COVID-19 awareness,isolation & quarantine

1. Isolation & Quarantine
Dr Awadhesh Sharma
LPS Institute of Cardiology
Kanpur
COVID-19 AWARENESS TRAINING PROGRAMME

2. Isolation & quarantine
• Isolation
-who are ill and suspected/confirmed to have
COVID-19 infection
• Quarantine
-Separation of individuals who are not yet ill but
have been exposed to COVID-19 and therefore
have a potential to become ill.
-Quarantine is usually established for the
incubation period of the communicable disease.

3. Purpose of quarantine
• Separating contacts from community
• Monitoring contacts for development of signs
and symptoms
• Segregation of suspects, as early as possible
from among other quarantined persons.

4. Indications
• All the contacts, regardless of their risk of
exposure, shall be advised for quarantine.

5. Duration
• Total duration of 14 days from the last
exposure.

6. Covid-19 testing
• Tested for Covid-19 twice
• Once at the start of quarantine and second
time at just before the completion of 14 days
of quarantine period.

7. Definition of contacts
• In a health care setting, a contact is a person that
is involved in any of the following-
• Providing direct care without proper personal
protective equipment(PPE) for COVID-19
patients.
• Staying in the same close environment of a
COVID-19 patient(including workplace)
• Travelling together in close proximity (1m)with a
symptomatic person who later tested positive for
COVID-19 (such as porter and ambulance
workers).

8. High risk contact
• Touched body fluids of the patient(Respiratory tract secretions ,
blood , vomit , saliva ,urine , faeces )
• Had direct physical contact with the body of the patient including
physical examination without PPE.
• Exposure to an aerosol generating procedure to a patient without
PPE.
• PPE not removed or replaced according to guideline during the
patient interaction or exposure to an aerosol – generating
procedure.
• Touched or clean the linen , clothes or dishes of the patient
• Lives in the same household as the patient
• Anyone in close proximity (with in 3 feet)of the confirmed case
without precautions.

9. Low risk contact
• Shared the same space(worked in same room
and not having a high risk exposure to
confirmed or suspect case of COVID-19)

10. HCW-Risk category

11. Types of Quarantine for HCWs
• Active quarantine(Stay during duty days)-
-All the HCWs , while on duty for 7 days , will be
mandatorily staying in-hospital premises
quarantine.
• Passive quarantine—
-All HCWs after completion of active quarantine
for 14 days will go for passive quarantine.

12. Passive quarantine

13. If Home quarantine for HCWs
• There shall be uninterrupted 24x7 supply of
food & water.
• He/she shall have a separate room with
attached toilet.
• The room ,used by the HCW , shall not be
shared by other family members.
• There shall be no sharing of utensils and linen
between the quarantined HCW and other
family members.

14. If Home quarantine for HCWs
• The HCW shall be able and agree to monitor
for symptoms( fever, cough, breathing
difficulty) twice daily.
• Discard all the disposable material in the
hospital.
• Remove shoes and maximum possible clothes
outside your house or in an isolated area at
home.

15. If Home quarantine for HCWs
• Keep bag packs and hospital stuff in a separate or in an
isolated area at home.
• Take bath immediately after entering the house.
• Change your remaining clothes and discard them in the
laundry for separate cleaning.
• Maintain the minimum distance of one meter(3 feet)
from other family members.
• Maintain standard hygiene practices and respiratory
etiquettes.
• Stay away from children and elderly family members.

16. In-house quarantine
• Rules for the utilization of quarantine facilities in
a facility
-Preferably be accommodated in single
accommodation.
-If logistic problem or limited accomadation
facilities,those with high risk category will be given
preference for single accomadation.
-Sharing,if unavoidable ,for low risk category will be
between 2-4 HCWs but with ear marked separate
toilets.

17. Thanks
Take precautions & stay safe