Superseded - Isolation for Diagnosed Cases of COVID-19 and Management of Close Contacts Direction (No. 3)
This direction has been superseded on 24 January 2022. See the current Isolation for Diagnosed Cases of COVID-19 and Management of Close Contacts Direction (No. 7).
Superseded on: 24 January 2022
Direction from Chief Health Officer in accordance with emergency powers arising from the declared public health emergency
Public Health Act 2005 (Qld)
On 29 January 2020, under the Public Health Act 2005, the Minister for Health and Minister for Ambulance Services made an order declaring a public health emergency in relation to coronavirus disease (COVID-19). The public health emergency area specified in the order is for ‘all of Queensland’. Its duration has been extended by regulation to 26 March 2022 and may be further extended.
Further to this declaration, l, Dr John Gerrard, Chief Health Officer, reasonably believe it is necessary to give the following directions pursuant to the powers under s 362B of the Public Health Act 2005 to assist in containing, or to respond to, the spread of COVID-19 within the community.
This public health direction amends the requirements for a diagnosed person and for close contacts contained in the Isolation for Diagnosed Cases of COVID-19 and Management of Close Contacts Direction (No.2) for the purpose of protecting the health of the community and health workers, and to safeguard the delivery of hospital care in Queensland. The direction mitigates the risk of the spread of COVID-19 by providing a consistent and best practice approach to the management of individuals diagnosed with COVID-19 in Queensland and close contacts.
This Public Health Direction specifies the requirements that apply to individuals who have received a positive COVID-19 diagnosis and who are close contacts, either as household members of a diagnosed case or who have had household-like contact for more than four hours in a house, other accommodation, and similar settings.
Separately from the requirements under Public Health Directions, under sections 362G and 362H of the Public Health Act 2005, a person may be given a direction by an emergency officer (public health) to stay at or in a particular place for up to 14 days if the emergency officer believes it is reasonably necessary to assist in containing, or to respond to, the spread of COVID-19 in the community.
This Public Health Direction is to be read in conjunction with other Public Health Directions issued under section 362B of the Public Health Act 2005 that have not expired or been revoked.
This Public Health Direction may be referred to as the Isolation for Diagnosed Cases of COVID-19 and Management of Close Contacts Direction (No.3).
The Isolation for Diagnosed Cases of COVID-19 and Management of Close Contacts Direction (No.2) made on 3 January 2022 is revoked and replaced by this Direction.
This Direction applies from the time of publication until the end of the declared public health emergency, unless it is revoked or replaced.
This Direction applies to a diagnosed person and to a close contact of a diagnosed person in Queensland.
Where a person is in quarantine under the Border Restrictions Direction (No.60) or the Quarantine for International Arrivals Direction (No.18) or their successors (travel quarantine) at the time they become a diagnosed person, the provisions of this public health direction apply in relation to the person’s release from isolation and no further travel quarantine is required, but for a close contact any continuing travel quarantine requirements apply once quarantine under this direction ends.
PART 1 – DIRECTION –ISOLATION FOR DIAGNOSED CASES OF COVID-19
The purpose of this Part is to require persons diagnosed with COVID-19 to isolate in order to limit the spread of COVID-19.
Subject to paragraph 8, a diagnosed person must immediately upon being informed of their positive COVID-19 test result, travel by private transport or by transport arranged by government authority directly to isolate for a period of 7 days from the date of undertaking the test, or as otherwise directed by an emergency officer (public health) at:
their home, where their home is no more than two hours of safe driving distance from where the diagnosed person is informed of their positive COVID-19 test result; or
place of accommodation, or other suitable premises; or
another nominated premises as otherwise directed by an emergency officer (public health).
Despite paragraph 7 a diagnosed person may travel directly to hospital by private transport or by ambulance to seek emergency treatment.
A diagnosed person must:
Inform their household and household like contacts that they are a confirmed case of COVID-19 and that each household member is considered to be a close contact; and
not leave their home, place of accommodation, other suitable premises or other nominated premises, except:
for the purposes of seeking medical treatment at a hospital in accordance with paragraph 8; or
Example — a person leaving isolation to go to a hospital by ambulance.
to avoid injury or illness or to escape a risk of harm; or
Example — escaping a risk of harm related to sexual or domestic and family violence; or accessing support from a domestic and family violence support service.
in the event of an emergency situation; or
as otherwise required or permitted under a direction given to the person by an emergency officer (public health); and
must only travel under paragraph 9(c)(i) or 9(c)(iv) by:
private vehicle; or
ambulance service; or
transport arranged by a government authority; and
must not permit any other person to enter the premises or separate part of the premises used for isolation unless that other person:
usually resides at the premises or is residing at the premises for the purpose of isolation; or
enters the premises to provide emergency, medical or other essential care to a person residing in the premises; or
as otherwise required or permitted under a direction given to the person by an emergency officer (public health).
Note: a diagnosed person is taken to have not permitted entry to the premises if entry occurs without the diagnosed person’s permission or is outside their control.
A diagnosed person must wear a surgical mask, and follow any additional infection control measures:
when directed to do so by an emergency officer (public health); and
when leaving isolation as permitted under paragraph 9(c), unless it is not practicable because of the emergency situation or the need to avoid immediate injury or illness or to escape a risk of harm.
Note: if a diagnosed person is evacuated in an emergency situation, they must advise emergency personnel they are a diagnosed person.
PART 1A – RELEASE FROM ISOLATION – DIAGNOSED PERSON
A diagnosed person subject to paragraph 7 may leave isolation, and is deemed to be a cleared case of COVID-19, at the earlier of:
if the positive result for the diagnosed person is found to be a historic infection and the person is no longer considered infectious, the requirement to isolate ends, provided the diagnosed person does not have symptoms consistent with COVID-19; or
7 days after undertaking the test, and 48 hours has passed since the person has had fever and acute respiratory symptoms, and a direction to isolate has not been given to the person under section 362H of the Public Health Act 2005; or
10 days after undertaking the test, where on Day 7 of isolation the diagnosed person has fever and acute respiratory symptoms; or
if a direction has been given to the person under section 362H of the Public Health Act 2005, at the time provided in that direction; or
when certified for release, if a registered nurse, or a medical practitioner from a treating Hospital and Health Service (as defined under the Hospital and Health Boards Act 2011 (Qld)) certifies that the person has met the ‘release from isolation’ criteria, including where applicable, the criteria for healthcare workers and workers in aged care facilities, as outlined in the ‘Coronavirus Disease 2019 (COVID-19) CDNA National Guidelines for Public Health Units’, as amended from time to time, available at https://www1.health.gov.au/internet/main/publishing.nsf/Content/cdna-song-novel-coronavirus.htm; or
Note: this paragraph does not require a person to be certified for release but specifies the time release from isolation is effective if the diagnosed person is certified for release.
when authorised for release, if a medical practitioner working within a COVID-19 healthcare framework approved by Queensland Health determines the person meets the requirements for release from isolation and authorises their release.
Note: this paragraph does not require a person to be authorised for release but specifies the time release from isolation is effective if the diagnosed person is authorised for release.
Certification under paragraph 11(e) and authorisation under paragraph 11(f) must be in writing but is not required to be in a particular form.
PART 2 – CLOSE CONTACT MUST QUARANTINE
A person who is informed or becomes aware they are a close contact of a diagnosed person must:
if the person has symptoms consistent with COVID-19 – as soon as practicable undertake a COVID-19 test and quarantine for 7 days from the date the diagnosed person undertook the test which returned a positive COVID-19 test result, as advised to the close contact by the diagnosed person; or
if the person does not have symptoms consistent with COVID-19 –immediately quarantine for 7 days from the date the diagnosed person undertook the test which returned a positive COVID-19 test result, as advised to the close contact by the diagnosed person; and
where the close contact is quarantining with the diagnosed person as a member of their household, the quarantine period is for the same period as the isolation period of the diagnosed person; and
where the close contact develops symptoms consistent with COVID-19 at any time during the quarantine period - undertake a COVID-19 test as soon as reasonably practicable after the symptoms start.
Note: a close contact who does not have symptoms consistent with COVID-19 is not required to undertake a Rapid Antigen Test unless they develop symptoms, apart from the Day 6 test required for their release from quarantine.
Note: a close contact who is in quarantine should remain separate from other people who might ordinarily reside in the same premises as the close contact. If the close contact becomes a diagnosed person, other people residing in the home with the close contact will become close contacts and will be required to quarantine.
A close contact required to quarantine must travel by private transport or by transport arranged by government authority or by endorsed transport provider directly to quarantine at:
place of accommodation, or other suitable premises; or
another nominated premises as otherwise directed by an emergency officer (public health).
Despite paragraph 14 a close contact may travel directly to hospital by private transport or by ambulance to seek emergency treatment.
A close contact required to quarantine must not leave the premises in which they are quarantining except:
for the purpose of undertaking a COVID-19 test if required under this or another Public Health Direction, including if the person develops symptoms consistent with COVID-19 or is directed to be tested by an emergency officer (public health); or
Note: a person in quarantine must not leave quarantine to purchase a Rapid Antigen Test from a retail store but may leave to attend a healthcare setting or Queensland Health testing centre to obtain either a Rapid Antigen Test or a COVID-19 PCR test. Where a Rapid Antigen Test is required under this Direction, a COVID-19 PCR test is also acceptable.
for the purpose of transporting a diagnosed person or close contact they are quarantining with to obtain a COVID-19 test; or
Example — a parent transporting their child who is a close contact to undertake a COVID-19 test when showing symptoms consistent with COVID-19.
to avoid immediate injury or illness or to escape a risk of harm; or
Example — escaping a risk of harm related to sexual or domestic and family violence.
in the event of an emergency situation; or
Example — a person leaving quarantine to go to a hospital for emergency medical treatment or due to an emergency at the premises such as fire or flood.
to perform work in a critically essential role and the person or their employer can provide evidence, if requested by an emergency officer (public health) that the close contact meets the requirements under Part 3; or
A close contact must wear a face mask outside the premises they are quarantining in:
whenever directed to do so by a public health officer; and
when leaving quarantine as permitted under paragraph 16;
unless it is not practicable because of the emergency situation or the need to avoid immediate injury or illness or to escape a risk of harm.
Any travel by a close contact who is quarantining at a premises under paragraph 16 must be by:
ambulance service; or
emergency services vehicle; or
transport arranged by a government authority; or
endorsed transport provider; or
private transport; or
contactless hire car; or
for a critically essential role approved under Part 3 for a remote workplace - transport arranged by the employer for the exclusive use of employees.
Any person transporting a close contact must wear a face mask at all times and, to the extent reasonably practicable, practise physical distancing, when transporting the close contact.
Example: A household member who is transporting a close contact in a private vehicle. Physical distancing can be achieved through having the close contact sit in the rear passenger side seat.
A close contact must not permit any other person to enter the premises or part of the premises in which they are quarantining unless that other person:
usually resides at the premises; or
is required to enter the premises in an emergency; or
Note: a close contact is taken to have not permitted entry to the premises if entry occurs without the close contact’s permission or is outside their control.
PART 2A – RELEASE FROM QUARANTINE- CLOSE CONTACT
A close contact quarantining under paragraph 13, may leave quarantine at the end of 7 days from the date the diagnosed person was tested if the close contact:
does not have symptoms consistent with COVID-19 and, on Day 6, has undertaken a Rapid Antigen Test that has produced a negative test result; or
has had symptoms consistent with COVID-19 during the period of quarantine but no longer has symptoms and all COVID-19 tests, including a Rapid Antigen Test on Day 6 have produced a negative test result.
Note: a close contact who has undertaken a COVID-19 test and received a positive test result during the quarantine period is a diagnosed person and will be released from isolation under Part 1A.
Note: a close contact may undertake a COVID-19 PCR Test where a Rapid Antigen Test is required but is not available.
PART 3 – CRITICALLY ESSENTIAL WORKERS
An employer in a critical industry may identify and create a Critical Worker List of the critically essential roles that:
require a person with particular skills; and
must be performed in person at the workplace; and
must continue to be performed to:
prevent an immediate risk of death or serious injury to a person; or
prevent serious harm (social, economic or physical) in the community.
An employer who requires a close contact to attend the workplace to perform a critically essential role must, as soon as practicable and no later than three days after the close contact first attends the workplace:
submit the Critical Worker List to the nominated Queensland Government email address: email@example.com; and
keep a record of the Critical Worker List to be produced if requested by an emergency officer (public health).
The Critical Worker List created by an employer is subject to review by the Director General or equivalent of a Queensland Government Department or Agency, or delegate, and is invalid if the employer has incorrectly identified itself a critical industry or incorrectly assessed the critically essential roles against the conditions in paragraph 22.
A close contact who is required to perform a critically essential role identified on a Critical Worker List may leave the quarantine premises to perform that critically essential role under paragraph 16 only if the close contact:
has no symptoms consistent with COVID-19; and
is fully vaccinated.
When leaving the quarantine premises to perform the critically essential role, the close contact must:
use a surgical mask when indoors, and outdoors when unable to physically distance from other people; and
travel to and from the workplace by private transport or in accordance with paragraph 18, by the most direct route practicable and without stopping, except for refuelling (contactlessly as far as possible); and
undertake regular symptom surveillance; and
Note: if the close contact develops symptoms consistent with COVID-19, the close contact is no longer permitted to leave the quarantine premises to attend the workplace, must be tested for COVID-19 as soon as practicable and return to the quarantine premises.
undertake regular hand hygiene; and
undertake a Rapid Antigen Test on Day 6 of the quarantine period; and
to the extent reasonably practicable, practise physical distancing including by remaining at least 1.5 metres from other people until the end of the quarantine period for the close contact; and
comply with any industry or employer requirements for workers in critically essential roles.
A close contact who leaves the quarantine premises to perform a critically essential role at a remote workplace may complete quarantine in suitable accommodation in the proximity of the remote workplace rather than return to the original place of quarantine at the end of each work shift.
A close contact may leave the quarantine premises for critical workforce management reasons where a Critical Workforce Management Protocol has been published by Queensland Health, provided the close contact complies with the requirements of the protocol.
A person who leaves the quarantine premises to perform critically essential work or for critical workforce management reasons under this Part must return to the premises and comply with the quarantine requirements of this Public Health Direction when not working, until the quarantine period ends.
Note: a diagnosed person may only leave the isolation premises to attend a workplace where an exemption is granted under Part 5.
PART 4 – CONTACT TRACING
If requested by a public health officer, a person must:
provide the address of the premises they are isolating or quarantining at; and
a contact telephone number, email address and their date of birth; and
if a parent, guardian or responsible adult of a minor who has been deemed to be a diagnosed person or close contact, provide the minor’s name and date of birth; and
if a diagnosed person, provide contact details, including at least a name and telephone number, of any other persons who are residing in, or have recently resided in, the premises or who are a household-like contact; and
any other information or documents required by a public health officer.
PART 5 – EXEMPTIONS
The Chief Health Officer, Deputy Chief Health Officer or their delegate may, having regard to the need to limit the spread of COVID-19, grant an exemption from all or part of this direction to an individual or class of individuals if other extreme exceptional circumstances exist.
An exemption may be given on conditions and if so, the person given the exemption must comply with the conditions.
PART 6 – OTHER MATTERS
An emergency officer (public health) may review a quarantine direction given under this or another public health direction and, if satisfied it is appropriate, vary or revoke the notice given to the diagnosed person or close contact and must notify the diagnosed person or close contact.
A person who was subject to quarantine under any of the public health directions revoked by this Direction or by the Isolation of Diagnosed Cases of COVID-19 and Management of Closed Contacts Direction, or its predecessors is now subject to the requirements of this Direction.
PART 7 – PENALTIES
A person to whom the direction applies commits an offence if the person fails, without reasonable excuse, to comply with the direction.
Section 362D of the Public Health Act 2005 provides:
Failure to comply with public health directions
- A person to whom a public health direction applies must comply with the direction unless the person has a reasonable excuse.
- Maximum penalty—100 penalty units.
Dr John Gerrard
Chief Health Officer
9 January 2022
Published on the Queensland Health website at 9.30am AEST 10 January 2022.
Schedule 1 - Definitions
For the purposes of this Public Health Direction:
Cleared case of COVID-19 means a person who has been a diagnosed person in relation to a close contact and has ended their isolation period.
Note: a cleared case of COVID-19 does not become a close contact of another person within the same household if that person becomes a diagnosed person.
Close contact means a person who is a household member or a household-like contact of a diagnosed person.
Contactless means a transaction that occurs without any physical contact or interaction between the parties, including the hire, payment and collection of a hire vehicle which can be completed without any physical contact or interaction between the car hire company and the hirer or close contact.
COVID-19 test means tested for COVID-19 either with a COVID-19 PCR test or with a Rapid Antigen Test.
COVID-19 PCR test means for a person who is:
12 months of age or over, an oropharyngeal and deep nasal swab for a polymerase chain reaction (PCR) test approved for use in Australia by the Therapeutic Goods Administration to detect whether a person has the COVID-19 virus; or
under 12 months of age, a saliva swab for a polymerase chain reaction (PCR) test approved for use in Australia by the Therapeutic Goods Administration to detect whether a person has the COVID-19 virus.
Critically essential role means a role identified as satisfying the requirements of paragraph 22, by an employer in a critical industry.
Critical industry means:
Emergency services, including police, the Queensland State Emergency Service, maritime rescue, the Coast Guard and the Rural Fire Service
Power and utilities;
Stores in remote locations or communities;
Essential retail (including supermarkets);
Freight and Logistics, including freight transported by air, rail, road or sea;
Education – secondary, primary and kindergarten school teachers;
Agriculture and Fisheries production;
Major manufacturing, distribution and critical supply chains (food, pharmaceuticals and petrol).
Critical Worker List means the list of critically essential roles identified as satisfying the requirements of paragraph 22, by an employer in a critical industry.
Critical workforce management means a critical workforce has been significantly impacted by diagnosed cases and/or close contacts within the workforce and requires critical support to provide essential services for the community.
Diagnosed person means an individual who has received a positive COVID-19 test result, or who has been otherwise informed that they have been diagnosed as having COVID-19, but does not include a person who is a cleared case of COVID-19.
Note: a person who has previously been a cleared case of COVID-19 but who has a new case of COVID-19 is a diagnosed person for the most recent case of COVID-19.
Example: a person was diagnosed with COVID-19 and subsequently cleared by their general practitioner in early 2021. In January 2022, the person is diagnosed as having COVID-19 again and isolates. When their isolation ends, the person is a cleared case of COVID-19 in relation to their most recent infection.
Emergency officer (public health) means an emergency officer appointed under the Public Health Act 2005
Note: emergency officers appointed under the Public Health Act are public health officers and police.
Endorsed transport provider means the person, business or entity that owns, controls or operates a transport service endorsed by a Queensland government department or agency and with a Transport Plan in the form approved by the Chief Health Officer.
Note: Information about endorsed transport operators and Transport Plans is available here: https://www.qld.gov.au/health/conditions/health-alerts/coronavirus-covid-19/current-status/public-health-directions/covid-19-testing-for-quarantine-facility-workers/endorsed-transport-providers.
Face mask means a flat surgical mask, P2/N95 mask or a cloth face mask with three layers that covers the nose and mouth (but does not include a face shield).
Note: a scarf or bandana is not a face mask.
Fully vaccinated means a person has received the prescribed number of doses, including a booster dose where eligible, of a COVID-19 vaccine approved for use in Australia by the Therapeutic Goods Administration.
Home means the place where the diagnosed person ordinarily resides.
a hospital, as defined in schedule 2 to the Hospital and Health Boards Act 2011; or
a private health facility, as defined in section 8 of the Private Health Facilities Act 1999; or
a multi-purpose service, as defined in section 104 of the Subsidy Principles 2014 made under section 96-1 of the Aged Care Act 1997 (Cth).
Hospital and Health Service means a hospital and health service as defined in Schedule 2 of the Hospital and Health Boards Act 2011.
Household means, except in exceptional circumstances determined by the Chief Health Officer or delegate, a person or persons who ordinarily reside at the same premises or place of accommodation as the diagnosed person, and who are residing at the premises or place of accommodation at the time the diagnosed person receives their positive COVID-19 test result.
Example: Members of a family that live in the same house are a household. A group of unrelated people that share a house is a household.
Household-like contact means, except in exceptional circumstances determined by the Chief Health Officer, a person who has spent more than four hours with the diagnosed person in a house or other place of accommodation, such as a residential aged care facility, disability accommodation, hospital or similar setting, unless the person has been in a separate part of the house, place of accommodation, that has a separate point of entry, no shared common areas, where the person does not share that area for more than four hours, and the person has no contact or interaction with the diagnosed person for more than four hours.
Example: a person in a self-contained unit with a separate point of entry and access to shared common areas for less than four hours is not a household-like contact of a diagnosed person in another unit within a larger place of accommodation, such as a unit in mining camp accommodation.
Informed means given oral or written notice, irrespective of whether that oral or written notice is correct, or becomes aware by other ways than oral or written notice.
Example: a public health officer, a pathology lab, or another company contracted to contact cases may inform a person of their positive COVID-19 PCR test result by SMS, email or telephone call, or a person may become aware of a positive test result by undertaking a Rapid Antigen Test that shows a positive test result, or, for a close contact, being advised by a diagnosed person.
Isolate means to follow the requirements set out in paragraphs 6 to 10.
Isolation refers to separating a diagnosed person with a contagious disease (such as COVID-19) from a population without that disease and in this Direction means to follow the requirements set out in paragraphs 6 to 10.
Nominated premises means other premises, including government nominated accommodation as directed by an emergency officer (public health)
Place of accommodation means any accommodation, including temporary accommodation where the person is residing or staying, including for a holiday, when they become a diagnosed person or close contact.
Premises has the same meaning as in Schedule 2 of the Public Health Act 2005 including a home, place of accommodation or other suitable premises and nominated premises referred to in paragraph 7, but excludes vehicles, and for premises that are a hospital, means the person’s allocated room or ward within the hospital.
Private transport means:
a private vehicle operated by the diagnosed person or by a person who is a close contact; or, for a close contact, a person who is a household member; or
Example: a diagnosed person may drive themselves in their own car or be transported in a car driven by a close contact. A close contact who is a minor may be transported in a car driven by an older sibling who is a household member but who is neither a diagnosed person nor a close contact.
if practical, by foot or via privately-owned bicycle, scooter or other personal mobility device, if the person is within 5 km from the premises and wears a face mask.
Note: devices may be motorised or non-motorised, but must be privately owned i.e., travel is not permitted on any personal mobility devices hired through a shared-fleet scheme such as e-scooter or e-bike sharing schemes, council bike docking schemes etc.
Public health officer means an emergency officer or a contact tracing officer.
Quarantine means to follow the requirements set out in paragraphs 13 to 20, to restrict the movement of a person exposed to COVID-19 until it can be determined whether the person has contracted COVID-19.
Rapid Antigen Test means a rapid antigen test approved by the Therapeutic Goods Administration for Use in Australia; where a Rapid Antigen Test is required or approved for use under this Direction, a COVID-19 Test may be used where a Rapid Antigen Test is not available.
Note: information about Rapid Antigen Tests can be found on the TGA website
Suitable accommodation means a separate or self-contained place of accommodation, including a unit or self-contained room with a separate point of entry, where a close contact can comply with the quarantine requirements in paragraphs 13 to 20.
Surgical mask means a single use surgical mask with a minimum level 1 barrier protection level under the Australian Standard (AS 4381:2015) that covers the nose and mouth.
Symptoms consistent with COVID-19 means fever or history of fever, symptoms of acute respiratory infection (cough, shortness of breath, sore throat), headache, loss of smell, loss of taste, runny nose, diarrhoea, nausea, vomiting or fatigue.