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Public-health measures

 

The first draft of the sub-taxonomy focused on public-health measures is provided below. We will continue to refine this sub-taxonomy in the coming days based on input already received. Once the second draft has been finalized, please send suggestions for how to improve it further to forum@mcmaster.ca.

Broad decisions Specific decisions  Available options
Infection prevention
Personal protection Washing hands 20 seconds with soap and water, hand sanitizer, ash
  Wearing masks
Home-made, store-bought
  Wearing personal protective equipment
Health workers (see health-system arrangements)
Essential workers (see economic and social response)
  Disinfecting surfaces and facilities  
  Physical distancing Maintaining distance or restricting movement (e.g., lockdowns and curfews), avoiding or closing crowded public spaces (e.g., restaurants, movie theatres, shopping centres), avoiding or cancelling mass gatherings (e.g., classes, conferences and sporting events)

For space modifications, see economic and social responses by sector
  Temporal distancing
Scheduling arrival, congregation, departure times to minimize interactions
  Public-focused behaviour-change supports for the above (e.g., promoting handwashing, improving hand-washing techniques, mis-information correction efforts) See Michie’s behaviour-change wheel (and forthcoming paper by West et al. for options specific to COVI 
Distinguish general public, hard-to-reach populations
Include traditional and social media
  Health worker and essential worker-focused behaviour change supports for the above See Michie’s behaviour-change wheel
Include mandates for and inspections and broader enforcement of measures
Service limitations Essential service designations Healthcare, food processing and sales, mail carriers, public transportation, sanitation services 
  Daycare, school, university and summer camp limitations
Closures, modifications 
  Recreational areas (e.g., parks) limitations
Closures, modifications
  Religious institutions (e.g., church, mosque or synagogue)
Closures, modifications
  Public-contact-heavy business limitations
Closures, modifications
  Other (e.g., public contact free) business limitations
Closures, modifications 
  Service-provider protection
See personal protection (for the public - above), health-system arrangements (for health workers), and economic and social response (for essential workers)
  Service-user protection
See personal protection 
  Inspections/enforcement of above
 
Travel limitations Travel (air, ground, rail)
Advisories, restrictions (e.g., inter-region travel including to second homes)
  Borders Restrictions (including changes to visa requirements), closures
Infection control
Screening Targets
Universal, prioritized by one or all of symptoms, travel or other exposures
  Methods
Questions, body temperature
  Locations (and frequency if applicable)
Borders, essential services
Quarantining of exposed or potentially exposed individuals
Voluntary or imposed
 
  Priority individuals (including their contacts)
 
  Methods (including performance and quality assurance)
PCR, RT-PCR
  Locations (and frequency if applicable)
Designated testing centre, point-of-care testing, home (or self) testing
Isolation of suspected or confirmed cases
  Exposed, infected
Contact tracing
  Calls, digital tracking (coupled with geographic information systems)
Susceptibility tracking
Antibody testing
 
  Antibody test usage
‘Immunity passports’
Broader public-health measures
Risk stratification
Stratifying the population by risk of infection
See Chinese CDC taxonomy
Outbreak management
Locations (essential services or other)
Closures, modifications
Pandemic tracking
Levels of re-emergence that trigger action
 
Vaccination
Vaccines to prevent other infections
Influenza, childhood immunizations
Future possible public-health measures
Vaccination (susceptibility reduction) Supporting discovery of a vaccine to prevent COVID-19 (followed by its production, distribution, administration)