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The first COVID-19 infection case to be reported in Kerala, India is presented here. A 20-year-old woman with a one-day history of a dry cough and sore throat visited the emergency room at the general hospital in Thrissur, Kerala, on January 27, 2020.
Virus carrier family returning:
There was no prior history of shortness of breath, rhinitis, or fever. She admitted that the COVID-19 epidemic scenario in Wuhan city, China, was the reason she had returned to Kerala on January 23, 2020. Between January 23 and January 26, she had no symptoms. She woke up on the morning of day 27 with a slight sore throat and dry cough. She didn’t provide a history of interaction with someone who had COVID-19 infection that was either suspected or confirmed. She did not go to the Huanan Seafood Wholesale Market, but she described her train trip from Wuhan to Kunming, during which she saw individuals exhibiting respiratory symptoms both in the train and at the railway station. Because of her past travels to China, she was advised by Kerala State officials to contact a medical facility if she has any symptoms.
She was afebrile, with a blood pressure of 130/80 mmHg, a fever of 98.5°F, and a 96% oxygen saturation while breathing room air, in the emergency room of General Hospital. During a lung auscultation, there were no atypical sounds heard. The district fast response team opted to place her in an isolation chamber meant for the corona pandemic given her history of travel from Wuhan. On January 27, 2020, an oropharyngeal swab was taken and sent to the ICMR-National Institute of Virology (NIV), Pune, to be tested for viral respiratory infections. Additionally, three millilitres of EDTA blood and three millilitres of regular blood were drawn and forwarded to NIV, Pune, where COVID-19 was identified using real-time reverse transcription PCR. On day 0 (admission), as well as on every other day, specimens were collected. Additionally, samples of urine and stools were sent for in-depth analysis. Azithromycin (500 mg), cetirizine (10 mg), and saline gargle were prescribed to her. She saw a three-day improvement in her symptoms.
On January 30, 2020, the NIV, Pune notified the District Control Cell that the woman tested positive for COVID-19 infection. The total white blood cell count was slightly below normal on the first day of illness, but between days 5 and 20, it increased in a way that was consistent with a viral infection. The seventh day saw the highest erythrocyte sedimentation rate. The remaining investigations went as expected. On January 31, 2020, she was referred to the Government Medical College in Thrissur, Kerala, where she was admitted to the corona infection isolation block. A complete policy on the normal operating procedures, including infection control measures to be followed in the isolation block, had already been published by this point by the institution’s outbreak monitoring unit. She simply had a slight sore throat and rhinitis when she presented. She had a pulse rate of 76/min, blood pressure of 100/70 mmHg, a respiratory rate of 12/min, and an oxygen saturation level of 97% in the surrounding air. She was also alert and oriented. No notable results were found after a general evaluation. Oseltamivir and symptomatic treatments were started for her. She gradually got well over the course of the three days, went asymptomatic on February 3, 2020, and tested negative for the COVID-19 infection on day 19. Oropharyngeal swabs were taken to diagnose COVID-19 infection on days 1, 4, 5, and every other day thereafter, i.e. days 9, 11, 13, and so on. The initial swabs remained positive until day 17, at which point the patient was released because the swabs on days 19, 21, and 23 were negative. On February 20, 2020, the hospital released her.
Arrivals from affected countries:
The Vande Bharat Mission (VBM), which began returning Indian nationals who were exiled due to COVID-19 and the ensuing lockdowns on May 7 of last year, has proven to be one of the largest civilian evacuations by a nation.
The VBM has eclipsed the massive airlift of 1,10,000 people in 1990 at the start of the Gulf War in the middle of Phase 10. The Air India (AI) Group has so far run 11,523 inbound flights with a total passenger load of 18,19,734 and 11,528 outgoing flights with 13,68,457. The national carrier Air India, which handled the majority of the mission’s air transfers, was assisted by its low-cost carrier Air India Express.
Conclusion
The mortality rate of COVID-19 and its cases were dramatically controlled as a direct result of the various lockdown phases. Since mass lockdowns haven’t been used in the world in a while, these phases have, nonetheless, had a number of unintended consequences.
