OPERATION Protocols for the Management of Emerging Infectious Diseasescc a ere od PO eee te ee eee Rees Ec De coe na eer Peete eee ret) eee) De)ny By = oy a = 6 3 PS io) a a 0 fics Introduction, $$ 4 Forms and Structure {Guide on How to Use What is Zoning Containment Strategy? What is PDITA? Chapter 1: Flowchart for General Actions 5 Introduction Flowchart Reference Boxes Chapter 2: Flowchart for Specific Actions of Zones. Introduction Flowchart Reference Boxes Chapter 3: Building Capacity ——_________ 38. Annexes. —_________________ a2 ‘Annex A: LGU Reporting Template ‘Annex B: LGU Evaluation Template Annex C: NTF COVID-19 IEC Matorial (for LGUs) ‘Annex D: Sample IEC Materials (for Communities) ‘Annex E: Contact Tracing Reporting Flow ReferencesMessage \What do we mean when we say “kapna”in Filipino? Roughly tnslated, t means neighbor butt does not ‘begin to grasp the concept of his seemingly smple yet protound wore, While “neighbor” denotes physical (or social nearness, kapwa acknowledges the “sameness” of ou felwrnon and wornen to our own solves. Ini in this recognition ct each Filipino as our kin that continues 10 ctive us to eat each and serve each other beter. This concept has been put to test by the Coronavirus Disease 2019 (COVID-19) pandemic, throwing everyone into a conundrum. It has challenged the way we live our daly ves, with scores of our fellow Fripinos losing their ves. In the face of such daunting challenges, it would be easy to ave up, to think of only oneselt and ignore everyone else. But as Filipinos, giving up is never an option. The rational government, the LGUs, the private sector, ovl society, the academe, and private otizens have come to work together to defeat the COVID-19 Pandemic. Despite cur hardships, we cortinue to hope and carry on witt a sense of uty moving forward, ‘Amnong al hese actors, LGUs ae in a unique situation as they are both decision makers and implementers (f national directives while pushing for their resgective home grown iniatives, They have the direct ‘osponstbilly to nandie cases in ther lcaliy and ensure the heath and safety of thor etizenry. More Importantly, hey also have to maintain a sembiance of normalcy and functionality atthe local level. These a19.no easy tasks. Recognizing this realy, tne Inier Agony Task Force on EmmarQing Infection Disease (WATE -E10) fully supports the LGUs towards improving thelr chances of success. ‘This is the reason why OPERATION LISTO Protocole for the Managomout of Emergiug Infectious Disease (An lutarim guide for Local Chief Executives and the Local COVID-19 Task Force)ca1re abou \We atthe IATF -EID, In partnership wit the DILG and LGA, developed ths to capactate and empower LGUs to be adequately informed and improve thei ways of controling COVID-19 in their locales. With this material, LGUs willbe better equipped to implement key strategies and tactics, with sound guidance ‘and sol foundation, \With unrelenting passion, proper competencies, and continued "pakitipagkapwa-tao’, wo can strengthen ‘ur syneray as a nation to overcome this adversity and carry-on towards better days. ‘SECRETARY GELFRAN. LORENZANA Department of National Defense, and Chairperson, National Task Force against COVID-19\Werrnes felcitatios tothe Inter-Agency Task Force on Emerging Infectious Diseases (/ATF-EID), with the assistance of the Department of he ineror and Local Government (DILG) and the Local ‘Goverment Academy (LGA), for producing 4 manual which would holp cur ocalloadors handle the COVID-19 pandemic, ‘The OPERATION LISTO Protocols for the Management of Emerging Infectious Disease (An interim guide for Local Chiet Exocutives and tho Local COVID-19 Task Force) charts a detalod ‘blueprint on the localization ofthe National Action Pn egairst COVIO-12. This publication maps out the plans and procedures in order fr locales to reduce COVID-19 infections, maintain public health ‘and boost community reslioney during this gloomy and adversty-1aden path Message Indeed, despite the challenges posed by the virus on our nation, our local chef executives andi Local ‘COVID-19 Task Forces continue to rise tothe challenge of stamping down the pandemic. With this lovo| of dedication and porsovorance, | am corain that our counay will be able to surpass ovary ‘bstacle that threatens o undermine the wellbeing of cur people. Public heat wil soon see the light of day and thus, we at the IATF:EID commit to march forward in ‘public service and nation-bulding unt the shadow of COVID-18 has ited from the Phillopn ‘So ope tra tho national loadorship, ou local governrnont unis, andthe Falpino citizenry continue taold tight ana unte inthe present, because a brighter and more robust future awaits this enduring ‘and resilent nation ‘Tank you and mabunay! = sous ano Vico cha of the Nationa Task Force agains! COVID-19 and Secretary, DLG ——L—o- of‘Tho year 2020 wiinessod the rapid spread o! the Corona virus Disease 2019 (COVID-19) across the globe, Here in the Philppines, the pandemic has not only claimed the ives of mary of our countrymen, but has also branched into other societal issues such as widespread joblessness, poverty, and hunger. Indeed, the impact of COVID-19 on our nation has unsetied our normal way of if, dcorienting even the mundane actives, Corrmuting to work, paticipation in classes, allending meetings, and other social interactions have become largely restricted. With so mary’ unceriainies surounding our county, the way In which we tread the presont landscape has likewise changes. YYot, despite these challenges, the courity has continued to wrestle against this unseen enemy with Lntaling gfit and endurance. In fat, the spit of resiliency among aur poople- whathor in the pulie or evate sector -has only Bumed brighter in the face of ase dificuties Encouraged by the Bayanihan spit, we atthe Inter-Agency Task Force for the Management of Emerging Infectious Diseases (ATED) cormito pouring everything ino ighting this disease and liting our people from is catastrophic impacts on society. To that goal, we atthe ATF -EID with the assistance of the DILG and LGA, ofer this OPERATION LISTO Protocols for the Management of Emerging Infectious Disease (An Interim Guide for Local Chief Executives and the Local COVID-19 Task Force) to cut LGUs. This manual encapsulates both the Prevent - Detect - Isolate - Treat - Reintegrate (PDITR) and Zoning ‘Containment strategies fo alow decision-makers te make quick and informed resclutions atthe local andl community level, ‘This pandemic wil nat end easily: it wil take all of aur combined sirongths to build more bridges and less vals amengst ‘ourseves. | call on every Filipino to unite and jon hands with the government and be part of the BIDA ang may DISIPLINA ‘campaign. Lott be a guding light as we march en wit fortiude and competence toa bettr Phiippines, FRaAcIsco”, DUQUE, I Secretary of Health Chairperson, ATF-EID 2” eee isMessage Public Safety is both a desire and challenge that continues to evolve over the years. For a majority ‘of our history 28 a nation, the concopt has largely focused on domestic and international socurty ‘heals fo the public. I also covers the treats of natural calamities, and social unrest, However, 2020 feintroduced the challenge of facing a pandemic to these concerns. And this may be the very fist Historically major pandemic that the county wil faca In decades, ‘A problem of this magnitude cannot be tackled by one actor alone. This pandemic is everybody's ‘concom and iis, thertora, up to everybody to make an ett to resave I. The Inir-Agency Task Force for the Management of Emorging Infectious O'seasos (VATF - EID) has mace strces in hoping ‘control the spread ofthe virus but the National Government cannot be success‘ n this endeavor ‘lon. That is why each and every Local Government Unit (LGU) ard each Filipino are enjoined to be part ofthe solution by folowing the proper health saety protocols. To further our eiforts, there is @ reed fr a baseline rom which where each LGU should stat As such the intor Agency Task Force forthe Management ct Emorgig Infectious Diseases (IATF - EID), the Department of the Interior and Local Government (DILG) and the Local Government Academy (LGA) dlfers the OPERATION LISTO Protocols for the Management of Emerging Infectious Diseases (An Interim Guide for Local Chief Executives and the Local COVID-19 Task Force) to our LGUS ‘0 Serve as a foundation or their etforts. This material serves as a sounc Quid for the decisions of the Local Chiof Executives (LCE6) as hoads of thoi respactive Local COVID-19 Task Forces, hoping thom navigate the iticate reales tha this pandemic has brought o thelr respective LGUs. For this material tobe of any value, LGUs must uilze tos fullest potential. With @ nies stancera on our collective cfforis, wo aro assured that each individual is doing what is proven safo and effective against the ‘SARS-COV 2 Virus, We commend the good men and women of the IATF, DILG, ane LGA for making ‘this material avalabie tothe puokic. ‘Although we continue to struggle against this pandemic, we remain hopeful. We continue to believe in the etforts of our mecical and nonmedical font ners, our cv servants, the academe, the private ‘sector, development parhors, families, and individuals who serve and holp maintain cur society. All [LGUs which have done thoi best in earnest, are Hkxewise commendable, This panderric challenges us, but the Filipino Spit snail remain resiiert,‘The Local Government Code of 1991 is nearly tree decades old and it hes glven much responsibilty {and powors to the LGUs. Among thom ig thor duty to ensure the hoaith and safoty of thei ctizonry, ‘Three decades later, the LGUs are tested win the onslaught brought by COVID-19 ana its permeating fects. This pandemic is the single widest spreacing national threat that the country has faced causing Uuncertainies and disarray as a result. Message Comm ann oy ranma no pc ti Se gece eae rec eee hear ate Henares iad realness essen acer ead == ‘They arenot alone inthis daunting journey. The national governrnent rough various fran have been batting this challenge with ‘each LGU and each Flpino. We at ine Local Government Academy, together with the DILG, and IATF, presont this OPERATION LLISTO Protocols for the Management of Emerging Infectious Diseases (An interim guide for Local Chief Executives and the Local COVID-19 Task Force)in supp" of ine LGUs’ ators. This mataral bulls onthe success prine'ples ofthe Operation Lito! Local Government Unit Dsaster Prepareciness Marual for Cty And Municipal LGUs wien outlined straightforward and ‘lear lines of actions for LGUs in the handling of hycro-meteo-ological hazards, The samme approach is applied to efforts to ‘control the COVID-19 Pandemic as it summarizes and operatonalizes key guideline for LGUs into actionable stops that they ‘can undertake. Wih special focus on the overarching Prevent, Detect, Isolate, Treat, and Reintegrate (PDITA) Strategy and the Zoning Containment Strategy (ZCS), we are hopeful that his guidebook shal nelp LCEs accelerate anc improve thei decision ‘making with rogards to thelr rosponse in thor locality while providing a concrete and concise guido forthe Local GOVID-19 Task Force on the steps they must undereke in executing said decision, For LGUs to be successtul, however, they must be ready and equipped wit the right capacities. Now more than ever, has become cleer, LGU Capacity makes a diference on performance. There are LGUs who have equipped themselves to face the pandemic better than others regardless of amount of resources. Despite beingin the thick o this national conundrum, tis not too late for LGUs to enhance ther capacity rather it becomes much more imporative to do so. We mus continua tobe ready because ‘every day is an opportunty for each to rise to the challenge as incividual,femiles, LGUs, and as @ county. In those dificult times, wo are forced to face who we are as a nation. Much lke our ancestors during dark tinos inthe past, we are tasked to overcome together and we shall deliver. res fer raeearcaeafy ‘otha Bienen EeIntroduction een Zoning Containment r re peepee he pts enti cn eee ‘The community-based COVID-19 health event standards and LGUs may enfance their actions without management hammer and dance approach offers Violation of existing guidelines. Itis highly encouraged that ‘an oparational framework for LGUs to implemont a UGUs pursue customized offors based on the need and localized response. The zoning containment strategy context oftheir locality in addition tothe efforts hinglightod and PDITR strategy are major anchors on this localized therein implementation. inthis Operation Listo Protocol, the PDITR components have respective minimum capacity The Operation LISTO Protocol is intended to be meximized targets for LGUs to take on in assessing and identifying uniformly in actual operations. Along with the various thea laokdoem erean; building capacity, as well es ‘pronouncements this protocol is based on, the uniformity responss/operations. ofthe baseline of actions of the local task force Is erica to isolating, controling, and deleating the spread of COVID-19 This material serves as a guidepost for LGUs on their _Virus atthe local level. response actions for COVID-19 affectation in their area, ‘tiga step-by-step and scenario-based tool and is With tne resoonse operations geared towards, targeted applicable to both Cities and Municipalies. iis based and systematic convo ofthe station, LGU wil be able {on the the consolidated guidelines on Preventions, to better manage the pandemic while minimizing the Detect (Disease Surveillance, Contact Tracing and impact that broad-scale lockdowns have shown to etfect. Testing), Isolation, Troatmont and Rointogration. Intum, the precise geographic and targeted lockcowns 'Reupport existing lines of efforts of LGUs and is a balanced effortn reducing the affectation while also streamlines them to promote harmonious standards on restoring a semblance of normalcy in affected communities the same. This, however, only details the bare minimum nationwide. ll tlForm and Structure ‘The reformatting of the tool and addition of some minor stops ty to streamline the way itis presented and understood by the end-users with emphasis on the LCEs as the head of the Local COVID-19 Task Force. General paris of each strategy outlined will have: + Flowcharts- general flow of steps and sub-steps based on scenario + Reference Box - to serve as basis for decisions + Forms/Checklists/Tools The flowchart focuses on the sequential major activities while the reference boxes are the listing of information, decision points, and specific detailed actions. This is Inspired by the OPERATION LISTO Protoco's that is widely used by the LGUs for Hydrometeorological Hazards, How to use 4. The LCE as head of the Local COVID-18 Task Force and the Task Force members will use each chapter {a8 a concrete guide on steps to undertake. 2. The flowcharts wil indicate the action stops of the protocol which wil indicate the reference box ‘needed for decision points/sub-steps as denoted by a greon circle with the respective letter indicator 3, The reference boxes will also point the necessary forms/checkist that wil be used for the steps as needed that are in the annexes of the protocol 4, They may photocopy or print out said annexes and fil out as necessary. 5. The protacl can be used by both city and municipal COVID-19 Task Forces. 2 oe i isWhat is PDITR ‘The Prevent-Detect-solate-Treat-Reintegrate (PDITA) is the main strategy Salient Features of the National of the National Action Plan Against COVID-19 Phase 2. Iie adopted across ‘Action - Plan Against COVID-19 various levels of governance and is mirrored in Local Etfors, Phase Il: * Contain and manage new COVID-19 cases in high risk oor Pp D. Sr’ lier + Susi ho win agant “ _ GOVID-19 ane costrue good =e = practcae clas + Belaron eae = tee corornewelae yo See ad * Localize COVID-19 response mm OB spralytg people satour a sh petogaie =< C + Keop alow tality rte saps. Iiting ron COU cases * Institutionalize the Prevent- Detectleolate-Treat- Reintegrate ‘Focus and concentrate efforts ‘on contact tracing, isolation) querantine, and expanded targeted testing. | ..-—--—_—s_ nme ° i‘The Provent-Detect-\solate-Treat-Reintegrate (PDITR) is the main strategy of of the National Action Plan Against COVID-19 Phase 2. It's adopted across various levels of governance and is mirrored in local efforts. For the Prevent component, two (2) crucial capacities should be in place, namely, Health Promotion and, ‘Communications, and Disaster Risk Reduction Management System. For the Detect component, LGUs should be keen in institutionalzing Local Epidemiological Surveillance Unit, Disease Surveillance, Contact Tracing and Testing For the Isolate component, Oplan Kelinga is recommended. As well as institutionalization of Temporary Treatment and Monitoring Facities (TTMFs), Isolation Units; mandatory provision of PPES to the health workers and service ambulance to name a few, For the Treat component, a One Hospital Command (referral system) should be in place. It's also the role of the LGUs 10 poo! resources in the service delivery network not only the medical equipment (mechanical ventilators, etc), supplies (PPEs, medicines, laboratory reagents, etc.) but also institutionalize mechanisms for managing waste management and ‘management of human remains. For the Reintegrate component, the LGUs are expected to institutionalize social assistance and social safety nets ‘mechanisms. I this wil entail coordination with the DBM, DSWD, OCD, and DOH, hence, by virtue of the Local Goverment Code, the LGU can manifest subsidy on these programs. Most importantly itis paramount to institutionalize the NUTRITION AND MENTAL HEALTH outcomes in the locality towards a “TRUE" local social recovery program. ‘The POITR can be clearly seen in the lines of action in the Response Actions for Areas of Concern in the LGUs later on (Chapter 2), and eventually mainstreamed in the new normal 2 oe isChapter 1 Flowchart for LGU General Actions LGU General Actions on COVID-19 This chapter details the melor fundamental steps that LGUs will undertake in controlling the spread of the COVID-19 Infection n their respective locally. It's delves into the major action and decision poinis and lines of directives that LCES will oversee and teams will operate on. It starts with the organization of the teams, assessment of the severity of infection, determining which areas to lock down, dectaration by the LGU and concurence by the RIATE, Making Appeals, and prospective lifting after some time, Some steps have detailed action points and additional information as dotailed in the referonce boxes.Flowchart of General Actions Pere ear cele cca rer ave Seer EE? Place Perimeter Control See? a cag ey E rey i es Ee 2 oe isisReference Boxes Box A: Organize Teams 1D Organize the Local Task Force Contact Tracing Team (CTT) Diagnostic and Testing Team (DTT) Patient Management and Monitoring Team (PMMT) Isolation Facility Management Unit (IFMU) _COVID-19 Referral and Liaison Unit (CRLU) Reintegration and Psychosocial Counseling Unit (RPCU) 1D Logistics and Resource Team (LAST) 1D Ensure teams are familiar wth ther roles and responsibilities 1D Establish reporting systems within the LGUBox B: Assess Level of Affectation 1 Conduct House-to-house screening and Community-based ‘Syndromi¢ Surveilance; and Gather Data 1 Conduct house-to-house visits and sereening of households (active surveillance) 1D Identty individuals with possible COVID-19 infection: Cl Close contacts Individuals presenting with COVID-19 signs and symptoms Individuals with IL! and SARI signs and symptoms Potential imported COVID-19 cases: Locally ‘Stranded Individuals (LSIs), Returning Overseas Filipinos (ROFs), Authorized Persons Outside of Residence (APOR) Frontiners 1D Plot the cases and cluster of cases in a Spot Map and update regularly 1D Gather information for epidemiologic situational analysisBox Cc: Identify Zones/Lockdown Areas GEOGRAPHICAL UNIT | CRITICAL ZONE/LOCKDOWN AREA erty | a ae os he coe ep pb ter ONO pet Lockdown |B Reseorss wuts row | ste toa emer etches nape. ple mer corned COVI- a pret in ook orang: [By rating — | seer hema npe peat ned COV on prt ‘oo @] DIFFERENT Roos leas vo (2 cue f cases composed of ahaa space probebl, arclor contend COMD-19 pea epning for be pat 1 aye whee each rr mpd ors Separate bug, wing oo! Fae lasso (clue ofcaee composed of aha umact probable, rclor conned {COMID-19 phys epoing for be past 18 days where each cur spore fom Segatnte bung, ving oor or aes uineScoolMon Ebi 600 ‘needa es Drontteito xan toe ered BY vse stn te cif campo et pa pte erated EMD Was penn be onongn oh be mat ose sass wo (cluses of cates compoted of thera sec probable adr connad COM. we resent DIFFERENT house, busings or esbshments sg spe ‘nleossdve0 (3) dusters cl ass composed of ether suspect probable andor crtimed COM-19 ore presen DEFERENT hones igo estaba he rok least iur caters of ats composed of eter suspect probabie andlor cntmed {COM ar reported matinee mo DFFERENT stows, Hols, wither beppieable staat fve (5) cats of ase compound of ether supec,robable andlor cone COMD.19 re presortn a eat te DIFFERENT tos, puch, rick, ichever pple ase 0 (cues cae compound of ther space, probable andor contienad {COMD-9, we present mt loest wo DFFERENT sto, purks or bids whcheveris sppleaie leas vo (cuss of cases, composed of ther supe, probable adoro 2) leas 25% of ts barges were dered in Cackown.Categorize each geographical unit into zones once established parameters are met: Purokand smatier | C1 Usothe Rass Method for geographical units ama than A eae Geographical units ‘the purok cir Zones (oxo resets ven cee rset | 1 Containment Zoe: messi 50 meters rom he eee limon ea penetra ho itlafockdown zona Zone anc £1 Ble Zone: reasiro 500 raters rom the perimeter ‘eas Outside the Cotsnment Zone (Butler Zoe) Butler Zone) 1 Ares Outside Bur Zone ale est fe aoe ‘Geographical Units | (Uso he Zonal Border Method for geographical uns larger ferger hana purok than‘te pre etait, 1 Containment Zone: geogephical nts surounding the muna) ical Zone. 1 Buf Zone: geographical uns surrounding te CConiarent Zre. Areas Outside Buster Zone: al the ett ne areas. [Identity ype | Roling Stages of herein: of community ©. Citic Zee: Lockdown or Enhanced Community Quarantine (E00) oan ©. Contant Zone: Mocted Enhanced Cortmunty Quarantine (ECO) © Builr Zone: General Community Querantine (SCO) 1 eas Outside Butler Zon: Maed Geeta Community Guerantne (GCQ) 1 pase he sicker measures incase of overlapging zone cesar 1 rau thet comunity quarentine moasuts are natowed dow tote emaleat peanbe geographical vit 11 Declare Zones and Corerunty Quarantine measures wih 24 hos wih concutence the Regional ATs 2° ee isBox D: Decide and Concur 1D Finalize the Zones ‘and the Community Quarantine Measures to be imposed 1D Request concurrence {rom the Regional ATF within 24 hours upon confirmation of a COVID-19 case 1D Containment Zone 11 Enforce witin 2¢ hous extremely resbicive reverent ‘6 etimeter coil of indviduas, regsicless of age and health statue Pronist movement of individuals inbound and outbound of theoz Estabish and mpose screening procedures a al pons of ony Inf eitzene onthe boundaries ol he CrZ and piace ‘Physical reminders such assigns and cues of he Dbouncaris an entry points Terpealty close af ajo a, Jano, gee wanst points Encure access to essontal goods and sovcos Enlorcewitin 2¢ hours eet perinter cont! Estabieh and mpose screening procedures at a points of cent fr indice exiing be rz Pronibt mevement of ineviuas to the CZ Estabich eringot parinete contol on Boundary botwaon (CZ and 82. alowng ony ery of essential goods anc ‘services, and work Impose imied movement findvicunis accessing ester ‘ends and services esi movoret of Senior Gizane, cdr, invidu wth comoroaiies ans neath rsa, are otter wsrerabie11 Impose delivery and pickup of assent goods or C2 at ne pints of ey ONLY, 1 Irfoemcttzen onthe boundaries bebwoun CZ and CZ aed bbotween C2 and 82, and place physical reminders cuch 2c ‘signe ana euea af the boundaries and erty pois 1D Implement srt soreening procedures a all major land sc ‘vast pons or cose the point o ent 1D Ensure a maximum 80% operational capaciy of manutactring ‘and processing plats, and ofces ard estabishmenis 1D Ensure access to essential goods anc services 1D Estabsh and imooce perimeter contol on pois of entry ‘between BZ and CZ 1D low reverent of people between 87 and OBZ with ‘observance of menmum heath siandarcs 1D low fl operational capacity of gaverment offices and Industries 1D Ensure transporting ervices shal operate at a reduced ‘oporatonal and vehicle capac med to support government and private operations 1D Ensure schoos operate at capacities o ate to students with ‘exble learning arrangements 1 Enlerce permissive socoeccromic activites 1 Estabish and impose sereoring procedures at al pois of etry as decried necoecaryBox F: Make an Appeal I Aotivate the Grievance Oversight Booy 1 Faciltate written appeals of individuals or groups adversely atfected by decisions 1 Determine appeals based on merit Attend Regional IAT hearing for meritorious cases fled Box G: Reassess and Re-categorize 1 Reassess epidemioiogic parameters and implementation regularly Announce recategorization of zones, if applicable every tst and ‘th day of the month 1 Gather the following data regularly Box H: Lift Lift community quarantine measures once all POITR activities are completed and the following but not limited to these scenarios are achieved: G Testo all close contacts (and it possible, succeeding generations) are negative No NEW suspect, probable, or confirmed cases identiiod Completion of 14-day quarantine measures of individuals in the ‘geographical unit Limit duration of Enhanced Community Quarantine (ECQ) and Modified Community Quarantine (MECQ) not lower than 15 days.Chapter 2 Flowchart of Specific Actions of Zones Introduction ‘The second chapter of this material delves into the specific operational and tactical efforts that will be undortaken by the Local COVID-19 Task Force and the respective LGU Teams and Units. The lines of actions are clustered according to the Prevent-Delect-Isolato ‘Treat and Reintegrate strategy of the ATF with some overlaps with each other. ‘This comprise the checklist for Directives for Physical Distancing Measures, Perimeter Control Measures, Community Engagement Activities, Health Promotion ‘Activities, Guidelines on Contact Tracing per Zoning, Guidelines on Testing per Zones, Criteria or Sub- sectors on Expanded Testing, and Social Safety Net or Social Amelioration Program (SAP). Tactical actions identified in this chapter shall commence after the organization of the Local COVID-19 task force, and upon the assessment level of affectation in their area of jurisdiction. Note that these actions can be customized by LGUs according to what is relevant to their needs and contextWhat is Zoning Containment Strategy ‘Areas in the LGUs shall be categorized into four (4) zoning classifications, where its epidemiological ‘parametors shall be contextualized based on respective geographical units as stated in the operational guidelines. We anticipate that no single containment measure by ‘tsa wil be sufficiont to stop the spread of this virus with 100% success. But then if we combine the ZCS and PDITR strategies, we will be able to intervene early {and stop the further spread of the pandemic in the ‘ocalty. cz. ea Bz C4 ernst Inthe schematic diagram shown, you will appreciate that geographical areas inthe Critical Zone wil have an extremely restrictive perimeter control. This is to instil FOUR (4) ZONING Strict border conto in areas wi increasingly high CLASSIFICATIONS burden of COVID-19, Meanwhile, contact tracing, testing and treatment (of cases will be conducted in these areas while ‘on quarantine. Additionally, you can appreciate a stringent perimeter contro 's set in place between the Containment Zone and Buffer Zone to impose limited movernent outside the contiguous arees for containment purposes.ne ee ee eee ae) iXxy Zoning Containment Strategy LEGEND: Crz‘The Rolling Stages of interventions is a set of ‘community quarantine interventions in the Zoning Containment Strategy which will allow and authorize the local authorities to implement a localized COVID-19 response that is calibrated, adaptive and selective. It shall be the framework to be applied in determining the lerventions to be implemented in a particular zore. ‘The rolling stages of interventions isa framework in Which a type of community quarantine is designated for each zone, and in which upon every reassessment, ‘a geograshical unit may oscillate trom one zone 10 the other, depending on the epidemic situation anc circumstance, whereby the stages of interventions in each type of community quarantine is implemented towards the observance of the New Normal. Rolling Stages of Intervention per Zone ‘Activites or interventions in each type of community {quarantine shall be in accordance with the Omnibus Guidelines on the Implementation of Community Quarantine in the Philippines published by the IATF. The types ot ‘community quarantine shall correspond with the following zoning classifications as shown. ‘As shown: The Critical Zone wil placed under EC / lockdown ‘The Containment Zone will laced under MECQ ‘The Butler Zone will placed under GC ‘And Areas Outside Buffer Zone will be placed under MGC eee =n a & ca & ae Cred ENiteti) New Normal (082)Community Policy for Each Zone ‘To avoid contusion on how to implement the Rolling Stages of Interventions in the Zoning Containment Strategy and with the declarations of community quarantine measures by the IATF, the diagram above will serve as a guide. Zoning classifications shall determine the interventions to be imposed and implemented by the LGU on subject. ‘geographical units but in no case shall interventions be lower than what is prescribed by the policy for each zoning Classification taxing into consideration also the existing level of community quarantine imposed on the area by the IATF Inter-Agency Task Force (IATF) Community Quarantine Resolution fen Mo eel Coe Cre uso fee! | Eo aad Operationalization ooo (o-) Geobie) of the Rolling a Steet pen Intervention or) sins = = ead aia) MECQ | MECQ rca mec = ecq mecqFlowchart of Specific Actions for Zones Enon | |. 2 generations of close contacts Identification of clustering of IL| anc SARI cases 1 Increasing infected health care workers COVID-19 1 Appearance of event-based reports of cluster of respiratory illnesses, Buffer Zone 1. Conduct contact tracing within 24 hours if new confirmed case 1 Ensure all close contacts from the CrZ are actively monitored Conduct the following syndromic surveillance in BZ: 1D Monitor local transmission of COVID-19 or clusters ILI or SARI; 1G Estabiish intrazonal and interzonal coordination mechanism with CrZ (updates ‘and information on the status of COVID-18 casos) D1 Monitor the folowing indicators of localized transmission within the CZ; Presence of imported cases, primary (index) cases with no know epidemiological link, and clusters with >2 generations of close contacts (1D Idontfication of clustering of IL and SARI casos 1D Increasing infected health care workers COVID-19 1D Appearance of event-based repors of cluster of respiratory illnesses | = tt meee” ee‘Conduct contact tracing within 24 hours if ew confirmed case Enaure all close contacts trom the CrZ are actively ‘monitored Conduct the following syndromic surveillance in B: 1 Monitor local transmission of COVID-19 or clusters IL or SARK; Establish intrazonal and interzonal coordination ‘mechanism with CrZ (updates and information on the status of COVID-19 cases) Monitor the following indicators of localized transmission within the CZ; 1 Presence of imported cases, primary (index) cases with no know epidemiological link, and clusters with >2 generations cf close contacts, Identification of clustering of ILI and SARI cases Increasing infected health care workers COVID-19 ‘Appearance of event-based reports of cluster of respiretory iinessesBox G: Guidelines/Criteria on Expanded Testing Identiy the extent of testing to be conducted in the community to decrease the risk of COVID-19 spread in affected communities, ofices and facilities. Test at least 5% ofthe barangay population. The following are sub-groups of al-isk incividuals to be tested: ‘Subgroup A: Individuals with severe/eriical syrnptoms and relevant history of travel andor contact ‘Subgroup B: Individuals with mild symptoms end relevant history of travel andlor contact, ‘and considered vulnerable. Vulnerable populations include those elderly and with pre- ‘existing conditions that predispose them to severe presentations and complications of CovID-19 ‘Subgroup C: individuals with mild symptoms, and relevant history of travel and/or contact, ‘Subgroup D: Incividuals with no symptoms but with relevant history of travel andlor contact or high risk of exposure Subgroup D1: Contact-traced incividuals1D Subgroup D2: Health Workers, who shall be prioritized for regular testing in ‘order to ensure the stabiliy of our healthcare system. The frequency of testing shall be as follows: 1 Healthcare workers with high COVID-19 exposure and who live or work in ‘Speciel Concern Areas may be tested up to once a week, as determined by the Infection Prevention and Control Committe of the facility, Healthcare workers with high COVID-19 exposure and who live or work ‘outside Special Concern Areas may be tested up to once every two ‘weeks, as determined by the Infection Prevention and Control Committee of the facility, Healthcare workers who do not have high COVID-19 expasure and who live or work in Special Concern Aroas may be tested every two to four ‘weeks as determined by the Infection Prevention and Control Gomrrittee of the facility, ‘Subgroup D3: Returning Overseas Fligino Workers, who shall immediately be tested at the port of entry; ‘Subgroup D4: Filipino citizens in a specific locality within the Philippines who have expressed intention to return to their plaoe of residenceyhome origin (Locally Stranded Individuals) may be tested subject tothe existing protocols of the |ATF.‘Subgroup E: Frontliners indirectly involved in health care provision in the response against COVID-19 may be tasted 1 Subgroup Et: Those with | C1 Subgroup E2: Those who do nat have high or direct high or direct exposure to ‘exposure to COVID-19 but who live or workin Special COVID-19 regarciess of ‘Concern Areas may be tested upto every two to four weeks. location may be tested up to | These include the following once @ week. These include pope hbbaee 10. Personne! manning Quarantine Control Points, including p those from Armed Forces of the Philippines, Bureau of personne} inenniig: Fire Protection, and others; the Temporary areenrerd ard National/RegionallLocal Risk Reduction and Querantine Facilites Management Teams; (UGU-and Nationally: Officials from any local governmenticityimunicipalty Tianagedt:Parsonret health office (CEDSU, CESU, etc) serving at a Barangay Health Emergency Response Teams and COVID-19 swabbing barangay officials provicing barangay border control ‘center or part ofthe ‘and performing COVID-19-related tasks, swabbing team Personne! of Bureau of Corrections and Bureau of Jail Contact tracing Management Penology and Penology Management; Personnel, and Personnel manning the One-Stop-Shop in the Any personnel Management of the Returning Overseas Filipinos; gonducting svebbireg Personne! of the Bureau of Immigration and Deportation, Sor COIL een Border control or patrol oficers, and the Philippine Coast Guard; and ‘Social workers providing amelioration and relief assistance to communities and performing COVID- 1Qrrelated tasks.Box G: Guidelines on Expanded Testing ‘Subgroup F: Other vulnerable patients and those |ying in confined spaces, but no limited tor. 1D Pregnant patients during the peripartum period C1 Dialysis pationts C_Immunocompremised patients 1 Patients undergoing chemotherapy or radiotherapy Patients undergoing elective surgical procedures with high risk for transmission ‘Any person who have had organ transplants, ‘or have had bone marrow or stom cell transplant in the past 6 months ‘Any person admitted in enclosed institutions such as jalls, penitertiaries, and mental institutions. ‘Subgroup G: Residents, occupants or workers in a localized area with an active COVID-19 cluster, as identified and declared by the local chief executive in accordance with existing DOH Guidelines and consistent withthe National ‘Task Force Memorandum Circular No. 02 s.2020 or the Operational Guidelines on the Application of the Zoning Containment Strategy in the Localization ofthe National Action Plan Against COVID-19 Response. The local chief ‘executive shall conduct the necessary testing in order to protect the broader community and ertical economic activities and to avoid a dectaration of wider community quarantine. For this Purpose, the local chief executive, with the help ofthe barangay, shall endorse the localized area with an active COVID-19 cluster to DOH CHD for ewabbing, ‘Subgroup H: Frontiers in Tourist Zones: 1 Subgroup Hi: All workers and employees in the hospitality and tourism sectors in E Nido, Boracay, Coron, Pangiao, Siargao and other tourist zones, as identified and declared by the Department of Tourism (007). These workers and employees may be tested once every four (4) weeks. Subgroup H2: All ravolers, whether of domestic or foreign origin, may be tested atleast once, a their own expense, Prior to entry into any designated tourist zone, as identified and dectered by the Depertment of Tourism, ‘Subgroup I: All workers and employees of ‘manufacturing companies and public service providers registered in economic zones located in Special Concer Areas may be tested.‘Subgroup J: Economy Workers, 1 Subgroup J1: Frontiine and Economic Priority Workers, defined as thse (1) who ‘workin high priorty sectors, beth public and private, (2) have high interaction with and ‘exposure to the public, which requires that the work regularly undertaken is held out tobe for the general public rather than to limited persons or clientele, and (3) who live ‘or work in Special Concem Areas, may be tested every three months. These workers include, but are not limited to: 1 Transport and Logistics 1 Drivors of Taxis, Ride Haling Services (1wo and four wheels), Busos, Public Transport Vehicles Conductors Pilots, Fight Attendants, Flight Engineers Rail operators, mechanics, sorvicemen Delivery statt Water transport workers — ferries, inter island shipping, ports, 1 Food Retail 1 Waiters, Waitresses, Bar Attendants Baristas 1 Chets and Cooks 1 Rostaurant Managers and Supervisors Education — once face to face classes resume 1 Teachers at all levels of education 1 Other schoo! rontliners euch as uidance counseiors, librarians, cashiers Financial Services 1 Bank Tellers 1D Non-Food Retail 1 Cashiers 1 Stock clerks 1 Rolail salespersonsWater Supply, Sewerage, Waste Management, Haircressers, arbers, Manicurist, 1 Plumbers ee eee 1D Recycling and Reclamation workers! Embalmers, Mortcians, Undertakers, Funeral Directors Garbage Collectors Parking Lot Atondans 5 Wateriastowater engineers Secuity Guares 1 Janitor and cleeners Messengers Public Sector Ushers, Lobby Attendants, Receptionist co tiaoee, Setar, 1D Courtroom clarks, staff and security Market Vendors 1D Allrational and local government employees rendering frontline services in Special Construction Concern Areas: 1G Carpenters 1 Stonemasons 1 Electricians a o Cl Mass Media 1D Fiold reporters, photographers, and ‘cameramen Painters Ceranton wore, cog Foeme”. | sag J: Alcor onpajeos rat cored son ae fae ergo tg bla Civil Engineers, Structural Engineers, encouraged to be tested every quarter, Private Construction Managers sector employers are highly encouraged to gend Crane and Tore operons tht onplyees fr regula etng at he enploers ey aaponas nner letcbora fen ayo Ear rab recor eters nore ne ekBox H: Protocols relative to isolation measures ‘TARGET INDICATORS: Transport ALL close ‘Gontanta andl condirnéd SUES TS 1 <0% occupancy atoof TTF | COVID-19 cases to GUIDE FORLGUs 1 <10% of onftmed COWID-19 respective facilities: 008 ae undergoing home quarantine 1D Asymptomatics: 1 100% of cose contacts & Faciity Quarantine / confirmed COVID-19 cases TIMFs ‘spats winin 24 neue 1D Mild cases without 1 <8% heath worker infection rate camaiias: Cale 1D 100% of cases with symptoms 4 Hospitals / TTMFs ste lelated na quarantine tecity © Milld cases with 1G 100% ofthese requiring iscation’ ‘comorbidities, ‘Guatantine who opt fr isclstion! ‘severe and critic ‘Quarantine are on households Level 2 and 3, and that are eligibie for home COVID-19 Dedicated 'soletion quarantine Hospitals 1D 100% of cose contacts usranined ‘Best Practice: Baguio City 1D. 100% of cose contacts and Adgitional reference: A snapshot of confirmed COVID-19 cases IEC material published by NTF on ‘soleted within 1-3 hows. implementing isolation and quarantine measures for LGUsBox |: Provision of Social Safety Nets to Communities Faciltate the following activities to provide social safety nets to communities during pandemic: 1 Conduct a lst or inventory of eligible informal sector beneficiaries for social amelioration program assistance Validate the list or inventory of eligible informal sector beneficiaries, Encode the SAP forms in the database for LGU allocation Coordinate SAP work with partner agencies Provide DSWD withthe lst of boncficiarios paid forthe fret tranche ‘Submit lst of additional beneficiaries deemed eligible to receive ESP cerified by LSWDO and LCE Forge partnerships with banks and digital platforms Conduct the pay-out through alternative modes Release the SAP grants Identity and implement Wage Subsidy Program (WSP) of qualified MSMEs and gig! freelance worker Liquidate the SAP payout within 15 days ‘Submit authorization to use unexpended COVID-19 subsidy downloaded to LGU ‘pursuant to Bayaninan to Health As One Act once Quick Response Fund (QF) is depletedBox J: Other Activities on Social Services Ensure continuous provision of other social services to communities even during pandemic. 1D Continue provision of telemedicine services for other nor-COVID-19 related illnesses Ensure availabilty of mental health support services: 1 Coordinate with agancies/organization to provide psychosocial support services to front iners and communities 1D Provide explicit information on or referrals to mental health services upon discharge cor home self-quarantine Reduce number of nutritionally. compromised beneficiaries presence of Cl Map the Agrarian Reform Beneficiary Organizations (ARBOs), SLPAs and local farmers’ cooperatives, technology adopters as suppliers of commodities 1D Orient boneficiaries Engage the ARBOs and cooperatives in a partnership through a Memorandum of Understanding (MOU) C1 Provide families with planting materials for backyard gardening (Home Food. Production) 1 Distribute planting materials and prepare gardening plot 1 Establish and maintain school vegetable gardens Ensure All lovels of government have a plan on how to manage vulnerable populations: ‘lderies, PWDs, slum areas, closed seltings such as prisons, atc,(leit aed Building Capacity Building Capacities for Response While the efforts at the national and local levels are clearly underway, there is a need to constantly increase the capacity of the LGU to continue to implement the PDITR Stratogy offectively. This is. done through numerous capacity development interventions that are detailed in this chapter. Furthermore, the need to continuously build ‘capacity is critical in the ineraase of manpower, systems, and structures and the enhancements of the current ones. By doing so, it helps ensure the effectiveness ofthe interventions that are delivered through the LGU, thereby improving the chances of reducing and eliminating the virus from pars or the whole of localities.HEALTH PROMOTION AND COMMUNICATIONS. Issued poicyies onthe implementation of ‘Minimum Public Health Standards regence of a Risk Communication and ‘Community Engagement (RCCE ) Plan 100% trained health workocs on Intrapersoral Communication Presence of COVID-19 IEC materiale (BIDA Solusyon and PCOO InfoMats) isis appropriately communicated tothe public ‘General population advised to strongly adhere to heathy practices 1D Appropriate nor-pharmaceuticl interventions: (NPs) reinforced through correct & timely messaging DISASTER RISK REDUCTION MANAGEMENT (ORAM) SYSTEM FOR HEALTH (DRRM-H) SYSTEM 1 Insttutonalzed Disaster Risk Recuction and Managerrent in Health (ORRW-H) system 1D Approved, updated, disseminated and tested DRAMH Pian 1D Organized and trained Health Emergency Response Team with minimum requied trainings 1 Avalablo and accossibie assontial heath ‘emergency commodities 1D. Functional Emergency Operations Center with (1) Commang and Cont), (2) Coordination and (3) Communication Functional incident command system that adequately coordinates al actives, ‘monitors and documents pronty areas! activites and good practices 100% trained response teams in incident Command System, Health Emergency Response Operations, Pubic Heath Emergency Managomant (PHEMAP) Establishad Barangay Inlormation or Cal Cantor Managomant tan in handling Locally Strandod Individuals (Li) and Returning Overseas Filipinos (ROFs) Humen Resource for Health Pian that considers. health and safety of healthcare workers, ‘emergency back-up tears, and incentives thereatContact Tracing (One (1) contact tracer per 890 population 100% trained contact tracers 100% of barangays with activated BHERTS / Barangay Contact Tracing Teams (One (1) active BHERT for every 1,000 incviduals Functional COVID KAYA Application with rained perscnnel Integration of Contact Tracing Application to COVID KAYA, applicable 30 days butlor supply of PPE for contact racers Provide logistical requirements for Contact Tracers Testing 1D_Linkto @ DOHicensed Biosafety Laboratory 2 (@S.2) RT-PCR or Gene Xpert COVID-19 laboratory a 2: LGU-managed LGU.managed BSL2 PCR testing laboratory no") swabbor In every Contact Tracing Team CD Optional: Swabbing Teams Presence of Swalbbing Booths, Drive-Thru swabbing facilities or House-o-house (roving) swabbing, teams (One (1) vohiie to transport specimens to COVID-19 testing laboratorioe ‘30 days buller supply of PE, testing swabs, reagents and other commodities for swabbing teams Local Epidemiological Surveillance Unit DA functional Local Epidemiological and Suvoilance Unt (LESU) 1D Ordinance or Executive Order creating the Lesu 1 Presence of dedicated staf and personnel 1D Presence of a distinct rganogram 1 Prosence of budget / Werk and Financial Plan dedicated tothe LESU 1D Evidence of epidamiotogic reports processed and gonaratod Information and data management systems in place to manage contact tracing and other rolated data Prosonce of logistical suppor for LESU: transportation, equipment and computers, ‘communication and internet connectivity, laboratory supplies and reagonts, PPES (One (1) dodicatod opidemioiogy and ‘surveliance officer per 100,000 population 10 sta trained on proper collection, packaging and transportation of sarnples‘One (1) established Temporary Treatment and Monitoring Faclty (TIM) Ceritied TTMFs by CHDs / Accredited TTMFad by Phieatth Presence of Faciily Surge Capacily Plan Presence of Infection Prevention and Contre! Protocols Prosence ofa functional two-way corrmurity reforral system (One (1) isolation bed! per 2,500 population ‘One (1) ambulance or medical transport mechanism available 2477, 90 days butter supply of PPE for TTMFs Presence of «functional referral system and coordinetion system to (One Hospital Command (Healthcare Provider Network) Presence of Facilty Surge Capacity Plan Presence of Iniction Preventon and Corttol Protocols. In public hospitals, 30% of beds dedicated to COVID-19, upto 50% during surge; in private hospitals, 20% of bed decicated to COVIO-19, Upto 30% durirg surge (One (1) intensive Care Unit (|CU) bed anc mechanical ventlator per 25,000 population Presence of medic! transport mechanism (1 ambulance available 24/7) 30 days butler supply of PP for heath facies Presence ofa systematic healthcare waste management system One (1) designated funeral home for COVID-19 related deaths Reintegrate ‘SOCIAL ASSISTANCE 1D Trained all target MSSF' and MISES 1D. Hired community factitators for the DOLE Integrated Livaltood Programs 1D Expanded scholarship for OFW dependents SOCIAL SAFETY NETS 'DCompiiance to polices on Social ‘Amelioration Program (SAP) NUTRITION AND MENTAL HEALTH ouTcomES 1D Trained IYCF community supper groups 1D. Devolopod interventions and policies to address stigma, discrimination and human Tights violations towards health workers and poopie with COVID-19 Estabisheo Mental Health ang Psychosocial Suppor (MH°SS) within health and social sewices and increased access to care COVID-19 Responders oriented trained on the psychosocial aspects of COVID-19 Estabished systems of denication, Care, suppor andor referal for people ‘experencing MHPSS probleme as an Impact ofthe pandemic Provided training and scholarship Grants to targeted stakeholders in the Implementation ofthe early chidhood care and development (ECCO) programANNEX A: LGU Reporting Template No. of Geographical Units on Lockdown or Categorized ‘as Critical ZoneNo. of Geographical Ui ‘on Lockdown or Categorized as Critical Zone‘Number of active CoviD-19 related cases at the end of r2/ Lockdown, ANNEX B: LGU Evaluation Template 25 oea0i4 amy i iy 9 oad oy 5 : i : ‘ese py psanoay 4 8 s sas pouuyue> 99090 ae pounwvonanewovsutsy ony powyue anewotats onary “on woos uv ‘pio sanb963senupeayeidsou/eeinn Juansiar vo pape} 1383409 9201940 & sunueiend, ‘90H Wo paderd 221109 901940 yadK a= ym powses spew 8019109 {104 44m pawsaL vee 9:01 10 4 Critical Activities during the CrZ/Lockdown Period oak ym pasay weIw09 2:09 jo 4 atsossy po2eal pewo9 2F0/9)08 RDell S259 pauigue> joANNEX C: NTF COVID-19 IEC Material UM SUT ih Ts GUIDE FOR LGUs CES a Te} ey BTLWHEN TO DECLARE — ee ee) reread peereemaitiyANNEX D: Sample IEC Materials (for Communities) ME Tas For other BIDA Solusyon PIAA l oI rata, LGUs may Wattne Sie Setayen facebook page at ray ri — 4 i Ld / Other IEC materials can COVID Healthy Pilipinas website at: https-/covidT9. heatthypilipinas.ph/ resourcesANNEX E: Contact Tracing Reporting FlowReferences National Task Group Against COVID-19 Memeorandum Clouar No. 2. Setos 2020, Operatonal Guidelines onthe Appeaton ol he Zoring Container Stein the Lozstzton fhe Naor Acien Pan Asst COMO-19 sponse + Deparental sth (OOH) Acme Orde (AO) 2020088 Gunes on he Fs aed Publi Hon ars fo DOM AD A019-046, Nana Poly er Deas Pbk Roden ars Manager Hear ORAM + 01140 20180027 Guidines on he ptr ol he cal Goverment Unk Heath Scarecar Amex A + Daparmntal irr Leal Goverment (ORG) Wencaneim rule (MC) No, 202008. ices o Acton Again “Goronvius? + epee: No 11882. An Act roving Poi an resorinng Frocadues on Suveionce and Reseans to Notable Diseases, Epemic ars Heath Everts of Pus Healy Corce ard Asroatling Funds Teter, Repeaing oe Purpose Act No. 3873, Oberle Know as aL 20 Reporing ol Carmincanie Osomsee™ + 0H Deparment Creu (00) No, 2020-020" cata Nay 4, 2020 *Uiaaon fh COVID KAYA ntmaton Sytem for ose Cotten Peporing st onetTacng Daa 1 DULG Mercardun datod June 10, 2020 ‘igatonef al Cortet Tracing Appcaton" UG Momaranaum sats uno 22.2020 Rot out OVID KAYA Alton” +041 20000016 Mri Heal System Capacty Sande for COVE-18 Preparedness and Respanse Slee. Inplemering Quiles ‘+ Deparment at srr Loca Goverment Mererandum Gre MC) No. 220073, “Guideres rth Cond of Expr Tesing rocecues fo: conte 1+ 216, Mareranaun ete. 30,200, Aton! Advcy on he Composton Barangay Cenc Trdng Team + Natona Tae Foro (NTF) Aging COVID-9, Maman Cat No 2.2020. Cperatora Guidtnas cn he Appieaton ofthe Zong Cnlaenone ‘Saiagy ne L2eleston he Noten Reb an Again: COV 1 fesponee 1+ Nata Tac Fore (NTF) AglnstCOMID-0, Task Group Recovery, Sub Task Grovp on Sct! Racovary Inplansntton Pl and Resuts Famer shtys0, 20m 112 + Dolton 2020 0258.4. Amendmto Doparment Momorandum No. 0200256 esto Used ot Guisonos on Expundoa Taking x COV. Secton i ‘+ DILG-DOH-DICT-NEDA, Jone Memorandum Creu data May 20, 2020, Crgaruaton anc Mabilzaton of Compost Teansin Local Govern Uns ter Conmanty Mitigation of Covio-B 1 LU Lockoown Paybook Auge 2, 2020 vr.