22 March 2020 - Coronavirus disease (COVID-19): Update #13

22 March 2020 - Coronavirus disease (COVID-19): Update #13 

In South Australia testing for COVID-19 is recommended in people who satisfy any of A, B, or C

A. If the patient satisfies epidemiological AND clinical criteria, they are classified as a suspect case.
Epidemiological criteria: at least one of the following

  • International travel in the 14 days before the onset of illness OR
  • Contact in the 14 days before illness onset with a confirmed case of COVID-19 OR
  • Interstate travel in the week before the onset of illness  Clinical criteria: at least one of the following  
  • Fever (≥38°C) § or history of fever (e.g. night sweats, chills) OR  Acute respiratory infection (e.g. shortness of breath, cough, sore throat) with or without fever
  • See CDNA National Guidelines for contact definition at http://bit.ly/CDNA_COVID-19

B. If the patient has bilateral community-acquired pneumonia (critically ill)* and no other cause is identified,
with or without recent international travel, they are classified as a suspect case.

C. If any healthcare worker (HCW) with direct patient contact has:

  • Fever (≥38°C) § or history of fever (e.g. night sweats, chills) AND
  • Acute respiratory infection (e.g. shortness of breath, cough, sore throat)
    § Measured using a tympanic, oral or other thermometer proven to consistently and accurately represent core body temperature
    *Requiring care in ICU/HDU, OR respiratory/multi-organ failure. Use clinical judgement re the likelihood of COVID-19.
COMMUNICABLE DISEASE 
CONTROL BRANCH
- Attention all doctors - 
Date: 22/03/2020   Contact telephone number: 1300 232 272  (24 hours/7 days)

 

Coronavirus disease (COVID-19): Update #13 

In South Australia testing for COVID-19 is recommended in people who satisfy any of A, B, or C 

A. If the patient satisfies epidemiological AND clinical criteria, they are classified as a suspect case. 
Epidemiological criteria: at least one of the following

  • International travel in the 14 days before the onset of illness OR 
  • Contact in the 14 days before illness onset with a confirmed case of COVID-19 OR 
  • Interstate travel in the week before the onset of illness  Clinical criteria: at least one of the following  
  • Fever (≥38°C) § or history of fever (e.g. night sweats, chills) OR
  • Acute respiratory infection (e.g. shortness of breath, cough, sore throat) with or without fever 
  • See CDNA National Guidelines for contact definition at http://bit.ly/CDNA_COVID-19 

B. If the patient has bilateral community-acquired pneumonia (critically ill)* and no other cause is identified, 
​with or without recent international travel, they are classified as a suspect case. 

C. If any healthcare worker (HCW) with direct patient contact has: 

  • Fever (≥38°C) § or history of fever (e.g. night sweats, chills) AND 
  • Acute respiratory infection (e.g. shortness of breath, cough, sore throat) 
    § Measured using a tympanic, oral or other thermometer proven to consistently and accurately represent core body temperature 
    *Requiring care in ICU/HDU, OR respiratory/multi-organ failure. Use clinical judgement re the likelihood of COVID-19.

General recommendations

  • Travellers who have recently returned from overseas (including transit): mainland China, Iran, South
    Korea, Italy (on or after 11 March), and all other countries (on or after 16 March); and close contacts
    of a confirmed case, must be isolated for 14 days from departure/last contact irrespective of test
    results.
  • Healthcare workers/staff with close patient contact who have returned from Italy who do not meet the
    isolation requirements above should be advised not to undertake work in a health care or
    residential/aged care facility for 14 days since leaving Italy.
  • HCW with an influenza-like illness should not work while symptomatic. In addition, if a HCW meets the
    case definition above the HCW should be tested and isolated whilst awaiting results.

    Medical practitioners are advised to:
  • Test for SARS-CoV-2 in anyone meeting the suspected case definition above.
  • Isolate patients who have been tested pending results.
  • Refer to earlier Public Health Alert of 26 February 2020 for further details of PPE, infection
    control and specimen collection www.sahealth.sa.gov.au/HealthAlerts
  • Follow the updated Infection Control Guidelines Flowchart: http://bit.ly/COVID-19_flowchart
  • Send specimens to SA Pathology. Request respiratory viruses including COVID-19.
  • Do not send patients to a general pathology collection centre.
  • Do not test patients for ‘medical clearance’ certificates for schools or workplaces.
  • Notify suspected and confirmed cases by phone to CDCB on 1300 232 272.
  • See the Australian Government Department for Health for further information https://bit.ly/2QAK1JU
  • See the SA Health website

Dr Louise Flood – Director, Communicable Disease Control Branch
 

Public - 12-A2

Download the official health alert here (PDF)


 

Update on Novel Coronavirus Infection

30 January 2020 -  Update on Novel Coronavirus Infection

The novel coronavirus (2019-nCoV) is now a controlled notifiable condition under the South Australian
Public Health Act 2011. Doctors and diagnostic laboratories are required to notify the CDCB Medical
Officer on call of any suspected cases on 1300 232 272 (24/7).

While most cases continue to be reported from Hubei Province, China, where the outbreak began, over
7,500 confirmed cases have been reported with over 170 deaths in mainland China, and the disease has
now spread to all provinces of China. There have now been cases reported from more than a dozen other
countries, including Australia, where 7 cases have been confirmed. There has not yet been a confirmed
case in South Australia, and there is no evidence of local transmission in Australia at this stage.

The incubation period thought to be 2-14 days. The infectious period is currently unknown, but there is
early evidence of transmission in the pre-symptomatic phase.

The information on this incident is constantly evolving. 

COMMUNICABLE DISEASE 
CONTROL BRANCH
- Attention all doctors - 
Date: 30/01/2020   Contact telephone number: 1300 232 272  (24 hours/7 days)

 

Update on Novel Coronavirus Infection

The novel coronavirus (2019-nCoV) is now a controlled notifiable condition under the South Australian 
Public Health Act 2011. Doctors and diagnostic laboratories are required to notify the CDCB Medical 
Officer on call of any suspected cases on 1300 232 272 (24/7). 

While most cases continue to be reported from Hubei Province, China, where the outbreak began, over 
7,500 confirmed cases have been reported with over 170 deaths in mainland China, and the disease has 
now spread to all provinces of China. There have now been cases reported from more than a dozen other 
countries, including Australia, where 7 cases have been confirmed. There has not yet been a confirmed 
case in South Australia, and there is no evidence of local transmission in Australia at this stage. 

The incubation period thought to be 2-14 days. The infectious period is currently unknown, but there is 
early evidence of transmission in the pre-symptomatic phase. 

The information on this incident is constantly evolving. 

 

The Australian Government has now recommended that:

  • People (including healthcare workers) who have been in contact with any confirmed 2019-nCoV cases 
    must be isolated in their home for 14 days following exposure.
  • Returned travellers who have been in Hubei Province, China must be isolated in their home for 14 days
    after leaving Hubei Province, other than for seeking individual medical care.

Given the lower number of cases in China reported outside of Hubei province, isolation is not currently
recommended for travellers from other parts of China or other countries. The development of cases outside
of Hubei province is being closely monitored and this advice will be updated if necessary.

Medical practitioners are advised to:

  • Consider 2019-nCoV in persons who have returned from mainland China or are contacts of a known
    case of 2019-nCoV, in the 14 days prior to illness onset, with fever or history of fever, or with
    respiratory symptoms such as cough, dyspnoea, or pneumonia.
  • Assess patients with suspected 2019-nCoV infection using transmission based precautions in
    addition to standard precautions:
    • Put a surgical mask on patient and ask to observe respiratory (cough) etiquette.
    • Social distancing i.e. move patient from general waiting area and use a single room, if available.
    • Staff examining patient to wear gloves, disposable long sleeved gown, P2/N95 respirator mask (if
      available, if not available then wear a surgical mask) and eye protection.
    • Hand hygiene with alcohol hand rub, or if hands visibly soiled, soap and water.
      Avoid aerosol generating procedures, if possible. If they cannot be avoided, use full airborne
      precautions including P2/N95 respirator mask and negative pressure room.
  • Notify the CDCB medical officer on 1300 232 272 (24/7) to discuss any suspected cases.
  • Consider laboratory testing
    • Discuss testing with CDCB medical officer. If testing is recommended and you have the
      appropriate PPE (as above with P2/N95 respirator mask) in isolated room, collect a combined
      nasal / pharyngeal swab, preferably in viral transport medium. See specimen collection guide at
      https://www.sapathology.sa.gov.au/genericfiles/PUB-0712.pdf. Send specimens to SA Pathology.
    • Do not send patients to pathology collection centres.
  • Isolate any patient with suspected 2019-nCoV (either in a healthcare facility or at home).


For further information see SA Health www.sahealth.sa.gov.au/novelcoronavirus, the Australian
Government Department of Health website at https://www.health.gov.au/health-topics/novel-coronavirus2019-ncov
and the World Health Organization website at https://www.who.int/health-topics/coronavirus 

Dr Louise Flood – Director, Communicable Disease Control Branch

For all enquiries please contact the CDCB on 1300 232 272

Public - 12-A2

Download the official health alert here (PDF)


 

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