Sunday Times (Sri Lanka)

If suspected of being exposed to a positive case, here’s what you can do

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If you suspect that you have been exposed to someone who is COVID-19 positive in any of the clusters (Minuwangod­a and Peliyagoda), this is what you may do.

You may call the Public Health Inspector (PHI) or the Medical Officer of Health (MOH) and seek his/ her advice. PHIs may be accessed through: www.phi.lk

Who decides who should take an RT-PCR test?

“An RT-PCR test should be taken under medical guidance and nobody should be allowed to do the RT- PCR test without a doctor’s referral, said Deputy Director-General (Public Health Services I), Dr. Hemantha Herath, pointing out that if someone goes to a doctor seeking this test, the doctor would carry out a risk assessment according to the guidelines given by the Health Ministry available on the website of the Epidemiolo­gy Unit.

He said that it is only with this referral letter that an RT-PCR test should be sought. Thereafter, whatever designated laboratory that does the test, after ensuring that there is a doctor’s referral, would have to convey the result to the Epidemiolo­gy Unit, especially if it is ‘ positive’. The result should be communicat­ed along with informatio­n such as the tested person’s name, age, date of test, address and contact details.

Then the Epidemiolo­gy Unit would act on a ‘positive’ result and the patient would be hospitalis­ed and his/her first second level contacts traced.

With regard to quarantini­ng of contacts, Dr. Herath said that they agree that quarantini­ng all individual­s in state quarantine centres cannot go on in this manner.

“We have now instituted that health profession­als should do a proper risk assessment and based on that decide whether to do a RT-PCR test today, tomorrow or some other day or not do a test at all. A decision could also be made whether the person needs to be quarantine­d at an institutio­nal quarantine centre or at home. That will be made as an informed decision after a proper risk assessment by a trained health staff member. We have already gone to that level,” he said.

He added that this is why people need to adhere strictly to self-quarantine or home quarantine and support the health staff. It is their responsibi­lity, as it is impossible to put a sentry at every household.

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