Guiding Principles of COVID-19 Response As approved in the 25th - - PowerPoint PPT Presentation

Department of Health, Philippines

Guiding Principles

• f COVID-19 Response

As approved in the 25th IATF

1

Strategic Directions

GUIDING PRINCIPLES for “new normal”

1. Whole-of-government, whole-of-system, whole-of society approach shall be espoused in the fight against COVID-19; 1. Science shall inform decision-making at the institutional and individual level; 1. Recognizing limited resources, response shall be guided by fair and transparent priority setting; 1. In the event of any conflict of rules or guidelines, human dignity and the safety and needs of the individual shall prevail.

National Action Plan

STRATEGIES

DETECT ISOLATE TREAT

2

Department of Health, Philippines

National Government -enabled Local Government Unit -led People-centered COVID-19 Response

3

Strategic Direction for “new normal”

Revisiting roles in NG-enabled, LGU-led approach to people-centered COVID-19 response

• National Government

○ Assess landscape, develop national plans, policies & strategies, set safety and efficacy standards, enable building capacity, measure/monitor progress, evaluate effectiveness

• Local Government Unit

○ Stewards of local health systems, primary responders to the public health emergency, implement calibrated and people- centered response including primary to tertiary care in an integrated and coordinated manner

4

National government

policy and strategy

National government

implementation and coordination

Local government Lead Interagency Task Force through NGAs National Task Force through Task Groups Local government units

Main accountabilities

Strategies Guidelines Standards Impact monitoring Enforcement of strategies Roll out plans Resource mobilization Operations monitoring Implementation Service delivery

5

Revisiting roles in NG-enabled, LGU-led approach to patient-centered COVID-19 response

Guidelines for the COVID-19 Response in LGUs

As of April 21, 2020 *Science is evolving for the novel coronavirus*

COVID-19 Must Know: Case Classification

No Exposure With Exposure

1. With travel history from a place with local transmission 2. Close contact with a probable or confirmed case

With symptoms

Non-COVID

Suspect (to be tested/awaiting results) Probable (inconclusive results/test can’t be done) Confirmed (tested positive)

No symptoms Non-COVID PUM

7

No Exposure

With Exposure

With travel history from a place with local transmission Close contact with a probable

• r confirmed

case With symptoms Med Priority High Priority High Priority No symptoms Not Priority Low Priority Low Priority Prioritization List

• Subgroup A: Patients or healthcare

workers with severe/critical symptoms, relevant history of travel/contact

• Subgroup B: Patients or healthcare

workers with mild symptoms, relevant history of travel/contact, and considered vulnerable

• Subgroup C: Patients or healthcare

workers with mild symptoms, relevant history of travel/contact (once with 8000 capacity)

• Subgroup D: Patients or healthcare

workers with no symptoms but relevant history of travel/contact (once > 8000 capacity)

8

COVID-19 Must Know: Case Identification (RT-PCR)

COVID-19 Must Know: Case Identification (RT-PCR and RATK)

9

RT-PCR* Rapid Antibody Test Kit Diagnosis

• Symptomatic Individuals (Due to limited

capacity and because viral load of symptomatic patients are high enough to render results accurate)

• Subject to repeat testing if patient tests

negative and results worsen (less priority compared to those who have not been tested)

• Should NOT be used for diagnosis. Prone to

false positive results because because immunity may result from infection from a non-COVID virus

• Can be used for subgroup D (least priority for

RT-PCR test) Discharge

• No need
• May be discharged upon clearance by

attending physician, positive test to follow. Determination of full recovery

• No need
• Can be used to determine full recovery if

asymptomatic patient tests positive for IgG (regardless of IgM result)

*All RT-PCR tests regardless of result should undergo 14-day isolation upon testing

No Exposure With Exposure

1. With travel history from a place with local transmission 2. Close contact with a probable or confirmed case

With symptoms

Usual care

Isolation: Needs medical attention/symptom management and

monitoring by a medical personnel

No symptoms

N/A

Quarantine: Needs monitoring to (1) take action as needed for

possible onset of symptoms, and (2) ensure restricted movement by a non-medical personnel of the BHERT

(a) Isolation separates sick people with a contagious disease from people who are not sick. (b) Quarantine separates and restricts the movement of people who were exposed to a contagious disease to see if they become sick.

10

COVID-19 Must Know: Isolation & Quarantine

• First line of defense: individuals & households

○ Routine disinfection, hand hygiene, cough etiquette, social distancing

• Second line of defense: primary care providers (BHERTs, BHWs, GPs)

○ Whenever possible, minimize face-to-face contact (through TELEMEDICINE) between the patient and the healthcare provider

• Third line of defense: facilities (TTMF, step-down care, hospitals)
• Referral network ties everything together

○ Organized by provinces and cities; linked to regional hospitals & SNLs ○ Maintain two pathways: COVID and non-COVID

11

COVID-19 Must Know: Case Management Principles

Facility-based quarantine and isolation shall be the first option

• General term: Temporary Treatment and Monitoring Facilities (DOH DM2020-0123)
• Home-based quarantine and isolation can be done if with capacity for own bed and toilet

Types of Temporary Treatment and Monitoring Facilities

Facility type Case type Accommodation arrangement

LIGTAS COVID-19 CENTER (LGU)

PUM, Suspect, Probable, Confirmed For PUM/Suspect/Probable

• Individual rooms with individual toilets and showers

○ Especially for suspect and probable cases

• In cases where this arrangement is not feasible

○ Beds (3) feet or one (1) meter apart on all sides ○ Toilet/shower facilities disinfected after use For Confirmed:

• Cohorting

MEGA LIGTAS COVID- 19 CENTER (NG)

Suspect, Probable, Confirmed

COVID-19 LEVEL 1/ STEP-DOWN HOSPITAL

Recovering confirmed

12

COVID-19 Must Know: Facility Based I/Q

13

COVID-19 Must-Know:

Patient Pathway

No Cases Sporadic Cases Clustered Cases Community Transmission Implementation

• f Contact

Tracing Preparation for Contact Tracing

• Assigning of

contact tracing teams

• Preparing

necessary resources (transportation, medical and office supplies, communication lines, etc.)

Rigorous Contact Tracing

• Conduct active

case finding and listing of close contacts

• Trace, profile,

assess all close contacts

• Test high risk

close contacts

Rigorous Contact Tracing

• Conduct active

case finding and listing of close contacts

• Trace, profile,

assess all close contacts

• Test high risk

close contacts

Continued Contact Tracing

• Prioritize contact

tracing in newly/ lesser affected areas

• Prioritize tracing of

high risk close contacts (high-risk exposure contacts, health workers)

• Synergize with other

measures such as physical distancing

COVID-19 Must Know: Contact Tracing

15

Current vs Future Information Flow for Contact Tracing

Ladderized Webbed

COVID-19 Must-Know: Recovery

Suspect/Probable/Confirmed

Recovering Clinically-resolved symptoms Fully Recovered For reintegration to the community

Can be referred to a lower level facility upon clearance by the attending physician. Can be discharged without IgG (sent to a TTMF, step- down facility, or home) upon clearance by the attending physician. Completed 14-day facility/home based isolation and, tested positive for validated IgG Secured a certification from the CHO/MHO/ Quarantine Medical Officer facilitated by the BHERT

• Current policy: no need to test negative for RT-PCR prior to discharge
• RT-PCR is not the standard to determine recovery from the virus.

16

COVID-19 Must-Know: Financing

EXPENDITURE FACILITY NG/LGU PHILHealth PACKAGE AMOUNT

COVID-19 Testing Testing center Technical support Test kits CAPEX PPE HRH Only protocol-based testing (following prioritization) will be covered by PhilHealth. If testing was not paid for by DOH and the test kit used was not donated: Php 8,150.00/test If testing was not paid for by DOH but the test kit used was donated: Php 5,450.00/test If testing was paid for by DOH and the test kit used was donated: Php 2,710.00/test Community-based Management CIUs Technical support CAPEX PPE HRH Php 22,449.00/isolation cycle (min 14 days, unless

• therwise indicated*)

COVID-19 Must-Know: Financing

EXPENDITURE FACILITY NG/LGU PHILHealth PACKAGE AMOUNT

Hospital-based management COVID-19 Level 1/field hospital Technical support CAPEX PPE If with mild pneumonia in elderly or with co-morbidities: Php 43,997.00 COVID-19 referral hospital If with moderate pneumonia: Php 143,267.00 If with severe pneumonia: Php 335,519.00 If with critical pneumonia: Php 786,384.00

COVID-19 Must Know: Handling of Remains

19

Suspect/Probable/Confirmed

Tagging of cadaver

For referral facility/hospital deaths Attending physician/ duly authorized personnel to tag cadaver For deaths outside of referral facility/hospital Local Health Office to tag cadaver

Designation of funeral service

providers/ crematorium

All LGUs to designate through MOA

Charging of expenses for funeral services (in order or priority)

1. Surviving spouse 2. Nearest kin 3. LGU of residence of deceased or next of kin 4. LGU where patient expired *if indigent or kin is classified as vulnerable, disadvantaged, or in crisis situation, LGU shall shoulder expenses and DSWD to defray excess costs

Transport for burial

If with living spouse/next of kin Spouse/next of kin to coordinate with funeral service provider to transport from hospital to burial site/crematorium If unclaimed LGU to secure transportation, retrieval, and transfer to funeral service provider

COVID-19 Must Know: Handling of Remains

20

Suspect/Probable/Confirmed

Disposal (shall be done within 12 hours of death)

For Claimed Upon the discretion of the spouse or next of kin whether the remains are buried or cremated. No public viewing of the deceased shall be allowed. For Unclaimed Method of disposal by priority: 1. Cremation 2. Double-sealed casket burial 3. Double bag burial 4. Freezer (for temporary storage) For those with Islamic Faith Procedure: 1. Hygiene preparations of body (e.g. cleaning of body, trimming, shaving, embalming) shall not be allowed 2. Wrap in tightly sealed cloth with double bag for burial

Access Level Data that may be shared Scope Purpose Public

• Trends
• Aggregates

National For health education and promotion Implementers (facilities, LGUs)

• Individual-level data

(internal) Within jurisdiction For local operations planning National

• Individual-level data

(internal) National For national planning Re: concerns on contact tracing, 1. Patient reporting of all fields is mandatory to implementers and national agencies 2. Non-patient identifier information may be used such as location, movement, places visited. 3. Patient identifiers are name, address, and birthday. The main patient identifier shall be the PhilHealth Identification number and the name. 4. Releasing patient identifiers to public for contact tracing is option of last resort and should be with clearance from the DOH-CHD on extenuating circumstance

21

COVID-19 Must Know: Ensuring Data Privacy

Department of Health, Philippines

Provide an operational framework for Local Government Units (LGUs) to execute their public health functions in accordance with the four (4) point strategies of the DOH to fight COVID-19 and in relation to the implementation of ECQ. PREVENT

1

DETECT

2

ISOLATE

3

TREAT

4

Four Point Strategies

OBJECTIVE

Department of Health, Philippines

The overall objective of the ECQ from a public health perspective is to reduce human-to-human transmission of the COVID-19 virus such that case numbers decrease over time.

Given that a vaccine or a cure for the virus has not yet been discovered, the main challenge is to ensure that transmission rates are consistently decreased through NON-PHARMACEUTICAL INTERVENTIONS.

GENERAL GUIDELINES

Department of Health, Philippines

• 1. PREVENT
• a. Increase resilience

i. Promote healthy lifestyle ii. Take care of vulnerable population

• b. Stop transmission

i. Wear mask ii. Practice handwashing

• iii. Risk-based travel restriction from areas

with transmission

• c. Reduce contact rate

i. Physical distancing is enforced in all LGUs to make sure that infected people do not spread the virus to uninfected people

GENERAL GUIDELINES

The four major strategies are targeted to address the overall

• bjective of ECQ:

Department of Health, Philippines

• 2. DETECT and 3. ISOLATE
• a. Contact tracing allows LGUs without

sustained community transmission to maximize containment of the virus without massive disruption to essential economic activity;

• b. Enhancing testing capacity enables LGUs to

accurately identify infected people, allowing them to conduct contact tracing, physical distancing, and triaging;

• c. Enhancing isolation capacity enables LGUs

to isolate those with symptoms to ensure no to minimal exposure to other non- COVID- exposed individuals

GENERAL GUIDELINES

The four major strategies are targeted to address the overall

• bjective of ECQ:

Department of Health, Philippines

• 4. TREAT
• a. Enhancing Medical Management capacity

allows LGUs to manage cases appropriately, reducing infectivity and mortality.

GENERAL GUIDELINES

The four major strategies are targeted to address the overall

• bjective of ECQ:

Department of Health, Philippines

LGU Epidemic Response Framework

by the SubTWG on Data Analytics - EpiMetrics

SPECIFIC GUIDELINES

Epidemic Phase Recognition Initiation Acceleration Deceleration Preparation Risk Level Low Moderate High High Low Indicator > 30 day CDT and < 30% Critical care Utilization Rate (CUR) 7-30 day CDT or 30-70% CUR < 7 day CDT or > 70% CUR 7-30 day CDT and 30-70% CUR > 30 day CDT and < 30% CUR following Deceleration phase

Department of Health, Philippines

Critical care Utilization Rate <30% 30-70% >70% Case Doubling Time >30 days Recognition Initiation Acceleration Preparation 7-30 days Initiation Initiation Acceleration Deceleration <7 days Acceleration Acceleration Acceleration

Department of Health, Philippines

Each LGU (Province or City (HUC, ICC) level) shall be able to:

* Universal Health Care network classification

• a. Determine the risk level and recommended action

■ Cases doubling time ■ Critical care utilization rate ■ Risk classification determines aggressiveness of response

• a. Determine needs for health system capacity and preparedness

■ Interventions to be delivered for the local health system

• a. Monitor short-term performance and long-term planning

indicators

ECQ Decision Tool Components

Component Category Indicator/s Epidemiological classification Cases 1) Absolute number 2) Trends Health system capacity (vs projected need, vs max capacity) Testing capacity 1) Tests per day Infrastructure and equipment 1) Isolation beds, ICU beds 2) Ventilators: Availability, utilization, % of max capacity Community quarantine and isolation facilities 1) Availability 2) utilization, % of max capacity Human Resources 1) Availability, 2) distribution Level of preparedness of LGU to implement lockdown Socio-economic 1) Local government funding requirements 2) Available funds for COVID response Level of Security 1) Personnel ; 2) Quarantine Control Points/ popn 3) Number of violations/ incidents

Department of Health, Philippines

SPECIFIC GUIDELINES

Provincial/Municipal/ City COVID-19 Tactical Groups (P/M/CTG COVID-19)

All Tactical Groups must be chaired by the Local Chief Executive and shall have at the minimum:

Department of Health, Philippines

• LGU risk classification
• Number of suspect/probable/confirmed cases, and

growth rate of cases over time

• Incidence rate
• Case fatality rate

Should the data become available, the ff. will also be included:

• Case clusters
• Number of tests conducted

Epidemiological Indicators

MONITORING AND EVALUATION

Dashboard with the ff. Information will be developed:

Department of Health, Philippines

• Name, location, contact numbers, occupancy status
• f COVID-19-designated referral hospitals
• Community isolation units, emergency transport

services, and telemedicine apps

• Total number and occupancy rate for the ff

○ ICU beds with and without negative pressure ○ Isolation rooms ○ Ward beds for COVID patients ○ Mechanical ventilators

Health System Indicators

Dashboard with the ff. Information will be developed:

MONITORING AND EVALUATION

Department of Health, Philippines

Total number on hand and projected need for PPE equipment

• Face shields
• Gowns
• Goggles
• Gloves
• Shoe covers
• N95 and surgical masks
• Head covers

Supply Chain Indicators

MONITORING AND EVALUATION

Dashboard with the ff. Information will be developed:

Department of Health, Philippines

Total number of HRH dedicated for COVID-19 patients

• Medical doctors
• Nurses
• Respiratory therapists
• Mechvent operators
• Clinical laboratory scientists

HRH Indicators

MONITORING AND EVALUATION

Dashboard with the ff. Information will be developed:

“New ew Nor

• rmal”

#Bagon

• ngBuhay

Department of Health, Philippines

Wh What’ at’s Inside

Key Components 3 Principles 2 Settings 4 Premise 1

Department of Health, Philippines

• 1. ECQ prolongs the peak and stalls the increase of

COVID-19 cases in our country.

• 2. ECQ buys time for the health system to prepare and

respond appropriately to the COVID-19 health situation.

• 3. Estimated infection rate (R0) decreases from 2 (1 person

infects 2 other people) to 1.5 with the implementation of the ECQ. Lifting the ECQ may mean more infected people.

• 4. Lifting the ECQ is inevitable but must be done

gradually as not to strain our health system.

Prem remise e of

• f the

e “New ew Norm

• rmal

al”

Department of Health, Philippines

Key ey Com

• mpon
• nen

ents of

• f the

e “New ew Nor

• rmal”
• 1. Reduce Vulnerability: Healthy lifestyle
• 2. Reduce Transmission: Handwashing

and proper hygiene, cough etiquette, regular disinfection, and use of appropriate personal protective equipment.

Department of Health, Philippines

Key ey Com

• mpon
• nen

ents of

• f the

e “New ew Nor

• rmal”
• 3. Reduce Contact: Physical distancing, reducing

personnel, reducing face-to-face contact and limiting travel to essential activities

• 4. Reduce Duration of Infection: Early identification,

referral, and management mechanisms

• 5. Governance and Accountability: Organizational

policies and investments

Department of Health, Philippines

Set etting: g: Hom

• me

Obj 1: Reduce Vulnerability Obj 2: Reduce Transmission Obj 3: Reduce Contact Obj 4: Reduce Duration of Transmission Obj 5: Governance and Accountability

• Healthy diet
• Hydrate
• Exercise
• Talk to friends and

peers

• Hand hygiene
• Disinfection
• Extra caution for old

and with comorbids

• Proper ventilation
• Stay at home
• Practice physical

distancing

• Manage mild

symptoms at home

• Call BHERT for

severe symptoms

• Head of household

to set up house rules (handwashing, cleaning and disinfection, etc)

Department of Health, Philippines

Set etting: g: Offices/ es/Wor

• rkplace

Obj 1: Reduce Vulnerability Obj 2: Reduce Transmission Obj 3: Reduce Contact Obj 4: Reduce Duration of Transmission Obj 5: Governance & Accountability

For employees:

• Healthy diet
• Hydrate
• Exercise
• Talk to friends

and peers For employees:

• Practice hand hygiene and

cough etiquette

• Ensure use of face mask and

PPEs (when necessary)

• Encourage use of personal
• ffice items and avoid sharing

For employees:

• Work from Home

(WFH) arrangement

• Practice physical

distancing For employees:

• Subject to physical

examination

• Manage mild

symptoms at home

• Call BHERT for severe

symptoms For employers:

• Adopt WFH policy
• Adopt policy for

healthy lifestyle at work

• Provide necessary

PPEs and health commodities

• Providing

temporary housing if possible

• Ensuring

effectiveness of medical team For employers:

• Disinfect rooms and facilities
• Make hygiene facilities

available

• Maintaining proper ventilation
• PPEs (when necessary)

For employers:

• Offer WFH

arrangements

• Avoid mass

gatherings For employers:

• Employees with

symptoms should stay at home

• Isolate and Refer

employee exhibiting symptom

Department of Health, Philippines

Set etting: g: School

• ol

Obj 1: Reduce Vulnerability Obj 2: Reduce Transmission Obj 3: Reduce Contact Obj 4: Reduce Duration of Transmission Obj 5: Governance & Accountability

For teachers, students & other staff:

• Healthy diet
• Hydrate
• Exercise
• Talk to friends

and peers For teachers, students & other staff:

• Avoid borrowing items
• Hand hygiene
• Face mask
• Stay at home if experiencing

symptoms For teachers, students & other staff:

• Study from Home

(SFH) arrangement

• Practice physical

distancing For teachers, students, and other staff:

• Physical examination
• Manage mild

symptoms at home

• Call BHERT for

severe symptoms For employers:

• Adopt SFH policy
• Adopt policy for

healthy lifestyle in school

• Implement sick

leave policies

• Consider lifting

perfect attendance awards

• Cross-train staff
• Providing

temporary housing if possible

• Ensuring

effectiveness of medical team For school administrators:

• Teach preventive measures
• Include handwashing in schedules
• Make hygiene facilities available
• Maintain proper ventilation
• Disinfection
• Maintain clean environment
• PPEs (when necessary)

For school administrators:

• Offer SFH

arrangements

• Provide learning
• pportunities with

less contact

• No mass

gatherings For school administrators:

• Individuals with

symptoms should stay at home

• Refer individuals

exhibiting symptom

Department of Health, Philippines

Set etting: g: Places es of

• f Wor
• rsh

ship

Obj 1: Reduce Vulnerability Obj 2: Reduce Transmission Obj 3: Reduce Contact Obj 4: Reduce Duration of Transmission Obj 5: Governance & Accountability

For all:

• Healthy diet
• Hydrate

For religious followers, volunteers and staff:

• Do not share religious items and food
• Avoid physical contact and wiping of

relics For religious followers, volunteers, and staff:

• Attend services
• nline
• Maintain 1 meter

distance For religious

• rganizations and

followers:

• For severe

symptoms, contact BHERT

• Offer alternatives

for high-risk populations For employers:

• Adopt policies

encouraging preventive measures

• Create patient

referral plans

• Ensure medical

personnel availability For religious leaders and organizations:

• Communicate risk of attending
• Encourage use of face mask
• Make hygiene facilities available
• Maintain proper ventilation
• Disinfection
• PPEs (when necessary)
• Modify practices (communion, hugging,
• ffertory, etc)

For religious leaders and

• rganizations:
• Encourage
• nline mass

attendance

• Minimize

physical interactions

Department of Health, Philippines

Set etting: g: Transp spor

• rtation
• n

Obj 1: Reduce Vulnerability Obj 2: Reduce Transmission Obj 3: Reduce Contact Obj 4: Reduce Duration of Transmission Obj 5: Governance & Accountability

For all:

• Healthy diet
• Hydrate
• Exercise

For commuters:

• Use sanitizer
• Use face mask
• Avoid touching face
• Use tissue
• Report overcrowding

For commuters:

• Do not travel if

unwell

• Practice physical

distancing For commuters and staff:

• Manage mild

symptoms at home

• Call BHERT for

severe symptoms For employers:

• Adopt WFH

policies (when possible)

• Set up flexible

work hours

• Implement flexible

leave policies

• Provide PPEs

For drivers/transport operators:

• Disinfect
• Maintain good ventilation
• Provide hygiene products and

equipment

• Use face mask
• Use payment boxes

For transport

• perators:
• Use floor/seat

markings

• Limit passengers
• Manage

passenger entry/exit

Department of Health, Philippines

Set etting: g: Food

• od and Dining

Obj 1: Reduce Vulnerability Obj 2: Reduce Transmission Obj 3: Reduce Contact Obj 4: Reduce Duration of Transmission Obj 5: Governance & Accountability

For customers:

• Opt for meals with

variety: Go, Grow & Glow!

• Less sugar, salt and

fatty orders

• Water > Sweetened

beverages For customers:

• Use sanitizer
• Physical distancing: when
• rdering food or dining-in
• Do not remove your mask

when ordering. Make yourself audible.

• Sanitize table
• Avoid touching public

spaces For customers:

• Plan orders to minimize

exposure

• Mind the cue inside
• Opt for take-out or

deliveries if possible

• If dining-in, finish meal

immediately

• Avoid sharing meals,

dips, and eating utensils

• CLAYGO
• Temperature

checks

• Check

employees for symptoms

• Staff who are

sick should stay home

• Assist

employees and customers on getting medical help if needed For employers:

• Work from home

policy

• Flexible work

hours and schedules

• Limit number of

employees in a shift

• Provide home

arrangements

• Provide PPE to

staff at work For management:

• Provide healthy
• ptions

For Management:

• Availability of

handwashing stations and sanitizers

• Physical distancing
• Disinfection
• Discontinue salad bars,

buffets and the like

• PPE for crew

For Management:

• Take-outs or deliveries
• Limit people inside the

establishment

• Physical distancing for

people dining in

Department of Health, Philippines

Set etting: g: Groc

• cer

ery/ y/Market et/Food

• od Ret

etail

Obj 1: Reduce Vulnerability Obj 2: Reduce Transmission Obj 3: Reduce Contact Obj 4: Reduce Duration of Transmission Obj 5: Governance & Accountability

For management:

• Provide healthy
• ptions

For customers:

• Use sanitizer
• Use face mask and avoid

touching face

• Practice cough etiquette
• Avoid touching items
• Disinfect bought items
• Wash reusable bags

For customers:

• Plan your shopping list
• Maintain physical

distancing (Follow marks on the floor)

• Postpone shopping if

establishment is crowded

• Temperature

checks and assessment of symptoms

• Restriction on

symptomatic customers and employees

• Provide

instructions on where to get medical attention For employers:

• Adopt WFH policies

(when possible)

• Set up flexible work

hours

• Implement flexible

leave policies

• Provide PPEs
• Providing

temporary housing if possible

• Ensuring

effectiveness of medical team For management:

• Ensure availability of

handwashing stations

• Disinfection of store
• Discontinue self-service of

ready-to-eat foods

• Air PSAs
• Use of PPEs for employees

For management:

• Regulate the number
• f people
• Minimize quantities of

foods put on display

• Provide large visible

signages

Department of Health, Philippines

Set etting: g: Hot

• tel

els, s, Inns, s, and Resor esorts

Obj 1: Reduce Vulnerability Obj 2: Reduce Transmission Obj 3: Reduce Contact Obj 4: Reduce Duration of Transmission Obj 5: Governance & Accountability

For all:

• Healthy diet
• Hydrate
• Exercise
• Talk to friends

and peers For guests:

• Apply sanitizer
• Wear mask
• Avoid touching fixtures
• Practice hand hygiene

For guests:

• Limit outside

travel

• Practice

physical distancing

• Avoid crowds

For all:

• Physical exam

before entering

• be truthful about

history of travel/exposure

• Do not allow

symptomatic guests

• Provide referral

instructions for staff/guests with symptoms For employers:

• Adopt WFH policies

(when possible)

• Set up flexible work

hours

• Implement flexible

leave policies

• Provide staff training
• Provide PPEs
• Providing temporary

housing if possible

• Ensuring

effectiveness of medical team For the management:

• Provide hygiene products and

equipment

• Wash linens, blankets, etc.
• Disinfect
• Put up signages
• Train housekeepers

For the management:

• Regulate guests
• Remind guests
• n physical

distancing

• Remind guest to

stay in room

Department of Health, Philippines

Set etting: g: Parks and Rec

ecrea eation

• nal Places

es

Obj 1: Reduce Vulnerability Obj 2: Reduce Transmission Obj 3: Reduce Contact Obj 4: Reduce Duration of Transmission Obj 5: Governance & Accountability

For management:

• Provide

healthy meal

• ptions for

both guests and employees For guests:

• Use alcohol or sanitizer
• Wear mask in public/communal

places

• Avoid touching public spaces and
• bjects
• Practice cough etiquette
• Wash hands

For guests:

• Practice physical

distancing

• Avoid crowds
• Build signages
• r provide a map
• f amenities for

easy access For management:

• Temperature

checks and assessment of symptoms

• Restriction on

symptomatic customers and employees

• Provide

instructions on where to get medical attention For management:

• Work from home

policy (if possible)

• Flexible work

hours and schedules

• Limit number of

employees in a shift

• Provide home

arrangements

• Provide PPE to

staff at work For management:

• Availability of alcohol and/or

handwashing stations in strategic locations

• Regular disinfection of facilities,

receiving areas and counters frequented by guests

• PPE for all staff and personnel
• Signages and reminders of

preventive measures For the management:

• Regulate guests
• Remind guests
• n physical

distancing

Department of Health, Philippines

Thank you

• u!