Republic of the pines: Department of Health OFFICE OF THE SECRETARY June 21, 2020 CAPTAIN DONALDO A. MENDOZA Deputy Director General for Operations Civil Aviation Authority of the Philippines Dear Captain Mendoza, This is in response to the copy of guidelines for the resumption of Approved Training Organizations Operations submitted to our office on June 4, 2020. We thank you for your efforts in ensuring the safety and well-being of your constituents during this pandemic. The DOH transmits herewith comments and recommendations on the protocols for the conduct of individual workouts with reference to the public health minimum standards set by the DOH Administrative Order 2020-0015. We would like to extend our gratitude to your office for the prompt response in developing the necessary sector-specific guidelines for COVID-19 mitigation. The DOH shall continuously update the set minimum public health standards based on emerging evidence and best practices and issue succeeding updates for dissemination to key stakeholders and partners. ‘Thank you for your continued support. Very Truly, NESTOR F. SANTIAGO, JR., MD, MPHC, MHSA, CESO IL Assistant Secretary of Health Public Health Services Team CC: FRANCISCO T. DUQUE Il, MD, MSe ‘Secretary of Health Office ofthe Secretary MYRNA C. CABOTAJE, MD, MPH, CESO IIT Underseretary of Heath Public Health Services Team FAITH F. ALBERTO, MD, MPH. Director tt Disease Prevention and Control Burau ‘Building 1, San Lazaro Compound, Rizal Avenue, Sta, Cruz, 1003 Manila e Trunk Line 651-7800 local 1108, 1111, 1112, 1113 Direct Line. 711-9502: 71-9503 Pax: 743-1429 & URL; hp /iwiw doh gov. ph; ema: duque@doh gov phAnnex A. Minimum Public Health Standards (MPHS) Protocol Checklist In Review: CAAP GUIDELINES FOR THE RESUMPTION OF OPERATION OF APPROVED TRAINING ORGANIZATION UNDER GENERAL COMMUNITY QUARANTINE PERIOD Submitted by: Civil Aviation Authority of the Philippines (CAAP) To the primary reviewer: Please evaluate how the assessment points outlined below have been appropriately addressed by the submited guidelines, as applicable. Place a mark under the “YES” column ifthe submited guidelines ‘have indicated the Non-Pharmaceutical Intervention (NP) in the corresponding row and under “NO” if otherwise. In the event that necessary controls as stated in DOL AO 2020-0015 are not complete (eg. mo engineering conrols in place, no administrative controls mentioned, etc), specify in the ‘COMMENTS” column the necessary controls ro be added. RECOMMENDATIONS: zations (ATOs) RST Operation of Approved Tr ine Classification Deere te Ord Risk Area Allowed, skeleton workforce Allowed, 50% Venue Capacity or maximum of 10 participants per training activity, MGCQ whichever is lower Low No Community Quarantine | Allowed, 50% Venue Capacity or maximum of 50 participants per training activity, whichever is lower “Subject to the Minimum Public Health Standards Adhered | a NSeeSr oe SOULS Nea Pecoraro Torrente I Resilience Objective 1: Increase Physical and Menta 1.1 Respiratory Hygiene and Page 5, Cough Etiquette Section Guidelines indicated the practice of | x 1V3.@) respiratory etiquette at all times, use tissue or the inner portion of the elbow 10 cover the nose and mouth when sneezing/eoughing, and proper disposal of tissue after use. 1.2 Promote Mental Health x - We recommend that Guidelines mentioned the management —_ provide importance of mental and mental and psychosocialpsychosocial support such as but not limited to providing mindfulness actvities/ sessions, in-house ‘counseling sessions, online counseling, and support groups. ‘support. This would include but is not limited to providing mindfulness activities, in-house counseling sessions, online counseling 1.3 Reduce exposure of vulnerable individuals (e.g, senior citizens, underlying health ‘elderly, individuals with underlying ‘conditions, and pregnant women. NIA 1.4 Provision of support for essential workforce (ex: financial, Jodging, shuttle, food,ete.) Guidelines indicated the provision of financial, transportation, food, and other services as needed N/A 1.5 Provision of support for ‘vulnerable groups (ex. Social Amelioration Programs, Food Assistance) Provision of benefits under the Social Amelioration Program to ‘qualified beneficiaries as determined by DSWD Memorandum Cireular No. 04, Series of 2020 NA 1.6 Reduce the use of and exposure to tobacco products Guidelines indicated that smoking ‘and vaping are risk factors for COVID-19 and provided several controls for the use of tobacco products. ‘The DOH recognizes that smoking and vaping are risk factors for COVID-19 transmission. As such, management shall prohibit the use of tobacco and e-cigarettes or vaping products while inside the premises. 1.7 Limit the conduct of outdoor physical activiti Guidelines indicated risks involved in participating in the conduct of outdoor physical activites. N/A 1.8 Avoiding spit places ‘Guidelines explain that COVID-19 is spread through respiratory droplets and spitting in public places can contribute to the transmission of COVID-19 and provides several mitigation measures for spiting in public. in public NIACon PES a ECS) 2.1 Personal Hygiene (e.g. Page S handwashing with soap and water, Section sanitizing with hand disinfectants, WA) ete.) Guidelines provided controls for personal hygiene. 2.2 Environmental Hygiene (eg. Page9 | Bleach solution not adherent | Strict disinfection isinfecting surfaces and objects) Seetion VI | to DOH DM 2020-0157 | procedures must be Guidelines provided proper (0.01% CHLOROX 1010 | employed, therefore we disinfection and waste management il solution or 1 ml recommend the disinfection protocols compliant to DOH DM commercial CHLOROX — | of _—_frequently-touched 2020-0157 (Zonrox) to 9 ml water) _| surfaces before and after the use of the venue. We hlight the importance of using the prescribed bleach solution for disinfection (0.5% bleach solution. 100 ‘mL bleach 900 mL water). 2.3 Use of PPE and other Page 9 medical-grade protective apparel Section V Guidelines indicated proper use of Personal Protective Equipment. Osean cue kecreTS| | Page 3 Guidelines indicated administrative Section ‘and engineering controls for V2) physical distancing of at least one Page 6 () meter. Section 1V5.@).i) 3.2 Modified Work Structures and : ‘The DOH recommends that Schedules, and alternative work management should pro\ arrangements alternative modes of learning Guidelines encourage alternative for the conduct of ground ‘work structures and schedules as training. inthe classroom necessary, i setting. 3.3 Limitation of non-essenti NIA services Guidelines indicate provision of ‘modified alternative structures and arrangements for transactions (i.e. pick-up, delivery, drop-off points, online transactions, etc). 3.4 Restriction on Mass Gatherings Guidelines are adherent 10 ‘provisions on mass gatherings as indicated in the IATF Omnibus Guidelines for Community Quarantine If on-site learning is absolutely necessary, the DOH recommends to limit the number of individuals inside the classroom to 2 maximum of ten (10)Coes SS To ee 4.1 Detection and isolation of Symptomatic Individuals (at home or in designated community quarantine facilities) Guidelines are compliant to DOH protocols on detection of symptomatic individuals, contact tracing, isolation, and referral sostems rear Page S Section 3. people in areas per room ‘or to 50% of the venue capacity, whichever is lower Further to temperature checks, we recommend producers to establish and implement proper isolation and referral protocols. If an individual records a temperature of 37.5 degrees celsius or higher, or exhibits influenza-like symptoms, the production management should facilitate referral of the said employee to the proper health authority and/or facility. It is also strongly recommended that a Health and Safety Officer shall be designated to (1) monitor and ensure compliance to the minimum public health standards during the production shoots; and (2) keep records, through minimal contact means, of individuals who used the facilities for the purpose of contact tracing in the event the need for such arises. OTHER COMMENTS AND RECOMMENDATIONS DOH AO 2020-0015 specifies different engineering and administrative controls in public spaces and policies that will further aid in adapting the necessary behavioral changes for COVID-19 mitigation. These would include setting up of foot baths in points of entry, placing physical distancing markers on theground for areas with high foot traffic, providing hand sanitizers, hand soaps, and tissue in strategic areas and establishing protocols for health monitoring, among others. Furthermore, strict compliance to guidelines on environmental hygiene must be employed. This includes disinfecting of frequently touched surfaces and common areas with the bleach solution prescribed in DOH DM 2020-0157 Guidelines on Cleaning and Disinfection in Various Settings. *** NOTHING FOLLOWS ***