New Covid phase, when, how and who has to quarantine from Monday?

• Public Health Health will only control the transmission of Covid in those over 60 years of age and those who are mild and asymptomatic will not quarantine

• De-escalation End to restrictions in stadiums: green light for sale and consumption of food and drink in stadiums and pavilions

With the entry into a 'chronic' phase of coexistence with the

, the rules change.

From

, together with the autonomous communities, a new Covid-19 control and surveillance strategy has been developed, which specifies how to act in each case.

Who is considered an asymptomatic patient?

They are those who have been infected with SARS-CoV-2 and do not experience symptoms or these are very mild.

What are the signs or symptoms of suspected Covid?

Among the range of signs are acute respiratory signs that appear suddenly in the last 10 days, such as

, with or without fever.

Other symptoms such as

, among others, can also be considered

of suspected SARS-CoV-2 infection according to clinical criteria.

Are SARS-CoV-2 cases going to stop counting?

No, because all

of the infection are notifiable at all levels.

But there are nuances in accounting communication.

From the public health units of the autonomous communities, the state level will be notified twice a week through the SiViEs surveillance tool (Surveillance System in Spain of the Carlos III Health Institute).

Yes, there will be special surveillance of confirmed cases in

or associated vulnerable areas and serious cases.

The diagnosis of patients with mild symptoms compatible with

will be made according to the clinical management needs of the same.

Surveillance in this transition phase will give way to a consolidated surveillance system for acute respiratory infections that must integrate sentinel surveillance systems.

Will there be a special focus on reinfected patients and the appearance of variants?

cases

are notifiable and must be notified again using the same criteria as the rest of the

.

In addition, genomic sequencing and its integration into surveillance will be reinforced, since it is necessary to be able to detect, characterize and monitor

SARS-CoV-2

Who will undergo an anti-Covid test?

Any person with compatible

and who meets any of the

(diagnostic test for active infection, either PCR or antigen):

• Have

  vulnerability criteria

  : 60 years or older, immunosuppressed and pregnant.

• People related to vulnerable areas

  : people who reside, attend, are hospitalized or work in vulnerable areas (health care centers, social health centers and day centers, penitentiary centers and other centers with institutionalized people), as well as workers who provide support and care to vulnerable people.

• Those who show a picture of acute lower respiratory tract infection

  that requires hospital admission (preferably diagnosed by PCR).

• It is known that it has been in the last 14 days in a region in which a variant of interest

  or concern

  is circulating .

• If after a negative result of a PDIA there is a worsening

  of the clinical picture, a second PDIA will be performed, at least 48 hours apart from the previous one.

What happens if I test positive on an antigen test at home?

It is not indicated to perform a PDIA on people who have a positive result in a self-

test if they do not meet any of the criteria included in the previous question or the symptomatology becomes more

.

And if they don't do the test, what do I have to do?

People who present

and who do not meet the indication criteria for carrying out a diagnostic test should take extreme precautions.

• Reduce social interactions as much as possible

  .

• Constantly use the

  mask and maintain adequate hand hygiene during the 10 days

  after the onset of symptoms.

• Contact with vulnerable people

  and participation in crowded events will

  be especially avoided.

• Whenever possible and if you are not susceptible to temporary disability due to your symptoms,

  teleworking is recommended

  .

If symptoms persist, how does a mild patient go to the doctor?

It is recommended that the person who presents

and who meets the indication criteria for carrying out a diagnostic test,

and stay at home until they obtain the result of the PDIA when be prescribed.

• If this result

  is positive, it will be considered a confirmed case and isolation will proceed.

• If the result is

  negative

  , it is considered that the

  symptoms are not due to Covid-19 and you must follow the instructions

  indicated by the healthcare services.

• If there are

  criteria of severity or poor evolution

  (dyspnea, fever above 38ºC maintained for more than three days...) you

  should contact your doctor or the health system

  in the manner established in the autonomous community, observing in all cases all personal measures of control of the transmission and using, if possible, a private means of transport in the event of displacement.

So when do you have to quarantine from now on?

The new Covid-19 Control and Surveillance Strategy specifies that it must meet the following criteria:

-

.

However, during the 10 days after the last exposure, extreme precautions should be taken and social activity should be reduced, especially contact with vulnerable people should be avoided.

-

.

In the event of a case with compatible symptoms in a resident, the case will be isolated until the PDIA result is obtained.

• If the result is

  positive

  , the

  isolation

  of the case will be maintained, and close contacts will be studied.

  Confirmed cases will be isolated for 5 days from the onset of symptoms or from diagnosis in asymptomatic cases, ending the isolation provided that 24 hours have elapsed after the resolution of symptoms.

  For those with severe disease or immunosuppression, the isolation period will be adapted based on the clinical course.

• The

  social-health personnel

  in which the infection is confirmed will not go to their work center during the first 5 days from the onset of symptoms or from the date of diagnosis in the case of asymptomatic people.

  After this time, and provided that 24 hours have elapsed since the

  disappearance of fever or improvement of symptoms

  , the personnel who have direct contact with the residents will undergo an antigen test and if the result is negative, they will be able to rejoin their Workplace.

  If the result is

  positive

  , it can be repeated every 24 hours.

  The rest of the staff can be incorporated

  after the fifth day

  if the symptoms have disappeared.

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