Health Ministry Notifies Guidelines: Mild category stay home; moderate, severe cases be hospitalised – DETAILS



  • The government has issued an admission policy notification as panicked people not in need of hospitalisation are also rushing to hospitals for admission, causing severe strain and crisis for the medical fraternity that is already under pressure. This kind of actions is also hurting the survival chances of seriously ill patients.
  • While hospitals across India are battling to render life-saving medical care to COVID-19 patients, there is a serious shortfall of medical supplies, apparatuses, set-ups and beds that the hospital authorities have to workaround. The shortfall in medical oxygen supplies has allegedly caused shocking losses in terms of lives and health.
  • Through a new notification, the government – through the Ministry of Health and Family Welfare – has now decided that for hospital admission, patients with severity of symptoms will be given precedence over those with a mild or moderate range of symptoms.
  • The government has drawn up a table to categorise and defines which cases are Aymptomatic/symptomatic, which ones are mild, which ones are moderate and which ones fall in the Severe category.
  • It has been decided that Asymptomatic/Presymptomatic cases must undergo Home Isolation or be admitted to regular Covid Care Centres (CCCs).  These are the cases that have been diagnosed as COVID-19 positive but with no symptoms being manifested currently.
  • The same is applicable for mild cases as well. Those with mild cases may have a fever and/or an uncomplicated Upper Respiratory Tract Infection without Dyspepnoeas and hypoxemia (SPO2 – Oxygen in blood level to be monitored 10-12 times a day on pulse oximeter).
  • For cases diagnosed as Moderate, the criteria are that they may have pneumonia with RR Count more than 24, with no signs of severe disease or SPO2 level is less than 94 per cent. Such persons may be admitted to Dedicated COVID Health Centre (DCHC).
  • Similarly, those cases that are Severe – criteria being that they show Respiratory distress requiring mechanical ventilation (non-invasive and invasive) and SPO2 less than 90 per cent and RR Count more than 30 – should be admitted to DCH.


  • The Ministry of Health and Family Welfare admission guidelines for coronavirus related fever also mention that cases with even very mild/pre-symptomatic/asymptomatic falling in the following category – will be compulsorily admitted to CCC. These patients are not eligible for Home Isolation:
    1. Patients suffering from immune-compromised status (like HIV, organ transplant recipients, cancer therapy etc.
    2. Elderly patients aged more than 60 years of age
    3. Those patients who have co-morbidities such as Hypertension, Diabetes, Heart Disease, Chronic Lung/Liver/Kidney Disease, Cerebro-Vascular disease etc.
    The patients in category 2 and 3 above can be allowed to go on Home Isolation if the treating physician, after proper evaluation, certifies that the patient is fit and stable for Home Isolation.
    April 25 Guidelines COVID-19 admission to hospital mild moderate severe home isolation


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