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Coronavirus Testing – what you need to know

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What symptoms should I look out for?

It has been reported that there are varying degrees of symptoms from none to severe, and symptoms may include:

  • Cough
  • Sore throat
  • Shortness of breath
  • Fever (body temperature ≥ 38°C)

What to consider before thinking of going for a test:

In the 14 days before your symptoms started, was any of the following true for you?

  • I had close contact with a person who was diagnosed with COVID-19.
  • I had close contact with an unwell traveller from China, Italy, Iran, South Korea or other areas where COVID-19 infections have recently occurred.
  • I am a healthcare worker who has been exposed to patients with severe acute respiratory infections.
  • I visited a healthcare facility (as a patient or visitor) in any country with COVID-19 infections have occurred.
  • I’ve have travelled to or from China, Italy, Iran, South Korea or other countries with recent cases of COVID-19 infections.

Next steps if you still suspect that you might have coronavirus:

  • You should make telephone contact with your family doctor who will be able to identify if you have the common cold or flu or if your symptoms resemble coronavirus symptoms.
  • Remember to tell your doctor about any recent travel.
  • If your doctor suspects you have coronavirus, they will contact the NICD clinical hotline to discuss your case and make appropriate arrangements for the next steps. The NICD will arrange for tests to be done at specific NICD laboratories. Once there is a confirmed diagnosis, the NICD will arrange for their accredited emergency transport services to transport the infected person to specific hospitals for treatment and/or quarantine.

Will my Medical Scheme cover the costs of the tests and treatment?

Most Medical Schemes will cover all costs for diagnosis and treatment if it is confirmed that you have coronavirus (COVID-19). If the results of the test are negative then you will have to cover the costs which is why it is crucial that you speak to your family doctor first before going to test yourself to ensure that you have a professional opinion that you do in fact need to go for testing.

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International

What you need to know about COVID-19 AKA Coronavirus

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The World Health Organisation define Coronavirus as below:

Coronaviruses (CoV) are a large family of viruses that cause illness ranging from the common cold to more severe diseases such as Middle East Respiratory Syndrome (MERS-CoV) and Severe Acute Respiratory Syndrome (SARS-CoV).

Coronavirus disease (COVID-19) is a new strain that was discovered in 2019 and has not been previously identified in humans.

Coronaviruses are zoonotic, meaning they are transmitted between animals and people.  Detailed investigations found that SARS-CoV was transmitted from civet cats to humans and MERS-CoV from dromedary camels to humans. Several known coronaviruses are circulating in animals that have not yet infected humans.

Common signs of infection include respiratory symptoms, fever, cough, shortness of breath and breathing difficulties. In more severe cases, infection can cause pneumonia, severe acute respiratory syndrome, kidney failure and even death.

Standard recommendations to prevent infection spread include regular hand washing, covering mouth and nose when coughing and sneezing, thoroughly cooking meat and eggs. Avoid close contact with anyone showing symptoms of respiratory illness such as coughing and sneezing.

The World Health Organisation recommends the following safety measures against Coronavirus as below:

Stay aware of the latest information on the COVID-19 outbreak, available on the WHO website and through your national and local public health authority. COVID-19 is still affecting mostly people in China with some outbreaks in other countries. Most people who become infected experience mild illness and recover, but it can be more severe for others. Take care of your health and protect others by doing the following:

Wash your hands frequently

Regularly and thoroughly clean your hands with an alcohol-based hand rub or wash them with soap and water.

Why? Washing your hands with soap and water or using alcohol-based hand rub kills viruses that may be on your hands.

Maintain social distancing

Maintain at least 1 metre (3 feet) distance between yourself and anyone who is coughing or sneezing.

Why? When someone coughs or sneezes they spray small liquid droplets from their nose or mouth which may contain virus. If you are too close, you can breathe in the droplets, including the COVID-19 virus if the person coughing has the disease.

Avoid touching eyes, nose and mouth

Why? Hands touch many surfaces and can pick up viruses. Once contaminated, hands can transfer the virus to your eyes, nose or mouth. From there, the virus can enter your body and can make you sick.

Practice respiratory hygiene

Make sure you, and the people around you, follow good respiratory hygiene. This means covering your mouth and nose with your bent elbow or tissue when you cough or sneeze. Then dispose of the used tissue immediately.

Why? Droplets spread virus. By following good respiratory hygiene you protect the people around you from viruses such as cold, flu and COVID-19.

If you have fever, cough and difficulty breathing, seek medical care early

Stay home if you feel unwell. If you have a fever, cough and difficulty breathing, seek medical attention and call in advance. Follow the directions of your local health authority.

Why? National and local authorities will have the most up to date information on the situation in your area. Calling in advance will allow your health care provider to quickly direct you to the right health facility. This will also protect you and help prevent spread of viruses and other infections.

Stay informed and follow advice given by your healthcare provider

Stay informed on the latest developments about COVID-19. Follow advice given by your healthcare provider, your national and local public health authority or your employer on how to protect yourself and others from COVID-19.

Why? National and local authorities will have the most up to date information on whether

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COVID-19 Statement by President Cyril Ramaphosa

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Below is the full COVID-19 statement delivered by South African President Cyril Ramaphosa on the 15th of March 2020:

Fellow South Africans,

I am addressing you this evening on a matter of great national importance.

The world is facing a medical emergency far graver than what we have experienced in over a century.

The World Health Organisation has declared the coronavirus outbreak as a global pandemic.

There are now more than 162 000 people who have tested positive for the coronavirus across the globe.

Given the scale and the speed at which the virus is spreading, it is now clear that no country is immune from the disease or will be spared its severe impact.

Never before in the history of our democracy has our country been confronted with such a severe situation.

From the start of the outbreak in China earlier this year, the South African government has put in place measures to screen visitors entering the country, to contain its spread and to treat those infected.

As of now, South Africa has 61 confirmed cases of people infected with the virus, and this number is expected to rise in the coming days and weeks.

Initially, it was people who had travelled out of the country, especially from Italy, who had positively tested for the virus.

It is concerning that we are now dealing with internal transmission of the virus.

This situation calls for an extraordinary response; there can be no half measures.

Cabinet held a special meeting earlier today.

After which, due to the serious measures we are going to announce, I have consulted the premiers.

We have decided to take urgent and drastic measures to manage the disease, protect the people of our country and reduce the impact of the virus on our society and on our economy.

We have now declared a national state of disaster in terms of the Disaster Management Act.

This will enable us to have an integrated and coordinated disaster management mechanism that will focus on preventing and reducing the outbreak of this virus.

We will also be able to set up emergency, rapid and effective response systems to mitigate the severity of its impact.

Following an extensive analysis of the progression of the disease worldwide and in South Africa, Cabinet has decided on the following measures:

Firstly, to limit contact between persons who may be infected and South African citizens.

We are imposing a travel ban on foreign nationals from high-risk countries such as Italy, Iran, South Korea, Spain, Germany, the United States, the United Kingdom and China as from 18 March 2020.

We have cancelled visas to visitors from those countries from today and previously granted visas are hereby revoked.

South African citizens are advised to refrain from all forms of travel to or through the European Union, United States, United Kingdom and other identified high-risk countries such as China, Iran and South Korea.

This is effective immediately.

Government will continue to regularly issue travel alerts referring to specific cities, countries or regions as the situation evolves based on the risk level.

Any foreign national who has visited high-risk countries in the past 20 days will be denied a visa.

South African citizens returning from high-risk countries will be subjected to testing and self-isolation or quarantine on return to South Africa.

Travellers from medium-risk countries – such as Portugal, Hong Kong and Singapore – will be required to undergo high intensity screening.

All travellers who have entered South Africa from high-risk countries since mid-February will be required to present themselves for testing.

We will strengthen surveillance, screening and testing measures at OR Tambo, Cape Town and King Shaka International Airports South Africa has 72 ports of entry in the country which are land, sea and air ports.

Of the 53 land ports, 35 will be shut down with effect from Monday 16 March.

Two of the 8 sea ports will be closed for passengers and crew changes.

Effective immediately, all non-essential travel for all spheres of government outside of the Republic is prohibited We further discourage all non-essential domestic travel, particularly by air, rail, taxis and bus.

Secondly, it is essential therefore that we minimise the risk of the spread of this virus by limiting contact amongst groups of people.

While we appreciate the economic, religious, and cultural significance of social and community gatherings, the coronavirus is spread through contact between persons.

As we have said before, the current circumstances require extraordinary measures to curb the spread of infections. Countries that have heeded the call to implement these radical measures, have fared much better than those than do not.

Therefore to encourage social distancing Cabinet has decided on these additional measures:

Gatherings of more than 100 people will be prohibited.

Mass celebrations of upcoming national days such as Human Rights Day and other large government events will be cancelled.

Where small gatherings are unavoidable, organisers will need to put in place stringent measures of prevention and control.

Schools will be closed from Wednesday, 18 March, and will remain closed until after the Easter Weekend.

To compensate, the mid-year school holidays will be shortened by a week.

Government is working closely with colleges, universities and other public facilities such as Parliament, prisons, police stations and military installations to intensify hygiene control.

Visits to all correctional centres are suspend for 30 days with immediate effect.

Government is aware of the confirmed case of a student who has tested positive for the coronavirus at Wits University.

Those who have been in contact with the student will be quarantined.

The Minister of Higher Education, Science and Innovation is consulting with Vice Chancellors of universities and colleges across the country and will soon be announcing measures in this regard.

We call on all businesses including mining, retail, banking, farming to ensure that they take all necessary measures to intensify hygiene control.

We also call on the management of malls, entertainment centres and other places frequented by large numbers of people to bolster their hygiene control.

Thirdly, to further strengthen our health response: Government is strengthening its surveillance and testing systems.

We are in process of identifying isolation and quarantine sites in each district and metro.

Capacity is being increased at designated hospitals in all provinces.

We are also increasing the capacity of existing contact tracing processes.

We are partnering with the private sector to set up a national tracking, tracing and monitoring system of all people infected with the coronavirus and those they have been in contact with We are undertaking a mass communication campaign on good hygiene and effective prevention behaviour.

Therefore, we are calling on everyone to:

• Wash their hands frequently with soap and water or hand sanitisers for at least 20 seconds;
• Cover their nose and mouth when coughing and sneezing with tissue or flexed elbow;
• Avoid close contact with anyone with cold or flu-like symptoms.

In essence, we are calling for a change of behaviour amongst all South Africans.

We must minimise physical contact with other people, and, encourage the elbow greeting rather than shaking hands.

Because of the severity of this virus and its rapid spreading, government will make funding available to capacitate the sectors dealing with the national response to the Coronavirus outbreak.

Since the outbreak of this pandemic, our government’s response has been led by an Inter-Ministerial Committee, chaired by the Minister of Health, Dr Zweli Mkhize.

We congratulate them on the outstanding work they have done – together with their able support teams – to steer our country through this challenging and un-certain period.

As part of the intensification of this effort, we have decided to establish a National Command Council chaired by the President.

This Command Council will include, amongst others, members of the Inter- Ministerial Committee and will meet three times a week, to coordinate all aspects of our extraordinary emergency response.

My fellow South Africans, In addition to the impact that this pandemic will have on health and wellbeing of our people, and the impact it will have on the day-to-day life of our society, COVID-19 will also have a significant and potentially lasting impact on our economy.

In the last few weeks, we have seen a dramatic decline in economic activity in our major trading partners, a sudden drop in international tourism and severe instability across all global markets.

The anticipated effects of the decline in exports and tourist arrivals will be ex-acerbated by both an increase in infections and the measures we are required to take to contain the spread of the disease.

This will have a potentially severe impact on production, the viability of businesses, job retention and job creation.

Cabinet is therefore in the process of finalising a comprehensive package of interventions to mitigate the expected impact of COVID-19 on our economy.

This package, which will consist of various fiscal and other measures, will be concluded following consultation with business, labour and other relevant institutions.

It is clear that this disease will be extremely disruptive.

Our priority must be to safeguard the health and well-being of all South Africans, to minimise the number of infections and to ensure all those infected get proper treatment.

While we are battling a contagious virus, perhaps the greatest dangers to our country at this time are fear and ignorance.

We must appreciate the extent of the threat that this disease presents, we must accept the anxiety that it causes, but we cannot allow ourselves to be overwhelmed by fear and panic.

We should stop spreading fake and unverified news and create further apprehension and alarm.

While we are facing a medical emergency far graver than we have experienced in recent times, we are not helpless.

We have the knowledge, the means and the resources to fight this disease.

If we act swiftly, with purpose and collectively we can limit the effects of the coronavirus on our people and our country.

Although we may be limiting physical contact, this epidemic has the potential to bring us closer together.

We are responding as a united nation to a common threat.

This national emergency demands cooperation, collaboration and common action.

More than that, it requires solidarity, understanding and compassion.

Those who have resources, those who are healthy, need to assist those who are in need and who are vulnerable.

All the institutions of the state will be mobilised to lead this effort, but, if we are to succeed, every company, trade union, NGO, university, college, school, religious group and taxi association will need to play its part.

We thank those people who suspected they may have been exposed to the virus for coming forward to be tested and for taking measures – such as self-isolation – to prevent further transmission.

We thank the medical teams around the country who are leading our response and are putting the well-being of others ahead of the risks they face themselves.

On Saturday we welcomed 104 of our compatriots who were in Wuhan City, China.

We thank the repatriation team for the task they performed with pride and efficiency to return them to the country and ultimately to their families.

The repatriation has been successful and those who have returned have settled in the quarantine area.

We thank the military health officials, pilots, cabin crew and all those who participated in this exercise.

We thank the leadership and the people of Polokwane and Limpopo for warmly welcoming our fellow South Africans.

We also extend our gratitude to the staff and management of the Ranch Hotel who have accommodated our compatriots and also subjected themselves to quarantine.

We extend our appreciation too to the companies, organisations and individuals who have taken it upon themselves to disseminate information about this virus and to raise awareness.

We thank those businesses that have taken steps to protect their employees, and those unions that have taken steps to protect their members.

Ministers who are at the frontline of coordinating our response to this crisis will be briefing the nation tomorrow, where they will unpack details in relation to the measures we announced tonight.

Fellow South Africans,

This is the most definitive Thuma Mina moment for our country.

I have great trust that our people will respond positively to this call to common action.

Fellow South Africans,

This epidemic will pass.

But it is up to us to determine how long it will last, how damaging it will be, and how long it will take our economy and our country to recover.

It is true that we are facing a grave emergency.

But if we act together, if we act now, and if we act decisively, we will overcome it.

I thank you.

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Financial

Large Fuel Price Decrease on the way!

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Fuel Price Decrease expected in February

A Fuel Price Decrease is expected according to the Department of Energy. The prices of 93  in Gauteng could decrease by 36.9 cents per litre, while the price of diesel with a 0.005% sulphur content could decline by 22.5 cents per litre on the 7 February 2018.

This comes despite the price of oil increasing in recent months to a price of almost $70 a barrel. The decrease in the fuel price can most likely be attributed to the strengthening of the Rand due to the election of Cyril Ramaphosa and change of leadership in the ANC. The Rand has since continued to strengthen with the expectation that Jacobs Zuma’s time as president could be coming to a close sooner rather than later.



Current Prices:

  • 93 Petrol: R14.20
  • 95 Petrol: R14.42
  • Diesel: R12.74

February expected Prices:

  • 93 Petrol: R13.83
  • 95 Petrol: R14.05
  • Diesel: R12.51

This could provide motorists with some much needed relief, but economists warn that this could just be a temporary relief. The price of fuel is expected to go up globally due to the increase price in oil and we can expect that increase to hit South Africa in the coming months again.

This will be the second decrease in a row following several consecutive months of increases in 2017. It’s times like these that it is more important than ever to ensure that you have a budget and that you update your budget with the latest changes such as this decrease in fuel.

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