| 5.3°C Dublin

Lockdowns should be lifted in two-week stages to stem Covid-19 spread - WHO

Close

People walk on a shopping street after the Austrian government loosened its lockdown restrictions during the coronavirus disease (COVID-19) outbreak in Vienna, Austria, April 14, 2020.  REUTERS/Lisi Niesner

People walk on a shopping street after the Austrian government loosened its lockdown restrictions during the coronavirus disease (COVID-19) outbreak in Vienna, Austria, April 14, 2020. REUTERS/Lisi Niesner

REUTERS

People walk on a shopping street after the Austrian government loosened its lockdown restrictions during the coronavirus disease (COVID-19) outbreak in Vienna, Austria, April 14, 2020. REUTERS/Lisi Niesner

Countries that ease restrictions imposed to fight the spread of the coronavirus should wait at least two weeks to evaluate the impact of such changes before easing again, the World Health Organization (WHO) said on Wednesday.

In its latest Strategy Update, the UN agency said that the world stands at a "pivotal juncture" in the pandemic and that "speed, scale, and equity must be our guiding principles" when deciding what measures are necessary.

Every country should implement comprehensive public health measures to maintain a sustainable steady state of low-level or no transmission and prepare its surge capacity to react rapidly to control any spread, the WHO said.

Some of the countries hardest-hit by the virus are now considering lifting lockdowns and beginning the transition toward a resumption of normal life. The WHO update said any such steps should be taken gradually, with time to evaluate their impact before new steps are taken.

"To reduce the risk of new outbreaks, measures should be lifted in a phased, step-wise manner based on an assessment of the epidemiological risks and socioeconomic benefits of lifting restrictions on different workplaces, educational institutions, and social activities...," the WHO said.

"Ideally there would be a minimum of 2 weeks (corresponding to the incubation period of COVID-19) between each phase of the transition, to allow sufficient time to understand the risk of new outbreaks and to respond appropriately," it added.

It warned that the "risk of re-introduction and resurgence of the disease will continue".

The Geneva-based global health organisation issued its advice at a time when it has come under criticism from the United States for its initial response to the pandemic. President Donald Trump said on Tuesday Washington, the WHO's biggest donor, would suspend funding.

China has begun lifting some of the toughest restrictions imposed on Hubei province where the disease first emerged at the end of last year. In the United States, which has the largest number of confirmed cases and deaths, Trump has jostled with some state governors over who has the authority to begin reopening U.S. businesses.

European countries have begun small-scale steps to reduce severe lockdowns.

Some Spanish businesses, including construction and manufacturing, have been allowed to resume, although shops, bars and public spaces are to stay closed until at least April 26.

Italy, which has the world's second-highest death toll at 21,067, maintained some tight restrictions on movement, while Denmark, one of the first European countries to shut down, will reopen daycare centres and schools for children in first to fifth grades on Wednesday.

Last week, Health Minister Simon Harris has said the coronavirus restrictions can start to be lifted here once the rate of transmission slows.

A day after the restrictions were extended by three weeks, Mr Harris offered fresh hope that some measures can be loosened once the reproduction rate of the virus - the R0 - falls below one.

An R0 of less than one suggests that, on average, an infected person is passing the virus on to less than one other person. If this is maintained, the virus will eventually die out.

Key to reducing the transmission rate is reducing the number of people coming into contact with infected cases and Mr Harris identified R0, which currently stands at about 1 in Ireland, as the key indicator for when restrictions can start to be loosened.

“So the closer you can get that to zero, and the more the virus is suppressed, that means the more you freed up your ICU capacity,” Mr Harris said.

“And it does mean that if you did see an increase, which inevitably you're going to when you lift your restrictions, you'd have the capacity within your ICU, within your hospitals, within your general practice, within your testing system.”

Mr Harris said there is no manual for which restrictions would be lifted first and that the Government would observe how the partial lifting of restrictions in some European countries works in the coming weeks.

Reuters