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Risk Ratings Definitions

COVID-19 DOMESTIC IMPACT SCALE DEFINITIONS

The COVID-19 domestic operations impact scale represents the potential overall impact of the disease on operating within a certain location1. This is in recognition that the advent of the pandemic has introduced a new variable to all operations – including both office and site-based work. The algorithm which defines the scale analyses the underlying health and security threat environment, the recent COVID-19 case activity as well as trends of new cases, local travel restrictions, mitigation measures in place, and the efficacy of mitigation measures.

 

COVID-19 INBOUND TRAVEL IMPACT SCALE DEFINITIONS

The COVID-19 inbound travel impact scale represents the logistical impact of the disease in travelling to a certain location (i.e. inbound travel). The algorithmwhich defines the scale analyses the inbound travel restrictions such that locations with a higher score will have progressively more restrictive entry requirements.


MEDICAL RISK RATINGS

International SOS assigns medical risk ratings based on the evolution of the pandemic. The rating must be interpreted in conjunction with the COVID-19 domestic operations scale and the COVID-19 cases status. For locations in OUTBREAK status, even the best healthcare systems may be overwhelmed, limiting access to medical care, and the risk of infection in the general community is increased.

The medical risk ratings are based on a range of health risks and mitigating factors, including but not limited to: COVID-19 complexity of accessing and provisioning healthcare, infectious disease, environmental factors linked to climate change, security risk rating, medical evacuation data, standard of emergency medical services, outpatient and inpatient medical care, access to quality pharmaceutical supplies, and cultural, language or administrative barriers.

An overall single rating is given for a location; however, the medical landscape can vary widely. For example, major cities may have better access to quality medical care; whereas remote or rural locations may have limited availability of health facilities and specialist care.

 

LOW MEDICAL RISK

Quality medical care is available throughout the country. Specialist care, emergency and dental services, and quality prescription drugs are widely available. Low risk of infectious diseases.




MEDIUM MEDICAL RISK

Quality medical care is available from selected providers. Reliable emergency services, limited specialist and dental care are usually available.  Some risk of food or water-borne diseases. Potentially life-threatening infectious diseases such as malaria and typhoid may be present.

VARIABLE MEDICAL RISK

Significant variation of travel medical risk: Quality medical care, emergency services, and dental care is available from selected providers in major cities, including prescription drugs.  Elsewhere: availability of these services may be limited. Similarly, exposure to food, water-borne or potentially life-threatening infectious diseases may vary.

HIGH MEDICAL RISK

Basic emergency services, medical and dental care may be available. Specialist care is limited even in major cities. A wide range of quality prescription drugs may not be available. Food and water-borne infections are common. Potentially life- threatening infectious diseases such as malaria, typhoid and cholera may persistently pose a threat.


VERY HIGH MEDICAL RISK

Healthcare is almost non-existent or severely overtaxed. There may be very limited or no primary care, emergency care or dental services. Quality prescription drugs are frequently unavailable. Food and water-borne infections are common. Potentially life-threatening infectious diseases such as malaria and cholera may be persistently present and large outbreaks may occur.


SECURITY RISK RATING DEFINITIONS

The security risk rating evaluates the threat posed to employees by political violence (including terrorism, insurgency, politically motivated unrest and war), social unrest (including sectarian, communal and ethnic violence) as well as violent and petty crime. Other factors, such as the robustness of the transport infrastructure, the state of industrial relations, the effectiveness of the security and emergency services and the country’s susceptibility to natural disasters are also considered where they are of sufficient magnitude to impact the overall risk environment for employees.


REGIONAL VARIATIONS

Security Risk Zones are areas within a country where the risks faced by employees are different from the country’s overall risk environment, usually necessitating a different level of preparation.

 

  1. An overall single scale is given for a country. However, it should be noted that the impact of COVID-19 may vary widely between locations within each country. For example, between states, counties, and cities. The scales are general in nature and maybe subject to change. If you wish to integrate the scale into your operations decision-making, please contact an International SOS subject matter expert to guide you.
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