USG to Allow Certain Persons From Ukraine to Travel to US Without Pre-Departure COVID-19 Tests

On February 14, the United States announced the temporary relocation of US Embassy operations from Kyiv to Lviv. (U.S. Shuts Down Embassy Kyiv, “Temporarily Relocating” Operations to Lviv). 
According to a CDC announcement, on February 15, 2022, the Secretary of Homeland Security determined that it is in the national interest to permit the entry of noncitizen nonimmigrants who (1) are traveling with a U.S. citizen or lawful permanent resident; (2) were physically present in Ukraine as of February 10, 2022; and (3) possess valid travel documents allowing them to travel to the United States. Covered persons will not be required to provide proof of negative COVID-19 test result prior to boarding their flights to the United States. All travelers are still required to “properly wear well-fitting masks during the flight.

The Centers for Disease Control and Prevention (CDC) has announced that, based on a request from the U.S. Department of State and consistent with the determination made by the Secretary of Homeland Security, it will exercise its enforcement discretion regarding certain aspects of its “Amended Order: Requirement for Proof of Negative COVID-19 Test Result or Recovery from COVID-19 for All Airline Passengers Arriving into the United States,” and its Amended Order Implementing Presidential Proclamation on Advancing the Safe Resumption of Global Travel During the COVID-19 Pandemic pdf icon[PDF – 52 pages],” effective immediately. This exercise of enforcement discretion is limited to the following groups of individuals, to the extent they were physically present in Ukraine as of February 10, 2022: U.S. citizens; lawful permanent residents; noncitizens in possession of a valid U.S. immigrant visa; as well as noncitizen nonimmigrants who are traveling with a U.S. citizen or lawful permanent resident and possess valid travel documents allowing them to travel to the United States (collectively, “covered persons”). This exercise of enforcement discretion will enter into effect immediately and expire on March 1, 2022, at 2359 ET, subject to any further extensions.

Pursuant to this exercise of enforcement discretion, covered persons will not be required to provide proof of a negative COVID-19 test result prior to boarding a flight to the United States or to complete the attestation at Section 1 of the Combined Passenger Disclosure and Attestation to the United States of America pdf icon[PDF – 7 pages] form.

CDC requests that all air carriers cooperate in this exercise of enforcement discretion. Noncitizen nonimmigrants must continue to complete Section 2 of the Combined Passenger Disclosure and Attestation to the United States of America pdf icon[PDF – 7 pages] form attesting to either being fully vaccinated and providing proof of being fully vaccinated against COVID-19 or, if traveling pursuant to an exception, including a national interest exception, that they have made arrangements to receive a COVID-19 test within three to five days of arrival in the United States, to self-quarantine for seven days, to self-isolate in the event of a positive COVID-19 test or the development of COVID-19 symptoms, and to become fully vaccinated for COVID-19 within 60 days of arrival in the United States if intending to stay in the United States for more than 60 days.

All travelers are also required to properly wear a well-fitting mask to keep the nose and mouth covered during the flight, including on public transportation and in airports and other transportation hubs. Travelers may further be subject to additional public health measures as may be required by State and local health authorities at their arrival location in the United States.

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@StateDept Official Touts “Robust Health Care System”, Talks BioFire FilmArray For COVID19 Testing at FS Posts

 

Via SSDO Special Briefing, March 24, 2020

QUESTION:  Hi, guys.  Following up a little bit about what Matt was talking about, when it comes to these embassies overseas, I want to clarify something we talked about yesterday.  It sounds to me like, for the moment, these staff members are completely reliant on local healthcare infrastructure for testing and treatment should they get ill.  Is that correct?  And are you planning to stand up any kind of medical capacity at these embassies or is the plan to just try to bring them home and treat them here if we need to?  Thank you.

SENIOR STATE DEPARTMENT OFFICIAL:  Okay.  Well, working overseas for the State Department or for any government agency in a country that may have poor medical resources has been challenging all along.  We have a process in place that generally we try and make sure that people with underlying medical conditions would only go to places where they have local resources that could take care of them.  Obviously COVID presents new challenges.

We do have, like I said earlier, a robust health care system, a medical program.  We have doctors, nurse practitioners, physician assistants, and nurses deployed at almost every mission around the world.  We rely also heavily on local staff that we employ in our health units.  And they’re the frontline.  I mean, they’ll see the patients first, whether it’s COVID, whether it’s anything else, and either provide care directly or to find the best local care available.

In COVID obviously, as health infrastructure overseas breaks down, it’s more of a challenge.  In terms of testing, we have up to now relied on local sources, local – maintain facilities for testing.  I’m not sure if we’ve actually sent back samples to the CDC in Atlanta, but that’s an option as well.  But I heard news today that there’s been approval for a use of a device called BioFire FilmArray, which is an apparatus that we actually have in a number of embassies overseas, so lab testing machines doesn’t require – it requires expertise, but it doesn’t require a special license to use.  And BioFire company just had their approval given for use of – for creation of a cartridge to test for COVID.  So going forward, we anticipate we’ll be able to do a lot more of our own monitoring and testing.  Thank you.

During the briefing, the SSDO said, “ COVID obviously, as health infrastructure overseas breaks down, it’s more of a challenge.”  True, but he did not really answer  the “is the plan to just try to bring them home and treat them here if we need to?” part of the question, did he? 
Also the maker of the BioFire® COVID-19 Test said on its website that it is yet to be submitted for Emergency Use Authorization in the second quarter of 2020, while the BioFire® Respiratory 2.1 Panel us expected to be submitted to the FDA for EUA in the third quarter of 2020:
BioFire® COVID-19 Test

In collaboration with the U.S. Department of Defense, BioFire Defense is developing a fully-automated, sample-to-result assay for the specific detection of SARS-CoV-2, the causative agent of COVID-19. This assay is designed to run on both the BioFire® FilmArray® 2.0 and BioFire® FilmArray® Torch Systems and will deliver results in about an hour. The BioFire COVID-19 Test is being developed on an accelerated timeline, with submission for Emergency Use Authorization (EUA) anticipated in Q2 of 2020.

BioFire® Respiratory 2.1 Panel

In parallel, BioFire Diagnostics is developing new SARS-CoV-2-specific assays for addition to the BioFire® FilmArray® Respiratory 2 (RP2) Panel. This new panel will be named the BioFire® Respiratory 2.1 (RP2.1) Panel and is being developed for both the BioFire® FilmArray 2.0 and BioFire® FilmArray Torch Systems. In addition to the detection of SARS-CoV-2, the BioFire RP2.1 Panel will detect 21 additional respiratory pathogens to help clinicians quickly rule in and rule out other common causes of respiratory illness in about 45 minutes. Development of the BioFire RP2.1 Panel is also occurring on an accelerated timeline, and submission to the FDA for EUA and 510(k) clearance is anticipated in Q3 of 2020.

In the meantime, SSDO also said, “In terms of testing, we have up to now relied on local sources, local – maintain facilities for testing.”
What happens in places where there is no local testing?

Burn Bag: State Department/MED – Heads in the Sand

From sickdips via Burn Bag:
“Members of the Embassy community at one post have fallen seriously ill with COVID-19 symptoms, but the State Department will not test them for COVID-19 or *MEDEVAC them. There is already limited medical capacity at many posts, which will be completely overwhelmed as the pandemic spreads. What is MED waiting for? Protecting our people should be our NUMBER ONE PRIORITY.”
*MEDEVAC – medical evacuation
** MED – State Department’s Bureau of Medical Services

Via Imgur