Home Print this page Email this page Small font size Default font size Increase font size
Users Online: 196
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
ORIGINAL ARTICLE
Year : 2021  |  Volume : 10  |  Issue : 2  |  Page : 1003-1008

Quarantine practices and COVID-19 transmission in a low-resource setting: Experience of Kerala, India


1 District Program Manager, National Health Mission, Kasaragod, Kerala, India
2 Assistant Surgeon, District Medical Office, Kasaragod, Kerala, India
3 Junior Resident, Department of Community Medicine, Government Medical College Kannur, Kerala, India
4 Assistant Professor, Department of Public Health and Community Medicine, Central University of Kerala, Kasaragod, Kerala, India
5 Nursing Tutor, School of Nursing, Kasaragod, Kerala, India
6 Staff Nurse, General Hospital Kasaragod, Kerala, India
7 District Medical Officer, District Medical Office, Kasaragod, Kerala, India
8 District Surveillance Officer, District Medical Office, Kasaragod, Kerala, India
9 Associate Professor, Department of Community Medicine, Government Medical College, Trivandrum, Kerala, India

Correspondence Address:
Dr. Raman Swathy Vaman
District Program Manager, National Health Mission, Kasaragod, Kerala
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jfmpc.jfmpc_2034_20

Rights and Permissions

Introduction: Disease transmission patterns of COVID-19 have shown that masking, social distancing, contact tracing and quarantine measures are important strategies for reducing transmission. The effective implementation of quarantine is determined by the commitment of the people and monitoring by the State. The aim of the study was to find out the effectiveness of home quarantine practises and its role in determining SARS CoV2 transmission. Methods: Record-based retrospective cohort study was conducted among expatriates of Kerala who were on quarantine at their homes and later tested positive for SARS –CoV-2. Quarantine practises were categorised as strict room quarantine, incomplete room quarantine, home quarantine and no quarantine. Risk of transmission was assessed using risk ratios. Multiple logistic regression analysis was performed to find out the determinants of SARS CoV2 transmission. Results: The median (IQR) age and duration of quarantine of 95 study participants were found to be 35 (29, 44) years and 7 (3,13) days, respectively. Majority of the participants practised strict room quarantine (57%), whereas 11.6%, 16.8% and 14.7% practiced incomplete room, home and no quarantine, respectively. Home quarantine without room quarantine had 24 times odds for transmitting disease [OR (95%CI)): 24.14 (4.87--119.75), P < 0.001] and not being in quarantine for any duration before being diagnosed was found to be 14 times riskier when compared with strict room quarantine [OR (95%CI)): 14.44 (2.42–86.17), P = 0.003]. Discussion: Low-resource settings successful in the initial phases of COVID-19 pandemic should make periodic revisions in the quarantine guidelines while continually promoting physical distancing strategies.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed248    
    Printed0    
    Emailed0    
    PDF Downloaded33    
    Comments [Add]    

Recommend this journal