Covid, the strategy to avoid quarantine at school in 12 points. Differences between vaccinated and unvaccinated [BOZZA PDF]

Covid, the strategy to avoid quarantine at school in 12 points. Differences between vaccinated and unvaccinated [BOZZA PDF]
Covid, the strategy to avoid quarantine at school in 12 points. Differences between vaccinated and unvaccinated [BOZZA PDF]

Here is the strategy implemented by the Ministry of Health and Education, in collaboration with ISS and Regions, regarding the management of the quarantine at school. 12 points to avoid Covid outbreaks in the school environment.

1. Following the reporting of a positive case in the school environment, the COVID-19 school contact person (Ministry of Health circular n. 17167 of 21 August 2020) or the school director, according to the procedure agreed with the Department of Prevention, identifies the possible “school contacts” of the positive case according to the indications given and sends them (or their parents / guardians, in the case of minors) the standardized provisions, prepared in advance by the DdP in accordance with this document, to be undertaken on the basis of this protocol, thus providing the indications that each contact must follow responsibly based on their situation, unless otherwise indicated by the DoP.

If the DdP has not already intervened, the COVID-19 school contact person / school manager reports to the DdP the presence of the positive case at school, the school contacts identified and communicates to the interested parties the standardized instructions that have been provided to them.

2. The contacts identified, if foreseen by the case series, will have to carry out an antigenic or molecular test, also including molecular tests on salivary samples as per the circular of the Ministry of Health, free and valid for diagnostic purposes within the foreseen timeframe.. The procedure for prescribing these tests will follow the regional organization.

to. Time zero (T0): as soon as possible from the moment you have been informed by the COVID-19 school contact person / head teacher / DdP. If the result is negative, you can go back to school. If, on the other hand, it is positive, it is necessary to inform the DdP and the GP / PLS and do not go to school. The COVID-19 school contact person / school manager will be informed according to the procedures adopted locally for positive cases occurring between students and school operators.

b. Time 5 (T5): further test after 5 days from the moment T0 (e.g. the moment of the communication). If the result is positive, it is necessary to inform the DdP and the GP / PLS and not go to school. The COVID-19 school contact person / school manager will be informed according to the procedure adopted locally for positive cases occurring between students and school operators

3. Based on the presence of several cases in the same class / section / group, the DdP will communicate the additional measures to the COVID-19 school contact person / headmaster to be undertaken and the relative timing of return to school.

4. The subjects (children, students, school staff) who receive indication from the DdP / COVID-19 school contact person / school manager to carry out surveillance with testing cannot enter the school environment pending the test.

5. For subjects subjected to surveillance with testing, the return to school after taking the test at T0 can only take place if you are in possession of a certificate issued by the Hygiene and Public Health Services regarding the swab and the occurrence release of the relative result or following a communication by the DoP. It is obviously forbidden to return to class in the presence of a positive swab. The DoPs promptly communicate any positive cases to the COVID-19 school contact person / headmaster.
With regard to the test at T5, the DdP has the right to arrange public health measures (eg quarantine) if the test is not carried out.

6. It is emphasized that at any time, public health operators can evaluate, in collaboration with the COVID-19 school manager / headmaster, any further contacts in addition to the group / class, based on the activity carried out, the characteristics and duration of the itself, considering the various elements useful for the epidemiological investigation. Furthermore, the public health worker, based on individual risk assessments, may believe that some people have had high-risk exposure, and therefore require quarantine, regardless of the duration and setting in which the contact took place. (e.g. failure / incorrect use of the prescribed masks).
As an indicative, non-exhaustive and non-binding risk stratification criterion, it is suggested to consider exposed the teacher / operator of the primary and secondary school who, in the previous 48 hours, has carried out 4 hours or more, even cumulative, in the presence within the classroom in which the COVID-19 case was identified, taking into account compliance with the prevention and safety measures that the teacher must comply with.

7. It is advisable for each ASL to identify contact persons for each school, who can intervene promptly by supporting the COVID-19 school contact person / school manager and prioritizing the T0 tests. It is also recommended that the DoPs prepare in advance the standardized indications for the management of school contacts and surveillance with testing and that they make them available to the COVID-19 school representatives and to the School Managers.

8. Subjects under surveillance with testing must be asked, in a responsible way, to limit social gatherings and other community activities (for example sports activities in groups, attending parties, gatherings, visits to fragile subjects) and to strictly maintain physical distancing and use of the mask by meeting other people in addition to family members.

9. In the event of the appearance of symptoms compatible with COVID-19, the subject (or parents in the case of a minor) is required to immediately inform the attending physician who will give indications for the continuation of the diagnostic process.

10. Individuals who do not adhere to the Tested Surveillance Program must quarantine as required by the ministerial circular in force on quarantine times.

11. In cases where it is not possible to obtain an exhaustive description of the epidemiological situation of the group, for example due to the non-performance (e.g. refusal) of the start-up surveillance tests of a part of the contacts, the Department of Prevention, in addition to quarantining contacts without screening tests, can evaluate the most appropriate strategies for the protection of public health, including the possibility of arranging quarantine for all identified contacts (regardless of their outcome at screening test).

12. In subjects subjected to quarantine, compatibly with both the epidemiological situation in progress and with the testing capabilities available in each context, the T0 test is strongly recommended to describe the epidemiological situation of the extent of circulation in the group and to detect any further positive cases early, decreasing the risk of infections in the family.

A vaccinated person is defined as someone who has completed the vaccination cycle for at least 14 days according to the indications of the circular of the Ministry of Health n.36254 of 11 August 2021.

The indications are differentiated according to the subjects concerned, the class attended and the vaccination status, as well as the number of confirmed epidemiologically related cases in the class / school.

Quarantined classes only with a Covid outbreak (at least three positives). The new anti-contagion rules at school [SCARICA ULTIMA BOZZA in PDF]

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