Coronavirus, quarantine and isolation. The new circular of the Ministry of Health



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Rome, October 12, 2020 – Published today on new circular of the Ministry of Health which reduces the quarantine to ten days for close contacts of a Covid-19 positive person. But with two conditions: that is to say asymptomatic and what has been done a tampon, antigenic or molecular, the result of which is negative. The new Circular of October 12, 2020 incorporates the opinion of the Scientific Technical Committee (formulated on October 11) and the latest indications from international health authorities (WHO and Ecdc).

October 12 coronavirus bulletin

The text clarifies that isolation of the documented cases of SARS-CoV-2 infection refer to the separation of infected persons from the rest of the community during the contagious period, in an environment and conditions that prevent the transmission of infection.

On the other hand the quarantine refers to the restriction of the movement of healthy people during the incubation period, but who may have been exposed to an infectious agent or a contagious disease, with the aim of monitoring the possible appearance of symptoms and quickly identifying new cases.

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 last criterion can be modulated by the 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 cases of SARS-CoV-2 infection confirmed and identified by the health authorities, must observe: a quarantine period of 14 days 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.

Also in the circular is recommended carry out molecular testing 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 Predict differentiated access to the test for children. Do not foresee quarantine or the execution of diagnostic tests. in close contacts of close contacts case (i.e., there has been no direct contact with the confirmed case), unless the case’s close contact is later positive to any diagnostic test or in the event that, in the opinion of the health authorities, it is appropriate a community projection promote the use of the Immuni app to support the activities of follow up contacts.

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