COVID-19 rapid assessment of point of entry capacity (RAPC)
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COVID-19 rapid assessment of point of entry capacity (RAPC)

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      Updated Jan. 11, 2021 Purpose: To provide a qualitative assessment tool for determining public health needs and capabilities at a point of entry (POE) to address Coronavirus Disease 2019 (COVID-19) preparedness and response. This qualitative assessment tool is meant to complement other more quantitative tools for POE assessment. Audience: The primary audience for this assessment tool is ministry of health and port health leaders, as well as national and local stakeholders associated with all POE types. Background: There are many considerations for determining whether public health capacities are sufficient at a POE, particularly regarding COVID-19. The increasingly globalized economy, and ease and speed of worldwide travel have increased the international spread of communicable diseases like COVID-19. Communicable diseases can spread rapidly via air, sea, or ground transportation, making interventions at POE essential in limiting the spread of communicable diseases across borders. Public health screening for COVID-19 at POE can be resource intensive and, if done, should be flexible allowing measures to be scaled up or down according to the needs of POE, surrounding region and country, and status of the pandemic. Additionally, surveillance at POE is most useful in detecting overtly ill travelers; it will miss a majority of travelers with asymptomatic (no symptoms) or pre-symptomatic (before symptoms develop) COVID-19 if they do not report a recent exposure on a health declaration form. Screening may also miss symptomatic travelers if they have taken steps to hide their symptoms (e.g. medication to reduce fever or suppress cough). If detection of ill travellers is occurring at the POE, there should be procedures in place for management at the POE and referral to a designated healthcare facility if medical care is needed. Interventions at POE should ideally include risk communication, infection prevention and control, and other mitigation efforts to the extent possible.
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