Although public health networks and all sectors have been working together and exerted every effort to manage and control the spread of COVID-19, the situation continues to escalate. Currently, a growing number of COVID-19 cases has been constantly reported and has a tendency to increase, causing a shortage of hospital beds and medical personnel have to work very hard. Despite the fact that field hospitals and community isolation centers have been added to solve the problem of patients waiting for hospital beds and prevent the spread of the virus to family members and people in the community, it cannot keep up with the increase in the number of patients.

Consequently, the Bangkok Metropolitan Administration (BMA) has set up guidelines for Home Isolation as an alternative for the people who are ready. Patients seeking home isolation must call the National Health Security Office (NHSO)’s 1330 hotline and press 14 or inform officer to investigate the disease or initially assess the symptoms. The patient must meet the following criteria: being an asymptomatic or mildsymptom COVID-19 patients (Green group), aged under 60 years, being physically healthy, and not being obese (weight less than 90 kg.). Patients and people living together do not have underlying diseases such as Chronic Obstructive Pulmonary Disease, Chronic Kidney Disease (stages 3,4,5), Cardiovascular Disease, Cerebrovascular Disease, Uncontrolled Diabetes and other diseases at the discretion of the physician. During home isolation, food will be delivered for 3 meals every day. Officer will bring device for monitoring patient symptoms, thermometer, pulse oximeter, Thai herbal medicine “Fa Thalai Chon”, Favipiravir (at the discretion of the physician) to be delivered at the patient’s accommodation. There will be doctors, nurses or public health personnel to closely monitor symptoms via video call or phone call twice a day, every day, until completing the required 14 days. For patients who develop severe symptoms (change to Yellow or Red group), please immediately contact officers at the designated channels or call 1330 to have the medical team evaluate and determine the appropriate treatment guidelines.

Not only new patients in the Green group will be able to do home isolation, but patients who have undergone treatment at the field hospitals, hospitels, and hospitals for 7-10 days can also go back home to self-isolate and have treatment according to the guidelines of Home Isolation as well. However, it must be at the discretion of the physician.

The BMA by Health Department in collaboration with the National Science and Technology Development Agency (NSTDA) and the Digital Government Development Agency have established and developed a system for home isolation and treatment through telemedicine (AMED Telehealth for Home Isolation) which was named BKKHICare. This will facilitate the communication and patient care via telemedicine to be more convenient, fast, and safe and give patients confidence when they need to stay at home for treatment.

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