Coronavirus disease (COVID-19) technical guidance by WHO Responding to community spread of COVID-19 | Page 2

Responding to community spread of COVID-19: Interim guidance Risk communication and community engagement Public health measures Summary COVID-19 preparedness and response strategies and interventions need to be announced and explained to the public and other sectors of society ahead of time, and again whenever they change. It is essential to communicate to the public what is known, what is unknown, and what is being done to prevent and control transmission. Responsive, transparent, consistent, and nuanced messaging that acknowledges and address public perceptions is required to establish/maintain authority and trust. Systems should be developed to proactively manage the infodemic of misinformation by detecting and responding to concerns, rumours and misinformation. Summary Public health measures can slow the transmission and spread of infectious diseases. These measures can take the form of personal protective, environmental, social distancing, and travel related interventions. Currently, there are no vaccines or specific pharmaceutical treatments available for COVID-19. Public health interventions are and will continue to be an important tool to reduce transmission and prevent spread of COVID-19. Recommended actions  Define rationale and criteria for use of social distancing measures such as cancellation of mass gatherings or school closure. Recommended actions Highest priority:  Implement national risk communication and community engagement plans for COVID-19 using existing pandemic influenza or other public health communication procedures.  Use a consistent mechanism to communicate about prevention and control measures and engage with media, public health and community-based networks, local governments and NGOs, and other sectors (e.g. healthcare, education sector, business, travel, environment, animal and food/agriculture).  Promote culturally appropriate and empathetic community engagement to detect and rapidly respond to public perceptions and counter misinformation. Public health measures Developed for influenza, this document provides recommendations for personal protective, environmental and social distancing interventions which are useful for COVID-19 and other respiratory infections transmitted through contact and droplets. See also COVID-19 specific guidance below. Available in English. Situation Intervention Recommended in all situations. • Hand hygiene • Respiratory etiquette • Masks for symptomatic individuals. Secondary priority  Conduct analysis of risk perceptions, high risk groups, barriers and enablers for effective public communication. • Isolation and treatment of ill individuals. Resources Risk communication and community engagement checklists Guidance to implement effective RCCE strategies, including recommended RCCE goals and actions for countries with confirmed COVID-19 cases. Available in English, Chinese, French and Russian. • Traveler health advice • Monitoring symptoms of healthy contacts. • Environmental cleaning Consider, based on local and/or global evaluation. • Avoid crowding (i.e. mass gatherings). • School closures and other measures. WHO guidance on risk communications and community engagement (RCCE) readiness and response to the 2019 novel coronavirus (nCoV 2019). • Public transportation closures, and/or Coming soon: Risk communication and community engagement strategy. Coming soon: Risk communication for health workers Coming soon: Community engagement for WHO Representatives. • Public health quarantine (asymptomatic contacts) and/or isolation (ill individuals). • Workplace closures and other measures. Guidance for mass gatherings in the context of COVID-19 Outlines key planning considerations for organizers of mass gatherings. Available in English and Russian. Training: OpenWHO Emerging respiratory viruses, including COVID-19. Module C: Risk Communication and Community Engagement. Available in English, French, Chinese, and Spanish. Considerations for quarantine of individuals in the context of containment for coronavirus disease (COVID-19). Guidance to Member States on quarantine measures for individuals in the context of containment for COVID-19. Available in English. - 2-