PHL - COVID-19 Contingency Plan - 1mar2020 PDF

National
Contingency Plan for

COVID-19
The Philippines
1 March 2020
Contents
SUMMARY .............................................................................................................................................. 2
1 BACKGROUND ............................................................................................................................. 2
1.1 Introduction.............................................................................................................................. 2
1.2 Hazard Analysis ...................................................................................................................... 3
1.3 Hazard Plan............................................................................................................................. 5
1.3.1 Four Door and Color Coded Framework ......................................................................... 5
1.4 Worst Case Scenario .............................................................................................................. 6
1.5 Affected Population ................................................................................................................. 6
2 GOALS AND OBJECTIVES .......................................................................................................... 7
2.1 Goal ......................................................................................................................................... 7
2.2 General Objective(s) ............................................................................................................... 7
3 RESPONSE ARRANGEMENTS .................................................................................................... 8
3.1 Response Clusters .................................................................................................................. 8
3.1.1 HEALTH CLUSTER ........................................................................................................ 9
3.1.2 GOVERNANCE CLUSTER ........................................................................................... 12
3.1.3 LAW AND ORDER CLUSTER ...................................................................................... 15
3.1.4 ECONOMY CLUSTER .................................................................................................. 18
3.1.5 LOGISTICS CLUSTER ................................................................................................. 20
3.1.6 INTERNATIONAL HUMANITARIAN ASSISTANCE CLUSTER ................................... 22
3.1.7 RISK COMMUNICATION CLUSTER ............................................................................ 25
3.2 Resource Inventory ............................................................................................................... 27
3.3 Resource Projection .............................................................................................................. 29
3.4 Budget and Resource Summary ........................................................................................... 30
3.5 Emergency Operations Center.............................................................................................. 31
3.6 Incident Command System ................................................................................................... 33
3.7 Interoperability ....................................................................................................................... 33
4 ACTIVATION ................................................................................................................................ 34
ANNEX A: COLOR CODED FRAMEWORK ....................................................................................... 35
ANNEX B: CONTINGENCY PREPAREDNESS AND RESPONSE PLAN ......................................... 37
ANNEX C: RESPONSE CLUSTER FOR EMERGING INFECTIOUS DISEASES .............................. 39
National Contingency Plan for COVID-19 The Philippines
SUMMARY
This National Contingency Plan for COVID-19 for the Philippines outlines the tools to mount a full-scale,
whole-of-government response to a Code Red situation with sustained community transmission leading
to epidemic surge.
The plan details the roles and responsibilities of relevant agencies in both public and private sectors,
including civil society organizations, while harmonizing available resources and synchronizing existing
policies, and looks at the access of support from other sources.
The plan is divided into cluster-specific implementation plans based on worst case scenarios.
The plan is based on the 2012 Philippine Preparedness and Response Plan for Pandemic and
Avian Influenza, and aligns with the draft National Action Plan for Health Security.
1 BACKGROUND
1.1 Introduction
On 31 December 2019, the World Health Organization (WHO) was alerted to a cluster of pneumonia
patients in Wuhan City, Hubei Province of China. One week later, on 7 January 2020, Chinese
authorities confirmed that they had identified a novel (new) coronavirus (COVID-19) as the cause of the
pneumonia.
Epidemiological evidence shows that COVID-19 can be transmitted from one individual to another.
During previous outbreaks due to other coronaviruses, including Middle-East respiratory syndrome
coronavirus (MERS-CoV) and the Severe Acute Respiratory Syndrome coronavirus (SARS-CoV),
human-to-human transmission most commonly occurred through droplets, personal contact, and
contaminated objects (fomites). The modes of transmission of COVID-19 are likely to be similar.
The precise zoonotic (animal) origin of the COVID-19 is still uncertain. The virus has been identified in
environmental samples from a live animal market in Wuhan, and some human cases have been
epidemiologically linked to this market. Other coronavirus, such as SARS and MERS, are also zoonotic,
and can be transmitted from animals (civet cats and dromedary camels, respectively) to humans.
On 12 January 2020, the Event-based Surveillance and Response (ESR) Unit of the Epidemiology
Bureau established surveillance for Patients Under Investigation (PUI) for COVID-19 with the following
case definition:
Patient Under Investigation
- a person with sudden onset of fever AND/OR cough AND/OR sore throat AND/OR cold OR
diarrhea in the absence other diagnoses AND
- a person with history of travel from china within 14 days or a person who visited any health
care facility with a known case or COVID-19
On 20 January 2020, the first case of COVID-19 was reported in the Philippines in a 38-year-old, female,
Chinese national. Immediate case investigation and contact tracing was conducted. Her companion, a
44-year-old, male, Chinese national became PUI and admitted in the same hospital. He was positive
for COVID-19 and died on 1 February 2020. The third confirmed case was reported on 5 February 2020.
She was a 60-year-old, female, Chinese national. All confirmed cases had travel history to Wuhan City.
On 30 January 2020, WHO declared that the outbreak of COVID-19 constitutes a Public Health Event
of International Concern. This a call to action for all countries to be prepared for containment, including
active surveillance, early detection, isolation and case management, contact tracing and prevention of
further spread.
1 March 2020 2
1.2 Hazard Analysis
Probability Levels (based on NDRRMC CP Guidebook 2018): Level 1: Most Unlikely (The event may occur only in exceptional cases)
Level 2: Unlikely (The event could occur at some time, but probably will not)
Level 3: Likely (The event might occur at some time, and probably will)
Level 4: Very Likely (The event will probably occur in most or many cases)
Level 5: Almost Certain (The event is expected to occur in many or most cases)
AVERAGE
HAZARD PROBABILITY (P) IMPACT (I) RANK
(P+I)/2
Outbreak 5 The event is 5 - Evidence of sustained community transmission 5 1
of COVID- Almost expected to Devastating - Beyond surge capacity of affected communities
19 Certain occur in - Surge capacity of health facility in affected communities exceeded
many or - Need for community quarantine
most cases - Intense need for augmentation from unaffected communities/regions
- Need for international assistance
- Increasing number of health providers infected by COVID-19.
Civil Unrest 5 The event is 5 - Evidence of sustained community transmission 5 1
Almost expected to Devastating - Beyond surge capacity of affected communities
Certain occur in - Surge capacity of the health facility in the affected communities
many or exceeded.
most cases - Need of community quarantine
- Intense need for augmentation from unaffected communities/regions
- Need for international assistance
- Increasing number of health providers infected by COVID-19.
- No available supply in the local market for the general public
- Looting of PPEs
- Break in law and order
1 March 2020 3
Impact Levels (based on NDRRMC CP Guidebook 2018)
1 2 3 4 5
Negligible Minor Moderate Severe Devastating
No cases COVID-19 cases in other COVID-19 cases - Evidence of local transmission - Evidence of sustained
reported such as countries imported in the country of COVID-19 community transmission
PUI and - Clustering of COVID-19 cases - Beyond surge capacity of
Confirmed in defined community (in affected communities
COVID-19 case hospitals, home, school, and
in the country other mass gathering events)
No delay in - Cases are detected - Case investigation - Heightened capacity for - Surge capacity of the health
normal through routine and contact tracing of response measures facility in the affected
functioning in surveillance systems confirmed cases (surveillance and laboratory, communities exceeded.
the health such as ILI and SARI - Enhance laboratory infection control measures, - Need of community quarantine
service delivery surveillance, and capacity for case management) - Intense need for augmentation
in the country Event-based confirmatory testing - Intense utilization of logistics from unaffected
Surveillance - Need for quarantine for infection control, laboratory communities/regions
- Heightened measures supplies and case - Need for International
International Health management such as PPEs, assistance
Surveillance System at medicines, and medical - Increasing number of health
points of entry through supplies and equipment. providers infected by COVID-
BOQ - Insufficient isolation facilities 19.
No effect in the Increasing number of Panic buying of PPEs - Shortage of PPEs - No available supply in the local
community. Life queries addressed to the - Hoarding of PPEs market for the general public
is normal. government - Spontaneous protests - Looting of PPEs
observed - Break in law and order
1 March 2020 4
1.3 Hazard Plan
Since 13 February 2020, the disease is officially called COVID-19 and the virus is called SARS-CoV-2
(WHO refers to the virus as the COVID-19 virus). Numerous unknown factors including the natural
history of disease, role of pauci/asymptomatic cases and transmissibility are not yet known although
there is evidence of human-to-human transmission.
SARS-CoV-2 is a human coronavirus, which are known to cause mild to severe illness including
common colds, Middle East Respiratory Syndrome (MERS) and Severe Acute Respiratory Syndrome
(SARS). This coronavirus is a new strain that has not been previously identified in humans.
Early warning signs include increasing number of cases globally and importation in the country. Local
disease transmission (human-to-human spread) will trigger immediate public health response.
Mitigation measures include early detection and laboratory, isolation and case management,
screening at points of entries and exits, and quarantine of exposed individuals.
EARLY WARNING TRIGGERING EXISTING MITIGATING
ROOT CAUSE
SIGNS FACTORS MEASURES
Emergence of - Increasing Local transmission - Early detection and laboratory
SARS-COV-2 number of cases (human to human) confirmation
virus (causing globally - Isolation and case
COVID-19) - Importation of management
cases in the - Screening at points of entries
Philippines and exits
- Quarantine of exposed
individuals
1.3.1 Four Door and Color Coded Framework
The Department of Health (DOH) Four Door Framework, as adopted by the National Disaster Risk
Reduction Management Council (NDRRMC) guides the DOH Emergency Operation Center (EOC) on
the types and level of responses to outbreaks and epidemics. The framework provides an integrated
and coordinated response for a specific stage represented by a door, corresponding to a color code
(White, Blue and Red) in the course of the public health emergency situation.
Please find for details Annex A.
1 March 2020 5
1.4 Worst Case Scenario
COVERAGE CAUSES
- 16 out of 17 Regions affected - Spread of the virus through asymptomatic carriers
- Around 83 M Filipinos exposed - Increased PUIs/PUMs/carriers of COVID-19
- Increased transmission
CONSIDERATIONS
- Increase virulence of the causal pathogen
- Attack rate
- Presence of other modes of transmission
- Vulnerabilities
- Increased # of patients (IPC practices not applied)
- Capabilities of health facilities per
- Uncontrolled spread in the community
locality and per region
- Lack of capacities of health facilities
- Population density
- Health teams become affected and are unable to
- Presence of potential entry points
deliver services
EFFECTS
- Delayed government - Socioeconomic - Around 70% affected by
response breakdown endemic disease
- Government malfunction - Closure of establishments - Government personnel and
- Loss of public trust / facilities health workers infected, get
- People’s safety and - Extreme poverty sick and even disease
security are at risk - Traffic congestion in roads - Patients are no longer
- Massive lockdown leading out of cities catered to
- Loss of border control - Filipinos stranded abroad - People resort to home
- Lack of screening - Increased demand for isolation
equipment in entry points national assistance - Massive fear/ panic
- Decreased production of services - Increase in psychosocial
basic commodities - Limited access to health concerns
- Imports and exports treatment for Filipinos - Disruption in daily lives
- Catastrophic effect to overseas - Emergence of new religious
trade and economy - Strained relations with cults
foreign governments - Spread of stigma
1.5 Affected Population
AFFECTED
DESCRIPTION ASSUMPTIONS
AREA
Imported Cases (travelers) with most likely Some exposed travelers might have
Transmission exposure outside the country been infected.
Local Human to Human transmission in the Infected persons might transmit to
Transmission country close contacts
Sustained There is community transmission in the Ongoing person to person transmission
Community country despite use of appropriate control
Transmission measures.
1 March 2020 6
2 GOALS AND OBJECTIVES
2.1 Goal
The goal of the National Contingency Plan for COVID-19 is to provide appropriate response and counter
measures to prevent further spread in the community.
2.2 General Objective(s)
The objectives of the plan are to:

1. Limit human to human transmission including reducing secondary infection among close
contacts and health care workers, preventing transmission amplification events, and preventing
further international spread.
2. Identify, isolate and care for patients early, including the provision of optimized care for infected
patients;
3. Address crucial unknowns regarding clinical severity, extent of transmission and infection,
treatment options, and accelerate the development of diagnostic, therapeutic and vaccines;
4. Communicate critical risk and event information to all communities and counter misinformation;
5. Ensure availability of resources in response to the incident.
1 March 2020 7
3 RESPONSE ARRANGEMENTS
3.1 Response Clusters
DOH as mandated by the 1986 Philippine Constitution is the government agency responsible for the
provision of health services to the Filipino people, and leads the health cluster comprised of the different
Government Agencies and Non-Government Organizations in responding to health threats.
Coordination, collaboration and communication is done through the Inter-Agency Task Force on
Emerging Infectious Disease (IATF-EID) led by DOH per Executive Order # 2014-168.
DOH established a COVID-19 EOC and activated the DOH Incident Command System for Epidemics
per Department Personnel Order (DPO) # 2019-5027.
As the executive arm and secretariat of the NDRRMC, and operational coordinator of the NDRRMC
Response Clusters, the Office of Civil Defense (OCD) shall:
- Task all Response Clusters to provide assistance to the IATF-EID Task Groups through the
provision of appropriate augmentation, as necessary
- Direct all Response Clusters to collaborate with their counterparts at all levels (national, regional &
local) to work closely with DOH as the lead agency of both the IATF-IED and NDRRMC Health
Cluster
- The NDRRM Operations Center located at Camp General Emilio Aguinaldo, Quezon City, manned
and maintained by OCD personnel 24/7 shall serve as the alternate coordinating center of the
NDRRMC Response Clusters in support to the DOH-Health Emergency Management Bureau
(HEMB) Operations Center located at the San Lazaro Compound, Sta. Cruz, Manila that serve as
the primary coordinating center of the NDRRMC Response Clusters
- Assist in the information dissemination campaigns for increasing awareness of the public through
all available media platforms in coordination with DOH
- Coordinate with other NDRRMC member agencies for any augmentation support needed by DOH
The health cluster shall be closely collaborating with the below identified response clusters in the
preparedness and response to a possible COVID-19 outbreak in the Philippines.
1. Health
2. Governance
3. Law and Order
4. Economy
5. Logistics
6. International Humanitarian Assistance
7. Risk Communication
1 March 2020 8
3.1.1 HEALTH CLUSTER

LEAD AGENCY: Department of Health
MEMBERS: 1. Philippine Red Cross
2. Philippine Hospital Infection Control Nurses Association
3. Philippine Hospital Association
4. Philippine Medical Association
5. Philippine Society for Microbiology and Infectious Disease
6. Philippine Nurses Association
7. Pediatric Infectious Disease Society of the Philippines
8. Philippine Hospital Infection Control Society
9. National Reference Laboratory (RITM)
10. Department of Agriculture
11. Department of Social Welfare and Development (DSWD)
12. Philippine Psychiatric Association
13. Psychological Association of the Philippines
14. Pulmonary Specialist Association
15. Private sector
16. UN agencies (UNICEF, UNFPA, UNDP, OCHA, WHO)
17. NGO partners
18. Donor agencies (USAID, etc.)
3.1.1.1 Objectives
1. To ensure the protection of lives and health properties
2. To provide for an uninterrupted delivery of essential health services;
3. To reduce preventable mortalities and further morbidities resulting from COVID-19; and
4. To coordinate the response of the Health Sector
3.1.1.2 Worst Case Scenario
1. Around 70% affected by endemic disease
2. Government personnel and health workers infected, get sick
3. Patients are no longer catered to
4. People resort to home isolation
3.1.1.3 Roles And Responsibilities
1. Ensure implementation of standards of care; infection prevention and control
procedures
2. Ensure the safety and security of the health care workers/providers
3. Review of available resources
Department of Agriculture (DA)
1. Assess potential risks of the spread of zoonotic diseases to humans
2. Provide information on suspected incidents of transmission of COVID-19 and share with
DOH
Department of Social Welfare and Development (DSWD)
1. Assist in the referral of PUIs for possible surveillance and contact tracing
2. In the event of an Area Quarantine, provide relief goods to affected communities and
psychosocial and counseling services.
3. Prepare the community for a potential outbreak or epidemic, social workers shall aid in
the conduct of information and dissemination campaigns on hygiene and sanitation.
Philippine Red Cross (PRC)
1. Quarantine and Point Of Entry
1 March 2020 9
- Support Repatriation through Providing Welfare Services (Psychosocial support, Online

Psychological First Aid, and Family visitation)
- Establish welfare desks in airports to support the repatriation of OFWs, provide PSP to
family members of PUI/PUM/Confirmed case of COVID-19 or quarantined health
workers and other psychosocial management needs (through on-line). Welfare desks in
hospitals will also be needed to support distressed family members, obtain firsthand
information from hospitals, and for tracing/restoring family links. PRC will also reach out
to health workers and their family members who may be adversely affected by the
outbreak in the event of infection, isolation or quarantine of a health worker or any of
their family members, and will provide encouragement and support for health workers
who may fall ill.
2. Surveillance
- Contact Tracing
- Augment in contact tracing, however DOH shall provide technical training to the
qualified volunteers (protocol, forms/tools)
3. Case Management
- Patient transport for suspected or infected patients, through fleet of Ambulance Units
and Teams of First Responders/ Ambulance Crew/ EMT’s, PRC is expected to support
patient conduction of suspected and PUI/PUM/Confirmed case of COVID-19, thus
necessary SOPs shall be in place in order to ensure effective handling of patients and
protection of staff/volunteers. The guidelines for the Emergency Medical Services
Preparedness for the COVID-19 was developed for your compliance.
- Medical Tents to Key Hospitals: for additional space to manage/isolate patients or to be
used by hospitals if Emergency Rooms or Out-Patient Departments are overcrowded.
As medical tents of PRC are limited, criteria for prioritization of hospitals will be used
based on the strategic location and function of the facility in the area/province. PRC
shall prioritize key government hospitals specifically DOH Hospitals and main provincial
& city hospitals in the event of surge of patients.
- Blood Supply: conduct emergency bloodletting activities when need arises.
4. Risk Communication & Community Engagement
- Health & Hygiene Promotion Activities to disseminate key messages on COVID-19 and
Flu prevention to key partner, communities, schools and other target audience.
- Stigma-Reduction Activities through distribution of IEC materials pertaining
psychological coping during disease outbreak and psychoeducation to the families who
are in quarantine.
Research Institute for Tropical Medicine (RITM)
1. Laboratory Response Provision of Confirmatory testing for CoViD-19
- Provide technical assistance on the proper collection, packaging and transport of
specimen
- Provision on the capacity and monitoring of the activities of the Sub-national
Laboratories
2. Patient Management Screening and Triaging of suspected cases
- Confinement and containment of suspected cases
- Clinical management of suspected cases
PhilHealth
1. Develop various benefit packages for PUIs (Filipinos and foreign nationals) to defray
cost of hospitalization and other related medical expenses
Medical Specialty Organization, Academe and Private Institutions
1. Provide clinical and technical inputs on guidelines, protocols and algorithms on clinical
management and infection control
1 March 2020 10
2. Provide DOH with evidence-based and programmatic recommendations

Philippine Hospital Infection Control Nurses Association (PHICNA)
1. Provide clinical and technical inputs on guidelines, protocols and algorithms on clinical
management and infection control
2. Provide DOH with evidence-based and programmatic recommendations
3. Technical support on the formulation of guidelines / protocols on Infection Prevention
and Control
4. Design Capacity building module for COVID19 or other pandemics and providing it to
our members or non-members
3.1.1.4 Response Activities
TIMELINES RESPONSE ACTIVITIES AGENCIES INVOLVED
Code Blue Capacity building of the community health DOH, DILG
D minus the workers/BHERTs to treat mild cases of COVID-19
worst case Development of referral system for worst-case scenario BLHSD
outbreak Activation of sub-national reference laboratories DOH
Establishment of the Public Health Laboratory Network DOH
D (Worst Activation of the Contingency Plans DOH
case) Convene of the Interagency Task Force DOH
Recommend to the Office of the President declaration of DOH
State of Public Health Event of National Concern
Recommend request for international assistance DOH, DFA
Continuous surveillance of the cases EB
Submission and dissemination of situation reports DOH
Mapping of case load in all the hospitals HFDB
Utilization of the community health workers/BHERTs to DOH, DILG
treat mild cases of COVID-19
Continuation of the activation of private reference Private sector
laboratory
Notification/mobilization of standby response teams DOH, private sector,
society organization
Continuous coordination and communications among Members of the health
stakeholders sector
Continuous delivery of public health services such as WASH, MHPSS and
WASH, MHPSS and Nutrition Nutrition Cluster
D + 1 WEEK Augment health human resource through mobilization of Private sector, society
(and private health and non-health practitioners (as part of organizations
onwards) their corporate social responsibility)
Continuous surveillance and monitoring of cases EB
Submission and dissemination of situation reports DOH
Augmentation of health practitioners from uniformed PNP, AFP
personnel
Deployment of field hospitals to augment the capacity of PRC, private sector,
the hospitals society organizations
Continuous coordination and communications among Members of the
stakeholders Response Cluster
Continuous delivery of public health services such as WASH, MHPSS and
WASH, MHPSS and Nutrition Nutrition Cluster
1 March 2020 11
3.1.2 GOVERNANCE CLUSTER

LEAD AGENCY: Department of Interior and Local Government (DILG)
CO-LEAD: Department of Health
MEMBERS: 1. Local Government Unit (LGU)
2. Department Of Justice (DOJ)
3. Department Of Foreign Affairs (DFA)
4. Department Of Finance
5. Department Of Budget And Management
6. Commission On Audit
7. Private Hospital Association Of The Philippines Inc (PHAPI)
8. Philippine Hospitals Association
3.1.2.1 Objectives
1. Ensure compliance of Local Government (non-DOH-Retained Hospitals) and Private
Health Facilities, Non-Government Organizations at all levels and all local responders
and health workers to all issuances/orders pertaining to COVID-19 and other related
issuances;
2. Ensure proper referral system is followed by medical personnel and health facilities.
(Identify Facility / Hospital (capable of handling PUMs/PUIs) ;
3. Ensure continuity of the provision of basic services through coordination of public
concerns with relevant national government agencies;
1. Delayed government response
2. Government malfunction
3. Loss of public trust
3.1.2.3 Roles and Responsibilities
1. Continuous monitoring of LGU compliance to DILG Memorandum # 2020-023;
2. Draft pre-prepared issuance to all LGUs in coordination/consultation with DOH-CO on:
a. Updated functions and reorientation of the Local Health Board/COVID-19 Task
Force and BHERTs for COVID-19 Response;
b. Strengthened Public-Private Partnership on resource sharing mechanisms;
c. Reiteration of all existing relevant guidelines from DOH on COVID-19 and other
related issuances;
3. Monitor operational status of functional units (Local COVID-19 Task Force, BHERTs,
Rural Health Units, and identified referral facilities);
4. Monitor and assess fund utilization/sufficiency from concerned LGUs relative to COVID-
19 Response;
5. Consult with IATF-EID and other relevant NGAs on lobbying to Congress and Senate
for possible augmentation of the Quick Response Fund to concerned NGAs and LGUs;
6. Assess and augment PPEs in partnership with PHAP to concerned critical LGUs for
COVID-19 Response;
7. Receive daily accomplishment reports from LGUs and provide these to the DILG-
CODIX and DOH CO (through the DOH-Epidemiology Bureau);
8. Take steps on shortening the procurement process of Personal Protective Equipment
(PPEs).
DILG
1. Mobilize the Barangay Health Emergency Response Teams (BHERT) monitor health
situation in their respective jurisdiction
2. Mobilize PNP to assist DOH in contract tracing, and facilitate in the isolation and control
of quarantine areas
1 March 2020 12
3. Provide guidelines to LGUs on government response for the COVID-19 situation to

include:
4. Investigate and verify reported EREID cases, clustering or epidemics immediately and
report all essential information to their respective Regional Offices.
5. Transport patients to LGUs (Type of Hospital) Referral hospitals or health centers for
isolation and treatment
6. Ensure continued environmental sanitation practices and observance of personal
hygiene and infection control measures
7. Enjoin all LGUs to intensify information education campaign against the 2019-nCoV and
disinformation
Department of Justice (DOJ)
8. Support the IATF by acting on legal queries or requests for legal opinion/study.
9. Direct the NBI to investigate and conduct case build-up on the deliberate spread of
misinformation and fake news about the COVID19 and false reporting of COVID 19
cases, and to determine what laws were violated and to file the appropriate charges.
10. Upon request of the DOH, the SOJ can direct the NBI to track down and investigate the
whereabouts of possible infected persons and the people they may have interacted
with.
D (Worst - Convene the Local Governance Cluster DOH, DILG, DBM, DOJ,
case) - Coordinate the release of the pre-prepared issuance COA, DOF, DTI, GPPB,
for COVID-19 Response; PHAP, PHA, and other
- Analyze critical data such as LGU compliance to DILG related organizations
Memorandum Circular 2020-023 and provide
recommendation to DOH (Response Cluster Lead)
- Revise the functions of the BHERTS;
- Take steps on ensuring the procurement process for
PPEs and other Emergency Logistics would be
shortened and continuous;
- Coordinate with relevant NGAs, Congress, and
Senate to lobby and hasten on the provision of Quick
Response Funds
- Organize Local Health Board/COVID-19 Task Force;
D + 1 day - Reorientation of updated functions e Local Health
Board/COVID-19 Task Force and BHERTs for
COVID-19 Response
- Assess critical LGUs for possible augmentation of
PPEs
- Monitor the status and progress of the actions taken
by the concerned LGUs, and assess their capability
and capacity to properly manage the situation and
recommend actions to DOH (Response Cluster Lead)
- Consolidate and submit daily report from LGUs and
Cluster Member to DOH (Response Cluster Lead)
D+1 - Monitor and assess fund utilization/sufficiency of DOH, DILG, PHAP,
WEEK LGUs for COVID-19 Response; PHA, Medical Societies,
- Monitor the status and progress of the actions taken COA, DBM, DOF
by the concerned LGUs, and assess their capability
1 March 2020 13

and capacity to properly manage the situation and
recommend actions to DOH (Response Cluster Lead)
- Consult with IATF-EID and other relevant NGAs on
lobbying to Congress and Senate for possible
augmentation of the Quick Response Fund to
concerned NGAs and LGUs
- Consolidate and submit daily report from LGUs and
Cluster Member to DOH (Response Cluster Lead)
- Monitor the operational status of BHERTS, Health
Facilities, Local Government Units;
- Monitor compliance of all concerned operating units to
previous issuances provided
- Analyze the collected data and provide
recommendations for action of the whole body
WEEKS LGUs for COVID-19 Response; PHA, Medical Societies,
- Monitor the operational status of BHERTS, Health COA, DBM, DOF
D+1 - Monitor and assess fund utilization/sufficiency from DOH, DILG, PHAP,
MONTH concerned LGUs for COVID-19 Response; PHA, Medical Societies,
MONTHS LGUs for COVID-19 Response; PHA, Medical Societies,
D Onwards - Monitor and assess fund utilization/sufficiency of DOH, DILG, PHAP,
LGUs for COVID-19 Response; PHA, Medical Societies,
1 March 2020 14
3.1.3 LAW AND ORDER CLUSTER

LEAD AGENCY: Department of the Interior and Local Government (DILG)
MEMBERS: 1. Department of Health
2. Philippine National Police
3. Department of Justice
4. National Bureau of Investigation
5. Bureau of Immigration
6. Department of National Defense
7. National Security Council
8. Anti-Terrorism Council
9. Philippine Coast Guard
10. Philippine Navy
11. Philippine Air Force
12. Bureau of Quarantine
13. Epidemiology Bureau
14. Commission on Human Rights
3.1.3.1 Objectives
Support DOH in Maintaining Law And Order in the Implementation of the Contingency Plan
1. Assist in the contact tracing and quarantine of persons or communities
2. Secure transfer of patients to the appropriate health facilities
3. Ensure security and the well-being of health personnel and responders, as well as
essential needs and supplies, including drugs, vaccines, medical equipment and critical
infrastructure such as banks and electricity and water utility services
4. Enforce the Quarantine Act and the maintenance of law and order
5. Preserve vigilance against illness among members of the community
6. Practice biosecurity and biosafety surveillance in checkpoints with due regard to the
constitutional rights of everyone
7. Maintenance of peace and order
8. Assist in the disaster, identification and management of the dead
9. Through the PNP Health Service will provide personnel and facilities including CBRNE
Teams, EMS Teams and hospital assets for Chemical Biochemical, Radiological,
Natural Manmade including weapons of mass destruction (WMD) incidents.
3.1.3.2 Word Case Scenario
1. People’s safety and security are at risk
2. Massive lockdown
3. Loss of border control
4. Lack of screening equipment in entry points
PNP and the BFP
1. Assist in the contact tracing and quarantine of persons or communities
2. Secure transfer of patients to the appropriate health facilities
3. Ensure security and the well-being of health personnel and responders, as well as
essential needs and supplies, including drugs, vaccines, medical equipment and critical
infrastructure such as banks and electricity and water utility services
4. Enforce the Quarantine Act and the maintenance of law and order
5. Preserve vigilance against illness among members of the community
6. Practice biosecurity and biosafety surveillance in checkpoints with due regard to the
constitutional rights of everyone.
7. Maintenance of peace and order
1 March 2020 15
8. Assist in the disaster, identification and management of the dead

9. Through the PNP Health Service will provide personnel and facilities including CBRNE
Teams, EMS Teams and hospital assets for Chemical Biochemical, Radiological,
Natural Manmade including weapons of mass destruction (WMD) incidents
DND and AFP
1. OCD, National Security Adviser and the National Security Council Secretariat shall
assist in the command and coordination of the COVID-19 response
2. Assist in the strategic threat assessment of the spread of epidemics and the suggest
appropriate response
3. Assist in maintaining peace and order in the event of an Area Quarantine or community
outbreak
Bureau of Immigration
1. Strictly inspect passengers going to and coming from affected countries and direct the
appropriate filling up of health checklist forms
2. Maintain complete records of travelers arriving from and departing for affected countries
3. Submit a complete list of passengers, with contact details, of flights identified to have
potentially suspected or confirmed cases to the DOH
4. Coordinate with the Bureau of Quarantine and the Bureau of Customs in conducting
active surveillance of cases
D (Worst-case) a. Mobilization of QRT (Quick Response Team) in a. Law and Order Cluster
all REGIONS b to d. military and police
(3% of the b. Continue providing assistance through: Security personnel and other law
population escort coverage enforcement agencies
affected) c. Assisting in the transport of PUIs, infected e to g. DILG, Bgry./LGU
persons and medical equipment/supplies officials, PNP
d. Provide security coverage in quarantine areas f to g. military, police and
e. Help in the enforcement of curfew when declared brgy. personnel, BOQ
f. Assist in implementing Community and other law
Quarantine/Check-points/lockdown or Martial enforcement agencies
Law h. PNP and AFP
g. Assist in enforcing the restrictions of mass i. military and police
gathering events as mandated by IATF personnel and other law
h. Mobilize military and police doctors to assist in enforcement agencies
treating cases j. AFP and PNP
i. Military, police officers and other law k. AFP and PNP
enforcement agencies to ensure security l. AFP
measures for Health facilities, Health workers; m. BI, military and police
j. Mobilize security personnel to implement Martial personnel and other law
Law. enforcement agencies
k. Identify or establish one facility for treatment of n. DILG, PNP and AFP
military or police personnel affected o. NBI
l. Activation of Reserve Forces of the AFP
m. Implement travel bans or border closure as
mandated by IATF
n. Assist the DTI in monitoring that the SRP is
maintained and ensuring that there no hoarding
of basic goods and medical supplies.
1 March 2020 16

o. Investigate possible intentional bio-terrorism
activities
D + 1 WEEK Continuity of the D response activities Law and Order Cluster
Reevaluation/Feedback/
D + 2 WEEKS Continuity of the D response activities Law and Order Cluster
D + 1 MONTH Continuity of the D response activities Law and Order Cluster
D+3 Continuity of the D response activities Law and Order Cluster
MONTHS Reevaluation/Feedback/
D Onwards Continuity of the D response activities Law and Order Cluster
Reevaluation/Feedback/ DOJ, NBI, DILG
Case-build up / Prosecution PNP, AFP,
Discipline police and military personnel
1 March 2020 17
3.1.4 ECONOMY CLUSTER

LEAD AGENCY: NEDA
MEMBERS: 15. DOT
16. DOLE
17. DTI
18. PDRF
19. DA
20. DOF
21. DBM
22. BSP
23. DOE
24. DSWD
25. DICT
26. IC
3.1.4.1 Objectives
Ensure business continuity, economic activities
- Identify sectors/indicators that will be affected most
- Mitigate the effects of COVID
1. Decreased production of basic commodities
2. Imports and exports
3. Catastrophic effect to trade and economy
4. Socioeconomic breakdown
5. Closure of establishments / facilities
6. Extreme poverty
- DTI – supply allocation and price control
- DOT – promote local tourism
- PDRF – activate and monitor business continuity plan, assess the impact to employees
- NEDA – economic policies
Department of Trade and Industry (DTI)
1. Undertake measures to prevent profiteering activities and other unscrupulous practices
which are inimical to the public with regards to having the necessary drugs and
medicines and personal protective equipment available to the public
DOLE (BWC, POEA)
1. Issue advisories/updates for Filipino workers, their local and foreign recruitment
agencies and employers.
2. Provide relevant information/data that may assist in the contact-tracing in the labor
sector subject to data privacy protocol and guidelines.
3. Issue circulars/advisories in consideration of travel restrictions imposed by concerned
government offices/authorities.
4. Coordinate with other agencies providing social welfare benefits for possible grant of
loss of income benefits to workers in case of temporary closure of establishment to halt
the spread of the disease
5. Implement various flexible work arrangement, including telecommuting, as part of the
company’s business continuity plan.
DOLE (OWWA)
1 March 2020 18
1. Onsite:
- Provision of basic needs such as food, personal hygiene kits, etc.
- Conduct meetings with the Filipino communities to disseminate information and provide
updates on government actions on efforts to address the health issue as well as
generate information on the situation of Overseas Filipino Workers (OFWs) in their
respective communities.
- Coordinate/negotiate with employers of Filipino workers to ensure the welfare and well-
being of their workers.
- Provide airport assistance to OFWs who will be repatriated.
2. Central Office:
- Provide airport assistance to arriving affected OFWs.
- Provide post-repatriation services such as transportation assistance to places of
residence.
3. Regional:
- Provide updates to families of OFWs on the situation of the workers in the affected
countries.
- Provide airport assistance to OFWs residing outside Metro Manila.
D (Worst - Convene economic development cluster (policies) - DTI
case) - Price freeze and monitoring - PDRF
- Continuous bank operations - DOLE
- Activation of BCP - NEDA
- Flexible work arrangements - DOT
- Recommend to OP rationing/limiting - BSP
- DOF
D+1 - Social welfare benefits (eg. SSS) - SSS
MONTH - Livelihood assistance - DOLE
D Onwards - Soft loans and incentives for business/SMEs
- Relaxing of policies to encourage businesses
1 March 2020 19
3.1.5 LOGISTICS CLUSTER

LEAD AGENCY: OCD
MEMBERS: 1. DOH
2. DOTr
3. DND
4. DPWH
5. AFP
6. PNP
7. DILG
8. DSWD
9. DFA
10. PCG
11. BFP
12. DTI
13. DA
14. NFA
15. PPA
16. CAAP
17. Philippine Red Cross
18. PDRF
3.1.5.1 Objectives
Provide emergency logistics support services as requested by the other Clusters, including
transportation, warehousing, supplies & inventory management and restoration of utilities &
facilities.
1. Traffic congestion in roads leading out of cities
2. Depleted stocks in warehouses
3. Depleted stocks in markets
4. Delays in receiving imported goods and humanitarian aid
The cluster is composed of four (4) sub-clusters, namely:
a. Transportation (land, sea, air, and rail) – provide an efficient and effective strategic
emergency mobility services to all clusters deployed by the Health Cluster and encourage
regular info-sharing among all stakeholders and other partners on emergency road
network, status of critical infrastructure/lifelines, etc;
b. Warehousing – conduct warehousing operations by providing space for the storage,
processing and safekeeping of relief goods, supplies, materials and equipment of the
different clusters to provide good and serviceable supplies needed for operations; to
establish network of shared warehousing space and equipment;
c. Supplies and Inventory – provide a reliable inventory and supplies of DRRM/ health
resources and FNFIs/ commodities eg. PPEs and medical supplies to its Cluster
members and to other responding agencies who do not have QRF allocation. Also provide
support for the speed deployment and management of necessary supplies and
inventories. Further, the Sub-Cluster aims to maintain a stockpile of available resources;
d. Infrastructure and Utilities – ensure immediate response in the availability of basic
facilities such as water, power, communication and road accessibility to affected areas.
Construction/ augmentation of possible isolation facilities.
Resources including health personnel, FNFIs like PPEs and medical supplies for the patients/
PUIs/ PUMs are under the resource inventory and purview of the Health Cluster.
1 March 2020 20
Department of Transportation (DOTr)

1. Oversee that infrastructure facilities such as airports, seaports and other transportation
terminals be available in the implementation of Executive Order 168
2. Determine the need to control entry and exit of aircraft, sea craft and other forms of
transportation to prevent and control further entry of COVID-19
3. MIAA - ensure adequate thermal scanners
4. PPA - ensure handheld thermal scanners
D (Worst- - Activate CP for COVID-19 - All members
case) - Revisiting of inventory of resources - OCD and members
- Conduct coordination & planning meeting
- Delivery of Logistics Cluster Services
- Plan for deactivation/ exit strategy
D + 1 WEEK - Monitoring of resources and actions All members
- Continuous delivery of Logistics Cluster Services
- Planning for construction of isolation facilities
- Scheduling of personnel involved in the operations
- Identification of gaps and sourcing out resources for
augmentation
D+2 - Monitoring of resources and actions All members
WEEKS - Continuous delivery of Logistics Cluster Services
augmentation
MONTH - Continuous delivery of Logistics Cluster Services
augmentation
MONTHS - Continuous delivery of Logistics Cluster Services
augmentation
D Onwards - Monitoring of resources and actions All members
- Continuous delivery of Logistics Cluster Services
augmentation
- Implement plan for deactivation/ exit strategy
1 March 2020 21
3.1.6 INTERNATIONAL HUMANITARIAN ASSISTANCE CLUSTER

LEAD AGENCY: DFA
MEMBERS: 1. DOLE
2. DOH (including BOQ and FDA)
3. DSWD
4. DND
5. DOTr
6. DICT
7. DPWH
8. DOF
9. DA (including BAI)
10. DILG
11. DOJ
12. PMS
13. OWWA
14. POEA
15. PRC
16. AFP
17. PNP
18. OCD
19. BI
20. BOC
21. NICA
22. NEDA
23. SBMA
24. CDC
25. COA
26. NTC
27. NFA
3.1.6.1 Objectives
1. To provide timely and efficient humanitarian assistance from various stakeholders to
Filipinos both local and overseas.
2. To provide massive info-dissemination on COVID-19 to Overseas Filipinos (OFs) and
their families
3. To liaise with foreign governments and their respective missions in the Philippines as
well as International Organizations (IOs) on developments, guidelines, protocols and
response actions (ex. travel restrictions) on COVID-19.
4. To liaise or coordinate with the principals and employment agencies on the welfare and
well-being of Overseas Filipino Workers (OFWs).
1. Filipinos stranded abroad
2. Increased demand for national assistance services
3. Limited access to health treatment for Filipinos overseas
4. Strained relations with foreign governments
3.1.6.3 Roles And Responsibilities:
1. To undertake repatriation efforts and facilitate the return of OFs in affected areas.
2. Provide/issue updated information, advisories and guidelines relative to COVID-19.
3. Issue diplomatic circulars and host diplomatic briefings to resident diplomatic missions
and IOs in the Philippines on developments, guidelines, protocols and response actions
(ex. travel restrictions) on COVID-19.
1 March 2020 22
4. Issuance of relevant advisories/circulars for employment agencies to monitor and

ensure the health and well-being of their deployed OFWs.
5. Conduct regular meetings with principals/employers to ensure the provision of social
protection/benefits of OFWs.
DFA
1. Lead repatriation plan and implementation
2. Coordinate with embassies, consulates and missions to obtain information from
overseas Filipinos or Filipino communities
3. Coordinate with DOLE, POEA and OWWA to ensure protection and welfare of Filipinos
working abroad
4. Report on affected countries’ situation and response that can impact travel and trade
5. Orient foreign service staff on COVID-19 preventive measures
D (Worst- - Activate Contingency Plan (CP) of every Foreign DFA, DOH, DSWD,
case) Service Posts (FSPs), employers and employment DND, DOTr, DICT,
agencies as applicable DPWH, DOF, DOLE,
- Activation of Rapid Response Teams (RRTs) of DA, DILG, DOJ, PMS,
DFA, DOH, and DOLE/OWWA OWWA, POEA, PRC,
- Mapping of affected OFs AFP, PNP, OCD, BI,
- Issuance of relevant advisories (ex. travel BOC, BOQ, BAI, FDA,
restrictions) NICA, NEDA, SBMA,
- Issuance of diplomatic circulars to resident CDC, COA, NTC, NFA
Diplomatic Missions and IOs.
- Identify quarantine and isolation facilities for
returning OFs in coordination with DOH and BOQ.
- Identify the incoming humanitarian assistance
needed to augment local resources.
- Provision of PPEs to personnel in FSPs and
affected OFs.
D + 1 WEEK - Cluster to assess the repatriation of OFs. DFA, DOH, DSWD,
- FSPs to coordinate with the Filipino Communities DND, DOTr, DICT,
(FilComs) on repatriation plans. DPWH, DOF, DOLE,
- Mobilization of RRTs of DFA, DOH and DA, DILG, DOJ, PMS,
DOLE/OWWA. OWWA, POEA, PRC,
- Processing of international humanitarian assistance AFP, PNP, OCD, BI,
(IHA). BOC, BOQ, BAI, FDA,
- Issuance of updated advisories (ex. travel NICA, NEDA, SBMA,
restrictions) CDC, COA, NTC, NFA
- Issuance of updated diplomatic circulars to resident
Diplomatic Missions and IOs.
- Provision of situation reports (SITREPs) of various
countries without WHO representatives.
affected OFs.
D+2 - Undertaking of repatriation arrangements of OFs. DFA, DOH, DSWD,
WEEKS - Processing of international humanitarian assistance DND, DOTr, DICT,
(IHA). DPWH, DOF, DOLE,
- Issuance of updated advisories (ex. travel DA, DILG, DOJ, PMS,
restrictions) OWWA, POEA, PRC,
1 March 2020 23

- Issuance of updated diplomatic circulars to resident AFP, PNP, OCD, BI,
Diplomatic Missions and IOs. BOC, BOQ, BAI, FDA,
- Provision of updated situation reports (SITREPs) of NICA, NEDA, SBMA,
various countries without WHO representatives. CDC, COA, NTC, NFA
affected OFs.
MONTH - Processing of international humanitarian assistance DND, DOTr, DICT,
affected OFs.
MONTHS - Processing of international humanitarian assistance DND, DOTr, DICT,
- Provision of PPEs to personnel in FSPs and affected
OFs.
D Onwards - Undertaking of repatriation arrangements of OFs. DFA, DOH, DSWD,
- Processing of international humanitarian assistance DND, DOTr, DICT,
- Provision of PPEs to personnel in FSPs and affected
OFs.
1 March 2020 24
3.1.7 RISK COMMUNICATION CLUSTER

LEAD AGENCY: Department of Health
CO-LEAD: Department of Social Welfare and Development
MEMBERS: 1. Office of Civil Defense
2. Presidential Communication Operations Office
3. Department of Social Welfare
4. National Telecommunications Commission
5. Department of Tourism
6. Department of Information and Communications Technology
7. Department of Education (DepEd)
8. Philippine Red Cross
9. Philippine Information Agency
10. UN agencies (UNICEF, UNFPA, UNDP, OCHA, WHO)
11. Philippine News Agency
12. KBP, Media partners (broadcast, print and digital)
13. Philippine Disaster Resilience Foundation
14. Donor agencies (USAID, etc.)
3.1.7.1 Objectives
1. To provide access to critical, accurate, and timely information
2. To address panic and fear of the community affected by the COVID-19 by tracking and
mitigating effects of rumors, myths, and misconceptions
3. To strengthen capacities of partners to effectively communicate with affected
populations
1. Massive fear/ panic
2. Increase in psychosocial concerns
3. Disruption in daily lives
4. Emergence of new religious cults
5. Spread of stigma
3.1.7.3 Roles and Responsibilities
1. Identify, develop, and disseminate appropriate, accurate, and timely messages
2. Lead the coordination of all communication arms of partner agencies, public and private
3. Identify and build capacities of spokespersons across all partner agencies, public and
private
4. Explore and establish mechanisms for all available and alternative platforms in
disseminating information
Presidential Communication Operations Office (PCOO) and Philippine Information
Agency (PIA)
1. Conduct information dissemination and assist in the health education of the public
through mass media
2. Help manage infodemics (an excessive amount of information concerning a problem
such that the solution is made more difficult) by ensuring a cohesive information
campaign is made.
DepEd
1. Conduct case surveillance in schools
2. Promote awareness and precautionary measures for schools and their immediate
communities
3. Order temporary suspension of classes/activities, institutions of learning, vocational,
1 March 2020 25
technical or otherwise, including that of private institutions, as warranted

4. Temporarily utilize school rooms as temporary holding area for PUIs until referral to the
hospital
5. Assist in the repatriation of OFWs and provide post-repatriation services (i.e., airport
assistance, transportation assistance from Manila to place of residence, etc.)
DICT
1. With reference to JMC on Standard Operating Procedure (SOP) for the Emergency
Warning Broadcast System (EWBS) through Integrated Services Digital Broadcast
Terrestrial (ISDB-T) can provide warning messages through EWBS.
2. Can facilitate the deployment of Warning Messages through SMS.
3. Through its Cybercrime office can facilitate the coordination with internet social media
provider to lessen and filter circulating fake news.
Department of Tourism (DOT)
1. Preparation and dissemination of information to Philippine tourism industry stakeholders
2. Utilize existing media platforms in collaboration with tourism private sector
Non-government Agencies, Development Partners and Civil Society
1. Assist and support the DOH in responding to COVID-19 events
2. Disseminate DOH-sourced information and assist in the management of infodemics
D (Worst Processing and developing of messages within 1-2 hours DOH/PCOO/Agencies
case) of declaration comms/spokespersons
D + 2 hours 1st Press briefing/conference including Q&A DOH/PCOO
D + 3 hours National Address Office of the President
D + 4 hours Convene Crisis Cluster members, activate developed DOH
crisis protocols
D + 72 - Regular Crisis Cluster meetings (daily) DOH
hours - Monitoring and tracking of media (daily) DICT, PIA, UNICEF,
- Processing and developing of messages DSWD
- Succeeding Press briefing/conference including Q&A DOH/WHO
(every 2 hours) DOH
D + 72 - Regular Crisis Cluster meetings (daily) All agencies s
hours to 1 - Monitoring and tracking of media (daily) DICT, PIA, UNICEF,
week - Processing and developing of messages DSWD
- Press briefing including Q&A (every 6 hours) DOH
- Gathering of human interest stories (health care DOH/DSWD/UNICEF
workers, cases recovered, public cooperation)
D + 1 week - Intensified Public Service Announcements/ DICT, PIA
Advisories (TV, Radio, Billboard, Social Media,
Emergency Broadcast Channels)
- First release of human interest story (daily) DOH, DSWD
D Onwards - Regular Crisis Cluster meetings (daily) All agencies
- Monitoring and tracking of media (daily) DICT, PIA, UNICEF,
- Processing and developing of messages DSWD
- Press briefing/conference including Q&A (daily) DOH
- Intensified PSA (TV, Radio, Billboard, Social Media, DOH/DICT/PIA
Emergency Broadcast Channels)
- Release of human interest stories (daily) DOH, DSWD
1 March 2020 26
3.2 Resource Inventory
Agency Resource Quantity Location

DOH Staff 100,000+ All regions
PPE 1,900 All regions
Essential medicines/supplies All regions
Isolation Room equipment All regions
DSWD Staff All regions
DoJ1 Office supplies and buildings Limited
Financial Approx. 80% of the overall budget allocated for salaries
OCD Staff
24/7 NDRRMC OpCen 1 Camp Aguinaldo, Quezon City
OCD/ DRRMC warehouses 16 All regions except BARMM
AHA Centre DELSA Satellite 1 Camp Aguinaldo, Quezon City
Warehouse
Quick Response Funds
DFA Staff 50 DFA HOME OFFICE
Medical Doctor 1 DFA HOME OFFICE
Nurses 2 DFA HOME OFFICE
Buses/Coasters 4 DFA HOME OFFICE
Mega Vans 2 DFA HOME OFFICE
Quick Response Funds 500,000,000 PHP DFA-OUMWA
RITM Lab Technicians/Technologists
Lab machines
Lab supplies
Essential medicines/supplies
DICT Staff 5 Per region/8 Cluster DICT CO + 8 Clusters
WIFI Site DICT CO + Regional Clusters
Cybersecurity Services DICT Central Office
DILG BHERTS Localized
Government Hospitals National, NCR and Regions
1 Bureau of Immigration and National Bureau of Investigation not included
1 March 2020 27
Agency Resource Quantity Location

LGU Hospitals LGU
Private Hospitals
DOLE Staff 20+ OWWA and POEA
24/7 Hotline
Ambulances 2 OWWA
PNP HS Staff 115 NHQ
CBRN Staff 36 NHQ
RHS Staff 170 Dif. Regions
PPI set NHQ, regions
Ambulance 19 NHQ, PRO
Hospitals/dispensary 1/6 NHQ, PRO
MDS 4 NHQ, PRO11
Quick Response Funds
PHICNA IPC experts 2
PRC Volunteer 10,000+
nurses/doctors/EMTs/social
workers/CHV
ambulances 20
Medical tents 80m2 10 Mandalyuong, Subic and Davao City
Medical tents 200 m2 5 Mandalyuong, Subic
Blood supply
UNICEF Health staff 2
WASH staff 2
Education staff 1
Child protection staff 1
c42 staff 1
Tents for triage 44
Disinfection kits 44
IEC materials
1 March 2020 28
3.3 Resource Projection
TARGET GAPS
UNIT PROJECTED NEEDS CURRENT
POPULATION (PROJECTED- SOURCES TO
RESOURCE STANDARD COST RESOURCES
CONFIRMED 1 DAY 14 DAYS CURRENT) FILL THE GAPS
(PHP) COST COST COST COST
CASE QTY QTY QTY QTY
(PHP) (PHP) (PHP) (PHP)
PPEs 33 1 set per 345.00 396 136, 5,544 1,912,6 100 1,900 2,244 774,18 Contingency
pax per shift per 620. for 14 80.00 per 0.00 for Funds, Quick
x 4 pax 1,380 for day 00 days set 33 Response Funds,
4 pax x 3 cases Donations
shift
Patient Meal 33 3 meals a 800 a day 33 26, 462 369,600 N/A N/A N/A N/A Contingency
day for 14 per patient 000. for 14 .00 Funds, Quick
days 00 days Response Funds,
Donations
Medicines 33 1 package 3,000 per 33 99,0 462 1,386,0 N/A N/A N/A N/A Contingency
And medical per patient day 00.0 for 14 00.00 Funds, Quick
supplies for per day 0 days Response Funds,
case Donations
management
Lab testing 33 4 testing per 24,000.00 33 kits 198, 66 396,000 800 4,000, N/A N/A Contingency
patient. per patient 000. kits .00 kits 000.0 Funds, Quick
Initial 00 0 Response Funds,
Screening Donations
Test is (+),
for
confirmatory
test.
1 March 2020 29
3.4 Budget and Resource Summary
COST OF PROJECT NEEDS COST OF CURRENT

CLUSTER AMOUNT OF GAPS SOURCE OF FUNDS
(For 33 Confirmed Cases) RESOURCES
PPE 1,912,680.00 190,000.00 1,722,680.00 Contingency Funds, Quick
Meals 369,600.00 N/A N/A Response Funds, Donations
Medicines 1,386,000.00 N/A N/A
Laboratory Tests 396,000.00 4,000,000.00 N/A
Other incidental expenses 10,000,000.00 N/A N/A
TOTAL 14,064,280.00
Note: 1 Confirmed case= 426,190.30Php
1 March 2020 30
3.5 Emergency Operations Center
POSITION ROLES AND RESPONSIBILITIES

Management Overall EOC Manager shall report directly to the Secretary of Health as the
Responsible Official (RO). All directives emanating from the Secretary of Health
shall be coursed through the Overall EOC Manager with the COVID-19 EOC
Manager disseminating and monitoring the performance of the directives where
appropriate
Asst. COVID-19 EOC Manager shall be responsible for the overall operations of
the EOC, determining coordination of response activities of partners, liaison with
assisting agencies (i.e. those providing with their own tactical resources) and
cooperation agencies (those providing external support), safety of responders,
situation reporting to the COVID-19 EOC Manager and other Execom members
involved in COVID-19 operations and getting direction to the Secretary and COVID-
19 EOC Manager, and resource mobilization.
EOC Secretariat shall:
1. Be responsible in the documentation of the daily proceedings of the EOC
operations, including but not limited to the notation of request for additional data
and information on an ad hoc basis;
2. Prepare notices of meeting (NOM), meeting materials, minutes of the meeting,
and key agreements for general EOC meetings, section meetings, and all other
plenaries attended or called for by the EOC Manager; and
3. Serve as the Secretariat to the Interagency Task Force (IATF) for the
Management of Emerging Infectious Diseases.
Operations At the field level, this section provides direct response to the incident or event; at
higher levels, it provides coordination and technical guidance to the management.
The operations section deals with resource utilization or mobilization to respond
directly to the event. It deals with coordination and technical guidance of all response
operations, and for implementing an existing response plan to support the site-level
response. It shall be responsible of the following:
Detection and Surveillance (EB & KMITS)
a. Operationalization and monitoring of the policies on detection
b. Collection of epidemiological data and surveillance
- Case Identification
- Screening
- Epidemiologic Investigation
- Contact Tracing
c. Development and management of health event infographics and dashboards
Case Management and Isolation (DPCB, FICT, RITM, HFDB)
a. Setting standards and definitions of PUI, PUM, SARIs in coordination with
experts, professional societies, and in consideration of local health resource
management
b. Setting the guidelines for triage, treatment and transporting of the sick people/
PUI and confirmed cases
c. Decontamination of people and premises
d. Issuance of advisories
Prevention and Mitigation (HPCS, MRU)
a. Doing risk communication;
b. Scaling up community reach for health promotion;
c. Developing, cascading, and building of capacity to deliver key messages and
collaterals, customized to each stakeholder and channel of communication.
Containment and Repatriation (BOQ, HEMB)
a. Operationalize and monitor policies on the local containment of cases:
- cases identified at the points of entry;
- Facility-based quarantine and home-based quarantine guidelines and
procedures;
- Repatriation guidelines and procedures.
1 March 2020 31
POSITION ROLES AND RESPONSIBILITIES

Planning The planning section is responsible for evaluation of the situation (information
gathering and analysis), assessment of the options for dealing with it, and keeping
track of resources. This Section shall be in charge of the following:
a. Development of the COVID-19 EOC Action Plan (Objectives, Strategies,
Activities and Resources);
b. Collection of data, aggregating and processing data;
c. Analysis and planning of future actions by predicting the probable evolution of
events;
d. Development and communication of operational information through Situational
Reports (SitReps) and Advisories;
e. Identifying and approving the use of new technology for screening of cases;
f. Coordination of prices of commodities, i.e. price freeze, that will be projected to
be highly demanded during the time of the health event;
g. Identification of technical expertise if needed in the COVID-19 EOC Meetings.
Logistics The Logistics Section deals with acquiring, tracking, storing, maintaining, and
deploying resources for the response both in the tactical and operational sides of
the response. This section shall be in charge of the following:
a. Inventory of resources (human, facilities, laboratories);
b. Services (telecommunications equipment, furniture, food services, security, and
responder support);
c. Monitoring food and water supplies for the EOC;
d. Support personnel (information technology, clerical staff, ground transportation)
e. Equipment (computers, radios, vehicles, PPEs)
f. Resource provider if EOC needs augmentation; and
g. Transportation and disposal services (patient transport, destruction of
contaminated materials, removal and management of deceased persons).
Some services may also be provided by the operations section, as deemed
necessary and appropriate.
Finance and The administrative and finance section tracks expenditure, makes payments, and
Administration provides administrative services to the EOC. This section facilitates support,
including but not limited to, logistics, appropriations, financing and capacity-building
to ensure effective delivery of services. It shall be responsible of the following:
a. Cash flow management;
b. Tracking of material and human resource costs;
c. Budget preparation and monitoring;
d. Facilitation of procurement contracts;
e. Production and maintenance of administrative records;
f. Processing of compensation claims; and
g. Incentive and insurance payments.
1 March 2020 32
3.6 Incident Command System
3.7 Interoperability
1 March 2020 33
4 ACTIVATION
Criteria for Activation of the plan:

1. Report of Human to Human transmission; and
2. Sustained community transmission
1 March 2020 34
ANNEX A: COLOR CODED FRAMEWORK

CODE
INDICATORS WHITE BLUE RED
Door 1 Door 2 and 3 Door 4
TRIGGERS Suspect or case identified outside the - Level 2: Identification of one laboratory- - At least one documented case of community
Philippines confirmed case inside the Philippines, even if it is transmission that may or may not be traced
an imported case from imported case(s).
- Level 3: WHO declaration of PHEIC and - Sustained human-to-human transmission.
identification of cases (imported) of emerging - Cases may be traced beyond the fourth
infectious disease generation from index case
EXECUTIVE ORDER Emergence or re-emergence of an International proliferation persists due to increased In the event of multicounty outbreaks that can lead
168 infectious disease infection globalization and mobility of travelers and products, to epidemics and even a worldwide pandemic,
acknowledged by the global and thus, threatens the lives and safety of Filipinos there is a need for inter-sectoral and international
community to cause potential PHEIC both here and abroad, as well as the Philippine collaboration to establish preparedness and
economy in general. ensure efficient government response
QUARANTINE AND - Issuance of travel advisories; - Issuance of travel advisories -
IMMEDIATE - Entry points screening of - Screening of Travelers at Entry and Exit Points
CONTAINMENT OF Travelers (Tourists and OFWs) from affected areas
EID WITHIN PORTS - Prevent entry of cases into the - Transport of suspects to hospitals or for self-
OF ENTRY country quarantine depending on status of the
- Strengthen border control passenger.
measure
EPIDEMIOLOGICAL Generation of Event Based Detection and documentation of COVID-19 - Continue monitoring as a reportable case
SURVEILLANCE Surveillance Report; referral to DFA - Monitoring disease to know if activity levels
and respective embassy; diplomatic are going up or down
relations considered
LABORATORY AND Laboratory testing of cases meeting the case definition of Case Under Observation, RITM and other laboratory to prioritize high risk
DIAGNOSTIC groups
CONFIRMATION Disease Surveillance: - Lab exam to include monitoring the properties
- Clustering of cases of the virus (mutation, resistance, etc)
- If clustering of ILI, needs to perform random confirmatory exam - No need for contact tracing
- Contact Tracing - Monitor changes in the natural history of the
- Event-based surveillance disease including modes of transmission.
TREATMENT OF - Identify referral hospitals - Limit human to human transmission including - Admit severe respiratory infections and with
INFECTED CASES - Check # of beds, isolation rooms, reducing secondary infection among close severe medical conditions
AND respirators, etc. contacts and health care workers, - Public and private hospitals should be
CONTAINMENT OF - Train referral hospitals to manage - Identify, isolate and care for patients early, prepared to manage higher number of
AFFECTED AREAS confirmed cases including providing optimized care for infected complicated, severe cases
- Intensify IPC in hospitals, health patients; - Health centers, RHUs/private clinics should
centers, and clinics If community transmission has been observed in the be prepared to manage higher number of mild
affected area: cases as out-patient or ambulatory cases
1 March 2020 35
CODE
INDICATORS WHITE BLUE RED
Door 1 Door 2 and 3 Door 4
- Prepare essential medicines and - Mild cases observed/managed at home - Prioritized treatment dose with oseltamivir
equipment including protocols - Admit probable and confirmed cases showing (open for discussion- pharmacologic
- Admit all confirmed cases severe signs of respiratory infections and severe treatment)
- Antiviral medicines to all probable medical conditions
and confirmed cases - Triaging at the hospitals, public health centers
- Prepare RHU/Health and clinics
Centers/clinics and primary - Hospitals, health centers and clinics should be
hospitals to manage mild ready to handle surge of consultations and
cases/ambulatory cases or screen possible admissions or referrals
ILI - Intensify infection control in hospitals, health
- RHU/Health Centers/clinics and centers and clinics
primary hospitals to establish
referral system for severe cases
GENERAL PUBLIC - Containment measures - Non-Pharmaceutical interventions - Non-pharmaceutical interventions: same as
HEALTH - Non-pharmaceutical interventions - Home isolation for mild cases level 3
INTERVENTIONS - Quarantine/Isolation - Isolation for cases in hospitals - Use appropriate PPEs, facility modified to
- Social distancing - Social distancing for close contacts cater to the infection control measure needs
- Intensify infection control program - Social distancing will depend on local and systems flow
in the community epidemiological situation - Debriefing of frontline health workers
- Infection Control committee, - Intensify infection control in the community,
training, available PPEs, protocols training, use of PPEs
RISK - Focus on individual, household, - Focus on household, community and public - Sustain level of public awareness
COMMUNICATION and public awareness awareness - Mitigation measures
AND COMMUNITY - Prevention o Prevention - Infection control
ENGAGEMENT - Infection control-hand hygiene, o Infection control, same as levels 1 and - Provide accurate and up-to-date information
(RCCE) cough mangers 2 - Minimize fear, anxiety, and unrest
- Containment o Containment - Continuous information to the public
- Provide accurate and up-to-date o Mitigation measures
information o Provide accurate and up-to-date Epidemic surge:
- Prepare, reproduce and distribute information - Recall all health workers who are on leave
information materials specific for - Special attention to the vulnerable group of and/or on official travel to ensure that there
containment and mitigation population most likely to develop complications is continued provision of health services.
measures - Emphasize self-quarantine for the exposed and - All of nation response to control further
home treatment for the mild cases, early spread of the virus
Assure public of: consultation to prevent complications and severe - Mitigate the impact of the epidemic
- no record of confirmed cases of outcome of the disease
COVID-19. - Continuous information to the public through IEC
- BOQ is on alert and intensified - Communication should focus on DOH best
monitoring of all seaports and efforts to contain the disease, until such time that
airports of the country mitigation process has to start
1 March 2020 36
ANNEX B: CONTINGENCY PREPAREDNESS AND RESPONSE PLAN

Door 4/Code Red: Local human to human transmission
Task Groups per
Linking Public Health
EO 168 plus Emergency Preparedness Response Operations Medical Counter Measures
and Security
Surveillance and - Identify and train testing - Activate regional Laboratories - Revised Interim Guidelines - Continue providing
Laboratory laboratories other than RITM for surveillance, Laboratory assistance through:
examination (e.g. LCP, SLH, VSMC, WVMC, Testing and Case Security escort
BGH, including all regional Management coverage;
hospitals and selected private - Assisting in the
hospitals) transport of specimen
Contact tracing - Identify Health Workers to be - Contact Tracing of close contacts of - Monitor PUIs and positive - Provide personnel to
trained in basic epidemiology confirmed cases in contained cases assist in contact
and contact tracing especially at community transmission tracing for contained
LGU and Provincial Level communities.
Quarantine - Home Quarantine if: PUIs with no - Revised Interim Guidelines - Provide security
symptoms (History of travel only) or for implementing Quarantine coverage in
with mild symptoms measures quarantine areas
- Admit positive cases and patients
with severe symptoms to referral
hospitals
- Quarantine facilities for PUIs
(repatriates, travelers from high risk
areas)
Case Management - COVID -19 Task Force - Mobilise ERTs - Supportive and symptomatic - Provide Health
organized and operational at - Health centers prepared to manage care personnel to assist in
different levels higher number of mild cases as OPD - Enhance research on COVID management of cases
- Conduct training on IPC and - Hospitals to open wards for surge of 19 virus
Case Management for health patients needing admission or - Mobilize Specialist for case
facilities monitoring Management as needed and
- Interim guidelines for case referral.
management\
- Secure and Disseminate UHC
National Infectious Disease
Specialty Center List to all levels
of health care system
Risk - Intensify Risk Communication efforts - Highlight importance of - Provide technical
Communication proper use and disposal of support
PPEs; and
- Disseminate IEC materials
relevant to the ongoing event
- Control fake news
1 March 2020 37
Door 4/Code Red: Local human to human transmission

Task Groups per
Linking Public Health
EO 168 plus Emergency Preparedness Response Operations Medical Counter Measures
and Security
Community Response Teams: - Monitor their own communities for - LGU hospitals to help in - Enforce Curfew when
- Organize different response disease surveillance managing cases and declared or assist the
teams for patient transport; - Manage the dead in their established network for AFP in implementing
patient treatment, Decon Teams, communities referrals and logistics sharing Community
Burial details, Quarantine/lock down
- Roles of BHERTs? or Martial Law
- Assist in enforcing the
Logistics: restrictions of mass
- PPEs gathering events.
- Medicines, supplies, materials,
equipment
- Cadaver Bags for infectious
cases
Systems:
- Conduct response planning and
exercises
- Develop self-learning materials
for IPC and Case Management
for BHWs/BHERTs
Other concerns:
- Identify Burial grounds
National Response Teams - Suspend classes and work in all - Use of Field hospitals and /or - Mobilize Military and
Government - Case management training communities with reported sustained Medical Stations for case Police Doctors
- IMTs for different levels of H-H transmission Management. - Police to ensure
government - Mobilize the AFP and PNP for security measures for
containment as needed Health facilities,
Logistics - Declare Curfew workers;
- Start stock piling of essential - Encourage work at home - Provide transport
logistics services for patients,
- Mobilize ERTs as needed
Special Concerns - Declare Martial Law as need arises. and disposal of dead;
- Consider criteria for calling for - Provide personnel for
international assistance to burying the dead; and
control the disease and needs for - Mobilize security
donations personnel to
implement Martial
Law.
1 March 2020 38
ANNEX C: RESPONSE CLUSTER FOR EMERGING INFECTIOUS DISEASES

EO NO. 168 DOH EREID Manual NDRRMC NDRP
TASK GROUP
Detailed Functions Lead Bureaus Supporting Agencies Lead Supporting Response Clusters
Quarantine and DFA PHIL. INTERNATIONAL HUMANITARIAN
DOJ-BI
Immediate ASSISTANCE
BOQ DOTR
Containment of EID DA-BAI LAW AND ORDER
Port Quarantine within ports of entry DA-BPI LOGISTICS
DFA
DILG
PNP LAW AND ORDER
BFP SEARCH, RESCUE AND RETRIEVAL
Epidemiological AFP
EB CAMP COORDINATION AND CAMP
Investigation and DOLE
RESU OWAA MANAGEMENT
Contact Tracing
POEA EDUCATION
Contact Tracing LOGISTICS
DEPED
DA
DSWD
HEALTH
CAMP COORDINATION AND CAMP
DOH
DENR
DILG MANAGEMENT
LGUs FOOD AND NON-FOOD ITEMS
Treatment of infected DPCB DA PROTECTION
cases and BHFD DSWD EDUCATION
containment of HEMB DTI LAW AND ORDER
affected areas RITM PNP EMERGENCY TELECOMMUNICATIONS
Treatment and BFP
Containment MANAGEMENT OF THE DEAD AND THE
AFP MISSING
PHIC
LOGISTICS
DOLE
OWAA PHIL. INTERNATIONAL HUMANITARIAN
Formulation of a risk POEA ASSISTANCE
communication plan HPCS DEPED
DILG
EMERGENCY TELECOMMUNICATIONS
and EID materials for
PIA EDUCATION
the general public
Risk Communication DND LOGISTICS
OCD
Source: Office of Civil Defense- Capacity Building and Training Service
1 March 2020 39

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National

Contingency Plan for

1.2 Hazard Analysis

Impact Levels (based on NDRRMC CP Guidebook 2018)

1.3 Hazard Plan

1.4 Worst Case Scenario

1.5 Affected Population

2 GOALS AND OBJECTIVES

2.2 General Objective(s)

The objectives of the plan are to:

3.1 Response Clusters

3.1.1 HEALTH CLUSTER

- Support Repatriation through Providing Welfare Services (Psychosocial support, Online

2. Provide DOH with evidence-based and programmatic recommendations

3.1.2 GOVERNANCE CLUSTER

3. Provide guidelines to LGUs on government response for the COVID-19 situation to

TIMELINES RESPONSE ACTIVITIES AGENCIES INVOLVED

3.1.3 LAW AND ORDER CLUSTER

8. Assist in the disaster, identification and management of the dead

TIMELINES RESPONSE ACTIVITIES AGENCIES INVOLVED

3.1.4 ECONOMY CLUSTER

3.1.5 LOGISTICS CLUSTER

Department of Transportation (DOTr)

3.1.6 INTERNATIONAL HUMANITARIAN ASSISTANCE CLUSTER

4. Issuance of relevant advisories/circulars for employment agencies to monitor and

TIMELINES RESPONSE ACTIVITIES AGENCIES INVOLVED

3.1.7 RISK COMMUNICATION CLUSTER

technical or otherwise, including that of private institutions, as warranted

3.2 Resource Inventory

Agency Resource Quantity Location

1 Bureau of Immigration and National Bureau of Investigation not included

Agency Resource Quantity Location

3.3 Resource Projection

3.4 Budget and Resource Summary

COST OF PROJECT NEEDS COST OF CURRENT

3.5 Emergency Operations Center

POSITION ROLES AND RESPONSIBILITIES

POSITION ROLES AND RESPONSIBILITIES

3.6 Incident Command System

Criteria for Activation of the plan:

ANNEX A: COLOR CODED FRAMEWORK

ANNEX B: CONTINGENCY PREPAREDNESS AND RESPONSE PLAN

Door 4/Code Red: Local human to human transmission

ANNEX C: RESPONSE CLUSTER FOR EMERGING INFECTIOUS DISEASES

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