Government of India
Ministry of Health & Family Welfare
Guidelines for Home Isolation of very mild/pre-symptomatic COVID-19 cases
The present guidelines are in addition to guidelines on appropriate management of suspect/confirmed case of COVID-19 issued by MoHFW on 7th April, 2020. All suspected (awaiting test results) and confirmed cases of COVID-19 disease are currently being isolated and managed in a hospital setting with the intent to break the chain of transmission.
As per existing guidelines, during the containment phase the patients should be clinically assigned as very mild/mild, moderate or severe and accordingly admitted to (i) COVID Care Center, (ii) Dedicated COVID Health Center or (iii) Dedicated COVID Hospital respectively. However, very mild/pre-symptomatic patients having the requisite facility at his/her residence for self-isolation will have the option for home isolation.
2. Eligibility for home isolation
i. The person should be clinically assigned as a very mild case/ pre-symptomatic case by the treating medical officer.
ii. Such cases should have the requisite facility at their residence for self-isolation and also for quarantining the family contacts.
iii. A care giver should be available to provide care on 24 x7 basis. A communication link between the caregiver and hospital is a prerequisite for the entire duration of home isolation.
iv. The care giver and all close contacts of such cases should take Hydroxychloroquine prophylaxis as per protocol and as prescribed by the treating medical officer.
v. Download Arogya Setu App on mobile (available at: https://www.mygov.in/aarogya-setu-app/) and it should remain active at all times (through Bluetooth and Wi-Fi)
vi. The patient shall agree to monitor his health and regularly inform his health status to the District Surveillance Officer for further follow up by the surveillance teams.
vii. The patient will fill in an undertaking on self-isolation (Annexure I) and shall follow home quarantine guidelines. Such individual shall be eligible for home isolation.
viii. In addition to the guidelines on home-quarantine available at:
https://www.mohfw.gov.in/pdf/Guidelinesforhomequarantine.pdf , the required instructions for the care giver and the patient as in Annexure II shall be also followed.
3. When to seek medical attention
Patient / Care giver will keep monitoring their health. Immediate medical attention must be sought if serious signs or symptoms develop. These could include
(i) Difficulty in breathing,
(ii) Persistent pain/pressure in the chest,
(iii) Mental confusion or inability to arouse,
(iv) Developing bluish discolorations of lips/face and
(v) As advised by treating medical officer
4. When to discontinue home isolation
Patients under home isolation will end home isolation if symptoms are clinically resolved and the surveillance medical officer certifies him to be free of infection after laboratory testing.
Undertaking on self-isolation
I ……………………………………………. S/W of ……………………………………………. resident of ……………………………………………. being diagnosed as a confirmed/suspect case of COVID-19, do hereby voluntarily undertake to maintain strict self-isolation at all times for the prescribed period. During this period I shall monitor my health and those around me and interact with the assigned surveillance team/with the call center (1075), in case I suffer from any deteriorating symptoms or any of my close family contacts develops any symptoms consistent with COVID-19.
I have been explained in detail about the precautions that I need to follow while I am under self-isolation.
I am liable to be acted on under the prescribed law for any non-adherence to self-isolation protocol.
Instructions for care-givers
Instructions for the patient
Also Read – Guidelines for home quarantine during COVID-19