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Bengaluru, Jun 20: The Karnataka Health Department has issued guidelines on the admission of COVID-19 patients in private hospitals after clinical assessment, mandating that the district surveillance officer (DSO) should be first informed to initiate further procedures, an official said on Friday.

"A health team sent by the DSO should visit the home or hospital where the patient is staying. The team should conduct a rapid assessment of his or her health condition," said Karnataka's Additional Chief Secretary Jawaid Akhtar.

In the rapid health condition assessment, the team should first check the patient's body temperature, followed by SpO2 (oxygen saturation) level and confirm if there are any comorbidities such as hypertension, diabetes, tuberculosis, HIV, cancer, stroke etc.

Depending on the health condition of patients, Akhtar said, two categories have been made.

"Those who have body temperature greater than 37.5 degrees Celsius, SpO2 level below 94 percent, elderly (above 60 years) and suffering from known comorbid conditions should be taken to a dedicated Covid hospital (DCH)," he said.

"All other patients, even if older but not suffering from co-morbidities, those below 60 and suffering from co-morbidities and asymptomatic cases should be taken to a dedicated Covid health centre (DCHC) or a private hospital as opted by the patient," he added.

Private hospitals have been asked to pitch in due to the rising number of cases in Karnataka. Currently, there are 2943 active cases in the state after 337 cases were reported on Friday.

"The patients are assessed clinically and evaluated at DCHCs or private hospitals with appropriate diagnostic tests. After evaluation, if the patients are asymptomatic, they are shifted to a COVID Care Centre (CCC) for further management," said Akhtar.

CCCs are expected to be equipped with ventilated rooms, pulse oximeters, handheld thermal scanners and blood pressure apparatus.

A nurse has to be present round the clock for every 50 patients and should visit each patient twice a day for assessment whereas the medical officer has to visit the CCC once a day. He should also be available on call in case of an emergency.

Staff serving food and others should wear personal protective equipment and an N-95 mask. Explaining the procedures at DCHCs, Akhtar said general examinations for medical conditions like body temperature, BP, pulse, oxygen saturation and urine output should be in place.

Investigations such as complete blood count, fasting blood sugar, random blood sugar, liver function tests, renal function tests, ECG and chest X-ray facilities should be available.

"DCHCs should ensure that above examinations are over in an orderly timeline of 24 hours and depending on the examination, the patient is continued to be lodged at the DCHC or sent to DCH or CCC," said the senior officer.

Likewise, the discharge policy should be done as per the protocols issued by the Health Department from time to time.

The Karnataka government is yet to fix an upper limit on the cost of treating COVID-19 patients in private hospitals. While reports indicated that this could be capped at Rs 5200 per day, health officials are yet to specify this is the case. Private hospitals in the state have asked the government to take a collaborative approach in deciding the fixed cap on treatment cost.

Bengaluru, Mar 13: Amid coronavirus outbreak, all universities, malls, and clubs will remain closed for a week in Karnataka. Karnataka CM Yediyurappa has said no one should travel unless it's an emergency. "All malls, cinema halls, pubs, wedding ceremonies and other large gatherings in the Karnataka have been banned for another one week," Chief Minister Yediyurappa said. This comes hours after the Uttar Pradesh government had decided that all schools, colleges situated in the state will be closed till 31st March 2020.

Following the decision, the Karnataka government on Friday asked doctors and other health staff to work on public holidays also till the spread of coronavirus is contained. Leaves and all week off of state health ministry workers have also been canceled. The government issued a circular stating that certain emergency measures are being taken to control the spread of coronavirus is some parts of the State.

"To manage things in a result-oriented manner, doctors, office personnel, paramedical staff and other permanent and contract employees in hospitals coming under the Health Department have been instructed to work on all public holidays." the government order read.

The decision comes after 76-year-old man in Karnataka's Kalaburagi died of coronavirus and became India's first COVID-19 victim. 46 people in Kalaburagui have been kept under coronavirus quarantine since then. Out of 46, 31 have been put under the "high risk" category. The high-risk persons were shifted to ESIC hospital. Officials said four family members of the man have displayed flu symptoms and their swab samples have been sent for testing in Bengaluru.

Earlier on Friday, an employee of Google's Bengaluru office tested positive for n-coronavirus, taking the total COVID-19 positive cases in Bengaluru to 5. India's total coronavirus positive count rose to 75. Several other states including capital Delhi, Madhya Pradesh, Odisha, Bihar, and Uttar Pradesh invoked various sections of the epidemic disease act. Meanwhile, the Indian Army has also called off all recruitment drive in wake of coronavirus outbreak.