nagpur the latest guidelines issues by union ministry of health family welfare on april 27 provide for home isolation for very mild or presymptomatic covid19 cases such patients having requisite facility at home will have that option at present all suspected awaiting test results and confirmed covid19 cases are being isolated and managed in a hospital setting with the intent to break the chain of transmission because of this many asymptomatic patients with requisite facilities at home also have to stay hospitalizednoted city pulmonologist dr rajesh swarnkars petition in supreme court also had a prayer to stop admitting such mild covid19 cases and keep them isolated at home insteadwhile such patients will now get an option of home isolation they will have to follow certain rules and also have to submit a legal undertaking for thisthe patient needs to be in constant touch with his treating doctor and district surveillance officer in case the patient suffers difficulty in breathing pain or pressure in the chest confusion or inability to arise or develops bluish discolorations of lips he will be immediately hospitalized said a senior officer from health department this news is important for small towns like yavatmal and buldhana where cases are increasing and the isolation facilities are limited in nagpur too more than 50 patients are admitted in two government hospitals over 70 of these are asymptomatic or have very mild symptoms they can go for home isolation nowdr ravi wankhedkar treasurer of world medical association said the decision would reduce load on health facilities world mortality of covid19 is 690 and that of asia is 57 mortality in india is 07 deaths per million population asian countries are behaving differently in terms of mortality and india has among the lowest mortality rates such changes in protocol are a must with changing times said dr wankhedkar who can be in home isolation person clinically assigned as a very mild or presymptomatic case patient should have requisite facility for selfisolation at home doctors should be available to provide care on 24x7 basis at least on phone patient must download arogya setu app on mobile and remain active patient must agree to monitor his health and regularly inform health status to the district surveillance officer patient must fill in an undertaking on selfisolation and follow guidelinesrules of home isolation patient should wear at all times triple layer medical mask discard mask after 8 hours of use discard mask only after disinfecting it with 1 sodium hypochlorite solution must stay in the identified room and away from other people at home must take rest and drink lots of fluids to maintain hydration follow respiratory etiquettes all the time must wash hands often with soap and water not share personal items with other people clean surfaces in the room that are touched often tabletops doorknobs handles etc with disinfectant solution