I N T E R I M G U I D E

PHILIPPINE COLLEGE OF OCCUPATIONAL MEDICINE, INC.

WORKPLACE READINESS

FOR COVID-19

PART 3 as of MAY 26, 2020

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TABLE OF CONTENTS

NEW CLASSIFICATION OF INDIVIDUALS FOR COVID-19 ....................................................................... 2

WORKER EXPOSURE RISK TO COVID-19 ................................................................................................ 3

DUTIES OF THE OCCUPATIONAL HEALTH PHYSICIAN ......................................................................... 4

DUTIES OF THE OCCUPATIONAL HEALTH NURSE ................................................................................ 4

DUTIES OF THE FIRST AIDER .................................................................................................................... 4

DUTIES OF THE OCCUPATIONAL HEALTH PRACTITIONER ................................................................. 4

DUTIES OF THE HEALTH AND SAFETY COMMITTEE ............................................................................. 5

DUTIES OF THE EMPLOYERS .................................................................................................................... 5

SHARED ACCOUNTABILITY ....................................................................................................................... 5

HIERACHY OF CONTROLS ......................................................................................................................... 6

HAZARD IDENTIFICATION, RISK ASSESSMENT AND DETERMINATION OF CONTROL (HIRADC) 10

EQUALITY IN THE WORKPLACE ............................................................................................................. 18

MANAGING VISITORS, CLIENTS ETC. .................................................................................................... 18

CLEANING THE WORKPLACE ................................................................................................................. 18

SHIFT PATTERNS AND WORKING GROUPS .......................................................................................... 19

WORK-RELATED TRAVEL ........................................................................................................................ 19

COMMUNICATION AND TRAININGS ........................................................................................................ 20

INCREASE PHYSICAL AND MENTAL RESILIENCE ............................................................................... 20

RETURN TO WORK .................................................................................................................................... 21

RAPID ANTIBODY TESTING ..................................................................................................................... 29

ADVISORIES AND ISSUANCES ................................................................................................................ 30

RESOURCES: ............................................................................................................................................. 35

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NEW CLASSIFICATION OF INDIVIDUALS FOR COVID-19

The following are the new DOH case definitions for notification which transitions the reporting of PUI and PUM to Suspect, Probable, and Confirmed COVID-19 cases. These definitions are consistent with the latest WHO Global Surveillance for COVID-19 disease interim guidance (as of March 20, 2020). Thus, the COVID-19 Surveillance System, through the DOH Epidemiology Bureau, will capture and detect cases through the enhanced influenza-like illness (ILI) and expanded severe acute respiratory infection (SARI) sentinel surveillance systems, notification from hospital and laboratory facilities, and event-based surveillance and response.

SUSPECT CASE is a person who is presenting with any of the conditions below:

a. All SARI cases where NO other etiology fully explains the clinical presentation. b. Individuals with influenza-like illness (ILI):

a. With no other etiology that fully explains the clinical presentation AND history of travel to or residence in an area that reported local transmission of COVID-19 disease during the 14 days prior to symptom onset OR

b. With contact* to a confirmed or probable case of COVID-19 disease during the 14 days

prior to the onset of symptoms

c. Individuals with fever or cough or shortness of breath or other respiratory signs or symptoms and

under any of the following conditions: (i) aged 60 years and above, (ii) with a comorbidity, (iii) assessed as having high-risk pregnancy, or (iv) a health worker.

PROBABLE CASE

A. Suspect case whom testing for COVID-19 is inconclusive B. Suspect case who tested positive for COVID-19 but whose test was not conducted in a national or

subnational reference laboratory, or an officially accredited laboratory

CONFIRMED CASE

A. Any individual irrespective of the presence of clinical signs and symptoms who was laboratory-confirmed for COVID-19 in a test conducted at the national reference laboratory or subnational reference laboratory, or a DOH-certified laboratory testing facility

*Contact as defined by the WHO Global Surveillance for COVID-19 disease interim guidance (as of March

20, 2020) is a person who experienced any one of the following exposures during the 2 days before and

the 14 days after the onset of symptoms of a probable or confirmed case:

1. Face-to-face contact with a probable or confirmed case within 1 meter and for more than 15 minutes;

2. Direct physical contact with a probable or confirmed case;

3. Direct care for a patient with probable or confirmed COVID-19 disease without using proper PPE; OR

4. Other situations as indicated by local risk assessments

Note: For confirmed asymptomatic cases, the period of contact is measured as the 2 days before through

the 14 days after the date on which the sample was taken which led to confirmation.

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WORKER EXPOSURE RISK TO COVID-19

LOW EXPOSURE RISK • Individuals that are only in contact for a brief period of time (≦ 2minutes) • Jobs that do not require contact with people known to be or suspected of being infected. Workers have

minimal occupational contact with the public and other coworkers. • Practice physical distancing at all times

*Follow applicable engineering, administrative and PPE controls in your workplaces

MEDIUM EXPOSURE RISK • Individuals are in contact for a longer period of time and are fairly distant from each other. • Jobs that require frequent/close contact with people who may be infected, but who are not known or

suspected patients or close contacts of the same. Workers may have contact with the general public (e.g. restaurants, high-population-density work environments, some high-volume retail settings) including individuals returning from locations with widespread COVID-19 transmission.

• Practice physical distancing at all times

*Follow applicable engineering, administrative and PPE controls in your workplaces

HIGH EXPOSURE RISK • Individuals are in prolonged close (more than 15 minutes) contact and may not be able to practice

physical distancing at all times. Large group of individuals in a given time (inmates) • Jobs with a high potential for exposure to known or suspected sources of COVID-19. Healthcare

delivery, healthcare support, medical transport, and mortuary workers exposed to known or suspected COVID-19 patients or bodies of people known to have, or suspected of having, COVID-19 at the time of death.

*Follow applicable engineering, administrative and PPE controls in your workplaces

VERY HIGH EXPOSURE RISK • Healthcare workers, morgue workers, performing aerosol-generating procedures on or collecting /

handling specimens from potentially infectious patients or bodies of people known to have, or suspected of having, COVID-19 at the time of death.

*Follow applicable engineering, administrative and PPE controls in your workplaces

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DUTIES OF THE OCCUPATIONAL HEALTH PHYSICIAN

The Occupational Health Physician, whether part-time or full-time, who shall be responsible for promoting and maintaining the health and well-being of the workers, shall have the following duties and functions:

1. Organize, administer and maintain an occupational health service program integrating therein an occupational safety program;

2. Continually monitor the work environment for health hazards through periodic inspection of the workplace;

3. Prevent diseases or injury in the workplace by establishing proper medical supervision over substances used, processes, and work environment;

4. Conserve the health of the workers through physical examinations, proper advice for placement and health education;

5. Provide medical and surgical care to restore health and earning capacity of injured workers; 6. Maintain and analyze records of all medical cases and to prepare and submit to the employer

annual medical reports, using form DOLE/BWC/OH-47, as required by this Standards; 7. Conduct studies on occupational health within his means and resources; 8. Act as adviser to management and labor on all health matters; 9. And report directly to top management in order to be effective.

DUTIES OF THE OCCUPATIONAL HEALTH NURSE

The duties and functions of the Occupational Health Nurse are:

1. In the absence of a physician, to organize and administer a health service program integrating occupational safety, otherwise, these activities of the nurse shall be in accordance with the physician;

2. Provide nursing care to injured or ill workers; 3. Participate in health maintenance examination. If a physician is not available, to perform work

activities which are within the scope allowed by the nursing profession, and if more extensive examinations are needed, to refer the same to a physician;

4. Participate in the maintenance of occupational health and safety by giving suggestions in the improvement of working environment affecting the health and well-being of the workers; and

5. Maintain a reporting and records system, and, if a physician is not available, prepare and submit an annual medical report, using form DOLE/BWC/HSD/OH-47, to the employer, as required by this Standards.

DUTIES OF THE FIRST AIDER

The duties of the First Aider are to:

1. Give immediate temporary treatment in case of injury or illness, before the services of a physician becomes available. If the case needs a physician, the first aider shall immediately call or refer the injured to one;

2. Participate in the maintenance of occupational safety and health programs, if a member of the Safety Committee; and

3. Maintain medical services and facilities.

DUTIES OF THE OCCUPATIONAL HEALTH PRACTITIONER

The duties of the occupational health practitioner are to:

1. Advise the employers, the workers and their representatives in the workplace the necessary requirements in establishing and maintaining a safe and healthful working environment which will facilitate optimal physical and mental health for workers;

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2. Conduct periodic inspection of the workplace as required under Rule 1961.04; 3. Act as adviser to the employer, workers and their representatives in matters concerning the

organization, administration and maintenance of an occupational health program; and 4. Maintain a reporting and records system and prepare and submit an annual medical report for the

employer, using form DOLE/BWC/HSD/OH-47, as required by this Standards.

DUTIES OF THE HEALTH AND SAFETY COMMITTEE

The Health and Safety Committee is the planning and policymaking group in all matters pertaining to safety and health. The principal duties of the Health and Safety Committee are:

1. Plans and develops accident prevention programs for the establishment. 2. Directs the accident prevention efforts of the establishment in accordance with the safety programs

safety performance and government regulations in order to prevent accidents from occurring in the workplace.

3. Conducts safety meetings at least once a month. 4. Reviews reports of inspection, accident investigations and implementation of program. 5. Submits reports to the manager on its meetings and activities. 6. Provides necessary assistance to government inspecting authorities in the proper conduct of their

activities such as the enforcement of the provisions of this Standards. 7. Initiates and supervises safety training for employees. 8. Develops and maintains a disaster contingency plan and organizes such emergency service units

as may be necessary to handle disaster situations pursuant to the emergency preparedness manual for establishments of the Office of Civil Defense.

DUTIES OF THE EMPLOYERS

Health and Safety committees play very important roles in eliminating work hazards. Developing workers’ interest and participation in the planning and development of safety program is the responsibility of the employer. The employer must exercise the necessary leadership and provide support to make the program work. The principal duties of the employer are:

1. Establishes and adopts in writing administrative policies on safety in conformity with the provisions of this Standards outlining therein his responsibility and authority delegated.

2. Reports to the enforcing authority in two (2) copies of the policies adopted and the health and safety organization established to carry out the program on safety and health within one month after the organization or reorganization of the health and safety committee.

3. Reports to the enforcing authority having jurisdiction at least once in every three (3) months, counting from January, the health and safety program of the organization out- lining the activities undertaken including its safety performance, health and safety committee meetings and its recommendations and measures taken to implement such recommendations.

4. Acts on recommended measures by the health and safety committee by adopting the elements of the health and safety program in the production process or workplace and in case of non-adoption of the Health and Safety Committee’s recommendation, to inform the committee of his reasons.

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.

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HIERARCHY OF CONTROLS

The Hierarchy of Controls is a system used to deploy effective controls within an organization, workplace, or community to identify the most effective ways to control a hazard. Occupational safety and health professionals use a framework called the “hierarchy of controls” to select ways of controlling workplace hazards. In other words, the best way to control a hazard is to systematically remove it from the workplace, rather than relying on workers to reduce their exposure. During a COVID-19 outbreak, when it may not be possible to eliminate the hazard, the most effective protection measures are (listed from most effective to least effective): engineering controls, administrative controls, safe work practices (a type of administrative control), and PPE. There are advantages and disadvantages to each type of control measure when considering the ease of implementation, effectiveness, and cost. In most cases, a combination of control measures will be necessary to protect workers from exposure to SARS-CoV-2.

I. ENGINEERING CONTROLS

Isolating workers from work-related hazards. In workplaces where they are appropriate, these types of controls reduce exposure to hazards without relying on worker behavior and can be the most cost-effective solution to implement. Engineering controls for SARS-CoV-2 includes:

• Installing High Efficiency Particulate Air(HEPA) Filter

• Increasing ventilation rates in the work environment

• Installing physical barriers such as clear plastic sneeze guards

• Specialized negative pressure ventilation in some settings, such as for aerosol generating procedure

• Installing permanent walled or temporary screened isolation rooms for suspect cases in the worksites

• Installing additional hand washing/disinfecting facility or equipment in the worksite

ELIMINATION and SUBSTITUTION are the most effective under the engineering controls. However, they tend to be the most difficult to implement and challenging as it may not be possible to eliminate and substitute as this time.

mmc

ELIMINATION SUBSTITUTION

MOST

EFFECTIVE

LEAST EFFECTIVE

Installation of physical barriers, sneeze guards, HEPA filters, ventilation etc.

Protocols, policies on physical distancing, handwashing etc.

Depending on the worker’s risk based on HSC recommendation

Requires a physical change

to the workplace

Change the way people

work

Requires worker to wear

something

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ELIMINATION: Completely eliminating exposure to the hazard. Example: vaccine or cure SUBSTITUTION: Replacing the hazard with a non-hazardous object, device or substance. (none currently identified)

II. ADMINISTRATIVE CONTROLS

Administrative controls require action by the worker and employer. Changes made to the way that people work. Typically, administrative controls are changes in work policy or procedures standards, and processes to reduce or minimize exposure to a hazard. Examples of administrative controls for SARS-CoV-2 include:

• Identification of vulnerable workers based on Occupational Health Services data

• Encouraging sick workers to stay at home.

• Isolation area (not the clinic) preferably with good ventilation

• Minimizing contact among workers, clients, and customers by replacing face-to-face meetings with virtual communications and implementing telework if feasible.

• Establishing alternating days or extra shifts that reduce the total number of employees in a facility at a given time, allowing them to maintain distance from one another while maintaining a full onsite work week.

• Discontinuing nonessential travel to locations with ongoing COVID-19 outbreaks.

• Developing emergency communications plans, including a forum for answering workers’ concerns and internet-based communications, if feasible.

• Providing workers with up-to-date education and training on COVID-19 risk factors and protective behaviors (e.g., cough etiquette and care of PPE).

• Training workers who need to use protecting clothing and equipment how to put it on, use/wear it, and take it off correctly, including in the context of their current and potential duties. Training material should be easy to understand and available in the appropriate language and literacy level for all workers.

• Site specific preventive materials in place and with adequate supply

• Sanitation, disinfection and disposal measures and protocols

• Physical distancing protocols

• Health screening protocol with health screening daily

• Self-quarantine and return to work protocol

• Labor relations alignment and education on the pandemic response plan for their cooperation

• Communication and employee trainings and education

• Facility Signages

• Virtual meetings, site visits, and training through the use of web conferencing applications or video calls.

• work from home, alternative workplace accommodation, working hour shifts.

• Hotline, call center, telemedicine services

• On-Site or Near-Site accommodation and Transport/shuttle services

III. PERSONAL PROTECTIVE EQUIPMENT (PPE)

Refers to protective garments or equipment worn by individuals to increase personal safety from infectious agents. PPE is only one effective measure within a package of administrative and environmental and engineering controls, as described in WHO’s Infection prevention and control of epidemic- and pandemic-prone acute respiratory infections in healthcare. PPE protects the user against health or safety risks at work. It can include items such as safety helmets, gloves, eye protection, high-visibility clothing, safety footwear and safety harnesses. It also includes respiratory protective equipment, such as face masks.

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During an outbreak of an infectious disease, such as COVID-19, recommendations for PPE specific to occupations or job tasks may change depending on geographic location, updated risk assessments for workers, and information on PPE effectiveness in preventing the spread of COVID-19. Detailed listing of the different minimum requirements of PPE based on risks can be seen at https://www.doh.gov.ph/sites/default/files/health-update/ao2020-0015.pdf and the rational use of personal protective equipment for coronavirus disease https://www.who.int/publications-detail/rational-use-of-personal-protective-equipment-for-coronavirus-disease-(covid-19)-and-considerations-during-severe-shortages

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COMMUNITY PROTECTIVE EQUIPMENT – Equipment worn by a person to prevent community spread from an asymptomatic carrier of COVID-19. This is the last line of defense and its effectiveness depends on community use and their ability to adopt disinfection, distancing, and hygiene practices. FACE COVERINGS A face covering can be very simple and may be worn in enclosed spaces where social distancing isn’t possible. It just needs to cover your mouth and nose. It is not the same as a face mask, such as the surgical masks or respirators used by health and care workers. Similarly, face coverings are not the same as the PPE used to manage risks like dust and spray in an industrial context. Supplies of PPE, including face masks, must continue to be reserved for those who need them to protect against risks in their workplace, such as health and care workers, and those in industrial settings like those exposed to dust hazards. It is important to know that the evidence of the benefit of using a face covering to protect others is weak and the effect is likely to be small, therefore face coverings are not a replacement for the other ways of managing risk, including minimizing time spent in contact, using fixed teams and partnering for close-up work, and increasing hand and surface washing. These other measures remain the best ways of managing risk in the workplace and government would therefore not expect to see employers relying on face coverings as risk management for the purpose of their health and safety assessments.

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HAZARD IDENTIFICATION, RISK ASSESSMENT AND DETERMINATION OF CONTROL (HIRADC)

The risks from SARS-CoV-2, the virus that causes Coronavirus Disease 2019 (COVID-19), for workers depends on how extensively the virus spreads between people; the severity of resulting illness; pre-existing medical conditions workers may have; and the medical or other measures available to control the impact of the virus and the relative success of these measures. Worker risk of occupational exposure to SARS-CoV-2 during a pandemic may depend in part on the industry type and the need for contact within a meter of people known to be, or suspected of being, infected with SARS-CoV-2. Other factors, such as conditions in communities where employees live and work, their activities outside of work (including travel to COVID-19-affected areas), and individual health conditions, may also affect workers' risk of getting COVID-19 and/or developing complications from the illness. A risk assessment is not about creating huge amounts of paperwork, but rather about identifying sensible measures to control the risks in your workplace. Whether you have fewer than five workers, or are self-employed, your risk assessment will help you decide whether you have done everything you need to do.

I. IDENTIFY HAZARDS

Look around your workplace and think about what may cause harm (these are called hazards). Think about:

• How people work and how plant and equipment are used.

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• What chemicals and substances are used.

• What safe or unsafe work practices exist.

• The general state of your premises.

Look back at your accident and ill health records as these can help you identify less obvious hazards. Take account of non-routine operations, such as maintenance, cleaning or changes in production cycles. Think about hazards to health, such as manual handling, use of chemicals and causes of work-related stress. For each hazard, think about how employees, contractors, visitors or members of the public might be harmed.

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 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).

II. ASSESS THE RISKS

Once you have identified the hazards, decide how likely it is that someone could be harmed and how serious it could be. This includes taking reasonable steps to protect your workers and others from coronavirus. This is called a risk assessment and it’ll help you manage risk and protect people. This is assessing the level of risk. Decide:

• Who might be harmed and how.

• What have you done to control the risks.

• What further action you need to take to control the risks.

• Who needs to carry out the action.

• When the action is needed by.

You must:

• Identify what work activity or situations might cause transmission of the virus;

• Think about who could be at risk;

• Decide how likely it is that someone could be exposed;

• Act to remove the activity or situation, or if this isn’t possible, control the risk.

III. CONTROL THE RISKS

To reduce workplace risk to the lowest reasonably practicable level by taking preventative measures. Look at what you’re already doing, and the controls you already have in place. Ask yourself:

• Can I get rid of the hazard altogether?

• If not, how can I control the risks so that harm is unlikely?

VULNERABLE WORKFORCE

High risk pregnancy, 60 years old and above, any age with co-morbidities or pre-existing illness (uncontrolled hypertension, uncontrolled diabetes, recurrent asthma attacks, COPD, cancer, blood

dyscrasias, chronic liver and kidney diseases or with immunocompromised status)

Employers are highly encouraged to allow work from home, alternative workplace accommodation, working hour shifts.

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If you need further controls, consider:

• Redesigning the job.

• Replacing the materials, machinery or process.

• Organizing your work to reduce exposure to the materials, machinery or process.

• Identifying and implementing practical measures needed to work safely.

• Providing personal protective equipment and making sure workers wear it.

Put the controls you have identified in place. You’re not expected to eliminate all risks, but you need to do everything ‘reasonably practicable’ to protect people from harm. This means balancing the level of risk against the measures needed to control the real risk in terms of money, time or trouble.

• Administrative controls include ensuring resources for infection prevention and control (IPC) measures, such as appropriate infrastructure, the development of clear IPC policies, facilitated access to laboratory testing, appropriate triage and placement of patients, adequate staff-to-patient ratios, and training of staff.

• Environmental and engineering controls aim at reducing the spread of pathogens and the contamination of surfaces and inanimate objects. They include providing adequate space to allow social distance of at least 1-2 m to be maintained between patients and between patients and health care workers and ensuring the availability of well-ventilated isolation rooms for patients with suspected or confirmed COVID-19.

WORKPLACE PREPAREDNESS

PRIOR TO GOING BACK TO WORK Health and safety committee together with employers (top management) human resources, line managers, pandemic response team, labor union and other key people to work together to address the pandemic concerns.

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• Recommendation and implementation of controls.

• Coordination of OH personnel and safety officer in ensuring control measures are in place before lifting of the ECQ and are implemented thereafter.

WORK AREA You should think about how you can organize your work area so that you can keep people at least 1- 2m apart, where possible:

• Physically arrange work areas to keep people 1- 2 m apart;

• Where you cannot keep a 2 m physical distance, you should think about: o Mark areas using floor paint or tape to help people keep a 1-2 m distance; o Provide signage to remind people to keep a 1-2 m distance; o Avoid people working face-to-face, for example working side-by-side.

• Assigning one person per work area;

• Reducing the number of people in the work area;

• Assigning and keeping people to shift teams (sometimes known as a cohort), that is people on the same shift working in the same teams, to limit social interaction;

• Keeping the number of people working less than 2 m apart to a minimum;

• Using screens to create a physical barrier between people.

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You need to think about how to keep the work area clean and prevent transmission. You should consider disinfecting frequently touched surfaces and objects such as but not limited to tables, doorknobs, light switches, phones, toilets among other at least every 2 hours.

MOVING AROUND

You need to think about how people travel through work environments.

• Permit only essential trips within buildings, sites and properties, to maintain social distancing as much as possible.

• Restrict the amount that people rotate between jobs and equipment.

• Limit the number of people who use lifts and work vehicles.

• Reduce the number of people in high traffic areas including lifts, corridors, turnstiles and walkways.

• Mark areas using floor paint or tape to help people keep a 1-2 m distance.

• Consider introducing temporary pedestrian walkways to allow people to maintain social distancing when moving around.

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COMMON AREAS

You should review the common areas used in your business including canteens, toilets, showers, and changing facilities. You need to think about:

• Physically moving tables/chairs so they are 1-2 m apart;

• Staggering breaktimes so that people are not using break rooms, canteens, rest areas or changing facilities at the same time to maintain social distancing;

• Where this is not possible, creating additional space for people to take their breaks in;

• Marking areas using floor paint or tape to help people keep a 1-2 m distance;

• Using outside areas for breaks if the locations are suitable and it is safe to do so;

• Encouraging workers to stay on-site during working hours.

Where you cannot keep a 1-2 m physical distance, you need to think about how to keep common areas clean and prevent transmission as a result of touching of contaminated surfaces. You should think about:

• How frequently you need to clean the common areas of your business;

• Identifying objects and surfaces that are touched regularly and decide how frequently you clean them;

• Setting clear guidance for the use of rest areas, toilets, showers, and changing facilities to make sure they are kept clean.

GOOD HYGIENE

You need to think about:

• Ensuring that you have handwashing facilities that provide running water, soap and paper towels;

• Providing hand sanitizer in addition to washing facilities;

• Using signs and posters to increase awareness of good handwashing technique;

• Providing regular reminders on avoiding touching your face and to cough/sneeze into your arm;

• Providing hand sanitizer in multiple locations in addition to washrooms;

• Setting clear guidance for the cleaning of toilets, showers and changing facilities to make sure they are kept clean;

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• Setting clear guidance on how to handle goods, merchandise and materials and when cleaning procedures need to be followed.

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INFORMATION AND GUIDANCE You need to think about:

• Providing workers and others with information on procedures, guidance or ways of working that have been introduced;

• Sharing this information with them before they start work;

• Sharing this information with others who are not your workers (for example visitors, customers or contractors)

• How you will pass information and guidance to people who don’t have English as their first language and others who may struggle with written and verbal communication;

• Holding conversations with your workers, listening to and acting on their concerns.

EQUALITY IN THE WORKPLACE

• In applying this guidance, employers should be mindful of the particular needs of different groups of workers or individuals.

• It is breaking the law to discriminate, directly or indirectly, against anyone because of a protected characteristic such as age, sex or disability.

• Employers also have particular responsibilities towards disabled workers and those who are new or expectant mothers.

MANAGING VISITORS, CLIENTS ETC.

• Encouraging visits via remote connection or remote working for visitors where this is an option.

• Limiting the number of visitors at any one time.

• Determining if schedules for essential services and contractor visits can be revised to reduce interaction and overlap between people, for example, carrying out services at night.

• Maintaining a record of all visitors, if this is practical.

CLEANING THE WORKPLACE

BEFORE REOPENING: To make sure that any site or location that has been closed or partially operated is clean and ready to restart, including:

• An assessment for all sites, or parts of sites, that have been closed, before restarting work.

• Cleaning procedures and providing hand sanitizer, before restarting work.

• Checking whether you need to service or adjust ventilation systems, for example, so that they do not automatically reduce ventilation levels due to lower than normal occupancy levels.

• Most air conditioning systems do not need adjustment, however where systems serve multiple buildings or you are unsure, advice should be sought from your heating ventilation and air conditioning (HVAC) engineers or advisers.

• Positive pressure systems can operate as normal.

KEEPING THE WORKPLACE CLEAN: To keep the workplace clean and prevent transmission by touching contaminated surfaces.

• Frequent cleaning of work areas and equipment between uses, using your usual cleaning products.

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• Frequent cleaning of objects and surfaces that are touched regularly, such as door handles, pump handles and printers, and making sure there are adequate disposal arrangements.

• Clearing workspaces and removing waste and belongings from the work area at the end of a shift.

• If you are cleaning after a known or suspected case of COVID-19 then you refer to the specific guidance.

HANDLING GOODS, MERCHANDISE AND OTHER MATERIALS, AND ONSITE VEHICLES To reduce transmission through contact with objects that come into the workplace and vehicles at the worksite.

• Cleaning procedures for the parts of shared equipment you touch after each use, thinking about equipment, tools and vehicles, for example, pallet trucks and forklift trucks.

• Encouraging increased handwashing and introducing more handwashing facilities for workers handling goods and merchandise or providing hand sanitizer where this is not practical.

• Regular cleaning of vehicles that workers may take home. Regular cleaning of reusable delivery boxes.

SHIFT PATTERNS AND WORKING GROUPS

To change the way work is organized to create distinct groups and reduce the number of contacts each

worker has.

• As far as possible, where people are split into teams or shift groups, fixing these teams or shift

groups so that where contact is unavoidable, this happens between the same people.

• Identifying areas where people have to directly pass things to each other, for example, job

information, spare parts, samples, raw materials, and find ways to remove direct contact, such as

through the use of drop-off points or transfer zones.

WORK-RELATED TRAVEL

CARS, ACCOMODATION AND VISITS

• Minimizing non-essential travel – consider remote options first.

• Minimizing the number of people travelling together in any one vehicle, using fixed travel partners, increasing ventilation when possible and avoiding sitting face-to-face.

• Cleaning shared vehicles between shifts or on handover.

• Where workers are required to stay away from their home, centrally logging the stay and making sure any overnight accommodation meets social distancing guidelines.

• There should be passenger logs for every scheduled trip for contact tracing.

DELIVERIES AND OTHER SITES

To help workers delivering to other sites such as factories, logistics sites or customers’ premises to maintain social distancing and hygiene practices.

• Putting in place procedures to minimize person-to-person contact during deliveries to other sites.

• Maintaining consistent pairing where two-person deliveries are required.

• Minimizing contact during payments and exchange of documentation, for example, by using electronic payment methods and electronically signed and exchanged documents.

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COMMUNICATION AND TRAININGS

To make sure all workers understand COVID-19 related safety procedures. UPON RETURNING TO WORK

• Providing clear, consistent and regular communication to improve understanding and consistency of ways of working.

• Engaging with workers and worker representatives through existing communication routes to explain and agree any changes in working arrangements.

• Developing communication and training materials for workers prior to returning to site, especially around new procedures for arrival at work.

CONTINUING COMMUNICATIONS AND SIGNAGES To make sure all workers are kept up to date with how safety measures are being implemented or updated.

• Ongoing engagement with workers, including through trade unions or employee representative groups to monitor and understand any unforeseen impacts of changes to working environments.

• Awareness and focus on the importance of mental health at times of uncertainty. The government has published guidance on the mental health and wellbeing aspects of coronavirus (COVID-19).

• Using simple, clear messaging to explain guidelines using images and clear language, with consideration of groups for which English may not be their first language.

• Using visual communications, for example, whiteboards or signage, to explain changes to production schedules, breakdowns or materials shortages to reduce the need for face-to-face communications.

• Communicating approaches and operational procedures to suppliers, customers or trade bodies to help their adoption and to share experience.

INCREASE PHYSICAL AND MENTAL RESILIENCE

a. Ensure access to basic needs of individuals, including food, water, shelter and sanitation. b. Support adequate nutrition and diets based on risk. c. Encourage appropriate physical activity for those with access to open spaces as long as physical

distancing is practiced. d. Discourage smoking and drinking of alcoholic beverages. e. Protect the mental health and general welfare of individuals. f. Promote basic respiratory hygiene and cough etiquette. g. 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 most at risk population groups, such as through limitation in entry or

prioritization in service or provision of support. j. Provide appropriate social safety net support to vulnerable workforce for the duration of the

COVID-19 health event.

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RETURN TO WORK

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OFFICERS: 2020-2021

Phil M. Pangilinan, MD President Margaret L. Leachon, MD Vice-President Anna Sofia Victoria S. Fajardo, MD Secretary Marilen Evangeline M. Cruz, MD Treasurer Arnold P. Tabun, Jr., MD Auditor Neil P. Rodrigo, MD PRO

BOARD OF DIRECTORS:

Joseph L. Alunes, MD Ricardo T. Balagot, MD Roberto Arturo P. Del Prado III, MD Evelio A. Echavez, Jr., MD Jude O. Jundis, MD Claire B. Miñoza, MD Jovencio J. Padilla, MD Reynold M. Sta Ana, MD Maria Antonia O. Yamamoto, MD Edmyr M. Macabulos, MD Immediate Past President

Room 106 Philippine Medical Association Building, North Avenue, Quezon City +632- 89297741 * Mobile: +639989545338 / +639258175026 / +639176276246

pcomsecretariat@gmail.com / pcomsecretatriat@yahoo.com / pcom@skydsl.com.ph Website: www.pcom.ph

PHILIPPINE COLLEGE OF OCCUPATIONAL MEDICINE, INC. Specialty Society of the Philippine Medical Association

Under the Division of the Philippine Academy of Family Physicians, Affiliate Member of International Commission on Occupational Health (ICOH) and

Asian Association of Occupational Health (AAOH) Accredited by:

Philippine Health Insurance Corporation, Department of Labor and Employment, and Professional Regulation Commission as CPD Provider

May 19, 2020

Health and Safety of Workers and Impact to Employers:

On behalf of the Philippine College of Occupational Medicine, Inc., I EXTEND TO

EVERYONE LISTENING Greetings of Health and Safety!

We IN THE COLLEGE works with management and workers as a team to

safeguard, promote, maintain, and enhance workers health, wellness, and safety.

We take responsibility for the care and welfare of the community and in conserving

the environment for future generations.

As Occupational Health Physicians, it is our duty together with the Health and

Safety Committee to prevent any work related illnesses or injuries that may happen

in the workplace, and promote Occupational Health Services and Occupational

Health and Safety Programs in every Workplaces. As Stated in the Occupational

Safety Health standard of the Philippines Rule 1960 “Occupational Health Services”

we are tasked to assess the worker’s physical, emotional, and psychological state

as well as his other existing conditions in order to facilitate proper placement and

ensure suitability of individuals according to their physical capabilities, mental

abilities and emotional make up for work which they can perform with acceptable

degree of efficiency without endangering their own health and safety and that that of

their co-workers. We act as consultants and advisers to Employers when it comes to

safety and health.

With RA 11058, OSH Law and its IRR DO 198-18 “AN ACT STRENGHTENING

COMPLIANCE OF OCCUPATIONAL SAFETY AND HEALTH STANDARDS AND

PROVIDING PENALTIES FOR VIOLATIONS THEREOF” We are mandated by law

to maintain a safe and healthy workforce who are integral aspects of Nation Building

and ensure a safe and healthful workplace for all working people, by affording them

full protection against all hazards in their work environment.

The impact of this Pandemic to Employers is very alarming. Companies that are

trying to recover from economic devastation are forced to suffer further by paying for

costly and potentially misleading tests. This Rapid test kits has its advantages,

disadvantages, and limitations. These tests do not detect the virus, just the

antibodies produced against the virus thus it is not recommended as a screening

tool for early infection let alone used to screen workers prior to return to work in the

workplace.

We support the statement made by the WHO, PMA, PSMID, PCP, PAFP, PSPHP,

PSGIM, Covid 19 Action Network, and other stakeholders on their stand in the

proper use of rapid anti body test for clinical or public health purpose.

Thank You.

PHIL M. PANGILINAN, MD, MHA, FPSMS, DPCOM, PAFP National President

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OFFICERS: 2020-2021

Phil M. Pangilinan, MD President Margaret L. Leachon, MD Vice-President Anna Sofia Victoria S. Fajardo, MD Secretary Marilen Evangeline M. Cruz, MD Treasurer Arnold P. Tabun, Jr., MD Auditor Neil P. Rodrigo, MD PRO

BOARD OF DIRECTORS:

Joseph L. Alunes, MD Ricardo T. Balagot, MD Roberto Arturo P. Del Prado III, MD Evelio A. Echavez, Jr., MD Jude O. Jundis, MD Claire B. Miñoza, MD Jovencio J. Padilla, MD Reynold M. Sta Ana, MD Maria Antonia O. Yamamoto, MD Edmyr M. Macabulos, MD Immediate Past President

PHILIPPINE COLLEGE OF OCCUPATIONAL MEDICINE, INC. Specialty Society of the Philippine Medical Association

Under the Division of the Philippine Academy of Family Physicians, Affiliate Member of International Commission on Occupational Health (ICOH) and

Asian Association of Occupational Health (AAOH) Accredited by:

Philippine Health Insurance Corporation, Department of Labor and Employment, and Professional Regulation Commission as CPD Provider

Room 106 Philippine Medical Association Building, North Avenue, Quezon City +632- 9297741 * Mobile: +639989545338 / +639258175026 / +639176276246

pcomsecretariat@gmail.com / pcomsecretatriat@yahoo.com / pcom@skydsl.com.ph Website: www.pcom.ph

May 20, 2020

Position Statement on Rapid Test Kits The Philippine College of Occupational Medicine recognizes the urgent need to look into timely and accurate testing as an essential part in slowing down the pandemic and hopefully will be able to detect asymptomatic cases that could hinder the further spread of the virus. To date, these IgG/IgM tests aka rapid test kits has its advantages, disadvantages and limitations. It is dependent on the detection of antibodies made by the patient in response to SARS-COV-2, the virus that causes COVID-19 disease. These tests do not detect the virus and thus it is not recommended as screening tool for early infection let alone used to screen workers prior to the return to work in the workplace. These antibody tests may have a place in detecting unrecognized past infection and immunity however that role needs to be rigorously evaluated. PCOM acknowledges that further review and assessment following closely the advice of leading international and local institutes, tests which have been validated through proper quality control before deciding if at all they have a place in our overall approach to managing COVID -19 at the workplace. However, we also acknowledge the DOH DM 2020-0220 interim guidelines on return to work issued last May 11, 2020 stating the "option" of using the FDA approved rapid antibody tests among representative samples for baseline can also be conducted up to every 14 days. And the Rapid Antibody based test is only an adjunct test and shall not be used as a standalone test to definitely diagnose or rule out COVID-19" ( ref: DOH DM 2020-0180 revised interim guidelines on expanded testing for COVID19, April 17 2020) That being said the use of these test kits as a mandatory protocol for companies before returning back to work is not advocated. The DOLE DTI interim guidelines also states that e e " a e e f COVID 19 c f h he DOH c . We support the statements made by the WHO, Philippine Medical Association, Philippine College of Physicians, Philippine Society of Microbiology and Infectious Diseases, Philippine Society of General Internal Medicine, Philippine Academy of Family Physicians, Philippine Society of Public Health Physicians, and COVID-19 Action Network on their stand in the use of rapid antibody tests for clinical or public health purposes. These tests have yet to be thoroughly evaluated backed up with evidence based medicine.

JOSEPH L. ALUNES, MD, FPCOM National Director RICARDO T. BALAGOT, MD, FPCOM National Director ROBERTO ARTURO P. DEL PRADO III, MD, MOH, MHA, FPCOM National Director EVELIO A. ECHAVEZ JR., MD, FPCOM National Director

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RAPID ANTIBODY TESTING

The decision to test should be based on clinical and epidemiological factors, prioritizing those with risk and especially exposure. Screening protocols should be adapted to local capacity and setting, considering resources are limited in our country, choosing the screening test or strategy could make or break our response to this pandemic.

PCR or Polymerase chain reaction remains the “gold standard” of test for COVID. Serological tests or Rapid Antibody tests can have a potential use in retrospective assessment of attack rates which is the number of new cases of the disease at a given time over population at start of time interval. It can also be used for research and surveillance but are not recommended for case detection. This will be true in areas where validation and standardization process for this test is available, which is not the case in our country at present.

Furthermore, antibody testing needs paired serum sampling to aid its validity. Another very important limitation of this test is its high cross reactivity with other viruses especially the Coronaviruses, hence challenging its specificity. A table below also describes the variability of the test’s sensitivity depending on the timing which is very tedious to document in the midst of asymptomatics.

Upon evaluation of limited available data on Rapid Antibody testing, a joint statement was made by the

experts of the Philippine Medical association, the Philippine College of Occupational Medicine. Philippine

College of Physicians, Philippine Society for Microbiology and Infectious Disease, Philippine Academy of

Family Physicians, Philippine Society of General Internal Medicine, Philippine Society of Public Health

Physicians to still advocate and recommend the 14 – day clinical test for screening of return to work.

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ADVISORIES AND ISSUANCES

INTER-AGENCY TASK FORCE

• Omnibus Guidelines on the Implementation of Community Quarantine in the Philippines

DEPARTMENT MEMORANDUM

• DM 2020-0171:Interim Guidelines on Surge Capacity Management of All Health Facilities during

the COVID-19 Pandemic

• DM 2020-0180: Revised Interim Guidelines on Expanded Testing for COVID-19

• DM 2020-0189: Updated Guidelines on Contact Tracing of Close Contacts of Confirmed Coronavirus Disease (COVID-19) Cases

• DM 2020-0191: Designation of Selected Regional TB Culture Laboratories for GeneXpert Diagnosis of Coronavirus Disease 2019 (COVID-19)

• DM 2020-0188: Interim Guidelines on the Zoning of COVID-19 Laboratories

• DM 2020-0208: Interim Guidelines on Enhancing the Infection Prevention and Control Measures through Engineering and Environmental Controls in All Health Facilities and Temporary Treatment and Monitoring Facilities during the COVID-19 Pandemic

• DM 2020-0220: Interim Guidelines on the Return-to-Work

• DM 2020-0185: Interim Guidelines for Nursing Service in Temporary Treatment and Monitoring Facilities for the Management of Suspect, Probable, and Confirmed Cases of Coronavirus Disease 2019 (COVID-19)

• DM 2020-0170: Interim Guidelines on the Management of Health Care Waste in Health Facilities, Community Quarantine Units and Temporary Treatment and Monitoring Facilities with cases of Coronavirus Disease 2019 (COVID-19)

• DM 2020-0162 Interim Guidelines on the Accommodation Arrangement for Health Workers during COVID-19 Health Emergency Response Period

• DM 2020-0161: Interim Guidelines on Step Down Care for COVID-19 Response

• DM 2020-0160: Interim Guidelines on Management for the National Capital Region Mega Temporary Treatment and Monitoring Facilities in the Philippine International Convention Center (PICC), World Trade Center (WTC), Rizal Memorial Coliseum (RMC), Ninoy Aquino Stadium, and Philippine Arena

• DM 2020-0157: Guidelines on Cleaning and Disinfection in Various Settings as an Infection Prevention and Control Measure Against COVID-19

• DM 2020-0178: Interim Guidelines on Health Care Provider Networks during the COVID-19 Pandemic

• DM 2020-0182: Revised Interim Guidelines on the Mass Repatriation and Mandatory Quarantine of Land-based Overseas Filipinos (OFs) during the Coronavirus Disease 2019 (COVID-19) Pandemic

• DM 2020-0181: Revised Interim Guidelines on the Mass Repatriation and Mandatory Quarantine of Overseas Filipinos (OF) Working in Cruise Ships during the Coronavirus Disease 2019 (COVID-19) Pandemic

• DM 2020-0090: Interim Guidelines on the Management of PUM suspected with COVID19 for Home Quarantine; Feb 17, 2020

• DM 2020- 108: Guidelines for management of patients with possible and Confirmed COVID19; March 11, 2020

• DM 2020-125: Adoption of the health facilities preparedness and Response Checklist for the Novel Corona Virus ARD 2019 ( COVID 2019) Response in Hospitals and other health facilities ; March 17, 2020

• DM 2020-0157: Guidelines on Cleaning and Disinfection in Various Settings as an Infection Prevention and Control Measure Against COVID-19

• DM 2020-0160: Interim Guidelines on Management for the National Capital Region Mega Temporary Treatment and Monitoring Facilities in the Philippine International Convention Center

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(PICC), World Trade Center (WTC), Rizal Memorial Coliseum (RMC), Ninoy Aquino Stadium, and Philippine Arena

• DM 2020-0161: Interim Guidelines on Step Down Care for COVID-19 Response

• DM 2020-0162: Interim Guidelines on the Accommodation Arrangement for Health Workers during COVID-19 Health Emergency Response Period; April 4 2020

• DM 2020-0170: Interim Guidelines on the Management of Health Care Waste in Health Facilities, Community Quarantine Units and Temporary Treatment and Monitoring Facilities with cases of Coronavirus Disease 2019 (COVID-19)

ADMINISTRATIVE ORDER

• AO 2020-0012: Guidelines for the Inclusion of COVID-19 in the List of Notifiable Diseases for Mandatory Reporting to the Department of Health

• AO 2020-0013: Revised AO2020-0012 Guidelines for the Inclusion of COVID-19 in the List of Notifiable Diseases for Mandatory Reporting to the Department of Health dated 17 March 2020

• AO 2020-0014: Guidelines in Securing a License to Operate a COVID-19 Testing Laboratory in the Philippines

• AO 2020-0015: Guidelines on the Risk-based Public Health Standards for COVID-19 Mitigation

• AO 2020-0016: Minimum Health Capacity Standards for COVID-19 Preparedness and Response Strategies

• AO 2020-0018: Guidelines on Contracting Province-Wide & City-Wide Health Systems

• AO 2020-0019: Guidelines on the Service Delivery Design of Health Care Provider Networks

JOINT MEMORANDUM CIRCULAR

• JMC 2020-0002: Privacy Guidelines on the Processing and Disclosure of COVID-19 Related Data for Disease Surveillance and Response

• JMC 2020-0016: Guidelines on the Use of Telemedicine in COVID-19 Response

• JMC No. 2020-0001: Price Freeze Under a State of Calamity throughout the Philippines due to COVID-19

• JMC No. 2020-03: Guidelines on the Implementation of Joint DOH-DTI-DA-DOJ-BOC Circular No. 001 (S2020) on Seizure and Related Proceedings for Goods Necessary to address the COVID-19 Public Health Emergency pursuant to RA 7581, as amended by RA 10623, otherwise known as the Customs Modernization and Tariff Act in relation to the Bayanihan to Health As One Act

DEPARTMENT CIRCULAR:

• DC 2020-0014 Directive to All Suspected nCoV Patients Seeking Consultations Treatment at Hospitals

• DC 2020-0023 Reiteration of Directive to Attend to All Suspected 2019-nCoV Patients Seeking Consultations at Hospitals

• DC 2020-0034 Guidelines at All Seaports for Prevention and Spread of 2019-nCoV:

• DC 2020-0038 Reiteration of the Price Freeze of Essential Emergency Medicines due to the 2019-nCoV Health Event

• DC 2020-0039 Reiteration of the Interim Guidelines on 2019-nCoV Response in the Workplace

• DC 2020-0040 Reiteration of the Interim Guidelines on Repatriation of Overseas Filipinos due to 2019-nCoV

• DC 2020-0041 Reiteration of the Interim Guidelines on 2019-nCoV Response in Residential Communities

• DC 2020-0042 Reiteration of the Interim Guidelines on 2019-nCoV Response in Schools and Higher Education Institutions

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• DC 2020-0043 Reiteration of the Interim Guidelines on 2019-nCoV Response in Hotels and Other Similar Establishments

• DC 2020-0044 Public Advisory Nos. 1-6 on 2019-nCoV

• DC 2020-0045 Public Advisory No. 8 on the Use of Masks

• DC 2020-0046 Public Advisory No. 7 on Concerts and Other Public Events and Gatherings

• DC 2020-0047 Reiteration of the Guidelines on the Disposal and Shipment of the Remains of Confirmed Cases of 2019-nCoV

• DC 2020-0048 Reiteration of the Interim Guidelines on Contact Tracing for Confirmed 2019-nCoV

• DC 2020-0049 Reiteration of the Interim Guidelines for 2019-nCoV Response in Hospitals and Other Health Facilities

• DC 2020-0067 ICD-10 Code for COVID-19 (Previously Known as 2019-nCoV)

• DC 2020-0068 Public Advisory No. 9 Lifting of Travel Restriction to Taiwan

• DC 2020-0069 Public Advisory No. 11 Reminders for Sending Specimens to the RITM for COVID-19

• DC 2020-0070 Public Advisory No. 10 Non-Refusal of Level 2 and 3 Public and Private Hospitals to PUI for COVID-19

• DC 2020-0071 Revised Decision Tool for the Assessment and Management of COVID-19

• DC 2020-0080 Revised Decision Tool for the Assessment and Management of COVID-19

• DC 2020-0105 Public Advisory No. 12 Interim Guidelines on the Management of PUM suspected with COVID-19

• DC 2020-0106 Use of WHO Interim Guidelines for Health Workers Exposure Risk Assessment and Management in the Context of COVID-19

• DC 2020-0107 Public Advisory No. 13 Updated Guidelines for Management and Referral of Suspected and Confirmed COVID-19 Cases Under Code Red

• DC 2020-0108 Public Advisory No. 14 - Clarification on Management and Referral of Close Contacts of Confirmed COVID-19

• DC 2020-0130 Public Advisory No. 15 Guidance on Gatherings for the Public and Event Organizers

• DC 2020-0131 Public Advisory No. 16 Guidance for Institutions if a PUI or a Confirmed COVID-19 Case is Detected in the Workplace

• DC 2020-0133 Reiteration of the Price Freeze of Essential Medicines and Medical Devices Due to the COVID-19 Health Event

• DC 2020-0141 Public Advisory No. 17 Guidance on the Conduct of Daily Prayer (Salah) for Filipinos with Islamic Faith

• DC 2020-0142 Public Advisory No. 18 Suggested Retail Price of N-88 Face Mask

• DC 2020-0143 Public Advisory No. 20 - Covid-19 Laboratory Testing

• DC 2020-0144 Public Advisory No. 19 Prohibition of Hoarding Drugs and Medicines, Profiteering and Other Acts Committed in Trade Restraint

• DC 2020-0151 Off-label Use of Antivirals and Antimalarials for Clinical Management of COVID-19

• DC 2020-0152 Guidance to All Public and Private Healthcare Facilities and Others to Assist Surveillance Officers in Epid. Investigation on COVID-19

• DC 2020-0156 Guidance on Visitation and Group Activities in Closed Institutions

• DC 2020-0157 Reiteration of the Price Freeze of Essential Emergency Medicines and Medical Devices due to COVID-19 Health Event

• DC 2020-0158 Reiteration of Interim Guidelines on Harmonized and Daily Health Facility Reporting of COVID-19 Related Essential Resources and Supplies Using DOH Data Collect Application

• DC 2020-0159 Triage and Management of Pregnant Patients with Suspected COVID-19

• DC 2020-0160 Guidance on the Use of COVID-19 Rapid Antibody-based Test Kits

• DC 2020-0161 Reiteration of the Updated List Price Freeze of Essential Emergency Medicines and Medical Devices Due to COVID-19

• DC 2020-0162 Directive for the Continuous Operation of Dialysis Facilities in the Philippines During the ECQ in Light of COVID-19

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• DC 2020-0163 Reiteration of Deadline Extension of Submission of Citizen's Chapter and Suspension of Processing Times in the Delivery of Govt Services in Luzon in Light of ECQ

• DC 2020-0167 Continuous Provision of Essential Health Services During COVID-19

• DC 2020-0172 Guidance on Misting and Spraying for COVID-19

• DC 2020-0173 Designation of National Training Center for Biosafety and Biosecurity of NIH-UPM as a Training Provider for Biosafety and Biosecurity

• DC 2020-0174 Reiteration of Interim Guidelines on Expanded Testing for COVID-19

• DC 2020-0175 Reiteration of FDA Circular 2020-014 on Interim Guidelines on Manufacture of PPE, Ventilators and Respirators in Light of COVID-19 Situation

• DC 2020-0176 Circulation of the Manual of Standards for Primary Care Facilities

• DC 2020-0177 Clarification on the Application of Negotiated Procurement under Emergency Cases

• DC 2020-0178 Approving the Extension of Deadline for the Submission of 2019 APCPI Results of Procuring Entities

• DC 2020-0179 Approving Acceptance of an Expired Mayor's Permit with Official Receipt for Renewal App and Unnotarized Omnibus Sworn Statement as Basis for Award under Negotiated Procurement (Emergency Cases) Modality

• DC 2020-0180 Guidelines on Operations and Incentives of Covered Enterprises Engaged in Manufacture, Importation and Distribution of Products Pursuant to RA 11469

• DC 2020-0181 Reiteration of Functions of the Infection Control Committee (ICC) and Infection Control Team (ICT) in Healthcare Facilities

• DC 2020-0182 Approving the Adoption of Efficient, Effective and Expedient Procurement Procedures During a State of Public Health Emergency

• DC 2020-0183 Designation of the National Training Center for Biosafety and Biosecurity of NIH-UP Manila as a Hands-on Training Provider for Biosafety and Biosecurity

• DC 2020-0184 Clarification on Financing and Reimbursement of COVID-19 Antibody Test Kits by DOH and PhilHealth

• DC 2020-0185 Reiteration of Proper Assessment and Referral of Patients in Health Facilities

• DC 2020-0186 Reiteration of the Amendment of the Updated List for Price Freeze of Essential Emergency Medicines and Medical Devices due to COVID-19

• DC 2020-0187 Guidelines in the Interim Use of Laboratories of the National TB Control Program as COVID-19 Testing Labs Performing Rapid PCR Testing for SARS-CoV-2

• DC 2020-0188 Reiteration of Delegation of Authority to Handle Specific Complaints to the Regional Office - Regulation, Licensing and Enforcement Division

• DC 2020-0189 Directive for Continuous Operation of Laboratories for Drinking Water Analysis (LDWA) During Community Quarantine in Light of COVID-19

• DC 2020-0190 Approving the Recommendation to Increase the Allowable Amount of Advance Payment and Issuance of a Circular on the Guidelines for Emergency Procurement under RA 11469

• DC 2020-0191 Circulation of the Health Care Waste Management Manual 4th Edition

• DC 2020-0192 Ensuring that People in GIDAs, ICCs, or IPs are Well-informed on COVID-19 and have Access to Temporary Treatment and Monitoring Facilities and Referral Hosp.

• DC 2020-0193 Reiteration of the Temporary Suspension of Taraweeh Prayers in Muslim Mosques and Prayer Rooms During Ramadan 2020

• DC 2020-0194 Advisory on the Use of RT-PCR Testing Kits for COVID-19 Manufactured by Manila HealthTek Inc.

• DC 2020-0195 Reiteration of the Price Freeze of Personal Protective Equipment (PPE) and Guidelines for its Rational Use During COVID-19 Pandemic

• DC 2020-0196 Reiteration of Interim Guidelines for Dialysis Facilities During COVID-19 Pandemic

• DC 2020-0197 COVID-19 Information System

• DC 2020-0198 Providing a List of Mental Health Professionals to DOH Leaders

• DC 2020-0199 Online Resource Channels for Health Facility Development Policies, Standards, and Guidelines

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• DC 2020-0200 Prohibition on Sale of PPEs & Other Med. Supplies Donated by Public or Private Entities & Distributed by DOH & Department Mandate on Strict Compliance of Mandatory Price Freeze for Duration of Covida Quarantina

• DC 2020-0201 Utilization of the EB COVID KAYA Information System for Close Contact Data and Reporting of Contact Tracing Data

• DC 2020-0202 Guidance for Certifying COVID-19

• DC 2020-0203 Clarification on the Financing of Proficiency Testing in Certification of COVID-19 Testing Laboratories

• DC 2020-0204 Advisory on Specimen Collection of Nasopharyngeal and Oropharyngeal Swabs in Swabbing Centers DC 2020-0205 Recognizing Subnational Laboratories as Training Providers for Hands-on PCR Training

OSHA

• Guidance on Preparing Workplaces for COVID-19

CDC

• Interim Guideline No. 1: Interim Laboratory Biosafety Guidelines for Handling and Processing Specimens Associated with Coronavirus Disease 2019 (COVID-19)

• Implementation of Mitigation Strategies for Communities with Local COVID-19 Transmission

WHO

• 3rd Edition Manual Laboratory Biosafety Manual

RITM

• March 15 Guidelines: Interim Biosafety Guidelines for Laboratories Handling and Testing SARS-COV-2 (COVID-19) Specimen

DOH

• Implementing Rules and Regulations of RA 11332

• IRR for Mandatory Reporting of Notifiable Diseases and Health Events of Public Health Concern Act

DOH, DILG, and DOT

• February 18 Joint Statement DOH, DILG, and DOT on Public Gathering

DILG

• DILG MC 2020-023: amended guide to against the 2019 nCOV ARD

• DILG MC 2020-64: provincial/city/municipal special care facilities and isolation units amid the COVID19 pandemic

UNIFIED COVID ALGORITHMS

• Guidelines for Primary Care

• Guidelines for Hospital Care

• Guidelines for PPE Use by Healthcare Workers

• Guidelines on Return to Work

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RESOURCES

• Department Memorandum No. 2020-0189: Updated Guidelines on Contact Tracing of Close Contacts of Confirmed Coronavirus Disease (COVID-19) Cases. https://www.doh.gov.ph/sites/default/files/health-update/dm2020-0189.pdf

• Administrative Order No. 2020-0015: Guidelines on the Risk-Based Health Standards for COVID-19 Mitigation. https://www.doh.gov.ph/sites/default/files/health-update/ao2020-0015.pdf

• http://www.oshc.dole.gov.ph/images/OSH-Standards-2019-Edition.pdf

• https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/social-distancing.html

• https://assets.publishing.service.gov.uk/media/5eb965d5d3bf7f5d3c74a2dd/working-safely-during-covid-19-factories-plants-warehouses-110520.pdf?fbclid=IwAR0PJ_fZ4wdLrlbs2EgFeuuHrHpicgoxKD_2CsMICmfmxgWZPGD8HYfj6-Y

• https://www.osha.gov/SLTC/covid-19/hazardrecognition.html

• https://www.hse.gov.uk/simple-health-safety/risk/steps-needed-to-manage-risk.htm

• https://www.hse.gov.uk/news/assets/docs/working-safely-guide.pdf

• https://www.msn.com/en-ph/news/national/doh-modifies-classification-of-covid-19-cases/ar-BB12xoHH?li=BBZAn2m

• https://apps.who.int/iris/bitstream/handle/10665/331498/WHO-2019-nCoV-IPCPPE_use-2020.2-eng.pdf?fbclid=IwAR2N3NQVnP11SMTwqcgSFsuoYOu5WoKFM7VO8f-QJdCWyWk0bpLEiutQyN8

• https://ehs.cornell.edu/campus-health-safety/occupational-health/covid-19/covid-19-hierarchy-controls

(Disclaimer: Pertinent information were lifted from different sources to avoid misinterpretation of content)

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EDITOR in CHIEF

Marilen Evangeline M. Cruz, MD, MHA, FPCOM

TECHNICAL WORKING GROUP ON COVID-19

Phil M. Pangilinan MD, MHA, DPCOM

Margaret L. Leachon MD, FPCOM Anna Sofia Victoria S. Fajardo MD, MBAH, DPCOM

Arnold P. Tabun Jr., MD, FPCOM Felix F. Labanda Jr. MD, MOH, FPCOM

Luningning P. Cubero MD, FPCOM Neil P. Rodrigo MD, FPCOM

Roselle S. Andres MD, FPCOM Maria Lourdes DR. Billones MD, MOH, FPCOM

Rommel B. Punongbayan MD, MBA, FPCP

APPROVING BODY

PCOM National Officers and Board of Directors 2019-2020

For more information please call

DOHs COVID Emergency Operations Center at (632) 8651-7800 loc 1149 -1150 or

(02) 894-COVID www.doh.gov.ph

PCOM DETAILS

Cellphones: +63 998 9545 338 +63 925 8175 026 +63 906 4743 471 +63 917 6276 246

Landline: (02) 8929 7741

Website: https://www.pcom.ph

Your feedback is important to us. Please email the PCOM Secretariat at:

pcomsecretariat@gmail.com pcomsecretariat@yahoo.com

Address: Room 106, PMA Bldg., North Ave., Quezon City