States should increase surveillance amidst steep rise in COVID-19 cases, urges Dr Mandaviya

New Delhi: Dr Mansukh Mandaviya, Union Minister of Health and Family Welfare on Wednesday chaired a high-level meeting to review the COVID-19 situation in India and the preparedness of public health system for surveillance, containment and management of COVID-19 in view of the recent spike in cases of COVID-19 in some states. Joining him were Prof. S P Singh Baghel and Dr Bharati Pravin Pawar, Union Ministers of State for Health and Family Welfare. Dr V K Paul, Member (Health), NITI Aayog was also present.

Highlighting the challenge posed by the increasing number of COVID-19 cases in some countries across the world such as China, Brasil, Germany and United States, the Union Health Minister noted the importance of being prepared and remaining alert against new and emerging strains of COVID-19, especially in view of the upcoming festive season. Underlying and reiterating that COVID is not over yet, he urged the states to monitor emerging evidences of COVID-19 cases, symptoms and case severity to plan appropriate public health response.

Dr Mandaviya stressed the need for collective efforts between the Centre and the States to deal with the emerging situation in the spirit of “Whole of Government” approach. He directed for strengthening the surveillance system for whole genome sequencing of positive case samples to track the variants through Indian SARS-CoV-2 Genomics Consortium (INSACOG) network to ensure timely detection of newer variants, circulating in the country to facilitate undertaking of appropriate public health measures in a timely manner. States/UTs have been requested to ramp up testing and refer large number of samples of COVID-19 positive cases and pneumonia-like illness to INSACOG Genome Sequencing Laboratories (IGSLs) on a daily basis, for sequencing, to track new variants, if any.

Dr Mandaviya urged all the states to remain alert, increase surveillance and ensure adequate stock of medicines, oxygen cylinders and concentrators, ventilators and vaccines. He asked officials to undertake mock drills every three months at both the Central and State levels to assess the functionality of PSA plants, oxygen concentrators and cylinders, ventilators, etc., and encouraged the sharing of best practices. He also urged states to create awareness on respiratory hygiene and ensure dissemination of factually correct information and counter fake news to manage infodemic and mitigate any panic.

The Union Health Minister urged States/UTs to share information on cases, tests, positivity etc., in real-time on the COVID portal to enable timely monitoring and prompt public health measures. He assured the states of the support from the Centre.

Through a presentation, Sudhansh Pant, Secretary, Union Health Ministry briefed the Union Health Minister on the global COVID-19 situation and the domestic scenario. It was revealed that while active COVID cases in India are significantly less compared to the global scenario, in the last two weeks there has been a steep rise in active cases from 115 on 6th Dec 2023 to 614 on date. It was also noted that 92.8 per cent of the cases are home-isolated, indicating mild illness. No increase in hospitalisation rates have been witnessed due to COVID-19, the cases that are hospitalised are due to other medical conditions – COVID-19 is an incidental finding. A rise in daily positivity rate has been observed in a few states like Kerala, Maharashtra, Jharkhand and Karnataka.

On the new JN.1 variant of SARS-CoV-2, it was informed that the variant is currently under intense scientific scrutiny, but not a cause of immediate concern. No clustering of cases has been observed in India due to JN.1 and all the cases were found to be mild and all of them have recovered without any complications.

Dr V K Paul reiterated the need for a whole-of-government approach to tackle with the challenge posed by the surge in COVID cases and the emergence of a new variant. He informed that the scientific community in India is closely investigating the new variant but stressed on the need for states to ramp up testing and strengthen their surveillance systems.

Dr Rajiv Bahl, Secretary, Department of Health Research and DG, ICMR said, “ICMR is currently working on genome sequencing of the new JN.1 variant.” He urged states to monitor the COVID-19 scenario and increase RT-PCR tests but noted that there is no cause for panic.

State Health Ministers appreciated the support and guidance received from the Centre. They assured to increase testing and surveillance measures in view of the rising cases in some states.