[<<The state administration began by setting up a team as early as January
21, before the first case was reported in India. Screening began at Raipur
airport on January 28. By March 1, the state government had begun tracing
those with a history of foreign travel. A total of 76,000 people were
identified and home-quarantined. By the time the first case was detected on
March 20—a 24-year-old woman who had travelled overseas—the government was
prepared. The broad strategy was to follow the Korean model of 3Ts: Trace,
Test and Treat. It also decided that its mandatory quarantine period would
be longer than the standard, extending it from 14 days to 28 days.

Making People Stay Put: On March 29, when the Union government made it
clear that free movement of the population would not be allowed, the state
government was ready with a plan. Borders were sealed, with even
inter-district boundaries closed. It was decided that all those in transit,
be they labourers or students, would need to remain where they were.
However, the government did not leave the people to fend for themselves. It
says that total of 446 relief camps have been set up, with an additional 36
established by NGOs, in which around 10,500 people have been housed. They
will continue to live in these camps until the lockdown is lifted.

In the initial days, there was resistance from the workers being restricted
to these camps. Most said that they wanted to go home to their respective
states or districts within Chhattisgarh. The state government, however,
felt that allowing people to travel would risk spreading the virus. A large
number of schools and colleges have been taken over by district
administrations to house these people. At some places, WiFi facilities are
being provided and television sets have also been installed. Food is being
organised by district administrations through their own budgets or through
donations. Doctors visit these camps regularly to check for early signs of
the disease. In certain places, the owners of the industries at which these
workers were employed have been made responsible for their food and stay. A
total of 31,000 workers are being taken care of by their employers.

Chhattisgarh has also been ahead of the curve compared to other states in
matters of testing—it was one of the first states to deploy rapid anti-body
testing. These tests helped Chhattisgarh identify ‘patient zero’, or the
source of the virus, in Katghora—the state’s only hotspot, which had 25
cases in mid-April. A 22-year-old man who had visited the Nizamuddin markaz
had come out negative when tested through the PCR route. The first patient
in Katghora, a 16-year-old youth, had mentioned him as a contact. While the
PCR test found the contact negative, the rapid anti-body test found him to
have been a former carrier of the virus.>>]

https://www.indiatoday.in/india-today-insight/story/chhattisgarh-s-corona-control-1671801-2020-04-27

Chhattisgarh’s Corona control | India Today Insight
The state shows the way with a low COVID-19 count and perhaps the best
recovery rate in India
ADVERTISEMENT

Rahul Noronha
Bhopal
April 27, 2020UPDATED: April 27, 2020 23:15 IST

Chhattisgarh health Minister T.S. Singh Deo during an inspection at
Ambedkar Hospital in Raipur on April 11. (Photo by Bhupesh Kesharwani)
As COVID-19 cases continue to pile up across the country, Chhattisgarh has
emerged as one of the big states to have done well, at least till now, in
checking the spread of the disease. According to the Ministry of Health and
Family Welfare, as of April 27, Chhattisgarh had a total of 37 cases, of
which 32 had recovered. The remaining 5 are in hospital and are showing
signs of recovery.

With no deaths, perhaps the best rate of recovery in the country (over 86
per cent), and with 23 of the state’s 28 districts unaffected, Chhattisgarh
has emerged as the state with the largest area without COVID-19 cases as a
percentage of the total area of the state. In this context, a look at the
practices that the state administration has followed would not be out of
place.

Timely Intervention: As neighbouring Madhya Pradesh was grappling with
political uncertainty in mid-March, putting at risk the plans necessary to
deal with the pandemic, Chhattisgarh, which often looks towards its parent
state for inspiration, thankfully charted its own path.

The state administration began by setting up a team as early as January 21,
before the first case was reported in India. Screening began at Raipur
airport on January 28. By March 1, the state government had begun tracing
those with a history of foreign travel. A total of 76,000 people were
identified and home-quarantined. By the time the first case was detected on
March 20—a 24-year-old woman who had travelled overseas—the government was
prepared. The broad strategy was to follow the Korean model of 3Ts: Trace,
Test and Treat. It also decided that its mandatory quarantine period would
be longer than the standard, extending it from 14 days to 28 days.

Making People Stay Put: On March 29, when the Union government made it
clear that free movement of the population would not be allowed, the state
government was ready with a plan. Borders were sealed, with even
inter-district boundaries closed. It was decided that all those in transit,
be they labourers or students, would need to remain where they were.
However, the government did not leave the people to fend for themselves. It
says that total of 446 relief camps have been set up, with an additional 36
established by NGOs, in which around 10,500 people have been housed. They
will continue to live in these camps until the lockdown is lifted.

In the initial days, there was resistance from the workers being restricted
to these camps. Most said that they wanted to go home to their respective
states or districts within Chhattisgarh. The state government, however,
felt that allowing people to travel would risk spreading the virus. A large
number of schools and colleges have been taken over by district
administrations to house these people. At some places, WiFi facilities are
being provided and television sets have also been installed. Food is being
organised by district administrations through their own budgets or through
donations. Doctors visit these camps regularly to check for early signs of
the disease. In certain places, the owners of the industries at which these
workers were employed have been made responsible for their food and stay. A
total of 31,000 workers are being taken care of by their employers.

Chhattisgarh has also been ahead of the curve compared to other states in
matters of testing—it was one of the first states to deploy rapid anti-body
testing. These tests helped Chhattisgarh identify ‘patient zero’, or the
source of the virus, in Katghora—the state’s only hotspot, which had 25
cases in mid-April. A 22-year-old man who had visited the Nizamuddin markaz
had come out negative when tested through the PCR route. The first patient
in Katghora, a 16-year-old youth, had mentioned him as a contact. While the
PCR test found the contact negative, the rapid anti-body test found him to
have been a former carrier of the virus.

“We were lucky we didn’t have many from Chhattisgarh travelling overseas”

Chhattisgarh Minister for panchayats, rural development and health, T.S.
Singhdeo has been at the forefront of the state’s strategy in tackling the
virus. He spoke to India Today on issues such as testing, or the lack of
it, procurement and role of the state in the health sector.

Q. If there is one thing that has enabled Chhattisgarh to keep COVID-19
numbers in check, what would that be?

A. We are fortunate to have a good team in the health department, and
outside as well, which did not get bogged down by conservatism in
decision-making. Also, we were lucky that as a state, our population does
not have many people travelling overseas and becoming carriers of the
virus. This has helped especially in tribal areas—the population there can
get infected only through contact with people from urban areas. We had
identified a total of 4,000 travellers, of which were able to test 2,800.

Q. Are you satisfied with the rate of testing in Chhattisgarh?

A. Far from it. We are, in some senses, inspired by the South Korea model,
where testing rates stand at 7,000 per million. In Chhattisgarh, as of
today, we are at 344.6 tests per million. Unfortunately adequate options
for testing were not available in the country. From one institute for
testing, the Pune based NIV (National Institute of Virology), we now have
220 institutes that are testing—but it is still not enough.

Q. Chhattisgarh has ordered rapid anti-body test kits, but the Centre has
asked all states to keep their use on hold. What is your view on rapid
anti-body tests?

A. I look at it this way. If you are in a dark room, and you are searching
for something and need light, any source of illumination can be of some
help. In that sense, rapid anti-body tests can give some illumination. They
are better than the thermal scanning we are doing for fever. It is not a
confirmatory test, and is being used only for surveillance.

Q. What is the process of buying PCR kits or rapid test kits? Are you
satisfied with the process? There have been complaints about kits
malfunctioning and quality issues...

A. We follow the store-purchase rules for procurement. Tendering is a
prolonged process and we secured a clearance from the government to go in
for short-term tenders in view of the pandemic. The period in the tender
was reduced to two days and the first bid had to be called off. In the
second bid we got a person to supply us anti-body test kits from a South
Korean company, but manufactured in India. We identified some people who
were creating mischief in the tendering process, even during such a crucial
period, and have blacklisted them.

Q. What is your view on the lives versus livelihoods debate? What is more
important—jaan or jahaan?

A. The first choice will always be life. Having said that, I will add that
one cannot imagine everyone sitting at home ad infinitum. When the lockdown
is lifted—and it will be lifted—people should be prepared for changes in
the way they lead their lives. Masks, frequent hand-washing and social
distancing will be a reality of life, at least until a cure is found. I see
the lockdown period as an opportunity to train people for life in the
post-corona world. Once the lockdown is lifted, there may be a spike in
cases, but this period of training will help citizens. I, for one, never
spent ‘at least 20 seconds’ washing my hands, but do it now. People will
have to adapt to the new reality. Lifting the lockdown won’t mean that the
virus is gone.

Q. How do you see things panning out in the next six months on the economic
front?

A. Economic activity in Chhattisgarh includes agriculture and allied
sectors, manufacturing and services. Agriculture has not been restricted at
all, and the population that depends on it has not been adversely impacted
by the lockdown as much as others. The service sector has people whose
livelihoods were impacted and those whose livelihoods weren’t. Similarly in
manufacturing too, a part involving the Bhilai steel plant, power sector
etc continued to manufacture but there is also a part that was shut down.
The most important aspect is to look at how demand can be generated,
because unless there is demand, economic activity will be adversely
affected.

Q. Any specific wish list that you have from the Centre?

A. I have a demand not only from the Centre but from all states and
governments in other countries as well: spending on the health sector
should not be less than 3 per cent of the GDP. The coronavirus is a wake-up
call for everyone. This will not be the last pandemic to hit the world. The
lesson from this situation is that the public health sector is crucial in
rising to the challenge presented by pandemics. If governments do not
understand this even now, there is no hope. Chhattisgarh too had allocated
only about 1.5 percent of the GSDP to health—I hope it goes up in the next
budget.
-- 
Peace Is Doable

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