Revised guidelines by MHA for Home Isolation of very mild/pre-symptomatic/asymptomatic COVID-19 cases

Patients who have clinically assigned as very mild/mild, moderate or severe or pre-symptomatic cases of Covid-19 are first required to isolate themselves at home in order to break the chain of transmission.


As per the guidelines given by Ministry of Health and Family Welfare, the patients should be clinically assigned as very mild/mild, moderate or severe and accordingly admitted to i) Covid care Centre, ii) Dedicated Covid Health Centre or iii) Dedicated Covid Hospital respectively. In view of large number of asymptomatic cases being detected, the current guidelines have been extended to asymptomatic positive cases also besides very mild and pre-symptomatic cases.

Who’s eligible for home isolation?

i. The person should be clinically assigned as a very mild/pre-symptomatic/asymptomatic case by the treating medical officer. 
ii. Such cases should have the requisite facility at their residence for self-isolation and also for quarantining the family contacts.
iii. A care giver should be available to provide care on 24x7. A communication link between the caregiver and hospital is a prerequisite for the entire duration of home isolation.
Guidelines to follow when you’re in home quarantine:
i. The care giver and all close contacts of such cases should take Hydroxychloroquine prophylaxis as per protocol and as prescribed by the treating medical officer
ii. Download Arogya Setu App on mobile (available at: https://www.mygov.in/aarogya-setuapp/) and it should remain active at all times (through Bluetooth and Wi-Fi)
iii. The patient shall agree to monitor his health and regularly inform his health status to the District Surveillance Officer, who will facilitate further follow up by the surveillance teams.
iv. The patient will fill in an undertaking on self-isolation (Annexure I) and shall follow home quarantine guidelines. The treating doctor should satisfy himself before allowing home isolation.

In addition to the guidelines on home-quarantine available at: https://www.mohfw.gov.in/pdf/Guidelinesforhomequarantine.pdf, the required instructions for the care giver and the patient as in Annexure II shall be also followed.


When to discontinue home isolation? 

Patient under home isolation will stand discharged after 10 days of symptom onset and no fever for 3 days. Thereafter, the patient will be advised to isolate at home and self-monitor their health for further 7 days. There is no need for testing after the home isolation period is over.

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