First Schedule (rule 3)
General preventive measures and guidelines on management of waste generated from COVID prevention and control in communities
Part I – General preventive measures
(1)An operator of public service facility shall ensure the following at the public service facility—(а)provision of handwashing facilities or hand sanitizer at no cost to persons accessing or using the facility;(b)provision of adequate ventilation;(c)increasing trading hours in order to prevent congestion and overcrowding;(d)enforcement of inter-personal distance of at least one metre; and(e)mandatory wearing of face masks.(2)For purposes of this Schedule "public service facility" means a publicly or privately owned facility which is accessible to the public for purposes of accessing goods or services available at that facility.Part II – Guidelines on management of wastes generated from COVID prevention and control in communities
1.Waste management at household level(a)medical waste generated at household shall be disposed separately from other household waste;(b)an individual plastic waste bag shall be placed in a lining in a coverable container placed in a patient’s room;(c)paper tissues, face masks and other materials used by a patient shall, immediately after use, be put in the waste bag, in the patient’s room;(d)gloves and face masks used by the caretaker in taking care of the patient shall, immediately after use, be put in a second plastic waste bag;(e)the waste bags shall be replaced frequently and be closed before being removed from the patient’s room or household;(f)the waste bags shall be collected together without being opened, and be incinerated;(g)used liners from the containers, shall be collected, without opening, to be incinerated;(h)after handling waste bags, strict hand hygiene shall be done as prescribed in Part I;(i)eating utensils of a COVID-19 patient shall be separately cleaned, disinfected and kept separately from those used by other people;(j)any condemned utensils used by a COVID-19 patient or those used by a person in isolation or quarantine shall be disinfected before disposal by incineration or burying;(k)incinerate or bury, under supervision, items not required for reused by COVID-19 patient or care-taker; and(l)waste water from cleaning and hand washing facilities shall be drained away from direct contact with persons or animals.2.Waste management at institutional levelOwners of shops and shopping malls shall—(a)place coverable receptacles with liners for the disposal of gloves and face masks used by staff and customers;(b)monitor use of the waste containers or receptacles;(c)guide customers on the usage of the waste containers;(d)monitor the collection of the waste to either own or municipal incineration facilities;(e)disinfect waste containers daily; and(f)provide new container liners, as and when necessary.3.Waste management at marketsMarket supervisors shall ensure that they—(a)place coverable receptacles with liners for the disposal of gloves and face masks used by sellers and buyers;(b)monitor use of the waste containers or receptacles;(c)guide people on the usage of the waste containers or receptacles;(d)monitor the collection of the waste to either own or municipal incineration facilities;(e)disinfect waste containers or receptacles;(f)incinerate waste daily; and(g)provide new liners for receptacles as and when necessary.4.Exchange of information and awareness raising(1)Environmental health officers shall continuously monitor waste management in local government areas and ensure that waste collectors follow waste management guidelines.(2)The Environmental Health Department of a local government authority shall continuously—(a)conduct inspections to monitor compliance with established practices of waste disposal and management;(b)make recommendations to improve waste management practices;(c)disseminate messages to the general public on improving waste management practices; and(d)conduct on-going monitoring and re-strategizing on improving waste management practices.Second Schedule (rule 7)
Managment and safe burial of bodies of suspected COVID-19 patients
1.Main principlesThe following shall be observed in relation to handling of dead bodies of persons suspected or confirmed to have died of COVID-19—(a)the bodies shall be treated with sensitivity, dignity and respect like any other dead body;(b)people who work in funeral and burial services, including undertakers, bereaved family members and mourners shall be are protected from infection;(c)principles of Standard Infection Control Precautions (SICPs) and Transmission-Based Precautions (TBPs) shall be applied;(d)the dead body shall be transported in a body bag; and(e)viewing, hygienic preparations, post-mortem and embalming shall be undertaken by professionals trained in handling dead bodies.2.Guidance for professionals who manage dead bodies(1)This paragraph applies to persons who manage dead bodies including mortuary staff, pathologists, funeral directors, bereaved family members, undertakers, mourners, community and religious leaders.(2)Handling of deceased persons potentially infected with Corona Virus shall follow the principles of Standard Infection Control Precautions.3.Use of personal protective equipmentAll medical personnel shall use personal protective equipment when handling COVID-19 patients and follow all procedures for correct use.4.Managing a death outside of a healthcare settingWhere a patient dies of suspected COVID-19 outside of a healthcare setting, the following shall apply—(a)other persons, other than medical personnel, shall not be allowed to enter the room where the dead body is; and(b)medical personnel who handle the body shall wear personal protective equipment in line with standard infection control precautions, such as gloves, apron and fluid resistant surgical masks.5.Guidance for members of the public who identify a death outside of a healthcare settingWhere a person comes into contact with a deceased person who has been confirmed as having COVID-19, or who had symptoms of the infection, that person shall—(a)not to come into direct contact with the dead body and other persons;(b)move to at least one metre away from the body or to another room;(c)inform a community leader, local community health worker or members of the burial team in the locality; and(d)if anyone needs to provide care for the deceased person, this should be kept to a minimum and correct Personal Protective Equipment used.6.Guidance for residential care settings including care homes and hospicesWhere a resident dies of, or is suspected of dying of, COVID-19 in a residential care setting, all residents shall—(a)maintain a distance of at least one metre from the dead body or move to another room;(b)avoid all non-essential contact with the dead body to minimise risk of exposure; and(c)follow the usual processes for dealing with a death in a particular setting, ensuring that infection prevention and control measures are implemented.7.Practices that involve close contact with a dead body(1)Viewing, hygienic preparations, post-mortem and embalming shall be done by professionals experienced in handling bodies of deceased persons, and appropriate precautions shall be followed.(2)Cremation may be done where the deceased does not have a medical device that requires removal.(3)Persons other than professionals in handling of dead bodies, shall not take part in any ritual or tradition that bring them into close contact with the body of the deceased.(4)The rituals in paragraph (3) include washing, preparing or dressing the body.8.Transportation of a dead body(1)The following documents shall be submitted to the Director responsible for health and social services for the issuance of a transfer permit for a dead body suspected or confirmed to have died of COVID-19 —(a)an official identification document which may be a National Identity Card or Passport;(b)an official certificate of cause of death which may either be the original certificate by a health personnel or authenticated copy;(c)an official certificate of embalming (original or authenticated) by the person or funeral parlour authorized to prepare the remains indicating the manner and method in which the body was prepared;(d)a transfer permit issued by health authority at the place of death or burial in the case of exhumed remains which states surname, first name, date and cause of death and date of issue;(e)transportation details of the dead body, including registration number of motor vehicle or flight number, departure location, time of departure and arrival;(f)next of kin or funeral home that will be in charge of the dead body; and(h)final place of internment of the dead body or means of disposal.(2)A copy of death certificate, embalming certificate, and transit permit shall accompany the dead body during shipment.(3)The outside of the coffin shall bear an immovable plaque or other appropriate marking, in a conspicuous place, indicating name, age and place of final destination of the dead body.9.Shipment requirements for dead bodies certified to have died of COVID-19(1)A dead body prepared for international shipment shall be embalmed (arterial and cavity) and placed in an impervious coffin.(2)In the event that embalming cannot be done, the bottom of the coffin shall be covered with five centimetres of absorbent matter with addition of an antiseptic substance and wrapped in a shroud soaked in an antiseptic solution.(3)The coffin shall be hermetically sealed.10.Transportation by land, air or water(1)Wreaths, flowers and other similar articles may be sent with a coffin only when it is permitted by the importing country and there is specific authorization to do so.(2)In case of transportation by road, the impervious coffin shall be transported in a closed automobile and placed in such a way to prevent movement.(3)In the case of transportation by air, the impervious coffin may be conveyed in the baggage compartment of the passenger aircraft or in a cargo aircraft.(4)In the case of transportation by water, the impervious coffin shall be packed in an ordinary wooden case, or one made of other materials, or may be placed in specially designed fabric container.(1)A person managing arrangements for burial of a dead body shall comply with all infection prevention and control measures and follow the usual processes for dealing with a death in a particular setting or area.(2)Various community structures such as tracer teams and burial committees shall be established to perform vital roles in disease outbreaks like COVID-19 pandemic.(3)The burial committee shall be responsible for the management of final disposal of the dead body in the community.(4)Members of the burial committee shall be given necessary capacity to coordinate, conduct and manage safe burials in the village.(5)Burial shall be done within twenty-four hours and in the locality where death has occurred.(6)The burial should be managed by health authorities on a case-by-case basis, ensuring that the rights of the family, the risks of exposure to infection and the need of investigation the cause of death are well balanced.(7)The burial committee shall comprise the following ten members—(a)health surveillance assistant in the area, to supervise the infection control precautions and protocols;(b)police officer or a member of community policing structure or any officer as may be delegated by the head of the local government authority to ensure compliance with critical control measures;(c)the village headman of the area to control number of people conducting vigil and also of cultural practices deemed of high risk to perform;(d)leadership of local undertakers; and(e)community members including influential leaders and religious leaders nominated by the community.Third Schedule
Education institutions measures
1.Closure and reopening of education facilitiesThe Minister shall, in consultation with the Minister responsible for education, notify education institutions on measures to be implemented for reopening of education institutions.2.Measures applicable when education facilities are openAdministrators of education institutions shall adhere to the following measures when education institutions open during the period within which COVID-19 is still spreading—(a)ensure schools and education institutions are thoroughly disinfected before opening and ensure continuous daily cleaning;(b)ensure availability of handwashing facilities in accordance with the First Schedule hereto and every class shall have hand washing buckets with soap: Provided that where water and soap are not available, hand sanitizer shall be provided;(c)promote and demonstrate to students, regular handwashing with soap and other good hygiene behavior;(d)enforce social distancing of at least one metre between students in classrooms and around the institution premises generally;(e)ensure adequate air flow and ventilation by opening windows and use open air classrooms where feasible;(f)disseminate appropriate information through information, educational and communication materials encouraging good hand and respiratory hygiene practices in all strategic places at the education premises;(g)encourage and ensure staff, students and learners who have COVID-19 symptoms stay at home;(h)ensure staff, students and learners wear face masks at all times while at the education premises;(i)not allow visitors coming from outside Malawi to visit school premises, unless approved by the Secretaries responsible for health and education, or any designated officer;(j)monitor absenteeism of students and collaborate with parents and guardians to keep checking students and make sure that if they observe symptoms of COVID-19 the matter is expeditiously reported to the nearest health facility;(k)prevent any student who has COVID-19 symptoms from attending school;(l)discourage contact sports and other similar activities;(m)incorporate relevant health education on COVID-19 into other subjects;(n)where necessary, implement double shifts in order to decongest large classes; and(o)where classes cannot observe social distance requirements, implement virtual and distance learning.(3)Notwithstanding measures taken under paragraph (2), education facilities may be temporarily closed and education events cancelled on advice from appropriate authorities.(4)Education institutions shall cooperate with health personnel at all times.Fourth Schedule
Workplace guidelines
The following measures shall apply to work places, in addition to the measures in the First Schedule—1.General workplace preventive measuresEmployers or employees returning from areas of significant risk and those who have had contact with infected persons shall be excused from work and should undergo self-quarantine and where necessary, be placed under institutional quarantine.2.Obligations of employersAll employers shall—(a)ensure provision to all employees of up to date information on COVID-19 released by the Ministry;(b)provide adequate facilities to ensure that employees, customers and visitors entering or exiting the workplace wash hands with soap and water or with alcohol based sanitizers, at no cost;(c)ensure and promote a culture of regular wiping of work stations, doorknobs, telephones, keyboards, working objects and or frequently touched surfaces with disinfectants.(d)ensure that restrooms are regularly disinfected;(e)determine critical and non-critical staff and promote working from home for non-critical employees to minimize physical contact of persons at the workplace;(f)decongest workplaces by introducing shifts to avoid overcrowding;(g)ensure that at any one time, in a workroom the amount of cubic space allowed for each person so employed is not less than eleven cubic metres;(h)where it is necessary for employees to be physically present at the workplace, arrange work in a way that allow for physical distancing ofat least one metre from other persons;(i)limit or shut down non-essential activities;(j)limit the number of visitors to the workplace and designate waiting space for authorized visitors;(k)post, in every workroom, a notice specifying the number of persons who may be employed in that room at any one time;(l)allow vulnerable employees including those with underlying medical conditions to work from home;(m)allow employees with COVID-19 symptoms to stay at home;(n)arrange for isolation of any person who has developed COVID-19 symptoms at a work site, while awaiting medical attention and arrange health surveillance of employees who have been in close contact with the suspected case;(o)report any suspected case of COVID-19 to relevant authorities;(p)ensure that delivery employees, truck drivers and transportation employees minimize direct contact with customers or other members of staff;(q)minimize face to face meetings, giving preference to phone calls, email or virtual meetings and make use of hotlines, online portals, and placing information on social platforms, among others, to minimize physical presence to the workplace;(r)place posters on prevention of the spread of COVID-19 at strategic locations throughout the workplace;(s)update staff on confirmed cases of COVID-19 at the workplace, if any, and any support being rendered by the employer;(t)cooperate with public health services and officials to ensure that appropriate cleaning and sanitization are carried out at the workplace;(u)ensure employees’ contact numbers and emergency contact information are up to date and also maintain details of immediate family members of each employee;(v)assess risk of COVID-19 when work related travel is being planned, and as much as possible, prevent travel for work; and(w)provide appropriate personal protective equipment to high risk and strictly to front line workers like health care workers, at no cost.3.Duties of employeesEmployees shall—(a)take reasonable care for their personal safety and that of other persons who may be affected by their acts or omissions at work and outside work;(b)co-operate with an employer in observing measures put in place to prevent the spread of the Corona Virus, including proper use of personal protective equipment, sanitary facilities and frequent washing of hands with soap or sanitizer;(c)report to the employer, any employee whose action compromises preventive measures;(d)engage the employer through appropriate enterprise structures for any shortfalls on COVID-19 prevention measures;(e)report to the employer any employee, customer or visitor who displays COVID-19 symptoms;(f)avoid going to the workplace if there is imminent danger or high risk of exposure to, or spread of the Corona Virus; and(g)seek medical attention when experiencing symptoms that are associated with COVID-19.4.Measures to be taken in the event of a suspected COVID-19 case at a workplaceIn the event that there is a suspected COVID-19 case at a workplace—(a)an employer shall—(i)quarantine a suspected case in a special room set aside for that purpose prior to alerting the nearest appropriate public health authority;(ii)ensure that employees take the necessary precautionary measures in accordance with the guidelines set by public health authorities to prevent transmission of the Corona Virus;(iii)notify the employee’s immediate family member ofthe development and action taken or being taken;(iv)designate an officer—(aa)to maintain contact with the public health authority handling the case in respect of the individual’s diagnosis; and(bb)who shall in carrying out his functions, maintain confidentiality and the employer shall make disclosures in a manner that discourages stigmatization and discrimination and promote reporting of suspected cases and possible exposure;(v)arrange sanitization of the affected office facility, company vehicles and surrounding areas immediately following the discovery of the suspected case;(vi)provide assistance or relief to the employee infected at a workplace or in the course of duty, and infected family members, in the short to medium term;(vii)cooperate with public health authorities in identifying and providing name and home address of the individual, contact details of all fellow employees, or members of the public who may have been in direct face to face contact with the individual during the discharge of his responsibilities and contact details of immediate family members;(viii)ensure the protection of the rights and privileges, safety, welfare and wellbeing of the affected employee, including maintaining wages;(ix)grant sick leave and other appropriate benefits, upon confirmation of the infection;(x)make provisions for the re-entry of an employee at a workplace once certified free of COVID-19 by appropriate health authorities;(xi)continuously review, as appropriate, work place policies, procedures and strategies for COVID-19 response; and(xii)shut down a workplace once a member is tested positive and arrange for sanitization of the workplace before re-opening; and(b)an employee shall cooperate with the employer in implementing the measures in paragraph (a).Fifth Schedule
Transport guidelines
(1)Passengers with symptoms of COVID-19 shall not be allowed to use any public transport service.(2)All crew and passengers shall put on face masks while inside a passenger vehicle, aircraft or vessel.(3)Transport operators shall—(a)ensure that hand washing facilities or hand sanitizers are available at all boarding and disembarking points at no cost to passengers;(b)ensure social distancing of passengers while on board a passenger vehicle, aircraft or vessel;(c)disinfect all public service vehicles, train couches, ships, and aircraft before commencement of every trip; and(d)ensure that passengers do not carry animals on board.(4)Transport operators shall continuously sensitize travelers on the need to adhere to these measures.(5)Non-essential travel within, into or out of a restricted area is prohibited.2.Mode specific guidelines(1)Air Transport(a)Air transport for commercial international or domestic flights shall be restricted for a prescribed period:Provided that restriction shall not apply to—(ii)entry of essential services personnel, essential equipment and emergency relief items;(iv)where restrictions on air transport are eased, limited flights per week may be allowed into Malawi and the following conditions shall apply—(aa)the carrying capacity of aircraft shall be reduced to sixty percent;(bb)aircraft and equipment on board shall be disinfected prior to commencement of every trip;(cc)all cabin crew, passengers, ground crew and other airport operators shall use personal protective equipment including face masks at all times on board and within the airport premises;(dd)sanitary and hygiene facilities shall be provided on board;(ee)animals shall not be allowed on board;(ff)cabin crew and passengers shall limit movement while on board an aircraft and during flight;(gg)air operators shall implement simplified catering procedures;(hh)passengers and cabin crew shall be screened on departure from and arrival at airports;(ii)airport workers shall be screened and shall wear face masks at all times while at the airport; and(jj)where applicable, airport operators shall have isolation cabins for persons showing symptoms of COVID-19;(b)all passengers shall submit advance passenger information to allow point of entry authorities to scrutinize the manifest for possible high risk passengers;(c)all passengers shall have a health travel passport with a COVID-19 test results of not more than ten days;(d)where a passenger does not have a health travel passport or certificate showing test results from his initial place of embarkation, the airport commandant shall ensure such passenger is tested and the costs of the test shall be borne by the passenger, if he is not a citizen of Malawi;(e)a person shall not be allowed into airport premises for other purposes other than travel; and(f)the following shall be enforcement officers for purposes of implementation of airport measures—(iv)immigration officers;(v)agriculture inspectors; and(vi)national parks and wildlife officers.(2)Water Transport(a)Water transport shall generally be restricted;(b)where restrictions on water transport have been eased, transport operators shall ensure that—(i)carrying capacity of vessels is reduced to sixty percent;(ii)large vessels make provision for a cabin to be used for isolation of people showing symptoms of COVID-19;(iii)movement of passengers on board is restricted;(iv)disinfection of vessels and equipment on board is done prior to commencement of every trip;(v)the operator and crew use personal protective equipment;(vi)sanitary and hygiene facilities are provided on board;(vii)animals are not permitted on board;(viii)all passengers boarding from a foreign port have health passport with COVID-19 test results;(ix)all passengers are tested on disembarkation and the cost of the test shall be borne by the passenger, if he is not a Malawian citizen or a returning resident; and(x)all crew and passengers wear face masks at all times; and(c)social visits to ports and vessels are prohibited.(3)Rail Transport(a)The seating capacity of trains shall be reduced as follows—(i)the economy class from eighty-eight to fifty one persons; and(ii)business class, from fifty-six to twenty-eight persons;(b)in addition to the reduction in capacity, the rail transport operator shall ensure—(i)disinfection of coaches and equipment on board prior to commencement of every trip;(ii)use of personal protective equipment by the operator, ground and on board crew of all coaches;(iii)provision of sanitary and hygiene facilities on board;(iv)prohibition of animals on board;(v)restriction of passenger movements while on board;(vi)mandatory provision of isolation cabins for persons showing symptoms of COVID-19;(vii)that there are no standing passengers are on board;(viii)suspension of casual visits by the public to rail stations and coaches;(ix)all crew and passengers wear face masks at all times; and(x)tests are conducted on all passengers coming into Malawi if they do not have certificates showing test results from initial place of embarkation and the cost of any such test shall be borne by the passenger, if he is not a Malawian citizen or a returning resident; and(c)the following shall be enforcement officers for purposes of implementing rail transport measures—(i)Railway Services Department and Station officers;(ii)CEAR (deployed) social monitors; and(iii)Government inspectors.(4)Road Transport Services(a)Passenger service providers shall ensure the following—(i)public service vehicles reduce their seating capacity to sixty per cent;(ii)no standing passengers are allowed on any public service vehicle;(iii)all public service vehicles have slide opening windows which shall remain open at all times that the vehicle is mobile;(iv)cross-border freight transport is restricted to essential goods only;(v)all goods vehicles shall not carry passengers;(vi)all tricycles shall carry one passenger only at a time;(vii)all cross-border passengers shall not be allowed into Malawi, unless such passengers are returning residents or essential service providers who have certification from countries where their trips originated with negative COVID-19 test results; and(viii)all passengers referred to in paragraph (vii) shall be tested upon arrival in Malawi and the costs of such test shall be borne by the passenger, if he is not a Malawian citizen or a returning resident; and(b)all passengers in private vehicles shall sit next to windows with no passenger sitting in the middle; and(c)traffic law enforcement officers shall not be allowed to touch the driver or vehicle documents and any other document required by law, except where it is very necessary to do so.Sixth Schedule
Hospitality and recreation facilities
1.Restriction on barsBar owners or operators shall observe the following-(a)owners of bars may open their business premises every day from 2:00 pm to 08:00 pm, only for take away purchases;(b)during the time the premises referred to in paragraph (a) are open, alcohol shall not be consumed on the premises; and(c)a premise that both sells alcohol and operates as an accommodation establishment shall serve residents only and only operate room service.2.Restriction on restaurants and other food outletsRestaurant or food outlet owners or operators shall—(a)ensure that social distance requirements are observed when customers dine on the restaurant or food outlet premises;(b)where social distancing is not possible, the operator shall provide take away and delivery services only; and(c)operate the restaurant or food outlet between 06:00 a.m. and 09:00 pm only.Seventh Schedule
Essential services
Part I
The following are essential services for purposes of these Rules—1. All health and medical related services, including community health services.2. Emergency management services, including firefighting services, search and rescue services, etc.3. Disaster management services.4. Water services, including potable water services and waste water management services.5. Electricity services.6. Communication services, including broadcasting, telecommunication, postal and ICT services.7. Banking services, including central banking services.8. Financial services, including insurance and pension services.9. Petroleum services and other petroleum products services.10. Transport and related services.11. Meteorological services.12. Tax and customs services.13. Security services, including private security.14. Immigration services.15. Law enforcement.16. Legal services.17. Administration of justice.18. Public procurement services.19. Essential goods services, including food suppliers, medical and pharmaceutical supplies.20. Agricultural produce and products supplies, farming supplies, general dealers.21. Restaurant and takeaway services.22. Maintenance and hardware services.23. Veterinary services.24. National defence.25. Funeral services.26. Manufacturing.Part II – Supply and trading of essential services
1. Traders shall implement the measures in the First Schedule hereto when operating trading places.2. All trade shall take place at registered business premises and authorized open places.3. All trading places shall have designated entrance and exit points for screening of customers;4. Traders shall clearly mark out areas in trading places to ensure social distancing requirements are adhered to.5. All traders shall ensure that essential commodities are not overpriced and comply with the Competition and Fair Trading Act, (Cap. 48:09) of the Laws of Malawi and orders and directions made by relevant authorities.K. K. ChipondaMinister of Health