Testing, tracing, and when to lift restrictions: WHO’s latest advice

Testing, tracing, and when to lift restrictions: WHO’s latest advice

The Director-General of the World Health Organization (WHO), outlined his agency’s latest advice to countries in a statement, stressing that a mix of social distancing, testing, contact tracing and isolation, will be crucial to further curb the spread of the new coronavirus already devastating much of the globe.

“We’re all learning all the time and adjusting our strategy, based on the latest available evidence”, said Tedros Adhanom Ghebreyesus.

He noted that a broad spectrum of COVID-19 responses are currently in place across the globe, based on national circumstances and capacity. While some countries have already endured several weeks of social and economic restrictions – and are now considering easing them – others are just beginning to consider whether and when to introduce such controls.

“We can only say what we know, and we can only act on what we know”, said Tedros, emphasizing that emerging evidence is beginning to crystalize a better understanding of COVID-19, how it behaves, how to treat it and how to halt its further spread.

COVID-19 is estimated to be 10 times deadlier than the 2009 flu pandemic. It spreads most easily in crowded environments, such as nursing homes, and in some countries, the number of cases is doubling every 3 to 4 days.

Against that backdrop, WHO stresses that early case-finding, testing, isolation and care – as well as tracing every contact of infected individuals – is essential to stop transmission. Physical distancing restrictions are one part of the equation, but many other public health measures are also needed.

And because COVID-19 accelerates quickly but decelerates much more slowly, control measures will need to be lifted very slowly – not all at once.

In its updated guidance, WHO is expected to summarize those findings and chart the way forward with a new, six-point set of criteria for countries to consider as they weigh whether to lift restrictions already imposed against COVID-19.

First, countries should confirm that transmission of the virus has been controlled. Second, they must ensure that health systems are capable of detecting, testing, isolating and treating every case of COVID-19, as well as tracing every contact. Third, they must make sure that outbreak risks are minimized, especially in such settings as health facilities and nursing homes.

Fourth, countries must put in place preventive measures in workplaces, schools and other essential places. Fifth, they must manage importation risks, and sixth, they should fully educate, engage and empower communities to adjust to the “new norm” of everyday life.

Original source: UN News
Published on 13 April 2020