Quarantine Center Research Articles

Quality of Life of People in Quarantine and Isolation Centers

Objective: To assess the quality of life of people in quarantine and isolation centres in the Rawalpindi Cantonment area.
 Study Design: Cross-sectional study.
 Place and Duration of Study: Isolation Centre of Pak Emirates Military Hospital and Armed Forces Institute of Regenerative Medicine Rawalpindi Pakistan and various Quarantine Centres in the Rawalpindi Cantonment area, from Aug 2020 to Mar 2021.
 Methodology: A total of 187 individuals were included in the study. All participants were requested to fill out the World Health Organization Quality-of-Life Scale (WHOQOL-BREF) Urdu or English version according to their education level and preference.
 Results: There were 108(57.75%) cases who remained in isolation, and 79(42.25%) cases were from quarantine. Quarantined individuals reported significant reduction not only in total score (p<0.001) but also in all four domains, including physical health (p=0.042), psychological health (p<0.001), environmental health (p<0.001), and social health (p<0.001).
 Conclusion: It is concluded that the quality of life was low for the people included in the study. Further comparison found that the median quality of life of people in quarantine was statistically lower than in isolation centres.

Juridical Analysis Of The Authority Of Quarantine Officers In Handling Illegal Importation Of Caws On Batam Island

Quarantine is a system of preventing the entry, exit, and spread of quarantined animal pests and diseases, as well as supervision and control of food safety and food quality, feed safety and feed quality, Genetic Engineering products, Genetic Resources, Biological Agents, Invasive Foreign Species, Wild Plants and Animals, and Rare Animals that are introduced into, spread from one area to another area, and removed from the territory of the Unitary State of the Republic of Indonesia. To maintain, protect, and improve the quality of animal/livestock resources, animal/livestock health, animal welfare, and the provision of safe, healthy, whole, and halal (ASUH) food of animal origin, as well as maintaining peace or eliminating/preventing public unrest, it is necessary to provide guidance, regulation, control, and supervision of livestock businesses and animal health services. To create a conducive business climate and legal certainty in animal husbandry and animal health, it is necessary to regulate the mechanisms and procedures for licensing livestock and animal health businesses in the regions. The problem faced by the Batam Class I Agricultural Quarantine Center is caused by cows entering Batam Island that do not have an entry permit and are not by Law Number 21 of 2019, which states that every entry or release must be carried out through a designated Place of Entry and Place of Expenditure.

Psychological Resilience and Emotional Stability of Nurses in COVID-19 Quarantine Centers: A Brief Study

The current study aimed to identify the level of psychological resilience as well as to identify the extent of emotional stability among nurses working in quarantine centers for coronavirus patients (COVID-19) in Aurangabad. The study also aimed to identify the relationship between the psychological resilience and the emotional stability among these nurses. The method used in the present study is the quantitative method. The sample was randomly distributed via questionnaire among nurses working in quarantine centers for coronavirus patients (COVID-19). The researchers used two tools in the study which are psychological resilience scale and emotional stability scale. However, the results first, indicated that the level of psychological resilience among nurses working in quarantine centers for coronavirus patients (COVID-19) of the scale was high, whereas the emotional stability scale was medium. Second, there is no statistically significant relationship at the level (0.05) between psychological resilience and emotional stability among nurses working in quarantine centers for coronavirus patients (COVID-19). Finally, there is no relationship between the dimensions of psychological resilience and the dimensions of emotional stability.

Assessing Mental Health Outcomes in Quarantine Centres: A Cross-Sectional Study during COVID-19 in Malaysia.

During the COVID-19 pandemic, persons under surveillance (PUS) were isolated in quarantine centres instead of at home. However, there is limited knowledge regarding the mental health issues experienced by these persons. This study aimed to assess mental health outcomes and associated factors among PUS and frontline workers at quarantine centres. This study conducted an analysis of secondary data from a cross-sectional survey carried out by the Mental Health and Psychosocial Support Services (MHPSS). The MHPSS employed the Depression, Anxiety, and Stress Scale (DASS-21) to evaluate mental health outcomes across 49 quarantine centres in Malaysia. The study included a total of 4577 respondents. The prevalence of stress, anxiety, and depression was found to be 0.9%, 11.4%, and 10.2%, respectively. Frontline workers and being part of the younger age group were found to be associated with depression, anxiety, and stress. Other factors associated with mental health issues were being female, staying at an institution-type centre, and a longer duration of the stay or work at the centre. In conclusion, assessing the mental health status and its associated factors among quarantine centre occupants is crucial for developing future strategies to safeguard their mental well-being.

Resilient healthcare network for simultaneous product allocations during supply chain disruptions

ABSTRACT COVID-19 is responsible for medical emergencies, and uncertainty in healthcare supply chain (HSC). The HSC is struggling against the massive disruption due to the pandemic; thus, this alarming trend reinforces the need for a resilient HSC and a unique dynamic, responsive plan. The pandemic has strained hospitals and quarantine centres, necessitating crisis management for resource allocation. Addressing HSC issues, we've meticulously analysed vehicle routing problems (VRP) and devised solutions. The proposed methodology is exploring the dynamic programming (DP) for resilient HSC. The study offers a single-vehicle routing strategy with simultaneous loading and unloading of items between the depot and N nodes (hospitals and quarantine centres) to alleviate the vulnerability of commodities and recovery of items. The implication of this work is to provide dynamics of special purpose vehicle (SPV) with two storage facilities, one dedicated to fresh healthcare products (depot to nodes) and the second dedicated to old/recyclable/disposable healthcare products (nodes to depot). Finally, utilising the DP and particle swarm optimisation introduces an innovative strategy that compares efficient routing and allocation decisions for resilient HSC. It offers practitioners guidance on optimal operational sequences, optimal cost, and computational times for SPV, enhancing HSC response capabilities during crises.

The Effect of Relationship-Oriented Leadership Behavior,Promotion of Position and Work Environment on the Performance of Civil Servants at the Agricultural Quarantine Center in Surabaya

Objectives – This study aims to describe and analyze the influence of relationship-oriented leadership, promotion, and work environment on the performance of civil servants at the Agricultural Quarantine Center in Surabaya.Design/Methodology/Approach – The type of research used is explanatory research. The number of samples in this study was 100 employees of the Surabaya Agricultural Quarantine Center. The data analysis used is the analysis of the outer model, inner model, and hypothesis testing using SmartPLS 4.0.Findings - Research results show that; relationship-oriented leadership behavior has a significant effect on employee performance; promotion has a partially significant and positive effect on employee performance; the work environment has a partial effect on employee performance; and relationship-oriented leadership behavior, promotion, and work environment have a positive and significant effect simultaneously on employee performance.leadership

Determining the role of music attitude and its precursors in stimulating the psychological wellbeing of immigrants during COVID quarantine - a moderated mediation approach.

Based on social cognitive theory (SCT), the purpose of this study is to examine the role of music attitude and its essential precursors in stimulating the psychological wellbeing of immigrants in isolation (quarantine) during the COVID pandemic. This study employed quantitative methodology; an online survey was administered to collect sufficient data from 300 immigrants who traveled to China during the pandemic. Data were collected from five centralized quarantine centers situated in different cities in China. Additionally, the valid data set was analyzed using structural equation modeling (SEM) via AMOS 24 and SPSS 24. The results indicate that potential predictors such as cognitive - music experience (MEX), environmental - social media peer influence (SPI), and cultural factors such as native music (NM) have a direct, significant, and positive effect on music attitude (MA), which further influences immigrants' psychological wellbeing (PW) during their quarantine period. Moreover, in the presence of the mediator (MA), the mediating relationships between MEX and PW, and NM and PW, are positive, significant, and regarded as partial mediation. However, the moderated mediation effects of music type (MT) on MEX-MA-PW and NM-MA-PW were found to be statistically not significant and unsupported. This study contributes to the literature on the effectiveness of individuals' music attitude and its associated outcomes, focusing on mental health care in lonely situations such as quarantine during the COVID pandemic. More importantly, this study has raised awareness about music, music attitude, and their beneficial outcomes, such as mental calmness and peacefulness for the general public, particularly during social distancing, isolation, and quarantine in the COVID pandemic situation.

Inventory of Warehouse Pests on Grain Samples at the Plant Quarantine Laboratory of the Makassar Agricultural Quarantine Center

This study aims to determine and record the types of warehouse pest insects found in several export grain commodities in the plant quarantine laboratory of the Makassar Agricultural Quarantine Center. Data on the types of warehouse pest insects on several grain commodities were obtained by sampling as much as 2 kg from each commodity. Grain commodities are taken in warehouses: rice, corn, green beans, coffee, and cocoa. Then take insects found on the surface or inside the grain. The types of warehouse pest insects found in grain samples were identified based on insect morphology. Then secondary data related to kinship relationships between insect species and data on optimal environmental factors for insect growth are taken from book and journal references. The number of warehouse pest insects found in several export grain commodities in the plant quarantine laboratory of BBPK Makassar is eight types. Insect pests are only found in rice, corn, and cocoa commodities. Types of insect pests found, namely <em>Sitophilus oryzae</em>, <em>Sitophilus zeamais</em>, <em>Tribolium castaneum</em>, <em>Cryptolestes ferrugineus</em>, <em>Araecerus fasciculatus</em>, <em>Ahasverus advena</em>, <em>Ephestia kuehniella,</em> and <em>Sitotroga cerealella</em>.

The Content of Heavy Metals (Lead, Cadmium, and Mercury) in Gastropods Cellana Testudinaria and C. Radiata Attained in the Reclamation Coastal Waters of Manado Bay

Objective: Coastal waters are a repository for various potential wastes from various human activities both on land and at sea so that these ecosystems can be used as indicators in monitoring and evaluating the condition of natural resources and the environment.
 
 Method: The samples were kept in the coolbox and transferred to the Laboratory of the Fish Quarantine Center for Quality Control and Safety of Fishery Products (BKIPM) Bitung. The heavy metals analysis was also performed in this Laboratory.
 
 Results: The results of the analysis of heavy metals Mercury (Hg) showed that C. testudinaria shellfish had higher levels of mercury (Hg) (1.01 mg/g) compared to C. radiatashells (0.83 mg/g). The content of these heavy metals was below the threshold limits determined by BSN (2016). Thus the Gastropod shells of the types C. testudinaria and C. radiata are safe for application to food and non-food products. The low content of heavy metals in C. testudinaria and C. radiataindicates that Manado Bay waters are safe and not polluted by heavy metals.
 
 Conclusions: On the basis of all results, it can be concluded that the gastropod shellfish types Cellana testudinaria and C. radiata obtained values for lead (Pb) of 0.53 mg/g and 0.37 mg/g, cadmium (Cd) with values of 2.30 mg/g and 2.00 mg/g, and mercury (Hg) is 1.01 mg/g, and 0.83 mg/g. The content of these heavy metals is still below the threshold set by the government, so it is safe to be applied to food and non-food products.

Contagious Bovine Pleuropneumonia: A Passage to India.

The World Organization for Animal Health (WOAH)-listed contagious bovine pleuropneumonia (CBPP) emerged first in Europe and then spread to Eastern Asia, including Japan and China, from the Northern Territories of Australia at the end of the 19th century. Its route to India, however, is less well known as there is little evidence for large importations of cattle from Australia. The lack of accurate diagnostic tests at this time meant veterinary authorities relied solely on clinical and pathological signs, many of which were non-specific. Consequently, any diagnoses of CBPP reported in the early 20th century must be viewed with caution. More convincing reports of CBPP confirmed by laboratory tests were made in the 1930s and 1940s in the Indian state of Assam. Eradication campaigns began in the 1940s with immunizations of live attenuated vaccines and then more comprehensively in the 1950s and 1960s, supplemented with serological screening and the establishment of quarantine centres at international borders. The last case of CBPP, reported to WOAH, was seen in 1990, but the launch of a new awareness campaign in Assam in 2002 and recent reports of the disease in Pakistan suggests the disease has persisted in the Indian subcontinent well into the 21st century.

Suicidal and aggressive behavior among populations within institutional quarantine and isolation centers of COVID-19 in eastern Ethiopia: A cross-sectional study.

The coronavirus disease is still not under the control globally and has caused various mental health problems such as depression, anxiety, suicide, and aggressive behavior in different populations. The pandemic-related issues which are applied to control the pandemic such as protection measures against COVID-19, social distancing, isolation, and quarantine can also trigger mental health problems. This study aimed to assess suicidal behavior and aggression, and its correlates during COVID-19 among populations within institutional quarantine and isolation centers in Ethiopia. A cross-sectional study was conducted among a sample of 392 participants. The convenience sampling method was used to select the study participants. Suicide Behavioral Questionnaire-Revised (SBQ-R) and the Modified Overt Aggression Scale (MOAS)were applied to determine the suicide and aggressive behavior of study participants respectively. Epi-data 3.1 and SPSS 20.0were used to enter and analyze the data respectively. Logistic and linear regressions were fitted to explore correlates associated with suicidal behavior and aggression respectively. The prevalence of suicidal behavior was 8.7% (95% CI: 6.1, 11.5) whereas the mean total score of behavioral aggression was 2.45±5.90 (95% CI: 1.84, 3.08). Being female (AOR = 2.63, 95% CI: 1.09, 6.32), having common mental disorders (AOR = 6.08, 95% CI: 2.32, 15.93), manifesting the symptoms of COVID-19 (AOR = 2.17, 95% CI: 1.48, 2.86), and poor social support (AOR = 7.30, 95% CI: 1.44, 37.10) were significantly associated with suicidal behavior, whereas male gender (β coefficient = 3.0, 95% CI: 1.35, 4.70), low level of knowledge about COVID-19 (β coefficient = 1.87, 95% CI: 1.09, 3.41), and substance use (β coefficient = 1.7, 95% CI: 1.23, 6.47) were positively associated with mean overt aggression score. The present study revealed that suicidal and aggressive behaviors were prevalent with significant correlates. Therefore, it is important and required to provide focused mental health and psycho-social services for the selected and high-risk populations such as those in quarantine and isolation centers for being suspected.

THE EFFECT OF E-PROCUREMENT UTILIZATION, APPLICATION OF GOVERNMENT ACCOUNTING STANDARDS (SAP), AND APPLICATION OF INTERNAL CONTROL SYSTEM (SPI) ON THE QUALITY OF FINANCIAL REPORTS AT CLASS 1 AGRICULTURAL QUARANTINE CENTERS SEMARANG

The quality of financial reports is the most important factor in government organizations such as the Class 1 Agricultural Quarantine Office in Semarang. This study aims to analyze the effect of e-procurement, the application of government accounting standards, and the internal control system for the quality of financial reports. The population in this study were all employees of the Class 1 Semarang Agricultural Quarantine Center with 110 employees. The number of samples in this study was 110 employees with the sampling method using the census. The data analysis method used is the path analysis model. The results of the research are the simultaneous effect of the use of e-procurement, the application of government accounting standards, and the internal control system together have a significant (0,000) and effect (122,450) on the quality of financial reports. The effect of the use of e-procurement, implementation of government accounting standards, and internal control systems on the quality of financial reports is 77%. The results of the partial hypothesis testing of the use of e-procurement have a positive (0,379) and significant (0,000) effect on the quality of financial reports. The application of government accounting standards has a positive (0,397) and significant (0,000) effect on the quality of financial statements. The internal control system has a positive (0,186) and significant (0,016) effect on the quality of financial statements.

Development and implementation of a community-based COVID-19 assessment centre in Selangor: A descriptive study.

With the rising number of COVID-19 cases in Malaysia and the overwhelming strain on the tertiary healthcare system, home isolation has been introduced by the Ministry of Health Malaysia to reduce the admission of patients with mild COVID-19 to tertiary and low-risk quarantine centres. COVID-19 assessment centres (CACs) have been set up to provide initial assessment, triaging and monitoring of patients with COVID-19 prior to and during their home isolation. In this study, we aimed to share our experience in setting up CACs in Selangor, Malaysia. We described the steps taken in developing assessment tools and guidelines for assisting healthcare providers in safely monitoring patients with COVID-19 undergoing home isolation. A total of 26,826 patients were clinically assessed from 1 to 28 February 2021 in various CACs in the state. The majority of the cases seen in the CACs were under category (CAT) 1 and 2. Only 0.2% (n=53) of the cases were categorised as severe COVID-19 (CAT 3 and above). CACs coordinated by primary care providers play an important role in triaging, assessing and monitoring patients with COVID-19 undergoing home isolation in the community. There needs to be a better partnership between various stakeholders and the private healthcare sector to improve the services. The usage of a pulse oximeter in home monitoring of all patients with COVID-19 in Selangor needs to be seriously considered.

The Influence of Transformational Leadership on Employee Performance through Innovative Work Behavior as a Mediating Variable

This study aims to analyze and determine the effect of transformational leadership on employee performance through innovative work behavior as a mediating variable. This research was conducted at the Ministry of Agriculture such as the BPP (Agricultural Training Center), BPTP (Agricultural Technology Assessment Center) and the Agricultural Quarantine Center for Lampung Province. The sample used was 155 respondents consisting of 58 BPP employees, 52 BPTP employees, and 45 employees of the Agricultural Quarantine Center for Lampung Province.
 This study uses the Structural Equation Modeling (SEM) technique, through the AMOS (Analysis of Moment Structure) program. The results of this study include; transformational leadership has a positive and significant effect on employee performance, transformational leadership has a significant positive effect on innovative work behavior, innovative work behavior has a significant positive effect on employee performance, and transformational leadership has a significant positive effect on employee performance through mediation innovative work behavior of employees at Lampung Agricultural Training Center, Lampung Agricultural Technology Assessment Center, and Lampung Province Agricultural Quarantine Center.

Gaps and recommendations on the management of the coronavirus disease 2019 (COVID-19) in the Zimbabwean quarantine centres during the first wave (March - October 2020)

Gaps and recommendations on the management of the coronavirus disease 2019 (COVID-19) in the Zimbabwean quarantine centres during the first wave (March - October 2020)

Stigma and posttraumatic growth among COVID-19 survivors during the first wave of the COVID-19 pandemic in Malaysia: a multicenter cross-sectional study.

Contracting COVID-19 can cause negative and distressing psychological sequelae, but traumatic stressors may also facilitate the development of positive psychological change beyond an individual's previous level of adaptation, known as posttraumatic growth (PTG). As a result, studies have investigated the negative effects of COVID-19 on mental health, but data on PTG among patients who have recovered from COVID-19 remains limited. This study aims to evaluate the level of PTG and its associations with stigma, psychological complications, and sociodemographic factors among COVID-19 patients 6 months post-hospitalization. A cross-sectional online survey of 152 COVID-19 patients was conducted after 6 months of being discharged from Hospital Canselor Tuanku Muhriz, MAEPS Quarantine Center, or Hospital Sungai Buloh, Malaysia. Patients completed a set of questionnaires on sociodemographic and clinical data. The Posttraumatic Growth Inventory (PTGI-SF) was used to assess the level of PTG, the Kessler Psychological Distress (K6) was used to measure the degree of psychological distress, the General Anxiety Disorder-7 (GAD-7) was used to evaluate the severity of anxiety symptoms, the Patient Health Questionnaire (PHQ-9) was used to assess the severity of depression symptoms, and the Explanatory Model Interview Catalog Stigma Scale (EMIC-SS) was used to record the degree of perceived stigma toward COVID-19. The median PTGI SF score of the respondents was 40.0 (Interquartile range 16.0). Multivariable general linear model with bootstrapping (2,000 replications) revealed factors that significantly predicted PTG, which were at the higher level of the perceived stigma score, at 37 (B = 0.367, 95% CI = 0.041 to 0.691, p = 0.026), among the Malay ethnicity (B = 12.767, 95% CI 38 = 7.541 to 17.993, p < 0.001), retirees (B = -12.060, 95% CI = -21.310 to -2.811, p = 0.011), and those with a history of medical illness (B = 4.971, 95% CI = 0.096 to 9.845, p = 0.046). Experiencing stigma contributed to patients' PTG in addition to psychosocial factors such as ethnicity, history of medical illness, and retirement.

Learning from Ritual: Covid-19 Public Health Measures and Messaging in Timor-Leste

In this paper, I reflect on the significance of ritual activity directed towards COVID-19 in Timor-Leste. What, if anything, it tells us about East Timorese beliefs and attitudes regarding infectious disease and why understanding the cultural dimensions of infectious disease is critical to public health responses. Timor-Leste recorded its first COVID-19 case on March 21st, 2020. Over the course of the following weeks elders held ritual ceremonies across the country to mobilise the ancestors and ask for their assistance to keep COVID-19 at bay. These ceremonies circulated widely on social media within Timor-Leste and among the East Timorese diaspora. In parallel to this initial flourishing of ritual activity the government swiftly enacted legislation to declare a state of emergency, closing international borders and establishing quarantine centres across the country. In many ways the health authorities’ response to COVID-19 has been exemplary, with low case numbers and 0 deaths throughout 2020. However, since February 2021 COVID-19 cases have increased exponentially, exposing social cleavages based on education, language and socio-economic position. With limited resources, the health authorities, and in particular the Centre for Integrated Crisis Management, have focused on prevention, contact tracing and testing, adhering to WHO guidelines and emphasising ‘best practices. Yet, the response has been criticized for being top-down and heavy handed. For example, certain public health measures, such as mandatory testing and burial protocols, have been poorly communicated to the broader community. The use of bio-medical language and introduction of new terms and concepts has been excessively didactic and lacks local contextualization. For the majority of the population of Timor-Leste, especially those living in rural areas, lived experiences of illness and disease are interpreted primarily through and by customary beliefs and practices. The rituals directed towards COVID-19 demonstrate a clear understanding of the nature of infection, contamination, disease, models of causality and fears around infection. They also reveal local capacities to contain epidemics and the ability to learn with the bio-medical response. The levels of participation observed in COVID-19 rituals online and local support for these initiatives expressed on social media suggests at the very least that health authorities should engage with local communities in a two-way dialogue to discuss beliefs and existing prevention strategies that can assist and support public health objectives and measures.

Value for Money Analysis in Measuring Financial Performance at the Makassar Agricultural Quarantine Center

This study aims to determine the financial performance of the Makassar Agricultural Quarantine Center in 2018-2020 in terms of economic, efficiency, and effectiveness elements. This study aims to collect data on the realization of financial achievements contained in the Financial Statements and Performance Reports (LAKIN) of the Makassar Agricultural Quarantine Center for 2018-2020. The data analysis technique used is quantitative descriptive analysis on economic, efficiency, and effectiveness measurements. The results showed that the financial performance of the Makassar Agricultural Quarantine Center in 2018-2020 in terms of economic, efficiency, and effectiveness elements almost met the Value for Money requirements, where each aspect almost reached the maximum ratio value. In 2018, the financial ratio was 99.59%, the efficiency ratio was 92.70%, and the effectiveness ratio was 114.74%. Then in 2019, the economic, efficiency, and effectiveness ratios were 98.83%, 97.42%, and 115.30%, respectively. Meanwhile, for 2020, the financial ratio is 95.84%, the efficiency ratio is 71.46%, and the effectiveness ratio is 109.12%.

Meningkatkan Kesadaran Masyarakat tentang Pentingnya Karantina Kelautan dan Perikanan di Provinsi Bengkulu melalui Program Liputan Berita di Kantor Karantina Perikanan BKIPM

The news coverage program at the Fisheries Quarantine Office of the Fish Quarantine Center for Quality Control and Safety of Fishery Products (BKIPM) of Bengkulu Province has been developed to increase public awareness about the importance of marine and fisheries quarantine. A news coverage product containing information on marine and fisheries quarantine was successfully produced and distributed via social media and other online platforms. Surveys and interviews before and after program development indicate an increase in public awareness of marine and fisheries quarantine issues. The results and discussion of the news coverage program identified the important role of the media in increasing public awareness of environmental issues, challenges in developing news coverage programs, and the potential for developing news coverage programs at the BKIPM Bengkulu Fisheries Quarantine Office in the future. The conclusions and suggestions from this journal are that the news coverage program at the BKIPM Bengkulu Fisheries Quarantine Office can be an effective effort in increasing public awareness about the importance of marine and fisheries quarantine in Bengkulu Province by involving the role of the media and collaboration with other parties.

AI-assisted Emergency Healthcare using Vehicular Network and Support Vector Machine.

The COVID-19 pandemic has created an emergency across the globe. The number of corona positive and death cases is still rising worldwide. All countries' governments are taking various steps to control the infection of COVID-19. One step to control the coronavirus's spreading is to quarantine. But the number of active cases at the quarantine center is increasing daily. Also, the doctors, nurses, and paramedical staff providing service to the people at the quarantine center are getting infected. This demands the automatic and regular monitoring of people at the quarantine center. This paper proposed a novel and automated method for monitoring people at the quarantine center in two phases. These are the health data transmission phase and health data analysis phase. The health data transmission phase proposed a geographic-based routing that involves components like Network-in-box, Roadside-unit, and vehicles. An effective route is determined using route value to transmit data from the quarantine center to the observation center. The route value depends on the factors such as density, shortest path, delay, vehicular data carrying delay, and attenuation. The performance metrics considered for this phase are E2E delay, number of network gaps, and packet delivery ratio, and the proposed work performs better than the existing routing like geographic source routing, anchor-based street traffic aware routing, Peripheral node based GEographic DIstance Routing . The analysis of health data is done at the observation center. In the health data analysis phase, the health data is classified into multi-class using a support vector machine. There are four categories of health data: normal, low-risk, medium-risk, and high-risk. The parameters used to measure the performance of this phase are precision, recall, accuracy, and F-1 score. The overall testing accuracy is found to be 96.8%, demonstrating strong potential for our technique to be adopted in practice.