As of May 2, 32 U.S. states and 5 Canadian provinces (https://nationalpost.com/news/canada/reopening-canada-provinces-ontario-quebec-saskatchewan-alberta) have announced plans to reopen businesses on a phased basis. Each state and province has developed back to work guidelines to manage the process. These actions are being taken even though Covid-19 is a very contagious virus with 1.1 million reported cases and 65,000 deaths in the US and 55,000 cases and almost 3400 deaths in Canada. Currently there is no cure and a cure is at least a year or more away.
Government Health Care Guidelines
While there are various sets of guidelines that have been published, those developed by New York State and by the Province of Ontario (https://www.ontario.ca/page/resources-prevent-covid-19-workplace?_ga=2.258615434.1461890914.1588269926-1610310933.1584035138 ) are particularly thoughtful and will be referred to in this blog. The NY state document stipulates that to open their economy, hospital and ICU capacity should not exceed 70%. Moreover, the rate of transmissions should be less than 1.1 (i.e. one person infects less than 1.1 people). Adhering to these guidelines will limit the possibility of hospitals being overwhelmed by a surge of new cases. The CDC (Centre for Disease Control) in the United States suggests that there should be a 14-day decline in Covid-19 hospitalizations immediately preceding the lifting of restrictions. Should the number of infections begin to escalate, restrictions should be put back in place. Note that some states are lifting restrictions while infections are rising.
The NY state plan stipulates that a testing regimen should be activated with a daily objective of 30 tests per 1000 people. There should also be a satisfactory number of testing sites in each location; there should be an immediate turnaround on testing results to limit the spread. New York State suggests that an advertising program be created to educate the public about the need and the process of being tested.
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