如果你身在英國需要回港，
怎樣可以在英國取得香港政府要求的
「新型冠狀病毒核酸檢測陰性結果証明」，
用以登上回港航班？

我目前身在倫敦，
今天做了一些資料搜集。

以下是非常長文，
心急人可直接跳到末段結論及建議 🙏🏻

先講背景資料。

昨天（9月24日）香港政府公佈，由10月1 日起，從英國回港人士，必須提供以下文件，向航空公司展示，方可登機：

//（一）一份由化驗所或醫療機構發出的中文或英文報告，當中載有相關到港人士姓名（所載有的姓名須與相關到港人士的有效旅遊證件所示姓名相同），並顯示以下資料：

　　（a）相關到港人士已接受一項2019冠狀病毒病核酸檢測，而檢測樣本是在飛機的預定起飛時間前72小時內，取自相關到港人士的；
　　（b）對該樣本進行檢測的是2019冠狀病毒病核酸測試；及
　　（c）相關到港人士的2019冠狀病毒病的檢測結果呈陰性；及

　　（二）如相關報告並非採用中文或英文或並無載有上述所有資料，須額外提交一份由該化驗所或醫療機構發出的中文或英文確認書，載有相關到港人士姓名（所載有的姓名須與相關到港人士的有效旅遊證件所示姓名相同）及全部上述資料，並與報告一併呈交；及

　　（三）一份中文或英文的證明文件，以顯示該化驗所或醫療機構屬ISO 15189認可，或獲所在的地方的政府的有關主管當局承認或核准；及

　　（四）相關到港人士在香港酒店預訂房間的中文或英文確認書，其租住期間為自相關到港人士抵達香港當日起計的不少於14日。//

▶️ https://www.info.gov.hk/gia/general/202009/24/P2020092400425.htm

而英國NHS公佈，由明日（9月26日）起，不提供該測試：

//Get a test
This service will be temporarily unavailable from 11.59pm on 25 September 2020//

▶️ https://www.gov.uk/get-coronavirus-test

另，NHS一直指明，除非有癥狀，否則即使是學校，僱主或旅行社要求，亦不會提供檢測：

// You cannot get a free NHS test unless you have symptoms, have been asked to by your local authority, live in England and have been told to by your hospital, or are taking part in a government pilot project.

This applies even if:
• you live with someone who has coronavirus
• you've had close contact with someone who has coronavirus
• you've come to the UK from a high risk country
• you're planning to leave the country
• your employer or school has asked you to get a test

You can pay for a private test. Do not use this service.//

▶️ https://www.gov.uk/get-coronavirus-test

最後一句，指NHS不提供檢測，只可以做私家檢測。

然而，在哪裡做檢測，有甚麼途徑做？

英國的Superdrug (香港和黃集團旗下) 有提供「抗體測試」套裝，售價69英磅，但「抗體測試」與港府要求的「核酸測試」並不相同：

//Superdrug has launched a COVID-19 antibody blood test, available through its online doctor service. The COVID-19 antibody home sampling kit, which costs £69 and is on sale from today (May 20）//

▶️ https://www.chemistanddruggist.co.uk/news/superdrug-launches-covid-19-antibody-test

「抗體測試」和「核酸測試」有何不同？

▶️ https://www.nhs.uk/conditions/coronavirus-covid-19/testing-and-tracing/antibody-test-to-check-if-youve-had-coronavirus/

至於英國在本年2月實行的drive through test，即自行駕車到指定NHS地點作檢測的服務，亦只限NHS轉介個案：

//The NHS is making available services to test people for coronavirus, including a new service in west London, offering ‘drive through’ coronavirus testing.

The service, provided by Central London Community Healthcare NHS Trust in Parsons Green, is only accessed through a referral from NHS 111//

最後一個可行性，是在英國找GP做檢測。

而在英國約見私家醫生（GP），必先向私家醫生診所作登記，但GP極可能拒絕新登記，因為以下原因：

//A GP practice may refuse to register you because:
• it has no capacity to take on new patients
• it may not be accepting patients that do not live within its practice boundary
• in your particular circumstances, it may not be appropriate for you to register with a practice that's a long way from where you live//

▶️ https://www.nhs.uk/using-the-nhs/nhs-services/gps/how-to-register-with-a-gp-practice/

而在英國的檢測，最快48小時有結果。

終於跳到結論：

在9月30日抵港者，近乎無可能在登機前在英國取得香港政府要求的，ISO 15189認可，2019冠狀病毒病的核酸測試結果呈陰性的証明文件。

除非：

登機者能夠直接在合資格化驗所作檢測（72小時內），趕及取得相關報告（48小時後），呈陰性，並已做好其他証明文件，包括預訂香港的隔離酒店。

故此，需要從英國回港的朋友，目前有三個選擇：

一， 更改或購買機票，於9月29日前登機回港
二， 取道另一國家作中途站，需出境及逗留，再返回香港
三， 停留在英國，直至可以在英國做檢測，或香港取消相關措施

非常長文，希望就我所知通知各位。

如有更新資訊或我以上所說有錯漏，請指正交流。

↪️↪️ 9/25 更新資訊：

以下是網友提供，目前在英國，可提供核酸檢測服務的GP / 醫生 / 服務中心：

https://doctap.co.uk/services/coronavirus-test/

https://privateharleystreetclinic.com/pages/travel-testing

https://www.citydoc.org.uk/covid-19-pcr-swab-testing/

https://midlandhealth.co.uk/tests-and-diagnostics/covid-19/

https://www.pallmallmedical.co.uk/tests-scans-and-diagnostics/coronavirus-test/

https://walkin-clinic.co.uk/blood-tests/covid19-testing

https://www.doctorcall.co.uk/private-gp-services/coronavirus--covid-19--testing

医生 ： 当您来看医生时，请说实话。不要向我们隐瞒

前几天就和大家分享到我们吉打这里发生了大事件
因为孕妇隐瞒，而且本身有新冠肺炎
导致接触过这位孕妇的医生和护士都被通知隔离

以下的信息是来自 Dr.Kevin Goh ：

我是一名在Pantai Hospital Laguna Merbok 工作的麻醉师。
18/3（星期三），我从睡眠中被叫醒，准备进行紧急剖腹产。
我以最快的速度准备好，开车前往医院！
剖腹产照正常进行，母婴均处于良好状态。

在医院完成所有工作后，我照常回家。我还到父母家吃晚饭。

晚上11点左右，医院的COO信息告诉我，早上产妇的父母都被检测出COVID19阳性。
她的父亲实际上曾出席位于大城堡的传教士大集。
她在入院时填写申报表时撒了谎。隐瞒了她曾与确诊病患有过亲密接触。而在手术后发烧，她才决定公开相关信息。

听到这个消息，我的心瞬间沉了！
不是因为我可能被感染，而是因为我的家人将可能因为我的工作而面临危险。

当时为晚上11点，什么也做不了。
整个晚上我和妻子都是痛苦煎熬。

第二天早上（19/3），医院迅速采集患者的咽喉分泌样本，并将其送到吉隆坡进行即时处理。
等待结果过程是另一个痛苦。
结果，报告呈阳性反应！对于我和我的同事来说，无疑是另一场噩梦。

医院安排了我所有的手术室及接触过该产妇的医生护士及顾问进行测试。感谢上帝，我们所有的结果都是阴性的！
等待结果比等待SPM / STPM放榜更为紧张

即使结果是阴性的，我们仍需要隔离14天。

就只是因为一个自私的人。
医院因此关闭3天，以进行全面的消毒和清洁。
医生，麻醉师，员工，分娩室员工因此受苦。

当您接受咨询时，请说实话。不要向我们隐瞒任何信息。
至少如果您告诉我们事实，我们将可以做得更好，或在操作时穿着合适的个人防护装备。
不告诉我们就像谋杀我们，要求我们在没有枪和防弹背心的情况下进行战争！
信息来自 Dr.Kevin Goh

中文是翻译而来的，原文是英语

I m an anaesthesiologist working in Pantai Hospital Laguna Merbok PHLM. On the 18/3 (Wednesday), I was woken up from my sleep for an emergency Caesarean section. As quickly as I could, I got myself ready and drove as fast as
I could to the hospital to attend to the patient. Everything was done for the safety of my patient and baby in my mind. The caesarean was done as per normal and both mother and baby were in good condition.

After all the work done in the hospital, I went home to my family as usual. I even went to my parents house for a dinner. (For ur info, my dad is a 75 yo man who had undergone bypass surgery).

At night at about 11pm, the hospital COO messaged me to inform me that the patient’s parents were both tested COVID19 positive. Her father actually went to the tabligh gathering in KL. She lied when she filled up the declaration form during admission. She said she had no contact with anyone who was positive. She decided to disclose the information after she herself developed fever after the op. How selfish was she?

My heart sank after hearing the news. Not because I would be potentially infected but my family would be in danger because of my work.

Nothing could be done at 11pm. The whole night was an agony for my wife and me.

The next morning (19/3) the hospital quickly took the patient’s throat swab and sent it to KL for immediate processing. Waiting for the result was another suffering. Lo and behold, the result came back as POSITIVE. This was another nightmare for my colleagues and me.

The hospital arranged all my OT staffs, Labour room staffs and almost all consultants to be tested. Thank God, all our results were NEGATIVE. This waiting for the result was worse than waiting for SPM/ STPM results

Even though the results were negative, some of us still need to be quarantined for 14 days.

The hospital is closed for 3 days for proper disinfectant and cleaning.

Because of one single
Selfish person,

The surgeon, anaesthesiologist, OT staffs, labour room staffs had to suffer.

The hospital has to be closed.

Please tell the truth when u consult us.. Do not hide any information from us. At least if u tell us the truth, we will be more prepared as in wearing proper PPE while doing operation. Not telling us is like ambushing us, asking us to go to war without gun and bullet proof vest.

#tellthetruth #dontbeselfish #dontbeliar #proudtobeanaesthetist #pantaihospitallagunamerbok

「Epidemiologic and Clinical Characteristics of Novel Coronavirus Infections Involving 13 Patients Outside Wuhan, China(2020/02/07)+中文摘要轉譯」


➥中文摘要轉譯：
截至2/4日，北京報告13例，大多為年輕健康人。症狀輕微且無人死亡。與過去報導一致，健康人感染後預後較佳。
註：初期流行病學易有偏誤，不可推估大流行時狀況。(財團法人國家衛生研究院-郭書辰醫師整理)


➥In December 2019, cases of pneumonia appeared in Wuhan, China. The etiology of these infections was a novel coronavirus (2019-nCoV),1,2 possibly connected to zoonotic or environmental exposure from the seafood market in Wuhan. Human-to-human transmission has accounted for most of the infections, including among health care workers.3,4 The virus has spread to different parts of China and at least 26 other countries.1 A high number of men have been infected, and the reported mortality rate has been approximately 2%, which is lower than that reported from other coronavirus epidemics including severe acute respiratory syndrome (SARS; mortality rate, >40% in patients aged >60 years)5 and Middle East respiratory syndrome (MERS; mortality rate, 30%).6 However, little is known about the clinical manifestations of 2019-nCoV in healthy populations or cases outside Wuhan. We report early clinical features of 13 patients with confirmed 2019-nCoV infection admitted to hospitals in Beijing.


「Methods」
Data were obtained from 3 hospitals in Beijing, China (Beijing Tsinghua Changgung Hospital, School of Medicine, Tsinghua University [8 patients], Beijing Anzhen Hospital, Capital Medical University [4 patients], and College of Respiratory and Critical Care Medicine, Chinese PLA General Hospital [1 patient]). Patients were hospitalized from January 16, 2020, to January 29, 2020, with final follow-up for this report on February 4, 2020. Patients with possible 2019-nCoV were admitted and quarantined, and throat swab samples were collected and sent to the Chinese Center for Disease Control and Prevention for detection of 2019-nCoV using a quantitative polymerase chain reaction assay.3 Chest radiography or computed tomography was performed. Data were obtained as part of standard care. Patients were transferred to a specialized hospital after diagnosis. This study was approved by the ethics commissions of the 3 hospitals, with a waiver of informed consent.


「Results」
The median age of the patients was 34 years (25th-75th percentile, 34-48 years); 2 patients were children (aged 2 years and 15 years), and 10 (77%) were male. Twelve patients either visited Wuhan, including a family (parents and son), or had family members (grandparents of the 2-year-old child) who visited Wuhan after the onset of the 2019-nCoV epidemic (mean stay, 2.5 days). One patient did not have any known contact with Wuhan.


Twelve patients reported fever (mean, 1.6 days) before hospitalization. Symptoms included cough (46.3%), upper airway congestion (61.5%), myalgia (23.1%), and headache (23.1%) (Table). No patient required respiratory support before being transferred to the specialty hospital after a mean of 2 days. The youngest patient (aged 2 years) had intermittent fever for 1 week and persistent cough for 13 days before 2019-nCoV diagnosis. Levels of inflammatory markers such as C-reactive protein were elevated, and numbers of lymphocytes were marginally elevated (Table).


Four patients had chest radiographs and 9 had computed tomography. Five images did not demonstrate any consolidation or scarring. One chest radiograph demonstrated scattered opacities in the left lower lung; in 6 patients, ground glass opacity was observed in the right or both lungs (Figure). As of February 4, 2020, all the patients recovered, but 12 were still being quarantined in the hospital.


➥Author: De Chang, Minggui Lin, Lai Wei, et al.

➥Link: (JAMA) https://jamanetwork.com/journals/jama/fullarticle/2761043


衛生福利部
疾病管制署 - 1922防疫達人
疾病管制署
國家衛生研究院-論壇
#2019COVID19Academic

Swimming Ear － Dr. David Ho@FindDoc.com
Source: http://www.FindDoc.com

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