Following new data obtained from Singapore that shows that RNA detected beyond 10 days is no longer infectious as no viable virus is grown by viral culture, the Nigeria Center for Disease Control(NCDC) said Covid19 patients will no longer be required to test negative before they can be discharged.

Director General of NCDC, Dr. Chikwe Ihekweazu, who made this disclosure during the presidential Task force on covid19 press briefing, today June 4, in Abuja said, patients showing symptoms would be discharged as far as they stop showing symptoms, they would have to be in self isolation at their various houses.

He also stressed the issue of Personal Protective Equipment(PPEs), he said, both public and private hospitals to procure their own PPEs and factor it into the cost for healthcare delivery

“There have been new science emerging about the duration of infectivity of individual patients. It led to the WHO issuing new clinical guidelines.

“We then convened colleagues across our organisation, the department of hospital services of the Federal Ministry of Health, as well as other colleagues with whom we work, to review our guidelines and issue new guidelines for the country and of course adapting it to local circumstances.

“The key thing is that the management of COVID-19 will be made primarily supportive; we don’t have any treatment so far that has any proven impact on morbidity.

“One of the major changes that have happened is the discharge criteria. While these guidelines are obviously and primarily targeted at physicians managing patients, it is important that patients and people know. There are two groups of patients – symptomatic and asymptomatic patients.

For symptomatic patients, they may now be discharged at least 10 days after symptoms onset and at least 3 days without symptoms. If your symptoms last for longer, we will wait for longer managing you supportively.

“If you are asymptomatic, you can be discharged 14 days after your first positive test. So, we no longer have to wait for a negative test to discharge. This way you can go home with confidence that you are no longer infective and you’re not putting your family and friends or anyone else at risk.

“We are not encouraging that people be discharged while they are still symptomatic. We are talking about discharging people that are asymptomatic and have recovered. That is, you are symptomatic and have recovered or you are completely asymptomatic throughout your clinical episodes.

“At that point you really don’t need more clinical interventions, even at home; you just need time to recover. It is just like you recover from any other illness. You don’t need any special intervention once you have been discharged.

“Change is difficult because we have been saying you have to have the negative test. Even though we have published these results, many physicians are still not using them. We can assure them and everyone managing cases that 14 days after, in fact, 10 days is what the evidence says.

“But we have added 14 days to make it two weeks for people to then implement discharge for patients that are asymptomatic.”

He further added: “In addition, we have also removed the use of antivirals from our treatment guidelines. The trial for Chloroquine and Hydroxychloroquine will go on.

“We are asking that we limit the use of these medicines to those trial settings and not use them casually around the country. Let us reduce the use of Chloroquine and Hydroxychloroquine and all the other antiviral previously on our guidelines to contexts where clinical trials are going on.

“So, we have withdrawn them from the guideline from management. However, we have kept them within the clinical trial so that we can study and see whether they work or not. That is really the rational approach to this.”

He said, “Our hospitals both public and private, really need to include the purchasing of personal protective equipment in their procurement plans. These are things that they have to buy to keep their hospital going.

“What we are doing now is simply a response to an outbreak – managing logistics, sending around PPEs across the country. This is definitely not what we should be doing as a country. So, that has to change as we refigure our health system to include this.

“Yes, these things are expensive but you have to include it. Healthcare can become expensive but whatever the cost, it has to be factored into the cost of delivering healthcare. There is no point in having a doctor or a nurse working if they cannot have the personal protective equipment that they need.

“We need to push harder as doctors, nurses, medical lab scientists, to ensure that there is running water in our clinics, and insist on these things.

“Patients are encouraged to ask questions of their doctors when next he or she wants to attend to them without a face mask or hand glove.”


Source: https://insidenaija.com.ng/2020/06/04/covi19-patients-will-now-be-discharged-without-testing-negative-says-ncdc/

last last, na shamdemic

I think they don't know how to end this horror movie... Everything is gradually turning to scam, very soon we will hear "Nigeria have been declared coronavirus free...

They are tiring..

This is good news coronavirus is actually deteriorating and going the same way it came

Slynation:
I think they don't know how to end this horror movie... Everything is gradually turning to scam, very soon we will here "Nigeria have been declared coronavirus free...

Amen , I pray so too
so that we can regain our hands back. imagine one cannot even clean his/her face again outside because of fear for coronavirus

What if those asymptomatic patients can spread the disease to others?

The ought to be tested negative before being discharged. I don't understand what is going on..

blovesther:
Amen , I pray so too
so that we can regain our hands back. imagine one cannot even clean his/her face again outside because of fear for coronavirus

Lol... As for me, I have been living my normal live before the pandemic

Ejenavi18:
What if those asymptomatic patients can spread the disease to others?

The ought to be tested negative before being discharged. I don't understand what is going on..

Bros don't worry,NCDC knows what they are doing...The Malaria patients are going back home

Slynation:

Lol... As for me, I have been living my normal live before the pandemic

hmmmm for real? fear catch me oooo

Ejenavi18:
What if those asymptomatic patients can spread the disease to others?

The ought to be tested negative before being discharged. I don't understand what is going on..

from my understanding here, the virus is no longer contagious (cannot infect another) after 10days and this I think will also save them the cost of retesting

Ejenavi18:
What if those asymptomatic patients can spread the disease to others?

The ought to be tested negative before being discharged. I don't understand what is going on..

One can only spread if actively shedding viruses, and from studies this has been shown to stop after about 10 days after infection. So it makes no point still keeping them.

It's not unusual btw. Other viruses follow similar pattern.

HIV for instance, has reached a level such that when the viral level become very low, even though still positive, the person cannot transmit it.

kk

blovesther:
from my understanding here, the virus is no longer contagious (cannot infect another) after 10days and this I think will also save them the cost of retesting

bjtinz:


One can only spread if actively shedding viruses, and from studies this has been shown to stop after about 10 days after infection. So it makes no point still keeping them.

It's not unusual btw. Other viruses follow similar pattern.

HIV for instance, has reached a level such that when the viral level become very low, even though still positive, the person cannot transmit it.

Alright, thanks I understand better now..

From compulsory two negative tests before discharge they reduced it to one. Now its not even necessary to test negative again before they discharge you. What's next, reducing your stay in the isolation center to 7 days instead of 14? Or just checking your temperature and sending you back home same day you were admitted?

thesicilian:
From compulsory two negative tests before discharge they reduced it to one. Now its not even necessary to test negative again before they discharge you. What's next, reducing your stay in the isolation center to 7 days instead of 14? Or just checking your temperature and sending you back home same day you were admitted?

wow


https://www.youtube.com/watch?v=rIE6rC7GJ-E

thesicilian:
From compulsory two negative tests before discharge they reduced it to one. Now its not even necessary to test negative again before they discharge you. What's next, reducing your stay in the isolation center to 7 days instead of 14? Or just checking your temperature and sending you back home same day you were admitted?

I think it's to save bed spaces especially for patients with moderate symptoms. They could still test you later but this creates room for other patients and from what they say asymptomatics are giving them hard time.

SirWarlock:
I think it's to save bed spaces especially for asymptomatic patients. They could still test you later but this creates room for other patients and from what they say asymptomatics are giving them hard time.

What?

Kobojunkie:

What?

??

SirWarlock:
??

Are you saying the NCDC is doing away with second precautionary testing primarily to save bed spaces?

r

This people are approaching this thing the wrong way
Make Dem kukuma tell us they want everyone to be infexted