No.D.12018/4/2020-PD/HFW

OFFICE OF THE PRINCIPAL DIRECTOR

HEALTH & FAMILY WELFARE DEPARTMENT

GOVERNMENT OF MIZORAM

 

Dated Aizawl, the 24th June, 2020.

 

 

COVID-19 vei nilote enkawlna damdawiinah COVID rinhlelh/covid -19 vei finfiah

Hmuhchhuah an nih palha hmalak dan tur kaihhruaina

 

(Hei hi Ministry of Health & Family Welfare Directorate General of Health Services EMR Division thuchhuah mizotawng a lehlin a ni.)

 

1. Background

 

Tunlai hian hmun thenkhatah damdawiin khar ngai sawi tur an awm nual mai, a chhan chu damdawiin hnathawktu thenkhat ten COVID-19 an lo kai vang a ni. Hetih mek lai hian COVID-19 enkawlna tur nilo Damdawiin thenkhat ten damlo natna dang (COVID rinhlelhloh) avanga an admit te zingah COVID-19 vei an lo hmuchhuak ve bawk thin a, hei hian damdawiin hnathawkte zingah hlauhthawnna siamin Damdawiin tan harsatna a thlen thei a ni. Ministry of Health & Family Welfare, G.O.I chuan Hospital atanga natna kaichhawn theihte ven dan kaihhruaina chipchiar tak a tichhuak a, kan Damdawiin engemawzat hi chuan an zawm vek lo thei bawk a ni. COVID-19 case ni si  -  nalotea langchhuak /langchhuak miah lo/covid anglo taka langchhuakte hi hmuhchhuah loh a awm in damlo dang te leh thawktute kai chhawng reng thei dinhmunah awmin, damdawiin tan harsatna a siam thei hle a ni.

 

2. Purpose of document

He thurawnin a tum ber chu COVID rinhlelh/vei finfiahlo awm ta se, damdawiin hmalak dan tur kaihhruaina pek a ni.

 

3. Scope

He thurawn hi (i) COVID-19 enkawlna bik damdawiin (sawrkar leh private), COVID-19 rinhlelh emaw COVID-19 vei finfiahte enkawlna leh (ii) COVID-19 vei nilo te enkawlna damdawiin tana buatsaih a ni.

 

4. Institutional arrangement

Hospital Infection Control Committee (HICC) hian member tur ruat bik, tih tur leh mawhphurhna fel tak a neisa a ni. He committee hian thawktute zingah COVID-19 rinhlelh theih natna vei an awm ve leh a hmuchhuak a, report nghal thei turin a in buatsaih tur a ni. Hetianga ti tur chuan khawsik/khuh/thawhah te hmuchhuak vat turin surveilance tih reng tur a ni a, mahni in report emaw active leh passive screening te thawktute-ah an duty hun intan dawnahte a tih theih. He committee hian damlo damdawiina awm mek(COVID-19 vanga admit ni lo) te, chhan dang hriat tur awm silovin khawsik/khuh/thawhah an nei em tih an endik thin tur a ni.

Hetiang hun khirh bik, natna inkaichhawn mai hlauhawm lai hi chuan he HICC hian infection prevention and control(IPC) guidelines awmsate a tul dan ang zela siam tha-in damdawiin hnathawkte a pawimawhna hrilh hriat nawn fo tur a ni. Engtiklaipawhin IPC guidelines hi tha takin zawm tur a ni. Fimkhur leh zual nan damdawiin COVID-19 containment zone hnaih/chhunga awmte chuan damlo zawng zawngte COVID-19 an veilo a ni tihchianna a awm hma chu COVID-19 vei anga rinhlelh tur a ni a, a bika enkawl tur an ni.

COVID-19 vanga damlo nilo emaw tupawh damdawiin hnathawkte COVID veia rinhlelh/ COVID-19 vei finfiah an lo awm chuan HICC -in hetiang hian hma a la ang:

 

4.1 COVID damdawiin nilo-ah  COVID-19 hmuhchhuah aniha hmalak dan tur

 

COVID enkawlna tur damdawiin niloah COVID-19 vei hmuhchhuah a nih chuan:

  • Bialtu CMO-ah report tur
  • Uluk taka damlo dinhmun endik hnuah chauh COVID enkawlna bik Damdawiin(dedicated COVID hospital)ah refer tur a ni.
  • Damlo chu room hranah dah nghal tur a ni. Damlo chu mask vuah thei anih chuan, vuah tir nghal tur a ni. Amah enkawl tur bik ruat chauhin a enkawl anga, fimkhur dan tur thurawn awmsate zawm vek tur a ni.
  • Damlo dinhmunin a zir chuan COVID dawmdawiin bikah  (dedicated COVID hospital)ah sawn nghal tur a ni. Refer na tur COVID dawmdawiin leh bialtu CMO-ah damlo chanchin kimchang hriattir hmasak tur a ni.
  • Damlo kan sawn/transfer dawnin fimkhur dan tur thurawn awmsate zawm ngei tur a ni.
  • Damlo sawn/transfer hnuah damdawiin leh ambulanc te damdawi 1% sodium hypochlorite tui hmangin kan tithianghlim leh tur a ni.
  • Damlo hnimhnai tawhtu zawng zawng (damlo dang room khata awm ve, damlo enkawltu hnathawkte, damdawiin hnathawk dang damlo hnai vaia awmfo te leh damlo buaipuitu a chhungte) te chu ni 14 khunghran tur an ni. Heng khunghran tur chanchin kimchang hi bialtu CMO ah leh a tulna dangahte hriattir tur a ni.
  • COVID 19 vei finfiah enkawltute (Health care workers leh support staff) chu inven nan Hydroxychloroquine kar 7 chhung pek tur a ni. Hetihlai erawhin Hydroxychloroquine hman theih lohna te kan hrereng tur a ni.
  • Damdawiin hnathawk ten COVID-19 hi kai ve a rinhlelh an nih chuan, hetiang hian hmalak tur a ni.

 

4.2 Damdawiin hnathawkte zingah COVID-19 rinhlelh/vei finfiah an awm chuan:

 

  • Damdawiin hnathawk dang te zingah khawsik, khuh leh thawhah an awm chuan COVID-19 rinhlelh tur  ni.
  • Damlo chuan face mask a vuah nghal tur  ni a, hotu leh HICC – ah report in dahhran nghal tur a ni. A thawhna hmun damdawiin chu COVID damdawiin anih loh chuan COVID hospitalah refer tur a ni.
  • Thawktu damlo chu duty rosterah telhloh nghal tur a ni.
  • Rang takin he thawktu damlo hnimhnaitu zawng zawngte thliar hrangin ni 14 chhung khung hran nghal tur a ni.Chanchin kimchang report te bialtu CMO-ah thehluh tur a ni.
  • Damdawiin hnathawk dang damlo hnimhnaitu zawng zawngte chu inven nan Hydroxychloroquine kar 7 chhung pek tur a ni. Hetihlai erawhin Hydroxychloroquine hman theih lohna te kan hrereng tur a ni.

 

• Damdawiin ten hetiang hun harsa bik atan hian staff duty dan turah ruahmanna fel tak, hna kallai buailo turin an siam tur a ni a. E.g. Dawmdawiin hnathawkte chu hmunhnihah thenin, ni 14 chhung zel in duty chhawk se, tin, pawl/group dang COVID-19 rinhlelh/vei finfiah an awm thulh a duty tur dah ni bawk se.

 

•Damdawiinte uluk taka damdawi hmanga tih thianghlim reng tur a ni.

COVID-19 rinhlelh/vei finfiah an awm chuan. Khung hran kaihhruaina zawm chungin, contact list siam leh chhuizuite uluk takin tihnghal vek tur a ni a, damdawiin khar kher ngailo turin hmalak tum tur a ni.

 

5. COVID enkawlna tur nilo damdawiinah COVID-19 vei pakhat emaw a aia tam pawh hmuh a nih chuan damdawiin kal zel dan tur hetiangin

Thil awm dan tur ni thei tlangpui : 

 

- Socio-demographic reasons:

  1. Damdawiin chhawrtu bial chu COVID-19 awmna hmun a ni.
  2. Damdawiin chhawrtu bial mipui zingah hian COVID-19 kai hlauhawm zual natna dang vei mek tam tak an awm thei a, eitur tha khamkhawp hmu phak lo leh social distancing tih theih miah lohna tur hmun chep e.g. slum area te

 

- Internal Administrative Reasons:

  1. Damdawiin chuan Infection Prevention Control(IPC) hmalakna-ah beisei a phak lo thei.
  2. Damlo thliar dan ‘triaging’ pawh Out Patient Department(OPD) leh emergency department-ah te an tingailo thei bawk.

 

COVID-19 kai te dinhmun leh kai nasat dan a zirin (Dawmdawiin hnathawk, damlo leh damdawiin hnathawk ten an hnim hnaihte), damdawiina inentir damlo, natna benvawn dang vei mekte kai chhawn theihna san leh san loh dan te zirchian vek hnuah damdawiin awmzel dan turah thu thlukna hetiangin a siam theih:

 

• Damdawiinhotute COVID-19 veidamlo an enkawldanah leh an khung hran danah an lungawia/ngaihthat chuan, contacts zawng zawng chhui chhuah vek a, khung hran nghal an nih a, damdawiin chu natna hrik that thei damdawia uluk taka tihfai nghal vek leh tihfai chhunzawm zela nih chuan chu damdawiin chu khar a ngailo a ni.

• A chung a mi khi tih a nih hnu-ah, damdawiina enkawl mek damlote zingah damdawiin atanga kai chhawn nih hmel COVID-19 vei thar an lo awm leh a nih chuan, damdawiin ward COVID-19 vei thar awm tamna leh a vel chu khar lai lawk tur a ni. Damdawiin chu uluk taka tihfai zawhah damdawi hmangin uluk taka tihfai leh hnuah hman leh theih a ni.

 

• A chunga invenna tur thilte tih vek chung sia, thawktu emaw damlo enkawl mekte zingah COVID-19 kai thar, an kai tanna hriat theih siloh an awm leh chuan, sawrkar hotute hriattir hnuah, he damdawiin hi COVID enkawlna bik damdawiinah siam mai tur a ni. Hetiang dinhmun hi kan lo thleng palh a nih chuan, thawk zawng zawng ‘Infection prevention and Control practices leh kaihhruaina dang www.mohfw.gov.in. website a tarlante hmangin training uluk taka pek leh vek tur a ni.

 

6. Hmalakzelna tur te

 

COVID-19 damdawiin nilo-in COVID-19 damlo a neih chuan, HICC ten hriatchhuah loh contact/thawktu leh damlo zingah an awm loh nan hengte hi an ti tur a ni:

 

• Damdawiin hnathawk zawng zawngte, duty an tan dawnah khawsik enna hmangin enfiah ziah tur a ni(thermal screening tihziah tur).

•Thawktu zawng zawngte mahni in enfiah renga, COVID-19 natna lanchhuah dan anga awm chuan, a rang thei ang bera hotute hnenah in report tur a ni.

• Damlote zingah COVID-19 lanchhuah dan pangngai nisi lo, mahse COVID-19 nitheite an awm em uluk takin thli thai reng tur a ni.

• Thawktu, damlo leh a kaihhnawih mi zawng zawng ten fimkhur dan kaihhruaina awm zawng zawng tha takin zawm vek tur a ni.

• Damlo thliar hran(triaging) hi tha taka kaihhruaina zawm chungin, damdawiin emergency leh outpatient departmentah kalpui ngei ngei tur a ni

 

 

SD/-Dr.F.LALLIANHLIRA

Principal Director

Health & Family Welfare Department

Government of Mizoram

 

MEMO No.

 

Copy to:

  1. PS to Hon’ble Health Minister, Mizoram for kind information.
  2. Sr.PPS to Chief Secretary, Government of Mizoram for kind information.
  3. PPS to Health Secretary, Government of Mizoram for kind information.
  4. Director of Health Services, Mizoram for information and necessary action.
  5. Director, H&ME and ZMC, Falkawn, Mizoram for information and necessary action.
  6. Director, I&PR, Mizoram for information and wide publication
  7. President, Non Govt. Hospital Association of Mizoram for information with a request to circulate for members.

 

 

 

 

Sd/-

Principal Director

Health & Family Welfare Department

Government of Mizoram