A Model for Developing a Job Reopening Protocol in the Conditions of the Covid19 Outbreak

Introduction: The outbreak of coronavirus has led to both economic and medical problems in many developing countries that has created a conflict between subsistence and health, which suggests the need for models to manage this conflict. Method: First, the factors affecting the prevalence of corona virus in the community were extracted via literature review.  These factors have different effects on infection, but there isn’t any numeric weight of that effect. Experts who are familiar with this virus and how it is transmitted can verbally compare the effects of these factors in pairs. The hierarchical analysis method can obtain this information and through the help of EXPERTCHOICE software can calculate the weight of each factor. Cardiologists and internal medicine physicians in Ghaem Hospital of Mashhad were selected as experts in 1999 and interviewed in groups. Thus, for the proposed factors, the effect weight was calculated. A number of jobs in Mashhad were selected and they were studied. Prevalence factors in each studied job were evaluated based on Likert scale. To calculate the risk of each job, the sum of factors was calculated by consideration of the weights. So, after getting the weights, for each job based on the work study, the risk of prevalence is calculated for each jobs. But jobs have different importance for reopening. The importance of reopening was explained by the Likert scale based on peoplechr(chr('39')39chr('39'))s dependence on that job. Jobs that are low-risk and high-priority are given priority for reopening. Therefore, by dividing the level of risk into the importance of the job, an index is obtained that explains the priority of job reopening. The lower the index, the earlier the job. Results: Three factors of social distance, duration of exposure to individuals and population density were weighed according to the hierarchical analysis method. Then 13 jobs were selected and studied. For each job, based on the Likert scale, the importance and values of the three mentioned factors were determined. And these jobs were prioritized. Priorities of the jobs studied in this study are:.: bakery, supermarket, physician, bank employee, nurse, taxi driver, factory worker, public transport providers, education, kindergarten, hairdressing, Sports club and cinema. Conclusion: In order to develop a health protocol in order to manage the conflict between subsistence and health, it is necessary to use a logical model. Based on this model, it is possible to reopen businesses step by step that overcomes the conflict between subsistence and health with minimum side effects.