THE AUSTRALIAN INSTITUTE OF SPORT (AIS) FRAMEWORK FOR REBOOTING SPORT IN A COVID-19 ENVIRONMENT May 2020 CONTENTS Glossary of Terms ................................................................................................................................................................................................................................................................... 1 Introduction ................................................................................................................................................................................................................................................................................. 2 National Principles for the Resumption of Sport and Recreation Activities ........................................................................................................................... 3 Background ................................................................................................................................................................................................................................................................................. 4 Transmission ............................................................................................................................................................................................................................................................................... 6 Pathophysiology ..................................................................................................................................................................................................................................................................... 6 Prevention ......................................................................................................................................................................................................................................................................................7 Testing ............................................................................................................................................................................................................................................................................................. 8 Management ............................................................................................................................................................................................................................................................................... 9 Pandemic impacts on sport ......................................................................................................................................................................................................................................... 10 Framework for resumption of community and individual sport .................................................................................................................................................... 12 Preparation for community and individual sport resumption ..................................................................................................................................................... 12 Education ............................................................................................................................................................................................................................................................... 12 Preparation of training/competition environments .................................................................................................................................................................. 13 Proposed criteria for resumption of sporting activity ....................................................................................................................................................................... 14 Return to community and individual sport ................................................................................................................................................................................................ 16 Vulnerable groups ............................................................................................................................................................................................................................................. 16 Returning to sport after recovering from COVID-19 ...................................................................................................................................................................17 ‘Return to Work’ framework for high performance/professional athletes ............................................................................................................................. 19 Preparation for sports resumption ................................................................................................................................................................................................................. 20 Education .............................................................................................................................................................................................................................................................. 20 Assessment of training environment ................................................................................................................................................................................................. 21 Agreed protocol for a possible case of COVID-19 ...................................................................................................................................................................... 22 Proposed criteria for resumption of sporting activity ...................................................................................................................................................................... 22 Recommended assessment of athletes/staff prior to resumption of formal training ........................................................................................... 24 Vulnerable groups ............................................................................................................................................................................................................................................ 25 Athletes/staff returning to sport after COVID-19 infection .................................................................................................................................................. 25 Ongoing management............................................................................................................................................................................................................................................. 26 Monitoring of athletes/other personnel ........................................................................................................................................................................................... 26 Managing a suspected COVID-19 case .............................................................................................................................................................................................. 26 Managing a confirmed COVID-19 case............................................................................................................................................................................................... 26 Medical servicing considerations ....................................................................................................................................................................................................................27 Conclusions .............................................................................................................................................................................................................................................................................. 28 AIS Key Points ......................................................................................................................................................................................................................................................................... 29 Acknowledgments .............................................................................................................................................................................................................................................................. 31 References ................................................................................................................................................................................................................................................................................ 32 Appendices .............................................................................................................................................................................................................................................................................. 36 The Australian Institute of Sport Framework for Rebooting Sport in a COVID-19 Environment 1 GLOSSARY OF TERMS ACE2 receptors Angiotensin converting enzyme 2 receptors AIS The Australian Institute of Sport ARDS Acute Respiratory Distress Syndrome