The document provides guidance on responding to the COVID-19 pandemic globally based on lessons learned from China's response. It recommends that all countries take urgent action to implement aggressive containment measures including early detection, isolation, contact tracing, and population education. Research efforts should be prioritized to rapidly develop diagnostics, therapeutics and vaccines. International cooperation is essential to control the global spread.

1. Sekolahbaiknyakitapakai kelompok:
- PenangananvirusCoronadi berbagai negara
- Biar anak menjadi pusatedukasi bagi keluarganya
- Media
- KOntendari WHO missal
- Social distancing
- Harus ada penilaiandanapresiasi dari gurur2
Firo:
- Social Distancing(Rully)
- PenangananVirusdi Dunia(PBudi)
- System(PakGoen)
- Materi terkaitvirus;
- Materi terkaitcara hidupsehat;
- Dikumpulkanke PakFiro
International Protocol to response COVID-19
The Global Response & NextSteps
1. The COVID-19 virus is a new pathogenthat is highlycontagious,can spread quickly,and
must be consideredcapable of causingenormous health,economicand societal impacts in
any setting.It is not SARS and it is not influenza.Buildingscenariosand strategiesonly on
the basisof well-knownpathogensrisksfailingto exploitall possible measurestoslow
transmissionof the COVID-19 virus, reduce disease and save lives.
COVID-19is notSARS andit isnot influenza.Itisanew viruswithitsowncharacteristics.For
example,COVID-19transmissioninchildrenappearstobe limitedcomparedwithinfluenza,
while the clinical picturediffersfromSARS.Suchdifferences,whilebasedonlimiteddata,
may be playingarole in the apparentefficacyof rigorously19appliednon-pharmaceutical,
publichealthmeasurestointerruptchainsof human-tohumantransmissioninarange of
settingsinChina.The COVID-19virusisunique amonghumancoronavirusesinits
combinationof hightransmissibility,substantialfatal outcomesinsome high-riskgroups,
and abilitytocause huge societal andeconomicdisruption.Forplanningpurposes,itmust
be assumedthatthe global populationissusceptibletothisvirus.Asthe animal originof the
COVID-19virusis unknownatpresent,the riskof reintroductionintopreviouslyinfected
areas mustbe constantlyconsidered.The novel nature,andourcontinuouslyevolving
understanding,of thiscoronavirusdemandsatremendousagilityinourcapacityto rapidly
adapt andchange our readinessandresponseplanningashasbeen done continuallyin
China.Thisisan extraordinaryfeatfora countryof 1.4 billionpeople.
2. China’suncompromisingand rigorous use of non-pharmaceutical measuresto contain
transmissionof the COVID-19 virus in multiple settingsprovidesvital lessons forthe global
response.Thisrather unique and unprecedentedpublichealthresponse inChinareversed

2. the escalatingcases in both Hubei,where there has beenwidespreadcommunity
transmission,and in the importationprovinces,where family clustersappear to have
driventhe outbreak.
Althoughthe timingof the outbreakinChinahasbeenrelativelysimilaracrossthe country,
transmissionchainswere establishedinawide diversityof settings,frommegacitiesinthe
north andsouthof the country,to remote communities.However,the rapidadaptationand
tailoringof China’sstrategydemonstratedthatcontainmentcanbe adaptedandsuccessfully
operationalizedinawide range of settings.China’sexperience stronglysupportsthe efficacy
and effectivenessof anchoringCOVID19readinessandrapidresponse plansinathorough
assessmentof local risksandof utilizingadifferentiatedrisk-basedcontainmentstrategyto
manage the outbreakinareas withnocases vs.sporadiccasesvs. clustersof casesvs.
community-level transmission.Such astrategyis essential forensuringasustainable
approach while minimizingthe socio-economicimpact.
3. Much of the global community isnot yetready, in mindsetand materially,to implement
the measuresthat have beenemployedtocontain COVID-19 in China.These are the only
measuresthat are currently provento interrupt or minimize transmissionchainsin
humans. Fundamental to these measuresis extremelyproactive surveillance to
immediatelydetectcases,very rapid diagnosisand immediate case isolation,rigorous
tracking and quarantine of close contacts, and an exceptionallyhighdegree ofpopulation
understandingand acceptance of these measures.
Achievingthe highqualityof implementationneededtobe successful withsuchmeasures
requiresanunusual andunprecedentedspeedof decision-makingbytopleaders,
operational thoroughnessbypublichealthsystems,andengagementof society.20Given
the damage that can be causedbyuncontrolled,community-leveltransmissionof thisvirus,
such an approachis warrantedtosave livesandto gainthe weeksandmonthsneededfor
the testingof therapeuticsandvaccine development.Furthermore,asthe majorityof new
casesoutside of Chinaare currentlyoccurringin highandmiddleincome countries,a
rigorous commitmenttoslowingtransmissioninsuchsettingswithnon-pharmaceutical
measuresisvital toachievingasecondline of defense toprotectlow income countriesthat
have weakerhealthsystemsandcopingcapacities.The time thatcan be gainedthrough the
full applicationof these measures –evenif justdaysor weeks – can be invaluable in
ultimatelyreducingCOVID-19illnessanddeaths.Thisisapparentinthe huge increase in
knowledge,approachesandeventoolsthathastakenplace injustthe 7 weekssince this
viruswasdiscoveredthroughthe rapidscientificworkthathasbeendone inChina.
4. The time gainedby rigorouslyapplyingCOVID-19 containment measuresmust be used
more effectivelytourgentlyenhance global readinessand rapidly develop the specific
tools that are neededto ultimatelystop thisvirus.
COVID-19is spreadingwithastonishingspeed;COVID-19outbreaksinanysettinghave very
seriousconsequences;andthere isnow strongevidence thatnon-pharmaceutical
interventionscanreduce andeveninterrupttransmission.Concerningly,global andnational
preparednessplanningisoftenambivalentaboutsuchinterventions.However,toreduce
COVID-19illnessanddeath,near-termreadinessplanningmustembrace the large-scale
implementationof high-quality,non-pharmaceutical publichealthmeasures.These

3. measuresmustfullyincorporate immediatecase detectionandisolation,rigorousclose
contact tracing andmonitoring/quarantine,anddirectpopulation/communityengagement.
A huge array of COVID-19studies,scientificresearchprojectsandproductR&D effortsare
ongoinginChinaand globally.Thisisessential andtobe encouragedandsupported.
However,sucha large numberof projectsandproductsneedstobe prioritized.Without
prioritizing,thisriskscompromisingthe concentrationof attentionandresourcesand
collaborationrequiredtocuttimelinesbypreciousweeksandmonths.Whileprogresshas
beenmade,the urgencyof the COVID-19situationsupportsanevenmore ruthless
prioritizationof researchinthe areasof diagnostics,therapeuticsandvaccines.Similarly,
there isa longlistof proposedstudiesonthe originsof COVID-19,the natural historyof the
disease,andthe virus’stransmissiondynamics.However,the urgencyof respondingtocases
and savinglivesmakesitdifficultforpolicymakerstoconsiderandact on such
comprehensive lists.Thiscanbe addressedbybalancingstudieswiththe immediatepublic
healthandclinical needsof the response.Studiescanbe prioritizedintermsof the largest
knowledge gapsthatcanbe mostrapidlyaddressedtohave greatestimmediateimpacton
response operationsandpatientmanagement.Thissuggestsprioritizingstudiestoidentify
riskfactors fortransmissioninhouseholds,institutionsandthe community;convenience
samplingforthisvirusinthe populationusingexistingsurveillance systems;age-stratified
sero-epidemiologicsurveys;the analysisof clinical case series;andclusterinvestigations.
For countrieswithimportedcasesand/oroutbreaksof COVID-19
1. Immediatelyactivate the highestlevelof national Response Managementprotocolsto
ensure the all-of-governmentandall-of-societyapproachneededtocontainCOVID-19with
non-pharmaceutical publichealthmeasures;
2. Prioritize active,exhaustive case findingandimmediatetestingandisolation,painstaking
contact tracing andrigorousquarantine of close contacts;
3. Fullyeducate the general publiconthe seriousnessof COVID-19andtheirrole inpreventing
itsspread;
4. ImmediatelyexpandsurveillancetodetectCOVID-19transmissionchains,bytestingall
patientswithatypical pneumonias,conductingscreeninginsome patientswithupper
respiratoryillnessesand/orrecentCOVID-19exposure,andaddingtestingforthe COVID-19
virusto existingsurveillance systems(e.g.systemsforinfluenza-like-illnessandSARI);and22
5. Conductmulti-sectorscenarioplanningandsimulationsforthe deploymentof evenmore
stringentmeasurestointerrupttransmissionchainsasneeded (e.g.the suspensionof large-
scale gatheringsandthe closure of schoolsandworkplaces).
For uninfectedcountries
1. Prepare toimmediatelyactivate the highestlevelof emergencyresponsemechanismsto
triggerthe all-of-governmentandall-of societyapproachthatisessential forearly
containmentof a COVID-19outbreak;
2. Rapidlytestnational preparednessplansinlightof new knowledge onthe effectivenessof
non-pharmaceutical measuresagainstCOVID-19;incorporate rapiddetection,largescale
case isolationandrespiratorysupportcapacities,andrigorouscontacttracingand
managementinnational COVID-19readinessandresponseplansandcapacities;
3. Immediatelyenhancesurveillance forCOVID-19as rapiddetectioniscrucial tocontaining
spread;considertestingall patientswithatypical pneumoniaforthe COVID-19virus,and
addingtestingforthe virusto existinginfluenzasurveillance systems;

4. 4. Beginnowto enforce rigorousapplicationof infectionpreventionandcontrol measuresin
all healthcare facilities,especiallyinemergencydepartmentsandoutpatientclinics,asthisis
where COVID-19will enterthe healthsystem;and
5. Rapidlyassessthe general population’sunderstandingof COVID-19,adjustnational health
promotionmaterialsandactivitiesaccordingly,andengage clinical championsto
communicate withthe media.
For the public
1. Recognize thatCOVID-19isa new andconcerningdisease,butthatoutbreakscanmanaged
withthe rightresponse andthat the vast majorityof infectedpeoplewill recover;
2. Beginnowto adoptand rigorouslypractice the mostimportantpreventivemeasuresfor
COVID-19by frequenthandwashingandalwayscoveringyourmouthandnose when
sneezingorcoughing;
3. Continuallyupdateyourself onCOVID-19anditssignsandsymptoms(i.e.feveranddry
cough),because the strategiesandresponseactivitieswillconstantlyimprove asnew
informationonthisdisease isaccumulatingeveryday;and
4. Be preparedtoactivelysupportaresponse toCOVID-19ina varietyof ways,includingthe
adoptionof more stringent‘social distancing’practicesandhelpingthe high-riskelderly
population.23
For the international community
1. Recognize thattrue solidarityandcollaborationisessentialbetweennationstotackle the
commonthreatthat COVID-19 representsandoperationalizethisprinciple;
2. Rapidlyshare informationasrequiredunderthe InternationalHealthRegulations(IHR)
includingdetailedinformationaboutimportedcasestofacilitate contacttracingandinform
containmentmeasuresthatspancountries;
3. Recognize the rapidlychangingriskprofile of COVID-19affectedcountriesandcontinually
monitoroutbreaktrendsandcontrol capacitiestoreassessany‘additional healthmeasures’
that significantlyinterfere withinternationaltravel andtrade.