Risk of adversarial occasion after COVID vaccination can’t be dominated out; states, UTs must be ready: Govt


New Delhi, December 15

The possibility of an adverse event after being vaccinated for COVID-19 cannot be ruled out, the government said on Tuesday and asked states and union territories to be prepared for this as part of the anti-coronavirus inoculation drive.

At a press briefing, secretary in the Health Ministry Rajesh Bhushan said that adverse events following immunisation (AEFI) are critical aspect and states have been asked to identify at least one adverse event following immunisation (AEFI) management centre in each block.

“Even during universal immunisation programmes, which have been going on for decades, some adverse effects are seen in children and pregnant women after they are administered shots.

“So, we can’t deny the possibility of an adverse event when the COVID-19 vaccination begins. In countries where inoculation has already started, especially in the UK, adverse events took place on the very first day. So, it is essential that states and union territories prepare for this too,” Bhushan said.

Detailed instructions on infection prevention and control practices during vaccination and management of minor, severe, serious AEFI have been issued to states by the Centre, he said.

“States have been asked to identify at least one AEFI management centre in each block. PHCs, CHCs, district hospitals, private health facilities or any other fixed health facility with medical officers and para-medical staff can be identified as AEFI management centres,” he said.     

Further, every session site has to be linked to a designated AEFI management centre and AEFI can also be reported through Co-WIN, — a digitalised platform, which will be used to track enlisted beneficiaries for the vaccination and anti-coronavirus vaccines on a real-time basis, he added.

COVID-19 cases and deaths are declining in India which is very reassuring, the Centre said on Tuesday but cautioned against any laxity saying an overwhelming proportion of the country’s population is still “very, very susceptible” to the virus and the situation may escalate unexpectedly.

While there is a continuous increasing trend in COVID-19 cases and deaths globally, particularly in America and Europe and the situation in the world is becoming worrisome, in contrast the scene in India is satisfying as the cases and deaths are declining, Dr V K Paul, member (health) at NITI Aayog, told a press conference here.

“Mortality is declining and it is well below 400 per day. Cases have come down to almost 22,000. This is the kind of number we all experienced in July. So that is very reassuring. As a nation, we seem to be now doing very well.

“We are saving lives. But remember, this cannot be taken for granted. An overwhelming proportion of our population is still very, very susceptible to the virus. And the situation can escalate unexpectedly,” Paul said while cautioning against any laxity.

He further said the reassuring thing is that people are saying the R0 has come below one which means the pandemic is shrinking.

“So we should be happy about that but cautiously happy,” he said.

Noting Delhi has made progress, he said, “We congratulate the government of Delhi as also all the other governments who have done so well in contributing towards such a significant control (in cases) in recent times.”                 

Paul, however, expressed concern over the COVID-19 situation in some states like Uttarakhand, Nagaland and Himachal Pradesh and stated all efforts to control the spread are being made in collaboration with these governments.

Union Health Secretary Rajesh Bhushan said that more than 15.55 crore tests have been conducted so far for detection of coronavirus infection in the country, and the cumulative positivity rate has come down to 6.37 while the average daily positivity rate during last week was 3.00 per cent.

India’s Case Fatality Rate (CFR) is also among the lowest in the world. At present, India’s CFR is 1.45 per cent, whereas globally it is 2.26 per cent, Bhushan said.

Speaking about the preparation for the COVID-19 vaccination drive, Bhushan said guidelines for estimation of electrical and non-electrical cold chain equipment and their strengthening have been issued to states.

Guidelines for management of cold chain at last cold chain points and session sites have been issued.

At least 29,000 cold chain points, 240 walk-in coolers, 70 walk-in freezers, 45,000 ice-lined refrigerators, 41,000 deep freezers and 300 solar refrigerators will be used for the COVID-19 vaccination drive.  — PTI



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