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Three-layer medical mask must for covid patients in home isolation: Centre issues fresh guidelines


Amid the rapid rise of Covid-19 cases and scarcity of beds in the hospitals, the Union Ministry of Health and Family Welfare on Thursday issued a fresh set of guidelines for COVID positive patients who are under home quarantine for mandatory usage of a triple-layer medical mask.

According to a research team found that well-fitting, three-layered cloth masks can be as effective at reducing the transmission of Covid as surgical masks. It also found that under ideal conditions and dependent on the fit, three-layered cloth masks can perform similarly to surgical masks for filtering droplets – with both reducing exposure by around 50 to 75 percent.

According to the new guidelines, patients should discard mask after 8 hours of use or earlier if they become wet or visibly soiled. It also made clear that in the event of the caregiver entering the room, both caregiver and patient may consider using N 95 mask. However, a mask should be discarded only after disinfecting it with 1% Sodium Hypochlorite. Covid-19 patients must take rest and drink lot of fluids to maintain adequate hydration,” the guidelines stated.

The guidelines says further that for home isolation, doctors should consider Ivermectin (200 mcg/kg once a day, to be taken on an empty stomach for 3-5 days). Also, if the symptoms such as fever and/or cough persist beyond five days after the onset of the disease, Inhalational Budesonide is recommended. In case symptoms persist for longer than seven days, patients should consult doctors for treatment with low-dose oral steroids, the guidelines say.

The decision to administer the antiviral drug Remdesivir must be taken by a medical professional and administered only in a hospital setting. At any point in time, no attempt to procure or administer Remdesivir at home.

Senior citizens and above who are suffering from co-morbid conditions such as hypertension, Diabetes, Heart disease, Chronic lung/liver/ kidney disease, Cerebro-vascular disease etc shall only be allowed home isolation after proper evaluation by the treating medical officer. Patients suffering from immune comprised status (HIV, Transplant recipients, Cancer therapy etc.) are not recommended for home isolation and shall only be allowed home isolation after proper evaluation by the treating medical officer.

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