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Document 52020XC0515(03)
Communication from the Commission EU Guidance for the progressive resumption of tourism services and for health protocols in hospitality establishments – COVID-19 2020/C 169/01
Communication from the Commission EU Guidance for the progressive resumption of tourism services and for health protocols in hospitality establishments – COVID-19 2020/C 169/01
Communication from the Commission EU Guidance for the progressive resumption of tourism services and for health protocols in hospitality establishments – COVID-19 2020/C 169/01
C/2020/3251
OJ C 169, 15.5.2020, p. 1–16
(BG, ES, CS, DA, DE, ET, EL, EN, FR, HR, IT, LV, LT, HU, MT, NL, PL, PT, RO, SK, SL, FI, SV)
15.5.2020 |
EN |
Official Journal of the European Union |
C 169/1 |
COMMUNICATION FROM THE COMMISSION
EU Guidance for the progressive resumption of tourism services and for health protocols in hospitality establishments – COVID-19
(2020/C 169/01)
I. Introduction
1. |
On 15 April 2020, the Commission, in cooperation with the President of the European Council, put forward a Joint European Roadmap (1) to phase out the containment measures due to the COVID-19 outbreak. It sets out criteria and recommendations for Member States on conditions to lift measures and restore free movement. Action should be gradual with needs for physical distancing and infection prevention and control measures as key elements. |
2. |
As the public health situation starts to improve, Member States are considering lifting ‘community restriction measures’. This in turn will prepare the safe easing of preventive and protective measures, in particular blanket travel restrictions. |
3. |
With the eventual lifting of restrictions on travel-related activities, it is expected that citizens will, gradually, resume domestic and intra-EU travel. |
4. |
Lifting measures too quickly may cause a sudden resurgence of infections. Until a vaccine is available, the needs and benefits of travel and tourism need to be weighed against the risks of a resurgence of cases requiring a reintroduction of confinement measures. |
5. |
As the stringency of lock-down measures is reduced, utmost consideration will be needed with regard to maintaining inter-personal physical distancing measures, in order to safely resume tourism activities as they, by definition, attract people from different geographical areas. |
6. |
Protection of the health of citizens, including tourism workers and tourists, remains the key priority. |
7. |
The guidance sets out a common objective and non-discriminatory framework for the citizens, public authorities, businesses and stakeholders operating in the tourism sector, for the gradual re-establishment of tourism services. |
8. |
The guidance provides criteria and principles for the safe and gradual restoration of tourism activities and for the development of health protocols for hospitality establishments. |
9. |
The guidance is based on the advice of the European Centre for Disease Control and Prevention (ECDC) (2). It builds upon, and should be implemented together with, the Joint European Roadmap towards lifting COVID-19 containment measures (3). It should be read in conjunction with guidance issued by the Commission regarding restrictions on non-essential travel (4), the exercise of the free movement of workers (5), border management measures (6), passengers and other persons on board ships (7), as well the progressive restoration of transport services (8), and the Communication ‘Towards a phased and coordinated approach for restoring freedom of movement and lifting internal border controls’ (9). Finally, the European Agency for Health and Safety at Work (OSHA) published general occupational health safety measures regarding return back to workplaces (10). |
II. Principles for the safe and gradual restoration of tourism activities
10. |
Member States should carefully consider the following criteria when deciding on possible relaxation of strict community measures (11) to enable resumption of tourism activities:
|
11. |
The relaxation of containment measures should be based on science with public health at its centre and should be implemented within a coordinated framework in place in each Member State. This coordinated framework is the basis for the re-opening of tourism-related businesses and services. Given the upcoming summer holiday season, sound public health advice to tourism businesses and destinations is crucial. |
12. |
Assessment of the local epidemiological situation needs to be performed to evaluate the overall risk of reopening tourism activities, in order to avoid the transmission spillover from tourists to local population and vice versa. |
13. |
Preparedness plans with clear criteria need to be in place to re-escalate restriction measures, if necessary. |
14. |
Recommendations in the Joint European Roadmap towards lifting COVID-19 containment measures include principles that have particular relevance to the tourism sector; these should be upheld when tourism is resumed. |
15. |
The lifting of measures should be gradual. More general measures should be replaced by more targeted ones, allowing societies and tourism activities to gradually resume, provided that proportionate and effective measures are deployed to protect the health of tourists and workers. |
16. |
Return to employment should be organised in line with the ‘EU guidance for a safe return to the workplace’ (17) and should prioritise less endangered groups and sectors that can facilitate economic activity, while observing occupational and health safety rules imposed by the pandemic. |
17. |
Measures to restrict tourism services, as well as health-related protection and prevention measures, should be limited in scope and duration to what is strictly necessary to protect public health. In addition to being objective and proportionate, all measures should also be duly motivated, relevant and mode-specific, non-discriminatory and they should maintain a level playing field in the Single Market. |
18. |
The ECDC, in cooperation with Member States and the Joint Research Centre, is developing and will continuously maintain a map (18) of the level of COVID-19 transmission at sub-national level. Member States are invited to provide data in order to ensure that this map is complete and up to date. This will provide benefits in all aspects of de-escalation strategies (opening/closing specific economic sectors; evaluating different testing strategies; evaluation effectiveness of personal protection measures; etc.) In addition, Member States are invited to provide updated data on available capacity on hospitals, testing, surveillance and contact tracing, and publish criteria for lifting and imposing restrictions. The transmission map and the accompanying measures serves as a transparent tool to provide information at EU level to be used by authorities, transport operators and tourism stakeholders, as well as by citizens in making responsible individual decisions about their holiday plans. |
III. EU Guidance for health protocols in hospitality establishments
19. |
This part of the guidance proposes principles to guide Member States in the design and implementation of infection prevention and control measures and protocols for hospitality services providers, such as hotels and other hospitality establishments, to ensure a safer touristic establishment and health of guests as well as workers. |
20. |
The guidance for health protocols is non-binding. It aims to ensure coherence in the development and implementation of infection prevention and control measures through a coordinated approach within the regions and Member States. |
21. |
In addition to following recommendations and operational considerations for COVID-19 risk management issued by relevant health authorities, namely the World Health Organization (WHO) (19) and the European Centre for Disease Control and Prevention (ECDC) (Annex), Member States are invited to consider this guidance while elaborating relevant protocols in line with their specific national/regional/local conditions. |
22. |
Public health measures in the tourism sector will need to comply with general measures applied by the competent authorities and take into account guidance for the workplace. (20) Such measures will also need to comply with EU data protection law. (21) |
23. |
Member States are invited to work closely with stakeholders in the elaboration of infection prevention and control measures and protocols, and ensure that these protocols are tailored and proportionate to the size and the nature of the service provided by hospitality establishments. Member States should consider providing support in implementing them. |
24. |
Specific consideration should be given to infection prevention and control measures and protocols related to collaborative economy short-stay holiday and other accommodation. This guidance and principles are fully applicable to these types of hospitality services and any adaptations and alternatives to them should in no case compromise the health of visitors and increase the risk of virus transmission. |
25. |
The measures to protect the health of guests and workers in hospitality establishments should be regularly re-evaluated and adjusted, taking into account all relevant expertise and considerations, to remain proportionate to the current level of public health needs. |
26. |
As new and more efficient solutions become available, their deployment should be favoured and less efficient or more burdensome measures should be discontinued. The principle of cost-effectiveness should be respected. This implies that, if there are several options available to achieve the same effect in terms of ensuring the health of guests and workers, the least costly one should be preferred, especially for Small and medium-sized enterprises (SMEs). |
27. |
The following guiding principles shall be considered for developing infection prevention and control measures and for protocols in hospitality establishments in order to prevent COVID-19 transmission and ensure public health (thereafter referred as ‘establishments’):
|
28. |
The above guiding principles shall be considered along the general recommendations from the European Centre for Disease Prevention and Control in the Annex. |
IV. Conclusion
29. |
Member States are encouraged to share this guidance with competent authorities and regional/local level. |
30. |
Tourism stakeholders, such as professional associations and online tourism platforms are encouraged to disseminate and raise awareness of this guidance. |
31. |
Member States are invited to continuously cooperate with the ECDC to ensure that the transmission map, referred to in point 18 above, serves as a transparent tool to provide information at EU level to be used by authorities, transport operators and tourism stakeholders. |
32. |
Member States are encouraged to consider supporting hospitality, and, more broadly, establishments providing tourism services, in the implementation of this guidance and of relevant infection prevention and control measures and protocols and monitor adherence. To that purpose, Member States may use national and EU funds available. |
33. |
Based on this guidance, the Commission will continue coordinating with Member States towards a coherent approach to infection prevention and control measures and protocols in hospitality and tourism establishments in the EU. |
34. |
This guidance should facilitate Member States and tourism stakeholders in developing more specific infection prevention and control measures and protocols in line with this guidance and in monitoring compliance with them, thereby reinforcing conditions for businesses to enhance consumer confidence. |
35. |
The Commission will set up a dedicated website with an interactive map combining information from Member States and tourist and travel industry, including information on national or sectoral protocols and compliance schemes. |
36. |
To support Member States, the Commission will facilitate exchange of best practices through, among others, the Tourism Advisory Committee. |
37. |
The Commission will continue working with Member States’ public authorities, tourism stakeholders and international organisations to facilitate the implementation of this guidance. |
(1) European Commission (EC). Joint European Roadmap towards lifting COVID-19 containment measures: https://eur-lex.europa.eu/legal-content/EN/TXT/?uri=uriserv:OJ.C_.2020.126.01.0001.01.ENG&toc=OJ:C:2020:126:TOC
(2) Disclaimer: This guidance provides considerations, from a public health perspective, on the prevention and control of COVID-19 for the tourism sector. This includes considerations for clients in the period before, during and after their stay at a given place of accommodation and for staff and while visiting restaurants, coffee shops, or bars in connection with tourism. It does not cover the area of theme or amusement parks, museums or cruises among others. This guidance is indicative of an approach that is recommended to be taken by the tourism sector whilst acknowledging the specificities of tourism establishments across the EU/EEA.
(3) OJ C 126, 17.4.2020, p. 1.
(4) COM(2020) 115 final, COM(2020) 148 final, and C(2020) 2050 final, OJ C 102 I , 30.3.2020, p. 12.
(5) Communication from the Commission – Guidelines concerning the exercise of the free movement of workers during COVID-19 outbreak 2020/C 102 I/03.
(6) C(2020) 1753 final (OJ C 86 I, 16.3.2020, p. 1).
(7) C(2020) 3100 final (OJ C 119 I, 14.4.2020, p. 1).
(8) C(2020) 3139.
(9) C(2020) 3250.
(10) COVID-19: BACK TO THE WORKPLACE – Adapting workplaces and protecting workers, https://osha.europa.eu/en/publications/covid-19-back-workplace-adapting-workplaces-and-protecting-workers/view
(11) As described by the European Centre for Disease Prevention and Control in its rapid risk assessment from 23 April 2020: https://www.ecdc.europa.eu/en/publications-data/rapid-risk-assessment-coronavirus-disease-2019-covid-19-pandemic-ninth-update
(12) https://ec.europa.eu/info/sites/info/files/guidelines_on_eu_emergency_assistance_in_cross-bordercooperationin_heathcare_related_to_the_covid-19_crisis.pdf
(13) At present, no rapid test for SARS-CoV-2 detection has been validated and recommended for use for diagnostic purposes.
(14) https://www.ecdc.europa.eu/en/covid-19-contact-tracing-public-health-management
(15) C(2020) 2523 final of 16.4.2020.
(16) https://edpb.europa.eu/our-work-tools/our-documents/guidelines/guidelines-042020-use-location-data-and-contact-tracing_en
(17) Coronavirus: EU guidance for a safe return to the workplace https://ec.europa.eu/commission/presscorner/detail/en/ip_20_729
(18) https://covid-statistics.jrc.ec.europa.eu
(19) http://www.euro.who.int/en/health-topics/health-emergencies/coronavirus-covid-19/publications/2020/operational-considerations-for-covid-19-management-in-the-accommodation-sector-interim-guidance,-31-march-2020
(20) Coronavirus: EU guidance for a safe return to the workplace
https://ec.europa.eu/commission/presscorner/detail/en/ip_20_729
European Agency for Safety and Health at Work. COVID-19: guidance for the workplace [Internet]. [updated 2020 Apr. 20; cited 2020 May 4]. Available from: https://oshwiki.eu/wiki/COVID-19:_guidance_for_the_workplace#See
(21) See also the European Data Protection Board (EDPB) statement, https://edpb.europa.eu/sites/edpb/files/files/file1/edpb_statement_2020_processingpersonaldataandcovid-19_en.pdf
(22) https://ec.europa.eu/health/sites/health/files/ehealth/docs/covid-19_apps_en.pdf
(23) Communication from the Commission Guidance on Apps supporting the fight against COVID 19 pandemic in relation to data protection (OJ C 124 I , 17.4.2020, p. 1).
(24) C(2020) 3139.
ANNEX
General Recommendations from the European Centre for Disease Prevention and Control for tourism sector, in particular hospitality establishments
Local arrangements
Public health measures in the tourism sector will need to comply with general measures applied by the local and national authorities and take into account guidance for the workplace (1). Such measures in place in the tourism sector need to be at least as stringent as the recommendations for the general public.
There should be a constant dialogue between local and/or national public health authorities and places of accommodation to ensure the latest rules and regulations in a given geographical area are shared and applied – including:
— |
Specific arrangements for guests, including guests from other countries, to obtain medical advice and treatment, including access to ambulatory and hospital care, in the event that they exhibit symptoms associated with COVID-19. |
— |
The need for owners of places of accommodation to collect meticulous information regarding contact details which serve public health investigations should a case arise at the place of accommodation. |
Risk communication and training
Action plan
Establishments should have a preparedness plan that includes actions to be taken covering the following periods:
— |
When the decision to re-open will be made and prior to the arrival of guests. This phase will include the information to and training of staff, as well as the implementation of the necessary infection prevention measures in the facility and type of information to be provided to guests prior to their arrival; |
— |
When guests are staying in the establishments from booking, checking-in up to checking-out; |
— |
Up to 14 days after guests have left the establishment. |
A specific action plan detailing the role and responsibilities of staff should be presented to all staff and made available at all times.
Training and management of staff
Training:
— |
All the staff working in tourist facilities should be aware of COVID-19 symptoms (e.g. fever, cough, sore throat, etc.) and should be briefed on basic infection prevention and control (IPC) measures. |
— |
Staff who are themselves, or their household members confirmed as COVID-19 cases, should not enter the working environment during the infectious period, as defined by local health authorities, normally up to 8 days following onset of symptoms for mild cases. |
— |
Staff experiencing symptoms compatible with COVID-19 should not enter the working environment, should self-isolate, and should be advised to follow local public health guidance and seek medical assistance if symptoms worsen as per local guidance. |
— |
Specific training for the staff on IPC measures and the actions to be taken in case of guests presenting with COVID-19 compatible symptoms should be considered. |
Management:
— |
Elderly staff and staff with predisposing chronic medical conditions (for example heart disease, lung disease, immunodeficiency, recent cancer treatment) that are known to place them at higher risk of COVID-19 critical course of infection – should, where possible, be assigned to activities which reduce the contact with the guests. |
— |
Measures that decrease the number of staff in the establishment should be considered, such as working from home for all staff performing duties that may be compatible with teleworking. |
— |
Measures decreasing the number of physical contacts and the time of physical contacts between people in the establishment should be considered, including shifts in work, shifts in meal-times, using phones and electronic means of communication. |
Information for guests
— |
Prior to arrival in a place of accommodation, guests should be sent information on current guidance by local public health authorities and specific measures that are put in place in the place of accommodation. Guests should be informed that they should defer their stay if they have symptoms compatible with COVID-19 or if they have been in contact with a person with COVID-19 or with symptoms suggestive of COVID-19 in the 14 days prior to their planned stay. |
— |
Specific signage (information infographics) or other accessible information, including adapted versions for visually impaired guests, before the entrance of the place of accommodation should inform guests about signs and symptoms of COVID-19 and instruct them what to do in case they develop symptoms. The accommodation could also provide leaflets with this information. |
— |
Upon departure, guests are explicitly requested to immediately notify the place of accommodation if they develop symptoms associated with COVID-19, or obtain a positive test result for COVID-19, within 14 days following departure. |
— |
Ensure that the contact details of the guests are available in case they are needed for contact tracing. |
Physical distancing
— |
Transmission of SARS-CoV-2 is mainly via respiratory droplets and direct contact with infected people, and indirect contact with contaminated surfaces or objects (fomites) in the immediate environment. The distance large respiratory droplets travel is around 1 metre when breathing, 1,5 metres when speaking, and 2 metres when coughing (2). |
— |
The establishment should ensure that physical distancing is maintained in accordance with the latest guidance in communal areas where guests are likely to gather for prolonged periods of time (e.g. longer than 15 minutes). |
— |
Guests who are travelling together and sharing rooms need not be requested to maintain physical distance among themselves. |
— |
When physical distancing cannot be guaranteed, specific measures should be considered to prevent droplets spreading such as in reception areas with the use of glass or plastic teller panels. |
— |
Tourist facilities, including hotels and restaurants, should establish a maximum number of guests allowed in each facility and space to guarantee the required physical distancing. The maximum number of guests should not be exceeded. |
— |
Events for entertainment purposes should be deferred or cancelled, unless physical distancing can be guaranteed. |
— |
Special arrangements for transport conveyances need to be considered to ensure physical distancing. |
Infection prevention and control measures
Businesses in the tourism sector generally offer products and services that generate gatherings of people in closed (hotels, restaurants, coffee shops) and open (campsites, beaches, pool areas) spaces for long periods of time, enhancing the possibility of virus transmission. Physical distancing and specific infection prevention and control measures (personal protective measures and cleaning and disinfection protocols) need to be considered and implemented in all the settings where gatherings can be expected (3). These infection prevention and control measures include:
— |
Respiratory etiquette
|
— |
Hand hygiene
|
— |
Use of face masks
|
— |
Ventilation
|
— |
Cleaning and disinfection
|
When a person is suspected to be infected with COVID-19: testing, contact tracing, isolation and quarantine
In the instance that there is a suspected case of COVID-19 among guests or staff members whilst at work, the establishment should activate their local action plan (10).
The suspected case should be immediately instructed to wear a mask and follow respiratory etiquette and hand hygiene practices. The suspect case should be separated from other persons by at least 2m and be given their own room for isolation with own bathroom facilities, wherever possible.
The suspected case, in accordance with EU data protection law, should be notified to the local medical services who will advise with regards to testing and further management and relocation of the case to a place of care (e.g. hospital), if this is considered necessary and in accordance with local medical care pathways.
If the suspected case is considered a probable or confirmed case then local public health authorities will be notified and will provide advice as to whether contact tracing activities should be undertaken. Contact tracing generally begins immediately after an identified probable or confirmed case is notified and it is usually the responsibility of local public health authorities. Tourism establishments will be requested to cooperate and provide any necessary information regarding fellow guests or staff members who may have been in contact with the case at the establishment from 2 days before and 14 days after the onset of symptoms in the case.
Staff members who develop symptoms should be isolated at home and seek medical attention.
In case a suspected or confirmed case of COVID-19 has been present in an indoor space, this space should be first well ventilated for a minimum of 1 hour, and thereafter carefully cleaned with a neutral detergent, followed by decontamination of surfaces using a disinfectant effective against viruses. Alternatively, 0,05–0,1 % sodium hypochlorite or products based on ethanol (at least 70 %) can be used for decontamination after the cleaning with a neutral detergent. All potentially contaminated textiles (e.g. towels, bed linens, curtains, tablecloths, etc.) should be washed using a hot-water cycle (90 °C) with regular laundry detergent. If a hot-water cycle cannot be used due to the characteristics of the material, bleach or other laundry products for decontamination of textiles need to be added to the wash cycle.
Setting-specific recommendations for hotels
The following measures are recommended to minimise the likelihood of transmission of COVID-19:
1. |
Administration/Management
|
2. |
Reception and concierge services
|
3. |
Restaurants, breakfast and dining rooms, and bars
|
4. |
Fitness areas
|
5. |
Spas and indoor swimming pools
|
6. |
Outdoor facilities (outdoor swimming pools, beach, playgrounds)
|
7. |
Children’s indoor recreation zones (e.g. hotel crèche)
If facilities remain open:
|
8. |
Conference and meeting rooms
|
9. |
Toilets
|
10. |
Elevators
|
11. |
Vulnerable guests
|
12. |
On-site events
|
Documents of additional information
1. |
Infection prevention and control during health care when COVID-19 is suspected: interim guidance. Geneva: World Health Organization; 2020
https://www.who.int/publications-detail/infection-prevention-and-control-during-health-care-when-novel-coronavirus-(ncov)-infection-is-suspected-20200125 |
2. |
Water, sanitation, hygiene and waste management for COVID-19: Interim guidance. https://www.who.int/publications-detail/water-sanitation-hygiene-and-waste-management-for-covid-19 |
3. |
Global surveillance for COVID-19 caused by human infection with COVID-19 virus: interim guidance. Geneva: World Health Organization; 2020 https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance/surveillance-and-case-definitions |
4. |
Considerations for quarantine of individuals in the context of containment for coronavirus disease (COVID-19): interim guidance. Geneva: World Health Organization; 2020 https://www.who.int/publications-detail/considerations-for-quarantine-of-individuals-in-the-context-of-containment-for-coronavirus-disease-(covid-19) |
(1) European Agency for Safety and Health at Work. COVID-19: guidance for the workplace [Internet]. [updated 2020 Apr. 20; cited 2020 May 4]. Available from: https://oshwiki.eu/wiki/COVID-19:_guidance_for_the_workplace#See
(2) Bourouiba L. Turbulent Gas Clouds and Respiratory Pathogen Emissions: Potential Implications for Reducing Transmission of COVID-19. Jama. 2020 Mar 26.
(3) European Centre for Disease Prevention and Control. Infection prevention and control in the household management of people with suspected or confirmed coronavirus disease (COVID-19) [internet]. 2020 March 31 [2020 May 4]. Available from: https://www.ecdc.europa.eu/sites/default/files/documents/Home-care-of-COVID-19-patients-2020-03-31.pdf
(4) European Centre for Disease Prevention and Control. Using face masks in the community. Reducing COVID-19 transmission from potentially asymptomatic or pre-symptomatic people through the use of face masks [internet]. 2020 April 8 [2020 May 4]. Available from: https://www.ecdc.europa.eu/sites/default/files/documents/COVID-19-use-face-masks-community.pdf
(5) Knibbs LD, Morawska L, Bell SC, Grzybowski P. Room ventilation and the risk of airborne infection transmission in 3 health care settings within a large teaching hospital. Am J Infect Control. 2011 Dec;39(10):866-72.
(6) European Centre for Disease Prevention and Control. Using face masks in the community. Reducing COVID-19 transmission from potentially asymptomatic or pre-symptomatic people through the use of face masks [internet]. 2020 April 8 [2020 May 4]. Available from: https://www.ecdc.europa.eu/sites/default/files/documents/COVID-19-use-face-masks-community.pdf
Knibbs LD, Morawska L, Bell SC, Grzybowski P. Room ventilation and the risk of airborne infection transmission in 3 health care settings within a large teaching hospital. Am J Infect Control. 2011 Dec;39(10):866-72.
Lu J, Gu J, Li K, Xu C, Su W, Lai Z, et al. COVID-19 Outbreak Associated with Air Conditioning in Restaurant, Guangzhou, China, 2020. Emerg Infect Dis. 2020 Apr 2;26(7).
(7) World Health Organization (WHO). Natural Ventilation for Infection Control in Health-Care Settings [internet]. 2009 [updated 2020 May 4]. Available from: https://apps.who.int/iris/bitstream/handle/10665/44167/9789241547857_eng.pdf?sequence=1
Federation of European Heating VaACA. How to operate and use building services in order to prevent the spread of the coronavirus disease (COVID-19) virus (SARS-CoV-2) in workplaces [Internet]. [updated 2020 March 17; cited 2020 May 4]. Available from: https://www.rehva.eu/fileadmin/user_upload/REHVA_covid_guidance_document_2020-03-17_final.pdf
(8) European Centre for Disease Prevention and Control (ECDC). Disinfection of environments in healthcare and nonhealthcare settings potentially contaminated with SARS-CoV-2. Stockholm: ECDC; 2020 [26 April, 2020]. Available from: https://www.ecdc.europa.eu/en/publications-data/disinfection-environments-covid-19#no-link
(9) World Health Organization (WHO). Natural Ventilation for Infection Control in Health-Care Settings [internet]. 2009 [updated 2020 May 4]. Available from: https://apps.who.int/iris/bitstream/handle/10665/44167/9789241547857_eng.pdf?sequence=1
(10) European Centre for Disease Prevention and Control (ECDC). Contact tracing: Public health management of persons, including healthcare workers, having had contact with COVID-19 cases in the European Union – second update Stockholm: ECDC; [27 April, 2020]. Available from: https://www.ecdc.europa.eu/en/covid-19-contact-tracing-public-health-management