
{"id":230626,"date":"2020-11-20T10:52:09","date_gmt":"2020-11-20T15:52:09","guid":{"rendered":"https:\/\/oncubanews.com\/en\/?p=230626"},"modified":"2020-11-20T10:52:09","modified_gmt":"2020-11-20T15:52:09","slug":"what-health-protocols-does-cuba-apply-for-international-travelers","status":"publish","type":"post","link":"https:\/\/oncubanews.com\/en\/cuba\/what-health-protocols-does-cuba-apply-for-international-travelers\/","title":{"rendered":"What health protocols does Cuba apply for international travelers?"},"content":{"rendered":"<p>With the resumption of regular operations this Sunday at Havana\u2019s Jos\u00e9 Mart\u00ed International Airport, Cuba opened its main gateway to the country after months of closures and restrictions due to the <a href=\"https:\/\/oncubanews.com\/tag\/coronavirus\/\">coronavirus<\/a> pandemic. Since the previous weeks, other Cuban airports, such as Varadero, Holgu\u00edn and Santiago de Cuba, had already started operating, with which the flow of international travelers has multiplied throughout the island.<\/p>\n<p>This reopening is necessary to reactivate the hard-hit Cuban economy\u2015and in particular a key sector such as tourism\u2015and to reconnect nationals abroad\u2015immigrants or residents\u2015with the country, with the monetary injection that this represents. But, at the same time, it entails a high epidemiological risk for a nation that, even with its ups and downs, exhibits to this day an indisputable success in controlling COVID-19.<\/p>\n<p>Faced with this dangerous scenario, the health protocols established on the island for people arriving from abroad are gaining relevance. In recent days, the authorities and the press have offered a variety of information on this subject, but concerns and questions persist, which an interview with Dr. Carmelo Trujillo, head of the Department of International Health Control of the Ministry of Public Health (MINSAP), published this Wednesday on the official website Cubadebate, tries to answer.<\/p>\n<p>In it, Dr. Trujillo explains that these protocols are not new, that there is already experience in their application, and they have been designed to act on \u201cany person who arrives through an international entry point and is going to interact with our population,\u201d whether they are tourists, foreign students, Cuban collaborators abroad or other residents in the country who return to their community or non-resident Cubans who come to visit the island.<\/p>\n<p>Its objective, he says, is \u201cto detect in time any sick person who could carry a transmissible disease and complicate the current health situation of the country\u201d and, taking into account the current international epidemiological context, they have been adapted for the specific case of COVID -19 and have been enhanced for the conditions of the new normal that most Cuban provinces live.<\/p>\n<h3><strong>Three lines of surveillance at airports<\/strong><\/h3>\n<p>The MINSAP official affirmed that Cuban airports have three lines of epidemiological surveillance, implemented since the influenza A H1N1 pandemic in 2009, which \u201craise the level of sanitary control of international travelers who arrive in the country through this type of entry point.\u201d<\/p>\n<p>The first of these surveillance lines \u201cis designed to dispatch aircraft entry\u201d and in it \u201ca doctor or a specialist in hygiene and epidemiology performs the dispatch of the aircraft once it reaches the ramp or mobile bridge.\u201d<\/p>\n<p>\u201cThis is the first contact with the crew that comes on the plane, precisely for the analysis of documents and the creation of the general statement of the aircraft,\u201d said Trujillo, who noted that this statement \u201creflects all the general data of the aircraft,\u201d including the model, number of passengers on board, number and condition of the people on board and if there were any incidents on the trip. In Cuba, he added, \u201cgreat importance is given to the health status of the crew and passengers during the crossing\u201d and to the communication to the crew \u201cof the new measures contained in the action protocols of the health authorities at the border, related to the COVID-19 pandemic.\u201d<\/p>\n<p>\u201cNow, in the new normal, some important elements are included that it is necessary to know in advance, such as if someone comes aboard the aircraft with acute respiratory illness, or some respiratory symptoms, if there is a report of someone who has presented a fever, among others,\u201d he explained, and said that if no incident is reported, then the disembarkation of the passengers, crew, luggage and cargo from the plane is authorized.<\/p>\n<p>The second line of surveillance is activated once passengers enter the air terminal and arrive at the immigration lounge. There, according to the official, all passengers pass in front of a temperature scanner that, without touching the travelers, \u201callows people with elevated body temperature to be identified promptly\u201d and in the current situation \u201chealth epidemiological surveillance actions have been reinforced with personnel through the method of observation, looking for signs and symptoms in all passengers that may suggest having COVID-19, and any other transmissible disease.\u201d<\/p>\n<p>Also at this point, the traveler\u2019s health declaration is reviewed and collected, contained in the model 8233-02 of the Ministry of Public Health, which must be delivered during the trip so that people fill out the data that is requested in it.<\/p>\n<p>In this regard, Trujillo insisted on \u201cthe responsibility that all international travelers have to correctly fill in all the data requested in this model\u201d and added that in the document \u201cthe passenger is warned that any data that is distorted or does not correspond to reality, may be subject to the application of a measure or requirement from the sanitary point of view, which are established in the sanitary legislation in force in the Republic of Cuba.\u201d<\/p>\n<h3><strong>The PCR sample and warning card<\/strong><\/h3>\n<p>According to the head of the MINSAP Department of International Health Control, the declaration of health collected in the second line of surveillance \u201cis a complement to the traveler\u2019s record for taking the PCR sample\u201d and functions \u201cas an identification instrument for international health control\u201d because \u201cthe passenger\u2019s sample number, once the test is made and sent to the laboratory, is reflected in one of its corners in order to avoid confusing the samples.\u201d<\/p>\n<p>At the same time, travelers are given a warning card, in which \u201cpassengers are informed that they must present themselves, before 48 hours of arrival in the country, before their family doctor or the health area where they reside and declare their status as a traveler, to initiate the established health controls and monitoring in their health area.\u201d This also applies to non-resident Cubans and foreigners who stay in family or rental homes.<\/p>\n<p>In the case of tourists who go to hotels, they are followed by the health teams of the country\u2019s tourist facilities, which are in charge of maintaining epidemiological surveillance, watching out for the results of the PCR test, isolating and performing the first care actions for possible positive cases, and to \u201ctimely detect health situations that international travelers may bring from the countries of origin or from the countries through which they traveled before entering Cuba.\u201d<\/p>\n<p>Once the PCR sample is taken, the travelers go to the immigration booths \u201cwhere the corresponding checkups are carried out\u201d and, after the first customs line, they go to the third surveillance line where their temperature is again taken, this time with a digital thermometer. Only then do they go to the area where they collect their luggage and carry out the rest of the customs procedures, said Trujillo, who, however, explained that the Cuban international health control program also takes into account factors such as the origin of the traveler, the migratory condition of the same, whether Cuban or foreign, \u201cand which specifies acting according to the epidemiological risk that it represents for the country.\u201d<\/p>\n<h3><strong>Also by sea<\/strong><\/h3>\n<p>Regarding international ports, marinas and cruise terminals, the official confirmed that \u201can action protocol has also been structured for three surveillance lines similar to that of international airports\u201d and pointed out that \u201call crew members of commercial and recreational vessels arriving in the country who are going to a stay longer than 24 hours, should have a PCR test if they are interested in going ashore\u201d and \u201cbe subject to isolation until the result\u201d of this test is ready. Only then \u201cwill they be able to perform all the actions they had planned.\u201d<\/p>\n<p>As for the lines of surveillance, in the case of ports the first is in the entry dispatch of the vessels in which \u201ca series of actions related to the documentation that the crew has to present is carried out,\u201d the vessels are inspected, and it is checked whether the crew and passengers on board are in optimal health.<\/p>\n<p>\u201cThe means of transportation must comply with certain sanitary conditions established to avoid the entry into the country of sick people, vectors or hosts of diseases that are now exotic to Cuba. It also has to comply with the pre-established hygienic measures on board that guarantee the good health of the crew members,\u201d said the specialist.<\/p>\n<p>Then, the second line of surveillance \u201cis the epidemiological surveillance of the vessel during its stay in the country,\u201d said Trujillo, who said that it \u201cis characterized by monitoring the means of transportation while it is docked in Cuba\u201d and that \u201cthe actions carried out will depend on the stay and will be directed by a health team made up of doctors, nurses and technicians\/graduates in hygiene and epidemiology\u201d in charge of \u201censuring the application of all measures designed to maintain a good hygiene and life on board\u201d and function \u201cas a focal point to detect any problems with the crew in time.\u201d<\/p>\n<p>Finally, the third line of surveillance \u201cis activated when the crew or passengers are going to get off the boat\u201d and in it \u201ca temperature control is carried out, through a temperature scanner or thermometer, depending on the physical conditions and technologies at each of the entry points; an epidemiological observation of the crew members who go ashore and the traveler\u2019s health declaration is filled out where the person certifies their state of health.\u201d Moreover, as an additional action the temperature is also taken when returning to the vessel.<\/p>\n<p>As for marinas and cruise terminals, they also have a specific \u201cvery well designed\u201d protocol, according to Trujillo. The former \u201chave schemes very similar to those of international ports,\u201d he affirmed, although he said that they have \u201cthe particularity that epidemiological observation is daily, which means that the protocol corresponding to the third line of surveillance is applied every time the crew member or passenger of the recreation boat is going ashore\u201d and that \u201cadditionally, there\u2019s a checkup every time they are going to get on the vessel.\u201d<\/p>\n<p>In the cruise terminals, for their part, PCR tests cannot be carried out, since most of these vessels that arrive on the island do so only for a few hours. This is why \u201cwe work with the cruise lines for them to offer a documentary guarantee that all crew members and passengers who come aboard one of their ships have undergone a PCR test and are in good health. Based on this information, the Cuban health authorities could make an assessment of the health status of that vessel and of everyone who comes aboard it,\u201d he specified.<\/p>\n<p>In addition, all persons who go ashore \u201cmust pass the third line of surveillance, where necessary controls and checkups are carried out\u201d and \u201cthe method of observation is applied, looking for symptoms in each of the crew members or passengers and taking their temperature.\u201d<\/p>\n<h3><strong>In the communities<\/strong><\/h3>\n<p>As the card issued at the airports warns, all travelers arriving in Cuba are obliged to present themselves within 48 hours of arrival at the health area of \u200b\u200bthe place where they reside or are staying, and \u201cdeclare their condition of traveler, to initiate all the actions that are related to the international health control and epidemiological surveillance.\u201d<\/p>\n<p>Trujillo pointed out that, according to the provisions of Cuban protocols, \u201ceach person who enters the community must be in isolation in their home for 10 days until the result of the second PCR arrives, which is carried out on the fifth day in the community, coordinated with the health area.\u201d<\/p>\n<p>\u201cWhen that result arrives, which should take between 24 and 48 hours, the person must have been in the country between 7 and 9 days. Therefore, the epidemiological surveillance established in Cuba for COVID-19 lasts 10 days,\u201d explained the official, who stressed \u201cthe importance of the person remaining in isolation and complying with all the additional measures that have been established in our protocols, such as the use of means of protection, social distancing and minimal contact with family members.\u201d<\/p>\n<p>Only with the result of the second negative PCR test is it possible to have a normal mobility within the country, the specialist reiterated, while emphasizing that \u201call international travelers are obliged to report immediately to any health institution if they present symptoms of any transmissible disease.\u201d<\/p>\n<p>This protocol not only applies to resident Cubans who return to the island, but also to foreigners residing in the country and non-resident Cubans, \u201cbut who go to their family\u2019s house, a rental house, that is, in the community.\u201d In addition, it is valid beyond COVID-19 because, according to Trujillo, the traveler \u201cmay come from a region of the world where there are certain diseases, which in Cuba are subject to international control or are exotic to the country\u201d which is why, regardless of the pandemic, \u201cthe Cuban health system monitors them carefully, so that they do not become a health problem in the national territory.\u201d<\/p>\n<h3><strong>The health fee<\/strong><\/h3>\n<p>Finally, the head of the MINSAP Department of International Health Control referred to the health tax announced days ago, and that will begin to be charged to all travelers who arrive in Cuba as of December 1. In this regard, he acknowledged the existence of concerns and questions about it, among them that, \u201cif Cuba in its Constitution guarantees a universal and free health system, why are PCR tests going to be charged.\u201d<\/p>\n<p>In response, he said that with said tax \u201cthe PCR is not being charged\u201d and its implementation \u201cis not related to the medical care that a Cuban may receive.\u201d<\/p>\n<p>\u201cHealth fees are designed to regulate the costs involved for any state in the world to apply protection measures to its population and health control measures at its entry points,\u201d said Trujillo, who stated that their application \u201chas been very well analyzed in detail from all points of view, and in no way violates what is established for Cubans in the Constitution.\u201d<\/p>\n<p>The tax, which has a value of 30 USD and will be charged within the price of the ticket, as reported at the time by the Cuban authorities, \u201cwas implemented to regulate the costs of the health measures that the pandemic has forced us to impose at the border,\u201d which, he said, \u201crepresent an outlay by the Cuban state to implement them.\u201d<\/p>\n<p>The application of the tax \u201csupposes a protection for the Cuban population, but also for any Cuban or foreign person who arrives in the country\u201d and, at the same time, \u201cavoids in the long term an outlay of large financial burdens to be able to face an event of public health that would be much more expensive,\u201d concluded the official.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>According to the provisions of Cuban protocols, the person arriving from abroad \u201cmust be in isolation at home for 10 days until the result of the second PCR arrives, which is carried out on the fifth day in the community, coordinated with the health area.\u201d Tourists have their own follow up in hotel facilities.<\/p>\n","protected":false},"author":3134,"featured_media":230572,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[33393,13902,13907],"tags":[29532,72],"ppma_author":[33546,8689],"class_list":["post-230626","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-coronavirus","category-cuba","category-tourism-in-cuba","tag-coronavirus-in-cuba","tag-cuba-en"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>What health protocols does Cuba apply for international travelers? 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