The Corona Virus Control and Control Center in Dubai has identified four justifications for adopting alternative systems for sanitary isolation in the emirate, which are: the optimal use of health services, simple symptoms of the virus on the injured, the positive impact on the mental health of patients, and the high costs of sanitary isolation, and set guidelines for the application of isolation Domestic, standards and mechanisms for application and requirements for the protection of residents with the patient, clarification of risks and how to prevent them.
In detail, the Guidance Manual on Quarantine and Home Quarantine during the Corona Virus Pandemic, issued by the center, which was circulated to government and private health authorities, adopted four justifications for adopting alternative systems for sanitary isolation in the emirate: the first is the optimal use of health services available by directing them to the groups most in need, and the second The majority of cases infected with «Covid 19» are either without symptoms or simple symptoms, so that the patient can recover from them with supportive measures and do not require admission to the hospital, where many patients of this category prefer to complete sanitary isolation in their homes.
The third rationale is the positive impact on the mental health of patients by being at home, which enhances the recovery process, and the fourth rationale was that when assessing the cost versus the benefit, it becomes clear that the costs resulting from the allocation of buildings for insulation are high, especially if the buildings are rehabilitated to be suitable for patients And provide the resources needed to manage them, in contrast to the majority of cases being stable cases, and these costs can be used to treat critical cases and expand the capacity of health facilities to do so.
The guide set criteria for the application of home isolation for "Covid-19" patients, the most prominent of which is that home isolation can be applied to patients with stable condition, who do not have symptoms or have simple symptoms, provided that the home is free from individuals most at risk of health, based on The initial evaluation of the medical response team, and the patient's home should be suitable for home isolation.
The evidence revealed procedures for domestic isolation of confirmed cases of "Covid 19", where it begins by conducting a "PCR" test for any suspected case, i.e. the presence of a patient suffering from respiratory symptoms with or without high temperature, and several criteria apply to him, including: "Travel outside the state During the past 14 days, or contact with a confirmed case of the virus during the past 14 days, also in the event that the patient lives in an area where confirmed cases (Covid 19) have been confirmed, or the presence of flu symptoms without a travel history or any type of friction with confirmed cases ».
A patient suspected of quarantine at home is obligated to show the test result, and if the result is negative, the result is received by text message, and the quarantine period ends except for the case in contact with the confirmed case of “Covid-19”, where 14 days must be completed in the quarantine. Regardless of the negative result of the test, with confirmation that the person follows his health, and in the event of any comprehensive symptoms such as a rise in temperature equivalent to 37.5 degrees Celsius or higher, the person should contact the Dubai Health Authority hotline at 800342 or consult the nearest health center Or a hospital for health assessment and re-examination.
In the event that the result is positive, the patient receives a text message on the result with instructions explaining the mechanism of home isolation and the hotline number, and the health response center calls the patient directly to inform him of the result, assess the condition, and verify by phone the suitability of the case for home insulation.
According to the evidence, if the condition is evaluated as moderate, severe, or critical, coordination of transferring the patient to the hospital is carried out directly, and in case the case does not comply with the conditions of home isolation, the patient is transferred to institutional isolation, and if the case is evaluated as a stable condition that has no symptoms Or its symptoms are simple.
After confirming the compatibility with the conditions of home isolation, the patient is given the freedom to choose the home insulation, while obliging the patient to download the COVID19 DXB smart application, registering therein, and requesting the signature of a declaration and a pledge regarding strict adherence to the rules and conditions of home isolation by the patient or a relative supervising his condition if the patient is a minor Where you can sign electronically in the smart application, direct the patient and provide the necessary instructions, as well as direct the individuals living with the patient to prepare for domestic isolation, and the patient is monitored remotely regularly through the smart application.
The same mechanism is also applied to cases that complete home isolation after starting isolation in the hospital or in a facility (building or hotel), and start is after the 14-day period since the first health exhibitor appears for patients who have symptoms, and it is possible to know the date of the first health exhibit or since The date of the first examination of «Covid-19» is positive from the date of the examination and not the date of obtaining the result, for patients who do not have symptoms or have symptoms and can know the date of the first health symptom.
In the event that the patient does not want domestic isolation, institutional isolation can be available according to conditions that include them bearing the cost of staying in institutional isolation, and providing institutional isolation in buildings or hotels according to the available capacity, and the employer is responsible for providing institutional isolation for its employees.
4 justifications
Dubai's Corona Virus Control and Control Center has identified four
The justifications for adopting alternative systems for sanitary insulation are:
Optimal use of health services.
The minor symptoms of the Corona virus are infected.
- The positive impact on patients' mental health.
High costs of sanitary insulation.
The basics of applying a home insulation
The guide revealed the basics that must be available for the application of home insulation, as a telephone evaluation of the patient's readiness for home insulation is carried out by the response team, and includes several criteria: the availability of a separate room with a private bathroom, and the stability of the health condition of the patient and its residents with regard to health risks such as Patient over 60 years old, critical heart disease, diabetes, irregular high blood pressure, lung or respiratory disease, chronic kidney disease, kidney failure, chronic liver disease, cancer, patients taking biological or immunosuppressive drugs, patients who have undergone a transplant Members, people with obesity in any age group, and people with disabilities who have determination. The patients who meet the aforementioned serious conditions are excluded from the home isolation, unless the condition is proven stable and the suitability of the home isolation according to the medical evaluation. The basics of applying domestic isolation include the need to ensure the availability of the necessary means of communication for residents with the patient, especially the availability of an effective phone to communicate, and to ensure that the patient and the individuals living with him are highly qualified to adhere to the precautions that will be recommended as part of the domestic isolation, such as maintaining a level High in personal hygiene, especially hand hygiene, good practices when coughing or sneezing, ocean cleanliness, and the importance of restricting movement at home.
• Home isolation applies to patients with stable condition who have no symptoms.