Executive summary

• Author: Dumbrava, Costica
• Pages: 1-1

Lifting coronavirus restrictions

I

Executive summary

The key to tackling the coronaviruspandemic isa combination of safe and readily available vaccines

that provide everyone with immunity, as well as effective treatments that work tocure the disease

in all infected people. Short of this, the ongoing public health crisis requires a mix of non-

pharmaceutical measures aimed at reducing the spread of the virus, including identifying and

isolating cases, testing, contact tracing and broader containment measures.

With the number of Covid-19 cases in the EU fallingsteadilysince the beginning of May, most

Member Stateshavebegun to ease restrictions on free movement and social gatherings. However,

lifting restrictions in the absence of vaccines and treatments requires enhanced monitoring

measures, such asan expandedtesting capacity and improvedcontact tracing, including through

the use of appropriate digital technologies.

There is the hope that the impressive mobilisation of resources and expertise will soon lead to

breakthroughs in the quest for safe vaccines and effective treatments for Covid-19. However, it may

take a while beforesuch therapeutics are made available to everyonethat needs them. Beyond

dealing with challenges relatingto scientific knowledge and a cumbersome development process,

there is a need to address questionsregardingmass manufacturing andfair distribution. Given the

uncertainties and challenges associated with Covid-19 therapeutics, it may be wise to moderate

expectations in order to foster resilience and preserve public trust.

Expanding testing capacity and updating testing strategies to support disease monitoring at

population level is crucial for minimising the risk of new outbreaks in the context of relaxing

containment measures. Using antibody tests to monitor the disease is a promising avenue, though

more evidence is needed to demonstrate the reliability of these tests, in particular given current

knowledge gaps regardingpeople's immunity to the virus. Moreover, linking antibody testing to

relaxing restrictions for individuals, as suggested by the idea of establishing 'immunity passports',

raises additional concerns about non-discrimination, fairness and mass surveillance.

Together with identifying and isolating new cases (through testing), the rapid and efficient tracing

of people whohave recently been in contact with infected peopleis essential for reducing the

spread of the virus. Automating, at least partially, the laborious task of contact tracing with the help

of contact-tracing apps has been advocated as a key measure to enablethe gradual lifting of

restrictions. The ongoing debate on contact-tracing apps in the EU seems to be convergingtowards

a preference for voluntary contact-tracing apps that rely on proximity/bluetooth data (as opposed

to location data) and comply with EU rules on data protection and privacy. The debate continues on

the specific technical design of suchapps (e.g. centralised versusdecentralised systems), though

the majority of initiatives in Member States seem to rely on decentralised systems. There are

nevertheless a number of open questions regarding contact-tracing apps, in particular ontheir

reliability, usability, data protection and privacy, epidemiological value and broader social

implications.

There are very few certainties regardingthe Covid-19 pandemic, but perhaps one certainty is that

no isolated measure or silver-bullet solution is likely to solve all aspects of the crisis. A flexible and

integrated strategy, in terms of complementary tools and measures, as well as a coordinated

approach across the EU, will becrucialin enabling thegradual liftingofrestrictions and a returnto

the (new) normal.