The successful containment of COVID-19 outbreak in Union Territory of Ladakh, India, 2020

Kapil Goel; Amit Arora; Tanveer Rehman; Phuntsog Angchuk; Rigzin Samphel; Tanvi Kiran; Bijaya K Padhi; Vineeth Rajagopal; Jarnail S Thakur

doi:10.4103/jfmpc.jfmpc_1413_20

The successful containment of COVID-19 outbreak in Union Territory of Ladakh, India, 2020

J Family Med Prim Care. 2020 Nov 30;9(11):5574-5579. doi: 10.4103/jfmpc.jfmpc_1413_20. eCollection 2020 Nov.

Authors

Kapil Goel¹, Amit Arora², Tanveer Rehman¹, Phuntsog Angchuk³, Rigzin Samphel³, Tanvi Kiran¹, Bijaya K Padhi¹, Vineeth Rajagopal¹, Jarnail S Thakur¹

Affiliations

¹ Department of Community Medicine and School of Public Health, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
² Department of Medical Microbiology, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
³ Union Territory of Ladakh, India.

Abstract

Objectives: A three-member central Rapid Response Team (RRT) was deputed to Union Territory of Ladakh on 26^th March 2020, to assess the situation and support the preparedness measures including implementation of cluster containment plan and social distancing measures for coronavirus disease 2019 (COVID-19).

Methods: Central RRT addressed the panchayat sarpanch and religious leaders, sensitized doctors and paramedical staff on COVID-19 situation; conducted situational analysis, review of records and logistics, key informant interviews of senior administrative and healthcare officials, focus group discussions with local community people and field visits to various hospitals, isolation centers, quarantine facilities, and containment zones.

Results: A total of 14 COVID-19 cases with no deaths were reported and nine patients had recovered till 4 April 2020. The median (range) age of positive cases was found to be 32.5 (6 months-76 years) years and overall attack rate was 1.65 per 1000 population. Ladakh Government declared Chuchot Gongma, Yokma and Sankoo as the containment zones and deputed surveillance teams. A total of 2397 persons were quarantined and 496 samples were tested from Ladakh. COVID-19 sample testing, Srinagar-Leh highway opening and Iran pilgrimage returnees were the major challenges identified.

Conclusions: The Ladakh government must continue the robust surveillance system and stringent strategies in key areas for management of COVID-19 namely - aggressive screening and testing, isolation, quarantine, hand hygiene, respiratory etiquettes and social distancing.

Keywords: Cluster containment; coronavirus disease 2019; social distancing.