Municipal Corporation of Greater Mumbai
A.M.C./ES/7595-A Dt 15.09.2020
Modified Protocol for Sealed Building
As the COVID-19 eases are increasing in Mumbai, since I week of September 2020. Issue of revising the guidelines for sealing building/wing/tower was discussed in V.C. meeting of Hon’ble Municipal Commissioner on 15.09,2020. Earlier guidelines were issued on 13.05.2020. Accordingly, revised guidelines for scaling building/wing/tower are to be followed as below.
1. If in a building, if there are 10 or more cases.
2. If above cases are from two or more floors.
1. If in a building single/bulk cases found in single home.
However, the call will be taken by respective Assistant Commissioner/MOH whether sealing of floor/wing is not sufficient then, whole building can be sealed to prevent the spread of COVID-19 positive cases.
Action to be taken by Management Committees of the housing of the sealed buildings.
Once such an area (building/wing/floor-as applicable) is sealed, MCGM shall then hand over/issue declaration of sealed area to office bearers (formal/informal) of society of the building and explain them the precautions/care to be taken by them, residents of sealed area and other residents. The declaration of sealed area will have following directions/advisory for Managing Committee and members of society.
1. To ensure that containment measures are strictly taken in the sealed area with the help of private security of the building if need be.
2. No maids, vegetable, fruit, grocery, vendor, dhobi or any other service providers are allowed within sealed building or sealed area within the building.
3. Arrange tie ups with local grocery and vegetable vendors, provision stores, medicine stores for taking online orders and all supplies to he received at boundary of the sealed area and internal distribution to be ensured by following strict social distancing norms, mask usage and constant hand sanitization.
4. Due care to be taken to ensure supplies of food. medicines and essentials to the families in quarantine especially it a positive asymptomatic patient is quarantined. Their regular monitoring to be clan’ via telephonic call and if any symptoms are noticed BM(official to he intimated immediately.
5. If there ;Ire Medical professions residing in the building or society. they should take steps to sensitise the residents of nature of this disease and precautions to be taken to prevent is spreading scare and stigma.
Action to he taken by Home Quarantines, patients and the identified High Risk Contacts.
1. Undertaking to he submitted and Arogya-Setu App to he download. as per 001 Guidelines.
2. If patient develops symptoms, he/she shall inform the ward office/MOH and will go to designated private hospital by calling Ward War Room Helpline / 1916 for guidance and allocation of bed.
3. It is mandatory for the symptomatic patients to get admitted in MCGM/Private hospital (DCHC/DCH). They can avail 108 ambulance service or by calling Ward War Room Helpline / 1916.
4. The patient will give regular follow-up to MOH team regarding health and symptoms, if any.
5. The patient and care given should strictly follow guidelines of home isolation and hygiene etiquettes while in home quarantine.
Action to be taken by BMC MOH/AC of respective wards:
1. Positive symptomatic case to be shifted to DCHC/DCI-I Transfer to be either to a private or public facility (including CCC2), as per advice of MOH/doctor. availability of beds and affordability by patient.
2. When a positive patient is found in building having flats with individual toilet. building/ wing of the building or that particular floor, depending on the situation, to be announced as sealed area/building by BCM with prohibition of entry and exit.
3. Positive asymptomatic case to be home quarantined, as per Government of India directions with self declaration as well as guidelines issued by MCGM, if any. Counselling of patient regarding home quarantine, precautions, guidelines etc. to be done. Follow-up records to be maintained.
4. High risk contacts (HRC) which involve family members. members of neighbouring flat on that floor and any other person in contact of that positive ease, to be identified and advised home quarantine. depending upon availability of toilets in their tenements. Stamping of such I IRC should he done by BMC.
5. Disinfection of that house, floor, building, common area. lifts, staircase to he carried out by BMC. Disinfection will be done only in the required area. and depending on the situation.
6. BMC health staff to monitor regularly the asymptomatic positive patient who is home quarantined and all the high risk contacts in the sealed building or floor and also ensure that patient receives prophylactic treatment and other medical advices as per protocol.
7. If any of the high risk contacts are senior citizens or have co morbidities then it is to be ensured that their 02 level is checked with pulse oxmeter and also testing is done, as per protocols.
8. If any of the remaining contact develop symptoms subsequently then they are to be identified through regular monitoring and their testing–is to be done as per testing protocol.
9. Further action of shifting to DCHC as per protocol by BMC or through private DCHC if any of them is found positive.
10. Desealing decision of building premises could be taken at ward level after completion of 14 days from last COVID-19 positive case found in the building.
Dr. Mangala Gomare
Executive Health Officer (I/C)
Asst. Commissioner (A to T wards)
MOH (A to T wards)