MHMS FIJI
MHMS FIJI
Call for passengers to make contact (1430 as of 25/03/2020)

The Ministry of Health and Medical Services acknowledges passengers who have made contact with us in regard to their whereabout and health status.

 

We still urgently needs to get in touch with the 6 remaining passengers who were on flights with as well in direct contact with an airline attendant who was the first case of COVID-19 in Fiji to call 2219906 or email on fijihealthimt@gmail.com

 

These flights are:

  • FJ 871 – San Francisco to Nadi (16 March 2020)
  • FJ 411 – Nadi to Auckland (17 March 2020)
  • FJ 410 – Auckland to Nadi (17 March 2020)

 

This is a follow up from the Prime Minister’s statement on the contact tracing exercise done by the Ministry’s contact team.

 

We look forward to receiving further updates on the following people:

 

No Name Last Known Address Division
1. Tiare Marinoa Lautoka Lautoka
2. Motikaoiaki Paimanula Lautoka Lautoka
3. Sarita- was in the Zumba class on 17 March Lautoka Lautoka
4. Taniela Rovini Tomuka Lautoka
5. Vitalina Nadurutalo Waiyavi Lautoka
6. Pietersen Roell Club Fiji Resort, Wailoaloa Beach, Nadi Nadi

 

The Ministry wishes advice that these passengers are within the 14 days incubation period of being in contact with the index case for Fiji and therefore need to be self-quarantined.  The Ministry further wishes to advise that these passengers are not patients but persons of interest and those who require observation to ensure that there is no spread of potential COVID-19 in the community.

 

This contact tracing is a vital part of our containment measures and in order to do this, we need your support to contact us immediately.

 

We are appealing to the members of the public to get in touch with their friends and families who have been on the abovementioned flights to contact us even if they are not showing any symptoms.

Extra measures in place as fourth COVID-19 case confirmed in Fiji

The Fijian Ministry of Health and Medical Services has today confirmed the fourth case of COVID-19 in Fiji.

The individual is a 28-year-old man who arrived in Fiji from Sydney on Saturday, 21 March and took a taxi to his home in Suva.

When he left that flight, he was not showing any symptoms of COVID-19. Regardless, he was advised by health officials at the airport to go straight home and self-quarantine for 14 days, which he did.

That Sunday night while he was still on self-quarantine, he developed mild symptoms –– a sore throat, and then a cough. Recognising the warning signs of COVID-19, he contacted the Ministry of Health via the dedicated hotline, and a rapid response team was immediately dispatched to his home where he was examined and tested.

The patient then remained in self-quarantine until the test for COVID-19 returned positive. After the test was confirmed, an ambulance transported the patient securely and hygienically to our Central Division isolation ward at Navua Hospital.

Separate ambulances then transported all members of his household to the Navua Hospital isolation ward, even though their contact with this patient was limited they are currently displaying no symptoms. They all remain isolated at the hospital, where they pose zero risk to the public.

There were 26 other people on the same flight FJ 1916 from Sydney to Nadi. Fiji Airways was practicing safe distancing on the plane, spacing out passengers through their strictly-enforced assigned seating. All other passengers from that flight remain in self-quarantine for a 14-day period.

Meanwhile there will be no more scheduled passenger Fiji Airways flights into or out of Fiji until further notice.

While the risk of transmission from this case is low, the contact tracing teams at the Ministry are currently identifying every single person in Fiji who may have had direct contact with the patient down to the taxi driver who drove him from Nadi Airport to Suva.

The Prime Minister of Fiji, Honourable Voreqe Bainimarama has advised Fijians to avoid all non-essential travel.

That means no Fijian should travel from their home unless absolutely necessary. And they certainly should not be travelling around the country, across divisions or to different islands.

“Children should stay at home at all times. The elderly should stay at home at all times. Breadwinners who can go to work should go home straight after. For everyone else, every move you make should be for your own health or the health of others,” Honourable Bainimarama said.

Our ban on gatherings of 20 people or more remains in full effect. Weddings, funerals, concerts, sporting events should all be cancelled. The Government is doing everything in its power to keep all Fijians safe.

We urge Fijians to protect yourself and your families through washing your hands, practicing physical distancing and sanitising your homes and offices regularly.

Symptoms of COVID-19 include:

  • fever
    • flu-like symptoms such as coughing, sore throat or headaches; or
    •             difficulty breathing.

The Government of Fiji remains on the highest level of alert in response to this global pandemic. We know that finding cases early and isolating them quickly is key to containing this disease. As the symptoms of COVID-19 are very similar to many other respiratory illnesses (including the common cold and influenza) it is expected that the Ministry will continue to investigate more persons with relevant travel history and symptoms related to COVID-19.

What can you do?

The Fijian Ministry of Health and Medical Services wishes to strongly urge the public to not share rumours and misinformation, and to use credible sources for information on COVID-19:

Fijian Ministry of Health and Medical Services website:

www.health.gov.fj

Fijian Ministry of Health and Medical Services Facebook page:

www.facebook.com/MoHFiji/

World Health Organization (WHO) website:

www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public

 

If you have been to a COVID-19 affected country in the last 14 days and develop a fever, cough or difficulty breathing immediately contact one of the numbers listed below. If you need to see a doctor please call ahead, using the following phone numbers, before visiting to reduce the risk of infecting other patients.

Central                 2219905

Eastern                2219906

Western               2219907

Northern             2219908

The Fijian Ministry of Health and Medical Services is monitoring the developing situation and will provide updates regularly to the public.

Statement by the Prime Minister Hon. Voreqe Bainimarama on COVID-19

STATEMENT BY THE PRIME MINISTER HON. VOREQE BAINIMARAMA ON COVID-19

24/03/2020
Bula Vinaka.

I’ve just left our coronavirus war room at the Ministry of Health and Medical Services, where we start every day with a briefing from our country’s top medical minds and viral specialists, who, together with the World Health Organisation, keep us up-to-date on the global COVID-19 pandemic and the situation on the ground here in Fiji.

As of today, the 24th of March, our first three confirmed cases of COVID-19 are in stable condition. All remain safely isolated from the public.

Early this morning, we confirmed a fourth case of COVID-19 in Fiji. This patient is not related to our first three cases. He is a 28-year-old Fijian man who arrived back into the country on Saturday from Australia.

When he left that flight, he was not showing any symptoms of COVID-19. Regardless, he was advised by health officials at the airport to go straight home and self-quarantine for 14 days.

It appears this gentleman did everything right. He went from the airport straight to his flat in Suva, where he immediately self-quarantined. That Sunday night, while he was still self-quarantined, he developed mild symptoms –– a sore throat, and then a cough. Recognising the warning signs of COVID-19, he contacted the Ministry of Health via the dedicated hotline, and a rapid response team was immediately dispatched to his home, where he was examined and tested. The patient then remained in self-quarantine until the test for COVID-19 returned positive.

After the test was confirmed, an ambulance transported the patient securely and hygienically to our Central Division isolation ward at Navua Hospital. Separate ambulances then transported all members of his household to the Navua Hospital isolation ward, even though their contact with this patient was limited and they currently display no symptoms. They all remain isolated at the hospital, where they pose zero risk to the public.

There were 26 other people on the same flight –– flight FJ 1916 –– from Sydney to Nadi on Saturday, March 21st. Fiji Airways was practicing safe distancing on the plane, spacing out passengers through their strictly-enforced assigned seating. Because of those safety measures, only a handful of others –– two other passengers and the three cabin crew who serviced his cabin –– risked exposure. Regardless, all other passengers remain in self-quarantine for a 14-day period.

While the risk of transmission from this case is low, our contact tracing teams are currently identifying every single person in Fiji who may have had direct contact with the patient –– down to the taxi driver who drove him from Nadi Airport to Suva.

Fiji Airways has already announced they are cutting their international flights by 95%. This passenger was on one of the final flights from Sydney to get Fijians back home. From tomorrow, there will be no more scheduled passenger Fiji Airways travel into or out of Fiji until further notice.

This case is very different from the first case of COVID-19 we detected in Lautoka. In that case, the patient was showing symptoms and failed to place himself in self-quarantine. That is the reason why we had to lockdown the Lautoka confined area. It is why the area will remain locked down for at least the next nine days.

I want to reiterate again: From everything we know so far, this new patient did everything right. He followed instructions, he was educated on the symptoms, and –– most importantly –– he was diligent in protecting his loved ones.

Through this young man’s actions, it was clear that he cared for his family, cared for his community, and cared for his country. His caution and patriotic sense of duty stands in contrast with the careless behaviour of others we’ve seen in Fiji and around the world.

Given this case is vastly different from our first three cases, we will not be shutting down travel into and out of Suva in the same manner that was required for the Lautoka confined area.

Here’s what needs to be done from today: All Fijians, everywhere in Fiji, should avoid all non-essential travel. That means no Fijian should travel from their home unless absolutely necessary. And they certainly should not be travelling around the country, across divisions or to different islands.

Children should stay at home at all times. The elderly should stay at home at all times. Breadwinners who can go to work should go home straight after. For everyone else, every move you make should be for your own health or the health of others. You can go out to get food, get medicine, take out money or access another essential service. It’s also okay to exercise safely outdoors, so long as you maintain a safe distance from others. But do not visit friends or family unless absolutely necessary. Do not host parties. Do not needlessly linger, and do not mingle with strangers.

This all may sound extreme, but every Fijian needs to understand exactly what we’re up against here. Not in 100 years has the world seen a health crisis this severe. Fiji –– along with every nation on Earth –– is at war with coronavirus, and every Fijian needs to plant themselves squarely on the side of human wellbeing. These are not normal times, and we cannot go about our day-to-day lives as if everything is normal. That mentality –– that ignorance of the reality on the ground and the severity of this disease –– will get people killed.

If one person is exposed to this virus, and ignores our restrictions, they could run around infecting any and everyone they come into contact with. If all those newly-infected people do the same, suddenly, we have a massive outbreak on our hands.

So, if the Ministry of Health has directed you to self-quarantine, do it. They’ll be calling you and checking in on you in-person to make sure you’re staying away from the public. Let me remind you what self-quarantine entails: For 14 days, you must stay in your home. During that time, you should avoid contact with other members of your household as much as humanly possible.

Our ban on gatherings of 20 people or more remains in full effect. Weddings, funerals, concerts, sporting events should all be cancelled. When it comes to people’s health, no event is more important than people’s lives. Remember, lives are priceless, plans can change.

There’s a reason I’m not delivering this message back in the usual cramped press room. I want to show you –– Fijians watching wherever you are – what it means to practice the concept of “social distancing” also known as “physical distancing” –– a term I actually prefer.

Physical distancing means exactly that; keeping your distance from all people at all times. Two metres to be exact. Right now, wherever you are watching this, stop, and look around. Make sure everyone around you is at least an arm’s length away. That is what it means to physically distance.

I don’t care if you’re in the heart of Suva or Lautoka, or in rural Vanua Levu or out in our maritime islands –– maintain that two metre distance as much as humanly possible. Act as if lives are at risk, because lives are at risk.

I’ve seen images going around of people standing in line and congregating in Suva and other urban areas. All of that ends today. If you need to get in line, space yourself out properly and keep two metres between you and everyone else. Queue with the diligence that you could cough or sneeze at any moment, and queue with the compassion that that person could be your grandmother. But even if you lack those traits, know that police officers will be enforcing these measures everywhere in the country.

But our officers cannot be all places at all times. We need every single Fijian enlisted in our nationwide effort to combat the coronavirus. If you see people violating these measures, tell them: Don’t be careless. Seriously, tell them to get their act together and respect everyone’s health. We need everyone’s eyes, ears and voices in this campaign. Lead by example in your own actions, and speak up when you see someone falling out of line. By helping us enforce the rules, you can help reshape Fijians’ social behaviour and save lives.

I’ve told restaurants to cut their seating and place a focus on take-away and delivery. If you run a business in an industry where remote work is possible, tell your workers to start working from home. We also highly discourage passenger travel to our outer islands. Shipping lines for freight will continue –– with increased bulk but decreased frequency –– to ensure food and other essential goods are supplied across our islands.

The same applies everywhere in Fiji. Food and other essential goods will continue to come into the country. We are food secure, there is no need to spend your savings in one frantic go at the supermarkets. We have been informed that some people who ran to the stores to buy up goods in a panic are now wanting to return their groceries to the supermarkets and shops –– that all goes to show how unnecessary, and foolish, the panic-buying was in the first place.

I’d also like to provide an update on the passengers and close contacts of our first patient who were mentioned in yesterday’s statement, on Monday, the 23rd of March. I asked that Fijians who were listed online would come forward and contact the Ministry of Health, and I’m happy to say that dozens have done so, and we’ve determined that more still have already left the country. Meanwhile, 37 still need to reach out to us. That updated list of names is posted on the Ministry of Health’s Facebook page.

My fellow Fijians, take comfort in knowing that we will continue to be transparent and forward with you as the situation unfolds, just as we have been from the beginning. Despite having just a handful of cases, we are acting quickly and decisively –– and our actions are guided by the advice of leading experts from Fiji and around the world. And we aren’t afraid to go further when goodwill isn’t enough; we will not repeat the same mistakes of other nations who did not take such bold measures so quickly.

Also know that we are doing everything in our power to keep you and your families safe; in return, I ask again for your full cooperation in this fight. Let your hearts and minds be guided by care for your country, and care for your fellow Fijian.

Wash your hands. Practice physical distancing. Sanitise your homes and offices. Wipe down your desks and tabletops. Not once, but often.

It boils down to this: Don’t be careless. Use this fourth case –– and the proper actions of this patient –– as an example. Learn from this gentleman –– how to be diligent, how to be compassionate –– and put those same values into practice in everything you do in your lives.

If you have recently travelled overseas, you should already be in self-quarantine. If you feel unwell, immediately contact the Health Ministry on one of these numbers:

In the Central Division call 2219905;
In the Eastern Division call 2219906;
In the Western Division call 2219907; and
In the Northern Division call 2219908.

I’ll now turn things over to Dr Aalisha.

Vinaka vakalevu. Thank you, and God bless Fiji.

Eight fever clinics now open

 

Eight fever clinics are now operating around the country as part of the COVID-19 response plan.

Six clinics are now running in Nasinu, Labasa, Savusavu, and Nabouwalu. Two others have been running in Lautoka since last week.

Fever clinics are an important part of our response to the virus, as they give Fijians the ability to seek treatment without going to a hospital.

They also protect our hospitals from the spread of the virus.

The presence of a fever is one of the main COVID-19 symptoms.

Only those who have a fever should present themselves at a fever clinic.

There is no need for an appointment – just turn up and you will be assessed by a nurse.

The clinics are open from 8:00 am to 4:30 pm with additional hours for Lautoka clinics.

Valelevu Fever Clinic:

  • Valelevu Multipurpose Court, Saqa Street

Lautoka Fever Clinics:

  • Punjas Health Centre Carpark, Cakau Street
  • Kamikamica Health Centre Carpark, Kamikamica Park
  • Monday – Friday, 8am-10pm and Saturday – Sunday, 8am-4pm

Labasa Fever Clinics:

  • Nasea Health Centre
  • Empower Pacific Building (next to Ro Qomate Building)

Savusavu Fever Clinic

  • Old Public Health Building (next to hospital)

Taveuni Fever Clinic

  • Taveuni Health Centre (Outside GOPD)

Nabouwalu Fever Clinic

  • Dedicated tent outside Nabouwalu Hospital

 

What can I do to protect myself against COVID-19?

  • Clean your hands regularly and thoroughly with soap and water or an alcohol-based hand rub.
  • Avoid touching your eyes, nose and mouth.
  • Maintain at least one-metre distance between yourself and anyone who is coughing or sneezing.
  • Always cover your mouth with a tissue or your elbow when coughing or sneezing
  • Do not share rumours and misinformation about COVID-19. Use credible sources such as the MHMS website (www.health.gov.fj/) or official Facebook page, or the WHO website (www.who.int).

-ENDS-

Instructions for persons under home-based quarantine

Quarantine is used when a person is possibly infected with a disease but is not yet symptomatic.

Isolation applies to patients with symptoms of infectious disease.

A medical officer is authorized to take such measures according to powers vested under Part VII of the Public Health Act, Cap 111, Sections 67 – 83 in regards to protecting the population from Communicable/Infectious Diseases, in this case COVID-19 (coronavirus).

Quarantine:

Individuals that have been in high-risk areas for the past 14 days or have been in contact with a COVID-19 infected individual need to be quarantined.

At onset of home-based quarantine, the following should be reviewed with the person concerned:

  1. A healthcare professional provides detailed information on infection pathways and symptoms of the COVID-19 infection. The information can also be found on the website of the Ministry of Health & Medical Services.
    1. Contact and droplet contamination spreads the disease. This means that there is risk of spreading the virus when an infected person sneezes, coughs or blows their nose, and a healthy person inhales these droplets or they land on their hands and they then touch their eyes, nose or mouth.
    2. Quarantined individuals need to pay special attention to hand hygiene, especially when interacting with others is unavoidable.

 

  1. A person under quarantine should stay in their home and have contact with as few people as possible.
    1. Quarantined individuals must not leave their home unless necessary, e.g. to seek necessary health care services, after consulting with medical officer. Routine medical or dental check-ups, attending physiotherapy or visits to medical specialists that are not related to the COVID-19 virus are not considered essential health care while in quarantine and all such services should be rescheduled.
    2. Quarantined individual must not use public transport or taxis. If she/he needs to seek necessary health care services, she/he may use a private car if she/he, or someone that is also quarantined in his household, are able to drive.
    3. Quarantined individual must not attend school or work with other people. A medical certificate (sick sheet) from a health facility might be needed. Employers have been instructed to be considerate if an employee needs to be quarantined.
    4. Quarantined individual must not attend any gatherings, whether it concerns their work, family or social life. For example, work meetings or gatherings, union meetings, confirmations, funerals, home-based social gatherings, choir rehearsal, concerts, etc.
    5. Quarantined individuals must not visit fitness centres, swimming pools, theaters, cinemas, shopping malls, or other places where people come together.
    6. Quarantined individuals must not themselves go out for supplies, i.e. to the pharmacy, the grocery store, the post office, banks, etc. Quarantined individuals must not stay in shared condominium space, i.e. stairwell, laundry rooms, or shared yards/outdoor areas.
    7. Quarantined individuals should not welcome guests in the home during quarantine.
    8. Quarantined individuals can go out to a balcony or a private garden. If there are other people there, the quarantined individual must keep at least 1 meter distance.
    9. Quarantined individuals can go for a walk but need to keep at least 1 meter distance from other pedestrians.
    10. Quarantined individuals can go for a drive using a private car but must not interact with others in close proximity, e.g. at drive-thru restaurants.
    11. Quarantined individuals can take out domestic trash, but need to consider hygiene, such as handwashing before and after opening the garbage chute / trashcan / trash room and preferably wipe handles with 70% alcohol or other disinfectants after contact.

 

  1. Others exposed in the same household at the same time can be quarantined together in the same place.

 

  1. It is preferred that individuals in the household that have not been exposed, not be in the same place as the quarantined person.
    1. If non-exposed individuals do not want to leave the household they should limit contact with the quarantined person as much as possible (at least the quarantined person should have her/his own bathroom, sleep in a private bedroom or at least a separate bed). If the quarantined individual then falls ill, the other household members must be quarantined.
    2. If it is confirmed that the COVID-19 transmits from asymptomatic individuals, those that have been in contact with a quarantined individual must also be quarantined at least until the quarantine of the first individual ends.

 

  1. Contact with other people must be strictly limited. Therefore, a quarantined individual may need assistance with necessities.
    1. If some members of the household are quarantined after staying in high-risk areas or have been in contact with a COVID-19 infected individual, other household members can continue with their daily tasks and provide necessities for the quarantined individual.
    2. If the whole household is quarantined, friends or relatives can assist with necessities and leave at the front door.
    3. If delivery of food and other necessities is available in the area, this service can be utilized during quarantine.

 

  1. It is important to practice routine hygiene measures to reduce the risk of infection.

 

  1. Quarantined individuals should measure and record their body temperature daily.

 

  1. If a quarantined individual gets symptoms of the COVID-19 infection, she/he should contact the following numbers: Central 2219905, Eastern 2219906, Western 2219907, Northern 2219908
    1. Quarantined individuals should report all symptoms of illness, whether they believe they are relevant to COVID-19.
    2. Fever, respiratory symptoms, and especially cough and difficulty breathing, are the main symptoms of the COVID-19. Weakness and musculoskeletal pain can be the first symptoms, possibly without fever, but are also common with fever. Common cold symptoms (runny nose etc.) are less common in individuals with the COVID-19 infection than in other human coronavirus infections. Gastrointestinal symptoms and sore throat are less prominent with the COVID19 infection, but do not exclude an infection.

 

  1. If a quarantined individual suffers from an acute illness and needs ambulance transport to the health facility, Fiji CDC should be notified of a possible COVID-19 infection.