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COVID-19 Update – 13-05-2021

Media Release

COVID-19 Update

Thursday May 13th 2021

As announced by the Permanent Secretary for Health and Medical Services today, we have 4 new cases to report. And sadly, last night, one of our COVID-positive patients, a woman from the recent Makoi cluster, was entered into intensive care after her condition began rapidly deteriorating. Despite the best efforts of her attending physicians, she has passed away.

Our first new case is from Makoi and presented to Oceania Hospital with COVID-19 symptoms. At this early stage of the investigation this case has no known links to other cases. The Oceania Hospital outpatients department was temporarily closed yesterday for contact tracing and decontamination. Anyone who potentially had contact with this case at the hospital has been quarantined.

The next case is also from Makoi and is an administration staff member of Fiji CDC. According to Fiji CDC protocol he was tested after returning this week from leave. The next two cases are his co-workers at the Fiji CDC who had tested negative during routine testing earlier this week, but tested positive as part of contact tracing for this new case last night.

With the latest cases and recent death, there are now 52 active cases in isolation facilities. 6 are border quarantine cases, 33 local transmission, and 13 are under investigation to determine the source of transmission. Cases under investigation are considered as community transmission until proven otherwise.

Total active cases in isolation = 52 (6 border quarantine cases, 33 locally transmitted cases, 13 under investigation)

Fiji has had 165 cases in total, with 109 recoveries and 4 deaths, since our first case was reported on March 19th 2020.

Due to the recent cases at Fiji CDC the most recent testing data is not available. However, as of yesterday, a total of 70,732 COVID-19 laboratory tests had been conducted, with a daily average of 1772 tests per day over the last 7 days, and 1910 tests conducted as announced yesterday. The weekly average is 8529 tests per week over the last 2 weeks, with a record 10,237 tests done last week. The overall test positivity is 0.2% and 7 day average daily test positivity is 0.3%. An average of 2.2 tests per 1000 population was conducted daily over the last 7 days, and 9.6 per 1000 population per week averaged over the last 2 weeks.

-ENDS-

PS Health – Press Statement 13-05-2021

Bula Vinaka.

Last night, one of our COVID-positive patients, a woman from the recent Makoi cluster, was entered into intensive care after her condition began rapidly deteriorating. I’m sad to report that, despite the best efforts of her attending physicians, she has passed away.

We informed this woman’s family of her passing and offered them our sincere condolences well before making this announcement to the nation, as we wanted them to have time to process this privately. Tonight, I offer the nation my Ministry’s total commitment to spare as many families as we can from the tragedy of seeing loved ones lost to this terrible disease.

This is our second reported death from COVID-19 due to this outbreak. It serves as yet another painful reminder of the severity of the threat that we face. We are dealing with a virus that has claimed more than 3.7 million lives around the world. Many more Fijian lives could all-too-easily add to that sobering figure. But that does not have to happen.

The war against this virus is still winnable. Many thousands of lives can still be saved. Today, tomorrow, and every day after, for all of the foreseeable future, we will tell you what steps you can take to protect yourself and protect the ones you love. Listen often, listen well, and please adhere to every word of the advice we have to give.

Today, we have four new cases of COVID-19 to report.

The first case is from Makoi and presented to Oceania Hospital with symptoms. At this early stage of the investigation this case has no known links to other cases. The Oceania Hospital outpatients department was temporarily closed yesterday for contact tracing and decontamination. Anyone who potentially had contact with this case at the hospital has been quarantined.

The next case is also from Makoi and is an administration staff member of Fiji CDC. According to Fiji CDC protocol he was tested after returning this week from annual leave. The next two cases are administrative staff at the Fiji CDC who had tested negative during routine testing earlier this week, but tested positive as part of contact tracing for this new case.

The three staff who have tested positive for the virus have been transferred to isolation facilities.

Our investigations so far indicate that this cluster originated outside of the Fiji CDC and the virus was then brought in –– as would be an expected consequence of community transmission. Apart from these three cases, all other Fiji CDC staff have tested negative so far, including all of the laboratory and medical staff in the centre.

We know that there was limited contact between administration staff and the lab personnel due to existing protocols, however, as a result of these cases, Fiji CDC has been sequestered, with staff onsite, or placed in quarantine facilities. Testing has temporarily halted while decontamination is being completed. The onsite staff will continue processing samples after decontamination of the facility and they will be tested and retested frequently during their sequestration period, similar to what is happening at Lautoka Hospital.

As for our other active cases, thousands of Fijians received text alerts yesterday alerting them that they may have had contact with some of the new cases confirmed at Extra Supermarket. Our contact tracing investigation has since narrowed that number of contacts, and we have let some of those people know they are no longer considered to be at high risk of exposure –– but I hope that experience has taught everyone how easily even one case can spark an outbreak, and how high the risks of leaving your bubble can be.

It has also taught us how vitally important it is for us all to be using the careFIJI app, with our Bluetooth switched on, whenever we are in public. There are currently 52 known active cases of COVID-19 in the country. From that number of cases, there are already thousands of primary and secondary contacts, stretching my contact tracers to their limit. careFIJI eases that growing burden. Its technology does not depend on the limits of human labour. The app does not get tired. It does not take breaks. It works 24/7 to save your life, and the lives of your loved ones, by stopping the spread of the virus as quickly as possible.  It does not drain your battery. It does not burn through your data. Anyone who tells you otherwise is lying to you.

Right now, the pandemic in Fiji is only a spark. But if that spark isn’t quickly and aggressively extinguished, a tiny ember is all it takes to start a massive, uncontrollable wildfire that claims thousands of Fijian lives. That’s why we are taking such aggressive measures –– our goal is elimination. We must dedicate everything we have into putting out this flame before it grows.

Yesterday we announced a lockdown of Suva and Nausori to commence from tomorrow night at 11pm until Tuesday morning. Given the rapidly rising number of contacts stemming from new cases of COVID-19 in the Suva-Nausori area, that lockdown has been extended until Wednesday, the 19th of May, at 4am. Fijians living in the Suva and Nausori containment areas are urged to make appropriate preparations for an all-day stay-at-home order which will remain in force from Friday evening, the 14th of May, at 11pm until Wednesday morning, the 19th of May, at 4am.

The rules of the lockdown will be the same as last time. No one should leave their home. No businesses should be open except those given explicit permission to operate. Movement for medical emergencies is the only movement that will be permitted for members of the public. Otherwise, it will be only by the Police, my contact tracers, food ration delivery teams, and other essential service providers, on the streets. No one else.

As I explained yesterday, food rations will be available during the later stages of the lockdown period for Fijians living within the Suva-Nausori Lockdown Zone who have a genuine need for an emergency food supply.

Outside of the lockdown zone, the borders of our other containment areas will remain firmly in place for the foreseeable future. We believe this virus is still circulating in Nadi, in Lautoka, in Rakiraki, in Lami and, potentially, throughout the rest of Viti Levu. As announced yesterday, to further restrict movement, the 6pm until 4am curfew will take effect from this Saturday for the rest of Viti Levu.

While our full freedom of movement must be sacrificed through the lockdown period –– this is a more-than-necessary sacrifice.  We are at war with an enemy devoid of mercy. An enemy that preys on the most innocent of exchanges, a maskless conversation, a handshake, a hug. But we have tactics that can defeat this enemy. And we know from experience that going hard, early, can secure us victory.

This virus stays alive by passing from person to person to person. In doing so, it debilitates medical capacity and deals death to those most vulnerable. But this virus needs us, it needs people, in order to survive. Without opportunities to spread to new hosts, the virus dies.

Physical distance –– of at least two metres –– can stop the spread. Masks, when worn widely by everyone, can stop the spread. Good hand washing can kill the virus. But nothing –– I repeat, nothing –– kills the virus more assuredly than staying at home. If everyone stays home, the virus will have nowhere to travel. Eventually, it will die. If everyone respects the rules we have in place, the virus will die.

But on the contrary, if rules are broken, Fijians will die –– not the virus.

In some countries around the world, the public and even, at times, governments,  failed to take this virus seriously. They continued on with their normal lives, breaking rules and skirting restrictions. We’re seeing that pattern emerge in Fiji –– and this complacency is unacceptable. Other citizens in some countries waited for a famous celebrity, a sports hero, or more of their loved ones to die from COVID before they recognised the severity of this pandemic. By  that point, it was too late.

As we watch news of funeral pyres being burned in India, or mass graves being dug in Brazil, we see that even one case can grow to devastate a country beyond recognition.

Tragedy has already given us a small glimpse into how serious this virus can be –– two lives have already been lost. What will it take for us all to recognise that COVID-19 won’t magically disappear on its own? The death of your favourite rugby player? Your religious leader? Your neighbour? Your mother, your father, your spouse, your brother, your sister, your grandparent, or your children? The power to protect them is in your hands, so wash them often. And please, heed my words: Stay at home. Stay in your bubble. Lockdown or not, home is where you ought to be.

The harder we come down on this virus now, the sooner this will be over. I’ve asked you before, and I’ll ask you again: Keep the faith, Fiji. If you’re running a business that has been closed: Keep the faith that you can open again once it is safe to do so. If you’re running a school: Keep the faith that classrooms can open once we kill-off this virus. If are unable to work: Keep the faith that you will work again once Fiji is COVID-Contained. And if you are working in our hospitals, guarding our containment areas, tracing COVID contacts, or working in our CDC labs, keep the faith that your fellow Fijians are with you, and that they are prepared to make the sacrifices we need to stop the spread and end this outbreak. We are fighting for the sake of normalcy. We are fighting to regain the freedom to live our lives without fear of the virus. We are fighting to allow our economy to operate freely, at its full strength. It’s a fight we can win, but only if we fight it together.

Thank you.

 

 

PS Health – Press Statement 12-05-2021
Statement by Permanent Secretary for the Ministry of Health and Medical Services, Dr Fong.
Bula Vinaka.
After running 1910 more tests over the past 24 hours, we have another nine cases of COVID-19 to confirm today.
One of the cases announced yesterday worked at Extra Supermarket in Flagstaff Suva. Three of today’s cases are his co-workers. Extra Supermarket has been closed for decontamination purposes while we await test results from the remaining staff and management.
Extra Supermarket operates with a well-enforced policy of mask-wearing and mandated that all staff and customers have the careFIJI app installed with Bluetooth turned on, or that contact tracing details were registered. That is allowing us to identify hundreds of contacts very quickly.
Without the use of the careFIJI app, tracing individual casual contacts in a place like a crowded supermarket is extremely difficult, especially with our contact tracing teams already working overtime every day to keep up with the cases we have. The careFIJI app will allow contact tracers to see which people have come in close proximity to each other at a specific location. If you have the app on and functioning, our contact tracers can let you know if you have come into contact with an infected person. And I think everyone would want to know that.
While contracting the virus from a casual encounter in which both parties are masked seems rare, we are dealing with a COVID variant that WHO has designated as potentially more contagious, and certainly less predictable.
In addition to our traditional contact tracing, those who have been identified as close contacts by the careFIJI app and the written contact tracing registry, including shoppers, are being contacted by the Ministry. While we reach these people, we are asking everyone who has been to Extra Supermarket in Flagstaff or Hanson’s Supermarket in Makoi in the last two weeks to self isolate. We will announce in due course once everyone on our list has been contacted. Those found to not have had contact with these new cases will be allowed to end their period of self-isolation.
I want to remind anyone who runs out to a grocery store for supplies: Make sure your mask is on, your careFIJI app is installed, and your Bluetooth is switched on while you shop. I note that some supermarkets have online shopping and home delivery services as well –– I urge the public to use them, and I urge more supermarkets and businesses to make online shopping and delivery available.
Adding to our case numbers today are another two individuals presented to the Nausori Health Centre with COVID symptoms. They are family members from Lakena in Nausori. Two of their household contacts have also tested positive for COVID-19. At this early stage of the investigation, these cases are not linked to other clusters.
One of these individuals worked at Nausori market as a vendor, that space is being decontaminated as I speak. As I have said before, we activate our contact tracing teams the moment a positive case becomes known. You may see our response teams on the ground conducting their investigations –– this is something we must all accept as a usual course of business in these unusual times.
Another of our cases is an individual in Nausori, from Vunimono, also tested positive after presenting to the health centre. This case, as well, is not linked to other cases.
So far, none of these six cases in Nausori are currently linked to existing cases. While we are still early into our investigation, we will be treating these cases as instances of community transmission until they are proven to be otherwise.
Our final confirmed case is a border quarantine staff who tested positive for COVID-19 in the course of routine testing. This person’s last negative test result was from 1 May 2021. Our investigations have not pinpointed a source of transmission for this case. Until we know more, we are not allowing any discharges from the quarantine facility in question.
This series of new clusters requires large-scale contact tracing to the magnitude of several hundred primary and secondary contacts. The cluster emanating from Extra supermarket is of particular concern.
However, this cluster is unlike past clusters –– such as the garment factory case –– for one simple reason: careFIJI. The app’s use has given us a huge advantage in identifying the closest contacts stemming from the Extra Supermarket cases. We are already locating them and testing them in droves. We expect many more of these individuals to register positive test results.
We utilised a snap lockdown two weekends ago for contact tracing purposes because –– if everyone remembers –– we had very little idea at that time where to find the contacts we needed to find. careFIJI’s data has supplied us with a much clearer starting point for our contact tracing. So, medically, this situation does not warrant the same, sudden lockdown we implemented in the past.
That doesn’t mean there are not potentially-positive contacts out there we haven’t yet found –– there certainly are, and we need to find them, fast. But thanks to the data we have already obtained, we have the confidence to implement a lockdown over a less sudden timeline.
At the moment, we believe the vast majority of these remaining contacts are located in Suva and Nausori. So that is where a targeted lockdown will come into effect starting from this weekend.
A 24-hour curfew will come into effect for Suva and Nausori from Friday, 14 May 2021 at 11pm until Tuesday, 18 May 2021 at 4am. As is now standard practice, the Suva and Nausori containment areas will merge into one, single lockdown zone. With everyone safely at home, my teams will use that time to trace, identify, and test as many contacts as possible. If our investigations reveal large numbers of contacts in other areas, such as Lami, the lockdown order will extend to those areas.
It is currently 8 pm on Wednesday evening. That means there are more than 48 hours between now and when the lockdown measures take effect. That is more than enough time to prepare properly without causing mass mayhem and disorder. You have two full days to manage your shopping and purchase food and other essential items for your home.
If you are going out to do shopping, you must have careFIJI installed with Bluetooth turned on –– it does not chew data or battery. If you go to the supermarket and see a crowd, do not add to the problem. It could literally endanger your life and the lives of those you love. If you see a crowd, go to a different shop or do your shopping at a different time. Better yet, call 158 and report the violation of COVID protocols. Businesses must take responsibility as well by ensuring mask-wearing, proper physical distancing, and mandating the use of careFIJI by all staff and shoppers.
For those who genuinely need an emergency food supply in the later part of the curfew, we are going to set-up another dedicated hotline for you to call so that food rations can be delivered to you. We’ll have details to announce on that number tomorrow.
New measures will also be coming into effect for the rest of Viti Levu while we conduct assessments on the need for a more sustained lockdown period. From Saturday 15 May 2021, the curfew hours for all of Viti Levu will expand from 6pm until 4am every day. Outside of Viti Levu, the curfew hours will remain from 11pm until 4am.
That means if the lockdown of Suva and Nausori expires on schedule, the curfew hours from 6pm until 4 am will apply in these areas as well.
So, to be perfectly clear: Suva and Nausori are going on full lockdown from Friday night at 11pm until Tuesday morning at 4am –– that means everyone in these areas must stay home. Starting from Saturday night, the rest of Viti Levu will be under expanded curfew hours from 6pm until 4am. For the rest of Fiji, the existing curfew hours from 11pm until 4am will be maintained.
Our contact tracing and testing through the weekend will reveal the way forward for our containment strategy. Whatever course we take, we will provide you with ample notice ahead of time.
I know we saw some panic-buying yesterday. When I see images of those crowds, I see lives being put at-risk. I see the potential for ICUs being filled with dying patients. And I admit, I reacted quite strongly to it. I feared those runs on the supermarkets would lead to widespread transmission of the virus –– I hope to be wrong about that.
These are uncertain times, this is a scary disease, and I understand why some of us have made rash decisions. I understand this situation can make us anxious. I understand the need to have your family well-provided for. But there are real ways we can protect ourselves that align with the best available science and data. We can wear masks, we can keep a proper distance of two metres between ourselves and others, we can wash our hands, we can install careFIJI and keep Bluetooth turned on. Most importantly, we can base our decisions off of verified information. We can wait for the facts as they come out and act accordingly.
We keep the public updated as best we can on a rapidly evolving situation. My statements and the Fijian Government Facebook page are the official sources for all COVID-related information. Use them to stay up-to-date. Rumours, gossip, and unverified information will lead us down a much, much darker path. We must stay the present course by staying calm and staying home as much as possible. If you have an absolutely essential reason to move, wear a mask, maintain physical distance and make sure you have careFIJI installed on your phone with Bluetooth switched on. Let’s make responsible use of the next 48 hours and let’s remember: We are in this fight together. Everything we do as a Ministry, we do for you, for your safety, and for the security of the country.
Eid –– the festive occasion that marks the end of the Holy month of Ramadan –– is tomorrow. Most every year, this is a three-day celebration spent with family and friends; a time for those who celebrate to spend gathered at the same table, and to pray together at the mosque. This year must be different. We cannot gather, not in mosques and not at the homes of our friends and family. We must stay home and only interact with the members of our own households. That sacrifice will assure that all of us ––including those who are most vulnerable to this virus –– can be together when next we have the chance to celebrate. So please, stay home this Eid, please do not break your bubbles. I wish a sincere “Eid Mubarak” to all those marking this joyous occasion safely at home.
COVID-19 Update – 11-05-2021

Media Release

COVID-19 Update

Tuesday May 11th 2021

As announced by the Permanent Secretary for Health and Medical Services today, we have 12 new cases to report.

All 12 cases are from Makoi and are close contacts of case 140, the woman who presented to the  Makoi Health Centre yesterday with COVID-19 symptoms. Four of our positive patients are her household members, seven are from an adjoining home, and one is a secondary contact. All have been entered into isolation, and contact tracing investigations continue.

5 more cases have recovered, so there are now 43 active cases in isolation facilities. 6 are border quarantine cases, 31 local transmission, and 6 are under investigation to determine the source of transmission. Cases under investigation are considered as community transmission until proven otherwise.

Total active cases in isolation = 43 (6 border quarantine cases, 31 locally transmitted cases, 6 under investigation)

Fiji has had 152 cases in total, with 106 recoveries and 3 deaths, since our first case was reported on March 19th 2020.

A total of 68,882 COVID-19 laboratory tests have been conducted, with a daily average of 1794 tests per day over the last 7 days, and 2217 tests conducted yesterday.The weekly average is 8529 tests per week over the last 2 weeks, with a record 10,237 tests done last week. The overall test positivity is 0.2% and 7 day average daily test positivity is 0.2%. An average of 2 tests per 1000 population was conducted daily over the last 7 days, and 9.6 per 1000 population per week averaged over the last 2 weeks.

National Announcement by the Permanent Secretary for Health 11-05-2021
Statement by Permanent Secretary for the Ministry of Health and Medical Services, Dr James Fong.
After another 2217 tests yesterday, another daily record of testing, we have confirmed 12 new cases of COVID-19 since our last briefing. All of these cases are from Makoi and are close contacts of case 140, the woman who presented to the Makoi Health Centre yesterday with COVID symptoms. Four of our positive patients are her household members, seven are from an adjoining home, and one is a secondary contact. All have been entered into isolation.
As mentioned yesterday, case 140 presented to Makoi Health Centre, and was immediately treated as a suspected case by the medical staff, who provided care in full personal protective equipment. And once she tested positive that same day, we quickly were able to identify the people with whom that person had come into close contact, so we were able to take immediate measures to help to stop the spread. This shows that our reporting, screening, testing and contact-tracing procedures are working as they were intended.
However, we know that since a large number of this person’s close contacts have now tested positive, this means that there has been a significant amount of movement and potential for transmission of the virus to others. Case 140’s travel history, and the work history of one of her contacts, has required we close three grocery stores in Suva for decontamination. We’re also testing the employees. Those stores are not being closed indefinitely. They will reopen as soon as decontamination is completed.
The contact between this individual and members of an adjoining household is troubling –– and it should serve as a learning opportunity for all of us. Our bubbles must be limited to our households –– to the people who share the four walls of our home, not our neighbours, not our friends, not even our family from across the road, we should only interact with the members of our household and no one else. Call your friends, call your family, call your neighbors –– do not see them or visit with them. Please do not party your way into an isolation facility. If you are outside, it must be for an essential reason. If you interact with others who are not members of your household, it should happen two metres apart and both of you should be wearing masks properly.
Let’s remember, this cluster began with another case of unknown origin. So that means there could still be a contagious case or cases among the public we have yet to identify that may still pose a threat to all of us every time we make the decision to leave our homes. Home is where you are safest. If you leave the home, wear a mask and make sure you have careFIJI installed with Bluetooth switched on.
Based on the worrying rise of clusters and cases, I’ve been working with my fellow permanent secretaries, as well as the private sector, on scenario-planning based on the results of our continuous testing –– that includes the possibility of a full lockdown of Viti Levu.
In that event, our priority is on locking down the virus in the active fashion I spoke on yesterday. For the lockdown to be decisive, it must be well-planned and prolonged enough to last for the entire incubation period.
The goal of the lockdown is to stop all unnecessary movement and mixing between different people. Informal gatherings and other high-risk activities will carry significant penalties. Essential movement will be highly-controlled.
Businesses and the private sector must take on a much higher level of responsibility if they expect to operate at all. I want to assure the public that –– if we take the lockdown route –– they will be given ample notice, not hours, but days, to prepare and for government to allocate resources appropriately.
When I can, I like to end these announcements with some good news –– news that shines a light on everyday heroes, and that shows the strength of the Fijian spirit despite the challenge we face today.
The MV Vueveti, our medical carrier vessel, was dispatched to Lautoka to offer healthcare services soon after we transformed Lautoka Hospital into a self-contained COVID care facility. Today, onboard the vessel, a surgical team performed the first Caesarean section operation, delivering a healthy baby boy to a very proud mum. Almost in time for mother’s day.
As part of our delivery team was a midwife who came out of retirement to serve the nation in our hour of need. She came forward because she knew her talents could be put to use. She came forward because she’s a proud Fijian –– ready to give more of her time and effort on top of the lifetime she’s already spent caring for her fellow Fijians. That is the spirit that will guide us through this crisis –– a spirit of selfless solidarity. We can’t all deploy on medical vessels to perform life-saving emergency surgeries. But we can all take simple steps –– like good handwashing, like maintaining physical distance, like avoiding gatherings, and like installing careFIJI –– that protect our most vulnerable Fijians and that pave the way to better days for the nation. Let’s take them together. Let’s do this together. We can, we have, and we will again.