Abstract

BackgroundThe coronavirus disease 2019 (COVID-19) outbreak within China has been well controlled and stabilized since early April 2020. Therefore, the current major focus in China is to prevent the introduction of COVID into China from international arrivals. To achieve this, pre-Hospital COVID-19 Response Teams (pHCRTs) have been established.ContextThe pHRCTs were established in Xi'an, China in early 2020. During the 12 months covered in this report, there were 356 international flight arrivals with over 5,000 COVID-19 Nucleic Acid Test (NAT) positive people, 500 of them with symptomatic COVID-19 and requiring admission to special hospitals. All other arrivals were managed in dedicated facilities by pHRCTs. The outcome measure of this report was the number of positive cases among the pHRCT members.DetailsFour hundred forty-two staff worked in the pHCRTs during the reporting period. Despite multiple throat swab PCR tests during their pHRCTs tour of duty, and the subsequent mandatory 14-day quarantine required before return to the general community, no staff became NAT positive.ConclusionThe prevention of community transmission from imported cases is a vital part of the strategy to maintain the low numbers of cases in countries which have achieved control, or suppression of local internal cases. The program of pHCRTs described in this article gives successful protocols for transportation of patients who are infectious based on the minimal transmission of virus and staff safety. The strategies employed may prove useful in future pandemics.

Highlights

  • The coronavirus disease 219 (COVID-19) outbreak within China has been well controlled and stabilized since early April 2020, with less than 10 locally occurring cases reported daily since mid-March [1]

  • While China has many airports capable of receiving international flights, 12 of them were designated as transfer cities for airlines to Beijing to facilitate an effective strategy to prevent introduction of the virus into Beijing

  • Coronavirus disease 2019 (COVID-19), a respiratory disease caused by the SARS-CoV-2 virus, was declared a pandemic by the WHO on March 11, 2020

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Summary

Background

The coronavirus disease 2019 (COVID-19) outbreak within China has been well controlled and stabilized since early April 2020. The current major focus in China is to prevent the introduction of COVID into China from international arrivals. Pre-Hospital COVID-19 Response Teams (pHCRTs) have been established. Context: The pHRCTs were established in Xi’an, China in early 2020. During the 12 months covered in this report, there were 356 international flight arrivals with over 5,000 COVID-19 Nucleic Acid Test (NAT) positive people, 500 of them with symptomatic COVID-19 and requiring admission to special hospitals. Details: Four hundred forty-two staff worked in the pHCRTs during the reporting period. Despite multiple throat swab PCR tests during their pHRCTs tour of duty, and the subsequent mandatory 14-day quarantine required before return to the general community, no staff became NAT positive

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