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Hidde Wega ae AY wftea:- 1, ee UY oe aed eq afters a andan (ata & 18 at a bar sah eet HM ul a ake & after) a Ake WaeT atadsi a arer andar uy (GR A-3) Par wdeer at Wede fear aor) 6. edtpict rafter eRe 2 3a ua aqe aah & afte at sae afer RCIA Urat YE ITT at one aWTa wat-w 35-115-2006-H- wa feain 5 PTR 2007, AR HRT vd far ate A aeaerar 4 afoa forer simer weit wnfYeeT (DDMA) ERT Bi A Teh Sees wr EO STS Os WT Ha BRIT SEAT GRA aS A fafa @ 30 feaw ft araft & fer ore eer | Bre anuer we weer (DDMA) ERT ae Barra fra oreo Ps art a AeaT, KAA Ra siqae Herter & arate Ht aiqt oflrar Yes, Taya wd aT al 7. wa sneer.- Se TAY ar apraret wit deat 53 Hat 2245, Toa s504-TWorka YET 6-4 & sia anata anita Herat H em eh eres sqE UR ar ara aera & amen fees ds urd a fer ante cen sear RarS car arn fi Pra arftarat & aren fees don urd B que fet area aes ard at apart fear ara 31 < eras age pl wearer Scanned with CamScannerNoe TLE MIMNDIE | ‘onetnest o ns ene Als Histor Management Division Mane Ybor NDCC esa, New [eth Vaated 2 Sequernter 2021 we The Uinet Soviet, VAT States Sub: Ameneiment fn rovfsed Ist of Them Disaster Respoue Fund (DRE). Norms of assistance under State ‘Sir Madam, 1am directed to refer to this Ministry’s letter No, 32/1/2014-NDM-I, dated #™ Apa, NS on the above mentioned subject. 2. An this context it is stated that in pursuance of the Hon'ble Supreme Coun Judgement dated 30” June, 2021 in Writ Petition (Civil) No, 554/2021 and W.P.(C) Natiooal Disaster Management Authority (NDMA) under section 12(ii) of the Disascer Management Act. 2005, has issued guidelines for ex-gratia assistance to next cf ian of the deceased by COVID-19 on 11" September, 2021. A copy of the ssudelines is enclosed. 3. Iu pursuance to the direction of the Hon'ble Supreme Court and the aforesaid ‘guidelines issued by NDMA, the Central Goverment has decided to revise the item | ‘of MHA leer No, 32/7/2014-NDM-1, dated 8 April, 2015 in cespect of the “Gramitous Relief” by adding a new entry as 1(f) after 1 (¢) in the “revised list of items and norms of assistance’ under SDRF, as per the following: so ems Norm Tems Ex-Gratia payment | Rs 500007 (Rs. Fifty thousand only) per deveased 16) to next of kin of| person including those involved in relief operanons or the deceased duc) associated in preparedness activities, subject w the to COVID-19. | cause of death being certified ns COVID-(Y, as per | wien jointly issued by Ministry of Health & R mily Welfare and Indian Council of Medical ! Expenditure on this item will be incurred from SDRF! only, in strict compliance with the atovesuid NDMA ! ‘guidelines datod 11" September 2021, { ich on 3" September 2021 | i \ i This ex-grotia assistance will be applicuble from the: | date of first Covid19 ense reported! in the country | ase! : fd will continue tM de-nottieation of Covide19 as 8 to di ther orders, whichever is ealier, Contd...P-2/- ‘Scanned with CamScanner a Scanned with CamScanner Scanned with CamScannerABTS) 2 4 Thus Minter totter Nov 42 72014-NDM-1 dated A April 2018 ntond modified tothe above extent $ Theses with the apprival af the Compatent Authoruty ‘Yours faithfully, Encl As abun. Kee Ag 0A (Ashish eric Under Secrotary to Government of India Tel: 23438103 ‘similar provisions for utilization of UT Disaster Response Funds by the (@) Additional Secretary (JKL), MHA. {b) Additional Secretary (UT), MHA. Scanned with CamScanner Scanned with CamScannerAyor(sec-8) o Govorrmment of indin NATIONAL DIBASTER MANAGEMENT AUTHORITY NDMA Bhawan, A 1, Snkiujung Enclave, Now (atu 110070 Phone 011-20701/0/ No, 1619720 21-RR ‘Dated, tho 14 Soptember, 2021 To Chiat Secrotory / Adimuintentor of Btelew / UTS (AB per list altachod) ‘Subject : Guidelines for Ex-Gratla Assistance to noxt of kin of the Deceased by Covid-19-rog. Sir/Madam, In pursuance of Hon'ble Supreme Court Judgment dated 30.06.2024 in W.P{C) No, §39/2021 and WP. (C) No. 654/2024, National Disaster Management Authority prepared Guidelines for ex-gratia to next of kin of the Deceased by Covid-19 under ‘section 12{ii) of the DM Act, 2005. 2. 11am directed to'forward herewith the above guidelines along with the "Guidetines for Official Document for COVID-18 Death’ issued by Ministry of Health & Family Welfare for information and further necessary action at your end, 3. This Issues with the approval of Campetent Authonly. ‘Yours faithfuty, Verlan Encl: As above (4 Paget) (Ors. x heal doint Agvisor (RR) ‘Copy for information to : 4, Gr. PPS to Home Gecratary, MHA 2 Br. PPS to Secretary, M/o Heallh & Family Welfare, Sr. PPS to Member Secretary, NDMA 4, P&toRGI & CC, Office of Ragialrar General of india j Scanned with CamScanner Scanned with CamScanner1415 Ao7(sec-8) 1 Government of india National Disaster Management Authority Guldelings for Ex-Gratia Asatttance to noxt of Kin al the ocnased by COVIO-19 (ssued th compliance to the Her‘ble Suprame Court Orda’ dated 30.00.2021 {In WE (Clul}) No, 539 nnd WP (Civil) 554 of 2021) 4. The Hon'ble Supreme Court through Its order dated! June 30, 2021 in WP (Civil) No. 539 ‘and WP (Civil) $84 of 2021 hns directed the Natlonal Disaster Management Authority (OMA) to recommend guidelines for exgrotle assistance on account of loss of We to ‘the family members of the persons who died due to COVID-19, as mandated under ‘Section 12H) of Disaster Management Act (OMA) 2005 for the minimum standards of ‘relief to be provided to the persons affected by alsaser. 2. The present guidelines are being Issued In compliance with the above mentioned directions of the Hon'ble Supreme Court, These Guidelines should be read in ‘conjunction with the “Guidelines for Official Document for COVID-19 Oeath” issued by Ministry of Health & Family Welfare (MoHFW) & Indian Councit of Medical Research {VCMR) in compfisnce to the same order of the Hon'ble Supreme Coun. 3. Edinlng Norms: The Exsting Guidelines on Minimum Standards of Relief issyed by [NOMA in 2026, in accordance with Section 12{i) of DMA 2005, in section 7 (e) stipulate that for ex-gratia assistance on account of loss of Tife, the norms provided by Government of India for Assistance from SDAF should be the minimum standard of rellef.n this regard, the “Revised list of items & norms of assistance from State Disaster Response Fund (SDAFI/ National Disaster Respanse Fund (NORF” issued by the Ministry of Home Affairs on 8 April 2035 are the extant norms. 4. Key considerations: After broad consultations and due deliberations with key stakeholders, NDMA is of the view that for ex-gratio assistance related to COVID-19, different norms need to be applied for the following reasons: 2, COVID-1915 a dlsaster that has not abated. The total number of deaths continues, to rise. There is uncertainty about new varfants of the virus and fkely future waves. Therefore, It's not possible to ascertain the total final financial burden ‘emanating from ex-gratia assistonce, Financial prudence demands that we plan in 2 manner that assistance can be provided to larger number of people should the number of deaths rise, b. The state governments have akeady been incutring large expenditure from SRF ‘on various aspects of COVID-19 prevention, management and response. In addition, central government [rom the national budget has announced several measures to prevent COVID-19 (natianwlds vaccination drive} as well as to Provide rellef assistance to those affected by COVID-29 (for example, support provided to the orphaned children, and PM Garlb Kalyan Yojana Package). State Bovernments have also announced welfare measuras-from the state budgets. So, yz ‘Scanned with CamScanner Scanned with CamScanner Scanned with CamScanner7(s00-8) 3. tm view of the points mentioned in PAYMENI to next of kin of the decensud due to COVIE 19, yubjeet 10 cause of death being certtied 43 COVID-19 ax per the guitelnas sued by Mol IFW xn ICMR & Amoum of empratte paymer {Fahy thourand only) per deceased person Including thote InvaWved In relief operations ‘or associated In preparedness activites, subjact to causa of death being certified as (CovnD-19. with regards to such certification, and endensal of sny grievances rezarding, the same, guidelines issued by MoHFW and ICMR on 3” September 2021, and referred twin Para 2 above, will be applicable. 4 effect, some floancal and matcral axvitence ts a ditferent torn to snane the mst vuln eetans White COVID 19 1 an wae hee uta dyosters that occur more Heyuently fave not abated. sf Wopurtam that suifciont funds 3° ‘vailablo under SUM 10 providu a timely and alluctive responte 10 other laastors na wel fy been provided in 2, the Authory recammands an ex-aratia The Authorty recommends an arnount af Rs, $0,000 2. Sourea of funds: The ex-gratia assistance shall be provided by States from the State Disaster Response Fund {SDAF). B Disbursement: The District Oisaster Management Authority (ODM&AN/ district ‘administration would disburse the ex-gratio assistance to the next of kn of the deceased persons. The concerned families will submit their claims through a form Issued by State ‘Aanbority alongwith specified documents including the death certificate that certifies the cause of death to be COVID-19. The OOMA will ensure that the process of claim, verification, sanction, and the final disbursement of ex-gratfo payment wil be through a robust yet simple and people-friendly protadure. All claims must be settled within 30 days of submission of required documents, and disbursed through Aadhaar linked Direct Benefit Transfer procedures. 9. Grlevance redress: In case of any grievances with regards to certification of the death, ‘as preseribed In the MOHFW and ICMR guidelines mentioned above 8 Commmtet at district level consisting of Additional Olstrict Collector, Chief Medical Officer of Heatth {CMOHI, Additional CMOH/ Principal or HOD Medicine of a Medical College (if one ‘existing the district) and 0 subject exper, will propose necessary remedial measures, lactuding issuance of pmended Official Document for COVID-19 de ath after verifying facts in accordance with these guldelings. In case the decision of the Committee ts nok In favour of the ctalmant, @ clear ronson for the same shall be recorded, . 10. Comtinvous schama: The Ex-Grotio assistance to (arillies alfacted by COVIO-29 deaths will continue to be provided for deaths thet may occur In the future phases of the COVID-19 pandemic as wall, or until furthor notificatton, wr ™ Scanned with CamScanner Scanned with CamScanner Scanned with CamScanner1615 se Use wt cata Meal 10 {Disaster Management Cet Naranan He Voted the Wel OULICE MEMORANDEM ts dated Midi. 203 1 in the in WP fo ponsaim of Hion'hle Suprente (0 (0 1Ne SM4 NUE unbet Reeopah Kanal Va Ua of ffs & rs aid W. PAC Ne S321 ced Gororn Kumar Bansal Vx Cajon of lintin & Ors wherein Hable Supreme Court has directed to rome simglitied puiklines for issuance of Death Certiietutticial document stating the exact talc Deatts due to Covidlel9”, to tie members ofthe deceased who died duc vid 19, Lam uo enctene herewith “Guidelines for Offa! Document for COVIDI9 Dea. Ths éssucs wnth the approval of Competent Authority. Tel: 011-23060777 Enclosure 25 above Auddl. Chief Secretary (IlealthyPrincipal Secreinry (Healthy of all States & UTS. Copy for information to: 1. Sr PPS w See (Ht) 2. SrPPS to Member Secretar. NDMA. 3. Se.PPS 10 Sh. Govind Mohun, Addl. Secretary, Ministry of Home Aftiirs: 4. Sr. PPS10 ASCH) 5. Sr, PPS 19 SS L.A} Scanned with CamScanner Scanned with CamScanner Scanned with CamScannerGovernmont of India Mintstry of Health & Family Wolfara & Indian Counoll of Modica! Rosoarch Guldelines for Offictal Documant for COVID48 Death {teaued in compliance to the Hon‘blo Suprome Court ordor datoct 30, WP(Civil) No. 539 and WP (Civil) 664 of 2021) Background Since the beginning of the Covid-19 pandemic, Indian Councit of Medical Research (ICMR) and Ministry of Health & Family Welfare have been issuing specific guidelines to States/UTs based on World Health Organization's (WHO) guidelines & global best practices on reporting Covid deaths. Relevant officers in States/UTs have also been trained on correct recording of deaths related to Covid-19, Hon'ble Supreme Court in Writ Petition (Civil) No, 638 ‘and 554 of 2021 directed the Cenlral Government to Issue simplifed gurdelines for issuance of Official Document felating to COVID-19 deaths to the family members of the deceased, who died due to COVID-19. Hon'ble Court had directed that such guidelines may also provide the remedy to the family members ofthe deceased who died due to COVID-19 for correction of the Medical Certificate of Cause of Death/Official Document issued by the appropriate authority. ' 2 Gulding Principles i. COVID-19 cases, for the purpose of these Guidelines, are those which are diagnosed through a positive RT-PCR Molecular Tests! RAT QR clinically determined through investigations in a hospital! in-patient facility by a treating physiclan, while admitted In the hospital in-patient facility. Deaths occurring due to poisoning, suicide, homicide, deaths due to ‘sceldent etc will not be considered as COVID-19 deaths even it COVID- 19 fs an accompanying conditon. Scanned with CamScanner Scanned with CamScanner Scanned with CamScannerpatsac) aa 3. Scenano basad approach and Into: ventinns + COVID 12 casos which ere nol ranolvad ant hava dled aither in hospital settings ot at home, and whara o Matlical Gertiicate of Cause of Death (MCCD1 in Form 4 & 4A has bean tasied to the rogistaring authority. ‘a8 required under Section 10 of the Reglatratinn of Birth and Death (RBD) Act, 1969, will be (realed as e COVID-19 death Registrar Generel of India (RG!) will issue necessary guidelines (0 Chief Registrars of all States/UTs. i. As per the study by Indian Council of Medical Research (ICMR), 95% desths take place within 25 days of being tested Covid postive, To make the scope broader and more nclusive, deaths occurring vathin 30 days from the date of testing or from the date of being clinically determined 2s a COVID-19 case, will be treated as ‘deaths due to COVID-19", even ifthe death takes place outside the hospital/ in-patient facility. fai However, a COVID-19 case, while admitted in the hospitalin-patient facility, and who continued as the same admission beyond 30 days, and died subsequently, shall be treated as a COVID-19 death. fv. In cases where the MCCD ts not available or the next of kin of the deceased is not satisfied with the cause of death given in MCCD (Form 4/4A), and which are not covered by the aforesald scenarios, the States! UTs shall notify a Committee at district tevel consisting of Additional District Collector, Chief Medical Officer of Health (CMOH), Additional CMOH/ Principal or HOD Medicine of a Medical College (if one exists in the district) and a subject expert, for Isauance of the Official Document for COVID-18 Death. Tha Committee will follow the procedure oullined below: We 1815 1 Scanned with CamScanner Scanned with CamScanner Scanned with CamScanneraN The next of kin of (he deceased shall submit a patition to the District Collector for issuance of the appropriate Oficial Document for COVID-18 Death b The Official Document for CO¥ID-19 Death will be 1ssued in the format annexed to these Guidelines by the aforesaid district-level Committee after due examination and verification of all facts The Official Oocument for COVID-18 Death shall also be communicated to Chief Registrars of States/UTs and Registrar of Birth and Death, who issued the death certificate. d. The Committee shall also examine the grievances of the next of kin of the deceased, and propose necessary remedial measures, including Issuance of amended Official Document for CovID-19 Death after verifying facts in accordance with these guidelines. e. The applications for issuance of Official Document for COVID-19 Death and for redressal of grievances shal! be disposed off within 30 days of submission of the application’ grievance. Balnasr BALIN ok [Prof. (Dr.) Balram Bhargava) (Rajesh Bhushan) Director General, Secretary Indian Council of Medical Research Ministry of Health & Family Welfare eee Annexure 1 Brief of OMR study ‘Annexure 2- Formet of Offical Document for COVID-19 Death ale Scanned with CamScanner Scanned with CamScanner Scanned with CamScanner‘Anoarura | LOMR: COVID-19 Dentha tn tndin, «brief summary Packervnm: Sinos is etnergene in Wath, Chinn in Noveer 201), weve nate reapinry syed seromavine. 2 (SARS-CaV-2) the ens agont of the dseise COVEY, hay spread epidly round the world Inia detected the frst gate nf SARS-Co¥.2 mfestion in the emuntr a the las schol tanuary, 2020 This was followed hy th beginning ofthe fist wave, wa ‘S months A total of 11 «nillivn eases nod U.157 million denths were reputed frien Inelio during, thee Period! with a peak of dally reposting nF eases of over, 000 atrined in mil-Sleplember, 2020. The evrrent understanding af COVID-19 in indin comes Ineycly from diane surveillance. epidemiotogis studies and modeling exercise! The fist wave was relnively nild enmpared tothe soon wave that followed, lum miid-ebrunry 2021 snarls. pil exhibiting more explosive spread across the country. Clinieal severity in terns of shortness of breath and mortality were experienced in larger proportion during the second wave compared {0 the first ane. In order to help decide upon the numberof days to be considered for ascertainment of dealt: related to COVID. the present document examined mortality series dato specific to India, Dorabaces used ta create mortulty series pertaining 10 Indica Too dambases, as follows, were used (o merge the necessary information for ereation of mortality senes a) Death related data maintained by MoHFW in COVID-19 India Portal b) ICMR COVID-19 testing database for SARS-CoV-2. ICMR-dentification nuraber, which is a common attribute in both the databases, was used to achieve the necessary menger. This helped create n mortally series and assess the time period within ‘which a recorded death (ook pluce following the first positive swab test date in this series. Examination of mortality series from withla India ‘SARS-CoV-2 virus - the cousotive organism of COVID-I9 ~ resulls in an acute respirmory viral infection. Data from » cohwrt of individuals testing positive for SARS-CoV-2 infection during the second half of 2020 were exuniined to map the time over a period uf three manths ftom being test positive within which deaths (71, 92) acurred, Days elapsed fallowing she (lrt swab patie late ua bare dyuth ' Woda Health Organization, WHO Coronavirus (COVID-18) Dashboard, Avaliable from toda, accessed un May 31, 202 {Plasllity of» third wave of COVID-10 la Indla:» mathernatteal model alysis. Indian fournal of Mdical ‘Research DOK: 30-4103/\c.lios_3627_24 an “un “ al ‘Scanned with CamScanner Scanned with CamScanner Scanned with CamScannerair at a elapret Winte comulatree number oF ducunsed individuals w+ plot dqnanst them syed wate crucial trermcen the first positive swab ante nit eat, elenly te tw frat sek tnt wee “The flowing geupcal (Figure 2 sepey-smtatens quae thik Rd Cumulative coverage of deaths t Hate Deaths <9 Days : naa pitta Death 5 Days ante Dest 2.25 Days sine ‘Scanned with CamScanner Scanned with CamScanner Scanned with CamScanner1. BAAB-19 AewaTT 8 aATOT ayeTeH care aT PAATOT :- i aT i. PRean/afer/ acer em art : ii, Sm: iv. fer: v. 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RTPCR UE RAT Stier PRE rere ahAs-19 aimnaror carr aT arelt grate FARE eTeATT ar HT arden & dra eat aor aT (wanfera wha) BHT FH AAE (clinical investigation. arar B aay 02 FAfereeHt eer TeTTAAA TT) URS fers ara ort wel 4 ar ont 4a (ser tk arg caefercer afters 1969 & aga wraunfa) & art Medical certificate of cause of death (MCCD) (377% Buaey a at) Scanned with CamScanner(afefaree-4) HL.S1.2.2._(Covid-19 Death Ascertaining Committee) WAR ates 1 LMs-19 FORO yaw cay ar Paw: i, aA ii, Renata ara: a TOT ayaa : Aw er: 2. aR & ua (facet, seftenteer Gag, areT- Ae) % actarer Wert ar Fae: [ sRan & aerator arr | aae a ade sa ‘feiat i i. 3. Hage feat ono a wer wa wega aT ter & GH any a sees Tae Te A fant were) i em tk ay viregioer after 1969. Hecit one AeeH aT MCCD APT wary wa poferee-1 A He 2(iv)) Sua ae B1 i. CCD (Aart afefeere ait ast aime 3a) A sedfea ary & aA & few a arigne &1 fi, RTPCR/RAT Sita Rute Suereer ae FI iv. eT vat Gian hr Pafwerha sta & ddr a as var soe ae FI v. HAT aS SOT 4. 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