The Novel Coronavirus - Israel Ministry of Health

 

Who is Required to Enter Home Isolation?

Publication date: 12/04/2020, 11:49 | Update date: 23/08/2020, 11:57

 
 
 
 

If you had contact with a confirmed case, or if a doctor established you had contact with a confirmed case in the last 14 days

Any person who came in close contact with a confirmed corona case is required to enter isolation for 14 days from the date of the last contact with such confirmed corona case.

“Close contact” is defined as staying at a distance of fewer than 2 meters from a corona case for at least 15 minutes. There is no need to wait for an explicit instruction from the Ministry of health – if you know that you had contact with a corona case, enter self-isolation.

If you receive an instant positioning message or a voice message from the Ministry of Health, you are required to enter self-isolation upon receiving such a message, even if the definition of “close contact” specified above does not apply to you. You can authenticate the text (SMS) or voice message by calling 08-6822334 to verify it was sent by the Ministry of Health.

The appearance of symptoms

Contact your health service provider (Kupat Holim), if any of the following symptoms appear within 14 days from contact with a confirmed case: fever higher than 38 degrees, coughing, difficulty breathing or any other respiratory symptom or the loss of taste or smell (if you are not a member of any health service provider, contact Ministry of Health Hotline at *5400). Unless it is an emergency, there is no need to go to the clinic of your health service provider or the emergency room at the hospital. In case of an emergency, inform the clinic or the hospital in advance about the arrival of a suspected corona case.

Self-reporting

Persons in self-isolation are required to report their isolation to the Ministry of Health. Parents are required to separately report about any of their children who are in self-isolation.

 

 
 

People who are suspected of COVID-19 infection

Persons who were tested for corona due to suspected contagion are required to enter isolation until receiving a negative result.

In case of a negative result in a corona test, when an isolation requirement applies for other reasons, the isolation period is not shortened. For example, persons returning from abroad are required to complete an isolation period of 14 days from the date of their arrival in Israel, even if they received a negative result in a corona test).

The appearance of symptoms

Contact your HMO (Kupat Holim), if any of the following symptoms appear within 14 days from contact with a confirmed case: fever higher than 38 degrees, coughing, difficulty breathing or any other respiratory symptom or the loss of taste or smell (if you are not a member of any health service provider, contact Ministry of Health Hotline at *5400). Unless it is an emergency, there is no need to go to the clinic of your health service provider or the emergency room at the hospital. In case of an emergency, inform the clinic or the hospital in advance about the arrival of a suspected corona case.

tested due to suspicion of infection with coronavirus is required to self-isolate until they receive a negative test result.

 

Appearance of Symptoms

If during the 14 days since the last contact with the confirmed patient any of the following symptoms appear: Fever over 38 degrees Celsius, cough, trouble breathing, or any other respiratory symptom, contact your insuring HMO (aliens, please contact the Ministry of Health Hotline at *5400). Do not arrive in an HMO clinic or the emergency room.

 

If an individual has more meets one isolation requirement, exemption of isolation will not be permitted, even if the coronavirus test results is negative (for example, passengers arriving in Israel from abroad must complete the required 14 day isolation period, even if they test negative for coronavirus).    

 
 

International travelers

All international travelers must enter 14-day isolation.

Anyone returning from abroad must spend a period of 14 days in isolation.

Upon arrival in the airport in Israel, arriving passengers returning from abroad will need to prove that they have to capacity to remain home-isolated in a complete and satisfactory manner to be allowed to spend their isolation period at home or in another suitable place at their disposal.  

 

Prerequisites for the Approval of Home Isolation Applications

In order for arriving passengers to spend their isolation period at home rather than in a designated isolation motel, one of the two prerequisites need to be met:

  1. They have their own accommodation or can live in a separate accommodation, where only they can live for the entire period of their mandatory home-isolation.
  2. They have a private room with an adjoining bathroom and shower, provided that in such a case:
    • The isolated person has someone who can prepare food for them and provide necessary supply without contact
    • The isolated person does not live in the same place with at risk populations (individuals over 60 or with background medical conditions such heart, lungs, kidney, or liver diseases, diabetes, hypertension, or immunosuppression) unless they returned together from abroad.
    • Other household members agreed to admit this person for home isolation in accordance with Ministry of Health guidance.

 

Filling out Declarations

Passengers returning from abroad who wish to spend their isolation period at home rather than in a designated isolation motel need to declare as follows: 

  1. They comply fully with home isolation guidance
  2. They agree to avoid public transportation to travel to their home isolation accommodation unless travel is in accordance with the Ministry of Health guidance
  3. They are well aware that Israel Police closely monitor those required to home isolation for the entire duration of their isolation period; if it is discovered that they have violated the specified rules, the Police are authorized to require them to spend the remainder of their isolation period in a designated State-operated isolation facility (an isolation motel) and fine them 5,000 NIS.   
  4. If their declared home isolation accommodation is found unsuitable for home isolation, a district head physician or an HMO head physician may require them to move to a designated State-operated isolation facility (an isolation motel) for the remainder of their isolation period.  

 

Use of Public Transportation

Passengers returning from abroad (as well as anyone else required to self-isolate) are not allowed to use any form of public transportation to arrive at their home isolation destination, except for taxis and subject to the rules (wearing masks, windows open, and the passenger or passengers (if they are members of the same household) must sit in the back seat).  

The appearance of symptoms

Contact your health service provider (Kupat Holim), if any of the following symptoms appear within 14 days from the date of arriving in Israel: fever higher than 38 degrees, coughing, difficulty breathing or any other respiratory symptom or the loss of taste or smell (if you are not a member of any health service provider, contact Ministry of Health Hotline at *5400). Unless it is an emergency, there is no need to go to the clinic of your health service provider or the emergency room at the hospital. In case of an emergency, inform the clinic or the hospital in advance about the arrival of a suspected corona case.

Violation of the instructions

Persons who violate the isolation requirement or use public transportation shall be fined and shall be required to complete the isolation at a motel.

Motel isolation period

Persons returning from abroad who cannot self-isolate at home shall be directed to a motel for isolation at the expense of the state.

Persons isolated at a motel who prove their ability to continue their isolation at home, may leave the motel and complete their isolation period at home.

Leaving Israel before the end of the isolation period

Leaving Israel before the end of the isolation period shall only be allowed in special (humanitarian) cases by written authorization. This authorization should be presented at the airport when exiting the country.

Requests should be submitted through the Ministry of Health Hotline at *5400.

Self-reporting

Persons in self-isolation are required to report their isolation to the Ministry of Health. Parents are required to separately report about any of their children who are in self-isolation.

 

Send an online isolation report for international travelers

 

 

 

 

 
 

People with fever

Persons who have a fever higher than 38 degrees are required to remain in home isolation.

Fever should be measured twice every day.

You may break your isolation after two consecutive days with a fever that is not higher than 37.5.

 
 

Appealing isolation directives

There are several ways in which a person may be notified of his or her duty to self-isolate.

If you receive instructions to enter home isolation in a notification from the Ministry of health or your health service provider or by text or voice message, you must follow the instructions provided to you.

If you have received a text message or voice mail to your mobile device directing you to self-isolate, and in your opinion there has been a mistake, or if there is any reason why it is not justified to direct you to self-isolate, you may call the Ministry of Health and appeal this notification; call the Ministry of Health Hotline at *5400 (24/7). In your appeal of the self-isolation directive, you need to specify the date and time of your proximity to a confirmed patient as stated in the text message or the voice mail and explain why you think it is a mistake or why you should not be required to self-isolate.

You can authenticate the text (SMS) or voice message by calling 08-6822334 to verify it was sent by the Ministry of Health.

Each appeal will be reviewed individually.

 

Appealing Self-Isolation Directive for Medical Staff and Members of the Armed Forces

If you work with the armed forces or in a hospital, clinic, Magen David Adom Emergency Services center, etc., and during the time of your exposure to a confirmed patient you were at work, ask those in charge of you to send an e-mail to quarant.appeal@moh.gov.il.

In your appeal, please specify your full name, identity number, phone number, details of the time of your exposure to a confirmed patient, and an explanation of the reasons for your appeal. Only appeals by medical staff or members of the armed forces will be answered in this e-mail. Each appeal will be examined individually.

Attention please! While waiting for a response, you must remain fully isolated.     

 
 

Updating isolation information

If you need to update reported information, fill out the isolation report again. Use the same online form you filled out in the first place.

 

 
 

Home isolation guidance

Guidance for the person under isolation:
• Stay indoors;
• Stay in a separate, well-ventilated room with a closed door. Exit the room if necessary, for very short periods only, cover your mouth and nose with a face mask (preferably) or a cloth. Several individuals of the same household can be isolated in the same room. If all household members require isolation, there is no restriction within the home;
Wash hands (Hebrew) with soap and water or clean them with an alcohol-based sanitizer before and after food preparation, before eating, and before and after using the toilet.
• Soap and water should be used if hands are visibly dirty. It is preferable to use disposable paper for hand drying;
• If available, use a separate bathroom and/or toilet;
• Keep mouth and nose covered while sneezing or coughing, cough or sneeze into a disposable tissue or sleeve. This is to prevent the virus from spreading. Immediately afterwards, wash hands with soap and water or disinfect them with alcohol-based sanitizer;
• If breastfeeding, wash hands before touching the infant, wear a face mask or any other cloth while feeding at the breast. If expressing breast milk with a breast pump, wash hands before touching any pump or bottle parts, and if possible, consider having someone who is well feed breast milk to the infant.
• If fever or respiratory symptoms develop, or loss of taste or smell, or any other medical condition, call ahead to an HMO clinic or your HMO Hotline (if you are not medically insured, contact the Ministry of Health Hotline at *5400). If it is an emergency, call MDA Emergency Services at 101 or go to a hospital emergency ward, and let them know in advance that an isolated individual is about to arrive.

Guidelines for a group or family in home isolation (addition to the guidelines above)
• If there are several people in isolation in the same household, who all had the same contact, they can stay together in the same room.
• If all household members are required to be in home isolation, because of the same contact, you can stay in all the rooms of the house.
• As much as possible from physical contact should be avoided between the residents.
• Do not share items in between uses, including dishes and utensils, unless thoroughly cleaned after each use.
• Before and after caring for a child, wash hands with soap and water.
• it is recommended to use toys that can be cleaned after use.

General guidance:
• There should be only one person who enters and exits the room of the isolated person or persons, this person should be a healthy person with no other diseases which might further increase their risk;
• No home visitors are allowed;
• Check that the common areas in the home such as the kitchen and the bathroom are well ventilated;
• Avoid entering the room of the isolated person person or persons as much as possible. Upon entering the isolation space, cover your mouth and nose, preferably with a face mask, cloth is also possible. Do not touch face mask while wearing it;
• Use disposable products such as gloves when exposed to the isolated person and the home isolation space, including dirty surfaces, clothes or beddings;
• Avoid direct contact with body fluids, especially oral secretions, airway secretions, urine and feces of the isolated person;
• Wash hands with soap and water or disinfect them with appropriate alcohol-based sanitizer after every contact with the isolated person, the person's belongings, or immediate environment, before eating, and after using the toilet. There is a preference to wash with soap (Hebrew) and water over sanitizer if the hands have visible dirt.
All household member should wash their hands often.
• Surfaces should be cleaned and disinfected at least once a day, such as handles, light switches, toilets and showers, bedside tables, bed frame and other furniture in the isolated persons' room, with standard household disinfectant (soap or alcohol based- at least 70%). If possible, clean with 1000 ml of chlorine solution (e.g. "bleach" containing sodium chlorite - take 40 ml bleach and dilute in 1 liter of water) until the surfaces / items are dried. Gloves and a gown or apron should be used during the cleaning processes.
• Bed linen and laundry must be changed at least twice a week. All laundry of the isolated person must be stored separately in the isolation room until the time of washing. Care should be taken to avoid dirty laundry from coming into contact with other items, including clean laundry. Washing must be done separately, on a washing program of at least 65 ° C with regular laundry soap.
• Disposable products such as gloves, tissues, masks and other waste associated with the care of the isolated person must be disposed of in a dedicated bag in the patient's room and sealed tightly before being disposed of in an external garbage can;
• Avoid the sharing of common objects that could transmit the virus with the isolated person, such as: toothbrush, cigarettes, dishes and utensils, towels, beddings, etc. You can wash dishes and utensils with water and dish soap; and
• It is best do dishes in a dishwasher with a temperature of at least 65 ° C. If no dishwasher is available, dishes can be washed in hot water and dish soap and to ensure they fully dry in the drying rack. The utensils (plates, cups, cutlery and trays) of the people in isolation will be separate from those of other occupants, or they should use disposable utensils.
• All other household members must wash hands frequently.
• Practice strict hygiene

 

 
 

Diagnosis and isolation

Coronavirus test is required from anyone in isolation (either due to exposure to a confirmed patient or arrival from abroad), if and when they develop fever or symptoms characteristic of coronavirus.

In order to be referred to a diagnostic test, you need to call the clinic of your insuring HMO or the HMO's phone hotline for consultation and for instructions on what you need to do next.

How does the test affect the isolation?

  • Anyone who tested positive must remain isolated until they recover, regardless of the circumstances of the collection of their sample and whether or not they were isolated prior to the collection of their sample.
  • Anyone who tested while isolated must complete their required isolation period, even if their test results return negative.
  • Anyone not required to self-isolation but who tested due to the appearance of symptoms must remain isolated until receiving negative test results or until at least 48 hours have passed since the symptoms have disappeared (whichever date is the latest).
  • Anyone who arrived from abroad and required to prove that they were sick and recovered will remain isolated until they test negative to a test administered in Israel.

For further information

 
 
 
 

A general statement of illness for isolated workers

Work absence during the isolation period, which is required of those who arrive in Israel or those who had close contact with a confirmed patient, shall be considered an absence from work due to illness, on condition that the general statement of illness is submitted and it is signed.

Do not ask your physician to issue a statement of illness for this absence.

On the 15th day from isolation start date, and if no symptoms have developed (fever and/or cough and trouble breathing), you may return to work and resume your normal activities.

Click to download the statement (Hebrew)
 
 

Further information

 
 
 
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