MHMS FIJI
MHMS FIJI
Statement from the Permanent Secretary for Health and Medical Services to all MOH Staff

The Ministry has been made aware of a video showing Lautoka Hospital staff celebrating the release of our first recovered Covid-19 patients. The footage depicts a large gathering in which the very physical distancing principles advocated by the Ministry of Health and Medical Services are not observed.

To say that Minister and I were disappointed to see this is an understatement.

I am well aware of how hard our staff at Lautoka Hospital have been working to treat and contain COVID-19. Our healthcare staff should understand better than anyone that even one careless moment –– a seemingly-innocent hug or misplaced cough –– can spread the disease and put lives at risk. Unfortunately, what we saw at Lautoka Hospital went against everything the Ministry has projected to the public to keep Fiji safe and healthy. Anyone in that crowd could have been a silent carrier of the virus.

Every healthcare worker, in Lautoka and across the country, needs to lead by example through their strict adherence to our health protection measures –– including our ban on public gatherings and the maintenance of two metres of physical distance as much as possible. We are in this together, and we cannot let Fiji down. The failings of even a single healthcare worker could undo all of the tireless efforts of our multi-agency Incident Management Team, the staff in tertiary hospitals, those setting up fever clinics and isolation facilities, our mobile fever clinic staff, our contact tracing teams, our disciplined forces and all of the Fijians putting in countless hours to stomp out this virus.

Last night I advised all Divisional Medical Officers and Medical Superintendents to remind their staff that there will be zero tolerance for any violations of our health protection measures within the Ministry. I have also instructed the Head of Human Resources to convene an investigation panel with a majority of external members to conduct a disciplinary investigation that reports directly to me, consistent with the Public Service Commission Disciplinary Guidelines.

We’re all elated that we’ve seen our patients recover from COVID-19. But it isn’t cause for reckless celebration, and it isn’t an excuse to do away with our diligence. If we drop our guard now, we’ll see our isolation wards re-filled with more patients who have contracted this deadly virus. We cannot allow that to happen. I hope that all of my staff have learned a valuable lesson from this, and will consistently exercise exemplary leadership and good judgement moving forward.

Warning against alternative COVID-19 Test Kits

The Fijian Ministry of Health and Medical Services strongly advises all health providers in Fiji to cease offering IgM/IgG rapid tests for the diagnosis of COVID-19.  These tests are based on the detection of antibodies and/or antigens and they are not reliable for the acute diagnosis of COVID-19.
 
Members of the public should not rely on these rapid test kits as their use jeopardises Fiji’s efforts to contain and suppress the coronavirus. 
 
The World Health Organisation and the Royal College of Pathologists Australasia (RCPA) have both recently issued statements strongly advising against the use of these antibody/antigen based rapid test kits for the diagnosis of COVID-19 (see links below).
 
To quote the RCPA:
 
“The RCPA therefore recommends that the new IgG/IgM tests are not used to screen for early infection, and that current Polymerase Chain Reaction (PCR) tests remain as the primary testing method for COVID-19. Whilst these new antibody tests may have a place in detecting unrecognised past infection and immunity, that role still needs to be rigorously evaluated. Most importantly, from a public health perspective, COVID-19-positive patients are infectious to other people early in infection when the COVID-19 IgG/IgM tests are giving false negative results. False negatives would have serious risks of incorrectly reassuring people and therefore increasing the spread of infection within the community.”
 
The molecular based Polymerase Chain Reaction (PCR) test remains the gold standard for COVID-19 testing worldwide and is the test conducted at the Ministry of Health and Medical Services Fiji Centre for Disease Control (Fiji CDC). The only reliable testing for COVID-19 in Fiji is available through the Ministry of Health’s molecular laboratory at Fiji CDC. 
 
If you think you may have COVID-19 please call 158 or go to one of our fever clinics. You will be assessed by our medical teams and a sample taken for testing (free of charge) if they suspect you may have COVID-19.
 
The Ministry will continue to review its position on new testing technologies in step with changes in the evidence and guidance from recognized professional health institutions.

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

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

 
20/04/2020
 
Bula Vinaka.

It’s now been nearly two weeks since Cyclone Harold swept over Fiji.  As lines of communication have been re-established, our aid ships have made their way to our outer islands, and our response teams have surveyed damage, the scale of the devastation is becoming more clear.

Our agricultural sector saw over 27 million dollars of damages from the immense levels of rain and flooding throughout Fiji. More than 500 homes were destroyed, with many hundreds more suffering damage. FRA’s infrastructure network, including our roading and jetties, took a 22-million-dollar hit. Overall, more than 180,000 Fijians saw their homes, their lives and livelihoods suffer from the brunt of Harold.

But as we made clear from the start, help is on the way for affected Fijians. For many, that help has already arrived, with food rations being delivered and clean-up commenced in some of our hardest-hit areas. Electricity and water supply has been restored for most of the country. As we pick up the pieces from Harold’s wrath, we can again devote ourselves to an enemy that will last far longer than any storm –– COVID-19.

I want to begin today by honouring the life of Mr Morotikei Mainilala, a Turaga-ni-Koro serving in Baleyaganiga Village on Vanua Levu. The police have completed their investigation of Mr Mainlala’s passing. It appears he tried to break up a public gathering –– a drinking party –– before he was brutally killed. Those suspected of involvement have been charged.

Our ban on social gatherings exists to stop the sort of person-to-person contact that spreads the deadly coronavirus. It’s clear Mr Mainilala knew that –– and it’s why he strove to prevent his fellow Fijians from violating our health protection measures. I extend my deepest sympathies to his wife, his six children, and his community. They, and all of Fiji, have lost a responsible leader and a brave Fijian.

From Friday through today, we have tested 123 samples for the coronavirus. One test returned what we call a “soft positive” result –– meaning we couldn’t say with certainty whether this sample was positive for COVID-19. After further testing and consultations with our reference lab in Melbourne, they found that these results indicate this sample came from someone in the final stages of recovery from coronavirus.

This, combined with a travel history from the United States last month, was enough for us to call this case “highly likely” –– and in my book, when Fijian lives are at stake, that means “positive”. So clinically, we have officially confirmed this patient –– a 51-year-old woman in Ba –– as our 18th case of COVID-19.

The patient returned from the United States on the 22nd of March. After completing 14 days of home quarantine, she was cleared. Only later did she develop COVID-like symptoms. She was then  tested, giving us the soft positive result. The results of her test make it likely this patient has been carrying COVID-19 for weeks. Luckily, our contact tracing –– which began as soon as she was first tested on the 18th of April –– identifies her as a low-risk transmitter.

This patient shares a home with three others –– all three have tested negative for the virus. Regardless, they have all been placed in isolation. We’ve traced and identified her other casual contacts; they have all been entered into compulsory home quarantine.

Because of the low-risk nature of this patient spreading the virus, and our ability to quickly test and contain her few close contacts, we will not be locking down Ba Town. However, our mobile teams will be conducting a large-scale screening of the entire province. As with Lautoka and Suva, public cooperation is vital to this effort –– if we don’t see sufficient numbers from these screenings, Ba will risk a total lockdown.

We’re also introducing new health protection measures nationwide. This virus is deadliest in already-ill patients –– that’s why it’s vital we keep coronavirus away from patients in hospital. Only two visitors a day will be allowed to see a patient, and the visitation window will only be one hour. Visitors will enter facilities one at a time and will need to be health-checked prior to entry. Our standing ban on visitations to isolation wards and facilities will continue. We’ll also be introducing compulsory testing for Fijians returning from overseas in government-funded quarantine after 14 days –– if they test negative after the critical 14-day incubation period, they will be able to spend the remaining 14 days of their quarantine at home.

This latest case goes to show: This virus is still out there in our communities. Our 18th case has been present in Fiji for almost a month –– while her transmission risk is low, she was certainly not the only unconfirmed coronavirus case in the country. This is a complex and contagious virus, and –– no matter the strength of our safety nets –– cases can slip through the cracks, as we’ve in other countries, especially individuals who never show symptoms.

This virus is proving as stealthy as it is unpredictable, but it can be beaten. Not by some magic cure –– but by keeping to the simple strategy of physical distancing. The difference of two metres of physical distance between us means the difference between victory and defeat in this campaign. It means the difference between life and death for vulnerable Fijians.

This weekend, aside from dozens more arrests, we’ve received reports across the country of blatant violations of our physical distancing directives. Too many Fijians are still behaving as if the virus isn’t among us. Thank God, there are no deaths due to the virus in Fiji. But if people keep crowding in public places, gathering socially, or otherwise acting like these are normal times, there’s no question, we will lose lives. The possibility of a 24-hour curfew is not off the table –– the power to avoid that drastic alternative rests with every Fijian watching, listening to or reading this address. So, please, do the right thing today, and spare us suffering down the road.

All of us need to seize ownership over our health and by taking responsibility for the laws designed to keep this virus at bay. Don’t push the burden of recovery entirely on the shoulders of our doctors, nurses, and disciplined forces –– they deserve far better than anyone’s apathy or ambivalence.

Supermarkets, retailers, and shops should have hand sanitiser available and prominent signage instructing physical distancing.

Children should not be out and about –– they must stay home, as should the elderly. Social gatherings are banned, and the 8pm to 5am curfew remains in effect. And all of us should stay in our homes as much as possible. If you see someone violating our directives, do not stay silent –– pick up the phone and call number 158 or the dial the police.

I’d like to end my brief today with some good news. Three Fijians diagnosed with the virus have made full recoveries from the coronavirus. That means these Fijians have tested negative for the virus twice, with over 24 hours in between tests. We also have several individuals in isolation who –– after over 30 days –– have not tested positive for the virus. Our recovered patients, along with those who have continually tested negative, will be released. Out of an abundance of caution, they will remain under supervised home quarantine for 14 days. Our other 15 patients living with COVID-19 all remain in stable condition. The Minister for Health is here today to share the specifics.

We should celebrate these recoveries. But we should do so knowing Fiji’s recovery from this virus is still months’ away at best. We can get there –– we will get there –– day by day, test by test, and recovery by recovery. I know it’s not always easy. It’s not easy to keep children at home. It’s not easy to manage shopping, care-giving and bread-winning, while also adhering to all of our directives. It’s not easy to go without seeing friends and family for social gatherings. But these directives save lives. I assure you, when our victory over this virus arrives, every measure of our diligence –– and every short-term sacrifice –– will have been well worth it.

Thank you. God bless you all.

Mobile Fever Clinics to be deployed to Lami on Tuesday 21 April

There are currently 18 cases of COVID-19 confirmed in Fiji. The Government will advise the public as soon as possible should this change.
 
The Fijian Ministry of Health and Medical Services mobile fever clinic teams throughout the country have screened 305,783 people since April 2. This approach is part of the Ministry’s strategy to contain and stop the transmission of COVID-19.
 
The Ministry is deploying mobile fever clinic teams to Lami from tomorrow- Tuesday April 21. The teams will visit homes from Delainavesi to Wailekutu.
 
The Fijian Ministry of Health and Medical Services is calling on all residents to cooperate with the screening teams by answering their questions accurately.
 
When visiting homes, the team will enquire after recent travel history of family members and if any family member has been in contact with someone who has tested positive COVID-19.
 
They will also look out for individuals who display COVID-19 symptoms such as a dry cough, fever, sore throat and shortness of breath. The team will take fever readings for all household members and should the need arise, refer individuals for further investigation, which includes testing.
 
The mobile Fever Clinic team members always carry official identification which will be produced on request. The team are not required to enter the house, the checkup can be held at the gate, or in a shaded area. The public is advised that the person who checks for fever wears a mask and gloves.
 
Fijians can assist the Ministry in stopping the spread of the virus by attending fever clinics throughout Fiji and presenting themselves early when showing symptoms such as a dry cough, fever, sore throat and shortness of breath or if they have been in contact with a person who has tested positive for COVID-19.
 
Fijians may call the COVID-19 toll-free Helpline 158 for any further information.

Fijian Government to cater for cost of quarantine

Fiji currently has 17 confirmed cases of COVID-19. The Government remains on the highest alert level and will advise the public as soon as possible if more cases are found.

The Fijian Ministry of Health and Medical Services wishes to clarify that the Fijian Government will cover the costs for those individuals who will be kept at the government designated quarantine facilities upon their arrival into the country.

Anyone coming into the country through the Nadi International Airport is taken to designated hotels for a 28 day quarantine period straight from the airport under the strict supervision of the health officials.

The Fijian Government continues to pay for the accommodation and meals of Fijians coming from abroad for their full 28 days of quarantine.

This is a measure taken by the Fijian Government to ensure that there is no spread of COVID-19, especially from those coming in from abroad who potentially could have been exposed to the virus.

No family members, friends and relatives are allowed to meet with those who are under quarantine at these hotels and the Ministry is urging them to strictly follow the measures put in place by the government.

The Fijian Government has accommodated 355 individuals for quarantine at these designated hotels since 28 March 2020 with 221 individuals currently under quarantine.

Fijians must remain on guard against COVID-19 and are advised to call toll free number 158 for any COVID-19 related information.

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The 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

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