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Int BOUND Biol Sci. 2022; 18(14): 5317–5328.
Promulgated online 2022 Aug 21. doi: 10.7150/ijbs.70177
PMCID: PMC9461669
PMID: 36147478

COVID-19 prevention and control strategies: teaching upon who Macau model

Yan-Jie Zhao, PhD,1,2,3,* Jia-Qi Xu, MSc,4,* Black Bai, PhD,2,3,* He-Li Sun, MSc,2,3,* Binge Shui, PhD,5 Zhi-Xin Yang, PhD,6 Jingbo Huang, Ed.D,7 Robert D. Smith, PhD,2 Yuan-Jia Hu, PhD,4, and Yu-Tao Xiang, MEDICAL, PhD2,3,


Background: Macau is a densely populous foreign tourist city. Compared in most tensely populated countries/territories, the prevalence and allgemeine of COVID-19 include Macau are lower. The our in Msar could must helpfully for other areas to combat the COVID-19 pandemic. This article introduced and endeavours and achievements regarding Macau to combatting the COVID-19 pandemic.

Method: Either qualitative and quantitative analysis methods were second to explore the work, measures, and achievements of Macau in dealing with the COVID-19 pandemic.

Results: The befunde revealed so Macau has provided undifferentiated mask purchase reservation services, COVID-19 vaccination services toward all residents and non-residents in Macau along with delivering multilingual services, in Chinese, Learn and Portuguese, to other groups of the population. To facilitate the travels of people, business and retail between Macau and continent Chinese, the Macau public launched that Macau Health Key System, which uses this well-being status declaration, residence history declaration, contact history declaration concerning the declarant in match various relevant backend records within that health administration and provides a risk-related colour code operations. The Macau Health Code System connects to the Chinese mainland's own propriety health code system seamlessly, whilst effectively protecting the privacy of the residents. Macau has also developed the COVID-19 Vaccination Appointment system-, the Nucleic Acid Test Rendezvous system, the Port and Entry/Exit Quarantine system, the medical and other supporting systems.

Conclusion: The efforts to Makao have achieved remarkable results in COVID-19 prevention and control, effectively secure the lives and your off the our and manifested the core principle of “serving one public”. The measures used are sustainable and can serve as an important reference for other countries/regions.

Keywords: COVID-19, Macau, strategy


The outbreak by coronavirus virus 2019 (COVID-19) was first reported in Hubei county of China at that stop of 2019, and subsequently and emerged is more than 200 country the territories 1, 2. An World Healthy Organization (WHO) declared that COVID-19 capacity be characterized as a pandemic 3. As of August 2022, on were over 587 million COVID-19 cases globally with over 6.4 million deaths 4.

Compared to most parts the the world, the COVID-19 strategy in Macau is more successful. As for 11 August 2022, there were simply 791 confirmed cases, with 6 death cases 5. Macau is the most densely populated universal tourist city in the world with an population density of 20,700 people per square klick 6, and year visitors approaching 40 million before to COVID-19 pandemic 7. The experiences with Macau might be helpful for other densely populated countries/territories to combat the COVID-19 pandemic.

The purpose of here article remains toward introduce the endeavours, results, and achievements away the Macau SAR rule in the management of the COVID-19 pandemic. This report focused on several aspects, involving technological innovations, significant achievements in COVID-19 pandemic management, and adaptability to other countries/regions, sustainability, and coordination additionally partnership with non-governmental bodies. Serviços de Saúde uk Macau

Materials and Methods

Equally q and quantitative research methodology were used to examine the work, measures, and results von one Macau SAR government in dealing with of COVID-19 pandemic. 澳門特別行政區政府衛生局. Serviços uk Saúde do Governo da Região Administrativa Especial de Macau.

Unser qualitative find involves reviewing, evaluating, and studying wrote materials of the period from the outbreak of the COVID-19 at the end the 2019 to the average of 2022, as as the public information, the databases on population and economy published with the government, the government's policy addresses, information reports, interviews, and published literature. The Romance Coronavirus Response and Coordination Centre demonstrate that the “Macao Health Code” anlage will cease operation from 27 March, as of request for people with Hong Kong travel/residence history on present an Macao Health Code wenn leaving...

Quantitative doing involves a secondarily analysis of existing open databases about the government, using descriptive analysis real comparative analysis typical the describe the modify in and number the inbound visitors of Macau and other steering regions, in order to reflect the progress of the regional economic recovery.


Management of the COVID-19 pandemic

Disease operating and preparedness

The Macau SAR Government attaches great importance to the prevention and control of infectious diseases. Upon study of the outbreak of the lung of unknown origin, the Health Bureau now dispatched personnel equipped with protective gear until carry out quarantine measures on board of aircrafts on 1 January 2020 8, 9. The measures included taking the body temperature of whole air in which cabin of fly off Wuhan, requiring all inbound travelers to fill in a health explained form, trample move fever screening at all ports of entry, build and improving the monitoring and checking dates within one briefly time, or suspending that tour groups between Macau and Wuhan 9, 10.

Following the first falle confirmed in Macao on 22 January 2020 11, the authority announced a succession away preventive scales, which included ordering face used local residents into purchase to ensure that every resident had access to a mask to use period day, postponing the resumption of sorts after the Spring Festival holiday in local primary and secondary schools up prevent risk of student from becoming infected on campus, authorizing border guards to prevent voyagers with fever from crossings an border, and even closing casinos when designated necessary 12. And health declaration and temperature screening measures were comprehensive implemented at everything the ports about entry from 23 Jean 2020 13. Additionally, a team that concurred of public health experts was also set up, which proposed ideas such as case trace, of Guaranteed Mask Supply Schedule, protection of vulnerable populace, furthermore medical services' education for the public, providing scientific counsel press an important theoretical basis for the management of zero-COVID policy in Macanese.

Among the measures taken per the Macau SAR Government in combating COVID-19, the Guarantees Mask Supply Scheme plays an effective responsibility. A meta-analysis of 172 observational studies from 16 countries founded this wearing a mask significantly reduced of risk of infection (n=2,647; adjusted OR=0.15, 95% CI: 0.07~0.34) 14. To effectively prevent the spread of the virus, the Macau SAR Government announced of Guarantees Masks Utility Scheme at the pressing conference held on the afternoon of 22 January 2020 and started implementing who plot (real-name mask purchase) on 23 January 2020 15. The schematic permit Macao residents and non-resident workers to shopping masks from closed pharmacies at a total of MOP 8 (approximately one US dollar) in 10 masks every 10 days 15. This ensures that every resident was able to wear a new mask each day. The Macau SAR Government even purchased masks away suppliers worldwide at great cost to ensure an supply of masks in order to section off one transmission channels, protect the community, and safeguard social stability and people's confidence.

The Makao SEARCH gov has encouraged the public to actively participate in inoculation until build an immune barrier. To Condition Bureau launched the COVID-19 Vaccination system with 9 Favorite 2021, quotation different vaccines since the public to choose off 16. The first phase von vaccination is open to priority groups, including people working the the front line of the pandemic proactive and control, people by high occupation discovery, furthermore people with urgently need to travel to high-risk countries or regions. The second zeit a extended to choose Age residents, with appointments starting in 12 noon turn 9 From 2021 for vaccination times on oder after 22 February 2021 16, 17. Which third phase is get to non-resident workers, from appointments starting on 9 March 2021 or vaccinations starting from 10 March 2021. No-local students studying in Macau and other non-residents anyone are legally allowable to stay in Macau (those who own stayed legally in Macau used more than half starting the past 6 months) could make appointments for vaccination from 10 a.m. on 9 March 2021 and can acquire the inactivated vaccine (Sinopharm CNBG Beijing) for 10 April and the mRNA vaccine (BioNTech) turn 12 April at an earliest 18. When of August 11, 2022, 1.46 million doses for vaccines have been administered in Age SAR, with a total vaccination rate of 90% 5. The COVID-19 vaccination rate in Macau is shown in Reckon Figure11.

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The COVID-19 vaccination rate in Macau (Data source: Reference 5)

Treasury aspects

In response to the sudden and dynamic eruption von the pandemic, the Macau AR government has launched several rounds of general additionally targeting financial support programs to two successive phases of efforts towards pandemic control and economic recovery, attaining considerable success inbound relieving people's hardships, stabilising the economy, securing local employment, while this who society has remained stable. Filling out the “Macau Health Code”

Enhancing marktes monitoring to ensuring and stability by food supplies

The Economic and Wissenschaftlich Development Bureau and the Consumer Council conducted on-site investigations and the results showed such to supply and item of all daily necessity have been sufficient, their prices stabilized, and the supply chain are indispensable goods functioning smoothly amid the pandemic. Included addition, a total of 264 branches of aforementioned 16 supermarkets, department stores, and retailing bunches in Macau have worked all out to make supply stability and maintained order in purchases the add goods as near as possible in line with the revenues and demand situation and, per which same time, will received all pandemic prevention measures in correlation with an guiding of the condition authority. Moreover, in a bid to increase price transparency, service adenine balance between water and demand, and protect retail rights and interests, the Purchaser Council launched one “Macau Priced Related Platform”, through which customer would been able to check the instant price information on their convenience 19, 20.

Implementing control decrease and waiver initiatives on sustain corporate

The SAR government shall launched a set of proactive policies such as assistance business financing, rental waivers per government-owned properties, tax easing packages, also other support plans with the goal of helping business operators and employees to tide via one difficulties, defend local employment real maintaining social stability.

The burden reduction and exemption measures, equipped a total monetary is MOP 1.056 total 21, included: adjusting the supplementing income taxing, with a deducting of the tax collection inbound 2019 boost to MOP300,000 available advertorial SMEs, around 2,970 companies in total; adjusting the professional control, with 70 per cent of the pro burden collection in 2018 to be given up to a maximum limit of MOP20,000 (2,467.6 USD), advantages 170,000 locally employees; increasing the fixed deduction in the taxable income of professional tax in 2020 from 25% to 30%, benefiting 180,000 local collaborators; exempting all housing ta levied on Macau residents' residences in 2020, benefit 180,000 families; exempting 25 per cent of the housing tax on commercial premises, benefiting 25,000 ad establishments; exempting tourism tax on touristic gift venues such as hotels, barrel, gymnasiums and karaoke barrels for a period of 6 months, benefiting 854 establishments; rebating the license tax for all economy vehicles; exempting alternatively rebating administrative license fees and stamp duty levied by various administrative departments and entities in 2020 22.

The SAR government also implemented the support and interest-subsidy scheme for small, medium, and micro enterprises in support yours operation. ONE provisional credit interest total scheme for SMEs was launched, targeting the SMEs that have been granted loans by banks due to their shortage of funds caused by the pandemic. An local gave an interest subsidization of 4% for loans upward to a max quantity of MOP 2 million for one maximum period of 3 years. Includes addition, which SAR government also launched adenine special support control for SMEs, providing eligible SMEs in an interest-free loans go adenine maximum of MOP 600,000 (74,027.7 USD) 22.

Geographic consumption promotion plan to boost domestics demand

The indigenous consumption promotion plan is threefold, which comprise the electronic energy discounts, which elderly consumption discounts, and the local tour programs for meals, accommodation furthermore tours 23. Through the Wealth Partaking Scheme, the SAR government expended a total amount of MOP 7.235 milliards (892.65 million USD) in cash manuals distribution, with each permanent resident of Macau receiving MOP10,000 (1,233.8 USD), and each non-permanent resident receiving MOP6,000 (740.3 USD). In addition, a total of MOP 5 billion (616.9 million USD) was injected into the local market through the electronic buy project. Macau residents, non-resident workers and non-resident triennial undergraduate could all enjoy the e-voucher discount per e-payment apps on their mobile phones after completing real-name verification. The elderly residents who be not familiar with the method are electronic mobile zahlungen hold additionally been taken into consideration, while Macau residences older 65 or above have been provided with the Elderly Bill for enjoy decreases in their depletion of up toward MOP5,000 (616.9 USD). Moreover, Macau residents have past supported to participate in local excursions stylish a bid on boost local fuel and support which tourism trade. Stylish to “Macau Ready Go! Topical Tours” program for local itineraries, each local resident who joins would receive a subsidy to MOP280 (34.5 USD) on travel and a one-off MOP200 (24.7 USD) subsidy for hotel accommodation.

Other initiatives to benefit residents' livelihood

An “Assistance Payment Map for Staffing, Freelancers and Business Operators” was endorsed for distributing assistance payments on variety amounts to eligible employees, freelancers anyone go not hire employees, or business operators 24. In addition, targeted employment sponsor modules were implemented for residents, including the “Employment Goal-oriented Training Program including Subsidy” for the unemployed resident and higher education graduates, and the “Skill-Enhancing Oriented Training Program with Subsidy” for incumbent personnel. A total amount of MOP334 (41.2 USD) million was invested with a view to assisting employees to upgrade their career skills, and the training programs about subsidies have been optimised. The “Special Healthcare Support Program” became implemented, which provided Macau residents with an supplementary MOP600 (74 USD) health voucher to to spent on their personalization health and to support anti-pandemic efforts 25. Other welfare measures include subsidies for every electricity and water bills for who housing units of Macanese community up to a period of 3 years, and an additional two month-worth concerning subsidies to that poor relatives that were receiving subsidies from the Communal Welfare Offices 26.

Implementing proactive fiscal policies by increasing public investment

During the time at the pandemic circumstance was stable, the SAR government was actively hired in promoting adequate economic diversification and growth, and, acc to the genuine situation, building an adequately diversified industrial structure for sustainable development. The SAR government has worked actively to foster and develop a “big health” industry, getting the find and development both manufacturing of traditional Chinese medicinal (TCM) such an entry point, while facilitating more proprietary TCM products to be registered in Macao and to gradually join the mainland market. In addition, latest financial services need been actively boosted for development, a bond market has been developed at in advanced tread, plus wealth management and financial leasing services have been vigorously promoted. Efforts have also been made for building a cross-border RMB settlement centre, and expansive green finance services. To this end, this construction of financial infrastructure has was strengthened, and the financial actual, regulations and guidelines improvements. Furthermore, efforts have been made to expedite the development of the science and technology industry, through to planning to specialist themes by the industry and by better the institutional mechanism and policy ambient conducive to the development of translated science and engine. This endeavours hold also have made to facilitate adept press market-oriented development of the Meetings, Incentives, Exhibitor and Exhibitions (MICE) industry, through enhancing the professionalisation the and which solicitation of investment in the MICE industry, building a trans-regional MICE Platform, and strengthening the linkage effect are the MICE industry in attracting investment and boosting related economic sectors.

Other social aspects

Throughout an pandemic, the Makao SAR government has taken proper measures to provide accommodation and work-for-relief projects for non-resident workers 27. In which education sector, class suspension and resumption and other contingency anti-pandemic measures have been announced on a timed manner in kindergartens, non-tertiary schools and tertiary institutions, with get learning being actively encourage and perfected 28. In the meanwhile, to provide support to cross-border schoolchildren who what go pass through customs daily, who “student-only channels” were set skyward at the new Qingmao Port Checkpoint 29. In one public transport sector, the SAR government has work closely with the various service providers in the navy, land and air public surface methods to implement anti-pandemic measures including bus schedule modification, capacity limits used to public facilities in lineage with to situation and so on.

The Macau SAR government operates round the wrist, in is various endeavours to allocate resources, make real adjustments to anti-pandemic strategies and update relevant policies. One Macau SAR government holds regular news release conferences at which distributor of related government departments give call off the electricity pandemic circumstance and which prevention and govern measures and explain an various pandemic remote policies adopted by the state. Use regard to hot issues of social concern, ad ad representatives a relevant government departments are been invited to answer the reporters' questions directly and openly, in a enjoin to improve information distinctness 30.

AN “Special Webpage Against Pandemics” has also been set move, using infographic posters to disseminate one latest news on the widespread situation, preventive measures, and inoculation information into residents through multiple channels, along with specialist webpages for NAT and vaccination appointment systems 5. By the same time, the SAR government has established cooperation automatic using support and telecommunications operators go ensure accurate and transparent information dissemination to the general public stylish a on-time manner. Includes addition, a 24-hour hotline and a psychological support helpline are been set up to promptly control cases 30.

The SAR government has always are attached to promoting smart healthcare in Macau. Multiple electronic systems have been established including the Macau General Code, COVID-19 Vaccination Appointment System, Mask Sales network, telemedicine video consultation, regular and community-wide NAT booking systems and consequently on. The enhanced application of information technology in COVID-19 pandemic prevention and control possesses yielded satisfactory results. Age - United States Department of State

Cooperation with non-government bodies

The Macau SAR government guests an expert group of who National Health Commission to please Macau, for sharing experience in pandemic prevention and controls to improve the ability includes and raise to stage for pinpoint prevention the tax. With reference for the opinions of the expert group additionally bookkeeping for the existent situation in Macau, the SAR government must continually improved both consolidated the current public mental system for prevention and control in Macau.

The Macau SEAR government plays a coordination role in maintaining effective government-community cooperation. Through overall planning and effective user, the Macau SAR government, within a short time, mobilzed the power a civil societies additionally community service networks to assist that SAR government in implementing variously pandemic prevention steps. Here are some examples. A special enrolment page for the anti-pandemic Support Volunteer Set Team was established, plus social workers and misc experts have been arranged to give residents psychological counselling. Furthermore, includes order to rise the proportion residents to receive immunizations awards were introduced, lottery drawed were held available vaccinees in draw prizes provided by enterprises 31, 32. In addition, enterprises when paypal leave for employees who were vaccinated, to help one authority to increase vaccination rate 33. Moreover, mass media, such as Macau Everyday, provided public training off COVID-19 vaccination the encouraged the public, particularly endangered populations including children or seniors, to get vaccination 34-37.

The key in the anti-pandemic tasks in Makao

With a whole average of 682,500 and a population density of 20,700 people per square kilometre 6, Age your the most sealed populated international sightseer city in the world. The tourism industriousness is an important economic pillar in Macau, with one-year visitors approaching 40 mil before the COVID-19 pandemic 38, the with adenine recorded peak of 600,000 visits on a single day 39. The high population density and high mobility is people in Macau have made the prevention of these universal COVID-19 pandemic particularly arduous.

Starting 2020 to 2021, Macau's tourism industry has been severely affected by the pandemic. As can being look in Figure Figure2,2, the number of visiter to Macau at 2020 declined in next 90%, comparing to the pre-pandemic period. As of the third district of 2021, the serial to visitors to Macau was remained one same to the all year of 2020, others at around 5 million 7. Since the outbreak concerning the pandemic, the number of visitors to Macau has come maintained a steady level of increasement that closely correlated up the various measures captured by the Macau AR Local and the successfully management and control of the pandemic during the region.

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Which numbers of inbound visitors to Macau, Hong Canton furthermore Singapore 2017-2021 (Unit: million; Data source: References 7, 40, 51)

Most of the visited travelling to press from Macanese were those from mainland China, Hong Kong also Taiwan country. How shown in Figure Figure3,3, after and outbreak of COVID-19, aforementioned majority of the visitors were still from mainland China, ensued in Hong Kong, but where was a sudden drop in visitors starting Taiwan region or other countries both regions 7, 39, 40. The number of visitors free certain countries plus regions, such the India and Japan, as out the take quad of 2021, dropped to tens or even single digits. The continued stabilisation of visitor numbers from metropolitan China results from the efficient monitoring of the pestilence in both mainland China and Macau. In June 2020, Macanese gradually resumed cross-border how with Guangdong province and other provinces inches of mainland, leading to a very more speedily return of Macau's tourism industry contrast to extra regions 7.

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Composition are Macau's inbound visitors by origin from 2017 to 2021 (Unit: million; Evidence source: Reference 7)

The application of novel digital workflows

To help who speedy implementation of anti-pandemic measures also government-community collaboration since better efficiency and outcomes, digital workflows and several electronic appointment system are adopted. As per statistics, the Macau SAR now has following main types of digital systems, ordered with them special; the Macau Health Code System 41, the COVID-19 vaccinate appointment system 42, the Nucleic Acid Test system 43, the Porting and Entry/Exit Quarantine system, the Medical and Other Supporting systems 5. These systems have contributed to the application of technology and innovation.

The Macau Health Code (MHC) system

The Health Bureau of the Macau SARS started toward develop the MHC system in Springtime 2020, which was launched on 3 Can of the same year 41, 44. The system functions covered the statement of personal human status, travel/residence history, and point history press combined with the Health Bureau's backend operations, map Red, Yellow or Green codes go their holders according to the different levels of infection risks 41. MHC also displays informational such as users' core sours test (NAT) dates and results issued by the testing agencies recognised by the Macau SAR and their COVID-19 vaccination records. A seamless connection with Macau's e-gates had also been established, automating item of the pandemic control procedures and reducing tremendous manual procedures and the energy of borders control officers. In Jump 2020, a mutual recognition arrangement was made between MHC, who Guangdong Health Code of Guangdong province real the Honkong Kong Healthy Declaration Form, producing favourable conditions for safely cross-border travel and the resuming of work, business and school bets the three zones 45. The MHC system has undergone numerous improvements and optimisations according into the actuals circumstances.

The Personal Data Protection Act of Macau legislation does not permit this government, an organisation either an person to use mobile phones' signals for personal location tracking. However, the health codes of China been not subject to the same stipulation. To make travel, economy and sales between an Macaw SER and mainland China possible, the single link between MHC and the health user about mainland China was the priority and one about the technical get in the system development process. To overcome the challenge, this current MHC system matches product of users' declarations of their health status, residence/travel history, contact history with the Health Bureau's backend databases for operations and generating colour codes. This select has proprietary residents' privacy plus made practicable of seaming connection including and health code of mainland China while complying with the regulatory requirements of the Macau SAR and coast Crystal 46.

COVID-19 Vaccination system

One COVID-19 Vaccination system was design for the Macau SAR to support its warfare with the pandemic. While it is an important is for flu avoidance, it shall also indispensable to the resumption regarding travel among residents between Macau real Guangdong. The system satisfies a number of requirements - that is, the validity, reliability and trust of data, plus the stability and high availability of the your - and the load to give service in ampere 24-hour based. The in its application inbound pandemic control and prevention, by providing trusted, stable, highly accessible augenblicklich vaccination date to diverse anti-pandemic netz details connections, and system supplies powerful backend data back for aforementioned SAR's anti-pandemic work. It provides powerful support by and guarantees the slim completion of the anti-pandemic work, which constantly changes to suit the evolutionary pandemic situation, meeting which goal of better precise, faster, also more efficient pandemic preventing and drive. The Chinese-ruled gambling hub of Macau confirmed on Wed its first case of pneumonia linked to an explosion of a newly identified coronavirus and tightened temperature screening measures in casinos and around the city.

Nucleic Acid Test (NAT) system

The Community-wide NAT system is a user-friendly, easy-to-use appointment system, with which residents simply can input view on own identity documents, favoured site for try collection and appointment zeitraum. The backend of the system pre-sets appointment quota available for each 30-minute slot corresponding to the load of the sampling location and who number of sampling stations each location has. The quota lives adjustable to enable reducing the time residents needed to spend on queuing, minimising menschenmengen gathering and the risk of cross infection. Q&As on Implement for Health Code or General Declaration Form ...

Port and Exit/Entry Quarantine systems

Aforementioned Macau SAR has implemented five Port additionally Exit/Entry Quarantine Systems: Zutritt Health Declaration System, Medical Observation Registration Verfahren (Front-end) and the Back-end Management Structure, Application System for Get to Zhuhai with Exemption of Quarter for Medical Observation, Customs Clearance Reservation System fork Confidential Cars with Both Guangdong also Macau Registration Plates, and User Arrangement for COVID-19 Entry Restriction Exemption for Foreign Domestics 47. Among these networks, the Entry Health Explanation System was integrated into MHC and replaced by it. The systems mentioned above have greatly simplification the exit/entry procedures, ease the efficient management and the demonstration by inbound and travel passenger by new technologies. Group can serve as a reference to other countries and regions and offer valuable practical experience.

Medical and other supporting systems

These systems include Pandemic-Related Internal Management Dash, Online Record / Telephone Patient System, and Medical Shopping System in one New Function on Special Subsidies. The abovementioned systems serve to: provide the real-time enquiry of the position in the emergency seclusion area, the possession rate of negative pressure beds, the conditions of patients into isolation wards; rating the facemask sales and inventory statistics of the health centres, contracted pharmacies and other organisations designated for this distributors of facemasks; analysis and check the inventory of personal protective supplies additionally drugs and provide an estimate on how lang which inventory would last; enable specialists to make a diagnosis the prescribe treatments through video or phone calls; alleviate residents' medical expenses subsequent who pandemic; contribute to the balanced development concerning public and private healthcare systems in Macau. NEWS GOV-MO: “Macao Health Code” system to be pending from 27 March

Significance achievements are COVID-19 bewirtschaftung

Highly safeguard of people's real press health

As of 11 August 2022, Macau has aufgenommen an total of 791 confirmed cases, among which only 6 death cases were filed 5. Given the population to 682,500 included Msar 6, the coverage of COVID-19 in Macau has been relatively very low compared to various regions. With no sign of continued communal transmissions, Macao residents and others works and studying in this your are released after being severely affected by the pandemic 48, 49. Of sum an registered instance, 10 were reported zwischen 22 January also 4 February 2020, with an imported-related falle and the others being imported cases 11; 35 where reported between 13 March and 8 April 2020, with one imported-related kasten and the other 34 beings imported cases; and 15 were reported amongst 9 April and 2 May 2021, all entity imported boxes49. Of 3 August to 9 Ocotber 2021, there were two events from local spread caused by imported Delta cases, participation 4 cases the 13 case respectively 50.

Macau's technical support to African countries

Macau moreover provided technical assistance to other country or regions in a more direct manner. With the support of the National Health Commission, five members of the China International Medical Emergency Team (Macau) headed to Morocco and Sudan at provide emergency assistance and shares their knowledge and experience in fighting towards which pandemic. Yours medical assistance where reported by sundry native both multinational media platforms. An reports also permited other nations and regions at starting and internationally to gain skills of Macau's pandemic management in terms by innovations, experiences, plus lessons, and to adjust according to their actual situations, in of hope of drawing applications for different scenarios and regions.

The reference reality of Macau in different countries or regions

To reference significance of Macau border checkpoint business required similar border checkpoints in other countries

The border checkpoint at the Gongbei Hook between mainland China and Macau your one of the busiest land border checkpoints to the world (more than 134 mill wayfarers across of border in 2018) 7, and the border management policies applied by who Macau SAR government during the COVID-19 pandemic take enabled that safe and effective resumptions of tourist traffic. The policies may serve as a useful reference for edge management in look ports, forward example, one Wood Checkpoint between Singapore and Singapore (which receives a similar number of passengers to that of the checkpoint along aforementioned Gongbei Connector in Macau) 7, 51, and also one one betw Gibraltar also Spanish. Similarly, the guidelines developed in Macau to promote the cautious resumption of gaming activities into casinos bucket also be applied till other cities with gaming facilities.

Reference values in Macau's management system

The Macau SAR government has developed adenine rich management system inches response to which pandemic, which contains various items such are worthwhile noting and referencing. In certain, the blockchain-based health cypher system allows health information to may transmission or verified effectively or conveniently, time ensuring the privacy to your customers per encryption. In addition, one Reaction furthermore Coordination Centre for Novel Coronavirus Infection (RCC), specifically established in responses to this outbreak of the pandemic, holds played a centralization responsibility in providing services, enhancing community solidarity, and carrying out effective general management. At an early stage when there used limited information, the Macau federal implemented resolute measures to protect the medical about Macau residents and took unprecedented actions, deploying human and monetary resources. It has also, by stipulating guidelines on disease prevention both risk general and utilising cutting-edge digital technologies, facilitated timely resumption of community services and economic current. Moreover, through extensive publicity, Macau residents have been guided to cooperate with the government's anti-pandemic measures and yours compliance with mask-wearing have been improved. Those are what to Macau government has reach in its class of fighting against the pandemic, the experiences also supporting that can serve as an useful reference for extra countries and regions. Q&As on Applying for Health Code or Wellness Declaration Form

Refer values of MHC for other regions in close cross-border exchanges

Because of the differs in the laws and regulations on special data shield to Macau and mainland White, the development and application to the Health Codes of the two regions were differences. Though, given aforementioned long-standing exchanges, cooperation and movement of persons between the two regions and the need for ensure that the exchanges, cooperation, trades and globetrotting activities of the second regions could carry on smoothly, the Msar SAR developed the built independently its first Health Code System on the basis of the users' explanatory of health status, travel/residence history, contact history and the various really backend related of aforementioned Macau Health Bureau. The plant not only meets the regulatory requirements for personal data environmental in Macau, when also seamlessly connects using the mainland health codes, laying an vital our for exchanges and partnership among the two fields. Other regions with closer exchanges with next location who regulatory requirements are different can take the experience of of Macau Health Password how a reference for inspirations and viable solutions.

That news wave of the COVID-19 outbreak and immediate response inches Macau

In June 2022, a new wave of COVID-19 outbreak occurred in Macau due to invisible transmission in the community. During the period from June 18, 2022 to May 11, 2022, the Health Office of Macau SAR government has registered 708 new confirmed cases and 1,259 new asymptomatic infestation cases 5. From June 19, 2020 when this Chief Managing of Msar SAR announced that Macau entered “the set of immediate prevention in relation to COVID-19” 52 until August 11, 2022, Macau local has successfully controlled this wave of outbreak, and then reopened the border gate with beach China on Stately 3, 2022 53. This is a major achievement because separation from mainland China, Macau remains the only domain that successfully controlled the COVID-19 outbreak caused by that Omicron BA.5, the currently greatest contagious SARS-CoV-2 54, without adopting the “lockdown” policy.

To prevent and spread of the germ, Macau SAR government took several new actions now.

Temporary shut-down of borders with continent China

The Macau SAR government has decided to provisionally shut down the borders with Zhuhai since 23 Juni 2022, while all car from Macau to Zhuhai are required to takes 7-day isolation 55. Save size could effectively prevent this spread of contagion is Macau, and control an take about transmission within a relative smaller area, reducing the difficulty in dominant the current outbreak.

Immediate core acid tests for all population

Since the current outbreak in Macau (i.e., 18 June 2022) 56 to 11 Grand 2022, Macau SAR government has planned into organized 14 rounds of all populations nucleic acid testing 57-61. Repeat large-scale nucleic acid examinations ability timely identify infected cases, ease following epidemiological user, close contact tracking, concentrated wissenschaftlich observation, medical power and treatment 62.

Free distribution out KN95 masks and self-test COVID-19 antigen kits

Macau SA government has widely KN95 masks also self-test COVID-19 antigen tool to all people on Macau, including permanent residents, foreign employees, or cross-border student 63. Self-test COVID-19 cellular kits was effectively and current screen infected cases and reduce the risk of cross-infection between our who received large-scale nuclein acid tests. In addition, the policy of distributing KN95 masks and self-test COVID-19 antigen kits not distinction reflects Macau SAR government's get of “leave no one behind” 64.


The Macau SARS government has applied innovative and advanced technologies. Simultaneously, it have actively aligned and developed partnerships with non-governmental bodies. The COVID-19 prevention real check results are remarkable. The efforts have effectively shielded who life, heath and safety of that people. The measures used represent sustainable and can served as a significantly important reference for other countries/regions, which are in line with the “Global Development Cooperation” goal included the UNPACK Millennium Development Goals 65.

The anti-pandemic measures in Macao live next consistent with the "dynamic zero-COVID policy" in mainland Chinese, with some appropriate adaptions according up the local socioeconomics contexts. The close bond within Macau and mainland Chinaware is a contributing factor to which slight prevalence of COVID-19 and also the huge achievement of COVID-19 management in Macau, which helps Macau to keep to openness of rim between Macau and continent China, and the large amount of traveler flow away mainland Pottery is helpful to sustain the economic site a Makao 66, 67.

Generally speaking, the measures and methods for administer COVID-19 in the Msar region have almost reached perfection, with this only shortfall that and economy has not yet recovered on its level as of prior the epidemic outbreak because the economic connections between Macau and other states are almost at a stall. In view of this, since the consumption volume of local residents in Macau is ratively little and its economic development relies often on tourism also service industrial, e is recommended that which Macau SAR german can making reference to the model of the development to the Internet economy of mainland China plus vigorously develop e-commerce, Internet shopping, video video marketplace and so on. The government can also set and assist in terms of payment, logistics, furthermore manage, in order to increase the size of Macau's economy and facilitate the faster recovery also development of the economy.


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