{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T17:27:50Z","timestamp":1793294870835,"version":"4.5.0"},"reference-count":25,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,1,27]],"date-time":"2021-01-27T00:00:00Z","timestamp":1611705600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,1,27]],"date-time":"2021-01-27T00:00:00Z","timestamp":1611705600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Public Health"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The first COVID-19 cases were diagnosed in Australia on 25 January 2020. Initial epidiemiology showed that the majority of cases were in returned travellers from overseas. One aspect of Public Health response was to introduce compulsory 14\u2009day quarantine for all travellers returning to New South Wales (NSW) by air or sea in Special Health Accommodation (SHA). We aim to outline the establishment of a specialised health quarantine accommodation service in the context of the COVID-19 pandemic, and describe the first month of COVID-19 screening.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      The SHA was established with a comprehensive governance structure, remote clinical management through Royal Prince Alfred Virtual Hospital (\n                      <jats:bold>rpa<\/jats:bold>\n                      virtual) and site management with health care workers, NSW Police and accommodation staff.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      From 29 March to 29 April 2020, 373 returning travellers were admitted to the SHA from Sydney Airport. 88 (26.1%) of those swabbed were positive for SARS-CoV 2. The day of diagnosis of COVID-19 varied from Day 1 to Day 13, with 63.6% (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u200956) of these in the first week of quarantine. 50% of the people in the SHA were referred to\n                      <jats:bold>rpa<\/jats:bold>\n                      virtual for ongoing clinical management. Seven people required admission to hospital for ongoing clinical care.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The Public Health response to COVID-19 in Australia included early and increased case detection through testing, tracing of contacts of confirmed cases, social distancing and prohibition of gatherings. In addition to these measures, the introduction of mandated quarantine for travellers to Australia was integral to the successful containment of COVID-19 in NSW and Australia through the prevention of transmission locally and interstate from returning travellers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12889-021-10244-7","type":"journal-article","created":{"date-parts":[[2021,1,27]],"date-time":"2021-01-27T07:03:23Z","timestamp":1611731003000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":31,"title":["Control of COVID-19 in Australia through quarantine: the role of special health accommodation (SHA) in New South Wales, Australia"],"prefix":"10.1186","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1853-8194","authenticated-orcid":false,"given":"Penelope","family":"Fotheringham","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teresa","family":"Anderson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miranda","family":"Shaw","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Jewitt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah","family":"Storey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Owen","family":"Hutchings","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason","family":"Cartwright","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leena","family":"Gupta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,1,27]]},"reference":[{"key":"10244_CR1","unstructured":"NSW Department of Health. NSW COVID-19 case statistics 2020. Available from: https:\/\/www.health.nsw.gov.au\/Infectious\/covid-19\/Pages\/stats-nsw.aspx."},{"key":"10244_CR2","unstructured":"NSW Department of Health. Summary of the first 200 cases in NSW 2020. Available from: https:\/\/www.health.nsw.gov.au\/Infectious\/covid-19\/Pages\/first-200-nsw-cases-summary.aspx"},{"key":"10244_CR3","unstructured":"Australian Bureau of Statistics. Human Quarantine: The Australian approach to a world probem [updated 23 November 2012; cited 2020 11 May]. Available from: https:\/\/www.abs.gov.au\/ausstats\/abs@.nsf\/featurearticlesbytitle\/F74D29E8BE724723CA2569DE0024ED5C?OpenDocument."},{"key":"10244_CR4","unstructured":"Cumpston JHL. Influenza and maritime quarantine in Australia: National Library of Australia: Quarantine Service; 1919."},{"issue":"2","key":"10244_CR5","doi-asserted-by":"publisher","first-page":"taaa020","DOI":"10.1093\/jtm\/taaa020","volume":"27","author":"A Wilder-Smith","year":"2020","unstructured":"Wilder-Smith A, Freedman DO. Isolation, quarantine, social distancing and community containment: pivotal role for old-style public health measures in the novel coronavirus (2019-nCoV) outbreak. J Travel Med. 2020;27(2):taaa020.","journal-title":"J Travel Med"},{"issue":"6","key":"10244_CR6","first-page":"501","volume":"82","author":"Nussbaumer","year":"2020","unstructured":"Nussbaumer, Streit B, Mayr V, Dobrescu AI, Chapman A, Persad E, et al. Quarantine alone or in combination with other public health measures to control COVID-19: a rapid review. 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The article has been reviewed by the Chair of the RPA Ethics Office. No identifiable data has been included in the reported data.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not Applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"There are no declared competing interests from the authors.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"225"}}