Public health criteria to adjust public health and social measures in the context of COVID-19: annex to considerations in adjusting public health and social measures in the context of COVID-19, 12 May 2020

In response to COVID-19, countries around the globe have implemented several public health and social measures (PHSM), including large scale measures such as movement restrictions, closure of schools and businesses, geographical area quarantine, and international travel restrictions. As the local epidemiology of the disease changes, countries will adjust (loosen/reinstate) these measures accordingly. On 16 April 2020, WHO published interim guidance that provides advice on adjusting PHSM, while managing the risk of resurgence of cases. A series of annexes was developed to help guide countries through adjusting various public health measures in different contexts. This annex shows a pragmatic decision process for adapting PHSM based on epidemiological and public health criteria, and it should be read in conjunction with the interim guidance document.

The document presents only public health criteria, while other critical factors, such as economic factors, security-related factors, human rights, food security, and public sentiment, should also be considered.

This document is intended for national authorities and decision makers in countries that have introduced large scale PHSM and are considering adjusting them.