Do I need a referral for a COVID-19 test? What happens if you test positive? Your coronavirus questions answered


Trent Yarwood, The University of Queensland

As COVID-19 cases surge in Victoria and NSW, authorities have again urged anyone with symptoms, including cough, fever, or sore throat, to get tested. Most results should be available within a few days and people should self-isolate while they’re awaiting results.

Victorian Premier Daniel Andrews said today Victoria recorded 275 new COVID-19 cases. Mask-wearing whenever outside the home will be mandatory for residents of metropolitan Melbourne and Mitchell Shire from Wednesday at 11:59pm.

NSW Premier Gladys Berejiklian said there were 20 new cases in NSW today, and urged residents to avoid crowded places, consider wearing a mask when physical distancing wasn’t possible, and minimise any non-essential travel.

Here are the most important things to know about testing.




Read more:
Got a COVID-19 test in Victoria and still haven’t got your results? Here’s what may be happening — and what to do


Do I need a referral to get a COVID-19 test?

For the vast majority of people, no — you don’t need a referral to get tested at dedicated public COVID-19 testing clinic.

However, you will need a pathology request form if you plan to get tested at a private pathology clinic.

COVID-19-testing clinics in NSW are listed here, and Victorian testing sites (including pop-up clinics) are listed here. The Victorian Department of Health and Human Services says on it website:

Please call ahead before visiting a testing site, unless you choose to be tested at a pop-up testing site.

Testing locations are listed on each state or territory’s health departments, including for Queensland, Western Australia, South Australia, Northern Territory and the Australian Capital Territory.

Start by seeing if there is a pop-up drive-through or walk-through clinic near you. Some public sector fever clinics have a booking system to reduce wait times but many of the pop-up testing drive-through sites will allow you just to show up in your car.

Do not walk unannounced into a private pathology clinic, hospital emergency department or into your GP’s surgery.

If you can’t get to a dedicated public COVID-19 testing clinic, call your GP and ask for a telehealth consult. The GP can organise a pathology request form to be sent electronically to a private pathology clinic and will advise you on how to get tested there.

While you’re waiting for your test results, it’s important to stay at home in case you are infectious.




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Explainer: what’s the new coronavirus saliva test, and how does it work?


What happens if I test positive?

You will be notified if you’ve tested positive to COVID-19. If you were tested at a private clinic, you may receive a call from your GP who ordered the test, or from the public health team.

If you were tested at a public testing site like a drive-through clinic, a state government public health official will contact you. They will usually do the contact tracing at the same time.

Their job is to find out about anyone else you may have given the virus to while you’ve been infectious. They will usually ask where you’ve been and who you’ve seen in the last few days before you became ill.

There are national guidelines for management of coronavirus, but how they are implement is usually a state decision. Generally, the facility where you got the test will tell you how long you need to isolate for.

It’s important to ask as many questions as possible when you’re informed of your result.


The Conversation, CC BY-ND

How can I get tested? Is there a blood test?

Most tests will usually be done by a swab around the back of the throat and the nose. Some sites will either just swab your throat, or just your nose, but the gold standard at the moment is to swab both.

There’s also a new saliva test, which tests a sample you spit into a small container. It’s used in limited circumstances where it’s not possible to take a nasal swab, such as with young children resisting a swab.

The problem is saliva seems to have less of the virus in it than sputum (which is collected from the back of the nose and throat), so a saliva test result may not be as reliable.

There are currently two types of blood tests. One is an antibody test, which can measure whether you’ve already had the virus and recovered. But it’s not very useful because health authorities are more concerned about finding out who has the virus now, so they can do contact tracing.

Researchers from Monash University announced recently they’ve able to detect positive COVID-19 cases using blood samples in about 20 minutes, and identify whether someone has contracted the virus.

However, it’s very new research and likely won’t be rolled out on a large scale very soon. The researchers said last week they’re seeking commercial and government support to upscale production.

Despite problems with new types of tests, in a pandemic it’s important to research and trial novel testing methods that can help us fight the virus.

The most important thing you can do to help stop the spread is to try to maintain physical distancing as much as you can. Wash your hands frequently, and if you develop any symptoms — even very minor ones — err on the side of getting tested.




Read more:
Which face mask should I wear?


The Conversation


Trent Yarwood, Infectious Diseases Physician, Senior Lecturer, James Cook University and, The University of Queensland

This article is republished from The Conversation under a Creative Commons license. Read the original article.

EGYPT: LAW GRANTING TWINS TO MUSLIM TO BE REVIEWED


Christian mother wins right to high court appeal regarding ruling that favored Muslim father.

ISTANBUL, February 20 (Compass Direct News) – Prosecutor General Abdel Meguid Mahmoud last week granted the mother of 14-year-old twins Andrew and Mario Medhat Ramses the right to appeal a custody decision awarding her sons to their Muslim father.

Muslim convert Medhat Ramses Labib gained custody of the boys last September, contrary to Article 20 of Egypt’s Personal Status Law, which states children should remain with their mother until age 15. The boys’ mother, Kamilia Lotfy Gaballah, won the right to appeal on Feb. 11.

“We all have a little bit of hope, new hope,” said George Ramses, the twins’ older brother. “Of course, they are a little afraid about everything, but generally they are excited.”

With support from the Egyptian Initiative for Personal Rights (EIPR), Gaballah will appeal the Family Court’s decision awarding custody to the father before the Court of Cassation. Family Court decisions are not usually given recourse to the Court of Cassation, one of Egypt’s highest courts, and require special referral from a public prosecutor.

EIPR Director Hossam Bahgat stressed that the Court of Cassation will be examining the law on which the decision was based, not the decision itself.

“The Court of Cassation will pronounce a decision on the legal rule that Christian children, when one of their parents converts to Islam, should be automatically moved to the Muslim parent’s custody,” he said. “So it is very important in terms of changing the legal rule, but according to the law it will not have a direct impact on Andrew and Mario themselves.”

Preliminary hearings are scheduled to begin on March 2.

The twins will celebrate their 15th birthday in June of this year. At 15, Egyptian children of divorcees have the legal right to choose which parent they want to live with. Ramses told Compass that he is skeptical about whether his brothers will be given this right.

“The whole law is that kids should spend the first 15 years with their mum, and then they get to choose who they want to live with,” Ramses said. “[Choosing] is the second part of the rule that was not applied to us, so we don’t know actually what will be the case.”

The boys’ father, Labib, converted to Islam in 1999 after divorcing Gaballah to marry another woman. In 2006 Labib altered the official religious status of the boys and later applied for custody.

 

Covenant Breaches

The boys are now at the center of two separate disputes, both of which have roots in the complex interaction between Islamic and secular law in Egypt: whether children should be automatically awarded to the Muslim parent, and whether they therefore should automatically convert to Islam.

Custody battles between Muslim fathers and Christian mothers have typically been instances where Islamic law has predominated over secular legislation. Sharia (Islamic law), which the Egyptian constitution declares as being the source of law, states that a non-Muslim should not have authority over a Muslim.

In the case of Andrew and Mario, this sharia provision meant that they should not be left under the jurisdiction of their non-Muslim mother. The automatic and compulsory conversion of the twins, following their father’s decision to become Muslim, is the second area of contention EIPR is working on behalf of Gaballah to resolve.

The issue once again shows the contradictory stances of Egyptian civil law, which reflects both freedom of religion and Islamic thought. A fatwa (religious edict) issued by Egypt’s Grand Mufti, Ali Gomaa, regarding the case of Andrew and Mario states, “The religion of the two children should follow their Muslim father’s, unless they change their religion with full will after puberty.”

Although this statement allows Andrew and Mario the right to choose their religion “after puberty,” conversion from Islam is not only extremely difficult in Egypt but also dangerous.

Egypt has ratified a number of human rights treaties allowing advocacy groups like EIPR recourse to international watchdogs and advisory bodies. One of these, the African Commission on Human and Peoples Rights (ACHPR), has agreed to examine the case. The commission has asked both parties to submit written statements by March in preparation for an initial hearing in May.

The European Union of Coptic Organisations for Human Rights (EUCOHR) has also weighed in, petitioning the European Parliament for help.

“We have gone to the European Parliament with a legal document detailing about 30 to 40 breaches of international covenants like the International Declaration of Human Rights,” said Ibrahim Habib, vice-chairman of EUCOHR.

Habib said he hopes involving international bodies such as these will raise the profile of the case and put pressure on the Egyptian judiciary to rule impartially. Such attention could also have positive implications for the much harassed Coptic community at large.

The report filed by EUCOHR and the U. S. Coptic Foundation for Legal Assistance, which explores violations of such pacts as the Convention on the Elimination of All Forms of Discrimination against Women and the International Covenant on Civil and Political Rights, ends with this statement:

“This is a call for justice and to save the two children from the coercion, persecution and injustice with which they are overburdened and, it is respectfully requested that a prompt action be taken to save those children and their future. Also, the annulment of the judgements against the two children is promptly requested.”  

Report from Compass Direct News