INFORMATION LEAFLET

INFORMATION LEAFLET FOR A PERSON ISOLATED AT HOME OR OTHER PLACE OF RESIDENCE, SUSPECTED OF HAVING COVID-19 (CORONAVIRUS INFECTION),
AND FOR A PERSON WHO HAS BEEN EXPOSED TO SOMEONE WITH COVID-19 (CORONAVIRUS INFECTION)


Please be informed that:

  • you are suspected of having COVID-19 (coronavirus infection). You can continue to receive outpatient treatment in strict accordance with the rules set out in this Information Leaflet for a person diagnosed with COVID-19 or person suspected of being sick isolated at home or in another place of residence.
  •  you have been exposed to someone with confirmed COVID-19 (coronavirus infection) for a period of 14 days or have been in a foreign country (you have been exposed to pathogens that transmit COVID-19 (coronavirus infection). To prevent the possible spread of infection, you must remain at home (isolate), strictly follow the rules of isolation in this home or other place of residence set forth in this Information Leaflet, and be available throughout the isolation period by telephone and via e- mail.


What is coronavirus?
Coronaviruses are a large group of viruses that can cause a variety of respiratory diseases. Coronaviruses usually cause mild or even asymptomatic infections, but can also cause more serious illnesses.

How is this infection transmitted?
It is known that COVID-19 (coronavirus infection) can be transmitted from person to person, usually through close contact with a sick or infected person with coronavirus infection (e.g. at home or at work, at the healthcare facility).
The virus can also be transmitted through droplets of airway secretion when a person coughs or sneezes. There is evidence that the virus can also be transmitted by the oral-faecal route (e.g. through dirty hands).

Why isolation at home or another place of residence is needed?
The main purpose of isolation at home or in another place of residence is to prevent the spread of infection and the emergence of new cases. Until effective vaccines and drugs are available, isolation of sick individuals and universal hygiene measures are the most important ways to control this infection. Although people are more likely to be infected when symptoms occur, it is suspected that some people may transmit the virus before symptoms appear, so isolating a person who has been exposed to COVID-19 (coronavirus infection) is important to prevent the disease from spreading.

If you are suspected of having COVID-19 (coronavirus infection), how long can your isolation take?
If you receive a positive laboratory tests for COVID-19 (coronavirus infection), you will be hospitalized or isolated at home, depending on your condition, and you will be given all the information you need. If your laboratory test is negative, you must continue the isolation until instructed to do so by your GP (general practitioner).

If you had been exposed, does that mean you are infected?
This does not mean that you are infected, but this possibility cannot be ruled out. Each contagious disease is characterized by a certain incubation period, that is, the period from the onset of the infectious agent into the body until the onset of symptoms of the disease. According to current data, the incubation period for COVID-19 disease (coronavirus infection) can be up to 14 days.

What is the term of isolation?
Isolation and health surveillance shall be used to provide timely and qualified care and appropriate infection control measures:
• persons suspected of having COVID-19 (coronavirus infection), until a laboratory test for COVID-19 (coronavirus infection) is received;
• for people who have been exposed to COVID-19 (coronavirus infection) for 14 days from the last day of exposure. The isolation period may be shortened for the groups of persons specified in Sub-paragraph 84.3 of the Rules after a laboratory test for COVID-19 disease (coronavirus infection) has been performed not earlier than on the 10th day of isolation and if a negative result has been obtained;
• for exposed persons returning from abroad - 10 days from the day of arrival / return to the Republic of Lithuania, if the test for COVID-19 disease (coronavirus infection) is not performed, or until a negative laboratory test result for COVID-19 disease (coronavirus infection) is obtained, if such test is performed in Lithuania;

What are the symptoms?
Clinical signs of COVID-19 disease (coronavirus infection):
Fever
Cough
Difficulty breathing
Loss of taste and smell

If you have been exposed to COVID-19 (coronavirus infection) or have arrived / returned from abroad and had at least one of the following symptoms during the isolation period, call the Coronavirus Hotline immediately at 1808. Provide the circumstances of the illness (it must be stated that you have been exposed to someone with confirmed COVID-19 (coronavirus infection) or been abroad for 14 days) and follow the doctor's recommendations.

How to behave after a 14-day period?
If there are no symptoms within 14 days from the last day of exposure / return from a foreign country, you are no longer considered to be at risk and may return to normal life.

PRINCIPLES OF ISOLATION IN A HOME OR OTHER PLACE OF RESIDENCE

●    Do not leave isolation place, except in the cases referred.  without the permission of a healthcare professional. If tests are required to be performed or in other cases, it is prohibited to travel to or from the isolation place by a public transport.
● A person arriving / returning from a foreign country may go for a walk in the field within 1 km of the isolation place and wearing protective equipment (face masks, respirators or other means) covering the nose and mouth. It is forbidden to visit places where people gather (events, shops, museums, catering places, etc.). If the person is contacted by officials inspecting isolated persons for compliance with isolation requirements, the person must return to the isolation place.
● For people that have been exposed to someone with confirmed COVID-19 (coronavirus infection), who do not show signs of an acute viral respiratory infection and are unable to pass on the care of pets, may walk the pet for a maximum of 15 minutes while wearing protective equipment (face masks, respirators or other means) covering the nose and mouth at all times and avoiding any contact with other persons. It is forbidden to visit places where people gather (events, shops, museums, catering places, etc.). If a person is contacted by officials inspecting isolated persons for compliance with isolation requirements, the person must return to the isolation location immediately.
● Stay in regular contact with the healthcare professional that is currently taking care of
you.
● Do not accept guests / visitors at all times during isolation.
● Take care of food and other necessary facilities remotely - ask friends or relatives or contact
companies that provide necessary facilities or food delivery services, if this is not possible, these
services should be provided by the municipal administration.
● If your prescription needs to be extended, contact your GP remotely.
● If you have scheduled visits to specialist doctors, dentists, change the date of the visit to a later date.
● Measure your body temperature daily and monitor your condition due to difficulty breathing *. If your condition deteriorates, contact the Coronavirus Hotline at 1808.
* Often shortness of breath is of psychological origin. It is important to assess whether resting breathing (more than 20 rpm) or shortness of breath persists at rest.


CONDITIONS FOR ISOLATION IN A HOME OR OTHER PLACE OF RESIDENCE

Conditions required for isolation in a home or other place of residence:
•     a person suspected of being ill must be isolated in a separate apartment / house, on a well-isolated other floor of the individual apartment / house with a separate bathroom or in a well-ventilated room (i.e. with windows that open and doors that shut tightly). Family members who have already lived together at the onset of signs of an acute respiratory infection may live together, but healthy individuals must live in another well-ventilated room;
•    a person who has been exposed to someone with confirmed COVID-19 (a coronavirus infection) or an exposed person, when returning from a foreign state, must be isolated in a separate apartment / house on a well-isolated other floor of an individual apartment / house with a separate bathroom. If the following conditions are not possible, the exposed person may be isolated in a separate, well-ventilated room (i.e. with windows that open and doors that shut tightly):
•    non-exposed persons may live with an exposed to COVID-19 (coronavirus infection) person if they agree to live together. In this case, exposed and non-exposed persons must live in separate, well-ventilated rooms, restricting movement within the home and reducing sharing of common space;
•    persons exposed to COVID-19 returning from a foreign country may live in the same house / apartment with non-traveling family members or other persons, if they agree to live together. In this case, travelers and non-travelers must live in separate, well-ventilated rooms, restricting movement in the home, and reducing sharing of common space.
•    In exceptional cases, in agreement with the NPHC, persons who had been exposed to others  with confirmed COVID-19 (coronavirus infection) who lived with the patient before the COVID-19 (coronavirus infection) was diagnosed, may live in the same apartment / house as the sick one, provided that the sick or persons who have resided refuse to be isolated in another place of residence and agree to live together. In this case, the exposed persons and the sick:
•    must be isolated in separate, well-ventilated rooms;
•    must restrict movement in the home and reduce the sharing of common space, make sure that common areas (e.g. kitchen, bathroom) are well ventilated (e.g. keep windows open);
•    it is recommended to limit the number of people caring for the sick person. Ideally, the patient should be cared for by individuals in good health and free of chronic diseases;
•    The sick person, if possible, is recommended to use a separate sanitary facility.
•    The sick person must eat in his own room.
•    Family members living with the patient are exposed persons who are required to
isolate for 14 days after the last day of exposure.


The following environmental and personal hygiene requirements must be ensured:
1. Dispose of the household waste in a rubbish bin with a liquid-tight bag.
2. Wash clothes with normal detergents at 60-90 °C.
3. Wash dishes with hot water and regular detergents or use a dishwasher.
4. Wash your hands often with soap and water. If it is not possible to wash your hands, alcoholic hand sanitizers may be used. Hands must be washed before and after cooking, before eating, using the toilet and when the hands are obviously dirty.
5. After washing your hands with soap and water, dry them with disposable paper towels.
6. If you are suspected of having COVID-19 (coronavirus infection), it is recommended that you wear medical masks to control your airway secretions. They should be worn as often as possible, especially if you have to interact with other people (when picking up food, coming to a healthcare professional, etc.). If you cannot tolerate a medical mask, you must follow the cough-sneeze etiquette - cover your mouth and nose with a napkin when you cough or sneeze, and throw the used napkin in the trash. If you do not have a napkin, cover your mouth with your elbow, not your palm, while coughing or sneezing.
7. If you have been exposed to someone with COVID-19 or have returned from a foreign country, there is no need to wear a medical mask on the premises if you do not feel any symptoms of the disease. Put on a medical mask in case of symptoms of a respiratory infection such as cough, sneezing, and you must go to the hospital by ambulance.
8. Ventilate the premises at least 2-3 times a day (open the windows wide for 10 minutes or ventilate the premises for a few minutes. There must be no people in the premises during this ventilation).
9. Use separate bedding, cutlery, etc. Wash them with soap and water.
10. Clean and disinfect frequently used surfaces in the room on a daily basis, such as bedside tables, bed frames, and other bedroom furniture. Clean with regular soap or cleanser.
11. Clean and disinfect bathroom and toilet surfaces at least once a day.
12. If other persons live together:
12.1. when communicating, wear medical masks covering the mouth and nose, keep a safe distance (at least 2 meters) and minimize contact time as much as possible;
12.2. when in common areas, both the patient and the persons living together must wear medical masks covering the mouth and nose. The mask must not be touched during use. If the mask gets wet or becomes dirty with secretions, it must be replaced immediately. Remove the mask without touching the front surface. The mask should be discarded immediately after use and hand hygiene performed;
12.3. use separate bedding, cutlery, etc.;
12.4. clean and disinfect frequently touched bathroom and toilet surfaces each time
they are used.

 

Last updated: 01-02-2021