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COVID-19 Update – 29-04-2021

Media Release

COVID-19 Update

Thursday April 29th 2021

As announced by the Permanent Secretary for Health and Medical Services today, we have 5 new cases to report.

The first two are close household contacts of previously announced cases, and they have tested positive while in quarantine facilities. One is the 25-year-old wife of the case who stayed in Vunimono Nausori and the other is his 52-year-old aunt.

The third case is a former border quarantine passenger who arrived from Papua New Guinea into Nadi on Friday April 9th. He had three negative pre-departure tests before leaving PNG, and tested negative twice while in the Tanoa Hotel border quarantine, before being discharged on April 23rd. He was reswabbed in Navua as part of our investigations into the quarantine breaches at the Tanoa facility, and has subsequently tested positive. He is now in quarantine. We can confirm that he had contact with case number 95 — the husband living in Makoi — on the day of his discharge from the Tanoa quarantine facility.

We have identified 98 people who were discharged from the Tanoa border quarantine facility between April 12th and April 25th, 82 of these people have been contacted and told to home quarantine. Repeat testing of these people is underway, and the remaining 16 are being contacted.

The fourth case is a 68 year old male in Rakiraki. He tested positive after presenting to the Rakiraki hospital outpatients department with a cough and fever. We are yet to establish any direct link between this case and existing cases. Investigations are ongoing while this individual has been entered into quarantine.

The fifth case tested is a border quarantine case. He is a 23-year-old male who travelled from Guyana to Fiji, arriving April 22nd on NZ952 from Auckland. He tested positive while undergoing mandatory 14 day quarantine at a border quarantine facility in Nadi.

Please see the Permanent Secretary’s statement today for more details about the cases and response.

With these latest cases there are now 49 active cases in isolation. Five are older border quarantine cases announced before Sunday April 18th. Fourteen are recently announced border quarantine cases, 28 are locally transmitted cases, and 2 are under investigation to determine the source of transmission.

Total active cases in isolation = 49 (19 border quarantine cases, 28 locally transmitted cases, 2 under investigation)

Fiji has had 116 cases in total, with 65 recoveries and 2 deaths, since our first case was reported on March 19th 2020.

A total of 49,996 COVID-19 laboratory tests have been conducted, with a daily average of 784 tests per day over the last 7 days, and a weekly average of 3485 tests per week over the last 2 weeks, with a record 5169 tests done last week. Testing has increased in line with the response to the recent local cases, with 605 tests conducted yesterday. Our overall test positivity is 0.2% and our 7 day average daily test positivity is 0.6%. 

-ENDS-

PS Health – Press Statement 29-04-2021

Bula Vinaka.

We’ve started this announcement a bit late today. As I’ve mentioned before, we test for the virus non-stop, 24/7. Positive cases don’t always come about at convenient times. Today we’ve had some late developments that have brought about important changes to our strategy, and we’ve spent the afternoon ensuring we can communicate those changes clearly to the nation.

Before we get started, I know that many of you are concerned about the health of our current COVID-19 patients. I can thankfully report that none of our current active cases have deteriorated into a severe illness. We’re attending to them closely to make sure they have the care they need, when they need it.

I’m afraid that is the only comforting news I have to share today.

After 605 tests in the last 24 hours –– we have five new cases of COVID-19 to report in Fiji.

The first two are close household contacts of previously announced cases, and they have tested positive while secure in quarantine facilities. One is the 25-year-old wife of the case who stayed in Vunimono Nausori and the other is his 52-year-old aunt.

The third case is a former border quarantine passenger who arrived from Papua New Guinea into Nadi on Friday April 9th. He had three negative pre-departure tests before leaving PNG, and tested negative twice while in the Tanoa Hotel border quarantine, before being discharged on April 23rd. He was reswabbed in Navua as part of our investigations into the quarantine breaches at the Tanoa facility, and has subsequently tested positive. He is now in quarantine. We can confirm that he had contact with case number 95 — the husband living in Makoi — on the day of his discharge from the Tanoa quarantine facility. Again this case shows just how punishing any lapses in protocol can be, in particular when you’re dealing with a highly-transmissible variant of this virus.

We have identified 98 people who were discharged from the Tanoa border quarantine facility between April 12th and April 25th, 82 of these people have been contacted and told to home quarantine. Repeat testing of these people is underway, and the remaining 16 are being contacted.

The fourth case is a 68 year old male in Rakiraki. He tested positive after presenting to the Rakiraki hospital outpatients department with a cough and fever. We are yet to establish any direct link between this case and existing cases. Investigations are ongoing while this individual has been entered into quarantine. We are quite sure there are others like him out there. Anyone who is feeling unwell anywhere in Fiji should report immediately to a screening clinic.

The fifth case tested is a border quarantine case. He is a 23-year-old male who travelled from Guyana to Fiji, arriving April 22nd on NZ952 from Auckland. He  tested positive while undergoing mandatory 14 day quarantine at a border quarantine facility in Nadi.

Contact tracing for these new cases is underway. We are most concerned with the aunt from Vunimono, as she worked in a garment factory. Her place of work has been shut down since we announced our restrictions on Monday, and we are screening everyone she’s worked with while she may have been contagious. We have contacted the management of the factory she worked in, and the factory next door, and these managers have agreed to work together with us to ensure that their workers are  urgently screened tonight. Our plan tonight is to have my teams go house-to-house and swab as many of them as possible  — at least 80% if we can. As that investigation progresses, the same principles as always apply — health restrictions may expand or become more stringent lockdown measures, and that could start as soon as tomorrow evening.

Meanwhile, our 110th case –– who is also living in Rakiraki –– still does not have a clearly-established connection to our existing cases. However, thanks to contact tracing, we have leads, but until we’re confident enough to make an official confirmation, all Fijians should continue to behave as if they have been exposed to the virus.

Boundaries in Ra have been set, and the patient’s family are now in quarantine and have been swabbed for testing. We’ve also swabbed another 40 primary contacts of this individual and screened 406 others in Ra. Results are pending.

Meanwhile, case number 111 –– the case from our Makoi cluster that travelled to Vunimono –– is also of high concern because of his extensive travel history since April 14th, when he was first exposed. That’s over two weeks of moving around Viti Levu, so our contact tracing teams are in overdrive working to determine and contact everyone he may have encountered who we determine to be of risk.

We hope that the risk of transmission was lessened by the fact that he, at no point over the past weeks, displayed COVID symptoms. But hope is not a strategy. Because he was engaging in higher-risk activities like drinking grog and sharing cigarettes with friends and family, others very well may have been exposed to the virus. We simply can’t take any chances.

Taken together, these latest cases and existing unknowns point to widespread transmission in the community. We believe we may be in the early part of a very fast-rising upward curve in case numbers. Most Fijians are already taking this threat seriously. You have our thanks. But “most of us” is not enough. Every Fijian must act responsibly, wash your hands often and stay at home. We still have too much movement among the public. Please stay at home, stay still. If there’s one measure that matters more than any, it is that: Stay Home. It is where all of us are safest. And if there is one message I ask everyone watching to help us spread, it is to encourage others to stay home.

If you have an absolutely essential reason to leave the house, wear a mask at all times and turn on your careFIJI app everywhere you go. If you feel unwell, call 158 or visit your nearest screening clinic. If you see crowding happening, don’t add to the problem. Stay away. Stay away as if your life depends on it — it very well may. Crowds aren’t always easy to predict or manage. We know that. We had some crowding issues today outside of this very building. We will be leading by example by offering services from different locations and moving more services online. Essential businesses should follow that lead. If you see crowding, shut your doors, or we will have to ask the authorities to assist you.

In the meantime, our mass public screening is benefitting from people staying at home. We’ve completed the first round of screening in Narere and Cunningham, and have screened over 95% of target populations in Wainivula, Caubati, Tacirua and Makoi, with 144,747 people screened across Viti Levu and many more thousands to go. These screenings do work, especially at identifying high-risk contagious cases of COVID-19 — but just because you have been screened doesn’t mean you are clear to flaunt any of our restrictions. Screening is different from testing, and it is far from as effective as a proper 14 days in quarantine. That is why we will be screening high-risk areas multiple times, as someone screened once may well become a viral carrier days later.

Yesterday I saw some photos of a picnic happening in Lami — one of several high-risk areas in the country. It was mostly young people who were having a bit of a “lockdown party”. That should not have happened there. In fact, it should not happen anywhere. Gatherings are not allowed for the simple reason that congregations of any size can become super spreader events. In one photo, I counted 19 people piled on top of one another. Mostly young people. If even one of them was carrying COVID-19, that could easily result in 18 more cases.

Young people are generally thought to be at lower risk of severe COVID-19 — but that does not matter. They are not immune – we have seen from other countries that once a large outbreak takes hold, everyone is affected. Young people can also end up being hospitalised and dying. And many of us also share homes with multiple generations. We have children, parents, and grandparents all under one roof. A young person carrying this highly-transmissible variant of the virus from that picnic to their parents or grandparent — someone with a much higher chance of losing their life. This is a fact: Something as simple as a picnic could get people killed. That is why I’m asking every mother and father in Fiji to please keep their children at home. The schools are closed, your children are in your care. It is simple to keep track of them — do it.

As I mentioned yesterday, travel through containment areas is highly restricted. We are not issuing day passes to anyone for regular travel across the borders.

We have developed new protocols around funeral arrangements. Deaths are never planned, so funerals are sadly unavoidable events. When a death does occur, we will allow the body to be transported to its final resting place through containment area borders. However, we will only allow the vehicle with one driver to cross the border, and that driver must careFiji installed and turned on. The driver will be escorted by corrections officers to ensure they remain in the vehicle the entire time they are within the containment area. Let’s not forget  this outbreak started at a funeral. When these events are held, we all have to be very disciplined about wearing masks, maintaining physical distance, and ensuring no more than 20 people attend.

We have also drafted SOPs for the cartage of essential goods. Within containment zones, the movement of food and essential items does not require approval. Drivers should, however, wear masks and regularly sanitize their hands. They may carry one passenger to assist with deliveries. This passenger should also wear a mask and maintain physical distance as much as possible while unloading goods. Every single driver and passenger must have careFIJI downloaded, and it must be switched on for the entire time they are within a containment zone — no exceptions.

Between containment zones, it requires approval to transport food and essential items. Requests for passes can be e-mailed to covidpassmoh@gmail.com — I hope that’s easy enough to remember for everyone. If you are approved for deliveries, drivers must wear masks, regularly sanitize and keep a physical distance of two metres from others. Again, careFIJI must be installed and on for their entire day of work.

While within the containment zone, the driver must not disembark the vehicle. They should not even lower the windows. Loading and off-loading must be carried out by individuals at the delivery destination. We’ll be publishing the full guidance for containment zone deliveries on the Ministry website and the Fijian Government Facebook page.

These and the rest of our containment protocols can be demanding; we know that. These restrictions are very nearly measures of last resort. They are in effect because lives depend on their being enforced. We do not recommend these measures lightly.

Our goal is the same as yours: To have things back to normal as soon and as safely possible. Please know that the single easiest, most effective way you can help is to stay at home.

Even with COVID in our midst, Fijians still need medical care to treat a range of illnesses. Some of which are just as deadly, if not more, than the coronavirus. Our hospitals are open, and care is being provided in a manner that does not pose a risk of viral transmission, But we do face some shortages of essentials. Some are beyond our control as a result of global supply chain disruptions. There’s one we can solve together. Right now, we face a shortage of blood for transfusions. I want everyone to know that if you can donate blood,  it is safe to do so. If you have been partially-vaccinated, you can still give blood. So please keep an eye out for opportunities to do so — we will make sure those details are widely published.

My teams will work through the night to give us all a clearer picture of where we stand with regards to these new cases. If you are called upon, please cooperate with them. They are there to help.

Thank you.

PS Health – Press Statement 28-04-2021

Statement by Permanent Secretary for Health and Medical Services Dr James Fong.

Bula Vinaka.
I’ll start today with better news –– we’ve added some invaluable new tools to our arsenal that will help us expand, and quicken, our COVID-19 laboratory testing. As of 9:00 this morning, we have received four new GeneXpert machines, which together have the capacity to run 384 extra COVID-19 tests in 24 hours.
Combining this with our existing capacity we are now able to run at least 1,128 tests per day right here at home. That expanded capacity will prove critical as we look ahead, and target our tracing efforts on proven, positive cases. And we’re already putting them to good use.

Where we stand today, after 685 laboratory tests and 20,201 in-person health screenings yesterday, we have two new cases of COVID-19 to report.
One patient, our 110th, is of some concern, and it will require additional investigation into his contacts to determine if he is definitively linked to other active cases. He is a 53-year old caretaker of the Ra Provincial Office, and he showed symptoms of COVID –– in his case, those were body aches –– when he visited the Nanukuloa Health Centre on 24th April. He has been moved securely to the isolation ward at Lautoka Hospital, per standard operating procedure.
First of all, I want to thank this Fijian. He felt symptoms, and he reported them. That was the exact right thing to do. He’s now getting the care he needs and he no longer poses a threat to anyone. His family members have been swabbed. And Fiji is a safer country because of it.

All of his family members have been quarantined at the Ra Special school with Police officers providing security at the facility. The Fiji Police Force has also established Naiserelagi Village, Nanukuloa Village, and Dokonavatu Settlement as containment zones. Fifty primary and secondary contacts were identified and screened for fever and symptoms. All households in Nanukuloa Village, Naiserelagi Village, and Dokonavatu Settlement have been informed to stay home until further notice.

There are others out there who may have had contact with this individual. We need all Fijians living in the Rakiraki area to be alert to any potential COVID-19 symptoms; and if you’re feeling unwell, follow this man’s example and either visit your nearest screening clinic or dial 158 for the Ministry of Health to come to your home to check on you. There are screening clinics at the Rakiraki Divisional Hospital tent, Nasau Health Centre, Namarai Health Centre, Nanukuloa Health Centre, Nasau Health Centre, and in Rakiraki Town, there is a Screening tent erected just opposite the police station. And wherever you go, turn on the careFIJI app.

The second of today’s new cases are more clear-cut: A 25-year old male who had stayed at the house of the lady from Makoi, our 95th case. We established that he was a close contact through our contact tracing, and we tested him because of that close contact despite the fact that he had no symptoms. He stayed in Makoi from the 12th to the 19th of April and he went to Vunimono, Nausori where he was retrieved and swabbed. We have 4 teams facilitating contact tracing based on his travel history. He has been securely transferred to an isolation unit in Colo I Suva. His primary contacts are also quarantined at the Colo I Suva.

This is an important point to understand. Effective contract tracing allowed us to catch this man’s infection early and stop further spread of the Makoi cluster. So please remember to cooperate fully with our contract-tracing teams when they call on you. Give them thorough information about your movements and the people you have come into contact with. This protects you and your fellow Fijians.

That brings the total number of known COVID cases in Fiji to 111 since our first case was detected on March 19th, 2020. 44 of these cases are currently active and isolated.

We remain in a period of nationwide containment, but these two latest clusters indicate to us that this virus has spread to localities in several different areas of Viti Levu. These two weeks will define the next two months for Fiji, and we all need to behave like we have COVID, even if there are no known cases in our community or we are showing no symptoms of the virus. By doing so –– and thereby wearing masks, staying at home, and turning on your careFIJI app –– you’re saving lives.

To aid our contact tracing, the full list of focal points of our contact tracing will be advertised in the newspapers and posted on the Fijian Government Facebook page. Fijians who were present at any of the following locations at the following times should call 158.

With every new case, this crisis takes on a new, more personal meaning for more Fijians. Not only for family members, but for neighbors, and for entire communities. Most of us have heard the basic rules for staying safe before. But many of us may have had a false sense of security through our long period of national COVID-containment, and we may have let down our guard, so they bear repeating:

• Rule number one is to stay home unless you have an essential reason to leave.
• You should not mix with anyone who doesn’t share your home with you.
• No sports of any kind should be played.
• Save for small funeral ceremonies, no non-work gatherings of any size should take place. In fact, you should not come within two meters of anyone if you can help it.
• Anywhere you go outside of your home, you should have on a mask or face covering.
• Wash your hands well and often. Use sanitizer when you see it.
• Businesses that are not on the list of essential services should close.
• You should not share takis, bilos, or cigarettes. Any person-to-person interaction — even a maskless conversation — can put you at risk.
• And please download careFIJI, and keep it switched on when you are in public spaces. It does not sap data and battery. All it requires is your personal commitment to use it.

A lot of people are asking us to make more of our measures and advice compulsory. Some things can be mandated. We can establish a checkpoint at a certain junction. We can require people to wear masks. But do we really think the government can check every phone, home, and workplace in the country? We can’t.

But you — as members of the public — can make these things compulsory for yourselves. If we all take personal responsibility and make ourselves accountable for following these rules, we won’t need further action by law enforcement–and we will defeat this virus once again.

Every Fijian should live by a personal mandate to wash their hands, wear their masks, download careFIJI — AND MAKE SURE IT IS TURNED ON — and keep their physical distance from others. The Ministry cannot make you do all of these things all of the time. Only you can. The Ministry cannot barricade the doors of your home, but you can control who enters and exits. My teams cannot stand over you and count the seconds you take to wash your hands; only you can make sure you wash your hands thoroughly.

We are also strengthening movement restrictions between containment areas from today. Everyone has had ample time to return to where they reside, so we don’t expect public vehicles such as taxis and buses to cross containment area borders. As of now, all passes to facilitate movement across containment zones will be issued by MOHMS. This will be reserved for medical emergencies and other exceptional circumstances, including funeral arrangements. The list of dialysis patients is also at the border with the police teams. However, we strongly encourage these patients to enter and stay within the lockdown for the next 14 days. The exchange of food and medicines supply can be facilitated at the border provided delivery arrangements to the border and from the border to the recipient is organized by requesting party.

There is a reason we have kept supermarkets, banks, and pharmacies open — it is so people can acquire essentials, like food to eat and medicine they need. Within containment areas, we are working with the private sector to ensure every Fijian has access to what they need within the containment area in which they reside. No one should have any excuse to leave a containment area to access these essential services.

There’s a great deal of frustration among the public, and on social media, aimed at the quarantine guards that were at the epicenter of this latest outbreak. Please, this is not a time for finger-pointing or blaming. The fact that quarantine guards, who were on the front lines of containing COVID for a full year, suffered a lapse that allowed the virus to escape into Viti Levu is evidence of how unforgiving this virus is of even the smallest lack of care or act of forgetfulness. If it can happen to them, it can happen to you. So please be vigilant. And be relentless in following the procedures the experts have laid out for staying safe.
We all want this to be over as soon as possible. To make that happen, we need everyone to stay at home. The more of us do, the better chance we have at becoming COVID-Contained again.

Across the country, many Fijians — out of concern for themselves and those they love — are taking our advice to heart. I was sent some photos today from Serua Province of community leaders implementing lockdown measures to protect the families in the area. No one mandated them to act. They’ve done so for the simple reason that they care about protecting their communities.

Our Hon Prime Minister wants to be sure this message reaches every Fijian who needs to hear it, so he has asked that this entire statement be translated into the vernacular languages. I encourage leaders looking to inspire urgency within their communities to share our messages, and then do one better by seeing our health measures enacted at the community level.

There are still people who think they won’t be affected. Plenty of people around the world thought the same before COVID devastated their countries. Their tragedy is our teacher. That lesson should not fall on deaf ears. We have to deal with the reality we face — and we face a very real threat to the lives of thousands of Fijians. Some of that threat is still unaccounted for and none of us are immune from its terrible consequences.

But there is also hope on the horizon. Our latest batch of COVID-19 vaccines are in the country, we are administering them to targeted high-risk groups as I speak. More shipments will come. More Fijians will be protected. But until the day we achieve herd immunity, our health measures must be followed by everyone. After 30 days of decisive containment last year, we’ve seen what short-term sacrifice can deliver for the country — we spent an entire year free from this virus in our communities.

I can’t promise these sacrifices will pass as quickly. But I can promise you this: They will save lives. So follow them. Help us keep Fiji safe.

After Dr. Aalisha provides an additional update on our cases, we’ll be taking questions. Rather than re-tread any ground we’ve already covered — as has become a time-wasting habit –, we’re asking media organizations to pose one question each. Please, let’s make it focussed on medically verifiable reality.
COVID-19 Update – 28-04-2021

Media Release
COVID-19 Update

Wednesday, April 28th 2021

As announced by the Permanent Secretary for Health and Medical Services today, we have 2 new cases to report.

The first case is a 53-year old caretaker of the Ra Provincial Office. This case will require additional investigation to determine if he is linked to other cases. He has been moved securely to the isolation ward at Lautoka Hospital, as per our protocol for positive cases. Contact tracing investigations are underway and his household contacts have been quarantined. Please see the Permanent Secretary’s statement today for more information.

The second case is a 25-year old male household member of a previously confirmed case, the lady from Makoi. He stayed in Makoi from April 12th-19th, after which he went to Vunimono in Nausori. We established that he was a close contact through contact tracing and he was tested. He has been securely transferred to the Navua hospital isolation ward and the Vunimono household members have been quarantined. Contact tracing investigations are underway for this case.

With these latest cases, there are now 44 active cases in isolation. Five are older border quarantine cases announced before Sunday, April 18th. Thirteen are recently announced border quarantine cases, 25 are locally transmitted cases, and 1 is under investigation.

Total active cases in isolation = 44 (18 border quarantine cases, 25 locally transmitted cases, 1 under investigation)

Fiji has had 111 cases in total, with 65 recoveries and 2 deaths, since our first case was reported on March 19th, 2020.

A total of 49,362 COVID-19 laboratory tests have been conducted, with a daily average of 839 tests per day over the last 7 days, and a weekly average of 3485 tests per week over the last 2 weeks, with a record 5169 tests done last week. Testing has increased in line with the response to the recent local cases, with 685 tests conducted yesterday. Testing is expected to increase with today’s delivery of 4 new GeneXpert machines. Our overall test positivity is 0.2% and our 7-day average daily test positivity is 0.6%.

-ENDS-

 

COVID-19 Update – 27-04-2021

Media Release                                                                 

COVID-19 Update

Tuesday April 27th 2021

As announced by the Permanent Secretary for Health and Medical Services today, we have 6 new cases to report.

The six cases were detected among Fijians who are currently in quarantine or isolation facilities. Four of the six new cases come from soldiers completing 14 days quarantine in a government supervised border quarantine facility after recently returning from overseas duties.

The next two cases were confirmed among family members of the lady from Wainitarawau in Cunningham. These family members have been admitted in the Navua isolation unit since Wednesday April 21st and tested negative on their first 2 tests in quarantine. As they have now tested positive after 5 days in quarantine they are not considered a transmission risk to the public

With these latest cases there are now 42 active cases in isolation. Five are older border quarantine cases announced before Sunday April 18th. Thirteen are recently announced border quarantine cases, and 24 are locally transmitted cases.

Total active cases in isolation = 42 (18 border quarantine cases and 24 locally transmitted cases)

Fiji has had 109 cases in total, with 65 recoveries and 2 deaths, since our first case was reported on March 19th 2020.

A total of 48,677 COVID-19 laboratory tests have been conducted, with a daily average of 777 tests per day over the last 7 days. Daily testing has increased in line with the response to the recent local cases, with 510 tests conducted yesterday. Our overall test positivity is 0.2% and our 7 day average daily test positivity is 0.7%.