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Institutional Quarantine (at Accommodations Facilities) and Home Isolation Protocols

12-10-2021

Institutional Quarantine and Medical Isolation Protocols (at Tourist Accommodations Facilities), and The Mechanism for Dealing with Travelers Coming from Outside the Kingdom V.1.0 8/10/1442 -20/5/2021

Introduction

Isolation and quarantine considered as the most important strategies used by healthcare representatives to limit the movement of the infected or suspected cases to control and prevent the spread of the infectious diseases among contacts in hospital and health facilities, as well as homes that can be used as places of quarantine or isolation. Quarantine or isolation continues until the risk of transmitting the disease to others has disappeared.

 

The Target Group of this Guidelines:

This guideline targets the following groups:

  • Health practitioners working in entry points or in Epidemiological Surveillance Centers.
  • Health practitioners working in health facilities.
  • Travelers coming from outside the Kingdom.
  • Workers in quarantine places

 

The purpose of these guidelines:

Determining the mechanism and procedures to allow the entry to Saudi Arabia from non-restricted countries, and conducting institutional quarantine on those coming from abroad to reduce the spread of (COVID-19) through the following:

 

  • Provide directives to health practitioners working in entry points, public health, and hospitals on the mechanism of dealing with travelers coming from outside the Kingdom and with positive cases of COVID-19.
  • Applying the preventive measures in facilities for quarantine and isolation.
  • Rules and instructions for people under quarantine and isolation in a designated facility or at home.
  • Quarantine laws and regulations and penalties for violating them.
  • Requirements for the quarantine place in the designated facility.
  • Home isolation requirements.

Definitions:

Quarantine:

Restrict the activities or separate people suspected of being exposed to contagious diseases and have no symptoms or a positive result, to reduce the spread of infection. The quarantine shall be in (a designated facility or at home) with applying specific requirements.

Isolation:

Separate the infected person (has a positive result) or have symptoms (suspected of having an infectious disease) to reduce the spread of infection. Isolation is either in the hospital or at home, according to the patient’s health condition.

Institutional Quarantine:

It is the procedure of hosting travelers arriving to Saudi Arabia in specific places for quarantine at their own expense.

Institutional Quarantine facility:

Tourist Accommodation Facilities that approved by the ministry of tourism and are qualified for quarantine.

Immune:

Saudi Citizens: An individual whose status in TAWAKKALNA application appears Immune.

 

Residents: An individual who has been fully vaccinated in the Kingdom, or who received one dose in the Kingdom and get the second dose outside the kingdom, from one of the approved vaccines in the kingdom; or who receive 2 doses of vaccines approved in the Kingdom outside the Kingdom, or has been fully vaccinated by one of the vaccines approved by WHO but not approved in the Kingdom and received a booster dose from one of the vaccines approved in the Kingdom. Provided that the doses received outside the Kingdom are registered via the Ministry of Health Platform. Recovery from COVID-19 will not be regarded as a justification for exempting recovered individuals from institutional quarantine.

 

Non-Saudi Citizens/Non-Residents: An individual who exceeds the age of (12) years and has been fully vaccinated by one of the vaccines approved in the Kingdom. Or an individual who is immune by being fully vaccinated by one of the vaccines approved by WHO but not approved in the Kingdom and received a booster dose from one of the vaccines approved in the Kingdom. All visitors have to submit proof of their vaccination in accordance with MOH requirements via (Quddum) platform. Recovery from COVID-19 will not be regarded as a justification for exempting recovered individuals from institutional quarantine.

 

Air carriers: national or foreign air carriers or private aviation.

 

The approved vaccines for use in the Kingdom of Saudi Arabia:
  • Pfizer BioNTech Vaccine (2 doses)
  • Oxford AstraZeneca Vaccine (2 doses)
  • Moderna Vaccine (2 doses)
  • Johnson & Johnson’s Janssen Vaccine (1 dose) Provided that the period between receiving a dose of Johnson’s vaccine and leaving for the Kingdom shall not be less than 14 days.
  • 2 doses from Sinopharma and received a booster dose from other approved vaccines in the kingdom (1-4).
  • 2 doses from Sinovac and received a booster dose from one of the approved vaccines in the kingdom (1-4).

 

Vaccine certificates are required to be certified by official health authorities from the country that provided the vaccination for incoming passengers. These certificates will be checked at entry points to the kingdom. Guests must always carry their vaccine certificates during their stay in the kingdom (Or prove of health status through applications and accredited programs in the kingdom). Failure to comply with these regulations makes travelers subject to legal liabilities .in addition to prevent them from entering the kingdom.

The mechanism for dealing with travelers coming from outside the Kingdom

Before Arrival:
  1. All arriving guests above (8 years) must provide negative PCR test certificate that does not exceed (72) hours from the time the test is undertaken until departing to the kingdom, and guests who did not provide the certificate will be denied from boarding the airplane.
  2. Non-Saudi travelers must register in the electronic platform as follow:
  • Visitors: should register in (Quddom) platform before departing to the Kingdom, and show that to the air carrier, provided that the air carrier verifies that the registration process is complete before printing the boarding pass.
  • Resident: if the traveler received the vaccine outside the kingdom, he/ she should register that through the Ministry of Health’s platform, and in the event that the health status is not updated in (Tawakkalna), the registration instead will be through the Quddom platform.
  1. Anyone wants to visit the kingdom must purchase one of the institutional quarantine packages offered by the air carrier, which include the following:
  • Ticket cost
  • Transportation costs from the airport to the institutional quarantine facility (optional)
  • Accommodation costs in the institutional quarantine place.
  • The costs of conducting two COVID-19 tests for those above (8) years.

 

  1. Non-citizens, residents, and citizens of the Gulf Cooperation Council countries must have medical insurance (in case they have COVID-19) that covers the costs of treatment in hospitals, outpatient clinics, and emergencies. And when there is no need for hospitalization, the medical insurance will cover the institutional quarantine for a period of up to 14 days.

 

Upon Arrival:
  1. All travelers must be registered in TAWAKKALNA applications (when arriving to the accommodation for the institutional quarantine) within 8 hours of starting the home quarantine to enable the health authority to follow up and monitor people in self-quarantine at home or in the institutional quarantine facility.
  2. Educate the guests by providing them with the required brochures and instructions during self-quarantine at home.
  3. Evaluate guests’ conditions by health practitioners at the points of entry and applying Visual Triage procedures (evaluate the presence of COVID-19 symptoms).
  4. Applying quarantine or isolation according to the Visual Triage procedures, as follows:
 2.1 If Traveler does not have Symptoms Upon Arrival:
  • All travelers who came from abroad and show no symptoms must undergo self-quarantine as shown in the table below.
  • The quarantine will be at home or at institutional quarantine facility according to the category in the table.
  • Travelers must fill out pledge to register on Tawakkalna application within 8 hours from their arrival, and they must follow the precautions measures described in the application. Also, they should make sure all their information in the pledge is correct.

Dealing with travelers coming from abroad through airport as follow:

StatusNon-immune

Immune

(according to Twakkalna app or by providing a proof)

Category

First category:

·  Saudi citizens, citizen’s wife, citizen’s mother citizen’s husband, her mother, citizen’s children, and the home workers.

·  Wife and home workers who accompanying an immune resident.

·  The companion of immune citizen or resident, who is under 18 years.

·  Residents’ children under 18 years who are not accompanied by their parents.

·  Accompanies of immune health practitioners who are working in governmental sectors including those under 18 years.

·  Those who hold diplomatic visa and diplomats and their residing families and the home workers accompanying them.

·  Cabin crew*

·  Official delegations*

·  Those involved in health supply chains, according to MOH*.

 

Second category:

Non-citizen travelers or those who are not mentioned in the first category.

First and second category
provide a proof or negative PCR test certificate does not exceed (72) hours from the time of departureRequired, except Saudi citizensProof is requiredRequired, except Saudi citizens
Quarantine’s type and durationHome quarantine until the test result proves negativeInstitutional quarantine for 5 daysNot required
The number of PCR test upon arrivalOnceTwiceNot required
When to do the PCR test?Within 48 hours from arrivingOn the 1st and 5th dayNot required

* Deal with them according to the precautionary measures designed to them

Travelers arriving through airports:

Immune citizens and residents (whose health status in Tawakkalna app is immune):
  • They are not required to undergo home quarantine or conduct COVID-19 test.

 

Travelers under 18 years will be dealt with as follows:
  1. home quarantine.
  2. The quarantine ends after 48 hours from arriving to the Kingdom.

* COVID-19 test is not required for this age group.

 

Non-immune:

First group: Saudi citizens and the other exempted categories:

  • Conduct the PCR test within 48 hours from arriving to the kingdom.
  • Self-quarantine at home (excepted when the house is not fully equipped, according to the exceptions below, otherwise the quarantine will be at institutional quarantine facility).
  • If the result is negative, they are permitted to end the quarantine.

 

Second group: Non-citizens and other exempted categories:

  • The institutional quarantine starting from arriving to the kingdom and it will be at a private institution for 5 days at their own expense, in condition they have no symptoms of infection.
  • Conduct the PCR test twice, on the 1st day and the 5th
  • If the result is negative and they have no symptoms, they are permitted to end the quarantine starting from the 5th

 

Health practitioners:
  1. Health practitioners working in the governmental health sectors (the quarantine of non-immune health practitioners will be in the residence of the government agency for a period of 5 days and that the PCR test will be at the end of the quarantine period on the fifth day).
  2. Health practitioners’ children under 18 years who are not accompanied by their families (provided that the PCR test will conduct within 48 hours of arrival, and they should adherence to the home quarantine until the test result proves that they are not infected).

 

General points for all categories:
  • Saudi citizens and children under 8 are exempted from conducting the PCR tests before and after arrival.
  • All positive samples must be sent to the public health Laboratory at the Public Health Authority.

Travelers coming through land ports and seaports:

Allow entry through land and seaports of the following categories:
  • Citizens, wife, and mother of citizens, husband, and mother of female citizens, sons, and daughters of female citizens and home workers accompanying any groups mentioned in this subparagraph (provided that the PCR test will conduct within 48 hours of arrival, and they should adherence to the home quarantine until the test result proves that they are not infected).
  • Those holding a diplomatic visa, diplomats and their residing families, and the home workers accompanying them (provided that the PCR test will conduct within 48 hours of arrival, and they should adherence to the home quarantine until the test result proves that they are not infected).
  • The companion of the immune citizen or resident, who is under 18 years (provided that the PCR test will conduct within 48 hours of arrival, and they should adherence to the home quarantine until the test result proves that they are not infected).
  • Health practitioners’ children under 18 years who are not accompanied by their families (provided that the PCR test will conduct within 48 hours of arrival, and they should adherence to the home quarantine until the test result proves that they are not infected).
  • The ship’s crews (they must undergo the precautionary measures assigned to them)
  • Truck drivers and their assistants from every port (they must undergo the precautionary measures assigned to them)
  • Those involved in health supply chains (must undergo the precautionary measures assigned to them).

 

Health practitioners:
  1. Health practitioners working in the governmental health sectors (the quarantine of non-immune health practitioners will be in the residence of the government agency for a period of 5 days and that the PCR test will be at the end of the quarantine period on the fifth day).
  2. Health practitioners’ children under 18 years who are not accompanied by their families (provided that the PCR test will conduct within 48 hours of arrival, and they should adherence to the home quarantine until the test result proves that they are not infected).

 

2.2 If travelers Develop Symptoms of COVID-19 Upon Arrival:

Isolate travelers who develop symptoms and treat them as suspected cases after their health condition is evaluated. They must conduct the PCR test within the first 24 hours of arrival, either at the point of entry or at the nearest health center (as determined by the region’s public health). The place of isolation is determined based on the following:

  1. The isolation will be at home if the case’s health condition is stable (if the house is not equipped the isolation will be at the institutional quarantine facilities) according to the category until the test results appear.
  2. people must fill in a pledge to adhere to the instructions of home isolation until the result appears or ending the period of isolation (as determined by the region’s public health).
  3. If the test result is positive and the health condition of the case is stable and does not require admission, the patient will complete the isolation at home or at the institutional quarantine facility according to the category.
  4. If the symptoms develop or the patient’s condition becomes unstable, he will be transferred to the hospital.

Confirmed Cases

Medical Isolation at home or at institutional quarantine facilities:
Medical Isolation Definition:

Separate the infected person with an infectious disease at home (or at institutional quarantine facilities) to reduce the spread of infection, all cases must be registered to follow up with them through TAWAKKALNA applications.

Cases that Require Medical Isolation:

Medical isolation for confirmed cases of COVID-19 as following:

  • Confirmed cases that have mild symptoms do not require admission, according to the region’s public health assessment.
  • Confirmed cases that have mild symptoms and have recovered (to complete the isolation period at home), whether the result of the re-test is positive or negative.
  • Close contacts with confirmed cases who do not have symptoms or have mild symptoms and are waiting the results of the test according to the region’s public health assessment.
Principles for Medical-Isolation (at home) for Confirmed Cases:
  • Ensure that patients are in good condition so that they can recover at home and do not require admission to the hospital for health reasons.
  • Provide patients with the necessary instructions and brochures during their medical isolation.
  • Oblige them to register in TAWAKKALNA applications.
  • The patients must comply with medical -isolation, and if other symptoms develop, they should contact 937 immediately or go to the emergency at the nearest health facility.
Principles for Medical-Isolation (at institutional quarantine facilities) for Confirmed Cases:

Those whose PCR test is positive will be dealt accordingly to their health conditions as follow:

  • Patients whose health condition does not need to be at the hospital will continue their isolation at the institutional quarantine facilities for a period of 10 to 14 days.
  • The patient will be referred to the hospital if his health condition requires that. The treatment will provide to him according to eligibility (at the expense of the state for residents and citizens of the Gulf Cooperation Council, and at the expense of insurance coverage for those coming on a visit visa).
  • Ministry of Health will take care of the confirmed cases who need health care.
  • The authority responsible for the medical care of the case (the Ministry of Health, a private health sector or the Red Crescent) must be informed if the patient’s condition required medical care.
Ending Medical-Isolation
Confirmed Case without Symptoms:

A patient who did not show any symptoms and spent 10 days or more since the last positive test is considered recovered without the need to undergo another PCR test, and the period of observation will end.

Confirmed Case with Symptoms:

Patient who had mild symptoms and spent 3 days or more without any (no fever without using a fever-reducing medication, and no respiratory symptoms) is considered recovered without the need to undergo another PCR test (provided that he/she spent 10 days or more since the last positive test) the observation period will end.

  • The decision of isolation ending for positive cases with severe symptoms in hospitals depends on Health Practitioners Protocols.
  • Health practitioners have special procedures and are not included in what were mentioned above.

Quarantine and Isolation Requirements at Home

Requirements for  Quarantine or Isolation at Home:

Before imposing isolating or quarantine at home to a patient, who were in contact with a confirmed case, or people who arrive to the Kingdom, the home is evaluated by the region, governorate, or health center’s public health team and decide whether the house is suitable for the isolation or not.

(This evaluation can be conducted by phone or direct assessment) depending on the public health’s decision:
  • Having a separate and well-ventilated room with toilet. Use a separate bathroom from the rest of the household where possible.
  • Appoint a supervisor to help them if they need to.
  • Provide the patient or the person who is caring for him/her with personal protection tools (gloves and masks).
  • Reduce the number of people taking care of the patient at home, and educate them about disease transmission methods, how to wash their hands, and the proper way to wear the mask.
Advice While in Quarantine and Isolation at Home:
  • Stay home except seeking medical care.
  • Do not go to work, school, or public areas, and avoid using public transportation or taxis when possible.
  • Isolate yourself from others: You should stay in a separate room from the rest of the household especially the elderly, people with chronic diseases, or pregnant women, and avoid close contact with pets.
  • Visitors are not allowed during this period.
  • Use face covering (mask): Wear a mask when leaving the house for necessity (for example, going to the hospital) or while spending time in shared areas, you should also stay one and a half meters away from other people to reduce the spread of the disease.
  • Cover coughs and sneezes: Cover your mouth and nose with a tissue when you cough or sneeze, dispose of the used tissues in the waste bin and wash your hands immediately with soap and water for at least 40 seconds, and if soap and water are not available, clean your hands with a hand sanitizer that contains at least 60% of alcohol.
  • Clean your hands: Wash your hands with soap and water for at least 40 seconds, particularly after coughing, sneezing, and using the bathroom, and before eating or preparing food, and you should also avoid touching your face before washing your hands.
  • Avoid sharing personal items: You should not share dishes, cups, towels, or bedspreads with other or pets in your home.
  • Clean surfaces that are frequently touched: Clean frequently touched surfaces include doors, computer keyboards, mobile phones, and others by using alcohol or chlorine sterilizers.
  • Well ventilation: Make sure shared areas are well-ventilated by opening windows where possible.
  • Monitor your symptoms: When you have a cough, high temperature, or shortness of breath, call 937 directly. Avoid visiting health centers or hospital emergencies to reduce spreading the infection to others
Preventive Measures for People Who Live in the Same Household as the Patient in Isolation / Quarantine:
  • Observe a social distance of at least one and a half meters from the infected person and avoid unnecessary close contact.
  • Relatives who are taking care of sick family members must wear a mask while in close contact.
  • Wear a mask and gloves when cleaning the room and toilet.
  • Ensure to focus on hygiene, and this includes avoid sharing patient dishes, using disposable tissues, and disinfection of surfaces that are frequently touched, such as lights switches and door handles.
  • Wash hands with soap and water for at least 40 seconds before and after touching the patient, his/her medication, food, contact lenses, or other things related to the patient.
  • Use disposable gloves and wash your hands immediately after touching the patient’s clothes and bed covers.
  • Clean the patient’s clothes and bed covers with warm water and detergent for as long as possible and then dry them with a clothes dryer.

Requirements for (Quarantine - Isolation) in a Designated Facility (Institutional Quarantine facilities)

Requirements for facilities designated for Institutional Quarantine:
  • All employees and workers in the facility must be vaccinated against COVID-19 and that will be shown in Tawakkalna application.
  • Adhere to the preventive protocols for the institutional quarantine facilities and the guidance for workers in institutional quarantine facilities that issued by the Public Health Authority.
  • Evaluate the appropriateness of the place based on the following:
  1. The quarantine facility must contain a private and worked well bathroom for every room.
  2. An isolation room must be equipped for the suspected case alone without any accompanying even other patients in quarantine, with exceptions of the following categories:
  • Families (First-degree relatives).
  • Elderly or special needs.
  1. The room must have essential services such as electricity, hot water, communication, and air conditioning and ensure they work efficiently to ensure good ventilation.
  2. Providing essential services such as food and water.
  3. Ensure there are specialists and health workers to take care of people under quarantine.
  4. Provide personal protection tools, disinfectants, and medical waste supplies.
  5. It is preferred to have entertainment devices such as the Internet and TV.
  6. Provide health education methods about the disease.
  7. Ensure that the housekeeping received proper training in cleaning and disinfection according to the scientific guideline for cleaning and disinfection of public facilities.
  • The air carrier or the facility should contract with laboratories approved by the Public Health Authority to take the samples from people in quarantine.
  • The laboratory must commit to the guidelines issued by the Public Health Authority about handling specimens (storing them, transporting them, testing, and sending the positive specimens to the Public Health Authority’s laboratory in Weqaya.
  • The facility shall prevent people in quarantine from using gyms and entertainment lounges, including swimming areas, in addition to meeting rooms inside the facility. Also, prevent them from setting in the lobby of the facility. 
  • The facility should prevent people in quarantine from leaving before the end of the institutional quarantine period.
  • The facility must monitor and observe the quarantine rooms and all facilities inside, by using CCTV cameras and enable the government auditor to see them at any time to ensure that the preventive measures were applied inside the facility.
  • If a violation occurred from patients or workers, the facility should inform the competent authorities immediately.

Procedures that should be followed by the supervisors of the institutional quarantine:

  • Supervisors must be fully vaccinated against COVID-19 and that will be shown in Tawakkalna application.
  • Create an assembly point code in the facility.
  • The supervisor must ensure that all people in quarantine register and activate Tawakkalna application within 24 hours from entering their room.
  • Educate people about the requirements that they should follow and place awareness posters in every room.
  • Conduct a PCR test to those above 8 Years in the designated room inside the facility within 24 hours from arriving. Taking into account the regulations of the countries they came from related to the procedures for conducting the test of infection for children.
  • The supervisor must monitor that the quarantine period should not be less than 5 days.
  • Supervisors should be kind to all travelers and must respect everyone’s rights and freedoms.
  • Apply all infection control precautions when collecting samples as indicated in the relevant section of this protocol.
  • Monitoring the health condition of people under quarantine.
  • Ensure that workers and people under quarantine follow preventive measures such as washing hands and wearing a medical mask.
  • Ensure using disposable utensils for eating and drinking.
  • Disinfect all surfaces and tools that are frequently touched daily with disinfectants and by trained people, making sure they are wearing gloves, respiratory mask, and a medical gown during cleaning.
  • Intense disinfection is not necessary for the room after the patient has left, except in case there is secretion from the patient when he develops symptoms
  • When cleaning the patient’s clothes, it is important to use personal protection equipment (gloves, medical mask, and gown), and by using warm water and detergent for as long as possible and then dry them with a clothes dryer.
  • Ensure that the quarantine room is well ventilated.
  • Disposing of medical waste in a safe way.
  • Inform the supervisor of the medical quarantine in case of a high temperature or develop any respiratory symptoms for people under quarantine or workers in the quarantine area.
  • Supervisors are obliged to inform the MOH and the Red Crescent to any patient needs medical care to transfer him to a health facility.
  • The supervisor should inform the competent security authorities in case that people in quarantine did not comply with the health requirements, as follows:
  • If the person does not arrive to the designated facility for quarantine within 4 hours of arrival to the kingdom.
  • If the person does not cooperate or refuses to take a swap for COVID-19 test.
  • If anyone from people in quarantine leaves the facility before he ends the quarantine period.
  • If someone does not comply to stay in the room.

Rules for People Who are Under Quarantine:

  • Tawakkalna application must be activated within 24 hours from entering the quarantine room.
  • Use face covering (mask): Wear a mask when leaving your room for necessity (for example, going to the hotel lobby) or if you need to spend time in shared areas, you should also stay one and a half meters away from other people to reduce the spread of the disease.
  • Visitors from outside the facility and visiting between patients inside the facility are not allowed.
  • Wash your hands with soap and water for at least 40 seconds, or by using alcohol sanitizer for at least 20 seconds.
  • Cover your mouth and nose with a tissue or by using your clothes sleeves when you cough or sneeze, dispose of the used tissues in the waste bin and wash your hands immediately.
  • Wear a medical mask if other people inside your room, such as health workers or room service and cleaning workers.
  • Avoid sharing eating or drinking utensils or personal items with others. Eating and drinking in the common areas of the facility are not allowed.
  • Use the bathroom inside your room and avoid using bathrooms in common areas inside the facility.
  • Inform the health staff if you develop respiratory symptoms such as coughing, shortness of breath, or a high temperature.

Guidance and regulations when collecting specimens

General instructions:
  • The practitioner authorized to collect specimens must not enter the patent’s room except when taking the sample at a distance not exceeding one meter from the room door.
  • the sample must be taken within one meter inside the room.
  • The practitioner authorized to collect specimens should adhere to use personal protective equipment and wash his hands.
  • The team who is responsible for collecting specimens should consist of at least 2 persons (one for collecting the specimens and the other assisting and monitoring the process).
  • Avoid bringing the moving table or the trolley to the patient’s room and keep it as far as possible from the room.
  • The patient must stand at the door at the time of collecting the sample, ensuring him to not open the door except when taking the sample.

 

Infection control instructions:
  • Adhere the precautions measures and infection control measures when collecting specimens (basic and droplet precautions).
  • Allocate place to wear the personal protective equipment and another place to remove them on every floor of the hotel.
  • allocate protective equipment for each floor and do not take them to another floor.
  • Educate patients to not take the masks off except when taking the sample.

 

Basic and Droplet Precautions:
Wearing the PPE:
  • Washing hands with soap and water or by using sanitizer for 40 seconds before wearing the PPE.
  • Start by wearing the long-sleeved gown, then the plastic gown, after that fit-tested particulate respirator (N95 or equivalent, or higher level of protection masks), afterward the face protection, finally the gloves.
Removing the PPE:
  • It is not necessary to change all protective equipment when collecting specimens from patients, except the following cases:
  1. If the patient has suspected respiratory symptoms.
  2. In case of breaching infection control precautions during specimen collecting.
  3. If the patient sneezes or the tools are exposed to droplets from the patient while taking the sample.

In that cases, the protective equipment must be fully changed.

  • Change the plastic gown and the gloves when moving from one patient to another, and wash hands after taking every sample.
  • Remove the equipment after completing all patients on the same floor in the designated place in the following sequence:
  • The gloves
  • Face protection
  • The medical gown
  • The protection masks

Violation Penalty

Whoever violates the instructions of isolation or quarantine shall be punished with a fine not exceeding SR 200,000, or imprisonment for a period not exceeding two years, or both imprisonment and fine.

 

In the case of recurrence, the fine imposed in the previous violation shall be doubled.

 

Expatriates who are violating the rules will be deported from the Kingdom and permanently banned from returning to the country after his punishment is carried out.