The Junta de Andalucía, at the proposal of the Regional Committee of High Impact on Public Health, this Monday modified various actions in the follow-up and traces of cases with Covid and their contacts, integrating the document of the Public Health Commission of the Ministry of Health on the adaptation of the strategy for early detection, surveillance and control of Covid-19 in a period of high community transmission.
In cases of suspicion without self-diagnostic test, you must save isolation and notify close contacts. In these cases, priority will be given to carrying out PDIA (Active Infection Diagnostic Tests) to confirm suspicious cases in those with more serious symptoms and in people with greater vulnerability. In cases of suspicion with teststrong , self-diagnosis, the person must communicate it to the Public Health Service, preferably through the application Salud Responde, in addition to initiating isolation and control. PDIA will be carried out in those selected cases where it is required.
On the actions in confirmed cases, in the cases asymptomatic or mild symptomatic and without risk factors, will be indicated home isolation and active clinical follow-up will not be carried out. While in cases symptomatic or vulnerable people home isolation will be indicated and a active clinical monitoring.
A period is established minimum of 7 days for the isolation of confirmed cases, if at the end of this period the person is asymptomatic and they have at least three days after resolution of symptoms. For those with severe illness or immunosuppression the isolation period is maintained minimum of 21 days. For the personnel who work in health or social health centers, a antigen test on day 7 before his return to his job.
Regarding the study of close contacts, priority will be given in those areas in which the exhibition is considered to be high risk, giving preference to requesting the PDIA test in those close contacts with a higher risk of infection or presenting serious symptoms and especially in vulnerable people and people who care for them, and health and social health personnel.
Similarly, close contacts who are in quarantine will not be monitored by telephone, but they will be given the pertinent indications in the event of symptoms, except in those areas where greater vulnerability is identified. Neither will follow-up of close contacts that have occurred in any means of collective transport, unless there is evidence of an outbreak.
In general, in the educational field (especially of Infant and Primary) and university it will not be necessary to quarantine entire classrooms. Before the appearance of an outbreak, the Primary Care Epidemiology professionals will determine the pertinent actions based on the specific situation, in coordination with the school nurse or the person referring to the university field, if applicable.
The Alerts Committee has also approved a series of recommendations for close contacts based on your immunization status. In this way, close contacts with a pattern of complete vaccination they will be instructed to carry out only essential activities and reduce their social interactions as much as possible constantly wearing the surgical mask for 10 days after the last exposure. They should watch for symptoms. Close contacts not vaccinated or with an incomplete vaccination schedules will undergo quarantine lasting 7 days after the last contact with a confirmed case. They will exaggerate precautions up to 10 days, reducing social interactions as much as possible using constantly the face mask.
All close contacts of a confirmed case of Covid-19, regardless of their immunization status, are recommended to use a surgical mask, monitor their health and, when any symptoms appear, notify the health system, carry out washing frequent use of hands, avoid taking antipyretics during the surveillance period and adequately ventilate closed or frequently used spaces.
In addition, confirmed cases are urged to inform their close contacts that they are contacts, so during the 10 days after the last contact, extreme precautions should be taken and social interactions reduced as much as possible by constantly wearing the mask. Especially it should avoid contact with vulnerable people and remain careful in the days after. In addition, they should contact the health administration in case of symptoms.
Finally, the Alerts Committee has also approved asking the Superior Court of Justice of Andalusia to extend until January 31 the request for a Covid certificate in hospitals, residences, hotels and nightlife, as well as to extend the measures of the levels 1 and 2 also until January 31.