Thiruvananthapuram: With a nipah virus outbreak reported for the third time in the state, the Ministry of Health has formulated the Nipah Management plan in Kozhikode.
The Ministry of Health has asked all districts to be prepared based on the Nipah management plan issued after the first two outbreaks of the virus in 2018 and 2019.
The core committee consisting of 14 doctors has been formed, and the 24×7 control room has been opened in Kozhikode.
The core committee will focus on aspects including supervision, sample testing and results management, alleged relations of new patients to index cases, contact management management, patient transportation management, material management and logistics, case treatment, infrastructure management, call center and media, management and corporate scientific funerals, data analysis, providing psychological support and inter-sectoral coordination.
The daily core committee meeting will be held, along with reviews that will be held twice a day.
The call center all the time with 10 land connections will be associated with the Disha system to answer medical questions, logistics and administrative problems regarding Nipah and related health problems.
The supervision team consisting of district supervision officers and epidemiologists will be responsible for coordination of the entire active case findings, diagnosis and case reporting.
Observation of all the deaths of encephalitis in the past month and the case route map to build any relationship will also be prepared.
Cases will be categorized as suspects, possibilities and confirm nipah cases based on various criteria.
People from an impact area of ​​the plague of nipah viruses that have acute fever with the emergence of amended mental status or seizures or acute fever with severe headaches or acute fever with cough or shortness of breath will be placed as suspected cases.
Contact search team, including field workers under the Department of Community Medicine and DMO, will be actively involved in contacts.
Those who have made contact with confirmed nipah cases or possibly through body fluids, or those who have been close to confirmed cases or possibilities for more than 12 hours, will be classified as high-risk contacts.
Those who have made contact through touch or by using anything touched by confirmed Nipah cases or is likely to be in a low risk category.
Those at high risk but asymptomatik will be in the quarantine of the house for 21 days with active monitoring by the health team, while those who are symptomatic will be treated soon.
Although it has been assessed that sufficiently consumables in the current stock, KMSCL has been instructed to mobilize the necessary consumables as needed.
The inter-departmental team involving the livestock department will be involved in identifying sources.
According to the funeral guidelines, bodies will be buried within the corporate limit itself.
Treatment will be in accordance with the protocol of care and infected and allegedly will be disposed of only based on disposal guidelines.
The suspect will continue with intense support and will be considered for monoclonal antibodies (MAB), Remdisionvir, Favipiravir or Ribavirin after discussion with patients.
The treatment plan will be formulated by the institutional medical council.
During the NIV outbreak in Kozhikode in 2018 Antibodies M102.4 Monoclonal (MAB), experimental therapy, imported for the treatment of patients infected with nipah for the reason compassion.
SOP (standard operating procedure) and protocol are prepared with support from ICMR.
But it was not used because the outbreak had ended at that time.