Figure and Table | The Japanese Medical Science Federation COVID-19 Expert Opinion English Version

Table 1. Guideline for Performing Surgical Triage during the COVID-19 Pandemic ⁽²⁴⁾.

Status of the medical care system			Stable period		Restricted period
Status of COVID-19 on target patient			Negative	Positive or suspected	Negative	Positive or suspected
Disease level	A	Disease that is nonfatal or does not require urgent medical intervention	Perform cautiously under appropriate infection control	Postpone	Postpone	Postpone
	B	Disease that is nonfatal but may potentially be fatal or is at risk of becoming severe	Perform surgery cautiously under appropriate infection control	Postpone; if not possible, perform surgery cautiously under full infection control	Postpone if possible	Postpone
	C	Disease that may be fatal in a few days or a few months without any surgical intervention	Perform surgery cautiously under appropriate infection control	Consider alternative treatment options; if not possible, perform surgery cautiously under full infection control	Consider alternative treatment options; if not possible, perform surgery cautiously under appropriate infection control	Consider alternative treatment options; if not possible, perform surgery cautiously under full infection control

Table 2. Guidance for Returning to Work or School.

Work and school（non-healthcare settings）	Healthcare settings
Persons with COVID-19 may discontinue isolation under the following conditions:
At least 10 days have passed since symptom onset (or after the date of first positive COVID-19 test)
At least 72 h have passed since resolution of fever^(1) and other symptoms have improved^(2)
Person should seek advice from infection control experts, occupational physicians, school physicians, etc., prior to returning to work or school
（*1）Without the use of antipyretics
（*2）Symptoms such as cough/fatigue and respiratory distress (loss of taste or smell might be long term in COVID-19 patients)
In case of severe or hospitalized person with COVID-19, they should consider consultation with infection control expert to ensure safe returning to work or school.	In addition to remarks of non-healthcare settings, consider the following measures as well.
After returning to work or school, routine infection prevention and control such as daily self-monitoring for symptoms, wearing a face mask, and physical distancing should be implemented as usual.	Healthcare professionals who take care of vulnerable patients may return to work 20 days after the onset of symptoms ⁽⁶⁴⁾ or two consecutive negative PCR tests ⁽⁶⁵⁾.

Table 3. Guidance for Returning to Work or School (for Those Who Have Fever or Flu-like Symptoms but Have Not Been Diagnosed with COVID-19).

Non-healthcare settings
Persons may discontinue isolation under the following conditions:
At least 8 days have passed since symptom onset
At least 72 h have passed since resolution of fever^(1) and other symptoms have improved^(2)
If it is difficult to take a leave of absence during the above period due to urgent business reasons, COVID-19 test should be recommended as much as possible. If it is not possible to have a COVID-19 test, each business should implement the following conditions at their own risk.
At least 72 h have passed since the fever and symptoms have improved^(*1)
（*1）Without the use of antipyretics
（*2）Symptoms such as cough/fatigue and respiratory distress
After returning to work or school, routine infection prevention and control such as daily self-monitoring for symptoms, wearing a face mask, and physical distancing should be implemented as usual.
This expectation does not apply in the cases limited to “working from home.” However, they should pay much attention to risk of infection in households.