MHMS FIJI
MHMS FIJI
Statement by PS Health on Border Case and COVID-Safe Amendments

Date: 25 August 2020

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 Statement by Acting Permanent Secretary for Health and Medical Services, Dr James Fong on the latest Border Case Death and COVID-Safe Amendments

 Bula Vinaka and Good Afternoon 

As we have previously announced, we have securely confirmed border quarantine cases of COVID-19 among our citizens who are returning from overseas. These cases have not represented a risk to the public. Under the watchful eye of our disciplined forces, Fiji’s border is sealed, and the virus has not re-entered our communities.

However, I’m sad to report that another of these patients, a 61-year-old man, has passed away due to complications of COVID-19. The gentleman contracted the virus while in the United States. He arrived to Fiji from Sacramento, California on the 6th of August, where he was immediately entered into quarantine.

He developed symptoms of COVID-19 shortly after entering border quarantine and was transferred to the isolation unit at Nadi Hospital. When his condition worsened he was transferred to the isolation unit at Lautoka hospital for specialized care. Despite the best efforts of our healthcare professionals he sadly passed away last night at the Lautoka Hospital Intensive Care Unit.

We at the Ministry of Health and Medical Services extend our deepest sympathies to his friends and family. We feel this loss across the Ministry, and his treating nurses and physicians mourn his passing most acutely. But we all take some solace in the fact that this gentleman was able to return to Fiji, and it is here he can be laid to rest –– in Fiji, his home.

Our Lautoka hospital colleagues have worked with the gentleman’s family to ensure funeral arrangements adhere to the necessary infection prevention and control protocols.

We had delayed the announcement of this second fatality until the afternoon out of respect for the family’s wishes, as they requested that they be able to first hold this gentleman’s burial before they were thrust into the national spotlight. So, we were all shocked when the Fiji Sun jumped the gun with their report of his passing, even after we had specifically expressed to them to hold off for the sake of this gentleman’s loved ones.

We are deeply disappointed with the Fiji Sun’s lack of ethics in this instance. No media organisation should let moral imperatives be overridden by the insatiable desire to “be first” in their reporting. These are sensitive issues that demand decency from all of us –– and it’s shameful that the Fiji Sun is more focussed on making headlines than on granting this family the privacy to mourn their loss.

In fact, it is more than just indecent. Such reckless reporting puts unfounded fear in our people’s hearts, as they learn of a fatality from this deadly virus without any of the proper context provided.

We hope never to see such irresponsibility repeated.

 

COVID-Contained

I want to assure every Fijian watching that this latest fatality –– while tragic –– does not pose a risk to the public. It has now been 129 days since Fiji has recorded a new case of COVID-19 in our communities. We aim to maintain that unbroken streak. All health staff directly involved with the care of this patient have adhered to strict infection prevention and control protocols. Each will undergo quarantine in a government designated facility and must clear a negative COVID test result to be released.

As confirmed by our continual testing at the border and among the Fijian public, we are now one of the few countries –– if not the only country –– in the world to contend with an outbreak of the virus, contain that outbreak, and then go more than 100 days without a resurgence.

With over 23 million confirmed cases and 800,000 deaths from COVID-19 confirmed around the world, no one should take Fiji’s COVID-Contained status for granted. In our own neighbourhood, Australia –– and now New Zealand –– are both contending with new outbreaks of the virus, as are Papua New Guinea and French Polynesia.

In New Zealand’s case, given how effectively they stamped out their initial outbreak, their latest cluster of cases came as a surprise to all of us. But we are confident our Kiwi partners will act with the same decisiveness that served them so well in the past. We applaud New Zealand’s recent move to implement managed isolation for confirmed patients and mobilise the New Zealand Defence Force to enhance border security –– Fiji can attest these measures work.

New Zealand’s experience goes to show that Fijians cannot become complacent –– nor have we been. We have continued to test regularly for the virus in our communities and among our healthcare workers. All those tests have returned negative. Our testing positivity rate –– the single most important metric –– ranks among the lowest in the world at 0.4%.

 

Gathering up to 50% Capacity

On the technical side, we’ve been conducting exhaustive reviews of the guidelines within our Fijian COVID-Safe Economic Recovery Framework.

We’ve said from the start this a flexible framework that will evolve alongside our constantly changing global and local environment. Today, we’re announcing some amendments to Phase 2 of our COVID-Safe Economic Framework. These are mainly for the sake of consistency.

As per our last announcement, all gatherings are limited to 100 people. We’re amending that restriction, allowing for houses of worship, restaurants, cafes, entertainment venues, such as gaming centres, bars, pubs and conferences and meeting venues, swimming pools, common areas in boarding facilities, including weddings, funerals and other community gatherings to function at 50% capacity.

So, if a venue has a capacity for 500 people, it can now host up to 250 people. However, if a venue capacity is less than 200, it can continue to host events with 100 people or less. This applies to both indoor and outdoor facilities.

Up until now, we’ve been using the 50% capacity thresholds for sports stadiums. Just like with athletic events, these measures only work well when all Fijians take COVID Safe precautions.

That means we must maintain physical distance of 1.5 metres as much as possible; avoid shaking hands, kissing and hugging; queue responsibly; wash our hands frequently with soap and water or an alcohol-based hand sanitiser; cough or sneeze into a tissue or the bend of our elbows; and stay home if you’re feeling unwell.

Lastly –– and this is critically important –– please download the careFIJI contact tracing application. If you are organising an event, make sure everyone attending the event has careFIJI installed with the Bluetooth switched on. Seriously, when someone arrives, they should show that they have careFIJI on their phone. If not, they must manually sign in with someone at the front –– no exceptions.

We understand some nightclubs have sought to obtain a new business designation as taverns in the interest of re-opening their businesses. We fully appreciate that nightclub owners have seen a severe impact to their bottom-line due to our health restrictions –– but the reality is these businesses represent the highest-risk environments for the potential spread of the virus.

Moving forward, any requests from nightclubs to seek new business designations will be approved on a case-by-case basis, with compulsory input from the Ministry of Health. Our teams need to ensure these venues can operate in a COVID-safe manner before any new designation can be considered and they can re-open their doors.

 

Returning Diplomats and Permit Holders

Globally, countries have introduced protocols for diplomatic travel. Fiji has allowed diplomats to return to Fiji on a case-by-case basis and we will continue to do so.

Valid permit holders may also be permitted to return to Fiji on a case-by-case basis. We are also selectively granting new permits on a case-by-case basis for individuals who possess specialised skills that aid Fiji’s COVID-safe economic recovery. Existing and new permit holders must apply to the Permanent Secretary for Immigration to enter Fiji.

All applications for returning diplomats and permit holders –– old and new –– are subject to vetting by the Ministry of Health.

Travel arrangements for all travellers entering Fiji are designed entirely around preserving public health and wellbeing. All individuals must clear a negative test result for the virus before boarding their flight –– something we call a pre-departure test. That test result must be reviewed and approved by the Ministry of Health before the traveller departs for Fiji. Some may be required to test again upon arrival based on assessment of risk by the Ministry of Health. These individuals must then spend at least 14 days in a government-designated quarantine facility. After the quarantine period, individuals must clear another negative COVID test result –– something we call a border quarantine exit test –– before entering the country.

Non-citizens will be required to bear all costs related to quarantine and testing. Our entry and testing requirements are detailed on the Fijian Government’s website.

 

High – End Tourism

As we’ve said before, we understand this pandemic’s economic impacts, such as joblessness, can be just as dangerous as the direct health impacts of COVID-19. As recently stated by the Director General of the World Health Organisation “We do not need to choose between lives and livelihoods, or between health and the economy. That’s a false choice. On the contrary, the pandemic is a reminder that health and the economy are inseparable”.

 

Blue Lanes

Our Blue lanes initiative continues to operate safely and successfully. As of yesterday, 66 yachts have been approved under this initiative, with more yachts and superyachts on the way. To ensure superyachts can function properly, we’re allowing for crew changes.  That means crew are being flown in to Fiji to join superyachts, allowing these vessels to be properly run and maintained for months at sea in Fiji.

Again, the requirements for entry into Fiji are strict. All crew must clear a pre-departure test, spend 14 days in quarantine, and then clear a border quarantine exit test.

 

Bula Bubble

We previously announced that travellers from Australia and New Zealand would be allowed to board flights to Fiji through two pathways. One, they could spend 14 days of quarantine in their home country, clear a negative COVID test and arrive in Fiji. Or they could clear a negative COVID test, spend 14 days of quarantine in a Fijian Government quarantine facility, and then embark through our VIP lanes to one of our specially designated resorts to begin their Bula Bubble vacation.

Unfortunately, due to new outbreaks of COVID-19, the Australian and New Zealand governments cannot certify home quarantine for potential travellers to Fiji, so we’ve closed that pathway for the time being. Otherwise, the Bula Bubble will continue to function as designed, as the second pathway remains open. All incoming travellers must conduct a pre-departure test, spend their 14 days in a Fijian Government-quarantine facility, and then clear a border quarantine test to begin their vacation.

 

Replication of Quarantine Conditions

Again, no one who arrives to Fiji is exempt from 14 days of quarantine and no one can enter Fijian society unless they clear a negative test result for COVID-19. Our health personnel and disciplined forces do have the capacity to make arrangements for alternative quarantine sites. However, the individual must bear the costs of their off-site supervision by members of our disciplined forces.

 

Conclusion

Our COVID-Safe Economic Recovery Framework was designed to be adaptable to the realities of the “new normal” and we fully expect more amendments moving forward. Throughout that ongoing review, every Fijian can trust that every one of our decisions are based on science and in line with best global practices.

To maintain Fiji’s COVID-Contained status, our vigilance is the only vaccine available to us. And we must all remain vigilant at all times. As always, we urge you to wash your hands, maintain physical distance where possible and install the careFIJI digital contact tracing application.

Thank you.

COVID-19 TESTS Available

Release


COVID-19 TESTS WILL BE AVAILABLE TO INTERNATIONAL TRAVELERS FOR FJ$300

The Ministry of Health and Medical Service (MOHMS) advises that people travelling out of Fiji and foreigners coming into the country can now have COVID-19 swab tests done upon request.

People travelling out of the country will have to apply for a COVID-19 swab test. Approval will be through the Office of the Permanent Secretary for Health and Medical Services.

These travellers will have to produce their travel itinerary and the biodata page of their passport to confirm they will be travelling before the test approval is granted.

As per the recent Government Gazette, the cost of the test is FJ$300.00, payable after approval is granted. This will be applied only in certain circumstances, for example, for non-citizens entering the country, as well as people who want to travel overseas but need to be tested as a requirement for entry into other countries.

 

Fees can be paid at the following locations:

  • Central – Cashier at MOHMS Headquarters (Level 1, Dinem House, 88 Amy Street, Toorak)
  • Western – Cashier at Lautoka Hospital
  • Northern – Cashier at Labasa Hospital

 

All approved applicants who have paid the fees will then be required to go to any one of the following facilities to have their swabs taken:

  • Suva Health Office, Namosi House
  • Nadi Hospital
  • Lautoka Hospital
  • Labasa Hospital

 

The swabs will then be sent to the Fiji Centre for Communicable Diseases for testing. Test results will be provided within 48 hours after the swabbing.

The Ministry further advises that COVID tests conducted in Fiji for medical purposes are completely free: for returning citizens in quarantine; for Fijians who meet our medical testing criteria, such as those displaying COVID-like symptoms; and for our healthcare staff.


 

STATEMENT FROM THE ACTING PERMANENT SECRETARY FOR HEALTH

Date: August 13th, 2020

Bula Vinaka.

Today we are announcing one new border quarantine case of COVID-19. The patient is a 61-year-old gentleman. He is a  repatriating Fijian citizen who traveled to Fiji from Sacramento, California in the United States. He transited through Auckland and arrived in Fiji on Thursday. The 6th of August. After developing COVID-like symptoms while in a government-designated border quarantine facility, he was tested and confirmed positive for the virus. He has since been admitted to the isolation ward at Nadi Hospital where remains in stable condition.

This is our tenth border quarantine case reported since July 6th. All of these patients are returning Fijian citizens who contracted the virus while overseas. As we’ve previously announced, one of those patients has sadly passed away, and two have since recovered. Currently, that makes for seven active border quarantine cases. All active cases are currently in stable condition and will be discharged in accordance with the current Ministry of Health COVID-19 case discharge protocols. These discharge protocols are in accordance with internationally accepted best practice guidelines.

It has now been 117days since the last case of COVID-19 in Fiji was reported outside a border quarantine facility. As with previous border quarantine cases, this gentleman was under strict quarantine conditions from the time the flight into Nadi landed, which includes the mandated 14-day quarantine at a government-designated quarantine facility supervised by the Republic of Fiji Military Forces and the Ministry of Health and Medical Services. As long as our border quarantine and infection prevention control protocols are upheld there is no risk to the Fijian public from this new border quarantine case.

I’d also like to address the availability of COVID-19 testing in Fiji. COVID tests in Fiji which are conducted for medical purposes are completely free. Our returning citizens in quarantine are all tested for free. The close contacts of past cases were all tested for free. Fijians who meet our medical testing criteria ––such as those displaying COVID-like symptoms ––are all tested for free. Our healthcare staff are regularly tested for free as well.

A recent government gazette announced a $300 fee can be charged for COVID-19tests. However, this will be applied only in certain circumstances, not across the board. For example, for non-citizens entering the country, along with people who want to travel overseas but need to be tested as a requirement for entry into other countries. This is generally the practice around the world. In fact, Fiji’s tests are actually relatively affordable. This schedule for COVID-19tests from the Ministry of Health and Medical Services is no different from the other tests and services offered by the Ministry under the Schedule of Fees and Charges.

 

Thank you.

 

Statement from the Health and Medical Services

As we announced on the 20 th of July, we have so far confirmed nine cases of COVID-19 among a number of our citizens who were repatriated from India on the 1 st of July. All of these cases are “border quarantine cases”,  meaning they have had zero interaction with the public, and each have been held securely in military-monitored isolation since their diagnosis. Since the 20th of July, we have not confirmed any new cases of the virus.

However, unfortunately, a number of these returning Fijians were elderly and had serious underlying medical conditions, factors which both greatly increase the risk of mortality.

Our first border quarantine case of COVID-19 was a 66-year-old gentleman who was returning to Fiji after receiving surgical treatment in India for a longstanding cardiac condition. Sadly, despite the best efforts of our healthcare professionals, this gentleman passed away yesterday in the isolation ward at Lautoka Hospital due to complications from COVID-19.

The Ministry of Health and Medical Services has extended our sincere condolences directly to the gentleman’s family, who we have remained in constant contact with since his diagnosis. This is an enormous tragedy for them. I can tell you our staff at the Ministry of Health and Medical Services are devastated by this loss as well.

It is important to note that this gentleman contracted the virus while in India, a country which is in the midst of a large-scale outbreak of COVID-19. In many other countries, news of the first death due to the virus has signalled an intensifying of the outbreak. This is not the case for Fiji. Again, the virus is not present in Fijian communities, nor is there any risk of infection among the Fijian public.

Fiji committed to repatriating our citizens from around the world because we have the confidence and the capacity to do so without risking our status as a COVID-Contained country. We were well-prepared for the risk that our citizens abroad could contract the virus.

Because we know how deadly this disease can be, we were also well-prepared for the risk of a fatality, and we’ve handled this situation in line with our infection prevention control protocols to ensure no risk to the public.

Owed to our exhaustive preparation, and our commitment to repatriate our people wherever possible, we don’t have to read a headline in a foreign newspaper about this gentleman passing away while stranded from his family overseas. Instead, we were able to bring him home to Fiji, safely diagnose him, and treat the severity of his condition as well as it could be treated. This gentleman’s family is now making funeral arrangements to have him buried in Fiji.

I know I speak for all of the Ministry –– particularly for this gentleman’s attending physicians –– when I say how deeply affected we all are by this loss. I’d ask the media to please be considerate of the family’s privacy during this unimaginably difficult time.

Thank you.

STATEMENT FROM THE ACTING PERMANENT SECRETARY FOR HEALTH AND MEDICAL SERVICES

Date: July 20th 2020


Today we are announcing one new border quarantine case of COVID-19 – a 50-year-old female. Like the eight border quarantine cases announced since July 6th this latest case is a repatriated Fijian citizen from the flight from India that arrived on July 1st, and she is also the wife of one of the earlier announced border quarantine cases from this flight. When her husband tested positive they were both moved from the government designated quarantine facility to the isolation facility at Lautoka Hospital. She had tested negative on the first round of testing conducted for all passengers, but tested positive during the second round of testing. As she is close contact of a known case it is not unexpected that she has also tested positive. She remains at the isolation facility at Lautoka Hospital and is currently asymptomatic.

This new case brings to a total of nine border quarantine cases announced since Monday 6th July –– all are  repatriated Fijian citizens that arrived via the same flight from India that landed in Nadi on July 1st.

The rest of the passengers from the flight tested negative for COVID-19 during the second round of testing in Fiji. This means they all registered three negative COVID-19 test results –one before departure from India, the second soon after arrival into Fiji, and the third by the end of the mandatory 14-day quarantine period. All the passengers on the flight were kept understrict border quarantine conditions from the moment they arrived, including completing 14 days quarantine in government designated quarantine facilities, where they are supervised by the Republic of Fiji Military Forces and screened daily for symptoms by staff from the Ministry of Health and Medical Services. They were cleared and released at the end of the 14-day quarantine period.

As an added precaution the frontline staff at the border quarantine facilities holding these passengers were also tested for COVID-19 – all have tested negative. I will again re-emphasize here: so long as our border quarantine and infection prevention control protocols are upheld there is no risk to the Fijian public from border quarantine cases.