By PTI
MUMBAI: Maharashtra on Tuesday reported 11 new infections of the Omicron variant of coronavirus, taking the tally of such cases in the state to 65, the health department said here.
“As reported by the National Institute of Virology, 11 more patients have been found to be infected by Omicron,” it said in a release.
Eight cases came to light following screening at the Mumbai airport while one case each was found at Pimpri-Chinchwad, Osmanabad and Navi Mumbai, the release added.
Of the eight cases detected in Mumbai, one each is from Kerala, Gujarat and neighbouring Thane district, while other patients are residents of Mumbai itself.
Two of these patients had arrived from Uganda (via Dubai), four from the UK and two from Dubai.
Two of them are minor.
Barring the two under-18 patients, others are vaccinated, and all eight are either asymptomatic or mildly symptomatic, the health department added.
The 13-year-old daughter of an Omicron-infected patient from Osmanabad in central Maharashtra was also found to be infected by the new variant.
She has no symptoms, the release said.
Elsewhere, a 19-year-old man from Navi Mumbai who had arrived from Kenya via Hyderabad tested positive for Omicron.
He is fully vaccinated and has no symptoms, officials said.
Amid Omicron scare, the Brihanmumbai Municipal Corporation (BMC) has said that prior permission is now mandatory for any program or event to be attended by 200 or more people.
As per a circular issued on December 20, permission of the local assistant municipal commissioner will be required for such programs or functions.
Further, local ward officers should send their “representatives” to check if rules related to COVID-19 appropriate behaviour are being followed strictly at such programs, the BMC said.
Earlier, guidelines issued by the Maharashtra government on November 23 had said no special permission was necessary for gatherings of less than 1,000 people.
But the latest BMC circular said that if the owner, hotelier or organisers claim that their venue has the capacity to accommodate more than 200 persons even after following COVID-19-related norms and ensuring 6 ft by 6 ft distance between individuals, prior written permission of the assistant municipal commissioner must be obtained.
Further, closed (indoor) halls can operate at 50 per cent of their total capacity, while open-to-sky venues shall operate at only 25 per cent of total capacity.
Violation of these guidelines will attract action under the IPC and Disaster Management Act, 2005, the circular stated.
Asserting that the Omicron variant is at least thrice more transmissible than Delta, the Centre Tuesday asked states and union territories to “activate” war rooms, keep analyzing even small trends and surges and keep taking strict and prompt containment action at district and local levels.
In a letter to the states and union territories, Union Health Secretary Rajesh Bhushan advised implementing strategic interventions for containment like imposition of night curfew, strict regulation of large gatherings, curtailing numbers in marriages and funerals besides increasing testing and surveillance.
The letter highlights measures that need to be taken in view of initial signs of surge in cases of COVID-19 as well as increased detection of the variant of concern Omicron in different parts of the country.
“At the district level there should be constant review of emerging data regarding the population affected by COVID-19, geographical spread, hospital infrastructure and its utilization, manpower, notifying containment zones, enforcement of perimeter of containment zones etc.
This evidence should be the basis for effective decision making at the district level itself.
“Such a strategy ensures that infection is contained at the local level itself before it spreads to other parts of the state,” Bhushan said in the letter.
“Kindly activate the war rooms/EOCs (emergency operation centres) and keep analyzing all trends and surges, no matter how small and keep taking proactive action at the district/local level. Regular reviews with field officers and proactive action in this regard will definitely control the spread of infection and flatten the curve,” he said.
In case of all new clusters of Covid positive cases, prompt notification of “containment zones”, “buffer zones” should be done, strict perimeter control of containment zone according to extant guidelines must be ensured.
All cluster samples must be sent to INSACOG Labs for Genome Sequencing without delay, Bhushan underlined.
The letter highlighted that test positivity of 10 per cent or more in the last one week or bed occupancy of 40 per cent or more on oxygen supported or ICU beds should be main elements of the framework to be used by states and union territories to facilitate decision making at the district level.
“Based on current scientific evidence, the VOC (variant of concern) Omicron is at least 3 times more transmissible than the Delta VOC. Besides, the Delta VOC is still present in different parts of the country.”
“Hence, even greater foresight, data analysis, dynamic decision making and strict and prompt containment action is required at the local and district level. The decision making at the state and UT and district level must be very prompt and focussed,” he said.
Listing some of the strategic areas of intervention focusing on containment, test, track, surveillance, clinical management to be taken, Bhushan asked states and union territories to ensure door to door case search, testing of all SARI/ILI and vulnerable/co-morbid people and right proportion of RT PCR tests in total tests being conducted daily.
Contact tracing of all Covid positive persons and utilizing the access to “AIR SUVIDHA Portal by State Surveillance Officers (SSOS) and District Surveillance Officers (DSOS) to monitor the international passengers who have arrived in their states and districts was also stressed.
States and union territories have been asked to increase bed capacity, other logistics like ambulances, mechanism for seamless shifting of patients, availability and operational readiness of oxygen equipment, buffer stock of drugs to be ensured by prompt utilization of Emergency Covid Response Package (ECRP-II) funds released by central government and other available resources etc.
The existing National Clinical Management Protocol remains unchanged for Omicron, the letter stated.
“Ensure stringent enforcement of home isolation as per extant guidelines. This would include among others: customized kit for persons undergoing home isolation, their regular monitoring through call centres as well as home visits etc. This will be a very critical activity in the days to come specially to ensure that persons under home isolation do not spread the virus to others in view of its higher transmissibility,” the letter underlined.
The states and union territories have been asked to ensure 100 per cent coverage of left out first and second dose eligible beneficiaries in an accelerated manner.
Special focus to be given to those districts where the first second dose coverage is less than the national average, the letter stated, adding the door-to-door vaccination campaign need to be strengthened.
They have also been asked to ensure advance engagement and information so that there is no misinformation or panic, transparent communication on hospital and testing infrastructure availability, regular press briefings etc.
“Participation of community backed by strict enforcement is necessary for ensuring Covid appropriate behaviour,” the letter said.
