Outbreak Control Handbook

This document guides you with the implementation of outbreak control strategies at the district level.

Slowing economic activity in India due to extended nationwide lockdown is a cause for concern, and yet, this is the only way of containing the virus and stopping its exponential growth. Thus, we need targeted containment and local implementation of strategies to stop the spread and reduce both the health and economic risks through zonal containment strategies.

The Government of India and MoHFW have already released multiple advisories and plans on the execution of these at the district level. Our intent here is to go deep with all topics and help with implementation plans at taluk and block levels.


Effective outbreak control for COVID-19 depends on two steps :

  1. Defining risk clusters based on calculated and projected risk factors.

  2. Reducing and maintaining the effective reproduction number (Rt) to less than 1.5 within these clusters.

In our district dashboard we have tried to identify district-level clusters and identify risks based on

  1. Number of active cases in the region along with number of active cases in the neighboring districts

  2. Any likely superspreader events which are likely to happen due to imminent religious or socio-cultural gatherings; law and order outbreaks or a natural calamity

  3. Existing public health capacity in the district and prevalence of chronic illnesses and comorbidities which will decide the case fatality ratio of the district.

1) Define clusters
2) Test and Trace
3) Reduce Transmission
4) Build Capacity
5) Prevent resurgence
6) Revive economy
1) Define clusters

1) Color code the clusters based on number of active cases and predicted risk.

2) Limit connectivity between clusters.

3) Update the response plan based on risk category of the cluster.

2) Test and Trace

1) Implement community screening strategy for effective containment.

2) Design peer-to-peer tracing protocols for rapid identification of close contacts.

3) Isolate suspected and identified cases.

3) Reduce Transmission

1) Mandate availability and compliance with masks and face coverings.

2) Limit superspreader events and ensuring compliance with social distancing.

3) Implement strict infection prevention and control protocols at care centers.

4) Enable a citizen-led response to the pandemic.

4) Build Capacity

1) Establish telemedicine infrastructure and fever clinics.

2) Train additional health workforce and rapid response teams.

3) Enable resource sharing across care centers.

5) Prevent resurgence

1) Protect the healthcare facilities and healthcare workers.

2) Protect the vulnerable population.

3) Frequently decontaminate and sterilize public spaces.

4) Establish effective water, sanitation and hygiene protocols.

6) Revive economy

1) Establish protocols for food, pharmaceuticals and other essential services.

2) Boost rural production and consumption.

3) Boost the small and medium manufacturing sector.