Information for the cruise industry - This fact sheet applies to all international voyages entering Australia.
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Novel coronavirus Coronavirus Disease (COVID-19) (COVID-19) Information for the cruise industry This fact sheet applies to all international voyages entering Australia. From 9 pm on 20 March 2020 Australia will deny entry to travellers from foreign countries. Some exemptions to international maritime crew will apply. Additional immigration, reporting requirements and isolation recommendations apply to international cruise ships and their passengers and crew. What are the symptoms of COVID-19? Symptoms of COVID-19 include fever, cough, sore throat, fatigue and difficulty breathing. Difficulty breathing is a sign of possible pneumonia that requires immediate medical attention. What is Australia doing? From 9 pm on 20 March 2020 Australia denied entry to foreign travellers. Exceptions include Australian citizens and permanent residents (and their immediate family) and New Zealand citizens resident in Australia. International maritime crew will also have some exemptions. More information on the ban and exemptions is available from Australian Border Force. On the 15 March 2020, the Australian Government announced a temporary ban on the entry of cruise ships that have left a foreign port. The ban will last for an initial 30 days. Some cruise ships are exempt from the ban and may apply to arrive at an Australian port. More information on the ban and exemption is available from Australian Border Force. From 16 March 2020, all travellers arriving in Australia are required to undertake a precautionary self-isolation period of 14 days after entry into Australia but there are some exceptions to the 14 day period. Travellers arriving in Australia will also be required to complete an ‘Isolation Declaration Card’. For more information about isolation requirements for travellers, read the ‘Information for Travellers’ and ‘Isolation guidance’ fact sheet. Go to www.health.gov.au/covid19-travellers. Travellers arriving from any country may also be subject to health screening on arrival in Australia. Information is being provided to travellers at international ports explaining the symptoms of COVID-19 and encouraging them to report to biosecurity officers if they have symptoms while in the port. The Department of Agriculture, Water and the Environment is in contact with international vessels to ensure they understand the requirements and comply with pre-arrival reporting of ill travellers. Australia requires any cruise vessel arriving in Australia to deliver verbal announcements to encourage self-reporting of ill health by travellers, and to inform travellers of their obligation to declare whether they are experiencing specific symptoms. 1 Information for the cruise industry – version 5 (15/03/2020) Coronavirus disease (COVID-19)
What happens to vessels subject to the COVID-19 ban on cruise ships? Information is available from Australian Border Force on vessel requirements and exemptions under the ban, including eligibility to apply to dock at an Australian port during the ban and the process for application. Crew and passengers disembarking from cruise vessels during the ban are still subject to self-isolation requirements. What happens to people who are on cruises internationally during the temporary ban period? Australian Border Force is working with the cruise industry to bring everyone who was on a cruise when the ban was announced safely back to port and on to their home destinations either in Australia or overseas. What are the isolation requirements for cruise ship passengers and crew? On arrival in Australia you will need to self-isolate as per the isolation recommendations for cruise ship crew and passengers. Passengers and crew disembarking from cruise ships that have entered Australian waters on or after 16 March 2020 will need to self-isolate in their home or accommodation for up to 14 days. If there were no suspected or confirmed COVID-19 cases on-board the ship, the time since leaving the last foreign port counts towards the 14 days, otherwise the 14 days starts from the day of disembarkation from the ship. If 14 days has passed since leaving the last foreign port and there are no suspected or confirmed COVID-19 cases on-board, passengers and crew are not required to self-isolate on arrival in Australia. Cruise ship passengers and crew will be advised how long they need to isolate for on disembarkation. Self-isolation requirements for cruise ship passengers can be found in the ‘Information for travellers’ and ‘Isolation guidance’ fact sheets. Go to www.health.gov.au/covid19-travellers. Self-isolation requirements for cruise ship crew are available from Australian Border Force. There are no isolation requirements for cruise ships that have remained in Australian waters. What is self-isolation? Self-isolation means you should not attend public places, in particular work, school, childcare or university. Also, you should not have visitors to your residence or accommodation. Detailed information can be found in the ‘Isolation guidance’ fact sheet. Go to www.health.gov.au/covid19- travellers. 2 Coronavirus disease (COVID-19)
Can disembarking crew or passengers fly home within Australia or take public transport if they are required to self-isolate? Yes. Providing they have no signs or symptoms of COVID-19, people can fly domestically in Australia to reach their home or accommodation, and can take public transport or taxis. However, they must complete their required period of up to 14 days of isolation on reaching their destination and follow other advice in the ‘Isolation guidance’ fact sheet. Can disembarking crew and passengers fly out of Australia before their isolation period has ended? Yes. But they must self-isolate for the duration of their stay in Australia in their home or accommodation or in the airport or seaport and follow guidance in the ‘Isolation guidance’ fact sheet. Go to www.health.gov.au/covid19-travellers What is the cruise industry required to report? As per the normal pre-arrival reporting requirements, all cruise vessels permitted to dock in Australian territory are still legally required to report ill passengers and crew on the pre-arrival report via the Maritime Arrivals Reporting System (MARS). The pre-arrival report has been updated to include questions around travel history. If an ill traveller is reported through MARS, a biosecurity officer will liaise with the vessel to screen for COVID-19 and other serious infectious diseases. Biosecurity officers do this by administering the ‘Traveller with Illness Checklist’ to the ill passenger or crew member, or by discussing case diagnoses with the ship’s doctor. A biosecurity officer or human biosecurity officer may then issue directions for the management of a suspected case of COVID-19 which are legally required to be followed. All international cruise vessels are required to deliver on-board announcements to travellers prior to the vessel docking at an Australian seaport to encourage self-reporting of ill health Department of Agriculture, Water and the Environment will provide internationally operating cruise ships with pre-recorded messages for the on-board verbal announcement in a number of languages. What if someone requires medical attention? As per the normal process, all ill passengers and crew should be referred to the ship’s doctor for assessment. The ship’s doctor will be informed of the current status of COVID-19 and will be able to assess the risk based on travel history and exposure. For passengers or crew presenting with influenza-like illness: Where point of care testing for influenza is available, two samples should be collected using droplet precautions. The point of care influenza test should be performed on one sample, and the second sample (nasopharyngeal swab or sputum) should be placed in a sheath or tube (e.g. with viral transport medium/dry rayon) and stored in a refrigerator, if able, for later SARS-CoV-2 testing. The second sample should be provided to state or territory health personnel on arrival at the port of call in Australia for COVID-19 testing. Clinical factsheets are also available to assist in the management of suspected cases of COVID-19. 3 Coronavirus disease (COVID-19)
If a person is very ill and needs further medical attention, the operator of the vessel is responsible for requesting medical or ambulance services. The operator should inform medical or ambulance services if anyone on-board is a suspected COVID-19 case or been in close contact with a confirmed case of COVID-19, and the travel history of the ill traveller and the vessel over the past 14 days. Notifying a biosecurity officer of an ill traveller(s) will not interfere with a vessel being met by medical or ambulance services. Is there information available for passengers and crew? The Department of Health is providing additional communication material for travellers (including passengers and crew) at Australian international airports and seaports. This material informs travellers about COVID-19 and what to do if they have come from a risk area and are ill. The information sheets are updated regularly and are available at www.health.gov.au/covid19-travellers. How can cruise providers reduce the risk to passengers and crew? Vessels should actively encourage passengers and crew to seek immediate medical assessment for any respiratory illnesses. Crew should be advised to continue to follow existing employer infection prevention work instructions when in contact with ill passengers, including the use of personal protective equipment (PPE) when recommended by employer work instructions. Person to person spread of COVID-19 can occur, but it is not yet understood how easily this happens. The following measures will help reduce the risk of illness on-board cruise vessels: Crew and passengers should be encouraged to practise good hand hygiene and good sneeze/cough hygiene: o Wash hands often with soap and water, or use alcohol-based hand rub, before and after eating as well as after going to the toilet; and o Cough and sneeze into the elbow or a clean tissue, dispose of the tissue and use alcohol based hand sanitiser. Crew and passengers should be encouraged to avoid touching the face (mouth, eyes, and nose) with unwashed or gloved hands. Crew should use appropriate PPE if close contact with an ill passenger is required. If PPE is used, it should be fitted and worn properly. Cruise ships should ensure appropriate cleaning and disinfection activities are undertaken. Are crew required to wear PPE? Vessel crew are not routinely required to wear any additional PPE while embarked. If a crew member is required to assist a passenger (and their close personal contacts) who is unwell, the crew member should: wear a surgical mask, disposable full-length gown, gloves and eye protection; 4 Coronavirus disease (COVID-19)
remove any PPE carefully (without touching the front of mask, gown or outside of gloves) to avoid self-contamination; dispose of used PPE carefully in biohazard bags and use alcohol-based hand sanitiser immediately after tying the bag tightly closed; and wear clean gloves to clean and then disinfect surrounding surfaces with a broad spectrum disinfectant which is effective against human norovirus. When cleaning toilets used by unwell passengers or surfaces visibly contaminated with body fluids, crew members should: wear a surgical mask, disposable full-length gown, gloves and eye protection; clean and then disinfect surrounding surfaces with a broad spectrum disinfectant which has effectiveness against human norovirus; remove any PPE carefully (without touching the front of mask, gown or outside of gloves) to avoid self-contamination; and dispose of used PPE carefully in biohazard bags and use alcohol-based hand rub immediately after tying the bag tightly closed. What cleaning and disinfection activities are appropriate? Cruise ships should follow existing protocols for cleaning and disinfection. In response to a suspected or confirmed case of COVID-19, cruise ships should follow existing protocols for cleaning and disinfection for outbreaks of gastrointestinal illness/gastroenteritis outbreaks. Protocols targeted at managing human norovirus outbreaks are sufficient. Baggage and packages: No additional precautions are recommended for baggage and packages that accompany ill travellers. Routine precautions are recommended. Handling linen, dishes, cutlery: No additional precautions are recommended. Routine practices and precautions for handling potentially contaminated articles are sufficient. Waste management: No additional precautions are recommended for the handling of standard waste. All personnel handling waste should use standard precautions and perform hand hygiene after removing PPE. Medical waste and PPE potentially contaminated with SARS-COV-2 should be disposed of in a biohazard bag and tied tightly. Waste disposal and destruction should be conducted according to standard protocols, legislation and regulations. Other information The Department of Health is closely monitoring the situation in collaboration with the World Health Organization and Australian states and territories. 5 Coronavirus disease (COVID-19)
Where can I get more information about COVID-19? For questions about the temporary ban on international cruise ships: Contact the Australian Border Force Border Operations Centre at +61 1300 368 126 For human biosecurity questions: Contact the Maritime National Co-ordination Centre 1300 004 605 operating hours 6am-6pm Australian Central Standard Time, for urgent after hours enquiries call +61 417 666 648. For general COVID-19 questions: Visit www.health.gov.au Call the National Coronavirus Health Information Line on 1800 020 080. The line operates 24 hours a day, seven days a week. If you need to communicate with a non-English speaking person, contact the Translating and Interpreting Service (TIS National). Telephone interpreters are available immediately on 131 450. This fact sheet is periodically updated. Please check Health’s website for the current version. 6 Coronavirus disease (COVID-19)
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