Directorate General Health Services Sindh @ Hyderabad

Regional Disease Surveillance and Response Unit

EX I & I Depot Rafiqui Shaheed Road near JPMC Karachi Cantt, Phone # 02135167029
Phone No. 022-9240101-6, Fax No. 022-9240100: Email: dghealthsindh@sindhealth.pk

COVID-19 RISK ASSESSMENT TOOL

Q# Questions Instruction Number
1a. Have you travelled from Iran / China / South Korea / Italy/ Japan in
last 14 days?
OR
1b. Have you ever met (less than 1 meter distance and for 15 minutes) any If “No” tick on No 0
person in last 14 days, who has returned from Iran / China / South “Zero”
Korea / Italy / Japan?
OR
1c. Have you ever met (less than 1 meter distance and for 15 minutes) any
confirmed case of Corona in last 14 days in the Hospital / Home / If “Yes” tick on Yes 2
any other place? “Two”
OR
1d. Are you currently living with a confirmed case of Corona since last
14 days?

2a. Did you develop fever after arrival from Iran / China / South Korea /
Italy / Japan?
OR No 0
2b. Did you develop fever after meeting (less than 1 meter distance and for
If “No” tick on
15 minutes) any person arriving from Iran / China / South Korea /
“Zero”
Italy / Japan?
OR Yes 1
2c. Did you develop a fever after meeting (less than 1 meter distance and
If “Yes” tick on
for 15 minutes) with any confirmed case of Corona at the Hospital /
“One ”
Home / any other place?
OR
2d. Did you develop a fever after living with confirmed case of Corona ?

3a. Did you develop cough / cold / sore throat / shortness of breath
after arrival from Iran / China / South Korea / Italy / Japan?
OR
3b. Did you develop cough / cold / sore throat / shortness of breath If “No” tick on No 0
after meeting (less than 1 meter distance and for 15 minutes) with any “Zero”
person arriving from Iran / China / South Korea / Italy / Japan?
OR
3c. Did you develop cough / cold / sore throat / shortness of breath
after meeting (less than 1 meter distance and for 15 minutes) with any
confirmed case of Corona at the Hospital / Home / any other place If “Yes” tick on Yes 1
OR “One ”
3d Did you develop cough / cold / sore throat / shortness of breath
after living with confirmed case of Corona

*The Risk Assessment tool is subjected to changes with the changing pattern of disease transmission

Calculate your Score

0 1 2 3 4
Mild Chance for development of Moderate to severe for development of
No Chance for development of COVID -19 disease
COVID -19 disease COVID -19 disease
• If you have scored 2 or less than 2, you have No Chance for development of COVID -19 But
• If your score is 3 or more than 3, you have a chance for development of COVID -19. Further, you need medical
assistance, please visit the following designated hospitals for further medical workup.
 • Civil Hospital Karachi Contact following numbers
• Jinnah Hospital Karachi 021-99204452
• Dow University OJHA Hospital Karachi OR 021-99206565
• Agha Khan Hospital Karachi 021-99203443

Instruction for individuals who got 3 or more than 3 score

1. Isolate yourself in a separate room of your home and limit your movement there.
2. Keep items of your personal use separate from other family members
3. Use mask 24 hours and change it when it becomes soaked or dirty
4. Wash your hands with water and soap regularly for at least 20 seconds.