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MHMS FIJI

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COVID-19 Update 08-01-2022

COVID-19 Situation Update

Saturday 08th January 2022

Transmission Update:

Since the last update on 05/01/2022, we have recorded a total of 1,280 new cases; of which 348 new cases were recorded on 06/01/2022, 320 new cases were recorded on 07/01/2022 and 612 new cases in the last 24 hours ending at 8 am this morning.

Of the 1,280 cases recorded since the last update, 619 cases were recorded in the Central Division; 535 cases were recorded in the Western Division, 114 cases were recorded in the Northern Division, and 12 cases in the Eastern Division.

Overall, there have been 57,187 cases recorded, with 69% of the cases from the Central Division, 27% of the cases from the Western Division, 1% of the cases from the Eastern Division, and 3% from the Northern Division.

Our national 7- day rolling average is 349 daily cases calculated for 4th January 2022.

Deaths:

This curve depicts the daily death count by division since the 2nd wave of this outbreak that began in April 2021. Overall, the death rates for the Central, Western, and Northern Divisions indicate an upward trend.

There are five COVID-19 deaths to report.

The first COVID-19 death to report is of an 89-year-old female from Taveuni who died at home on 04/01/2022. She had pre-existing medical conditions and was not vaccinated.

The second COVID -19 death to report is of a 55-year-old male from Nausori who died at home on 04/01/2022. He had a pre-existing medical condition, received his first dose of the COVID-19 vaccine in mid-July and the second dose in mid-August. He was fully vaccinated.

The third COVID-19 death to report is of a 61-year-old female from Caubati who died at home on 06/01/2022. She had multiple pre-existing medical conditions that contributed to her death. She was not vaccinated.

The fourth COVID-19 death to report is of an 83-year-old female from Suva who died at home on 07/01/2022. She had received her first dose of the COVID-19 vaccine in mid-June and the second dose in mid-August. She was fully vaccinated.

The fifth COVID-19 death to report is of a 27-year-old male from Nausori who died at home on 07/01/2022. He had a significant predisposing medical condition that was assessed by the attending doctors to have contributed to his death. He received the first dose of his COVID-19 vaccine at the end of July and his second dose, mid-September. He was fully vaccinated.

There has been a total of 709 deaths due to COVID-19 in Fiji. Please note that due to the time required by clinical teams to investigate, classify and report deaths, a 4-day interval is given to calculate the 7 days rolling average of deaths, based on the date of death, to help ensure the data collected is complete before the average is reported. Therefore, as of January 3rd, 2022, the national 7 days rolling average for COVID-19 deaths per day is 0.7, with a case fatality rate of 1.32%.

We have recorded 636 COVID-19 positive patients who died from serious medical conditions they had before they contracted COVID-19; these are not classified as COVID-19 deaths.

Hospitalisation:

Using the WHO clinical severity classification, a greater percentage, 85% (n=138) of the admissions of COVID-19 positive patients are categorized as asymptomatic and mild, 11% (n=18) are categorized as moderate and 4% (n=6) as severe. Anyone admitted to the hospital is tested before admission, therefore, a significant number of people are admitted to the hospital for non-covid health conditions, but incidentally, test positive due to the high amount of transmission in the community. The number of people being admitted because of COVID-19 remains low.

Testing: 

772 tests have been reported for January 7th, 2022. . The 7-day daily test average is 855 tests per day or 1.0 test per 1,000 population.

The national 7-day average daily test positivity is 41.4%. The high positivity rate is an indication of widespread community transmission and that the cases reported are a significant underestimate of actual numbers.

Public Advisory:

As we continue to record new cases of COVID-19 throughout the country, the public is reminded of the need to maintain public health and social measures that are helping in suppressing the transmission of the virus in our communities so that hospitalization numbers remain low. When a large number of people get infected within a shorter period of time, even a smaller percentage of people becoming severely ill may still mean a large number requiring hospitalization, which will put pressure on our health system. Strict adherence to the community-wide COVID safe measures by everyone will ensure that we will continue to function socially and economically while the community transmission of the disease is sufficiently suppressed.

The public is also reminded that for now, we are prioritizing our testing to individuals at higher risk of severe disease to ensure that they are assessed early, referred to an appropriate health care facility, and managed promptly if their symptoms deteriorate.

If you develop a cold or flu-like symptoms such as runny nose, sneezing, nasal congestion, sore throat, cough, body ache, fever, you should assume you have COVID-19, and self-isolate. If you have any of these symptoms, please stay home to avoid spreading the disease to others, and in particular those who may be more at risk of severe disease. Get tested if you can, especially if you are at higher risk of severe disease. You are at higher risk of severe disease if you are over the age of 50, or have any significant chronic disease like heart disease, kidney disease, lung disease, diabetes, hypertension or you are obese or pregnant.  If anyone in your home is at higher risk of developing severe disease, please try to isolate yourself away from them.

The isolation period when you test positive is 10 days. You may stop isolating once 10 days have passed since the start of symptoms (with at least 3 consecutive days of no symptoms) or since the positive test (for asymptomatic cases). The Ministry of Health is using a 7-day isolation period for our own staff, requiring a negative rapid antigen test on days 6 and 7 to help maintain essential health services.

For the general public, a 10-day quarantine period applies to close contacts of a case. You do not need to be tested if you are a close contact unless you develop symptoms. A close contact is anyone who lives in the same house as a positive case, or has been in a confined space for at least 1 hour, or has come within 2 metres, or has had any physical contact, in the 2 days before the case’s symptoms started and up to ten days after.

COVID safe measures in this 3rd wave

The public is advised that strict adherence to personal COVID safe measures is very important in this 3rd wave.  Always carry a well-fitted mask when you leave home, and wear it in any public indoor settings, and outdoor settings where there are crowds. Avoid all crowds and poorly ventilated spaces. Maintain at least 2 metres of physical distancing from others when outside your home. Wash your hands frequently with soap and water or use an alcohol-based hand sanitiser. Stay home and do not attend any gatherings if you have any symptoms of COVID-19. Get vaccinated if you are eligible and have not yet been vaccinated. And get a booster dose if you are over the age of 18, and especially if you are at higher risk of severe disease.

Preparing for adverse weather events

While preparing for the adverse weather conditions, the public is reminded to also prepare well for their health needs. Those who take medications regularly for chronic illnesses should ensure that they have an adequate supply of medications with them. All medicines kept at home must be kept in waterproof containers and in dry places away from children and safe from the elements. Families should ensure that the health needs of the vulnerable members of the family such as pregnant mothers, babies and children, the elderly, and the disabled are considered carefully, and plans in place for their safe and immediate evacuation to a health facility if the need arises during a climatic event.

It is important to remember that weather disturbances also cause the increase of climate-sensitive diseases such as leptospirosis, typhoid fever, dengue fever, and diarrhoeal diseases. The public is advised to take actions to protect themselves from these diseases and to prevent the spread of the diseases in our community.

Drinking water should be boiled if the color of the water turns turbid or the regular water supply is frequently interrupted. Stored water should be covered to protect against dirt and pests. Compounds and the home surroundings should be cleared of loose materials and debris that can injure individuals and attract pests. Household rubbish should be disposed of properly, and proper personal protective equipment should be used when outside the household. Children should also be advised on the health risks associated with bathing in flooded water around the home, and in flooded drains, creeks, and rivers, and be discouraged from doing so.

COVID-19 Vaccine – Booster Doses

07th January 2022

Public Advisory: COVID-19 Vaccine Booster Doses

The Ministry of Health and Medical Services has rolled out the COVID-19 booster dose for a specific target population in Fiji.

The Moderna COVID-19 vaccine has been authorized for use as the booster dose by stringent regulatory authorities with over 30 countries (US, UK, Israel, Singapore, and France) administering the dose.

A booster dose will ensure protection against COVID-19 is even stronger and longer-lasting and help prevent the spread of the virus.

All individuals aged 18 years and above are eligible to receive the COVID-19 booster dose. An individual can receive the COVID-19 booster dose if he/she has received their initial two doses of the COVID-19 vaccines at least 5 months ago.

The Ministry of Health and Medical Services further encourages all individuals aged 18 years and above who have underlying medical conditions such as diabetes, hypertension, heart disease, and kidney disease to get the booster dose.

Individuals who are not able to go to a vaccination site for the booster dose can contact the toll-free line 158 to register for home vaccination.

Vaccination Sites

Vaccination Coverage Registration and Vaccination Sites Time
Serua / Namosi Subdivision Old Navua Hospital 9am-3pm
Suva Subdivision Albert Park Drive Through 9am-3pm
Nasinu Subdivision United Apparel, Nadawa 9am-3pm
Rewa Subdivision Pak n Save Residence 9am-3pm
  Nausori Maternity 9am-3pm
Naitasiri Subdivision Vunidawa Hospital 9am-3pm
Ra Subdivision Rakiraki Muslim school 9am-3pm
Ba Subdivision Ba Health Centre 9am-3pm
Lautoka Subdivision Lautoka Khatriya Hall 9am-3pm
Nadi Subdivision Drive Through – McDonald’s 9am-3pm
Nadroga/Navosa Subdivision Sai Hall 9am-3pm
Labasa Medical Area Amrit Arcade 9am-3pm
Bua Subdivision Nabouwalu Health Centre 9am-3pm
  Lekutu Health Centre 9am-3pm
  Wainunu Health Centre 9am-3pm
Savusavu Ganilau Park Savusavu 9am-3pm
Taveuni Waiyevo Health Centre 9am-3pm
  Vuna Health Centre 9am-3pm
  Vuna Nursing Station 9am-3pm
  Yacata Nursing Station 9am-3pm
VACCINATION FOR CHILDREN AGED 12-17

 Public Advisory

Friday 07th January 2022

COVID-19 VACCINATION FOR CHILDREN AGED 15-17 YEARS OLD

The Ministry of Health and Medical Services is rolling out the COVID-19 vaccination program in schools for children aged 15, 16, and 17 years old. The following is the list of the first dose and second dose venues for the period of 07th January 2022.

The COVID-19 vaccines are available to children according to the following:

COVID-19 Vaccine Name Age Group Dose Required Second Dose Interval
Moderna 15-17 2 28 days

To get vaccinated, the vaccine-eligible child’s parent/guardian is encouraged to register their child on the online vaccination registration system before presenting to vaccination sites. Parents/guardians can register their child online on this site at VRS Covid-19 Minors Registration (digitalfiji.gov.fj)

Requirements for online registration:

  • Birth Registration Number/ Citizenship Number/Permit Number for the parents/guardian which can be found on the Birth Certificate/Citizenship Certificate/Permit Certificate.
  • Valid photo identification of parent/guardian (Joint FNPF/FRCA, driver’s license, passport, student ID, or FNPF card).
  • Child’s Birth Registration Number/Citizenship Number/Permit Number which can be found on Birth Certificate/Citizenship Certificate/Permit Certificate.

For any queries on online registration, please email vrsupport@digitalfiji.gov.fj / Digital Fiji – 9983728.

For issues with Birth Registration Numbers, contact:

  • Central Division: Registrar General – 9905125/ Deputy Registrar General – 9908953
  • Northern Division: Deputy Divisional Registrar North – 9443320
  • Western Division: Deputy Divisional Registrar West – 9905127

For Citizenship or Permit Number, contact:

  • Digital Fiji – 9983717

A parent/guardian who is unable to register online can register their child at the vaccination site. Parent/guardian must bring valid photo identification (Joint FNPF/FRCA, driver’s license, passport, student ID, or FNPF card).  All vaccine-eligible children who are residing far from their schools such as boarding school students or those who returned to their villages as a result of COVID-19 disease outbreak and lockdown can go to their nearest school to get their COVID-19 vaccine.

Schools covered Venue                     Time
Central
Suva
Children aged 15,16 and 17 years old Suva Primary School 9am-3pm
Serua/Namosi
Children aged 15,16 and 17 years old Old Navua Hospital 9am-3pm
Nasinu
Children aged 15,16 and 17 years old United Apparel, Nadawa 9am-3pm
Rewa
Children aged 15,16 and 17 years old Nausori Health Centre 9am-3pm
Naitasiri
Children aged 15, 16, and 17 years old Vunidawa Hospital 9am-3pm
Western
Rakiraki
Children aged 15,16 and 17 years old Rakiraki Hospital 9am-3pm
Tavua
Children aged 15,16 and 17 years old Tavua Health Inspectors Conference Room 9am-3pm
Ba
Children aged 15,16 and 17 years old  

Ba Health Centre

9am-3pm
Lautoka
Children aged 15,16 and 17 years old Lautoka Khatriya Hall 9am-3pm
Nadi
Children aged 15,16 and 17 years old Civic Centre 9am-3pm
Sigatoka
Children aged 15,16 and 17 years old Sai Hall 9am-3pm
Northern
Macuata
Children aged 15,16 and 17 years old Labasa Health Centre Tent 9am-3pm
Bua
Children aged 15,16 and 17 years old Nabouwalu Health Centre 9am-3pm
Children aged 15,16 and 17 years old Lekutu Health Centre 9am-3pm
Children aged 15,16 and 17 years old Wainunu Health Centre 9am-3pm
Cakaudrove
Children aged 15,16 and 17 years old Ganilau Park Savusavu 9am-3pm
Taveuni
Children aged 15, 16, and 17 years old Waiyevo Health Centre 9am-3pm
Children aged 15, 16, and 17 years old Vuna Health Centre 9am-3pm

Before going to the vaccination site:

  • Ensure that you are carrying all the necessary documents requested.
  • Ensure that your child eats well; and
  • Carry a bottle of water to stay hydrated.

Please follow all COVID-19 safe measures when going to the vaccination site:

  • Wear a mask.
  • Maintain physical distancing of 2 meters.
  • Avoid crowds.
  • Wash or sanitize hands frequently; and
  • Keep the careFIJI app on your mobile phone always on.
COVID-19 Update 05-01-2022

COVID-19 Situation Update

Wednesday, 05th January

Transmission Update:

In the past 7 days until 04/01/2022, 709 new cases were recorded in the Central division, 303 new cases in the Western division, 23 new cases in the Eastern Division, and 706 new cases in the Northern Division. The Central Division cases constitute 69% of the cumulative total cases nationally, with the Western division making up 27%, 3% in the Northern Division, and 1% in the Eastern Division.

Since the last update, we have recorded 596 new cases of which 224 new cases were recorded on 04/01/2022 and 372 new cases in the last 24 hours ending at 8 am this morning.

Of the 372 cases recorded in the last 24 hours, 254 cases were recorded in the Central Division; 103 cases were recorded in the Western Division, 6 cases were recorded in the Northern Division, and 9 cases were recorded in the Eastern Division.

The national 7-day rolling average of cases as of 1st January is 278 daily cases.

Deaths:

This curve depicts the weekly death rate per 1,000 population by division since October 2021. Overall, the death rate graphs indicate an increase in the number of COVID-19 deaths in the Central Division, while the other Divisions have not recorded any COVID-19 deaths.

There are two COVID-19 deaths to report.

The first COVID- 19 death to report is of a 75-year-old male from Suva who died at home on 31/12/2021. He had significant pre-existing medical conditions that also contributed to his death. He received his first dose of the COVID-19 vaccine mid July and second dose mid September. He was fully vaccinated.

The second COVID-19 death to report is of a 56-year-old female from Korovou who died at home on 01/01/2022 in respiratory distress. She had multiple pre-existing medical conditions that also contributed to her death. She had received only one dose of the COVID-19 vaccine, which means she was not fully vaccinated.

There have been 704 deaths due to COVID-19 in Fiji, with 702 of these deaths during the outbreak that started in April last year. Please note that due to the time required by clinical teams to investigate, classify and report deaths, a 4-day interval is given to calculate the 7 days rolling average of deaths, based on the date of death, to help ensure the data collected is complete before the average is reported. Therefore, as of January 1st, 2022, the national 7 days rolling average for COVID-19 deaths per day is 0.6,  with a case fatality rate of 1.32%.

We have recorded 627 COVID-19 positive patients who died from serious medical conditions they had before they contracted COVID-19; these are not classified as COVID-19 deaths.

Hospitalisation:

Using the WHO clinical severity classification, a greater percentage, 78% (n=98) of the admissions of COVID-19 positive patients are categorized as asymptomatic and mild, 6% (n=7) are categorized as moderate and 6% (n=7) as severe with 1 case in the critical category. Anyone admitted to the hospital is tested before admission, therefore, a significant number of people are admitted to the hospital for non-covid health conditions,  but incidentally, test positive due to the high amount of transmission in the community. The number of people being admitted because of COVID-19  remains low.

Testing:

864 tests have been reported for January 4th, 2022. The 7-day daily test average is 769 tests per day or 0.9 tests per 1,000 population.

The national 7-day average daily test positivity is 34.2%, which is above the WHO recommendation of 5%. The high positivity rate is an indication of wider spread community transmission.

Public Advisory:

While most of our more severe public health and social measures are based on changes in hospitalization data, the evidence is clear that we do need to keep up with measures to suppress transmission so that hospitalization numbers remain low. The evidence is that Omicron causes less severe disease than other variants. However, it infects a larger number of people in a shorter period of time,  which means even a smaller percentage of people becoming severely ill may still mean a large number requiring hospitalization, which will put pressure on our health system.

We have always promoted individual COVID safe measures, even during the period of local cases prior to the current outbreak. However, it is evident that we need to have in place more stringent community-level measures to further enforce the message we are promoting. As such we will be announcing more stringent measures related to masking and social gatherings later this week.

Our testing capability is being tested at present and as such the public is reminded that we will need to prioritize our testing for people at higher risk of severe disease to prevent severe outcomes as well as to suppress transmission.

You should assume you are infected, and self-isolate, if you develop any cold/flu-like symptoms such as runny nose, sneezing, nasal congestion, sore throat, cough, body ache, fever. If you have any of these symptoms, please stay home to prevent infecting others, especially those who may be more at risk of severe disease. You should get tested if you can, but especially if you are at higher risk of severe disease. You are at higher risk of severe disease if you are over the age of 50, or have any significant chronic disease like heart disease, kidney disease, lung disease, diabetes, hypertension or you are obese or pregnant.  If anyone in your home is at higher risk of developing severe disease,  please try to isolate yourself away from them.

The isolation period is for 10 days. You may stop isolating once 10 days have passed since the start of symptoms (with at least 3 consecutive days of no symptoms) or since the positive test (for asymptomatic cases). The Ministry of Health is using a  7-day isolation period for our own staff, requiring a negative rapid antigen test on days 6 and 7 to help maintain essential health services.

For the general public, a 10 day quarantine period will apply to all individuals who are close contacts of a case. You do not need to be tested if you are a close contact unless you develop symptoms. A close contact is anyone who lives in the same house as a case, or has been in a confined space for at least 1 hour, or has come within 2 metres, or has had any physical contact, in the 2 days before the case’s symptoms started and up to ten days after.

Advice to the public on COVID safe measures

The festive season has brought about the significant movement of people as families reunite to celebrate Christmas and New Year. Gatherings have been observed where COVID-safe measures have not been followed, or people have attended while having symptoms. We ask that if you have relaxed in your observance of COVID safe measures, that you please resume now.

Always carry a well-fitted mask when you leave home, and wear it in any public indoor settings, and outdoor settings where there are crowds. Avoid crowds and poorly ventilated spaces. Maintain at least 2 metres of physical distancing from others when outside your home. Wash your hands frequently with soap and water or use an alcohol-based hand sanitiser. Stay home and do not attend any gatherings if you have any symptoms of COVID-19. Get vaccinated if you are eligible and have not yet been vaccinated. And get a booster dose if you are over the age of 18, but especially if you are at higher risk of severe disease.

COVID-19 Update 03-01-2022

COVID-19 Situation Update

Monday 03rd January 2022

 
Transmission Update:

Since the last update on 01/01/2022, we have recorded a total of 580 new cases; of which 405 new cases were recorded on 02/01/2022, and 175 new cases in the last 24 hours ending at 8 am this morning.

Overall, there have been 54,939 cases recorded in the 2nd wave, with 69% of the cases from the Central Division, 27% of the cases from the Western Division, and 1% of the cases from the Eastern Division, and 3% from the Northern Division.

Of the 580 cases recorded since the last update, 146 cases were recorded in the Northern Division; 111 cases were recorded in the Western Division, 303 cases were recorded in the Central Division, and 20 cases in the Eastern Division.

Our national 7- day rolling average is 167 daily cases calculated for 30th December 2021.

Deaths:

This curve depicts the daily death count by division since the 2nd wave of this outbreak that began in April 2021. Overall, the death rate graphs for the Central and Western Divisions indicate a declining trend. The differences between the Central and Western are similar to the incidence of the daily cases and are likely a reflection of vaccination levels, COVID mitigation measures, and differences in population density.

There are two COVID-19 deaths to report.

The first COVID-19 death to report is of a 73-year-old male from Wainibuku who died at home on 31/12/2021 in respiratory distress. He had pre-existing medical conditions and was not vaccinated.

The second COVID -19 death to report is of an 84-year-old male from Kinoya who died at home on 02/01/2022 in respiratory distress. He had a significant pre-existing medical condition and was not vaccinated.

There have been a total of 702 deaths due to COVID-19 in Fiji. Please note that due to the time required by clinical teams to investigate, classify and report deaths, a 4-day interval is given to calculate the 7 days rolling average of deaths, based on the date of death, to help ensure the data collected is complete before the average is reported. Therefore, as of December 30th, 2021,  the national 7 days rolling average for COVID-19 deaths per day is 0.3, with a case fatality rate of 1.32%.

We have recorded 621 COVID-19 positive patients who died from serious medical conditions they had before they contracted COVID-19; these are not classified as COVID-19 deaths.

Tests

As of January 1st, rapid antigen tests conducted in the Ministry of Health and Medical Services health facilities are being added to testing numbers and test positivity calculations going back to December 23rd.

Epidemic Outlook:

The Ministry of Health continues to monitor the outbreak using indicators such as daily case numbers, hospitalizations, test positivity, and deaths.

Occupancy rates in health facilities, the occupancy rate of ICU beds, death rates, and vaccination coverage are indicators to monitor our health response capacity. While we see a low trend across indicators from our health facilities with increasing vaccination coverage for adults, 15-17-year-olds, and 12-14-year-olds in Fiji the current escalation of cases indicates a need for increased readiness and response levels for severe disease and hospitalization.

COVID-19 cases are increasing rapidly globally and especially so in Australia, and the European and Americas region, and throughout Africa.  The new highly transmissible variant Omicron is contributing significantly to this increase. As such, we anticipate an increasing number of cases from border quarantine facilities. Increased and sustained surveillance and testing at our borders, communities, and maritime islands are vital to monitor and detect COVID-19 cases for early intervention.

There is an increasing number of cases in all divisions which is anticipated to continue to increase, demanding ongoing surveillance for early intervention to mitigate COVID-19 risks.

Public Advisory:

The Ministry of Health and Medical Services continues to record lower than expected hospitalization numbers despite the current resurgence in COVID-19 cases throughout Fiji. The results of positive samples sent to the Doherty Institute in Melbourne for genomic sequencing have confirmed, as expected, that we have community transmission throughout Fiji of both Omicron and Delta variants of the virus that causes COVID-19.

Omicron is vastly more infectious than Delta. As such, in keeping with what we see in other countries, the Omicron will become the dominant variant.

As Omicron spreads very fast, you should assume you are infected, and self-isolate, if you develop any cold/flu-like symptoms such as runny nose, sneezing,  nasal congestion, sore throat, cough,  body ache, fever. If you have any of these symptoms, please stay home to prevent infecting others, especially those who may be more at risk of severe disease. You should get tested if you can, but especially if you are at higher risk of severe disease. You are at higher risk of severe disease if you are over the age of 50, or have any significant chronic disease like heart disease, kidney disease, lung disease, diabetes, hypertension or you are obese or pregnant.  If anyone in your home is at higher risk of developing severe disease,  please try to isolate yourself away from them.

What to expect for the third wave

Omicron has been shown to escape immunity from infection induced by previous infection or vaccination. This means that people that have been previously infected by other variants or have been fully vaccinated with two doses of the vaccine, can get infected with Omicron. However, Omicron is more likely to cause milder disease, with data from the UK and South Africa showing that the risk of hospitalization with Omicron compared with Delta is reduced by as much as 80 percent and, once in hospital, the risk of severe diseases with Omicron is reduced by as much as 70 percent. As with previous variants, unvaccinated people are at higher risk of severe disease. With more than 92 percent of adults fully vaccinated, we expect that our high vaccination rates, plus the infection-induced immunity from the large number of people who were infected during the last wave,  will help to lower the number of people that develop severe disease.

We continue to see that the majority of individuals testing positive in medical facilities are presenting for non-COVID medical problems and found to be positive while undergoing routine screening as all admissions to the hospital are currently tested for COVID-19. Also, the vast majority of cases turning positive have minimal symptoms and remain stable

However, severe outcomes will still be expected in some individuals, including those who have been immunized with two doses of the vaccine, especially people with severe underlying medical conditions and/or are over the age of 50. These factors do place a person at higher risk of severe disease,  even if fully vaccinated. We have in place measures that ensure that those vulnerable to severe disease are adequately monitored, tested, retrieved, and effectively managed in a timely manner before their conditions worsen. However, we need the cooperation and support of community networks in formal and informal community settings and business settings, working in tandem with the Ministry. It requires that a register of vulnerable persons is established and kept in each of the settings mentioned and leaders in these settings set up a means by which vulnerable persons are checked on. If they do not feel well, they should be tested early and if positive, the nearest medical team is informed so that measures are put in place to ensure early access to medical treatment with any early signs of deterioration.

The current epidemic will impact our testing capacity. Many countries are struggling with testing capacity and we will be no different. As such, we continue to prioritize testing to prevent severe illness and death and to focus on transmission suppression where the risk of transmission is high.

Rapid antigen tests are very good at quickly detecting the people we need to find and isolate: those with high amounts of virus in their nose (who are therefore more infectious). These tests are more accessible than PCR tests, and the turnaround from sampling to result is much faster. However, antigen tests will miss people with lower amounts of the virus early in the disease. With the high prevalence of COVID-19 currently, if you have symptoms of COVID-19 and test negative on a single rapid antigen test, you should still assume you have COVID-19 and self-isolate.

Isolation  and quarantine

As announced in previous updates, the Ministry of Health and Medical Services is aware that there are countries that have revised their isolation and quarantine protocols, based on the specific context of the outbreak in their own settings, including severely stretched testing and workforce capacity. The Ministry’s COVID-19 Taskforce has reviewed the evidence, and our specific context,  and recommended changes to our isolation and quarantine protocols. The changes have been recommended based on the scientific evidence while taking into account the need to prevent severe disruption to essential services that will arise should a large number of workers be required to isolate or quarantine.

Isolation – a healthcare worker of the Ministry of Health and Medical Services who returns a positive test result will be required to self-isolate at home for 7 days, become asymptomatic, and return a negative RDT test on the 6th and 7th day before they can return to work. They will be required to maintain strict masking for the remainder of 3 days to complete the 10-day isolation requirement before they are fully discharged from isolation. In the unusual circumstances where the healthcare worker’s absence will severely debilitate the health service, processes will be put in place by the respective health care facility to ensure that a safe corridor of movement and work is created for asymptomatic healthcare workers while maintaining the full isolation requirements.

For the general public, an isolation period of 10 days for confirmed cases remains in place as before, with the case able to leave isolation without repeat testing once 10 days have passed since the start of symptoms (with at least 3 consecutive days of no symptoms) or the positive test (for asymptomatic cases). However, non-health workplaces that wish to follow the Ministry’s revised 7-day isolation SOP above will be required to cater for the testing requirement and strict masking requirement at their own cost.

Quarantine – healthcare workers of the Ministry who work in a low disease prevalence area and become a close contact of a confirmed case will be required to self-quarantine at home for 10 days with daily symptoms checking and strict COVID safe measures before they are allowed to return to work. They must be tested if they develop symptoms.  However, if the healthcare worker is working in a high disease prevalence area where essential health services are at risk of being severely debilitated by a high number of healthcare workers having to quarantine or isolate,  the healthcare worker will be required to return to duty at their respective health facility with strict adherence to COVID safe measures and infection prevention and control measures, undergo regular symptoms monitoring while at work, and have daily rapid antigen testing before the start of the shift. They are to immediately stand down from duties and isolate if they develop symptoms or return a positive test.

For the general public, a strict 10 days quarantine period will apply to all individuals who are close contacts of a positive case. This is the same quarantine strategy used for the Mitigation phase in the central division and the Western Division during the second wave, and so should be familiar with members of the general public.

Maritime travel restrictions

We are seeing an increase in cases in the maritime islands and this was expected given the opening of maritime travel and the many social media postings of crowding in maritime vessels and in social gatherings. Medical Teams and supplies are being set up and being deployed to maritime islands communities reporting a surge in positive cases. In view of the disease outbreak in the Northern division as well as a number of islands in the Eastern division, the following shall be implemented from Tuesday 04th January 2021:

  • Travelers on boats between Viti Levu and Vanua Levu: In light of the high prevalence of COVID-19 in Viti Levu and Vanua Levu, the Ministry will not require pre-departure testing before traveling to Viti Levu and Vanua Levu. However, strict adherence to personal COVID safe measures during the travel such as mandatory masking, personal hand gel for hand hygiene and ships to ensure the soap is available throughout the trip, careFIJI app on, and passengers are fully vaccinated with 2 or more doses. Ministry officials will be closely monitoring the implementation of the new travel protocol.
  • Travelers on boats from Viti Levu to Eastern division maritime islands that are currently experiencing disease outbreaks will be restricted to travelers for essential services only, for example, teachers, nurses, Government staff on official trips, those workers (and their families) who are getting posted or transferred to the islands, and permanent island residents who came to Viti Levu for the holidays and are returning to their homes without the need to come back to Viti Levu in the immediate future. This measure is to limit unnecessary population movement into the islands as the Ministry is now facing challenges in the medical evacuation of COVID cases to the main hospitals in Viti Levu as the operations of the contracted medevac providers are also affected by the current outbreak.
  • Travelers on boats from the Eastern division islands to Viti Levu who have been identified as positive cases or close contacts of cases will be required to complete 10 days of isolation in their homes on the islands, be symptoms free, and with no pre-departure testing required before they are allowed to board the boat back to Viti Levu. Our team on the islands will ensure that these amended protocols are adhered to to protect the traveling population as well as the limited health care capacity on these islands.

Advice to the public on COVID safe measures

The festive season has brought about the significant movement of people as families reunite to celebrate Christmas and New Year. Gatherings have been observed where COVID-safe measures have not been followed, or people have attended while having symptoms. We ask that if you have relaxed in your observance of COVID safe measures, that you please resume now.

Always carry a well-fitted mask when you leave home, and wear it in any public indoor settings and outdoor settings where there are crowds. Avoid crowds and poorly ventilated spaces. Maintain at least 2 metres of physical distancing from others when outside your home. Wash your hands frequently with soap and water or use an alcohol-based hand sanitiser. Stay home and do not attend any gatherings if you have any symptoms of COVID-19. And get vaccinated if you are eligible and have not yet been vaccinated. And get a booster dose if you are over the age of 18, but especially if you are at higher risk of severe disease.