Review of restrictive public policy measures to limit the spread of COVID- 19 - 21 April 2020 - HIQA
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Review of restrictive public policy measures to limit the spread of COVID-19 Health Information and Quality Authority Review of restrictive public policy measures to limit the spread of COVID- 19 21 April 2020 Page 1 of 57
Review of restrictive public policy measures to limit the spread of COVID-19 Health Information and Quality Authority Version history Version Date Specific updates V1.0 25 March 2020 Date of first review V2.0 26 March 2020 Included and summarised restrictive measures implemented in Japan, Luxembourg, Poland, Chile, and Finland. Added a ‘live’ summary table (Table 1) of restrictive measures in each country. Reformatted some text and added in two new data measures to be captured in data extraction. V3.0 31 March 2020 Reformatted some text and added in two new data measures to be captured in data extraction. Included the date measures were introduced in each country, and the duration of enforcement. Updated policy measures from Ireland and Japan, and included information on restrictive measures in Germany. V4.0 03 April 2020 Included additional data from: Germany, Iran, South Korea, Belgium, Portugal, Norway, Singapore, Czechia, Denmark, Romania, Ireland, Iceland, Russia, Peru and Mexico. Updated the text to focus on countries that introduced more restrictive measures, where applicable. Updated Table 1 with relevant dates in each country. Included information from China on restrictions that have been scaled back to date, along with Japan, Peru, and Singapore. V5.0 07 April 2020 Included additional data from: Brazil, Sweden, Slovenia, Estonia, Croatia, and Greece. Included information from Austria, Iran, Brazil, and Germany on scaling back measures. Removed information from Singapore on scaling back, as they reversed their decision. V6.0 09 April 2020 Included additional data from: Israel, Turkey, and Malaysia, Indonesia and China. Page 2 of 57
Review of restrictive public policy measures to limit the spread of COVID-19 Health Information and Quality Authority Included information from Norway, Czechia and Denmark and Estonia on scaling back measures. V7.0 14 April 2020 Included a summary table (Table 2) of measures that are being eased and or lifted in different countries. V8.0 17 April 2020 Added public health restrictions data for the following countries: Australia, Canada, Hong Kong, New Zealand, and the US (Table 1). Added contextual data on the percentage growth rate in the number of new cases daily for countries that are scaling back measures (Table 2). Page 3 of 57
Review of restrictive public policy measures to limit the spread of COVID-19 Health Information and Quality Authority Key points To limit the spread of COVID-19, governments around the world have implemented strict public policy measures that involved restricting the movement of people, banning mass gatherings, closing schools, businesses, and public amenities, and enforcing rule of law through enhanced powers of police and armed forces. Some of the most restrictive measures introduced internationally, to date, to limit the spread of COVID-19 involved: o Enforced quarantine, or cordon sanitaire, in Austria, China, Israel, Italy, Malaysia, Turkey, and Singapore. o Imposing a curfew in Chile, Ecuador, Israel, Peru, Romania, and Turkey. o Restricting the number of people allowed outside in groups to as few as two in Australia, Estonia, Germany, and the UK; o Limiting the movement of people outside of their own home to a two kilometre radius in Ireland. o Enforcing restrictions through the use of police or armed forces in Austria, Belgium, Denmark, Estonia, France, Greece, Ireland, Italy, Luxembourg, Norway, Spain, Switzerland, the UK, among many more countries. Few countries have taken a less stringent approach to limiting the spread of COVID-19. In Sweden, for example, people have not been asked to stay at home, and all schools and businesses have remained open during the pandemic. The toughest restriction imposed, to date, involved limiting the number of people permitted to gather in groups to 50 people. As the growth in the spread of COVID-19 has begun to slow in some countries, there has been a shift towards easing and lifting restrictions. Some of the restrictions that are being eased internationally include: o Re-opening of schools o Re-opening of non-essential services o Some return to workplaces o More flexibility for social gatherings Triggers for the decision to ease restrictions include, declining or stabilising of new cases and deaths, and hospitals not having become overwhelmed. Page 4 of 57
Review of restrictive public policy measures to limit the spread of COVID-19 Health Information and Quality Authority Background A number of restrictive public policy measures have been introduced to limit the growing spread of coronavirus disease (COVID-19) in Ireland. These were first introduced on 12 March 2020, when the government announced the closure of schools, nurseries, and universities to prevent the spread of the virus in the country. Citizens were asked to practice social or physical distancing, and mass gatherings of 100 people in indoor areas were cancelled, while outdoor gatherings of 500 or more people were also cancelled. The measures were quickly followed by the closure of pubs and clubs. A number of additional restrictive measures were introduced on 24 March, with further restrictions announced on 28 March. These measures were extended to 12 April, before being further extended until 5 May 2020.(1) Some of the more restrictive measures introduced by the Irish Government to date included the: rule that everyone is required to stay at home, except in certain circumstances closure of all theatres, clubs, gyms and leisure centres, hairdressers, betting shops, marts, markets, casinos, bingo halls, libraries, and other similar outlets cancellation of all sporting events, including those played behind closed doors closure of playgrounds and holiday or caravan parks restriction on all organised social indoor or outdoor events of any size, such as parties or weddings closure of non-essential retail outlets everyone must exercise within a two kilometre radius of their house. Restrictive public policy measures have also been implemented by governments in other countries to limit the spread of COVID-19. The Health Information and Quality Authority (HIQA) undertook a review to identify those countries that are implementing restrictive measures; particularly those countries that are implementing more restrictive measures than what have been introduced in Ireland. Methods The review was first undertaken on 25 March 2020, in line with HIQA’s Protocol to identify public policy responses to COVID-19, available on www.hiqa.ie. Government websites were searched to establish the set of restrictive public policy measures that were being implemented, if any. The search was limited to the top 50 countries most affected by COVID-19, as defined by the number of diagnosed cases on 25 March. Information was extracted from press releases, press briefings, and government documents on restrictive measures related to: travel mass gatherings Page 5 of 57
Review of restrictive public policy measures to limit the spread of COVID-19 Health Information and Quality Authority staying at home curfew cordon sanitaire closure of schools, nurseries or universities closure of businesses public amenities, such as parks and beaches public transport enforcement of restrictions by police or armed/military forces when restrictions were introduced and duration when restrictions were scaled back and triggers for this. Results A range of restrictive policy measures have been implemented across the countries affected by COVID 19. Table 1 provides a detailed summary of the restrictive measures introduced in each country. A brief summary of these measures is provided below, with a specific focus on those countries that have implemented more restrictive measures than Ireland. Travel restrictions All included countries implemented travel restrictions of some form. For example, Italy has been declared as in ‘complete isolation’.(2) In Ireland, all non-essential travel overseas has been advised against, rather than enforced. Foreign nationals are also not prohibited from entering Ireland, although anyone arriving in Ireland must self- isolate for 14 days. In contrast, citizens in Czechia are forbidden from departing the country; only foreign nationals may leave.(3) Access to Czechia, Indonesia,(4) Estonia,(5) Malaysia,(6) and Brazil(7) is forbidden to all foreign nationals, with some exceptions (for example, those who live within 50km of the border or travelling for trade or diplomatic reasons). Taiwan implemented stringent travel restrictions beginning in January, when at the first sign of a new illness, the government introduced 124 measures to block the spread of COVID-19. These included a ban on passenger flights, tours, cruise ships, visas cancelled and health checks were implemented at airports followed by strict quarantine for 14 days (which was tracked via mobile phone to ensure compliance). Australia,(8) Canada,(9) and the US(10) have all imposed travel restrictions including the closure of borders and advising citizens not to travel overseas. Entry into the US has been restricted for anyone travelling from the Schengen area, along with Ireland, China, Iran, and the UK, since mid-March. Norway issued new border control rules on 13 April, ensuring that only Norwegian citizens and people who are legally resident in Norway may enter the country.(11) The Czechian government also introduced temporary land border controls with Germany and Austria to ensure foreign nationals cannot enter the country.(3) Similar border controls have been introduced in Poland,(12) while in Chile, all land, maritime, and air borders are closed for the transit Page 6 of 57
Review of restrictive public policy measures to limit the spread of COVID-19 Health Information and Quality Authority of foreign nationals.(13) Portugal closed all entry to the country and imposed tight lockdown restrictions in order to prevent travel over the Easter period, but have since eased these restrictions to standard lockdown restrictions (a ban on all essential travel and isolation at home).(14) Greece banned all non-EU entrants to the country until 18 April.(15) Malaysia closed all inbound and outbound borders(6) and China put restrictions on inbound air travel.(16) Mass gathering restrictions The restrictions on mass gatherings have been broadly comparable across countries, with the exception of Japan and Iran, which simply asked its citizens to avoid big crowds and Croatia which banned events with more than 1,000 people.(17) In all other included countries, mass gatherings have been prohibited to some extent. In Ireland, mass gatherings have been completely prohibited: when outside, citizens have been told not to gather with anyone from outside of their own household.(1) Few countries have tougher restrictions on mass gatherings; however, in Italy, the movement of people in public has been prohibited,(18) while in the UK,(19) Germany,(20) Australia,(21) and Estonia,(22) gatherings of no more than two people are prohibited and more than five for Indonesia. Slovenia additionally mandated the wearing of mouth and nose protection and gloves when in any indoor public space.(23) Germany have also mandated the wearing of masks in public. Turkey banned picnics, fishing and exercise outside at the weekend in cities and town centres. In the US and Canada, mass gatherings are prohibited but vary from state to state as to the limit on the number of people. Whilst no lockdown was implemented in Taiwan, people have been asked to wear protective masks and strictly follow COVID-19 precautions when going out. Religious orders have moved ceremonies online.(24) Advised to stay at home On 28 March 2020, the Irish Government instructed everyone to stay at home, except for very limited purposes (such as to buy medicines, food, or to travel to work in the case of essential workers).(1) The measure is as restrictive as what has been introduced in Italy,(18) France,(25) Spain,(26) Romania,(27) Ecuador,(28) Chile(13) and Israel(29) among other countries. As of 10 April 2020, Italy extended its advice to stay at home, along with all other restrictive measures, until 3 May. (30) Less restrictive measures can be found in Germany,(31) South Korea, Singapore, and Iceland among others, where people have been asked to practice social distancing and avoid going out where possible. Slovenia implemented an additional measure where between 8am and 10am, only vulnerable groups can make purchases.(32) In Poland, people will be required to cover their mouths and noses when leaving their home from 16 April. (12) In Australia, citizens have been asked to stay at home except for essential reasons, such as food, work, and exercise,(33) while in Canada and the US, the restriction varies by state. In New Zealand, a four-week national lockdown was introduced on March 26 asking people to stay at home to curb the spread of disease.(34) In contrast, no Page 7 of 57
Review of restrictive public policy measures to limit the spread of COVID-19 Health Information and Quality Authority lockdown was implemented in Taiwan, but people have been asked to wear protective masks and strictly follow COVID-19 precautions.(24) Curfew imposed To date, a curfew has not been imposed in Ireland. Although, the necessity of a curfew may be redundant given the closure of businesses and restrictions on staying indoors. However, five countries have implemented some form of a curfew restriction. These include Chile (imposed from 10pm to 5am),(13) Ecuador (9pm to 5am)(28) and Peru (6pm to 5am).(35) A curfew had been imposed in Romania, but it was replaced by the mandate to stay at home.(27) Israel placed a curfew on citizens during the Passover holidays, which was subsequently lifted. Turkey imposed a total curfew for everyone over 65 years and under 20 years.(36) Cordon sanitaire The majority of countries have not implemented any form of cordon sanitaire (defined as a guarded line preventing anyone from leaving an area infected by a disease and thus spreading it)1 restrictions. In Italy, an absolute ban was imposed on anyone leaving quarantined quarters due to infection, as well as quarantined quarters due to close contact with confirmed cases.(18) In Austria, no one is allowed to enter or leave affected parishes (the Paznaun Valley, St. Anton am Arlberg, and Sölden).(37) Three large foreign worker dormitories have been designated as isolated in Singapore.(38) In Malaysia, in Hulu Langat, Selangor, residents are not allowed to leave their homes and no visitors are allowed to enter the area (effective from 1 April to 14 April 2020) due to high case numbers. In Turkey, the Kendril town and surrounding areas are quarantined. In Israel, there was a nationwide lockdown, barring Israelis from leaving their communities during Passover, from 7 April until 10 April 2020.(39) Closure of schools, nurseries, universities All countries reviewed, implemented restrictions on the closure of schools, nurseries and or universities. In most countries all educational institutions are closed, including in Ireland, where it is currently unknown when they will reopen. Face-to-face classes in third level institutes in Peru have been suspended until end of 2020. In the UK, all schools are closed except for the children of critical workers.(19) In Japan, Canada, and Croatia,(17) all schools are closed, but nurseries and kindergartens remain open. Kindergartens and boarding schools remain open in Israel. Sweden has the fewest restrictions, where schools are still open and universities have been asked to move to online learning,(40) as is the case in Australia(41) and Taiwan, where the public health advice is that schools are low risk areas of transmission and thus remain open. 1 Lexico, powered by Oxford. Available from: https://www.lexico.com/definition/cordon_sanitaire Page 8 of 57
Review of restrictive public policy measures to limit the spread of COVID-19 Health Information and Quality Authority Closure of businesses The majority of countries have implemented some form of business closures. These include, the closure of all businesses and places of worship in Italy.(18) In Spain(42) and France,(25) all non-essential businesses have been suspended (including restaurants, cafes, cinemas and nightclubs) as in Ireland,(1) and many more countries. However, in Spain, certain sectors, including manufacturing and construction, have reopened since 13 April 2020. In the UK, all non-essential businesses are closed (including retail stores, pubs and nightclubs). Where essential businesses are opened, contactless payment options are recommended and take away or delivery options strongly encouraged.(19) Sweden has not closed any businesses.(40) Indonesia has made an exception of mandatory closure for eight industries to continue: health, staple goods, energy, communications, finance and banking, logistics, retail, strategic industries located in the capital. No closures were implemented in Taiwan. Restrictions on public amenities Most countries have implemented some form of restrictions on public amenities. In Ireland, playgrounds have been closed, and outdoor spaces such as parks and beaches are being patrolled and groups dispersed.(1) Similar restrictions have been introduced in South Korea, where public spaces have been shut including parks, sports facilities, and day care centres.(43) In Italy, recreational outdoor activities, including sports, in public places have been prohibited.(43) In France, people are not allowed to enter public spaces.(25) In Slovenia, access is limited to people living in the municipality.(32) Israel has closed playgrounds and synagogues, but beaches and parks are allowed provided they are within 100 metres of your residence.(29) In some countries, the data was unclear, such as in Spain, for example. Sweden have not imposed any restrictions.(40) Public transport restrictions Public transport restrictions have been implemented in many countries. Currently Ireland is providing public transport, but this is restricted to those who are buying food or medicines, carers, going to medical appointments, and essential workers. (1) The same restriction is in place in Spain(42) and Norway.(44) Less restrictive measures can be observed in some countries. For example, in the Netherlands, public transport remains operational but measures are in place to ensure passengers maintain a good distance from each other.(45) There are no restrictions in Sweden and the restriction of gatherings of no more than 50 people does not apply to public transport.(40) In contrast, Slovenia has suspended all public trains, buses, gondolas and funicular railways.(32) Turkey suspended free public travel to anyone over 65 years in certain areas. In Indonesia, public transportation services are restricted to half their normal passenger capacity and limit operations from 6 am to 6 pm, and Singapore has Page 9 of 57
Review of restrictive public policy measures to limit the spread of COVID-19 Health Information and Quality Authority introduced thermal scanners and are prohibiting anyone with a fever from entering public transport hubs.(46) No restrictions are in place in Australia,(21) Canada, or the US, but people are advised to only use public transport if necessary. Enforcement of restrictions In Ireland, An Garda Síochána (the Irish police) have been empowered to enforce restrictions under the Health (Preservation and Protection and Other Emergency Measures in the Public Interest) Act 2000.(1) Since 7 April 2020 they have been empowered to arrest and impose fines on people who do not comply. Police and armed forces have been empowered in other countries to enforce restrictions, arrest residents and impose fines. In Italy, for example, failure to comply with the containment measures will result in fines of €400 to €3,000.(18) In France, 100,000 police and gendarmes have been deployed to ensure that anyone that has left their household is in possession of a certificate permitting them to do so. Failure to comply with the containment measure is punishable by a fixed fine of €135, which can be increased to €375. Anyone caught violating the containment measure three or more times over the course of 30 days risks imprisonment for six months. In Ecuador, the Police and the Armed Forces, as well as municipal agents participating in controlling activities, can enforce restrictions.(28) In Romania, anyone found leaving quarantine without approval will be obliged to resume the 14-day quarantine, bearing the expenses incurred with their quarantine and will be criminally liable.(27) In Australia, the defence forces have been called in to assist with home quarantine compliance.(33) In the US, penalties vary from state to state, enforced by the police department. For instance, in Maryland a breach of restrictions could result in a year in jail, a $5,000 fine, or both. In Hong Kong, offenders are subject to a maximum fine of $25,000 and imprisonment for six months. In Taiwan, the Government declared that violators of home isolation regulations will be fined up to NT$300,000 (USD $10,000) and violators of home quarantine regulations will be fined up to NT$150,000 (USD $5,000). No enforcement of restrictions was reported in Japan. Scale back or cessation of restrictions A Joint European Roadmap towards lifting COVID-19 containment measures has been published, 15 April.(47) This calls for a coordinated approach in the EU to restarting economic and social activities while minimizing impact on people’s health and not overburdening health care systems. It outlines three sets of criteria to assess whether the time has come to begin to relax measures: • Epidemiological criteria showing the spread of the disease has significantly decreased and stabilised for a sustained period of time for example sustained reduction in new cases, hospitalisations and patients in intensive care. Page 10 of 57
Review of restrictive public policy measures to limit the spread of COVID-19 Health Information and Quality Authority • Sufficient health system capacity to cope with future increases in cases after lifting of measures and coping with any backlog of elective interventions. • Appropriate monitoring capacity, including large-scale testing capacity combined with contact tracing. The paper also makes recommendations on how member states can gradually lift measures: • Actions should be gradual, lifted in different steps with sufficient time (for example, one month) between steps. • General measures should be replaced by targeted ones for example protecting vulnerable groups for longer, intensified and regular cleaning and disinfection of transport hubs, shops and workplaces. • Lifting measures should start with those with a local impact and be gradually extended to measures with a broader geographical coverage. • There should be a phased approach to the opening of internal and external borders. • The re-start of the economic activity should be phased in. Not all of the population should go back to work at the same time. Social distancing should remain in place and teleworking should continue to be encouraged. • Gatherings of people should be progressively permitted. For example, schools could return with specific measures such as different lunch times, smaller classes and enhanced cleaning; commercial activity (retail) and social activities (for example, restaurants) could be re-opened with restricted opening hours and maximums of people allowed. • Efforts to prevent the spread of the virus should be sustained. Awareness campaigns should continue and social distancing should apply. The use of facemasks in the community could be considered. • Actions should be continuously monitored and preparedness developed for returning to stricter measures as necessary. Some countries are beginning to scale back their restrictions (see Table 2). These are largely about re-opening schools and select services. Czechia, Switzerland, Luxembourg, and the US have published phased plans to gradually ease restrictions over a number of months. Triggers for the de-escalation of measures are not widely reported. Countries that have, include Austria, Norway, Denmark, Spain and Germany. They cite a variety of decline or stabilisation in new cases and or deaths and hospitals not having become overwhelmed. The UK and the US, although they have not commenced de-escalation, have published specific criteria that will act as triggers. These include when there is a decline in cases, there being sufficient hospital capacity, and the establishment of robust testing programmes. Page 11 of 57
Review of restrictive public policy measures to limit the spread of COVID-19 Health Information and Quality Authority Summary A number of restrictive public policy measures have been introduced across a number of countries to limit the spread of COVID-19. Some of these measures involved curfews; restricting the number of people allowed outside in groups (as few as two in some cases); and enforcing rule of law through the use of police or armed forces. In many cases, the restrictions introduced in Ireland have been as restrictive as those introduced elsewhere (for example, on mass gatherings, staying at home and on leaving the house). However, the policy response to COVID-19 has been broadly consistent across countries, with the exception of Sweden where the response has been less stringent in relation to business closures and mass gatherings, for example. In most countries, nurseries, schools, universities and non-essential businesses and services have been closed and everyone has been asked to stay at home and or avoid unnecessary travel and contact with others. A few countries have started ease restrictions, for example in relation to the closure of schools and businesses. Countries that are easing or are planning to ease measures are continuing to manage risk by various means, including increasing travel restrictions, mandating nose and mouth coverings, continuing restrictive measures for vulnerable groups and mass gatherings, and changing testing strategies. Triggers for the decision to ease restrictions include declining or stabilising new cases and or deaths and hospitals not having become overwhelmed. The findings from this review were accurate as of 17 April 2020 10.00 GMT; however, it is important to note that the measures identified above may change as the situation and response to COVID-19 evolves. Page 12 of 57
Review of restrictive public policy measures to limit the spread of COVID-19 Health Information and Quality Authority Table 1 Detailed summary of restrictive measures implemented by countries affected by COVID-19 [Accurate as of 17 April 10.00 GMT] Country Travel Mass Advised to Curfew Cordon Closure of Closure of Restriction Public Enforcement [Dates]* restrictions gathering stay at home imposed sanitaire educational businesses s on public transport of restrictions restrictions institutes amenities restrictions Ireland All non- Mass Everyone is No No All nurseries, All non- Outdoor Public Measures are essential gatherings required to restrictions restrictions school and essential spaces e.g. transport and reflected in the Introduced: 13 travel are stay at home, universities are businesses parks and passenger regulations March overseas has prohibited. except to buy closed have been beaches are travel are under the Updated: 9 been Cannot medicines, [Introduced 13 closed. A patrolled restricted to Health April advised gather with groceries, March] select list of and groups those who are (Preservation Effective: 5 May against. anyone from work, or essential dispersed. buying food and Protection Anyone outside your exercise businesses Playgrounds or medicines, and Other coming into household. (within a 2km and services and some carers, going Emergency Ireland, radius) (e.g., health individual to medical Measures in the apart from [Introduced care, sites have appointments Public Interest) Northern 27 March] manufacturin been closed and essential Act 2000 and Ireland, g, farming) by the workers. will be enforced must restrict remain open. Gardaí/local by the Garda their councils. Síochána. As of movements 7 April for 14 days. empowered to arrest and fine. Italy Italy Imposed Citizens Not Imposed All schools, All places Recreational Local public Failure to declared in restriction on required to applicable absolute ban nurseries, and intended for outdoor transport may comply with the Introduced: 9 isolation [9 the stay at home. due to on anyone universities worship, activities, be containment March March]. Only movement of Travel within complete leaving have been along with including suspended, as measures will Updated: 24 essential people in and between lockdown quarantined suspended. businesses sports, in decided by be punished March travel (i.e., public. regions is quarters due (e.g., cafés, public each region’s with fines of Effective: 13 for health prohibited to infection, bars, pubs, places is own €400 - €3,000. May needs, work with the as well as restaurants prohibited. authorities requirement exception of quarantined and other Public Travel outside State of s, reasons of necessary quarters due catering access to the Emergency absolute travel for work to close services) are parks, villas, municipality declared until necessity) to or contact with closed or play areas to holiday 31 July Italy emergencies – confirmed suspended and public homes only permitted movements cases. with certain gardens is allowed in [28 March] are subject to exceptions: prohibited. cases of police checks. pharmacies, emergency etc. Since 10 situations. April, stationery, book and baby stores may open. Page 13 of 57
Review of restrictive public policy measures to limit the spread of COVID-19 Health Information and Quality Authority Table 1 Detailed summary of restrictive measures implemented by countries affected by COVID-19 [Accurate as of 17 April 10.00 GMT] Country Travel Mass Advised to Curfew Cordon Closure of Closure of Restriction Public Enforcement [Dates]* restrictions gathering stay at home imposed sanitaire educational businesses s on public transport of restrictions restrictions institutes amenities restrictions Spain All non- Citizens are Advised to Unclear Unclear All schools, Non-essential Unclear Passenger Compliance essential required to stay at home. nurseries, and businesses transport, with the Introduced: 14 travel from stay at home People may universities closed; other both public measures March third and avoid only drive have been types of and private, decreed will be Updated: 3 countries gatherings of alone and suspended. premises for has been upheld by the April (except for any kind. activities are shows, etc., reduced by State law Effective: 25 returning limited to have been half for 15 enforcement April citizens) is basic needs, suspended. days agencies, and restricted for such as [extended to by local and State of 30 days [17 buying food or 25 April], regional police Emergency March] medication, except for forces . extended until etc. suburban 25 April railway services. France Closed the Advised to In a state of Not Unclear All crèches, All places Not allowed Public Individuals borders of avoid ‘containment’; applicable schools, open to the to enter transport must have Introduced: 12 the gatherings of shouldn’t go due to colleges, high public that are public allowed to go certificates for March Schengen any kind. out except for complete schools and not essential spaces to work, if travel. 100,000 Updated: 27 area travel to lockdown. universities to everyday physical police and March Effective: [Introduced certain places have been life such as presence at gendarmes are 11 May 17 March]. (e.g., suspended. restaurants, work is enforcing the authorised cafes, essential. restrictions. shops). cinemas, nightclubs, etc., have been closed. Page 14 of 57
Review of restrictive public policy measures to limit the spread of COVID-19 Health Information and Quality Authority Table 1 Detailed summary of restrictive measures implemented by countries affected by COVID-19 [Accurate as of 17 April 10.00 GMT] Country Travel Mass Advised to Curfew Cordon Closure of Closure of Restriction Public Enforcement [Dates]* restrictions gathering stay at home imposed sanitaire educational businesses s on public transport of restrictions restrictions institutes amenities restrictions Switzerland Entry to Restricted to Advised to Unclear Unclear Events requiring Non-essential All public Unclear A failure to Switzerland five people stay at home physical businesses and private adhere to Introduced: 13 from a high- presence at are closed, events are enacted bans is March risk country schools, higher such as shops banned. punishable by a Updated: 28 or from a education and markets; This also custodial March high-risk institutions and restaurants includes sentence of up Effective: 26 area is not other education and cafés; sporting to three years April allowed, and training bars, events and or by a fine. unless they institutions are discotheques, club Scale back of meet certain prohibited. night clubs activities. All restrictive criteria (e.g., and strip establishme measures to Swiss clubs, etc. nts open to commence from citizen) the public 27 April** [Effective for are closed. a maximum of 6 months]. United Kingdom Advised not Restricted to Advised to Unclear Unclear Schools and Non-essential Community Public The relevant to travel two people stay at home, childcare shops and spaces transport authorities, Introduced: 23 abroad except for premises businesses closed. services including the March unless it’s very limited closed, except including reduced. police, given Updated: 16 essential. purposes. to children of pubs, cinemas powers to April critical workers. and theatres, enforce Effective: 3 and retail restrictions. weeks from 16 stores closed. April Netherlands Entry Gatherings Stay home as Unclear Unclear Schools and Businesses in Unclear Public Mayors have restrictions banned, much as childcare contact-based transport the option of Introduced: 19 in place including possible, centres closed. industries, required to enacting an March since 19 gatherings of unless to go such as hair take emergency by- Updated: 31 March. less than 100 to work or buy salons and measures to law, to more March Effective: people. groceries, etc. beauty ensure people easily and more 28 April Allowed leave parlours maintain a quickly initiate the house for closed, along good enforcement air, exercise, with casinos, distance. activities in etc. but not in arcades, etc. their regions. groups Page 15 of 57
Review of restrictive public policy measures to limit the spread of COVID-19 Health Information and Quality Authority Table 1 Detailed summary of restrictive measures implemented by countries affected by COVID-19 [Accurate as of 17 April 10.00 GMT] Country Travel Mass Advised to Curfew Cordon Closure of Closure of Restriction Public Enforcement [Dates]* restrictions gathering stay at home imposed sanitaire educational businesses s on public transport of restrictions restrictions institutes amenities restrictions Austria Entry of Restricted to Advised to Unclear No one is Schools, Shops that do Entering None Compliance third-country five people. stay at home allowed to kindergartens, not serve public specified with the Introduced: 16 nationals and limited enter or and universities basic services places is measures taken March suspended social leave closed. remain strictly is checked by Effective: 13 by air from interactions. affected closed. prohibited, the executive. April outside parishes. Restaurants, with the Schengen bars, coffee exception of Scale back of area. houses etc. some cases. restrictive are also measures closed. commenced 14 April** Luxembourg Unnecessary Mass Citizens only Unclear Unclear School and All Play areas Hygiene Police presence travel must gatherings allowed out education commercial are closed. measures enforced to Introduced: 18 be cancelled are prohibited for activities, sector and craft Outdoor implemented ensure March or until 31 July, such as suspended, until activities are leisure for public prohibitions are Updated: 15 postponed. except buying food, 4 May at least. prohibited. activities on transport abided by. April Third- funerals and medicine. Construction an individual including Effective: country weddings Vulnerable sites are also basis or suspension of Variable nationals (max 20 groups to closed. limited to on board may no people) continue to people who ticket sales Scale back of longer enter confine once live together and barrier restrictive the territory scale back are allowed. tapes to measures to of the Grand begins, until support commence from Duchy at least 11 physical 20 April** [Effective for May. distancing. one month] Page 16 of 57
Review of restrictive public policy measures to limit the spread of COVID-19 Health Information and Quality Authority Table 1 Detailed summary of restrictive measures implemented by countries affected by COVID-19 [Accurate as of 17 April 10.00 GMT] Country Travel Mass Advised to Curfew Cordon Closure of Closure of Restriction Public Enforcement [Dates]* restrictions gathering stay at home imposed sanitaire educational businesses s on public transport of restrictions restrictions institutes amenities restrictions Poland Borders Ban on Citizens Unclear Unclear Higher Businesses in Ban on On the bus, Unclear closed to public, advised not to education shopping using parks, tram or Introduced: 14 foreigners; national and go out (except institutions centres have forests, subway, only March Polish religious when suspended and been beaches, half of the Updated: 7 citizens gatherings of absolutely will remain suspended boulevards, seats can be April abroad can more than 50 necessary) closed until 26 (except for promenades occupied. Effective: 26 return home people. The From 16 April, April 2020. pharmacies, or city bikes. April but must ban applies persons grocery stores undergo both to leaving their and other compulsory indoor and homes will be essential 14-day outdoor required to services). home gatherings cover their quarantine mouths and [Effective noses. until 3 May] Finland Travel Restricted to Advised to Unclear Unclear Schools, Restaurants, Unclear Unclear Unclear restrictions no more than work from educational cafés and Introduced: 16 due to be 10 people. home where institutions, licensed March implemented possible and universities premises Effective: 13 . practice social closed closed to May, unless distancing [Extended until customers otherwise when out. 13 May]. [Effective until stated. 31 May]. State of Emergency declared 16 March Page 17 of 57
Review of restrictive public policy measures to limit the spread of COVID-19 Health Information and Quality Authority Table 1 Detailed summary of restrictive measures implemented by countries affected by COVID-19 [Accurate as of 17 April 10.00 GMT] Country Travel Mass Advised to Curfew Cordon Closure of Closure of Restriction Public Enforcement [Dates]* restrictions gathering stay at home imposed sanitaire educational businesses s on public transport of restrictions restrictions institutes amenities restrictions Germany Travel Gatherings of Members of Unclear Unclear The Federal Establishment Unclear Unclear Police require restrictions more than 2 the public are Laender have s such as documentation Introduced: 16 for entries persons have required to cancelled bars, clubs, (ID and proof March from outside been banned reduce their events and theatres, of address) of Effective: 19 the in all states contact with closed schools museums and anyone outside April, select Schengen until 19 April. people other and cinemas have during measures in area Large public than the kindergartens. been required restrictions. place until 31 As of 10 events members of to close. August April, banned and their own countries mandatory household. Scale back of and regions mask wearing restrictive are no in public until measures to longer 31 Aug. commence from classified as 19 April** international risk areas. Belgium Non- Activities of Expected to Unclear Unclear Lessons All shops are Recreational Remains Violations will essential cultural, stay home as cancelled but closed except: areas of operational, be punished Introduced: 12 travel social, much as schools will Food shops, provencial however, and a system March abroad is festive, possible. Only receive children including domains must be for the Updated: 15 prohibited. folkloric, allowed for childcare in night shops closed, e.g. organized to immediate April Passengers sporting and out if necessar certain (7h until 22h), playground. guarantee collection of Effective: 3 May to observe recreational y (i.e. circumstances. Shops selling Parks and social fines is being social nature, essentail Nurseries pet food, woodland distancing implemented. distancing prohibited. All workers, remain open for Pharmacies, open. rules. and airports indoor and authorised children up to 3 Newspaper Religious People only to must outdoor stores, years old. shops, gas buildings take public facilitate. events, exercise). Higher stations, and transport if it Passengers canceled. education shops with premises is really returning institutions basic facilities remain necessary. from abroad move to for newborns. open; no must self- distance ceremonies quarantine learning. allowed. for two weeks. Page 18 of 57
Review of restrictive public policy measures to limit the spread of COVID-19 Health Information and Quality Authority Table 1 Detailed summary of restrictive measures implemented by countries affected by COVID-19 [Accurate as of 17 April 10.00 GMT] Country Travel Mass Advised to Curfew Cordon Closure of Closure of Restriction Public Enforcement [Dates]* restrictions gathering stay at home imposed sanitaire educational businesses s on public transport of restrictions restrictions institutes amenities restrictions Portugal Ban on Public Portuguese Unclear Unclear Closure of all All non- Closure of Public Armed forces disembarkati gatherings leaders schools, essential museums transport can be Introduced: 16 on from are banned. requested that universities and shops should and public services are deployed to March cruises Groups of everyone stay childcare be closed and libraries. operating at enforce the Effective: 17 (except more than at home and facilities until 17 restaurants Campsites reduced measures. April citizens); five are not only go April. should only and levels. commercial allowed, outside in provide motorhome Update: State flights unless from case of an takeaway. parks are of Emergency to/from Italy the one emergency or closed to renewed for stopped until family. to go to tourists and another 15 days 24 Mar; grocery visitors. flights to stores, [A state of countries pharmacies or emergency is outside EU to walk their limited to 15 suspended, pets. days but can be with some extended exceptions. indefinitely in Ban on all 15-day periods] but essential travel and self-isolation until 17 April. Page 19 of 57
Review of restrictive public policy measures to limit the spread of COVID-19 Health Information and Quality Authority Table 1 Detailed summary of restrictive measures implemented by countries affected by COVID-19 [Accurate as of 17 April 10.00 GMT] Country Travel Mass Advised to Curfew Cordon Closure of Closure of Restriction Public Enforcement [Dates]* restrictions gathering stay at home imposed sanitaire educational businesses s on public transport of restrictions restrictions institutes amenities restrictions Norway Advised Ban and Encouraged to Unclear Unclear Closed. Largely Closed The public Norwegian against non- closure of stay and work Gradually closed. (swimming transport authorities have Introduced: 14 essential various from home reopening from Gradually pools, water schedule was confirmed that March travel to all cultural and limit close 20 April, detail reopening parks). to run as a fine of 20,000 Updated: 8 countries. events until contact with in Table 2. from 27 April, normal, to Norwegian April Quarantine 15 June; others. From detail in Table ensure that kroner (€1775) Effective: 14 for arrivals sports events 20 April, 2. people with or a 15-day jail April for 14 days. and people can critical social sentence will be Effective organised stay overnight functions handed out to Scale back of from 13 sports at their could get to anyone caught restrictive April: only activities both holiday cabins. and from breaking home measures to Norwegian indoors and work. quarantine or commence from citizens and outdoors. home isolation 20 April** people who rules. are legally resident in Norway may enter the country. Page 20 of 57
Review of restrictive public policy measures to limit the spread of COVID-19 Health Information and Quality Authority Table 1 Detailed summary of restrictive measures implemented by countries affected by COVID-19 [Accurate as of 17 April 10.00 GMT] Country Travel Mass Advised to Curfew Cordon Closure of Closure of Restriction Public Enforcement [Dates]* restrictions gathering stay at home imposed sanitaire educational businesses s on public transport of restrictions restrictions institutes amenities restrictions Czechia Reintroducti All sport, Free No Unclear All closed. Gradually re- Public Air travel, rail Unclear on of cultural, movement is restriction opening since access to travel, coach Introduced: 13 borders with religious and limited with 9 April, detail swimming travel, boat March Germany other the exception in Table 2. pools and travel and Updated: 7 and Austria activities of travel to tourist road travel April until 5 April. encompassin and from work information (for more Effective: Until 12 g more than and necessary centres is than 9 unclear unless April, access 30 persons travels to forbidden. persons) is otherwise is forbidden are ensure basic suspended. for forbidden. human needs. stated foreigners, As of 7 April, All persons with some individual need to be State of exceptions. outdoor equipped with Emergency Returnees to sports are a face mask or prolonged until undergo 2 allowed other covering 30 April week (limited to 2 of the nose quarantine. people). Ban and mouth Scale back of Granting of on use of while outside restrictive new visas is common of their measures suspended. spaces like residence. commenced 9 Travel showers is April** abroad for still in force. essential activities allowed, 14 April. Page 21 of 57
Review of restrictive public policy measures to limit the spread of COVID-19 Health Information and Quality Authority Table 1 Detailed summary of restrictive measures implemented by countries affected by COVID-19 [Accurate as of 17 April 10.00 GMT] Country Travel Mass Advised to Curfew Cordon Closure of Closure of Restriction Public Enforcement [Dates]* restrictions gathering stay at home imposed sanitaire educational businesses s on public transport of restrictions restrictions institutes amenities restrictions Denmark Temporary Prohibition of All public No Unclear Schools Closure of Unclear, Anti- The police has border events with employees not restriction gradually re- restaurants, appears to congestion been authorised Introduced: 18 control and, more than 10 performing opening since bars etc. Take apply to measures to interfere at March restricted people. All critical 15 April, detail away is indoor have been public places if Updated: 30 entry to public cultural functions have in Table 2. permissible. centres implemented, more than 10 March those with a institutions, been told to Closure of only. including people have Effective: 13 worthy churches and stay home major indoor alteration of gathered at the April purpose of activities from work. All centres, e.g. timetables, same location. entering and offered at private sector shopping but no The Attorney do not have parish halls, employers centres. closures. General has set Scale back of symptoms. libraries, have been Closure of indicative fines restrictive Arrivals are recreational urged to indoor sports for violating the measures to self- facilities and ensure that as and leisure prohibitions and commenced 14 isolate for similar many facilities. Ban restrictions April** 14 days. activities, employees as on imposed for the Residents closed. possible work professions public and advised from home. where social traders. against distancing international cannot be travel. maintained. Iceland Foreign Ban on Those who No No University and Mostly closed, Unclear No restrictions Unclear nationals gatherings of are possible restrictions restrictions secondary select services Introduced: 16 except 50 or more infected education re-open, March EU/EEA, individuals. should institutions detail in Table Updated: 23 EFTA or UK All children’s quarantine. open but limited 2. March nationals and young Those with to 50 persons. Effective: 17 and other people’s symptoms Primary schools April limited athletic and should self- and pre-schools exceptions youth group isolate. operating are not activities and normally. Scale back of allowed to all adults’ School buildings restrictive enter athletic must be measures Iceland, until activities are cleaned or commenced 17 17 April. All prohibited, disinfected after April** residents in regardless of each day. Iceland who group size. enter the country must quarantine for 14 days. Page 22 of 57
Review of restrictive public policy measures to limit the spread of COVID-19 Health Information and Quality Authority Table 1 Detailed summary of restrictive measures implemented by countries affected by COVID-19 [Accurate as of 17 April 10.00 GMT] Country Travel Mass Advised to Curfew Cordon Closure of Closure of Restriction Public Enforcement [Dates]* restrictions gathering stay at home imposed sanitaire educational businesses s on public transport of restrictions restrictions institutes amenities restrictions Romania All Avoid All persons are A curfew Unclear Schools to Dental activity Unclear Unclear Starting 30 commercial gathering in forbidden to between 10 remain closed is suspended, March, persons Introduced: 18 flights groups of travel outside pm and throughout the except for leaving March to/from more than 3. their 6am was in period the state emergency quarantine, Updated: 26 Spain and Baptism, residence/hou place but of emergency is care. without March Italy weddings, sehold except has been in place. Commercial approval will be Effective: 15 suspended funerals for work and replaced by areas where obliged to April, unless for 14 days allowed, max. essential mandate to several resume the 14- otherwise from 18 8 people. All reasons such stay at operators day quarantine, March 2020. cultural, as purchase of home. carry out bearing the stated. Flights scientific, food, medical Movement activities are expenses State of to/from artistic, appointment of persons closed except incurred with France and religious, and exercise. over 65 those retailing their quarantine Emergency Germany sports, People over years of essentials. and will be declared for 30 suspended entertainmen 65 years are age outside Serving and criminally liable. days on 16 for 14 days t or only allowed the home is consuming For violation of March from 23 gambling, out for allowed food and self-isolation at March 2020. and personal medical between beverages, home, there is Effective from Aliens, care reasons. 8pm and organized by a fine of up to 14 April: all stateless activities, 9pm, to restaurants, 20,000 lei, as restrictions persons are held in ensure the hotels, cafes well as a extended to at forbidden confined needs of or other criminal case if least 20 May entry. spaces, are pets. Others public places you contribute Residents suspended. are asked is suspended. to the spread of discouraged to stay at Take away the virus. from home and deliveries travelling to during this are high risk time. permissible. countries or returning from countries with high number of cases. Page 23 of 57
Review of restrictive public policy measures to limit the spread of COVID-19 Health Information and Quality Authority Table 1 Detailed summary of restrictive measures implemented by countries affected by COVID-19 [Accurate as of 17 April 10.00 GMT] Country Travel Mass Advised to Curfew Cordon Closure of Closure of Restriction Public Enforcement [Dates]* restrictions gathering stay at home imposed sanitaire educational businesses s on public transport of restrictions restrictions institutes amenities restrictions Sweden Advise All gatherings Citizens asked No No Adult Not closed. No Public The Swedish against non- of more than to ‘consider restrictions restrictions educational Restaurants restrictions. transport, Police Authority Introduced: 14 essential 50 people whether their units including and bars must work places is responsible March travel to all stopped. trip is universities to adhere to and schools for maintaining countries. necessary’. offer distance strict are not public order Updated 7 April This is valid learning regulations, covered by and security from 14 [introduced 18 however. the ban and protecting Effective: 30 March March]. Schools against public the public. June through to and pre-schools gatherings of 14 April. open. more than 50 people. Greece Travel Unclear Residents are Unclear No Schools closed Most hotels All Unclear Violators of restrictions told to stay at restrictions until 27 April. closed until museums, curfew will be Introduced: 16 to/from: home from 23 30 April. including fined 150 Euros March Albania, March until 11 Restaurants, the per violation. Updated: 23 Italy, Spain, April. Specifics bars, clubs, Acropolis Passports or March N. are unclear. theatres, are closed other Effective: 30 Macedonia, Movement for playgrounds, through the identification April, unless Turkey, UK, work, and gyms are end of must be carried otherwise Netherlands, groceries and closed. March. at all times and Germany, to the there must be a stated until 6 April. pharmacy is valid reason to Non-EU allowed. be out. citizens may not enter until 18 April 14 day self- quarantine for arrivals. Most land borders closed. Ferry service from Italy suspended. Access to islands for residents only. Page 24 of 57
Review of restrictive public policy measures to limit the spread of COVID-19 Health Information and Quality Authority Table 1 Detailed summary of restrictive measures implemented by countries affected by COVID-19 [Accurate as of 17 April 10.00 GMT] Country Travel Mass Advised to Curfew Cordon Closure of Closure of Restriction Public Enforcement [Dates]* restrictions gathering stay at home imposed sanitaire educational businesses s on public transport of restrictions restrictions institutes amenities restrictions Croatia Avoid Postpone all Unclear Unclear Unclear Two-week Unclear Unclear Unclear Unclear travelling to public events suspension of Introduced: 8 affected with more classes in March areas in than 1000 schools and Updated: 15 North Italy. people. universities March Quarantine throughout Effective: for 14 days Croatia, starting Unclear for all 16 March. Does foreign not apply to visitors to kindergartens. Croatia. Estonia Limited At most, 2 Advised to Unclear Unclear Unlikely schools Nationwide, Symptomati Unclear Police will permission people can stay at home, will resume on unclear if any c homeless enforce Introduced: 25 to enter be in a public avoid close May 18. All closed. people are requirements March Estonia for space contact and major events, Libraries and not allowed for a confirmed Updated: 29 foreigners, together and visits to other such as school restaurants, to move case to stay at March exceptions a 2 metre houses, 6 trips, study trips except for freely in home until Effective: include distance must April. and graduation delivery, are public recovered. Unclear those who be kept from Exceptions for events will be closed. places (from Failure to are others. Does purchase of cancelled. Some 7 April). comply will lead State of asymptomati not apply to food, industries can to an Emergency c and members of medicines, resume inc. administrative declared until 1 involved in the same essential manufacturin directive. If this trade, household. medical g, retail and is not adhered May maintenance treatment, to hairdressers, to, then a fine of services work, take if the up to €2,000 or those children to employees will be imposed, entering for child care, comply with 26 March. diplomatic care for the the hygiene reasons. elderly, and requirements, take exercise. no one has symptoms and if disinfectants and protective equipment are made available. Page 25 of 57
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