Self measures to be taken in COVID-19 outbreak in Pakistan

Forces combat against coronavirus crisis

There is allot of discussion going on around COVID-19, you guys are pretty much aware of the situation right now. Countries are shutting down; from travel restrictions to whole cities are being shut down. The problem i am seeing in Pakistan is that our general public is oblivious; that’s not certainly a bad thing, but the rulers are more clueless. And that’s pretty messed up. Now this thread i am creating is not for repetition of the rhetoric.

But for “Pakistan focused” self measures that you should and your families need to practice because the spread is inevitable unless government takes extreme measures, which they are not and will not take in current economy or unless Allah does some reham on this nation and summer makes this virus go away; for which we can’t say for sure. Now to the self measures..

Stock essential items at home; the way it went with masks is an example in front of us; prices are gonna hike, there will be shortages and panic buying spree will happen.

Pakistan have family based living system; lots of people share a same house mostly. Create a mechanism in your houses that in case someone is sick, he/she can be quarantined. Majority will need home based isolation protocol. In Pakistan no one will pay attention to it and moms will keep coming feeding the sick and whole neighborhood will keep coming to ask for the sick. Don’t do that and tell others not to do as well.

Keep utensils of the sick away, wash them separately with measures taken, if possible use disposable utensils and discard them after use. If someone is washing them, better to wash separately with gloves on, disinfect the washing area after cleaning the dishes and disinfect the hands properly.

When entering the room of the person with covid-19. use n-95 mask and gloves and don’t touch anything. In case of an infection to you or to one of your loved ones; for majority cases it will be mild one, fever, sore throat, runny nose, fatigue, body aches. For that you won’t need to be hospitalized. Home isolation with symptomatic treatment will be enough to recover for majority, by taking e.g. paracetamol, ibuprofen, pseudo ephedrine etc. Consult your local GP for dosage and exact medication. Take herbal tea, joshanda but don’t over do it.

If you are young and healthy please don’t unnecessarily go out for medical checkups as it will put others at risk at hospital/clinic’s waiting rooms. If unstable and you need to see a doctor, call first and then use n95 mask before going out. If anyone will start experiencing breathing difficulty he/she will need to be hospitalized with oxygen supplementation and in worst scenario would need to be supported by a ventilator. Better to call an ambulance, tell them before hand so the care-workers can protect themselves accordingly.

Please avoid buying stuff from outside, shops and restaurants needs to be closed once the outbreak is inevitable.

Avoid the currency notes, if you are using them; don’t touch your face. Don’t count them by licking your finger and wash you hands after handling currency notes.

Vegetables and fruits are mostly handled by lots of people before it reaches you. So be careful, put the vegetables and fruits in soapy water or if you have chlorinated water supply, leave the fruits and vegetables in it for a while, wash them thoroughly before use.

Boil water/ milk properly before using. And if your family is buying milk from milkman better to directly boil it as it arrives, instead of putting in the refrigerator to avoid cross-contamination and this rule applies to all edibles.

Pray at home; avoid crowded places. If you really want to go, better to take your own jae-namaz with you. Avoid breathing-in during sujjud. Wash your hands and face with soap after returning home.

Avoid shaking hands, hugging or kissing for the time being. Physical contact is one of reason this virus is spreading in such a rate. A person can also get the coronavirus if they touch a surface or object that has viral particles on it and then touch their mouth, nose, or eyes. The lifespan of the virus on a surface, a stairwell banister, or even money — depends on many factors, including the surrounding temperature, humidity, and type of surface. But the rough range is “likely hours to a day or so”. So be careful there.

Clean your mobile phones each day with soap socked micro-fiber cloth/ tissue paper. Before using office keyboards/ computers wipe them clean before using every day. Wipe clean your desk, if it applies to you.

As per the government’s directives, if you suspect that you may have symptoms, including fever, coughing or shortness of breath, call the state helpline (1166) or your healthcare provider. It’s better to call the help line before visiting and in-case you have to visit the doctor please wear n-95 mask to avoid general public to contact it from you at the hospital.

You may also contact a private laboratory to be tested. While, private labs are charging upwards to Rs7,900 for each test, designated public hospitals are testing free of cost. The results will be reported back to you within two days (48 hours).

Below is a list of hospitals in all major cities, which are testing for coronavirus:

Services Hospital

Benazir Bhutto Hospital

Nishtar Hospital

Allama Iqbal Memorial Hospital

Allied Hospital

Rahimyar Khan
Sheikh Zayed Hospital




Civil Hospital
Jinnah Postgraduate Medical Center


Aga Khan University Hospital
Dow Medical College

Liaquat Hospital


Fatima Jinnah General and Chest Hospital

Khyber Pakhtunkhwa

Muhammad Teaching Hospital
Jinnah Teaching Hospital
Prime Teaching Hospital
Painless Hospital
Khalil Hospital
Zia Medical Complex
Mercy Teaching Hospital
Kuwait Teaching
Naseer Teaching Hospital
MSF Hospital
Afridi Medical Complex
Shahab Orthopedic Hospital
Rehman Medical Institute
North Western General Hospital
Shaukat Khanum Memorial Cancer Hospital
Akbar Medical Centre
Abaseen Hospital
Habib Medical Centre
Ibrahimi Hospital

Pakistan Institute of Management (PIMS)

Gilgit Baltistan
Civil Hospital Hunza
DHQ Gilgit
DHQ Chilas
DHQ Skardu
DHQ Karimabad

Azad Jammu and Kashmir

Abbas Institute Of Medical Sciences, Muzaffarabad
Sheikh Khalifa Bin Zayed Al Nahyan Hospital Muzaffarabad (CMH.)
CMH Rawalkot
DHQ Mirpur
DHQ Kotli
DHQ Neelum
DHQ Jhelum Valley
DHQ Bagh
DHQ Haveli
DHQ Bhimber
DHQ Hospital Sudhnoti

There are four ways this virus outbreak will/can be dealt with, first and the most easy one; summers; hot weather can decrease the rate of spread and hence can be contained effectively.

second is by vaccination; but it’s gonna take time; can take from 6 months to a year or more.

3rd is the most messed up one, that you let the general population get infected and don’t do any preventive measures. Say more than 60% people get immunized after infection, the chances for the rest to get infected decrease dramatically. It’s called herd-immunity. In a herd when majority of population is immune to some disease, the rate of spread is not there since majority don’t get it in the first place. If some who is not immunized gets it can’t spread to other with a rapid rate since majority is already immune and can be easily contained.

But the problem with this approach is that it don’t discriminate between vulnerable and non-vulnerable and with covid-19 as we know it with higher mortality rate among old and immuno-compromised will have harder time surviving it. And everyone should be aware of this; because so far i am ruling out vaccination approach for now; either summer or herd immunity is the only way i can see to tackle this problem for now, so stay safe and protect the vulnerable ones (older, sick and the ones with pre existing conditions i.e. blood pressure problems, diabetes etc). And the only way to protect them is by protecting yourself and act responsibly.

The last possible way is the way china has been doing so far; with complete city quarantines; but i don’t see that happening for Pakistan neither do we have the capacity neither the expertise to execute that.

May Allah protect all of you. Take care of yourself, your family and your nation

Article is published for great public interests. For original article click this link of Pakistan Defence site here


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