Republic ofthe Philippines Department of the Interior and Local Government BUREAU OF FIRE PROTECTION NATIONAL HEADQUARTERS, ‘Agham Road, Sitio San Roque, Brgy. Bagong Pag-asa, Quezon City ‘Telefax Number: 426-0249 local 101 Email: hemd_nhg@yahoo.com MEMORANDUM To: BFP REGIONAL DIRECTORS (R1-12, NFTI, NCR, BARMM, CAR, CARAGA) SUBJECT: _ REITERATION OF THE OBSERVANCE OF PROTOCOLS FOR (QUARANTINE DATE: 13 Aprit 2020 1, Reference: Memorandum re: Protocols for Isolation/Quarantine by Director for Operations/Task Force Commander BFP COVID-19 Pan (H. Mandatory Reporting) dated 30 March 2020. "2. This Office reiterates the Memorandum regarding Protocol for Isolation/Quarantine Particularly in termination of quarantine period in all BFP Officers and Personnel. 3. As part of our continuous compliance to the Protocols for Isolation/Quarantine all BFP Officers and Personnel who completed the fourteen (14) days quarantine must secure medical cettificate/clearance from their respective Medical Officers in their Regional Health Service/EMSIRHU of any Health Facility, prior to retum to work. 4. Further, for a safer environment these BFP Officers and personnel are required to undergo for another fourteen (14) days self-monitoring and observation of any untoward signs and symptoms that shall be reported to the concerned region for the observance of application of universal precaution such as handwashing, use of alcohol based hand sanitizer, wearing face masks and other PPEs considering cough etiquette. 5. For information and guidance, SAMUEWY C _TADEO csupt/ (Dsc) BFP Directof for Operations/ Task Fofce Commar BFP COVID-19 PAIRepubli ofthe Pippines Department of the Interior and Local Govemment BUREAU OF FIRE PROTECTION NATIONAL HEADQUARTERS ‘Agham Road, Stio San Rone, Srgy. Bagong Peg-ae, Quezon City “Telex Number: 426.0219 lal 101 ‘Email hemd_hg@tyahoo. com MEMORANDUM. ALL REGIONAL DIRECTORS, REGIONS 1-12, BARMM, CAR, CARAGA, NCR, NFTI SUBJECT: PROTOCOLS FOR ISOLATION! QUARANTINE. DATE 30 March 2020 GENERAL GUIDELINES: 1. Any personnel, who does not exhibit any signs nor symptoms but with any history of exposure are included in this guideline. 2. Personne with positive! history of exposure to Person Under Investigation (PU?s) and confirmed and tested (+) case of COVID-19 shail be required and mandatory to undergo Selff Home Quarantine or in designated isolation areas or camps if on training. 3. Those undergoing self! home quarantine shail be prohibited to leave thet rooms! homes where they are quarantined until they have been certified by the medical officer or focal health officials to have finished the 14 days requirement for quarantine procedures. 4. Initial coordination should be done with the Local Government Epidemiologic Surveillance Unit (RESU) on the logistical, administrative and clinical parameters to be standardized in any attempt to refer 2 PUM for transfer or consultation. 5. Assigned medical personne caretaker of the patient in camps shall monitor the health condition of trainees daily for untoward signs and symptoms of cough/ colds, fever (38 degree Celsius). difficulty of breathing, diarrhea etc. reflected in records. 6. Social distancing of these personnel shall be strictly applied including family members 7. Display posters regarding COVID-19 in prevention measures in workplace area is encourage. 8, The BFP shall assist in the provision of food, mask, sanitation materials, medicine, alcohol, tissues and other individual requirements of the trainee. 9. All close contacts shall be identified through contact tracing. The BFP City/Municipal Provincial offices shail lead in the identification of close contacts (contact tracing), in coordination with Regional and National Office. 10. Municipal’ City/' Provincial shall immediately provide the concemed regional office with the manifest and other pertinent identification documents on ciose contacts of the patient. 11.Information about close contacts can also be obtained from interviews of the patient, family members, workplace or trainings attended, or others with knowledge about the case's recent activities and travel. 12.All information about contact tracing and medical information can be made confidential. W SOA. Room Isolation and Contacts of Persons Under Monitoring (PUMIPU!) 4. As much as possible place the PUM PUI alone in a well-ventilated room, preferably with individual toilet and bathroom. If this is not possible, maintain a distance of at least 1 meter from the PUM (eg, sleep in a separate bed} 2. Assign one person who is in good health as caretaker of the PUM! PUI. Visitors, family members and even caregivers are not allowed in the PUM/ PUI's room. 4. BFP personnel under fsoiation/ quarantine are restricted from loitering outside of ‘heir isolation area. 5. Confine activities of the PUM/ PUI in his/her room only. If this is not possible, ‘ensure that shared spaces (e.g. kitchen, bathroom) are weil ventilated (¢.9. keep ‘windows open). B. Use of Disposable Surgical Mask 4, The PUM/ PUI must wear a surgical mask al all times fitted tightly to the nose, mouth, and chin when in the same room with another household member or when talking to other people. The use of masks is required for the person/s the PUM/ PUI is/are interacting with. 2. Hfatone, the PUM/ PUI may not wear a mask. 3. Masks should not be touched or handled during use. If the mask gets soiled, wet or dity with secretions, it must be changed immediately and disposed properly in marked! yellow colored garbage bag and labelled infectious. 4, Discard the used mask after a maximum use of 8 hours. Masks are not reusable and should not be washed. After removal of mask, wash hands using water and 8029p, or rub hands with 70% alcohol or any hand disinfectant. C, Hand Hygiene Practice for ALL 4, All PUMs and household members should perform hand hygiene following ‘contact with PUM or ifn contact with their immediate environment. 2. Perform hand hygiene by washing hands with soap and water. if hands are not visibly soiled, 70% alcohotor any alcohol-based hand rub can be used. 3. When using soap and water, disposable paper towels to dry hands is desirable, tfnot available, use dedicated cloth towels and replace them when they become wet. 4, Hand hygiene should also be performed before and after preparing food, before eating, after using the follet, and whenever hands took dirty. 5. Address safety concems (e.g. accidental ingestion by children and fire hazards) ‘on the use of alcoho-based hand rubs. 'D, Respiratory Hygiene and Standard Precaution for ALL 1. Respiratory hygiene/cough etiquette should be practiced by all at all times. Respiratory hygiene refers to covering the mouth and nose during coughing or sneezing using surgical masks, tissues, flexed elbow, sleeves of clothes, or inside the neckline of shirts, followed by hand hygiene. 2. Avoid direct contact with body fluids, particularly oral or respiratory secretions, and feces. Use disposable gloves to provide otal or respiratory care and when handling feces, urine and waste. Wash hands before putting on and affer removing gloves. 3. Avoid other types of possible exposure to PUM/ PUI cr contaminated items in ‘their immediate environment (e.g. avoid sharing toothbrushes, towel washcloths, bed linen, comb etc).E. Food Handling of PUM PU! on Home Quarantine 1. The assigned caretaker of the PUM/ PU! shall serve their plates/meal trays only up to the room door. 2. After eating, plates/meal trays should be picked up at the room door by the caretaker using disposable gloves to avoid contamination. Perform hand hygiene afterwards. 3. The use of eating utensils and dishes should be cleaned with soap or detergent and water after use and may be re-used instead of being discarded. 4. Donnot share eating utensils, dishes, and drinks with PUM. F. Disposal of Used Gloves, Tissues Papers, and Masks 1. Immediately discard materials used to cover the mouth or nose into the trash or clean reusable items appropriately affer use (e.g. wash handkerchiefs using regular soap or detergent and water). 2. Gloves, tissues, masks and other waste generated by PUM) PUI should be placed in a container in PUM/ PUI's room before disposal separated from other ‘Rousehold waste in labeled garbage bins, coordinate with GSS who shall obtain recommendations with DENR for proper disposal of the waste. G. Cleaning and Disinfection 1. All PUM/ PU's are encouraged to clean and disinfect frequently touched surfaces such as bedside tables, doorknobs, bedframes, and other bedroom furniture daily with regular household disinfectant containing a diluted bleach solution (1 -part bleach to 10 parts water) 2. Clean and disinfect bathrooms and toilets at least once daily with regular household disinfectant containing diluted bleach solution (1 -part bleach ta 10- parts water). 3. Clean clothes, bedelothes, bath and hand towels, eic. of PUM using regular laundry soap and water or machine wash at G0—90 degree Celsius with ‘common household detergent, and sundry. Place used linen into a laundry bag. Do not shake soiled laundry. Additional measures may be needed to prevent Unhygienic reuse of gloves, masks, avoid direct contact of the skin and clothes with the contaminated materials. 4, Use disposable gloves and protective clothing (e.g. plastic aprons) when cleaning or handling surfaces, clothing of linen soiled with body fluids. Perform hand hygiene before and after removing gloves. H. Mandatory Reporting 1. All PUM/ PUI who developed symptoms should be reported immediately to Regional Epidemiology and Surveillance Unit (RESU) or Local Surveillance (Officer for transport to nearest health factlty for consultation when required. 2. Im the absence of LGU Medical Officer, BFP Medical Officer assigned in respective regions can be called/ consulted for guidance. 3. Daily monitoring of the quarantined BFP personnal shail be reported daily to the concemed regional medical officers or Health Service Personnel or TF Force Protection and at BFP NHQ Health Service thr hemd_nhg@yahoo.com or Facebook Account BFP HS EMS for documentation purposes. 4. All BFP Personnel and household members of labelled PUM/ PUI and confirmed positive thru tests by the DOH should be advised fo seek immediate medical care when signs and symptoms develop. 5. Termination of the quarantine period will end fourteen (14) days from the last contact) exposure with a PUM! PU! or COVID positive patient, clearance will bo provided after @ conferment with the LGU Medical Officer or BFP Medical Oficer,/ay a However, another 14 days monitoring and observation shall be conducted by the ‘concerned region until cieared to return to work. Eamest efforts’ recommendations to have the personnel tested for COVID-19 / samuedé TADEO csuPT (Osc) aFP Director for Operations! ‘Task Fore Commander BFP COVID-19 PAN BY THE AUTHORITY OF THE CHIEF, BFP: @O