Limitations of COVID-19 Fever Clinic as the First Point of Contact: Are We Relying Too Much? An Experience from a Tertiary Center

Keywords: COVID-19, Fever clinics, Limitations

Abstract

In Nepal, after the first case was diagnosed with Corona Virus Disease -19 (COVID -19) in a 32-year-old returnee from Wuhan, China on 13 January 2020, it took more than four months to reach a figure of 500 infected cases. Seventy of them have already recovered and returned home. However, the curve has been taking a steeper slope after the first 50 cases were documented. With the first mortality from COVID-19 confirmed on 16th
May, 2020, the fact that this pandemic is tightening its grip in the country is more evident now. And with
each passing day, more cases are being diagnosed. In such a situation, strategies of screening the infected/
suspects are of paramount importance and those already in place should be strengthened. On March 19, the Nepal Medical Council asked all hospitals, both private and public, with over 100 beds to operate a separate fever clinics and postpone elective surgeries to conserve resources for an outbreak. Such fever clinics
aim at separating and filtering out the suspected/ diagnosed COVID-19 patients. Arguably started first
in Kathmandu Medical College, fever clinics now have been established and run in almost every large
health care centers. United Nations International Children’s Emergency Fund (UNICEF) has been pivotal in supporting some of these centers. Rising up to the task, Lumbini Medical College and Teaching Hospital started its fever clinic from 22 March 2020 in a separate makeshift place which later moved to a more organized structure. The fever clinic is set up in a separate area in order to keep off suspected patients from the main hospital.

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Author Biography

Deepak Shrestha, Lumbini Medical College and Teaching Hospital

Assistant Professor,

Department of Obstetrics and Gynecology.

References

Bastola A, Sah R, Rodriguez-Morales AJ, Lal BK, Jha R, Ojha HC, et al. The first 2019 novel coronavirus case in Nepal. The lancet. 2020;20(3):279-80. PMID: 32057299 DOI: https://doi.org/10.1016/S1473-3099(20)30067-0

Corona Info-Daily Census. Government of Nepal, Ministry of Health and population. 2020 May 22. Available from: https://covid19.mohp.gov.np/#/

The Covid-19 outbreak so far and how Nepal can prepare for the worst. The Kathmandu Post. 2020 Mar 21. Available from: https://tkpo.st/2QCgTSG

First point of contact: COVID-19 fever clinics. UNICEF, Nepal. 2020 Apr 5. Available from: https://www.unicef.org/nepal/stories/first-pointcontact-covid-19-fever-clinics

Gautam L. Hospital turns away patients with fever. The Himalayan Times. 2020 Mar 1. Available from: https://thehimalayantimes.com/nepal/hospitals-turn-away-patients-with-fever/

Published
2020-06-06
How to Cite
1.
Shrestha D. Limitations of COVID-19 Fever Clinic as the First Point of Contact: Are We Relying Too Much? An Experience from a Tertiary Center. J Lumbini Med Coll [Internet]. 6Jun.2020 [cited 9Jul.2020];8(1):2 pages. Available from: https://jlmc.edu.np/index.php/JLMC/article/view/352
Section
Perspective