What is the organism responsible for COVID-19?
SARS-CoV-2
Multiple subvariants of the Omicron variant are in circulation.
How is COVID-19 primarily transmitted?
Respiratory droplets (and aerosols)
Fomite transmission is rare.
What are common clinical features of COVID-19?
Acute respiratory symptoms, loss of smell/taste, pneumonia, ARDS, complications in other organ systems
CFR generally low.
What is Long COVID?
Fatigue, mood symptoms, sleep disorders, chest pain, shortness of breath
Affects up to 1 in 20 people, more in males/younger individuals. Average duration is 3-4 months.
Who are considered high-risk groups for COVID-19?
Older individuals, those with comorbidities, immunosuppressed, unvaccinated, Indigenous, pregnant women.
What are the case definitions for COVID-19?
Confirmed: PCR/isolation/seroconversion; Probable: RAT
RATs are no longer reported in Victoria.
What methods are used for diagnosing COVID-19?
PCR or RAT
PCR is mainly used in hospitalized patients, healthcare workers, and residential aged care facilities.
What is the average incubation period for Omicron subvariants?
Average 3 days (range 0-8 days)
Ancestral strain was 1-14 days, average 5-6 days.
What is the infectious period for COVID-19?
48 hours prior to symptom onset, generally up to 10 days.
What defines an outbreak of COVID-19?
As per ARI outbreak guidance, 2 or more residents in 72 hours.
When was COVID-19 first detected?
Late 2019 in Wuhan, China.
When was the COVID-19 pandemic declared by WHO?
11 March 2020.
What factors contributed to the elimination of sustained transmission of COVID-19 in Australia during 2020-2022?
Strong border controls, travel restrictions, lockdowns, community restrictions.
What has been noted about the Omicron subvariant regarding public health measures?
It was unable to be contained by public health measures.
What were the pandemic orders in Victoria ceased?
October 2022.
What is the third leading cause of fatal disease burden in 2022?
COVID-19
This is the first time in over 50 years that an infectious disease has been in the top 5 causes of death.
What vaccination measures were taken against COVID-19?
Vaccination commenced in February 2021, primary course of 2 doses for all aged 5+, booster doses for adults.
What are the types of vaccines available for COVID-19?
mRNA (Pfizer and Moderna), protein-based (Novavax), bivalent mRNA vaccines.
What hygiene measures are recommended to prevent COVID-19?
General and respiratory hygiene, physical distancing, improved ventilation, masks, staying home while unwell.
What is the recommended isolation period for COVID-19 cases?
At least 5 days and until well.
What should close contacts of COVID-19 cases do?
Regular RATs for 7 days, isolate and test if symptomatic, avoid high-risk settings, mask when leaving home.
What is the focus of outbreak management in COVID-19?
Outbreak management in high-risk residential settings and hospitals.
What is the recommended testing frequency for contacts in an outbreak?
Regular testing, RA test 5 out of 7 days.
What additional measures are suggested for outbreak management?
IPC, cleaning, air scrubbers, staff RA testing, staff cohorting, essential visitors, communications.