Controlled Phased Lifting of COVID-19 Restrictions in Qatar June 8 th , 2020
Wit ith an im impactful response taking effect, preparation for lif lifting restr trictions started Comparison of COVID 19 statistics in Qatar Perspectives with no-intervention scenario • Qatar has performed well in the crisis so far (low numbers of deaths, sufficient healthcare capacity) • Crisis response has been timely, proportionate and effective • We have now set clear conditions for re-opening of our country • A robust, evidence-based plan for how to reopen in the safest way possible is created • Phasing, testing, coherence, and compliance are key ingredients to ensure the safety of the Source: Scientific and Research Reference Group for COVID-19, MOPH population 2
Comprehensive Master Pla lan and Detailed Pla lans Aims of the plan Levels Enable alignment across Ministries on 01 National / Cross-Government the national plan but also plans for areas of overlap Enable communication to public/private 02 Ministry / Entity sector entities and to the public 03 Enable tracking of impact of controlled The Public lifting through KPIs 3
The fiv five key pil pillars and nd objectives of th the str trategy for lif lifting of f restr trictions Key pillars of a successful strategy Qatar-specific objectives 1. Suppress infections and associated 1 Phasing of lifting of restrictions, based on trade-off mortality of health risk with social and economic benefits 2. Protect the vulnerable population Healthcare 3. Operate within healthcare capacity 2 Close monitoring of impact of lifting restrictions, enabled by testing and effective contact tracing 4. Resume treatment of non-COVID patients 3 Clear precautions and operational plans to keep infection risk at a minimum, e.g. social distancing 1. Robust economic recovery 2. Maintain and manage financial stability Economy 4 Political will and readiness to reintroduce restrictions if deemed necessary 1. Ability to fulfil social obligations and Covid-19 command arrangements with clear 5 maintain social contact established processes and data-led decision-making Society across government entities 2. Restoration of normal life and activities 4
Countr tries ies are e li lift fting ing res estr trict iction ions gr graduall lly and cautio tiously ly, , prio riorit ritizing izing th those se r res estr trict iction ions t s that d t do no not p t pose se a m a majo jor h r hea ealth lth risk risk As of 8 June Restrictions lifted by week • Shopping malls, Parks , museums, Parks , • Professional Businesses nightlife religious Nationwide museums, baseball • Workplaces gatherings online nightlife, ( “ ghost games ” ) Domestic restricted for 2 classes • Religious religious Schools International Nightlife • Parks, museums travel weeks travel gatherings gatherings March 3 (Peak) 3 4 5 6 7 8 9 10 11 12 13 14 • KPI based Non-contact Schools for Business Schools All restrictions lifted businesses (barbers, age <10 review cycle eateries, cinemas) except border controls Small social Regional Groups Domestic (Alert Level 1) (9 Jun) • Restriction groups <10 Groups <100 travel travel >100 lifting plan April 5 (Peak) 3 4 5 6 7 8 9 10 11 12 13 14 • KPI based review Small groups Phased opening Outdoor workers Phased on-site work Public libraries outdoor Non-essential of pre-schools cycle retail outlets Childcare for Major urban areas Short home visits in small groups • Restriction lifting essential workers plan: Every 3 weeks April 10 (Peak) 3 4 5 6 7 8 9 10 11 12 13 14 Shops of <800 m 2 , car All shops Restaurants dealerships, book shops Schools for Hotels, KPI based Museums, Kindergarten graduating Primary and camping sites review Church services galleries, 50% occupancy students secondary <15 people memorials rate cycle schools 27 March (Peak) 3 3 4 4 5 5 6 6 7 7 8 8 9 9 10 10 11 11 12 12 13 13 14 14 Common strategic aspects of lifting restrictions are to start late, with clearly defined KPIs informing frequent time based review cycles to gradual lift low risk restrictions first, based on country specific priorities Reimpose Retail/ *Lifting of restrictions vary in extent and subject to change Education Gatherings Outdoor & sports Concluded Planned Transport restrictions business Source: Oxford COVID-19 Government Response Tracker, Oliver Wyman research 5
The conditions to be met for restrictions to be lif lifted: 9 9 KPIs Is Low levels and Estimated effective 1 Epidemiology continued decline in % infection reproductive of confirmed cases number well below 1 Predicted occupancy Sufficient PPE supplies Healthcare Sufficient capacity for Low levels of % of 2 rate for acute and ICU available in stock all emergency patients healthcare staff tested capacity beds for Covid-19 at HMC & PHCC (4 week horizon) positive for SARS-CoV-2 below 4 week peak for next 4 weeks Quarantine and Sufficient capacity to Contacts traced 3 isolation capacity can Public health process tests for SARS- and assessed after meet demand (4 week CoV-2 on a daily basis case confirmation horizon) 6
Basic rules … generic precautions Area Facts Precautions • keep 2 meters minimum distance between people • Keep occupancy of public places/venues, work Social Physical distance predominantly determines transmission spaces, businesses and shops at 1 person/9-12 m 2 , Distancing for restaurants at 1 person/12 m 2 ) • masks for all (staff and clients) PPE & Personal protective equipment (PPE) and hand hygiene • hand washing and/or hand sanitizers can prevent transmission Hygiene • thermal screening for employees and clients Early Early detection by thermal screening and mandatory • mandatory staff testing as per MOPH guidelines Detection staff testing helps reduce disease transmissions • check EHTERAZ App is downloaded EHTERAZ Speeding up the process of contact tracing is key to the • check that the status is green to allow entry App containment of new outbreaks • make special considerations for vulnerable groups Vulnerable Vulnerable groups have higher risk and fatality rates • keep vulnerable groups safe and protected groups 7
Precautions guidance: tailored to each restr triction …… example Physical distancing PPE & hygiene measures • Maintain distance of minimum 2m • Frequent hand hygiene for 20-30 sec (water & soap or sanitizer) • Limit on number of individuals gathering in specific spaces • Free sanitizer stations in public places • Guidance on queuing for various services • Mandatory wearing of masks . • Formal separation of teams in workplaces • Follow cough etiquette. Catch coughs/sneezes in tissues and throw • Physical barriers between staff and customer where possible away, or use your sleeve/elbow • Frequent cleaning and disinfection of surfaces Movement and activity restrictions Protection of Vulnerable Groups • Restrict movement to high density areas • Ensure safety and well being of vulnerable groups such as elderly (>55), pregnant women and those with chronic health conditions • Enhanced checks (incl. thermal screening ) on passengers from high • Provision of services and healthcare virtually and at home risk destinations and at entrances to venues • Introduce appointment system to manage numbers where possible • Support flexible working by vulnerable populations including digital home-working solutions • Check EHTERAZ is downloaded and status is green • Limit number of visits to closed spaces 8
From Master Plan to Detailed Plans PHASING MASTER PLAN INDIVIDUAL RESTRICTION PEER COUNTRY EXAMPLES RESTRICTION LEVEL PER RESTRICTION DETAILED PLANS CARDS Plan developed and Across each restriction to be Each restriction card is Detailed plans by each iterated for phasing of lifted, a restriction card supported by benchmarking Ministry on how controlled of approaches across peer lifting of restrictions will be restrictions across all four developed to provide phases. guidance on gradual phasing countries, in particular the implemented, incl. post Now finalized and tailored precautions. supporting precautions. lifting monitoring. Now finalized Now finalized Now finalized 9
KP KPI I in informed monit itor-revie iew-adapt cycle le to move to su subsequent phases Today Phase 1 Phase 2 Phase 3 Phase 4 15 th June 1 st September 1 st August 1 st July KPI targets achieved KPI targets achieved and minimum time passed since last phase All 9 global health KPIs are All 9 global health KPIs are within their respective target values within their respective target All restriction specific KPIs (e.g. adherence to social distancing) are achieved values At least 2 weeks have passed since the last lifting of restrictions (otherwise data would not reflect the latest level of restrictions) • Between phases, a stringently defined process of monitor-review-adapt is conducted • Phasing relies on achieving target KPIs, and passing the minimum time required to move between phases (2 weeks), to move to the subsequent phase. • Any earlier lifting of restrictions would require additional countermeasures and preparedness 10
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