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3 DOH AO No 2020 - 0015 Dated April 27 2020
3 DOH AO No 2020 - 0015 Dated April 27 2020
Department of Health
OFFICE OF THE SECRETARY
APR 27 2020
ADMINISTRATIVE ORDER
No. 2020- 0015
I. RATIONALE
Coronavirus Disease 2019 (COVID-19) was first identified last December 2019 as cluster
of pneumonia cases of unknown etiology. On 30 January 2020, the World Health
Organization declared the COVID-19 outbreak as a Public Health Emergency of International
Concern and eventually as a Global Pandemic by 11 March 2020.
The Inter-Agency Task Force on Emerging Infectious Diseases (IATF-EID) Resolution No.
28 mandates that minimum public health standards must be specified by the Department of
Health (DOH) and adhered to by all sectors. These standards shall serve as a guide in
institutionalizing key NPIs to combat COVID-19.
Il. OBJECTIVE
This Order aims to provide guidance for sectoral planning on the implementation of NPIs as
minimum public health standards to mitigate the threat of COVID-19. shall serve as a basis It
in the decision-making process and development of more specific sectoral policies for
COVID-19 response.
This Order shall apply to all entities involved in COVID-19 response both from public and
private sectors, including all national government agencies (NGAs), government offices,
private offices and workplaces, local government units (LGUs), development partners,
academic and research institutions, civil society organizations,, and all others concerned.
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Direct Line: 711-9502; 711-9503 Fax: 743-1829 e URL: http://www.doh.gov.ph; e-mail: [email protected] j
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of exposure to infectious diseases (e.g. hygiene and disinfection protocols, work
shifting, etc.)
Comorbidity at risk of COVID-19 exacerbation - presence of one or more
additional conditions co-occurring with (that is, concomitant or concurrent with) a
primary condition that increases an individual’s risk for mortality if afflicted by
COVID-19. This includes immunocompromised individuals (such as but not limited
to those with cancer, HIV/AIDS and other autoimmune disorders) and individuals
with chronic conditions (such as but not limited to hypertension, diabetes mellitus,
and chronic kidney disease).
Engineering Controls - refer to physical interventions or modifications in spaces or
environments, that is meant to prevent the transmission of infectious diseases (e.g. use
ofphysical barriers, exhaust ventilation, etc.)
Medical-grade Protective Apparel - refers to the specialized personal protective
equipment worn by healthcare workers and other frontliners involved in the disease
outbreak response, for the purpose of protection against infectious materials. These
include surgical face masks, N95 respirators, face shield or goggles, coveralls,
isolation gowns, surgical gloves, protective oversleeves, head cap, and shoe cover,
among others.
Modification Potential - refers to the degree to which mitigation strategies and other
public health measures can reduce the risk of COVID-19 transmission in different
settings.
Most-at-risk Population (MARP) for COVID-19 - refers to population groups who
have a higher risk of developing severe COVID-19 infection such as individuals aged
60 and above, pregnant, and those with underlying conditions or comorbidity at risk
of COVID-19 exacerbation.
. Non-pharmaceutical Interventions (NPI) - refers to public health measures that do
not involve vaccines, medications or other pharmaceutical interventions, that
individuals and communities can carry out in order to reduce transmission rates,
contact rates, and the duration of infectiousnessof individuals in the population.
. Protective Personal Equipment- refers to protective garments or equipment worn by
individuals to increase personal safety from infectious agents
Vulnerable groups
to suffer directly
- refers to socially disadvantaged groups that are most susceptible
from disasters and health events. These include senior citizens,
immunocompromised individuals, women, children, persons deprived with liberty
(PDL), persons with disabilities (PWDs), and members of indigenous peoples (IPs),
internally displaced persons (IDPs), indigenous cultural communities (ICCs), among
others.
GENERAL GUIDELINES
The DOH shall set minimum public health standards to guide the development of
sector-specific and localized guidelines on mitigation measures for its COVID-19
response across all settings - such as but not limited to home, public places, offices
and workplaces, high-density communities, food and other service establishments,
schools, hotels and other accommodations, churches and places of worship, prisons
and other places of detention, public transportation (air, land, and water transport),
and health facilities.
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BZ. The adoption and implementation of the standards shall be guided by the following
principles:
1. Shared accountability
a) Health is a key development objective that is the shared accountability of
the government, communities, households, and individuals.
b) A whole-of-system, whole-of-government, whole-of-society approach is
essential to develop cohesive solutions to current and future challenges to
public health and national security.
c) All efforts shall espouse the government’s strategic directions of national
government-enabled, local government-led, and people-centered response
to the COVID-19 health event.
N . Evidence-based decision-making
a) Evidence shall guide policy development and decision-making at all
levels of government.
b) As science continues to evolve, all actors shall periodically assess and
recalibrate policies, plans, programs and guidelines.
C &. All policies, investments, and actions shall ensure that COVID-19 mitigation
Me
objectives are using the following strategies:
achieved
ee
spaces as
long as physical distancing is practiced.
Discourage smoking and drinking of alcoholic beverages.
Protect the mental health and general welfare of individuals.
Tmo Promote basic respiratory hygiene and cough etiquette.
Protect essential workforce through provision of food, PPE and other
commodities, lodging, and shuttle services as necessary.
h. Provide financial and healthcare support for workforce who contracted
COVID-19 through transmission at work.
i. Limit exposure of MARP groups, such as through limitation in entry or
prioritization in service or provision of support.
j. Provide appropriate social safety net support to vulnerable groups for
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t he duration of the COVID-19 health even t.
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the ealth
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2. Objective 2: Reduce transmission
a. Encourage frequent hand washing with soap and water, and discourage
the touching of the eyes, nose, and mouth, such as through appropriate
information and education campaigns.
Encourage symptomatic individuals to stay at home unless there is a
pressing need to go to a health facility for medical consultation, if
virtual consultation is not possible.
Ensure access to basic hygiene facilities such as toilets, handwashing
areas, water, soap, alcohol/ sanitizer.
Clean and disinfect the environment regularly, every two hours for
high touch areas such as toilets, door knobs, switches, and at least once
every day for workstations and other surfaces.
Ensure rational use of personal protective equipment (PPEs) that is
suitable to the setting, and the intended user. Medical-grade protective
apparel shall be reserved for health care workers and other frontliners,
and symptomatic individuals at all times.
. Risk Severity Grading. All actors (NGAs in coordination with Civil Service
Commission, LGUs and/or Private Sector) shall base their COVID-19 mitigation
response from the [ATF-EID’s risk severity grading (e.g., Low, Moderate, and High
Severity)
. Risk-based Public Health Standards Across Settings. At the minimum, all actors
shall implement the prescribed interventions in
various settings (Annex A) depending
on their Risk Severity Grading. For each prescribed intervention, concrete examples
of corresponding hazard controls (e.g. engineering control, administrative control,
fre
and PPEs.) are provided.
Depending on the risk severity grading:
1. Interventions that are listed as ‘MUST DO?’ shall be mandatory. See Annex B.
2. Interventions that are listed as ‘CAN DO?” shall be optional, and may be
tailored further as guided by the Modification Potential Matrix on Annex C.1.
NGAs shall
build on the
identified interventions in developing sector-specific policies
and plans, and may propose adjustments for additional interventions inconsistent with
those indicated in this Order.
A. DOH shall:
1. Provide technical assistance in facilitating inter-agency or sector-specific
planning;
2. Continue to update the set minimum public health standards based on most
recent evidence available and issue succeeding updates through DOH
Department Circulars;
3. Develop standards, systems, and guidelines on operationalizing post-ECQ
interventions;
4. Engage stakeholders and promote awareness on NPIs and its importance,
including relevant and accurate information about appropriate protocols; and
5. Consolidate reports and recommendations from NGAs and LGUs for
endorsement to the IATF-EID and other agencies concerned
/‘a
regulations
5
VIII. ROLES AND RESPONSIBILITIES
Other related issuances not consistent with the provisions of this Order are hereby
revised, modified, or rescinded accordingly. Nothing in this Order shall be construed
as a limitation or modification of existing laws, rules and regulations.
Should any provision of this Order or any part thereof be declared invalid, the other
provisions, insofar as they are separable from the invalid ones, shall remain in full
force and effect.
EFFECTIVITY
1.1Respiratory Hygiene and Practice respiratory etiquette Practice respiratory etiquette Practice respiratory etiquette Practice respiratory etiquette Practice respiratory etiquette
Cough Etiquette at all times. Use tissue or the at all times. Use tissue or the all times. Use tissue or the
at at all times. Use tissue or the all times. Use tissue or the
at
inner portion of the elbow to inner portion of the elbow to inner portion of the elbow to inner portion of the elbow to inner portion of the elbow to
cover the nose and mouth cover the nose and mouth cover the nose and mouth cover the nose and mouth cover the nose and mouth
when sneezing/coughing. when sneezing/coughing. when sneezing/coughing. when sneezing/coughing. when sneezing/coughing.
Practice proper disposal of Practice proper disposal of Practice proper disposal of Practice proper disposal of Practice proper disposal of
tissue after use. tissue after use. tissue after use. tissue after use. tissue after use.
Engineering Control: None Engineering Control: None Engineering Control: None Engineering Control: None Engineering Control: None
Administrative Control: Administrative Control: Administrative Control: Administrative Control: Administrative Control:
None None None Employers may provide Owners may provide tissues
tissues within easy reach in in strategic places within the
PPE: Cloth mask for general PPE: Cloth mask for general PPE: Cloth mask for all workstations and establishment
public or surgical mask for public or surgical mask for general public or surgical communal space
symptomatic individuals symptomatic individuals if mask for symptomatic PPE: Cloth mask for general
going
to
a health facility. individuals PPE: Cloth mask for
general
public or surgical mask for
public or surgical mask for
symptomatic individuals
symptomatic individuals
1.2 Promote Mental Health Health emergencies can put Health emergencies can put Health emergencies can put Health emergencies can put Health emergencies can put
people in extreme stress. people in extreme stress. people in extreme stress. people in extreme stress. people in extreme stress.
Individuals may reach out to Individuals may reach out to Individuals may reach out to Individuals may reach out to Individuals may reach out to
families and friends or a a professional through the families and friends or a a professional through the a professional through the
mental health professional telemedicine hotlines mental health professional telemedicine hotlines telemedicine hotlines
through the telemedicine through the telemedicine
hotlines Engineering Control: None hotlines Engineering Control: None Engineering Control: None
Engineering Control: None Administrative Control: Engineering Control: None Administrative Control: Administrative Control:
None Employers must provide Owners must provide mental
Administrative Control: Administrative Control: mental and psychosocial and psychosocial support
None PPE: None None support such as but not such as but not limited to
limited to providing in-house counseling sessions,
PPE: None PPE: None mindfulness activities/ online counseling, and
sessions,in-house counseling support groups to its
sessions, online counseling, employees
and support groups toits
employees Owners to promote work-life
balance through proper
Employers to promote scheduling of activities and
work-life balance through rotation of workforce
proper scheduling of
activities and rotation of PPE: None
workforce
PPE: None
1.3 Reduce exposure of Elderly, individuals with Elderly, individuals with Elderly, individuals with Elderly, individuals with Elderly, individuals with
vulnerable individuals (e.g., underlying conditions, and underlying conditions, and underlying conditions, and underlying conditions, and underlying conditions, and
senior citizens, individuals
with underlying health
pregnant women must stay at
home and limit their travel to
pregnant women must stay at
home and limit their travel to
pregnant women living in
high-density communities
pregnant women may be
asked not to physically report
pregnant women may be
asked not to report to work
conditions) to prevent infection essential or urgent needs. essential or urgent needs must stay at home and limit to work
They should also minimize their travel to essential or
their exposure from urgent needs
individuals who frequently Engineering Control: Engineering Control:
leave the house. None Engineering Control: None Engineering Control: None
None
Administrative Control: Administrative Control: Administrative Control:
Engineering Control: None LGUs and establishment None Administrative Control: Owners must designate
owners must designate Employers must provide specific lanes or areas for the
Administrative Control: specific lanes or areas for the PPE: Cloth mask for alternative work elderly, individuals with
Daily monitoring of elderly, individuals with general public or surgical arrangements to the elderly, underlying conditions, and
individuals at risk; and underlying conditions, and mask for symptomatic individuals with underlying pregnant women within the
contingency planning by the pregnant women in public individuals conditions, and pregnant establishment
household for accessing places women for the duration of
healthcare or purchasing of COVID-19 health event PPE: Cloth mask for general
medication from pharmacy in LGUs must provide transport public or surgical mask for
case of emergency. to
services health facilities PPE: Cloth mask for general symptomatic individuals
for vulnerable groups public or surgical mask for
PPE: Cloth mask for general needing health care. symptomatic individuals
public or surgical mask for
symptomatic individuals PPE: Cloth mask for general
public or surgical mask for
symptomatic individuals
1.4 Provision of support for N/A Engineering Control: N/A Engineering Control: Engineering Control:
essential workforce (ex: None Provision of temporary Provision of temporary
financial, lodging, shuttle, accommodations to accommodations to
food,etc.) Administrative Control: employees, if necessary employees, if necessary
Provision of financial,
transportation, food, and Administrative Control: Administrative Control:
other services as needed Provision of financial, Provision of financial,
transportation, food, and transportation, food, and
PPE: Cloth mask for general other services to employees other services as needed
public, or medical-grade as needed
protective apparel, depending
on the intended user PPE: Cloth mask for general
(personnel managing PPE: Cloth mask for general public, or medical-grade
checkpoints, monitoring of public, or medical-grade protective apparel, depending
public spaces) and setting protective apparel, depending on the intended user/setting
on the intended user/setting
1.5 Provision of support for - Provision of benefits under the Social Amelioration Program to qualified beneficiaries as determined by DSWD Memorandum Circular No. 04, Series
vulnerable groups (ex. Social of 2020
Amelioration Programs, Food - LGUs may further extend their support to other vulnerable groups (e.g. PWDs, women, IPs, IDPs, among others) as may be deemed necessary
Assistance) -
as
Other NGAs shall continue or may further expand their assistance to the vulnerable groups part of their mandates.
- Private sector may also provide additional assistance and support to MARPs and vulnerable groups
2. REDUCE TRANSMISSION
2.1Personal Hygiene (e.g. Individuals must wash their Individuals must wash their Individuals living in Individuals must wash their Individuals must wash their
handwashing with soap and hands with soap and water hands with soap and water high-density communities hands with soap and water hands with soap and water
water, sanitizing with hand regularly or use hand regularly or use hand must wash their hands with regularly or use hand regularly or use hand
disinfectants, etc.) disinfectants disinfectants soap and water regularly or disinfectants disinfectants
use hand disinfectants
Engineering Control: None Engineering Control: Engineering Control: Engineering Control:
Placement of makeshift Engineering Control: None Placement of handwashing Placement of handwashing
Administrative Control: handwashing facilities, hand facilities, hand sanitizers, and facilities, hand sanitizers, and
None sanitizers and dispensers with Administrative Control: dispensers with an dispensers with an
an alcohol-based solution in None alcohol-based solution in all alcohol-based solution in all
PPE: None all public places , (i.e. areas entrances, exits, areas with entrances and facilities
with high foot traffic, PPE: None high foot traffic and facilities
transportation systems) Administrative Control:
Administrative Control: Owners must ensure daily
Administrative Control: Employers must ensure daily monitoring and availability of
Ensure routine monitoring monitoring and availability hand soaps, sanitizers, and
and replacement of hand of hand soaps, sanitizers, and other disinfectants within the
soaps, sanitizers, and other other disinfectants in establishment
disinfectants in all public restrooms and in all
places entrances and facilities PPE: None
2.2 Environmental Hygiene Disinfection of frequently Disinfection of frequently Disinfection of frequently Disinfection of frequently Disinfection of frequently
(e.g. disinfecting surfaces and touched surfaces such as but touched surfaces and objects touched surfaces such as but touched surfaces and objects touched surfaces and objects
objects) not limited to tables,
doorknobs, light switches,
using 0.5% bleach solution not limited to tables, such as but not limited to as
such but not limited to
(100 mL Bleach, 900 mL doorknobs, light switches, tables, switches, doorknobs, tables, switches, doorknobs,
phones, toilets, among others at
water) least twice a day phones, toilets, among others and workstations using 0.5% and workstations using 0.5%
using 0.5% bleach solution using 0.5% bleach solution bleach solution (100 mL bleach solution (100 mL
(100 mL Bleach, 900 mL Disinfection of purchased (100 mL Bleach, 900 mL Bleach, 900 mL water) at Bleach, 900 mL water) at
water) items water) least once a day least once a day
Engineering Control: None Engineering Control: Engineering Control: None Engineering Control: Engineering Control:
Placement of foot baths in all Placement of foot baths in all Placement of foot baths in all
Administrative Control: entrances (1:10 bleach Administrative Control: entrances (1:10 bleach entrances (1:10 bleach
None solution; 1 litre bleach mixed None solution; 1 litre bleach mixed solution; 1 litre bleach mixed
with 9 litres of clean water) with 9 litres of clean water) with 9 litres of clean water)s
PPE: None PPE: None
Administrative Control: Administrative Control: Administrative Control:
Placement of signs reminding Ensure routine cleaning of Ensure routine cleaning of
the general public to frequently touched surfaces frequently touched surfaces
minimize touching of and objects, and routine and objects, and routine
surfaces in public places cleaning and replacement of cleaning and replacement of
disinfectant solutions in foot disinfectant solutions in foot
Ensure routine cleaning of baths baths
frequently touched surfaces
and objects, and routine PPE: None PPE: None
cleaning and replacement of
in
disinfectant solutions foot
baths
PPE: None
2.3 Use of PPE and other Engineering Control: None Engineering Control: None Engineering Control: None Engineering Control: None Engineering Control: None
medical-grade protective
apparel Administrative Control: Administrative Control: Administrative Control: Administrative Control: Administrative Control:
None None None Management shall allocate Owners shall allocate
appropriate PPEs to appropriate PPEs
to
PPE: Individuals with PPE: Healthy or PPE: Individuals living in employees (i.e., essential employees (i.e.,
essential
flu-like symptoms must wear Asymptomatic Individuals high-density communities workforce) on duty, workforce) on duty,
a medical-grade mask at all shall use cloth face masks in must wear cloth face masks depending on the nature of depending on the nature of
times (andthe elderly or public places. when leaving the household work and contact with the work and contact with the
people with underlying general public. general public.
conditions) Individuals with suspected Individuals with suspected
flu-like symptoms, or are flu-like symptoms must wear PPE: Healthy or PPE: Individuals may use
feeling sick must wear at
medical-grade mask all Asymptomatic Individuals cloth face masks when going
at
medical-grade mask all times shall use cloth face masks. to restaurants and other
times if they go outside establishments
3. REDUCE CONTACT
3.1 Practicing physical Practice physical distancing Engineering Control: If possible, practice physical Engineering Control: Engineering Control:
Distancing (at least | meter apart) in Placement ofred marking distancing (at least 1
meter Installation of temporary Installation of temporary
communal areas (e.g. living tapes on the floor to guide apart) in communal areas barriers between cubicles barriers in front desks,
room, dining room, etc.) individuals to stay at least (e.g. living room, dining counters, etc.
one meter apart from each room, etc.) Administrative Control:
Engineering Control: None other Employers must limit face to Placement ofred marking
Engineering Control: None face meetings as much as tapes on the floor to guide
Administrative Control: Administrative Control: possible and adopt WFH individuals to stay at least
None Limitation on the number of Administrative Control: arrangements. one meter apart from each
people inside the None other when ordering for food
PPE: Cloth mask for general establishment Allow flexible dining policy at the counter
public or surgical mask for PPE: Cloth mask for in the work space/cubicle
symptomatic individuals PPE: Cloth mask for general general public or surgical during lunch break; OR limit Administrative Control:
public or surgical mask for mask for symptomatic the number of individuals Limitation on the number of
symptomatic individuals individuals who
can eat in the pantry at a people inside the
given time. establishment
3.2 Modified Work Structures N/A N/A N/A Engineering Control: None Engineering Control: None
and Schedules, and alternative
work arrangements Administrative Control: Administrative Control:
Employers should provide Owners should provide
modified alternative modified alternative
structures and arrangements structures and arrangements
(e.g. online transactions and
PPE: Cloth mask for pick-up, drop-off points,
general public or surgical delivery services. etc.)
mask for symptomatic
individuals PPE: Cloth mask for general
public or surgical mask for
symptomatic individuals
3.3 Limitation of non-essential N/A N/A N/A N/A Engineering Control: None
services
Administrative Control:
Owners should provide
modified alternative
structures and arrangements
for transactions (i.e. pick-up,
delivery, drop-off points,
online transactions, etc.)
3.4 Restriction on Mass N/A Engineering Control: None Engineering Control: None Engineering Control: None Engineering Control: None
Gatherings
Administrative Control: Administrative Control: Administrative Control: Administrative Control:
Limitation on the number of None Suspension of office Limitation on the foot traffic
in
people public places meetings, conferences, and within the establishment
PPE: Cloth mask for other large gatherings
PPE: Cloth mask for general general public or surgical PPE: Cloth mask for general
public or surgical mask for mask for symptomatic PPE: Cloth mask for public or surgical mask for
symptomatic individuals individuals general public or surgical symptomatic individuals
mask for symptomatic
individuals
4, REDUCE DURATION OF INFECTION
4.1 Detection and isolation of Individuals with flu-like Individuals with flu-like If possible, Engineering Control: None Individuals with flu-like
Symptomatic Individuals (at symptoms must be isolated symptoms must not go to any Individuals with flu-like symptoms must not go to any
home or
in designated in a separate room or area setting except for symptoms must be isolated Administrative Control: setting except for
community quarantine
facilities)
within the household health-related concerns,
virtual consultation is not
if in a separate room or area
within the household or a
Employers must subject all health-related concerns, if
virtual consultation is not
employees to temperature
Engineering Control: None possible. community quarantine/ checks prior to entering the possible.
isolation facility when made building/ office spaces and
Administrative Control: available by the LGU proper referral to appropriate Engineering Control: None
None Engineering Control: None facility for symptomatic
Engineering Control: None employees Administrative Control:
PPE: Cloth mask for general Administrative Control: Owners must subject all
public or surgical mask for Placement of standard Administrative Control: Employers must monitor all customers to temperature
symptomatic individuals symptom and temperature None employees daily to ensure to
checks prior entering the
checks instrategically proper detection of establishment
located areas in public places PPE: Cloth mask for employees with symptoms
and proper referral of all general public or surgical PPE: Cloth maskfor general
individuals with symptoms of mask for symptomatic Employees with mild flu-like public or surgical mask for
ILI individuals symptoms shall adopt a work symptomatic individuals
from home (WFH)
PPE: Cloth mask for
general arrangement for the duration
public or surgical mask for of COVID-19 health event
symptomatic individuals
PPE: Cloth mask for
general public or surgical
mask for symptomatic
individuals
|
1. INCREASE PHYSICAL AND MENTAL RESILIENCE
1.1 Respiratory Hygiene and Practice respiratory etiquette Practice respiratory etiquette Practice respiratory etiquette Practice respiratory etiquette Practice respiratory etiquette
Cough Etiquette at all times. Use tissue or atall times. Use tissue or at all times. Use tissue or all times. Use tissue or
at all times. Use tissue or
at
inner portion of elbow to inner portion of elbow to inner portion of elbow to inner portion of elbow to inner portion of elbow to
cover nose and mouth when cover nose and mouth when cover nose and mouth when cover nose and mouth when cover nose and mouth when
sneezing/coughing sneezing/coughing sneezing/coughing sneezing/coughing sneezing/coughing
Engineering Control: None Engineering Control: None Engineering Control: None Engineering Control: None Engineering Control: None
Administrative Control: Administrative Control: Administrative Control: Administrative Control: Administrative Control:
School administration may Hotel Management may None Management may None Owners must provide tissues
provide tissues and alcohol provide tissues and alcohol provide tissues and alcohol within the establishment
handrub in entrances, hand rub in communal areas hand rub in entrances and PPE: Cloth mask for general
corridors and other and amenities. All toilet exits and along waiting. All public or surgical mask for PPE: Cloth
mask for general
communal areas. All toilet facilities should have toilet facilities should have symptomatic individuals public or surgical mask for
facilities should have adequate water and soap for adequate water and soap for symptomatic individuals
adequate water and soap for handwashing. handwashing.
handwashing.
PPE: Cloth mask for general PPE: Cloth mask for general
PPE: Cloth mask for general public or surgical mask for public or surgical mask for
public or surgical mask for symptomatic individuals symptomatic individuals
symptomatic individuals
1.2 Promote Mental Health Health emergencies can put Health emergencies can put Health emergencies can put Health emergencies can put Health emergencies can put
people in extreme stress. people in extreme stress. people in extreme stress. people in extreme stress. people in extreme stress.
Individuals may reach out to Services to support mental Individuals may reach out to Individuals may reach out to Services to support mental
a professional through the health must be made a professional through the a professional through the health must be made
telemedicine hotlines available. telemedicine hotlines telemedicine hotlines available.
Engineering Control: None Engineering Control: None Engineering Control: None Engineering Control: None Engineering Control: None
Administrative Control: Administrative Control: Administrative Control: Administrative Control: Administrative Control:
Administrators must provide Management must provide None None Management can Management must provide
mental and psychosocial mental and psychosocial institute activities promoting mental and psychosocial
support suchas but not support such as but not PPE: None mental wellbeing and overall support suchas but not
limited to in-house limited to in-house health to their constituents limited to in-house
counseling sessions, online counseling sessions, online including online programs counseling sessions and
counseling, support groups, counseling, and support and counseling. Communal support groups to employees
etc. to
groups its employees online prayer activities and inmates
1.3 Reduce exposure of Engineering Control: None Engineering Control: None Engineering Control: None Engineering Control: None Engineering Control: None
vulnerable individuals (e.g.,
senior citizens, individuals Administrative Control: Administrative Control: Administrative Control: Administrative Control: Administrative Control:
with underlying health School administrators may Availability of designated Operators and drivers may Officiators and religious Availability of designated
conditions) to prevent offer alternative areas or facilities for the designate a specific area for leaders may designate a orareas for the elderly,
lanes
infection arrangements to personnel elderly, individuals with the elderly, individuals with specific area for the elderly, individuals with underlying
who
are elderly, with underlying conditions, and underlying conditions, and individuals with underlying conditions, and pregnant
underlying conditions, and pregnant women. pregnant women within the conditions, and pregnant women.
pregnant. vehicle and waiting area. women in the place of
worship or offer alternative
If alternative arrangements PPE: Cloth mask for general PPE: Cloth mask for general ways of participation (e.g. PPE: Cloth mask for general
are not possible, designated public or surgical mask for public or surgical mask for online, recorded mass, etc.) public or surgical mask for
areas in communal areas symptomatic individuals symptomatic individuals symptomatic individuals
must be available to high-risk PPE: Cloth mask for general
groups public or surgical mask for
symptomatic individuals
PPE: Cloth mask for general
public or surgical mask for
symptomatic individuals
1.4 Provision of support for Engineering Control: Engineering Control: Engineering Control: N/A Engineering Control:
essential workforce (ex: Provision of temporary Provision of temporary Provision of temporary Provision of temporary
financial, lodging, shuttle, accommodations to accommodations to accommodations to accommodations to
food,etc.) employees, if
necessary employees, if necessary employees, if necessary employees, if necessary
10
Administrative Control: Administrative Control: Administrative Control: Administrative Control:
Provision of financial, Provision of financial, Provision of financial, Provision of financial,
transportation, food, transportation, food, transportation, food, transportation, food,
1.5Provision of support for - Provision of benefits under the Social Amelioration Program to qualified beneficiaries as determined by DSWD Memorandum Circular No. 04, Series
vulnerable groups (ex. Social of 2020
Amelioration Programs, Food - LGUs may further extend their support to other vulnerable groups (e.g. PWDs, women, IPs, IDPs, among others) as may be deemed necessary
Assistance) - Other NGAs shall continue or may further expand their assistance to the vulnerable groups as
part of their mandates.
- Private sector may also provide additional assistance and support to MARPs and vulnerable groups
2. REDUCE TRANSMISSION
2.1 Personal Hygiene (e.g. Engineering Control: Engineering Control: Engineering Control: Engineering Control: Engineering Control:
handwashing with soap and Placement of handwashing Placement of handwashing Placement of hand sanitizers Placement of hand sanitizers Placement of handwashing
water, sanitizing with hand stations, hand sanitizers, and stations, hand sanitizers, and and dispensers with an and dispensers with an stations, hand sanitizers, and
disinfectants, etc.) dispensers with an dispensers with an alcohol-based solution in all alcohol-based solution at dispensers with an
alcohol-based solution in all alcohol-based solution in all vehicles, LRT/MRT, bus and strategic entry points alcohol-based solution in all
rooms, communal areas, and
amenities especially eating
rooms, communal areas, and
amenities
train stations, andin
all exits rooms, communal areas, and
and entrances. amenities
areas.
Administrative Control: Administrative Control: Administrative Control:
Administrative Control: Ensure routine monitoring Administrative Control: Ensure routine monitoring Ensure routine monitoring
Students and teachers must and replacement of hand Ensure routine monitoring and replacement of hand and replacement of hand
perform regular and thorough soaps, sanitizers, and other and replacement of hand soaps, sanitizers, and other soaps, sanitizers, and other
handwashing with soap and disinfectants in all rooms and soaps, sanitizers, and other disinfectants in all strategic disinfectants in all strategic
water. Allot a specific period public areas disinfectants in all exits and entry points entry points
of time for handwashing. entrances.
PPE: None PPE: None PPE: None
Hand sanitizers or PPE: None
alcohol-based solutions must
be available in all classroom
11
or school facilities
PPE: None
2.2 Environmental Hygiene Disinfection of tables, Regular disinfection of Disinfection of surfaces that Regular disinfection of Disinfection of surfaces and
(e.g. disinfecting surfaces and doorknobs, desks, and school rooms, front desks, counters, are often touched by chairs, tables, cloths, relics, frequently touched surfaces
objects, waste management, items using 0.5% bleach and other frequently touched passengers using 0.5% and other equipment using using 0.5% bleach solution
proper disposal of infectious solution (100 mL Bleach, surfaces and objects such as bleach solution (100 mL 0.5% bleach solution (100 (100 mL Bleach, 900 mL
wastes) 900 mL water) at least twice key cards, door Bleach, 900 mL water) at mL
Bleach, 900 mL water) water) at least twice a day
a day handles/knobs, elevator least every two hours
buttons, among others using Engineering Control: Engineering Control:
Engineering Control: 0.5% bleach solution (100 Engineering Control: Placement of foot baths in all Placement of foot baths in all
Placement of foot baths in all mL Bleach, 900 mL water) Placement of foot baths in all entrances (1:10 bleach entrances (1:10 bleach
entrances (1:10 bleach entrances (1:10 bleach solution; | litre bleach mixed solution; 1 litre bleach mixed
solution; | litre bleach mixed Engineering Control: solution; | litre bleach mixed with 9 litres of clean water) with 9 litres of clean water)
with 9 litres of clean water) Placement of foot baths in all with 9 litres of clean water)
entrances (1:10 bleach Administrative Control: Administrative Control:
Administrative Control: solution; 1 litre bleach mixed Administrative Control: Ensure routine cleaning of Ensure routine cleaning of
Ensure routine cleaning of with 9 litres of clean water) Ensure routine cleaning of frequently touched surfaces frequently touched surfaces
frequently touched surfaces frequently touched surfaces and objects, and routine and objects, and routine
objects, and routine
and Administrative Control: and objects, and routine cleaning and replacement of cleaning and replacement of
cleaning and replacement of Ensure routine cleaning of cleaning and replacement of disinfectant solutions in foot disinfectant solutions in foot
disinfectant solutions in foot frequently touched surfaces disinfectant solutions in foot baths baths
baths andobjects, and routine baths
cleaning and replacement of PPE: None PPE: None
PPE: None disinfectant solutions in foot PPE: None
baths
Ensure implementation of
proper food preparation and
handling.
PPE: Surgical masks for
front desk/concierge
staff/staff stationed at entry
points and at the lobby.
2.3 Use of PPE and other Engineering Control: None Engineering Control: None Engineering Control: None Engineering Control: None Engineering Control: None
medical-grade protective
apparel Administrative Control: Administrative Control: Administrative Control: Administrative Control: Administrative Control:
School administrators shall Hotel Management shall None None Governing body with
allocate appropriate PPEs to allocate appropriate PPEs to jurisdiction over prisons shall
teachers, canteen vendors, its hotel staff (e.g. concierge, PPE: Drivers, Barkers, and PPE: Attendees may wear appropriate fundsto provide
maintenance, and security maintenance, guards, etc) conductors who are in cloth face masks during mass PPEs
to its essential
guards. contact with passengers must and other religious gatherings employees and inmates
wear cloth masks at all times
PPE: Hotel staff who are in PPE:Provision of cloth face
PPE: School personnel who contact with guests (security Personnel manning exits and masks for inmates and
are in contact with students guards, concierge, entrances and those with high detained individuals
and school staff (security maintenance, etc) must wear exposure to people entering
guards, maintenance crew, cloth masks at all times must wear surgical mask
canteen handlers, etc.) must
wear cloth masks at all times
3. REDUCE CONTACT
3.1Practicing Physical Practice physical distancing Practice physical distancing Practice physical distancing Practice physical distancing Engineering Control:
Distancing (at least meter apart)
1
in all (at least | meter apart)in all (at least 1 meter apart) in all (at least 1 meter apart) in all Placement of temporary
communal areas areas areas areas barriers between inmates and
non-residents
Engineering Control: None Engineering Control: Engineering Control: Engineering Control:
Placement of red marking Placement of marks or Placement of marks to guide
Administrative Control: tapes on the floor of front temporary barriers in buses, attendees during communion Administrative Control:
Restriction on mass desks, buffet, and other trains or offertary services and Practice physical distancing
gatherings that will require amenities to guide guests to temporary barriers to in all communal areas
close contact (e.g. school stay at least one meter apart separate attendees
activities, flag ceremony if from each other Administrative Control: Temporarily suspend
physical distancing is not Passengers must keep a safe Administrative Control: visitation privileges or
possible, etc.) Installation of temporary distance from other If possible, religious provide alternative
barriers in concierge, front passengers authorities should release mechanisms (e.g. online
Provide platforms for online desks, etc. guidelines modifying visitations)
learning, adjustment of Limitation on the number of religious practices to limit
teaching methods and Administrative Control: passengers in public close contact, maintain Limit conduct of group
schedules to allow for Limitation on the number of transportation including physical distancing, and activities within the facility
physical distancing. guests inside the hotel, buses, jeepney, taxi, tricycles, prevent cross-contamination
amenities (pool, buffet, etc.), and trains. of frequently touched Isolate symptomatic
PPE: Cloth mask for general and other public places surfaces and religious individuals
public or surgical mask for Restrict motorcycle-sharing objects.
symptomatic individuals PPE: Cloth mask for general public transportation system PPE: Cloth mask for general
public or surgical mask for Limitation on the number of public or surgical mask for
symptomatic individuals PPE: Cloth mask for general attendees in churches and symptomatic individuals
public or surgical mask for places of worship. But if
symptomatic individuals possible, implement online
religious services until
further notice.
3.2 Modified Work Structures Engineering Control: None Engineering Control: None N/A N/A N/A
and Schedules, and alternative
work arrangements Administrative Control: Administrative Control:
Administrators should Administrators should
provide modified alternative provide modified alternative
structures and arrangements structures and arrangements
3.4 Restriction on Mass Engineering Control: None Engineering Control: None Engineering Control: None Engineering Control: None Engineering Control: None
Gatherings
Administrative Control: Administrative Control: Administrative Control: Administrative Control: Administrative Control:
Restriction on large Limitation on the number of Limitation on the number of Provide multiple schedule of None
gatherings (e.g. school to
reservations control the passengers in vehicles, buses, services or alternative
activities, field trips, sports number of guests in the hotel trains, and other public practices to limit the number PPE: Cloth mask for general
festivals, and flag ceremony, transportation in
of attendees religious public or surgical mask for
if physical distancing is not PPE: Cloth mask for general services symptomatic individuals
possible, etc.) public or surgical mask for PPE: Cloth mask for general
symptomatic individuals public or surgical mask for PPE: Cloth mask for general
PPE: Cloth mask for general symptomatic individuals public or surgical mask for
public or surgical mask for symptomatic individuals
symptomatic individuals
Detection and isolation of School administrators must Engineering Control: None Individuals with flu-like Engineering Control: None Engineering Control: None
Symptomatic Individuals (e.g. provide alternative symptoms must not go to any
for
temperature scanning at entry arrangements students, Administrative Control: setting except for Administrative Control: Administrative Control:
points, symptom monitoring,
teachers, and personnel (e.g.
online meetings/classes,
Hotel Management must health-related concerns, if Officiators and Religious Immediate isolation of
etc.) recorded classes, etc) with subject all guests and is
virtual consultation not Leaders must subject all suspected, probable, and
flu-like symptoms employees to temperature possible. attendees to temperature confirmedcases in
checks prior to entering the checks prior to entering the designated areas within the
Engineering Control: None hotel Engineering Control: None place of worship facility
PPE: Cloth mask for general PPE: Cloth mask for general
public or surgical mask for public or surgical mask for
symptomatic individuals symptomatic individuals
Annex B. Risk Severity Grading and Risk-based Public Health Standards
' Takes into account the case doubling rate and critical care utilization rate
work arrangements
Public Places
Schools
Adopted from the Public Health Principles for a Phased Reopening During COVID-19: Guidance for
Governors, John Hopkins University (2020), and modified to local context.
Universities High High High
Rating
Criteria
Low Medium High
Number
of A few number of A small group of A large group of
Contacts individuals in the
setting at a given time
individuals in the
setting at a given time
a
individuals in setting
at a given time
Modification
Potential
Risk of transmission
can be reduced through
Risk
of transmission
can be reduced through
Risk of transmission
can be reduced through
the use and provision of administrative controls engineering controls
Personal Protective (e.g. enforcing limits on (e.g. installation of
Equipment (e.g wearing the number ofpeople temporary barriers and
masks, face shields, allowed within an placement of red
coverall, etc.) establishment) marking tapes on the
floor, etc.)