A clinical officer will then call the patient now and then to check on their conditions. "The clinical officer will call those who are self-isolating to check if they have temperatures, cough, tiredness, loss of breath among other coronavirus symptoms. But for the 14 days incubation period, you must stay indoors, no visitors thereafter you will recover from the disease,” highlighted Dr Shikely. Dr Shikely said those hospitalized are given symptomatic treatment including antibiotics and vitamin to boost their immunity. "We have three categories of patients, a suspected case is an individual who has symptoms but has not been tested for coronavirus. So we separate the patient from the rest, test to ascertain their condition. We also have those who have been tested and turned positive but have mild or lack symptoms. Last is a sick coronavirus patient, the individual is normally moderate or severely ill, they always have co-morbidities such as cancer, HIV, pressure, asthma, TB, and heart diseases,” explained Dr Shikely.
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Doctors were sent to his house to access the condition before he could be allowed to isolate at home. “We have ensured no interaction with my family members because I live in a self-contained room where I cannot interact with my wife and three children who are negative,” he said. “For any conversations, we interact through the door and the family WhatsApp group,” he added. He added that in case of anything serious, and" if I needed anything, they would buy it for me and put it at the door where I stay and pick it up." Today, he is on his road to recovery. The doctor further expounded on another family in old town area of Mombasa who has a Covid-19 patient self-isolating at home. “The family requested for self-isolation and we had to send doctors to ascertain if they meet the requirements including separate room, sanitation facility, and a helper. The patient is still undergoing self-isolation at home and we are happy he is following the guidelines not to infect his family members;” she added. According to Dr Shikely, the patient is taking his medication, eats a well-balanced diet, and has a doctor on call who checks on his condition. “The doctor normally inquires if he has checked his temperature which he must check every day and note down in a book. In case of any slight changes, the doctor is dispatched to the home for further treatment. This model has helped us in managing Covid-19 patients at home, “she said. She added Old Town which had the highest number of infections in the Coast region has a local model incorporating community health workers who assist in dealing with the pandemic. "I am following the Ministry of Health guidelines to ensure I do not infect my wife and children. But I am lucky since our house is big so I am staying in my own separate self-contained room eating a well-balanced diet, getting counselling services, and living a day at a time,” said the patient. Mombasa has 1641 cases and over 50 fatalities. Mombasa Deputy Governor, Dr William Kingi said the pandemic has affected the county’s economy with many rendered jobless. However, he assured the residents that the county government is receiving immense support from the USAID and the private sectors who are donating care packs to its over 200,000 residents to cushion them from the effects of the economic downturn. “I advise the residents to eat a balanced diet and conduct exercises since lifestyle diseases make people vulnerable to the virus,” Dr Kingi said. Dr Kingi said so far 50,000 people have received foodstuffs and they are distributing the food in phases until they cover the whole county. “We are working closely with the Kenya Red Cross Society. We are looking at covering all 227,000 needy families in the County and ask them to follow the guidelines issued by the World Health Organization in the fight against Covid-19,” he added. He said the county has conducted mass testing covering over 20, 790 residents. The deputy governor said the county has also enhanced the supply of water to improve sanitation and hygiene, especially in the informal settlements. “We have dug boreholes and set up water points especially in informal settlements in conjunction with stakeholders in areas that have challenges thus enhancing hygiene in those areas,” he added. Kingi and Dr Shikely urged the residents to seek treatment in a hospital in case they fall sick. “Don’t fear to go to the hospital to seek medication due to the pandemic. We have separated isolation wards from the general facilities to ensure we curb the infections and private hospitals have done the same. If you have any other disease, don’t fear to go to the hospital for treatment due to the pandemic,” he stressed.
They said the hospital is the safest place to be.