Policy responses for Latvia - HSRM


Policy responses for Latvia

1.3 Isolation and quarantine

For suspected cases, the following quarantine and self-isolation measures are taken:
• Self-isolation and monitoring health for travellers 14 days after their arrival in Latvia (mandatory) as of March 19, 2020. During this time, one must live in a place of residence, not go to work and public places and spaces, and places where large numbers of people are staying;
• Persons who were in close contact (less than 2 meters away and for more than 15 min) with a confirmed or probable COVID-19 case in the last 14 days prior to onset of symptoms (mandatory) as of March 19, 2020. Epidemiologists at the CDPC identify other people who have been in contact with the confirmed case during the epidemiological inquiry.
• Persons living with the coronavirus patient are subject to home quarantine or self-isolation regardless of whether the person with the confirmed COVID-19 infection is in the hospital or at home.

Isolation measures taken for affected individuals (e.g. self-isolation, isolation in designated facility) include
• Quarantine and isolation in designated hospitals and hospital yards in case of severe symptoms;
• Quarantine and self-isolation and monitoring of health status in case of mild symptoms. During quarantine, patients affected should not leave their home.
• During self-isolation it is desirable to give the patient a well ventilated single separate room, provide the patient with the necessary hygiene items, minimize patient mobility in the living area and common areas, limit the number of carers, avoid visits. The room where the patient is staying shall be regularly cleaned and disinfected.
• Patients diagnosed with COVID-19 during quarantine and self-isolation period are forbidden to visit the medical institution, they should be contacted by a general practitioner over the telephone with instructions for further treatment;
• Measures emphasise avoiding contact with persons over the age of 60 and treating patients with chronic conditions (such as high blood pressure, heart problems, diabetes, etc.) following the treatment and regimen prescribed the physician.

The length of the self-isolation period to be observed after entering or returning from countries with a high incidence of Covid-19 has been reviewed. As of September 17, the duration of self-isolation is set at 10 days after entering Latvia from a country on the CDPC list as a country with a high incidence of Covid-19. These people will have to be tested on day 8 after entering Latvia. If the test is negative, people will be able to return to work on the 11th day upon return. If the person does not want to perform the test, the duration of self-isolation will remain at 14 days. If a person can document that he or she has been ill with Covid-19 and has recovered, the GP has the right to decide that the person may disregard self-isolation. The amendments do not apply to cases where home quarantine is required - its period is still 14 days. Specific conditions apply to persons employed in medical institutions, social care institutions and educational establishments who are in direct contact with other people.