ASEAN HEALTH PROTOCOL FOR PANDEMIC PREVENTIVE MEASURES IN PUBLIC PLACESASEAN HEALTH PROTOCOL FOR PANDEMIC PREVENTIVE MEASURES IN PUBLIC PLACESStrengthening Regional Initiatives in ASEAN on COVID-19 Response and other Public Health Emergencies(The ASEAN COVID-19 Health Protocol)ASEAN HEALTH PROTOCOL FOR PANDEMIC PREVENTIVE MEASURES IN PUBLIC PLACESASEAN HEALTH PROTOCOL FOR PANDEMIC PREVENTIVE MEASURES IN PUBLIC PLACES2Introduction.4SARS-CoV-2 and the COVID-19 Pandemic.6Covid-19 Transmission.6Reproductive number of coronaviruses.7Incubation,infectious period,symptoms,and complications.8New variants of the virus that causes covid-19.9Implications for preventing transmission.10Transition from pandemic to endemic.10Strategies to break COVID-19 infection.12Community-based preventive measures.13A.1 Screening of individuals to prevent community exposures to active COVID-19 cases.13A.2 Proper ventilation in the community setting.17A.3 Enhanced cleaning and disinfection in the community setting.17A.4 Physical distancing measures in the community setting.17A.5 Promotion of personal preventive practices.18Personal preventive measures.18B.1 Vaccination.18B.2 Hand hygiene,respiratory etiquette,and wearing masks.18B.3 Ventilation.19B.4 Cleaning and disinfection.19B.5 Self-monitoring,self-reporting,isolation,and quarantine.19B.6 Other personal preventive practices.20Measurements on specific settings.21 General guidelines.23Provide and maintain adequate ventilation by:.23.Specific.measures:.point.of.entry.28 Specific.measures:.ports.31Provide and maintain adequate ventilation by:.32.Specific.measures:.public.transports.32Provide and maintain adequate ventilation by:.32Maintain cleaning and disinfection by:.32 Public.transport.33.Specific.measures:.mice.35Table of ContentASEAN HEALTH PROTOCOL FOR PANDEMIC PREVENTIVE MEASURES IN PUBLIC PLACES3Provide and maintain adequate ventilation by:.37 Increase outdoor air flow by opening windows and doors.Maintain openings throughout the day,if possible,to provide a steady flow of fresh air into the room.37 keep systems running longer hours,if possible 24/7,to enhance the two actions above.37 consider portable room air cleaners with hepa filters.37 Specific.measures:.grocery.store.39Provide and maintain adequate ventilation by:.39Maintain cleaning and disinfection by:.39.Shopping.centres.41.Specific.measures:.beauty.and.hair.care.facility.43Provide and maintain adequate ventilation by:.43Provide and maintain adequate ventilation by:.43 combining natural and mechanic ventilation,if possible.44.Specific.measures:.restaurants.48.Specific.measures:.hotel,.lodging,.and.homestays.50.Specific.measures:.sport.facilities.52.Specific.measures:.religious.places.54.Specific.measures:.tourism.sites.56Provide and maintain adequate ventilation by:.56Monitoring and evaluation framework for the asean covid-19 health protocol.58Annex operational definition.64Bibliography.68ASEAN HEALTH PROTOCOL FOR PANDEMIC PREVENTIVE MEASURES IN PUBLIC PLACES4IntroductionASEAN Member States(AMS)have continued to respond rapidly to the outbreak of the novel coronavirus SARS-CoV-2(COVID-19),declared by World Health Organisation(WHO)as a Public Health Emergency of International Concern1,since January 2020.ASEAN has recognised early that the severity of the pandemic impact among AMS would be varied and is dependent on the capacity of public health systems,the size of the informal sector,the initial government containment measures and the economic stimulus response.2 Guided by the spirit of the Charter3 and the nature of how ASEAN carried out initiatives,ASEAN has understood that addressing the pandemic crisis requires a coordinated action in the region to overcome the pandemic that is proactive,all-encompassing(whole-of-community),flexible and agile4.This has driven the planning and implementation of(1)ASEAN Rapid Assessment:The Impact of COVID-19 on Livelihoods across ASEAN,which findings led to the development and endorsement of(2)The ASEAN Comprehensive Recovery Framework(ACRF),and(3)The ACRF Implementation Plan.The ASEAN Comprehensive Recovery Framework,known as ACRF,is ASEAN consolidated exit strategy from the pandemic crisis by(1)focusing on key sectors and vulnerable groups that are most affected by the pandemic and(2)identifying measures for a comprehensive recovery in line with sectoral and regional priorities.This is implemented through five key priorities:“Enhancing Health Systems”,“Strengthening Human Security”,“Maximizing the Potential of Intra-ASEAN Market and Broader Economic Integration”,“Accelerating Inclusive Digital Transformation”,and“Advancing towards a More Sustainable and Resilient Future”.4 The framework aims to build a more resilient,inclusive,and sustainable recovery in line with the ASEAN Community Vision 2025 and beyond.The ACRF Implementation Plan outlines the detailed activities to accelerate and mobilise actions of the ACRF strategy.Developing Health Protocol in Public Places is one of the key