 18.05.2020 and GO.Ms.No.252 dt.24.05.2020, (Guidelines for Domestic Air Passengers) is reproduced below for the benefit of employees and beneficiaries. Full text can be accessed through the links/references given at the end.

Testing Strategies

• All symptomatic (ILI symptoms) individuals with history of international travel in the last 14 days.
• All symptomatic (ILI symptoms) contacts of laboratory confirmed cases.
• All symptomatic (ILI symptoms) health care workers / frontline workers involved in containment and mitigation of COVID-19.
• All patients with Severe Acute Respiratory Infection (SARI).
• Asymptomatic direct and high-risk contacts*(definition as per Ministry of Health and Family Welfare, Govt. of India is given below) of a confirmed case to be tested once between day 5 and day 10 of coming into contact.
• All symptomatic ILI individuals within hotspots/containment zones.
• All hospitalized patients who develop ILI symptoms.
• All symptomatic ILI individuals among returnees and migrants within 7 days of illness.

N.B.:

• ILI case is defined as one with acute respiratory infection with fever >380C & cough.
• SARI case is defined as one with acute respiratory infection with fever >380C & cough and requiring hospitalization.
• All testing in the above categories is recommended by real-time RT-PCR test only.

Testing Guidelines

• Category A: Persons coming from other districts within Tamil Nadu
  • Testing be done only for those coming with symptoms
  • All the individuals to undergo home quarantine for 14 days
  • Category B: Persons coming from Other States /UTs
• Testing to be done on all persons coming from other States/UTs.
  • If they test positive and they are symptomatic, they will be sent for hospital isolation.
  • If they test positive and are asymptomatic, they will be sent to Covid Care Centre for management.
  • If they test negative and are asymptomatic, they will be sentfor home quarantine for 14 days. If quarantine facility is not available in home, they will be sent to quarantine facility in respective district.
  • If they test negative and they are symptomatic, they will be sent to the quarantine facility in respective district for 7 days, and 2nd sample will be taken at the end of the 7th day.
  • If the 2ndsample test is positive and they are symptomatic, they will be shifted to hospital. If the 2nd sample test is positive and they are asymptomatic, they will be sent to Covid Care Centre for further 7 days.
  • If the 2ndsample test is negative, they are advised home quarantine for further 7 days.
• Category C: Persons coming from other Countries
  • Testing to be done on all persons coming from other countries, and all will be put into institutional quarantine facility, either free or paid.
  • If they test positive, they will be taken to hospital isolation.
  • If they test negative, they will be put into institutional quarantine for 7 days in the respective district. If the 2nd sample test taken on 7th day day also shows negative, they can be sent to home quarantine. If quarantine facility is not available at home, they will be sent to the quarantine facility in the respective district for 7 more days.
  • If the 2ndsample test on 7th day is positive and they are symptomatic, they will be sent to hospital isolation.
  • If the 2ndsample test is positive and they asymptomatic, they will be sent to Covid Care Centre for further 7 days.
  • If the 2ndsample test is negative, they will be sent for home quarantine for further 7 days. If quarantine facility is not available in home, they will be sent to the institutional quarantine facility of the district.

Relevant Definitions

• Suspect
  • Anyone with acute respiratory illness {fever and at least one sign/symptom of respiratory disease ( cough, difficulty in breathing),
    AND A history of travel to or residence in a country/area or territory reporting local transmission of COVID-19 disease during the 14 days prior to symptom onset;
    OR Anyone with any acute respiratory illness AND having been in contact with a confirmed COVID-19 case in the last 14 days prior to onset of symptoms;
    OR Anyone with severe acute respiratory infection {fever and at least one sign/symptom of respiratory disease (cough, difficulty in breathing} AND requiring hospitalization;
    OR A case for whom testing for COVID-19 is inconclusive. Laboratory Confirmed case: A person with laboratory confirmation of COVID-19 infection, irrespective of clinical signs and symptoms.
• Contact
  • Staying in the same house without proper protection with COVID-19 patient
  • Staying in the same close environment as a COVID-19 patient (including workplace, classroom, household, gatherings)
  • Travelling together in close proximity (less than 1 m) with a symptomatic person who later tested positive for COVID-19
  • Person providing direct care to a COVID-19 patient The infection may have been transferred within a 14 day period before the onset of illness in the case under consideration
• High Risk Contact
  (Ref : https://www.mohfw.gov.in/pdf/2COVID19PPT_25MarchPPTWithAnimation.pdf)
  • Touched body fluids of the patient (Respiratory tract secretions, blood, vomit, saliva, urine, faces).
  • Had direct physical contact with the body of the patient including physical examination without PPE.
  • Touched or cleaned the linens, or dishes of the patient.
  • Lives in the same household as the patient.
  • Anyone in close proximity (within 3 ft) of the confirmed case without precautions.
  • Passengers in close proximity (within 3 ft) of the conveyance with a symptomatic person who later tested positive for COVID-19 for more than 6 hours.