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Definition of PUI (Patient under Investigation)


               PUI (patient under investigation) refers to any patients with acute respiratory
               infection   (sudden   onset   of   respiratory   infection   with   at   least   one   of   these
               symptoms: shortness of breath, cough or sore throat) with or without fever

               AND

               there is a history of travelling to/reside in the foreign countries within 14 days
               before the onset of illness

               OR

               close contact in 14 days before illness onset with a confirmed case of COVID-19


               OR

               Attended an event associated with COVID-19 outbreak.


               People under surveillance are those who get back from abroad, and they do not
               have any symptoms. But I guess for those who travel back from abroad, we do not

               have much problem because they would be quarantined at the hotels.

               For close contacts, most of the time, the health inspectors will fetch them and give

               them home surveillance orders for them to be quarantined at home. Sometimes,
               we do see some close contacts who have not been traced by the health inspectors
               when they reached our site.


               The guideline (Diagram 3) said, for patients under investigation, they should be
               triaged at the clinic entrance, and then they should be seen at the fever centre. The

               doctor should decide whether they meet criteria for hospital admission or not.
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