On Tuesday, the Ministry of Health said that most people who have been vaccinated and infected with the Covid-19 virus will be sent home from Wednesday (September 15).
She added that this care management model would apply to those who are fully vaccinated, are between the ages of 12 and 50, who have mild or no symptoms, and who do not have severe comorbidities or comorbidities.
They should also not have family members who are over the age of 80 or who belong to one of the vulnerable groups such as pregnant women, those with a weakened immune response or those with multiple comorbidities.
Co-morbidity refers to the presence of two or more diseases or medical conditions in a patient.
The Ministry of Health said the final step is to allocate hospital capacity to those who really need medical care, so that appropriate care can continue to be provided to all, even as the numbers of infected people rise.
When a person is positive, recovery from home can begin immediately if they meet the criteria.
The Ministry of Health said that an individual would need to allocate a room with an attached bathroom.
There is no need to go to a hospital or community care facility.
Covid-19 patients recovering at home will undergo an initial remote assessment by a telemedicine service provider on the first day of their recovery at home to ensure that they are clinically healthy.
These individuals will also be issued an isolation order and may be flagged with an electronic monitoring device to ensure they remain in their designated rooms at home.
The Ministry of Health said that Covid-19 patients recovering at home may contact their designated telemedicine service provider to arrange a polymerase chain reaction (PCR) swab on the sixth day of illness to end the recovery period at home sooner.
If the test result meets the discharge criteria – a negative test or a low viral load – patients can be discharged from home on the seventh day.
Otherwise, the recovery period at home ends on the 10th day without further tests, as long as the patient is healthy.
The Ministry of Health said that after discharge from hospital, Covid-19 patients will not be subject to any movement restrictions, although they will still have to reduce social interactions for the next seven days.
They can ask the telemedicine service provider for a medical certificate of up to seven days if they need more time to rest and recover. The Ministry of Health said this is in line with discharge protocols at medical facilities.
The ministry added that if the infected person is in a state of home recovery and family members are isolated from him, the infected person may be discharged before the isolated family members.
(Health) said: “This does not make sense because for an individual with a full vaccination, the viral load will drop very quickly and usually be gone by the seventh day. It takes up to 10 days for the disease to appear and for the disease to appear.”
The Ministry of Health said earlier that as of September 11, the quarantine period was cut from 14 days to 10 days from the last exposure to a Covid-19 case, provided the quarantine results were negative for Covid-19 at the end of the quarantine.
On Tuesday, the Ministry of Health said, that the quarantined individuals who received quarantine orders before September 11, completed 10 or more days in quarantine and had a negative PCR test result, their quarantine orders will be gradually canceled earlier.
They will then have to continue with rapid antigen testing (ART) from day 11 to day 14 from the date of their last exposure.
Currently, about seven out of 10 close contacts of community cases prefer home quarantine, the Ministry of Health said, and it has seen good compliance with home quarantine requirements.
It added that contact tracing tools will continue to perform manual contact tracing of sensitive groups such as schools, hospitals or markets frequented by the elderly.
For less sensitive infections, an SMS will be sent to all newly confirmed Covid-19 cases, informing them that under the Infectious Diseases Act they are required to tell their household contacts to register themselves as close-to-home contacts through an online portal.
Contacts close to home must also provide the last date of exposure to a Covid-19 case and contact number.
They will then receive an electronic quarantine order indicating the quarantine period and providing instructions on booking a PCR test. They can then go online to schedule in and out of PCR tests at a regional screening center near their home.
They will be allowed to travel to regional screening centers for PCR tests and collect free ART kits. They then have to administer their ART daily and upload their results.
If they feel unwell or need medical care, they will also be instructed to access 24/7 telemedicine services during the quarantine.
The Ministry of Health said that people whose homes are not fit for quarantine can still request that they be sent to the government quarantine facility.
It added that from Tuesday, in line with the reduced quarantine period, warnings and alerts related to health risks will cover a period of 10 days from the date of the last exposure to a case of Covid-19, down from the previous 14 days.
Health risk warnings are issued in close contact with Covid-19 cases based on TraceTogether data. These contacts are less susceptible to infection than isolated people.
These individuals are required to perform a PCR test upon receipt of the warning, self-isolate until a negative result and three ART self-tests over a 10-day period. They should also have another PCR test at the end of the 10 days.
Health risk alerts are issued to those with a relatively shorter duration of contact with a case of Covid-19 based on TraceTogether data, or if their SafeEntry records from the past 14 days overlapped an area of increased transmission.
They should monitor their health for the next 10 days and are strongly encouraged to have a free PCR swab test and to have regular ARV self-tests for the 10 days.