Control of COVID-19 in Australia through quarantine: the role of special health accommodation (SHA) in New South Wales, Australia
| Autor: | Teresa Anderson, Miranda Shaw, Penelope Fotheringham, Hannah Storey, Leena Gupta, Joseph Jewitt, Owen Hutchings, Jason Cartwright |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent 020205 medical informatics Context (language use) 02 engineering and technology law.invention Young Adult 03 medical and health sciences 0302 clinical medicine Communicable Diseases Imported law Quarantine Health care Pandemic Epidemiology Health hotel 0202 electrical engineering electronic engineering information engineering medicine Humans Virtual hospital 030212 general & internal medicine Child Aged Aged 80 and over Travel Public health business.industry Social distance lcsh:Public aspects of medicine Australia Public Health Environmental and Occupational Health Infant COVID-19 lcsh:RA1-1270 Health Services Middle Aged Child Preschool Family medicine Female New South Wales Biostatistics business Research Article |
| Zdroj: | BMC Public Health, Vol 21, Iss 1, Pp 1-8 (2021) BMC Public Health |
| ISSN: | 1471-2458 |
| Popis: | Background The first COVID-19 cases were diagnosed in Australia on 25 January 2020. Initial epidiemiology showed that the majority of cases were in returned travellers from overseas. One aspect of Public Health response was to introduce compulsory 14 day quarantine for all travellers returning to New South Wales (NSW) by air or sea in Special Health Accommodation (SHA). We aim to outline the establishment of a specialised health quarantine accommodation service in the context of the COVID-19 pandemic, and describe the first month of COVID-19 screening. Methods The SHA was established with a comprehensive governance structure, remote clinical management through Royal Prince Alfred Virtual Hospital (rpavirtual) and site management with health care workers, NSW Police and accommodation staff. Results From 29 March to 29 April 2020, 373 returning travellers were admitted to the SHA from Sydney Airport. 88 (26.1%) of those swabbed were positive for SARS-CoV 2. The day of diagnosis of COVID-19 varied from Day 1 to Day 13, with 63.6% (n = 56) of these in the first week of quarantine. 50% of the people in the SHA were referred to rpavirtual for ongoing clinical management. Seven people required admission to hospital for ongoing clinical care. Conclusion The Public Health response to COVID-19 in Australia included early and increased case detection through testing, tracing of contacts of confirmed cases, social distancing and prohibition of gatherings. In addition to these measures, the introduction of mandated quarantine for travellers to Australia was integral to the successful containment of COVID-19 in NSW and Australia through the prevention of transmission locally and interstate from returning travellers. |
| Databáze: | OpenAIRE |
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