GOVERNMENT OF ANDHRAPRADESH

OFFICE OF THE MISSION DIRECTOR, NATIONAL HEALTH MISSION, AP

Present : Sri V.Vijaya Rama Raju, I.A.S

Rc No 8065/IDSP/2020 Dt 10.03.2020
Sub:Health Medical & Family Welfare Department – Measures for
Containment and Surveillance for COVID-19- Active search for foreign returnees an
Monitoring oftheir Health status - Instructions issued –
Reg

World Health Organisation has declared the recent outbreak of novel Corona virus
reported from Wuhan city, Hubei Province in China (COVID- 19), as Public Hea
Emergency of International Concern. As per the WHO report on 7 th March 2020,
countries have reported COVID-19 positive cases. In India, as on 9 th March 39
cases tested are reported positive. In Andhra Pradesh,suspected cases are be
reported from the persons returned from the foreign travel.Several measures
have been initiated by the state for containment and surveillance activities for CO
19. In order to effectivelymonitor the same it is decided to conduct active surveilla
in the entire state to identify all the persons returned from foreign travel
on or after 10th February 2020.

1. All the districts shall conduct active surveillance and line list all
travelerswho returnedfrom abroad on or after 10th February 2020,to identif
suspect cases in allthe villages/wards.
2. All the Households in the village/ward shall be visited by ASHA
assisted by Village/Ward volunteer for tracking of foreign return
persons and their health status. This process shall be conducted on
11th and 12th March 2020
3. Every ASHA along with Gram/Ward volunteer shall visit all the
households in villages/wards and enumerate the number of persons in the
house hold, number of persons who have returned from abroad on or a
10th February 2020and number of family members currently in abroad. De
of every household shall be filled in FORMAT Aby the ASHA and uploade
the Gram/Ward volunteer in the Gram/Ward Volunteer App.
4. Dedicated online application has been developed in Gram/Ward
Volunteer for data entry. Gram/Ward volunteer shall initially entry the
particulars of ASHA name, ASHA phone number, Supervisory officer nam
and Phone Number and PHC code (RCH code).
5. In case of any household member returned from the foreign travel
or after 10th February 2020, details shall be collected from the above
persons in the FROMAT B and the details shall be uploaded in the Gram/Wa
volunteer App by the Gram/Ward Volunteer.
6. One Public Health Staff (ANM, MPHA(M), MPHS(M), MPHS(F)
,MPHEO, PHN and CHO) shall be appointed for every 5 ASHAs. These PHS sh
ensure the completeness and quality of active surveillance.
7. PHC Medical Officer is in-charge for all these active surveillance acti
and further management. Medical officers shall ensure that every foreign
returnee, who has not completed 28 days home
isolation, shall be visited on daily by the concerned PHS.
 8. Data of all foreign travelers will be made available in the MSS
webportal. Medical officers shall upload the data on daily basis on hea
status of the foreign returnees.
9. In caseany suspect case (Foreign returnee with symptoms) is
identified, ASHA and PHS shall inform to MO PHC immediately. MO PHC sha
contact state call centre or district call centre for guidance totransport thor
designated 108 ambulances and to admit in designated health facility
identified in the district for COVID-19 Management.
10.All the staff involved in surveillance activities shall be provided with the
gloves and masks.
11.Suspect’s residence and adjoining areasshall be sanitized with 1% so
hypochlorite solution by village sanitation team. All the water sources in the
village / ward shall be chlorinated.
12.District Medical and Health Officer is nodal officer for surveillance
activitiesin the district.
13.District Collector/ District Nodal officer shall draw the action plan for
active surveillance and data uploading and ensure that health status of all th
foreign returnees are monitored.

Sd/-
MISSION DIRECTOR, NATIONAL HEALTH MISSION

To,
All the District Collectors in the State,
All the District Medical & Health officers in the State.
 FORMAT A
(LINE LISTING OF HOUSE HOLDS)

Name of the Village:

Name of the ASHA: Mobile No:
Name of the team supervisor and designation: Mobile No:
S.No House No Total Number of family
members in HH

SINGNATURE OF ASHA NAME OF THE SUPERVISORY OFFICER

ANDHRAPRADESH
, NATIONAL HEALTH MISSION, AP
ya Rama Raju, I.A.S

Dt 10.03.2020
elfare Department – Measures for
OVID-19- Active search for foreign returnees and
structions issued –

red the recent outbreak of novel Corona virus

Province in China (COVID- 19), as Public Health
. As per the WHO report on 7 th March 2020, 94
positive cases. In India, as on 9 th March 39
. In Andhra Pradesh,suspected cases are being
d from the foreign travel.Several measures
r containment and surveillance activities for COVID-
e same it is decided to conduct active surveillance
persons returned from foreign travel

duct active surveillance and line list all

broad on or after 10th February 2020,to identify any
s/wards.
e village/ward shall be visited by ASHA
lunteer for tracking of foreign return
us. This process shall be conducted on

Gram/Ward volunteer shall visit all the

and enumerate the number of persons in the
sons who have returned from abroad on or after
er of family members currently in abroad. Details
filled in FORMAT Aby the ASHA and uploaded by
the Gram/Ward Volunteer App.
tion has been developed in Gram/Ward
ram/Ward volunteer shall initially entry the
ASHA phone number, Supervisory officer name
code (RCH code).
d member returned from the foreign travel on
details shall be collected from the above
d the details shall be uploaded in the Gram/Ward
Ward Volunteer.
(ANM, MPHA(M), MPHS(M), MPHS(F)
be appointed for every 5 ASHAs. These PHS shall
quality of active surveillance.
-charge for all these active surveillance activities
edical officers shall ensure that every foreign
mpleted 28 days home
aily by the concerned PHS.
 ers will be made available in the MSS
shall upload the data on daily basis on health
s.
e (Foreign returnee with symptoms) is
l inform to MO PHC immediately. MO PHC shall
strict call centre for guidance totransport thorough
and to admit in designated health facility
r COVID-19 Management.
veillance activities shall be provided with the
adjoining areasshall be sanitized with 1% sodium
ge sanitation team. All the water sources in the
ated.
lth Officer is nodal officer for surveillance
Nodal officer shall draw the action plan for
ploading and ensure that health status of all the
red.

OR, NATIONAL HEALTH MISSION

tate.
 FORMAT A
INE LISTING OF HOUSE HOLDS)

Mobile No:
Mobile No:
Number of HH members returned from
the foreign on or
after 10th February 2020

ME OF THE SUPERVISORY OFFICER

 FORMAT B
(LINE LISTING OF PERSONS RETURNED

Name of the Village:

Name of the ASHA: Mobile No:
Name of the supervisory: Mobile No:
S.No House No Name of the person Age Sex Phone
Number

SINGANTURE OF ASHA SINGATURE OF SUPERV

 FORMAT B
OF PERSONS RETURNED FROM FOREIGN)

Mobile No:
Mobile No:
Date of arrival to Country from Whether
India which Symptomatic
returned (Yes/No)

SINGATURE OF SUPERVISORY OFFICER

 FORMAT C
(HEALTH STATUS MONITORING OF FOREIGN RETURNEES)
Mobile No:

Name of the PHC

Name of the Medical Officer Mobile No:
S.No Name of the foreign Age Sex Date of arrival Wh
returnee to India
th
12
March

*till completion of 28 days

SINGANTURE OF ASHA SINGATURE OF
IGN RETURNEES)

Mobile No:
Whether Symptomatic (Yes/No)

th th th th th th
13 13 14 15 16 17
March March March March March March*

SINGATURE OF