CONTENTS Acknowledgements iv Abbreviations v 1. Introduction 1 2. Rationale 2 3. Planning principles and human rights considerations 3 4. Scope and objectives 6 5. Target audience 7 6. General approach 8 7. 7.1 7.2 7.3 7.4 COVID-19 virus: pathogen characteristics, signs and symptoms, transmission 10 Pathogen characteristics 10 Signs and symptoms of COVID-19 10 Transmission of COVID-19 10 How long can the virus survive on surfaces? 11 8. Preparedness, contingency planning and level of risk 12 9. Training and education 14 10. Risk communication 15 11. Important definitions: suspect case, probable case, confirmed case, contacts, case reporting 11.1 Definition of a suspect case 11.2 Definition of a probable case 11.3 Definition of a confirmed case 11.4 Definition of a contact 11.5 Case reporting 16 17 17 17 17 18 12. Prevention measures 12.1 Personal protection measures 12.2 Use of masks 12.3 Environmental measures 12.4 Physical distancing measures 12.5 Considerations for access restriction and movement limitations 12.6 Staff returning to work following travel to affected areas or with a history of potential exposure 12.7 What to do if a member of staff becomes unwell and believes they have been exposed to COVID-19 13. Assessing suspected cases of COVID-19 in people in prison/detention 13.1 Advice on use of PPE and other standard precautions for health-care staff and custodial staff with patient-facing roles 13.2 Advice for policing, border force and immigration enforcement activities 19 19 19 20 21 21 22 22 24 24 26 14. Case management 14.1 Clinical management of severe acute respiratory infection (SARI) when COVID-19 is suspected 14.2 Additional precautions 14.3 How to undertake environmental cleaning following a suspected case in a prison or other place of detention 14.4 Discharge of people from prisons and other places of detention 28 15. Information resources 29 Annex 1. Environmental cleaning following a suspected case of COVID-19 in a place of detention 31 27 27 28 28 iii