Scenario India:

31 cases in India (17 outside India)

Delhi Noida Gurugram Agra Jaipur Kerala Ghaziabad (5 states)

28 active cases

Serious none

Two clusters (driver + 16 Italians Jaipur, 1 Delhi + 6 relatives Agra), 1 Ghaziabad, 3 cured in Kerala, 1 Gurugram PTM employee, 1 Telangana, 1 Delhi

No community spread

17 Indians abroad infected with coronavirus: 16 cases reported from Japan on the cruise ship and one from the UAE

Stage: cases, two clusters (human to human transmission) with no community spread (surface to human transmission).

Cluster management

No super spreader in India as doubling time is not abnormal.  Epidemic doubling time is 7.5 days (Korea 1 day with Tripling time of 3 days was due to a super spreader)

Positive cases and close contacts need isolation, masks, and treatment. Taken care by the government.

Others do not need masks but only hand and face hygiene

Key points

1. Cough, no fever: pollution
2. Cough and cold no fever: allergy
3. Fever with cough and cold: H1N1 flu
4. Low grade fever with cough lasting two weeks rule out TB
5. Fever with dry cough: Corona virus a possibility, call your doctor to ask what to do
6. Fever, cough and breathlessness, no oxygen requirement: Call your doctor to rule out corona infection. Revisit travel history or meeting with people who have travelled Internationally recently.
7. Fever, cough and breathlessness, with oxygen requirement: Call your doctor to admit you and rule out corona infection. Revisit travel history or meeting with people who have travelled Internationally recently.
8. Fever and sore throat in children: Rheumatic bacterial sore throat

SOS

Call you doctor, MOH helpline number

Do not rush to a hospital with crowded OPDs, go for tele consultation

Dr KK Aggarwal,

President CMAAO, HCFI and Past National President IMA