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Covid-19 Pandemic

Dáil Éireann Debate, Tuesday - 29 June 2021

Tuesday, 29 June 2021

Ceisteanna (448)

Thomas Gould

Ceist:

448. Deputy Thomas Gould asked the Minister for Health if gastric sleeve surgery is considered unavoidable and time sensitive in relation to mandatory hotel quarantine with a confirming letter from the doctor; and the number of persons who have been exempted from mandatory hotel quarantine who travelled abroad for gastric sleeve surgery. [26904/21]

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Freagraí scríofa

Mandatory hotel quarantine has been introduced as one element of Ireland’s public health measures to combat the transmission of COVID-19 variants of concern.

The Health Act 1947, as amended, provides that all persons arriving in Ireland from a designated state, or having travelled through a designated state in the previous 14 days, are required to undergo mandatory quarantine in a designated facility unless they are an exempted traveller under the Act. All applicable travellers must reserve and pay for a place in mandatory hotel quarantine.

The Act identifies those who are exempt from mandatory hotel quarantine, and a full list of exemptions can be accessed on www.gov.ie/quarantine.  

With effect from 8th May, if a person has travelled abroad for unavoidable, imperative and time-sensitive medical reasons they will not be required to undergo mandatory hotel quarantine on their return to Ireland.  They will be required to present a medical certificate from a registered medical practitioner or from a person holding an equivalent qualification outside the State to the effect that they had an unavoidable, imperative and time-sensitive reason for so travelling. In addition, any carer or dependent travelling with this person will also be exempted from the requirement to undergo mandatory hotel quarantine.

A person whose medical situation is not deemed to be unavoidable, imperative and time-sensitive or who does not have appropriate medical certification is not exempt from mandatory hotel quarantine. For a person to qualify for this exemption, the medical reason for travel to the State must be all of the following:

- unavoidable: that is, not elective

- imperative: that is, urgent and essential

- time sensitive: that is, the medical condition or medical need which is the reason for travel is such that a delay in treatment would cause irreparable or very significant harm

A registered medical practitioner or person with equivalent qualifications outside the State must assess and certify the medical reasons claimed. Practitioners should bear in mind that all three conditions must be met – the reason must be unavoidable, imperative and time-sensitive. Not all medical needs or treatments will meet these conditions, so it is important to consult your doctor before travelling to confirm that he or she will be able to provide the appropriate certification.

A person whose medical situation does not meet this test or who does not have appropriate medical certification is not exempt from mandatory hotel quarantine. Travellers wishing to avail of this exemption must note that both elements must be satisfied – they must have medical certification and must also be able to satisfy border control staff that their treatment was ‘unavoidable, imperative and time-sensitive’; cosmetic procedures, for example, are very unlikely to meet this standard. However, they can still, after entering mandatory hotel quarantine, request a review of their quarantine on grounds of their medical needs. Further information on the review (appeals) procedure is set out below.

As of 17th April, passengers who are 'fully vaccinated' and have the documents to confirm this are no longer required to complete mandatory hotel quarantine on arrival in Ireland. Dependents, including children, will also be exempted from the requirement to complete mandatory hotel quarantine in this instance. Please note that the 4 EMA approved vaccines currently accepted have specific definitions for when a person would be considered 'fully vaccinated'.

Passengers who are fully vaccinated and exempt from hotel quarantine are still subject to other travel restrictions, such as the need to provide a negative pre-departure PCR test and complete a period of self-quarantine at home or wherever specified in their passenger locator form.

Determinations of medical exemptions are made on arrival in to the State. In this regard, my Department does not hold information in relation to the number of people who travelled abroad and were exempt from Mandatory Hotel Quarantine as a result of gastric sleeve surgery.

It is important to note that the list of designated states will be subject to change at short notice and passengers are required to check the list before travelling to Ireland, to be sure of their obligations.

Neither I as Minister for Health nor my Department have any role in decisions relating to whether individual persons must enter mandatory quarantine or whether individual persons are exempted travellers. All such decisions are to be determined in accordance with the provisions of the Act.

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