Friday, October 9, 2020 dmhealthcapsule@gmail.com Resurgence of COVID-19 cluster COVID-19- PCR TESTING ALGORITHM HOSPITAL COMMUNITY Close contacts of positive cases (Based on epidemiological links) High risk community “hots-spots” - Areas where with high risk transmission experienced Random samples Covid- 19 suspected cases Pneumonia of unknown origin & SARI in absence of alternative diagnosis Covid-19 suspected deaths Healthcare staff-unprotected & exposed to covid-19 patient/s Close contact/s of a Covid- 19 patient Patients from a high risk geographic area (Area with reported cases within last 14 days or area with epidemiological risk is declared) L LV W R WV R V OWD W 3V F ROR LVW 1LYH UD 8 PD VDL W DW DYL DFFHVV WR D F DW VHUYLFH FD DYH D SR HUI O LPSDFW D D HDOL HIIHFW R W RVH R IHHO UW RU DUH L LVWUHVV RW HU LVV H LV W DW F RRVL W H DFF UDWH YRFDE ODU WR HVFULEH W HVH HPRWLR V L 6L DOD D 7DPLO FD EH YHU F DOOH L 7 HUHIRUH R PD RW EH DEOH WR HVFULEH W HP L HWDLO LI R PHHW RU WDON WR VRPHR H RYHU W H S R H % W W LV LV PD H P F HDVLHU H R WH W EHFD VH R FD H SODL LW W H D R SUHIHU 9 O HUDEOH SHRSOH R W DYH RU V WR H SUHVV W HLU HPRWLR V , W U W H R O W U WR EH D UHVVLYH D YHU DVW 6RPHWLPHV W H R W HYH RSH S L IUR W RI W HLU EHVW IULH V EHFD VH W H IHDU W DW W H R O EH OD H DW RU HUPL H 7 HUHIRUH HYHORSL D WU VW LW W HP RHV D OR D D W H ILUVW VWHS WR DF LHYH LW LV WR EH D R M HPH WDO DV SRVVLEOH POSITIVE NEGATIVE Two consecutive PCR test negative Transfer to Covid -19 treatment hospitals Discharge Others R W H VHYHULW RI W H FDVH 9RO WHHUV R W DYH SURIHVVLR DO N R OH H D W HUHIRUH W H FD W L WHUYH H % W W H WHDP L FO HV RFWRUV UVHV D HYH RPP LW 3V F LDWULF 1 UVHV 31V R DUH WUDL H WR RUN LW FRPP LWLHV D DUH VWDWLR H DOO DUR W H LVOD 7 H 6 DVHUL D 6HUYLFH LV DOVR FROODERUDWL LW V L W LV WDVN V H D H LOH H SODL L R LW DV L LWLDOO OD F H DV D YRLFH EDVH RWOL H EDFN L No further action is required Patients with COVID 19 signs and symptoms LW W H UHV U H FH RI 29, PH LFDO H SHUWV DYH UHLWHUDWH R W H LPSRUWD FH RI WHVWL R HVHOI LI D VL V RI IHYHU FR RU FRO SUHYDLO 6SHDNL WR W H DLO 0LUURU R V OWD W )DPLO 3 VLFLD D HD RI )DPLO 0H LFL H 8 LW 8 LYHUVLW RI RORPER U 5 YDL D LIID VDL W DW W HUH V D L FUHDVH L , IO H D LNH ,OO HVVHV , ,V D W HUHIRUH WHVWL UH LPHV V R O EH UHL WUR FH RU H WH H WR DOO W RVH DYL UHVSLUDWRU V PSWRPV RU V VSLFLR V IHEULOH LOO HVVHV ,W LV DOVR LPSRUWD W WR LYH DFFHVV WR IDPLO RFWRUV RU H HUDO SUDFWLWLR HUV WR VH SDWLH WV LW UHVSLUDWRU LOO HVVHV RU IHEULOH LOO HVVHV IRU 29, WHVWL WR VWDWH RU SULYDWH VHFWRU RVSLWDOV LW R W H D PL LVWUDWLYH HOD V VDL U D LIID H I UW HU VDL W DW SDWLH WV LW IHYHU D DUH V VSHFWH FDVHV IRU H H V R O DOVR EH F HFNH IRU 29, UHODWH V PSWRPV UR SDWLH WV R YLVLWH 23 FOL LFV DYH D FR RU D FRO 6R W H DYH WR EH UHIHUUH IRU 3 5 WHVWL UHVVLYH WHVWL D UHSHDW WHVWL LV D P VW DW W LV SRL W 2W HU LVH FR WDFW WUDFL R W EH D V FFHVV HVSHFLDOO L W LV VLW DWLR H D H W RULWLHV DYH DOVR RWLFH W H S EOLF WR UHIUDL IURP L L DUER UL RU DVVLVWL WR DUER U D 29, SDWLH W RU V VSHFWH FDVH D W DW VWULFW OH DO DFWLR R O EH WDNH D DL VW V F SHRSOH PRINTED AND DISTRIBUTED BY PRESSREADER Pressreader.com +1 604 278 4604 ORIGINAL COPY . 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ORIGINAL COPY COPYRIGHT AND PROTECTED BY APPLICABLE LAW ( BY KAMANTHI WICKRAMASINGHE OHYDWH UDWHV RI VWUHVV RU D LHW L OHYHOV RI U D DOFR RO HSH H FH OR HOL HVV HSUHVVLR D V LFL DO EH DYLR UV DUH VDL WR EH LUHFW LPSDFWV R PH WDO HDOW UHV OWL IURP W H SD HPLF 7DNL W LV S H RPH R R D VHULR V RWH W LV HDU V RUO 0H WDO HDOW D IRF VHV R PH WDO HDOW IRU DOO % W PH WDO HDOW LVV HV DYH EHH V EMHFW WR P F VWL PD D LVFULPL DWLR W DW SHRSOH H SHULH FL V F LVV HV VWLOO HVLWDWH WR VHHN FDUH H FH LW LV L V F D EDFN URS W DW W H 1DWLR DO , VWLW WH RI 0H WDO HDOW 1,0 MRL H D V LW LUWHO D ND WR OD F D WH W EDVH SODWIRUP WR PDNH LW PRUH VHU IULH O IRU W RVH R UHT LUH V SSRUW FFRU L WR U 3 V SD 5D DVL H 6H LRU R V OWD W 3V F LDWULVW DW 1,0 R W D D ROHVFH WV DUH UHO FWD W WR FDOO D RWOL H D VHHN V SSRUW 7 H DUH PRUH L FOL H WR WH W D RW HU SHUVR RU H SUHVV W HLU LVWUHVV W UR VHOI L IOLFWH DUP R W R O D W D UHVSR VH D H SHFWV RW HU SHUVR V WR UHVSR LW R W SDVVL M PH WV ,W LV R O L V F D L VWD FH W DW W H R O E LO WU VW H R WDON IDFH WR IDFH RU RYHU W H S R H W H WH H F WR HYHORS D UHODWLR V LS LV OHVV OLNHO % W LW W LV WH W EDVH SODWIRUP W H FD WHOO V W HLU LVV HV R W H IHHO HWF HSH L R W H D V HUV LYH WR R U T HVWLR V H LOO HFL H R RP H HH WR LYH SULRULW WR 7 HUHDIWHU H LOO VWRUH W HLU HWDLOV L R U DWDEDVH D LI W H FDOO V D DL R U WHDP LOO EH R DOHUW VDL U 5D DVL H 8 OLNH D FR VHOOL VHUYLFH W DW R O R O OLVWH WR D FDOOHU V LVV H W H F DWOL H LV PD H E D WHDP RI SURIHVVLR DOV R LOO EH DEOH WR PDNH D HT DWH L WHUYH WLR V HSH L Tomorrow is World Mental Health day 1926 A chat service to make you feel better Reintroduce,expand and sustain PCR testing Sentinel sites for Covid–19 Surveillance ILI SARI PCR TEST Quarantine Centre (QC) If QC person/s, close contact/s and treated patient/s Home quarantine for 14 days No further signs and symptoms Epidemiology Unit, Ministry of Health, Sri Lanka DR. RUVAIZ HANIFFA Consultant Family Physician and Head of Family Medicine Unit, University of Colombo (KW)