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The new circular of the Ministry of Health of October 12, 2020 updates the indications on the duration and term of isolation and quarantine, in consideration of the evolution of the epidemiological situation, new scientific evidence, indications of some international organizations (WHO and ECDC) and the opinion issued yesterday by the Technical Scientific Committee.
The circular provides information on asymptomatic positive, symptomatic, long-term positive, asymptomatic close contacts.
Positive asymptomatic cases
Asymptomatic individuals who have tested positive for SARS-CoV-2 may return to the community after a period of isolation of at least 10 days from the onset of positivity, at the end of which a negative molecular test is performed (10 days + trial).
Positive symptomatic cases
Symptomatic individuals who have tested positive for SARS-CoV-2 may return to the community after a period of isolation of at least 10 days from the onset of symptoms (not considering anosmia and ageusia / dysgeusia they may have prolonged persistence over time) accompanied by a test. negative molecular test performed after at least 3 days without symptoms (10 days, of which at least 3 days without symptoms + test).
Long-term positive cases
People who, although they no longer have symptoms, continue to test positive on the molecular test for SARS-CoV-2, in the absence of symptoms (with the exception of ageusia / dysgeusia and anosmia 4 which may persist for some time after recovery) for at least At least one week, they will be able to stop isolation 21 days after symptoms appear. This criterion can be modulated by health authorities in agreement with clinical experts and microbiologists / virologists, taking into account the immune status of the affected persons (in immunosuppressed patients the period of contagion can be prolonged).
Asymptomatic close contacts
Close contacts of confirmed SARS-CoV-2 infection cases identified by health authorities should observe:
- a 14-day quarantine period from the last exposure to the case; or
- a 10-day quarantine period from the last exposure with a negative antigen or molecular test performed on the 10th day.
Finally, the circular recommends:
- Carry out the molecular test at the end of quarantine on all people who live or come in regular contact with people who are fragile and / or at risk of complications.
- provide differentiated access to the test for children;
- do not provide for quarantine or diagnostic testing on close contacts of close contacts of the case (i.e., there has been no direct contact with the confirmed case), unless the close contact of the case later tests positive for any diagnostic tests or in the event that, according to the criteria of the health authorities, community screening is appropriate
- promote the use of the Immuni app to support contact tracing activities.
Circular 32850 of the Ministry of Health
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