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ROLE OF HOUSING
SOCIETIES IN COVID 19
PREVENTION
Dr Madhu Nimesh Thakkar
Family Physician and Addiction specialist
Mumbai, Pune
Where are we today???????
World numbers
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LOCKDOWN HELPED BEYOND DOUBT
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WHERE WE ARE TODAY????
We are in much better shape than most of the “western
countries”.
•WE ACTED FAST. May be we could have acted faster.
•Numbers do matter, but not for me as common man.
•What matters for me – Am I one number in that total?
•If not- I should not be one
• For me , for my family for my community, for my
country.
•That’s why this lecture??????
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What should I know about Sars-
Cov2/ Covid 19?
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How does Corona spread????
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SOURCE- EXIT- RECEPIENT- ENTRY
When should I suspect corona?
• Fever
• Dry cough
• Severe body-ache/headache
• Difficulty in breathing
• Nausea/ Vomitting/Diarrhoea
• Nasal discharge/sore throat/sneezing/stuffy nose
• Loss of smell and loss of taste
• If U have any of these symptoms, call your family doctor. Do
not visit clinic without appointment
• Quarantine yourself till then
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Am I at risk of severe Covid19
infection???
• All above age of 50 years ( not 60 in India)
• If you have any of these conditions:
• Obesity
• Uncontrolled Blood Pressure
• Uncontrolled diabetes
• Heart disease
• Kidney disease
• Asthma/COPD
• Cancer
• Organ transplant
• HIV/TB
• SMOKERS
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What care can I take to protect myself?
• Source- exit- recipient- entry
• Source- and exit: Mask. Respiratory hygiene. Hand
hygiene. No spitting. Test and Isolate if have symptoms.
Take max care for 10 days
• Recipient and entry: Avoid the source- 6 feet distance.
Avoid crowd and closed places. Mask. Eye glasses. Do not
touch any surfaces. Hand hygiene.
• SMS: Safe distancing, mask, sanitization of hands
• DO NOT TOUCH YOUR FACE
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Why and how should I wear a mask?
• Reduce risk of acquiring infection by 65-75%
• Mask should be like your dress- u do not go out without
a dress.
• 3 layer mask- cotton , home made
• Should cover your nose mouth, upto chin- all the time
• No handkerchief, duppatta, scarf, saree pallu
• Do not touch mask- inside or outside-hand hygiene if
your touch.
• Use straps to remove mask. Hand hygiene. Wash mask
• Safe disposal if use one – time use masks.
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MASK MASK MASK
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MASK MASK MASK
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What care should I take if I have “cold”?
• If your have runny nose, cough, sneezing:
• Keep distance from others, avoid crowd
• Wear mask
• Always cough / sneeze in a handkerchief or paper
napkin. Do not share napkin with others.
• Dispose / wash napkin properly
• Do not touch face
• Hand hygiene
• NO SPITTING
• Its your responsibility to stop the infection from
spreading to others.
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Correct hand washing technique
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Correct way of using sanitizer
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SAFE DISTANCING 6 FEET
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SAFE DISTANCING 6 FEET
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How would I know if my I am at high
risk getting infection….
• Staying in the same house without proper protection with COVID-
19 patient
• Staying in the same close environment as a COVID-19 patient
(including workplace, classroom, household, gatherings)
• Traveling/being together in close proximity (less than 2 m) with a
a/symptomatic person who later tested positive for COVID-19
• Person providing direct care to a COVID-19 patient without PPE
• Asymptomatic carriers- 2 to 14 days.
• 3 Cs: CLOSED PLACE , CROWDED PLACE, CLOSE CONTACT
• Time 10 to 15 mins
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What if I come in close contact with a
corona positive person?
• DO NOT PANIC!!!!!! IF u are below 55 yrs and do not have
any risk factors, you are safe.
• Was the contact significant( see previous slide)
• If yes, quarantine yourself. Do not expose others – not to
step out please.
• Get yourself tested – RT-PCR swab from your throat.
• If test negative, still quarantine yourself and watch for
symptoms.
• If no symptoms for 14 days since exposure- u are lucky
• If symptoms, contact your doctor or call 1916.
• DO NOT DELAY!!!! Earlier the better.
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What if my Corona test is positive ?????
• DO NOT PANIC!!!!! Stress reduces immunity
• 80% of Corona pos patients have no symptoms or only mild
symptoms.
• ISOLATION- ISOTALTION-ISOLATION. Home or institutional.
• Share names of significant contact with government agency
for testing and quarantining.
• Doctor will do blood tests, Xray chest/CT scan if needed
• Warm water gargles/ milk with turmeric/proper diet.
• Do not take “Crocin” unless temperature is above 102 F.
Fever is needed to kill virus.
• Doctor may start few drugs to relieve your symptoms
• Pulse oximeter- blood oxygen daily once
• If you have any risk factors, intense monitoring
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Lockdown to Unlock
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Crossing laxman rekha….
• Is it really important or urgent?
• Ensure you have no s/s/o Covid19
• Corona kit
• Arogya setu app with blue tooth on
• 2 to 3 masks (new or washed), eye glasses?
• Hand sanitizer
• Paper soap / liquid soap
• Paper napkins
• Dry-fruits, groundnuts, chana, lemon or amla juice, water
• 3 Cs: Avoid closed places, crowded places and close contact
• Do not touch any surface
• Do not touch face
• Do not “play with” mask
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Entering your home again……
• Call home to open door for you- do not touch door bell
or door knob
• Keep your mobile, keys valet, earphone,etc in a tray and
spray/ wipe with alcohol based sanitizer
• Keep other things in a designated area, not to be
touched for 2 days or use after disinfecting
• Wash your hands before touching any thing or anyone
• Remove your mask touching just the straps and wash it.
• If been out for in closed, crowded place, take shower and
wash clothes with warm water and detergent.
• Maintain physical distancing with elderly and at risk
family members even at home.
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High touch surfaces
• Door knobs, door bell
• Lift door, lift buttons
• Light switches
• Mobile, computer keyboard, laptop, tablet, earphone
• Remote controls
• Toilets, sinks, taps.
• Any surface “out-side” your control.
• Clean with alcohol wipes or sodium hypochlorite solution
• Wash hands after cleaning these surfaces
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Role of Housing society
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What role housingsocietycan play in Corona
prevention?
• Designated committee/ person in charge of corona related
precautions
• Full time person/s for housekeeping if large premises
• Ensure availability of sanitizer, soap, mops, paper napkins,
gloves, masks, dust bins, etc
• “Corona care charge” in maintenance bill
• Facilitation of daily purchases-bulk, pre-order purchase
• Care of elderly staying alone.
• Corona related sign boards
• Making a protocol rule book.
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Protocol book for housing society
• Make your own rule book, together
• Policy for deliveries, visitors, drivers, housemaids, car cleaners, etc
• Policy for usage of common utilities like swimming pools, common
play areas, gym, walking area, Nana-Nani park, etc
• Policy for festivals, meetings, get-togethers inside the apartment
community.
• Policy for children playing outside, exercise outside
• Zero stigma or discrimination policy
• Preparedness if some society member turns positive
• Vacant apartment for home quarantine
• Policy for safe disposal of masks, gloves, PPE
• Who will ensure all rules are followed?
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Security and housekeeping staff
• Is he/she from containment zone??
• Arogya Setu app with blue tooth on.
• Not to report for work if having s/s/o Covid19
• Training of mask use, respiratory and hand hygiene
• Mask
• Sanitizer booth, make-shift wash basin paper napkins. Dustbin
• Visitor entry book to be handled by one person only
• 3-6 feet distancing
• Sanitization of touched surfaces on handover.
• Lemon juice, groundnuts, Vit D
• Hosting in society if facility available.
• Visitors: Comp mask, hand hygiene, distancing Arogya setu app,
thermal check????
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Repeated training of staff about SMS
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Disinfectionof commonpremisesor utility areas……
• Lobby, lifts, lift areas on each floor, common bathroom,
sitting area in lobby, park, staircase, corridors, railings, gates
security guard booth, office, gates- mop with sodium hypo-
chlorite/ phenol (avoid metal surfaces). Ideally 2 times a day
• High contact surfaces such elevator buttons, handrails /
handles and call buttons, counters, intercom systems,
telephone, printers/scanners, etc – mop with 1% sodium
hypochlorite 2 to 3 times a day.
• For metallic surfaces like door handles, security locks, keys ,
lift buttons, etc- wipe with 70% alcohol
• If someone sneezes or coughs, vacate and clean the area
with 1% sodium hypochlorite solution
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Don’t touch lift buttons…..
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Basin ka zugaad
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Essentials at doorstep
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NO – touch sanitizer zugaad
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Signboards help as reminder
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Is it safe to allow housemaid?
• Is he/she from containment zone??
• Arogya Setu app with blue tooth on.
• Not to report for work if having s/s/o Covid19
• Training of mask use, respiratory and hand hygiene
• Call. Do not ring door bell.
• Directly go to bathroom to wash hands and feet
• Compulsory mask and safe distancing
• Can safely do mopping, cleans utensils, washing clothes, cleaning
bathrooms and toilets, etc
• Should not touch any door knobs, light switches, furniture, table top
without hand hygiene.
• Cooking – with care. No salads, or things to be eaten raw.
• Elderly and at risk individuals esp should maintain safe distance and
wear mask
• Ensure her wellbeing: ration,nimbu paani, chai, groundnuts, vit D, etc
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Hamein dua ki jarurat hai, baddua
ki nahi…….
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Lessons from CORONA
Napoleon hill said,
"Every adversity brings
with it a seed of equal or
greater opportunity".
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Lessons we need to learn…..
• Hand hygiene: Diarrheal diseases, typhoid, Hep A-E, pneumonia, drug
resistant org.
• Mask: Respiratory viruses, air pollution (?)
• Work from home: Less green house gases, less road traffic accidents, ?
Happier.
• Awareness of health- diet , exercise, naturopathy, veg food,etc.
• Awareness of mental health: Slowed pace of life, yoga, hobbies,etc.
• Addictions: Time to rethink. Many have experienced a drug free period.
• Resurgence of nature- low air. water and noise pollution, birds, animals.
• Money matters for happiness. But in giving away , not in accumulating.
A microscopic virus had to come to teach the most “intelligent” being on
earth the basics of living healthy and balanced life.
“Jhopetna jaage kele, parat zopu naka”
•
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LAST 8 MINS 46 SECS OF GEORGE FLOYD
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GET THE KNEE OFF MY NECK…
LEAVE ME ALONE
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PL don’t do it again………
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Reach out to help others. It will
help you in return
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WHAT ARE PREDICTIONSFOR FUTURE?
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VIRUS MAY REMAIN- FEAR MUST GO
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If in doubt, ask Muktaa………
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Role of housing societies in covid 19 prevention

  • 1. ROLE OF HOUSING SOCIETIES IN COVID 19 PREVENTION Dr Madhu Nimesh Thakkar Family Physician and Addiction specialist Mumbai, Pune
  • 2. Where are we today??????? World numbers MuktaaCharitableFoundation- CoronaHelpline-8605506565
  • 4. LOCKDOWN HELPED BEYOND DOUBT MuktaaCharitableFoundation- CoronaHelpline-8605506565
  • 5. WHERE WE ARE TODAY???? We are in much better shape than most of the “western countries”. •WE ACTED FAST. May be we could have acted faster. •Numbers do matter, but not for me as common man. •What matters for me – Am I one number in that total? •If not- I should not be one • For me , for my family for my community, for my country. •That’s why this lecture?????? MuktaaCharitableFoundation- CoronaHelpline-8605506565
  • 6. What should I know about Sars- Cov2/ Covid 19? MuktaaCharitableFoundation- CoronaHelpline-8605506565
  • 7. How does Corona spread???? MuktaaCharitableFoundation- CoronaHelpline-8605506565 SOURCE- EXIT- RECEPIENT- ENTRY
  • 8. When should I suspect corona? • Fever • Dry cough • Severe body-ache/headache • Difficulty in breathing • Nausea/ Vomitting/Diarrhoea • Nasal discharge/sore throat/sneezing/stuffy nose • Loss of smell and loss of taste • If U have any of these symptoms, call your family doctor. Do not visit clinic without appointment • Quarantine yourself till then MuktaaCharitableFoundation- CoronaHelpline-8605506565
  • 9. Am I at risk of severe Covid19 infection??? • All above age of 50 years ( not 60 in India) • If you have any of these conditions: • Obesity • Uncontrolled Blood Pressure • Uncontrolled diabetes • Heart disease • Kidney disease • Asthma/COPD • Cancer • Organ transplant • HIV/TB • SMOKERS MuktaaCharitableFoundation- CoronaHelpline-8605506565
  • 10. What care can I take to protect myself? • Source- exit- recipient- entry • Source- and exit: Mask. Respiratory hygiene. Hand hygiene. No spitting. Test and Isolate if have symptoms. Take max care for 10 days • Recipient and entry: Avoid the source- 6 feet distance. Avoid crowd and closed places. Mask. Eye glasses. Do not touch any surfaces. Hand hygiene. • SMS: Safe distancing, mask, sanitization of hands • DO NOT TOUCH YOUR FACE MuktaaCharitableFoundation- CoronaHelpline-8605506565
  • 11. Why and how should I wear a mask? • Reduce risk of acquiring infection by 65-75% • Mask should be like your dress- u do not go out without a dress. • 3 layer mask- cotton , home made • Should cover your nose mouth, upto chin- all the time • No handkerchief, duppatta, scarf, saree pallu • Do not touch mask- inside or outside-hand hygiene if your touch. • Use straps to remove mask. Hand hygiene. Wash mask • Safe disposal if use one – time use masks. MuktaaCharitableFoundation- CoronaHelpline-8605506565
  • 14. What care should I take if I have “cold”? • If your have runny nose, cough, sneezing: • Keep distance from others, avoid crowd • Wear mask • Always cough / sneeze in a handkerchief or paper napkin. Do not share napkin with others. • Dispose / wash napkin properly • Do not touch face • Hand hygiene • NO SPITTING • Its your responsibility to stop the infection from spreading to others. MuktaaCharitableFoundation- CoronaHelpline-8605506565
  • 15. Correct hand washing technique MuktaaCharitableFoundation- CoronaHelpline-8605506565
  • 16. Correct way of using sanitizer MuktaaCharitableFoundation- CoronaHelpline-8605506565
  • 17. SAFE DISTANCING 6 FEET MuktaaCharitableFoundation- CoronaHelpline-8605506565
  • 18. SAFE DISTANCING 6 FEET MuktaaCharitableFoundation- CoronaHelpline-8605506565
  • 19. How would I know if my I am at high risk getting infection…. • Staying in the same house without proper protection with COVID- 19 patient • Staying in the same close environment as a COVID-19 patient (including workplace, classroom, household, gatherings) • Traveling/being together in close proximity (less than 2 m) with a a/symptomatic person who later tested positive for COVID-19 • Person providing direct care to a COVID-19 patient without PPE • Asymptomatic carriers- 2 to 14 days. • 3 Cs: CLOSED PLACE , CROWDED PLACE, CLOSE CONTACT • Time 10 to 15 mins MuktaaCharitableFoundation- CoronaHelpline-8605506565
  • 20. What if I come in close contact with a corona positive person? • DO NOT PANIC!!!!!! IF u are below 55 yrs and do not have any risk factors, you are safe. • Was the contact significant( see previous slide) • If yes, quarantine yourself. Do not expose others – not to step out please. • Get yourself tested – RT-PCR swab from your throat. • If test negative, still quarantine yourself and watch for symptoms. • If no symptoms for 14 days since exposure- u are lucky • If symptoms, contact your doctor or call 1916. • DO NOT DELAY!!!! Earlier the better. MuktaaCharitableFoundation- CoronaHelpline-8605506565
  • 21. What if my Corona test is positive ????? • DO NOT PANIC!!!!! Stress reduces immunity • 80% of Corona pos patients have no symptoms or only mild symptoms. • ISOLATION- ISOTALTION-ISOLATION. Home or institutional. • Share names of significant contact with government agency for testing and quarantining. • Doctor will do blood tests, Xray chest/CT scan if needed • Warm water gargles/ milk with turmeric/proper diet. • Do not take “Crocin” unless temperature is above 102 F. Fever is needed to kill virus. • Doctor may start few drugs to relieve your symptoms • Pulse oximeter- blood oxygen daily once • If you have any risk factors, intense monitoring MuktaaCharitableFoundation- CoronaHelpline-8605506565
  • 23. Crossing laxman rekha…. • Is it really important or urgent? • Ensure you have no s/s/o Covid19 • Corona kit • Arogya setu app with blue tooth on • 2 to 3 masks (new or washed), eye glasses? • Hand sanitizer • Paper soap / liquid soap • Paper napkins • Dry-fruits, groundnuts, chana, lemon or amla juice, water • 3 Cs: Avoid closed places, crowded places and close contact • Do not touch any surface • Do not touch face • Do not “play with” mask MuktaaCharitableFoundation- CoronaHelpline-8605506565
  • 24. Entering your home again…… • Call home to open door for you- do not touch door bell or door knob • Keep your mobile, keys valet, earphone,etc in a tray and spray/ wipe with alcohol based sanitizer • Keep other things in a designated area, not to be touched for 2 days or use after disinfecting • Wash your hands before touching any thing or anyone • Remove your mask touching just the straps and wash it. • If been out for in closed, crowded place, take shower and wash clothes with warm water and detergent. • Maintain physical distancing with elderly and at risk family members even at home. MuktaaCharitableFoundation- CoronaHelpline-8605506565
  • 25. High touch surfaces • Door knobs, door bell • Lift door, lift buttons • Light switches • Mobile, computer keyboard, laptop, tablet, earphone • Remote controls • Toilets, sinks, taps. • Any surface “out-side” your control. • Clean with alcohol wipes or sodium hypochlorite solution • Wash hands after cleaning these surfaces MuktaaCharitableFoundation- CoronaHelpline-8605506565
  • 27. Role of Housing society MuktaaCharitableFoundation- CoronaHelpline-8605506565
  • 28. What role housingsocietycan play in Corona prevention? • Designated committee/ person in charge of corona related precautions • Full time person/s for housekeeping if large premises • Ensure availability of sanitizer, soap, mops, paper napkins, gloves, masks, dust bins, etc • “Corona care charge” in maintenance bill • Facilitation of daily purchases-bulk, pre-order purchase • Care of elderly staying alone. • Corona related sign boards • Making a protocol rule book. MuktaaCharitableFoundation- CoronaHelpline-8605506565
  • 29. Protocol book for housing society • Make your own rule book, together • Policy for deliveries, visitors, drivers, housemaids, car cleaners, etc • Policy for usage of common utilities like swimming pools, common play areas, gym, walking area, Nana-Nani park, etc • Policy for festivals, meetings, get-togethers inside the apartment community. • Policy for children playing outside, exercise outside • Zero stigma or discrimination policy • Preparedness if some society member turns positive • Vacant apartment for home quarantine • Policy for safe disposal of masks, gloves, PPE • Who will ensure all rules are followed? MuktaaCharitableFoundation- CoronaHelpline-8605506565
  • 30. Security and housekeeping staff • Is he/she from containment zone?? • Arogya Setu app with blue tooth on. • Not to report for work if having s/s/o Covid19 • Training of mask use, respiratory and hand hygiene • Mask • Sanitizer booth, make-shift wash basin paper napkins. Dustbin • Visitor entry book to be handled by one person only • 3-6 feet distancing • Sanitization of touched surfaces on handover. • Lemon juice, groundnuts, Vit D • Hosting in society if facility available. • Visitors: Comp mask, hand hygiene, distancing Arogya setu app, thermal check???? MuktaaCharitableFoundation- CoronaHelpline-8605506565
  • 31. Repeated training of staff about SMS MuktaaCharitableFoundation- CoronaHelpline-8605506565
  • 32. Disinfectionof commonpremisesor utility areas…… • Lobby, lifts, lift areas on each floor, common bathroom, sitting area in lobby, park, staircase, corridors, railings, gates security guard booth, office, gates- mop with sodium hypo- chlorite/ phenol (avoid metal surfaces). Ideally 2 times a day • High contact surfaces such elevator buttons, handrails / handles and call buttons, counters, intercom systems, telephone, printers/scanners, etc – mop with 1% sodium hypochlorite 2 to 3 times a day. • For metallic surfaces like door handles, security locks, keys , lift buttons, etc- wipe with 70% alcohol • If someone sneezes or coughs, vacate and clean the area with 1% sodium hypochlorite solution MuktaaCharitableFoundation- CoronaHelpline-8605506565
  • 34. Don’t touch lift buttons….. MuktaaCharitableFoundation- CoronaHelpline-8605506565
  • 37. NO – touch sanitizer zugaad MuktaaCharitableFoundation- CoronaHelpline-8605506565
  • 38. Signboards help as reminder MuktaaCharitableFoundation- CoronaHelpline-8605506565
  • 39. Is it safe to allow housemaid? • Is he/she from containment zone?? • Arogya Setu app with blue tooth on. • Not to report for work if having s/s/o Covid19 • Training of mask use, respiratory and hand hygiene • Call. Do not ring door bell. • Directly go to bathroom to wash hands and feet • Compulsory mask and safe distancing • Can safely do mopping, cleans utensils, washing clothes, cleaning bathrooms and toilets, etc • Should not touch any door knobs, light switches, furniture, table top without hand hygiene. • Cooking – with care. No salads, or things to be eaten raw. • Elderly and at risk individuals esp should maintain safe distance and wear mask • Ensure her wellbeing: ration,nimbu paani, chai, groundnuts, vit D, etc MuktaaCharitableFoundation- CoronaHelpline-8605506565
  • 40. Hamein dua ki jarurat hai, baddua ki nahi……. MuktaaCharitableFoundation- CoronaHelpline-8605506565
  • 41. Lessons from CORONA Napoleon hill said, "Every adversity brings with it a seed of equal or greater opportunity". MuktaaCharitableFoundation- CoronaHelpline-8605506565
  • 42. Lessons we need to learn….. • Hand hygiene: Diarrheal diseases, typhoid, Hep A-E, pneumonia, drug resistant org. • Mask: Respiratory viruses, air pollution (?) • Work from home: Less green house gases, less road traffic accidents, ? Happier. • Awareness of health- diet , exercise, naturopathy, veg food,etc. • Awareness of mental health: Slowed pace of life, yoga, hobbies,etc. • Addictions: Time to rethink. Many have experienced a drug free period. • Resurgence of nature- low air. water and noise pollution, birds, animals. • Money matters for happiness. But in giving away , not in accumulating. A microscopic virus had to come to teach the most “intelligent” being on earth the basics of living healthy and balanced life. “Jhopetna jaage kele, parat zopu naka” • MuktaaCharitableFoundation- CoronaHelpline-8605506565
  • 43. LAST 8 MINS 46 SECS OF GEORGE FLOYD MuktaaCharitableFoundation- CoronaHelpline-8605506565
  • 44. GET THE KNEE OFF MY NECK… LEAVE ME ALONE MuktaaCharitableFoundation- CoronaHelpline-8605506565
  • 45. PL don’t do it again……… MuktaaCharitableFoundation- CoronaHelpline-8605506565
  • 47. Reach out to help others. It will help you in return MuktaaCharitableFoundation- CoronaHelpline-8605506565
  • 48. WHAT ARE PREDICTIONSFOR FUTURE? MuktaaCharitableFoundation- CoronaHelpline-8605506565
  • 49. VIRUS MAY REMAIN- FEAR MUST GO MuktaaCharitableFoundation- CoronaHelpline-8605506565
  • 50. If in doubt, ask Muktaa……… MuktaaCharitableFoundation- CoronaHelpline-8605506565

Hinweis der Redaktion

  1. Total area of worls in sq km: 510 millon Total popultiion: 7.5 billion World popultion density; 14. 7 per per sq km PD OF INDIA IS 464, USA IS 36, Mumbai: Area 28,508, Population: 12 million, PD: 28410, SECOND HIGHEST IN WORLD AFTER Manila in Phillinpines Pune : Population 6.6 millioin, PD 5600 IN CITY PROPPER Chennai” 25858, Kolcutta; 24842 Delhi 11310(2011 census) Maharahtra: 360 India hs 17 % of world population. Area of india is 3 million sw km USA Is 9 milliion http://statisticstimes.com/demographics/countries-by-population-density.php https://www.worldatlas.com/articles/the-world-s-most-densely-populated-cities.html https://www.census2011.co.in/density.php
  2. Not a bad person at heart, but everything he says and do turns out to be wrong