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 Thank you for using www.freepdfconvert.com service! Only two pages are converted. Please Sign Up to convert all pages. https://www.freepdfconvert.com/membership