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DOH-DM-Amendment-To-Department-Memorandum2-020-0108-Entitled-GuidelinesF-or-Management-Of-Patients-With-Possible-And-Confirmed-COVID-19 (2)

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Republic of the Philippines
Department of Health
OFFICE OF THE SECRETARY
March 16, 2020
DEPARTMENT MEMORANDUM
No. 2020 IQ$ §
TO:
ALL
UNDERSECRETARIES AND ASSISTANT SECRETARIES;
DIRECTORS OF BUREAUS AND CENTERS FOR HEALTH
DEVELOPMENT: MINISTER OF HEALTH — BANGSAMORO
AUTONOMOUS
REGION
IN
MUSLIM
MINDANAO;
EXECUTIVE DIRECTORS OF SPECIALTY HOSPITALS AND
NATIONAL NUTRITION COUNCIL; CHIEFS OF MEDICAL
CENTERS, HOSPITALS, SANITARIA AND INSTITUTES:
PRESIDENT OF THE PHILIPPINE HEALTH INSURANCE
CORPORATION; DIRECTORS OF PHILIPPINE NATIONAL
AIDS COUNCIL AND TREATMENT AND REHABILITATION
CENTERS AND ALL OTHERS CONCERNED
Amendment to Department Memorandum 2020-0108 entitled
“Guidelines for Management of Patients with Possible and Confirmed
COVID-19”
The Department Memorandum 2020-0108 entitled “Guidelines for the Management of Patients
with Possible and Confirmed COVID-19” is hereby amended to reflect the following change:
I.
To revise Section II.A.2.a.iv. on Roles and Responsibilities of BOQ at Ports of Entry to
read:
“iv. Assess PUI for severity of symptoms, age, and co-morbidities.
1. For PUIs with mild symptoms, no co-morbidities and/or non-elderly, refer
to Section C.2.
2. For PUIs who are elderly and/or with co-morbidities, and manifesting
symptoms:
a. Fill Case Investigation Form and submit to RITM.
b. Transport PUI to Level 2/3 hospital.”
II.
To revise the Section II.A.2.b.i.4. on Roles and Responsibilities of BOQ at Ports of Entry
on reporting to read:
“4. Provide the list of PUIs and PUMs to DOH COVID-19 EOC by 6AM and
6PM everyday”
III.
To change the Section II.C.2.a.i. on Management of PUIs and Confirmed Cases of
COVID-19 to read:
“i. If PUI has mild symptoms with no comorbidity, and/or non-elderly, advise
them to be sent home for strict self-isolation and close monitoring by local
health authorities for 14 days. There is no need to collect specimens and
have them tested.”
Building I , San Lazaro Compound, Rizal Avenue, Sta. Cruz, 1003 Manila e Trunk Line 65 I-7800 local 1108, 11 I I. 114 2, 1113
Direct Line: 711-9502; 711-9503 Fax: 743-1829 o URL: htip://www.doh.gon.ph; e-mail: ftduque@doh.gon.ph
IV.
To revise the definition of PUI and PUM in ports of entry as reflected in the new Annex
A as shown below:
MARCH 16, 2020 EOITION
TRAVELLER
TRAVEL HISTORY
In the past 14 days to countries
with local transmission AND risk
of importation' OR areas with
enhanced community quarantine
YES
HISTORY OF EXPOSURE WITHIN J4 DAYS
SYMPTOMS
Fever (?38.0°C)
AND/OR
A. Providing direct care for COVID-19 patient
B. Working together or staying in the same
*E
Respiratory illness
(cough and/or colds)
close environment of a COVID-19
C. Traveling together with COVID-19 patient
in any kind of conveyance
D. Living in the same household as a
COVID-19 patient
EYES
If with ild +/- so-morbid
erly’an”d severé°
man esiationČ™, cölI,ecÏ
šwab .nd refer to L2/L3
hospitals
1 Yo be evaluated weekly by the AgEAN Biodiaspora Virtual Center. Separate advisory will be issued every Wednesday to
determine countries to be included.
2 Mild manifestations include fever, dry cough, fatigue, sputum production, sore throat, headache, myalgia or arthralgia, chills,
nausea or vomiting, nasal congestion, diarrhea
3 Severe manifestations include difficulty of breathing and/or respiratory rate 230/minute
4 Parsons with underlying medical problems, including cardiovascular disease, diabetes, cancer chronic lung disease, and
f OfficialDOHgov
¥s @DOHgovph
@ doh.gov.ph
8-651-7800 local 1149/1150
2
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