Covid-19 Control: Transition from Home Confinement, Ban on International Travels and the Complete End of the Pandemic.
Introduction
Many Covid-19 cases have no clinical signs but are contaminating. Thus, the complete end of the Covid-19 pandemic may take a long time. Already some countries are starting to reduce confinement for economic reasons. But without international economic exchanges, national economies will be weak for most countries. Global Health needs to study measures for the transition from confinement, restarting of the economic activities, and the control of the Covid-19 pandemic. Some recommendations for this essential transition:
Mandatory Wear of Mask
The compulsory wear of masks by those providing services to the public and those who use public services (airport, transport, including buses, taxis, etc., hotels and other accommodation, shops, etc.). Even though cloth masks do not protect at the same level as surgical masks, they are more accessible for large-scale protection. Very high-risk personnel (health, tellers, etc.) should use the professional mask at a high level of protection. For motorcycle taxis, the driver and the passenger must wear a professional mask until the total end of the Covid-19 pandemic.
Compulsory Social Distension (distance of at least one meter)
The distance of at least one meter should be strictly mandatory until the full end of the Covid-19 pandemic. For public transport by bus, metro, etc., it is essential to have one passenger per chair.
Mandatory hand washing or disinfection
Hand washing or disinfection should be mandatory especially those who provide services to the public and those who use public services (airport, transportation, including buses, taxis, etc., hotels and others) accommodation, shops, etc.). The sink with water, soap and disposable paper for drying hands should be at every entrance to public buildings. Hand disinfection before and after serving a customer. Hand disinfection before and after being served.
Compulsory Disinfection of Common Areas (Public & Domestic)
In addition to large spray disinfection of public spaces with appropriate equipment mandatory for public and private companies, the production of small containers of spray disinfectants is necessary. Hand sanitizer outlets should also have spray disinfectants for common areas.
Mandatory Screening of High-Risk People
Accessibility to screening tests with high sensitivity and specificity is urgent. Persons providing services to the public (hospitals, airports, transport, including buses, taxis, etc., hotels and other accommodation, shops, etc.) should have access to rapid screening tests with the possibility of confirmation by the case of positivity.
Mandatory Quarantine if Positive Test
People who are tested positive should remain under quarantine under supervision until the negativity ends.
Dr. Claude Sekabaraga, MD, MPH