[The Bhilwara model that worked.

I. Aggressive testing, identification, isolation and appropriate levels of
treatment.
II. Supply of essentials at doorstep.
III. Strict lockdown.

<<While testing for covid-19 at the national level has been considered
rather low, the state claims it has screened nearly 50 million people, and
tested 11.7 million households so far. ...
...
Confirming that the state has extended the lockdown for some more days,
Rajendra Bhatt, district magistrate, Bhilwara said people will get all
essential items and everything they need at their doorstep. “No shop,
dairy, or medical store will be open. If people want something, they will
directly call us, whether it is medicine, food or anything else. For this,
at least 4-5 control rooms of several departments are being operated and we
are fulfilling demands. It is a necessary step to control the outbreak and
bring out a total covid-19-free Bhilwara in the coming few days," said
Bhatt, adding screening of people will continue till the cases come to
zero.>>]

https://www.livemint.com/news/india/covid-19-how-did-bhilwara-emerge-as-an-ideal-model-for-containment-11586227844819.html

Coronavirus: Want to contain the virus spread? Do it the Bhilwara way
4 min read . Updated: 08 Apr 2020, 12:42 AM IST
Neetu Chandra Sharma
>From being a hotspot, the district has not reported a single confirmed case
of coronavirus in the past five days
Cabinet secretary Rajiv Gauba told states that they can explore adopting
the Bhilwara model to control the spread
Topics
BhilwaraCoronavirusRajasthan
NEW DELHI : Just a week ago, Bhilwara was a source of alarm for
policymakers. Today, the textile town in Rajasthan offers valuable lessons
in the war against covid-19.

Credit it to a strict lockdown, strategic containment plan, or dedicated
healthcare work, the district, till recently an emerging hotspot of
coronavirus infections, has not reported any new coronavirus infections in
the last five days.

Before enforcing a strict clampdown, Bhilwara was Rajasthan’s worst-hit
district, with 27 cases, and stood out in the national count as well.
However, no new cases have been reported since 2 April, and in fact, 17
have recovered. Two have died due to co-morbidities, while seven are on the
road to recovery and 11 already discharged. In meetings with state
government officials, Union cabinet secretary Rajiv Gauba has pointed to
the Bhilwara example, suggesting this as a possible model to contain the
spread of covid-19.

How did Bhilwara manage to turn the tide?

While testing for covid-19 at the national level has been considered rather
low, the state claims it has screened nearly 50 million people, and tested
11.7 million households so far. “Currently, 34 places are under curfew in
Rajasthan. Things were also controlled with imposition of curfew. Two
kilometre-area of any person found covid-19 positive is sealed and checks
are done," chief minister Ashok Gehlot said, adding out of all cases in
state, nearly 30-32 are evacuees from Iran at Jaisalmer and Jodhpur.
Gehlot, however, expressed concern about cases with no history of either
travel or contact with covid-19 patient.

“People with travel history or any contact with positive patients are being
isolated and checked. We sealed the borders the day we got to know about
the case of the doctor in Bangar Hospital being positive with the virus in
Bhilwara and it is becoming a learning ground for us," said the chief
minister, adding that since then, 2.2 million families from villages and
nearly 1 million households in the city were tested to stop the spread of
covid-19.

According to the Rajasthan government, health workers, home guards, police
personnel, government officials and every other individual related to the
screening of covid-19 patients are working without a break.

“We are now on a war-footing and are working in a six-part process
beginning with the imposition of curfew, coordination work of police
surveying colonies where the visitors of Bangar Hospital, where it all
began, might be staying," said Harendra Mahawar, Superintendent of Police,
Bhilwara.

The police reached out to more than 5,000 people who were consulted by the
covid-19 positive doctor at Bangar Hospital. Further, officials also
screened patients of in-patient department (IPD) and Out Patient Department
(OPD). In order to break the chain of contamination, nearly 6,000 people
were identified in just two days and put under isolation.

“We worked simultaneously on precaution and treatment. Both were done
together to control the outbreak. We are regularly tracking the patients
even after we release them. Lockdown has played a major role in breaking
the chain," said Dr Mushtaq Khan, chief medical and health officer.

The administration has acquired 42 hospitals with dedicated beds for
positive patients, and quarantine with 1,551 beds is prepared at hotels and
other such establishments. Places have been identified where if needed, an
infrastructure of 10,000-15,000 beds can be developed.

Confirming that the state has extended the lockdown for some more days,
Rajendra Bhatt, district magistrate, Bhilwara said people will get all
essential items and everything they need at their doorstep. “No shop,
dairy, or medical store will be open. If people want something, they will
directly call us, whether it is medicine, food or anything else. For this,
at least 4-5 control rooms of several departments are being operated and we
are fulfilling demands. It is a necessary step to control the outbreak and
bring out a total covid-19-free Bhilwara in the coming few days," said
Bhatt, adding screening of people will continue till the cases come to zero.

Bhatt said 2.5-3 million screenings have been done in the past few days and
daily reports are being sent to either the district magistrate or
superintendent of police. “We sealed the city and later, all district
boundaries were strictly sealed. The population of the city has been
screened at least three times now and people having normal cough and cold
due to weather change (influenza-like illness), who were in thousands, were
also checked and surveyed," he said, adding those having symptoms were put
under isolation or quarantine.
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