Indus Heroes

COVID-19 HIGHLIGHTS THE CRUCIAL ROLE OF INFECTION PREVENTIONISTS – Arifa Khatoon

“Healthcare professionals needed educating and then reeducating during the coronavirus pandemic, it was a hard time, a 24 hour a day job, which has now left us mentally exhausted. It is very important to work towards infection control in Pakistan, it requires small changes but essential resources.” Arifa Khatoon

Arifa Khatoon has 13 years of experience in infection control, with 10 years of association with The Indus Hospital. Currently, serving as the Manager of the Infection Control Department of The Indus Hospital, Arifa has been integral to the processes which were enacted after the COVID-19 pandemic struck Pakistan. She along with other managerial professionals were responsible for monitoring and educating healthcare workers who dealt with patients every day.

Being directly involved with healthcare workers, she was asked to provide trainings at all hours of the day, to all kinds of staff. Much of the time she dealt with the panic and anxieties that accompanied the risks of working with patients, providing a much-needed ear and counselling.

The Infection Control Department (ICD) provided some crucial services at both Indus Hospital (TIH) and Indus Health Network (IHN) level.

Guidelines and directives

For the prevention of COVID-19 transmission many guidelines were published. Institutional guidelines of PPE were developed according to the requirement of different departments. ICD also developed policies and Standard Operating Procedures (SOPs) based on the national Infection Prevention and Control (IPC) guidelines. The department trained healthcare staff.

Translating policy into practice

The management ensured the availability and proper use of PPE. A centralized counter was established to facilitate all clinical and non-clinical staff. To assess compliance to IPC guidelines infection control practitioners made regular visits to COVID unit and COVID ER.

Education and awareness

ICD provided COVID-19 prevention education to the staff, held Webinar sessions for all campuses. ICD also provided infection control education to the staff of some private and public hospitals and pharmaceutical companies.

Highlighting hand hygiene

ICD conducted hand hygiene sessions for all IHN staff. The department shared videos, messages, put up posters and provided hand washing stations, tissue towels, liquid soap. ICD also installed hand rubs at point of care, entrance of critical area, attendance machines, offices, schools, OPD etc.

Healthcare worker safety

As frontline fighters of COVID-19 battle, the healthcare workers were at risk of acquiring COVID infections not only from patients but also from their colleagues. ICD established a help desk for healthcare workers, provided helpline numbers and counselling for them and their families. Healthcare exposure policy was developed to support health issues of hospital staff.

COVID-19 has taught us how important infection prevention and control in hospitals is. It ensures the safety of patients and healthcare workers while simultaneously decreasing the risk of spreading infection in the community.

Pakistan needs to have a well-informed, knowledgeable, and well-equipped infection control program at every hospital, that can perform surveillance of infections, manage outbreaks like COVID-19 as well as developing policies that can meet local requirements.

A public-private partnership can be developed to collaborate in enhancing infection control education, compare the health care-associated infection rate, exchange the knowledge of resistance microbes and control outbreak effectively. Effective infection control practices will help in increasing the human safety and decrease the cost of treatment that will ultimately help government to spend money in any useful health project.

Arifa Khatoon has played an instrumental role in starting the Certificate in Hospital Infection Prevention and Control at IHN. The one-year certificate program prepares healthcare professionals to lead and implement a comprehensive infection prevention and control strategies in integrated healthcare facilities.

Zakat is one of the five pillars of Islam. It is the specific amount of wealth that a mature Muslim, who is Sahib-e-Nisaab, gives to the poor with the intention of Zakat, upon the completion of the Zakat year.
“And those in whose riches there is a specified right. For the one who asks and the one who is deprived.” (Qur’an 70:24-25)

The meaning of Nisab is a specific amount of four types of wealth, which if owned by a mature Muslim, Zakat will be compulsory upon. The four types of wealth are:

  • Gold (7.5 Tolas, 87.48 Grams)
  • Silver (52.5 Tolas, 312.36 Grams)
  • Business wealth (value of which equals 52.5 Tolas Silver)
  • Currency/Cash (value of which equals 52.5 Tolas Silver)

Zakat is not just a fundamental pillar of Islam. It is also a revolutionary concept with the potential to ease the suffering of millions around the world.
As Allah (SWT) tells us in the Holy Qur’an:
“And be steadfast in Salah (prayer), and give Zakah. Whatever good you send forth for yourselves, you will find it with Allah. Certainly, Allah is watchful of what you do.” (Qur’an 2:110)
It is also a right that the poor have over us.
“And those in whose riches there is a specified right. For the one who asks and the one who is deprived.” (Qur’an 70:24-25)

Zakat is 2.5% of the wealth one possesses above the Nisab.

If someone is a Muslim, non-Sayyid, and they do not possess 52.5 Tolas silver, or its value in gold, currency, business wealth, or wealth surplus to their needs, they are eligible to receive Zakat.

No, Zakat is only obligatory upon Muslims.

There are eight categories of people who are eligible to receive Zakat:
  1. The poor
  2. Needy
  3. Administrators of Zakat
  4. Those whose hearts have been recently reconciled
  5. Those who have been enslaved
  6. Those in debt
  7. In the cause of God
  8. Travellers (including refugees)
As Allah (SWT) tells us in the Holy Qur’an: The Sadaqat (prescribed alms) are (meant) only to be given to the poor, the needy, to those employed to collect them, to those whose hearts are to be won, ¹⁹in the cause of the slaves and those encumbered with debt, in the way of Allah and to a wayfarer. This is an obligation prescribed by Allah. Allah is All-Knowing, Wise.

‘Hawl’ refers to a lunar year. E.g. When a person achieves the Nisab for the first time, then from this date till the same date in the next lunar year his ‘Hawl’ is complete.

For Zakat to be due, it is a condition for one lunar year to have passed. If one lunar year hasn’t passed on someone’s wealth, then Zakat is not due.

Yes, Zakat will be due at the time of Zakat due date for this amount. Even though a year hasn’t passed on having the amount. This is known as ‘Maal-e-Mustafaad’ in Shariah terms, as in wealth received midway through a year.

The midway of a year is not taken into consideration, but the zakat due date is considered. For example, you Zakat due date is the first of Ramazan , and before the first of Ramazan, your wealth decreased to below the Nisab, but on the coming of the first of Ramazan, your wealth met the Nisab criteria, then Zakat will be due. The drop earlier in the year beneath the Nisab criteria will not be considered

Yes, you will still be required to pay Zakat of 2.5%. For the payment of Zakat, ‘intention’ or ‘Niyyat’ is mandatory and common charity/donation cannot be considered as Zakat. Therefore, you are required to calculate your Zakat on your Zakat calculation date and then the calculated amount may be given to the identified Mustahiq-e-Zakat either in full or in tranches throughout the year, with the intention of that amount being considered as Zakat only.

For every year that you owe Zakat, take 2.5% from the total wealth you had at the end of that year and pay that in Zakat. If you are not sure how much wealth you had, you must estimate it to the best of your ability. For example, it is now Ramazan 2022. You have not paid Zakat for the last 5 years. You need to work out how much wealth you owned every Ramadan for the last five years and pay 2.5% of that.

The best way for you to do this would be to take the jewellery to a jeweller and ask them to value just the gold and silver parts of the jewellery. The valuations they give will be the total on which you have to pay Zakat. Precious stones are not liable for Zakat.

If money for Hajj has been paid and the place has also been confirmed, then there is no Zakat on this amount. But if the Zakat date falls before payment, then there will be Zakat due on this amount.

Yes, Zakat is due on this amount. But it is up to you – you can either pay Zakat on the amount each year, or when the money is received, you can pay for the previous years.

If your friend accepted that he had the debt and did not deny it, then Zakat is due on this amount. Calculate your zakat here

In this scenario, there is no Zakat due on the house value. However, whatever rent was received, add this to your other wealth on which Zakat is due and pay the total due Zakat amount for the Zakat year. Also, there is no Zakat on the house until you sell it. Once you have sold the house and received the money, then there will be Zakat payable on that amount, if it remains in your possession till your Zakat due date.

Every year at the time of paying Zakat, you would need to calculate the total selling price for all the goods for sale in your shop. For example, all the clothes for sale in your shop add up to a total selling value of a particular sum of money. You would add this to your other wealth when calculating your total payment.

If you haven’t received the funds, then Zakat isn’t due. But if you have received the funds, Zakat is due.

This amount is the group’s collective ownership. Thus, each participant will pay Zakat on his/her share, or permission can be given to one person who will pay Zakat from the fund on behalf of everyone.

In Shariah terms, poor and needy is classified as someone who does not have the Nisab amount in their ownership. The meaning of Nisab here is 52.5 tolas silver or the equivalent of that in cash/gold, or extra to what is needed.

Zakat cannot be given to ‘Usool’ and ‘Furuu’. ‘Usool’ is parents, grandparents and so on. ‘Furuu’ is children, grandchildren and so on. Similarly, Zakat cannot be given to husband or wife. Besides this, Zakat can be given to other relatives.

If the orphan doesn’t possess the ‘Nisab’, and he isn’t a ‘Sayyid’, then he can be given Zakat. If he possesses something of the value of nisab, he cannot be given Zakat.

Zakat can only be given in those projects wherein possession is achieved of the Zakat amount. This means the person who can claim Zakat and is eligible for Zakat payment becomes the owner of the amount. Thus, to give food, clothing, medicine etc. to a poor person from the Zakat money is permissible. And those projects wherein ownership of the Zakat money is not achieved, Zakat cannot be given for example, spending in Masajid, digging wells etc.

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