A Frontline Guide for Local Decision-Makers

The COVID-19 pandemic is creating significant disruption to daily life in cities and communities around the world. This guide provides an initial strategic framework for state, city, and local leaders as they begin planning what will need to be done to reduce the impact of the outbreak in the near term. The guide and checklists were developed by a team of deeply experienced experts and former public health officials, in consultation with current state and local officials about the key issues they face. Our focus has been on providing information for both slowing and suppressing the spread of the virus, and also on supporting community needs.

This guide is informed by existing guidance from U.S. and global authorities, public health research findings, and lessons observed from countries that have been battling COVID-19 since January 2020. It is intended to complement, but not in any way supplant, advice and guidance from global, federal and local public health and other authorities.

METRICS FOR PHASED RE‑OPENING

INDICATORS OF PROGRESS

1

KEY OBJECTIVE #1

Activate an Emergency Operations Center and establish a whole-of-community incident management structure

2

KEY OBJECTIVE #2

Understand and contain the real-time spread of COVID-19 in the community through surveillance, testing, contact tracing, and case quarantine and isolation

3

KEY OBJECTIVE #3

Slow and reduce transmission

4

KEY OBJECTIVE #4

Focus protection on high-risk groups

5

KEY OBJECTIVE #5

Reinforce and expand health system surge capacity to sustain healthcare operations and avoid high mortality

6

KEY OBJECTIVE #6

Expand risk communication and community engagement

7

KEY OBJECTIVE #7

Mitigate economic and social consequences of the COVID-19 pandemic