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Controlled Phased Lifting

of COVID-19 Restrictions in Qatar


June 8th, 2020
With an impactful response taking effect, preparation for lifting restrictions 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

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Comprehensive Master Plan and Detailed Plans

Aims of the plan Levels

Enable alignment across Ministries on


01 the national plan but also plans for
areas of overlap
National / Cross-Government

Enable communication to public/private


02 sector entities and to the public
Ministry / Entity

03 Enable tracking of impact of controlled


lifting through KPIs
The Public

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The five key pillars and objectives of the strategy for lifting of restrictions

Key pillars of a successful strategy Qatar-specific objectives

1. Suppress infections and associated


1 Phasing of lifting of restrictions, based on trade-off
of health risk with social and economic benefits
mortality
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

Economy 2. Maintain and manage financial stability

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 established processes and data-led decision-making
across government entities Society
maintain social contact
2. Restoration of normal life and activities

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Countries are lifting restrictions gradually and cautiously, prioritizing
those restrictions that do not pose a major health risk As of 8 June

Restrictions lifted by week • Shopping malls,


nightlife
• Professional Businesses
Parks , museums,
religious
Parks ,
Nationwide baseball museums,
online • Workplaces (“ghost games”) gatherings nightlife,
classes • Religious Domestic Schools restricted for 2 International religious
• Parks, museums Nightlife
gatherings travel weeks travel gatherings

March 3 (Peak) 3 4 5 6 7 8 9 10 11 12 13 14
• KPI based Non-contact Schools for Business Schools
businesses age <10 (barbers, All restrictions lifted
review cycle eateries, cinemas)
mas)
as)) except border controls
Small social Regional Groups
Domestic (Alert Level 1) (9 Jun)
• Restriction groups <10 travel Groups <100 travel >100
lifting plan

April 5 (Peak) 3 4 5 6 7 8 9 10 11 12 13 14

• KPI based review Outdoor workers Small groups


Phased on-site work Public libraries Phased opening
cycle outdoor Non-essential of pre-schools
retail outlets
Childcare for Major urban areas
• Restriction lifting Short home visits in small groups
essential workers
plan: Every 3 weeks

April 10 (Peak) 3 4 5 6 7 8 9 10 11 12 13 14
Shops of <800 m2, car All shops Restaurants
dealerships, book shops Schools for
KPI based Museums, Kindergarten Hotels,
graduating Primary and camping sites
review Church services students galleries, 50% occupancy secondary
cycle <15 people memorials rate schools

27 March (Peak) 3 4 5 6 7 8 9 10 11 12 13 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
*Lifting of restrictions vary in extent and subject to change Reimpose Retail/
Concluded Planned Gatherings Outdoor & sports Transport Education
Source: Oxford COVID-19 Government Response Tracker, Oliver Wyman research restrictions business 5
The conditions to be met for restrictions to be lifted: 9 KPIs

Low levels and Estimated effective

1 Epidemiology continued decline in %


of confirmed cases
infection reproductive
number well below 1

Predicted occupancy Sufficient PPE supplies


Healthcare Sufficient capacity for Low levels of % of
2 capacity
rate for acute and ICU
beds for Covid-19
below 4 week peak
all emergency patients
(4 week horizon)
available in stock
at HMC & PHCC
for next 4 weeks
healthcare staff tested
positive for SARS-CoV-2

Quarantine and
Sufficient capacity to Contacts traced
3 Public health process tests for SARS-
CoV-2 on a daily basis
and assessed after
case confirmation
isolation capacity can
meet demand (4 week
horizon)

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Basic rules… generic precautions
Area Facts Precautions

• keep 2 meters minimum distance between people


Social • Keep occupancy of public places/venues, work
Physical distance predominantly determines transmission
Distancing spaces, businesses and shops at 1 person/9-12 m2 ,
for restaurants at 1 person/12 m2)

PPE & Personal protective equipment (PPE) and hand hygiene • masks for all (staff and clients)
Hygiene can prevent transmission • hand washing and/or hand sanitizers

Early Early detection by thermal screening and mandatory • thermal screening for employees and clients
Detection staff testing helps reduce disease transmissions • mandatory staff testing as per MOPH guidelines

EHTERAZ Speeding up the process of contact tracing is key to the • check EHTERAZ App is downloaded
App containment of new outbreaks • check that the status is green to allow entry

Vulnerable • make special considerations for vulnerable groups


Vulnerable groups have higher risk and fatality rates
groups • keep vulnerable groups safe and protected

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Precautions guidance: tailored to each restriction …… 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
risk destinations and at entrances to venues • Provision of services and healthcare virtually and at home
• Introduce appointment system to manage numbers where possible • Support flexible working by vulnerable populations including digital
• Check EHTERAZ is downloaded and status is green home-working solutions

• Limit number of visits to closed spaces


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From Master Plan to Detailed Plans
PHASING MASTER PLAN INDIVIDUAL RESTRICTION PEER COUNTRY EXAMPLES RESTRICTION LEVEL
CARDS PER RESTRICTION DETAILED PLANS

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
restrictions across all four developed to provide of approaches across peer lifting of restrictions will be
phases. guidance on gradual phasing countries, in particular the implemented, incl. post
9 Now finalized and tailored precautions. supporting precautions. lifting monitoring.
9 Now finalized 9 Now finalized 9 Now finalized

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KPI informed monitor-review-adapt cycle to move to subsequent phases
Today Phase 1 Phase 2 Phase 3 Phase 4

15th June 1st July 1st August 1st September

KPI targets achieved KPI targets achieved and minimum time passed since last phase

9 All 9 global health KPIs are 9 All 9 global health KPIs are within their respective target values
within their respective target
values 9 All restriction specific KPIs (e.g. adherence to social distancing) are achieved
9 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

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Overarching master plan for gradual lifting of restrictions (1/5)

Phase 1 Phase 2 Phase 3 Phase 4

• Small scale only • Medium scale only • All gatherings,


(≤ 10 people) ≤ 40 people) e.g. weddings halls

• Restricted mosques opening • continued mosques opening


• Restricted mosques opening • Restricted mosques opening
Friday prayers at 54 mosques. • And Friday prayers

Gatherings • Business-related mass


gatherings: trade shows,
conferences, …

• Entertainment-related mass
gatherings, theatres and
cinemas with precautions

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Overarching master plan for gradual lifting of restrictions (2/5)

Phase 1 Phase 2 Phase 3 Phase 4

• Personal boats • Boat/Yacht rental for • Excursion boats


families only of ≤ 10

Only essential flights out of Doha . Upon return, travelers Low risk inbound flights
Expanding inbound flights as
will go to mandatory hotel quarantine allocated by the for priority passengers
advised by MOPH
government for 2 weeks, paid for by the traveler. (e.g. returning residents)
Transport
• Driving Schools

• Metro and Bus: Restricted


Service

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Overarching master plan for gradual lifting of restrictions (3/5)

Phase 1 Phase 2 Phase 3 Phase 4

• Restricted parks for outdoor • Summer camps, summer clubs


sports • Parks, Corniche and Beaches • Playgrounds and skate parks
and summer cultural activities
Outdoor &
Professional (< 40 people)
(1:1 and 1:5) (<10 people) Sports related mass gatherings:
sports Professional trainings outdoor Professional trainings of small • Team trainings Local and international sports
only / large open spaces groups - outdoor only / large • Amateurs sports/Team competitions (with spectators)
open spaces competitions (no spectators)

• 40% capacity selected private 60% capacity 80% capacity 100% capacity
healthcare facilities at
specific capacity
• Emergency services continue
Education
and Health
• Nurseries and childcare
• New academic year commences
facilities

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Overarching master plan for gradual lifting of restrictions (4/5)

Phase 1 Phase 2 Phase 3 Phase 4

• Partial opening of shops in • All malls open (restricted hours


• All malls open full hours,
malls. Shops with minimum and capacity) • All malls fully open
• Souks & wholesale markets
area of 300 m2 will open, not • Souks & wholesale markets • All souks & wholesale markets open
(restricted capacity and hours)
exceeding 30% mall capacity (restricted capacity and hours)

• Restricted restaurants opening • Restricted restaurants • Continue gradual opening of


with low capacity opening with gradual restaurants
increased capacity
Business
and Leisure • Museums and libraries with • Museums and libraries fully open to
restricted hours and capacity full hours

50% capacity 100% capacity


• Health clubs, Gyms and pools (including home services)
• Beauty and Massage Parlors
• Barbershops/Hairdressers

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Overarching master plan for gradual lifting of restrictions (5/5)

Phase 1 Phase 2 Phase 3 Phase 4

Private training center restricted • Private training centers full opening


opening • Cleaning and Hospitality Services
Business
and Leisure 20% of employees at 50% % of employees at 80% % of employees at 100% % of employees at workplace
workplace with strict health workplace with strict health workplace with strict health with strict health precautions
precautions precautions precautions

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