COVID-19: Global Supply Chain Update May 14th, 2020 As part of our continued work during the COVID-19 crisis, we are keeping you up to date on the supply chain. Below you will find some of the key updates happening around the world. Yourway remains fully operational despite the challenges presented. We are continuing to support ongoing clinical trials to develop life-saving medicines via our DTP service offering, and have been able to keep up our everyday operations while ensuring the safety of our staff throughout the pandemic. Global News Brief Yourway and Firma Clinical Research, the niche service provider for patient-centric home healthcare, are joining forces to provide coordinated supply and product deliveries and administration services for virtual/decentralized clinical trials. A new clinical trial is investigating the link between a heartburn medication and improved COVID-19 outcomes. Senegalese authorities are working on a protocol to begin clinical testing for Covid Organics, an herbal remedy to combat the coronavirus that relies mainly on Artemisia. Clinical trials have revealed that the much buzzed about drug hydroxychloroquine has no benefit on treatment for COVID-19 and even worsens outcomes. Clinical testing has begun on Gilead’s antiviral drug remdesivir coupled with baricitinib, an anti-inflammatory medicine. The enrollment of more than 1,000 participants is ongoing. European airline carrier RyanAir will resume 40% of its flights beginning July 1.      Regional Breakdown North America USA All but two U.S. states (Massachusetts and Connecticut) have been at least partially reopened, although none have met the federal government’s recommendation of a 2-week decline in new diagnoses. Although the greater New York City metropolitan area will remain closed, parts of upstate New York are scheduled to reopen. Anyone that has traveled from the U.S.’s list of restricted countries but is allowed to return to the United States is only permitted to arrive at one of the following airports: Atlanta (ATL), Boston (BOS), Chicago (ORD), Dallas, (DFW), Detroit (DTW), Honolulu (HNL), Los Angeles (LAX), Miami (MIA), New York (JFK or EWR), San Francisco (SFO), Seattle (SEA), and Washington (IAD). Passenger flights continue to operate on a reduced timeline, putting more strain on commercial flights. The U.S. borders with Canada and Mexico will remain closed until mid-May. Though formal restrictions vary by state, road travel remains open, with trucking demand increasing. Major U.S. airports remain operational, with flights limited from individual carriers in both domestic and international lanes, and ongoing limitations from smaller ports. Non-essential travel is limited both domestically and internationally. Ocean carriers are fully operational and are following standard crisis protocols, but cargo transport between China and North America is significantly reduced.      Canada Passengers are not allowed to enter Canada, though this does not apply to Canadian nationals, U.S. citizens, or others who meet specific eligibility requirements. Prime Minister Trudeau emphasized that restrictions on international travel will continue, in a statement on May 12. A total of five provinces have reopened, though others remain in a state of emergency. Air Canada flights have been suspended to the U.S. until May 27. International flights may only land at international airports in Montreal, Toronto, Calgary, and Vancouver as an enhanced screening measure. Air Canada’s international flights have been suspended through June. Air Transat and Sunwing Airlines flights remain canceled until May 30. Trade across the border is unaffected, and supply chains remain intact.      Mexico Border towns have increased screening security. Non-essential travel continues to be restricted. Air-freight capacity is reduced due to ongoing flight cancellations. The U.S.-Mexico border will remain closed until May 20. Nationwide restrictions have been extended through May 30. Commercial flights have been reduced, but cargo is unaffected. Air, ocean, and road traffic are all still operational--Yourway’s operations remain unaffected.      Europe United Kingdom Northern Ireland has announced a five-step plan to end the lockdown, though dates have not been specified. London Stansted Airport will be closed daily between 16:00 UTC and 04:00 UTC until further notice. British Airways has suspended all flights to and from London's Gatwick Airport. Only 2 out of 4 terminals are operational at Heathrow Airport. Although most passenger transit is significantly reduced, goods are still moving freely into and around the UK.      Germany Coronavirus cases have increased since lockdown measures were eased. If more than 50 cases per 100,000 people are confirmed, restrictions may be reinstated. Passengers are not allowed to enter Germany, with the exception of German nationals and those who meet eligibility criteria. Those who do enter are subject to a 14-day quarantine. Weekend traffic bans have been lifted on trucks, with the German Federal government requesting a separate freight lane for the transportation of medical goods. Bavaria has lifted its driving ban on Sundays and public holidays until May 30. The State of Hesse has lifted its driving ban on Sundays and days holidays to all goods transport vehicles until June 30. Eurail service has been reduced to the Netherlands. Air travel capacity has been reduced, affecting regional hubs and Lufthansa, specifically though cargo continues.      France The state of emergency declaration has been extended to July 10. Public gardens and parks will remain closed. Passengers arriving from a non-Schengen member state are not permitted to enter France, with some exceptions. Flights are reduced. Orly Airport has been closed since April 1.      Sweden Sweden is one of the only European countries that never went into a full lockdown. Passengers arriving from outside Austria, Belgium, Bulgaria, Croatia, Cyprus, Czechia, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Ireland (Rep.), Italy, Latvia, Liechtenstein, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Switzerland and, the United Kingdom are not allowed to enter, with specified exceptions. Entry restrictions have been extended to May 16. All non-essential businesses are open.      Italy The country is awaiting guidelines for the reopening of places of worship; mosques will be closed until May 23. Those traveling as tourists may not enter Italy. All arrivals are subject to a 14 day quarantine period. Lockdown restrictions eased beginning May 4, with many nonessential workers returning to their jobs, largely in manufacturing. Travel restrictions have been partially lifted. Transport by road and rail remains operational.      Spain Fernando Simón, Spain’s Director of Health Emergencies, announced a new 14-day mandatory quarantine for international travelers arriving in Spain, starting on May 15th. Passengers are not allowed to enter Spain, except those arriving from Austria, Belgium, Bulgaria, Croatia, Cyprus, Czechia, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Ireland (Rep.), Italy, Latvia, Liechtenstein, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Sweden or Switzerland, and those who meet other specified requirements. Spain has initiated a four-phase plan to end lockdown. Travel remains restricted and is reserved for essential travel. Land borders are closed to entry but not for cargo, allowing clinical trial materials and DTP services to continue. Airports, ports, warehouses, and carriers remain open and operational.      Denmark Denmark has created a new agency to be better prepared for pandemics, which will focus on logistics. There are no direct flight limitations or airport restrictions. No passengers aside from Danish nationals and residents are permitted to enter Denmark.      Belgium Brussels Airlines will cut 25% of its workforce. Lufthansa expects to decrease its airline fleet by 1,000 planes and let go of 10,000 employees. Passenger flights are only allowed to operate between 7:00 and 21:00. Passengers are not allowed to enter Belgium with the exception of those arriving from EEA member states, Switzerland or the United Kingdom, Belgian nationals, and select others who meet government criteria.      Russia The Putin administration has eased coronavirus restrictions, giving mayors and governors the authority to control local regions. Passengers are not allowed to enter Russia with the exception of nationals and select others. Non-essential businesses have been mandatorily closed. An overnight curfew was implemented in Chechnya, with road, rail, and air transport links suspended in the region. All commercial, international, and charter flights are suspended.      Asia Pacific China China has temporarily suspended entry by foreign nationals holding visas or residence permits. Quarantine restrictions vary by airport, with most mandating COVID-19 tests. Following six new confirmed cases in Wuhan, the government has set a goal of testing 11 million residents in 11 days. Travel restrictions lifted on April 30. Schools reopened in China’s major cities. The land border between Russia and China remains closed. Passenger and international flights are limited, with cargo unaffected. There have been minimal changes to import and export regulations.      South Korea Transit is permitted with some restrictions. Short-term visas (type C-1 and C-3) issued on or before April 5 are invalidated. Visa exemptions for 90 nationalities with normal passports are temporarily suspended. Korean visas issued by the Wuhan Consulate in the China's Hubei Province are invalidated. Nationals of China (People's Rep.) with a passport issued in the Hubei Province are not allowed to transit or enter Korea. Nationals and residents of Korea (Rep.) are required to install the self-quarantine safety protection mobile app. Passengers and airline crew must install the “Self-diagnosis Mobile” app and complete a Health Declaration Form and a Special Quarantine Declaration Form. All arrivals are subject to a 14-day quarantine period. All flights into South Korea are landing at Incheon International Airport (ICN) between 5:00 and 20:00.      India Flights to India are suspended, with the exception of those that carry essentials. Rail service has partially resumed. Air cargo and port operations are active. Restrictions have been eased overall.      Australia Passengers are not allowed to enter Australia, though this does not apply to Australian nationals and others who meet certain criteria. All passengers must complete an Incoming Passenger Card (IPC) and an Isolation Declaration Card, and are subject to health screening on arrival. All passengers are required to self-isolate for 14 days. Australia’s biggest states are holding back easing restrictions. Prime Minister Scott Morrison outlined a three-step plan to remove most lockdown measures by July. Virgin Airlines limited domestic flight service will resume until June 7, cargo is not affected.     New Zealand   Passengers are not allowed to enter New Zealand, though this does not apply to nationals of New Zealand (including Cook Isl., Niue, Tokelau) and those who meet exclusion criteria. All arrivals must undergo a mandatory 14 day quarantine period at a government facility. Nationals and residents are exclusively permitted to transit to New Zealand. Airline crew must use appropriate personal protective equipment (PPE) and are not subject to mandatory isolation. Lockdown restrictions will be eased following a lack of new cases. Freight flights are operating under limitations, with service exclusive to Auckland, Wellington, Christchurch, Nelson, and Dunedin.

Middle East

Israel

	Transit facilities at Tel Aviv airport (TLV) are temporarily suspended.
	Passengers are not allowed to enter Israel with the exception of nationals and select others.
	All international arrivals will be quarantined at a government-designated facility for a period of 14 days.
	The Israeli government has approved steps to ease restrictions.

Saudi Arabia

	Passengers are not allowed to enter Saudi Arabia, with the exception of nationals.
	Airline crew are subject to a 14 day quarantine if they have been through a country with an ongoing COVID-19 outbreak within 2 weeks.
	The Saudi government has permitted the entry to and exit from the Qatif province in efforts to ease restrictions.
	Dammam is under an indefinite 24-hour lockdown that began on May 2, with entry to and from the area banned.
	Traveling is restricted between regions.
	International flights are suspended but freight and commercial flights remain available.

Turkey

	Malls and salons are reopening as Turkey eases coronavirus restrictions.
	Turkish Airlines has suspended all flights until May 28.
	Nationals of, and those that have traveled through Algeria, Angola, Austria, Azerbaijan, Bangladesh, Belgium, Bulgaria, Cameroon, Canada, Chad, China (People's Rep.), Colombia, Cote d'Ivoire, Czechia, Denmark, Djibouti, Dominica, Ecuador, Egypt, Equatorial Guinea, Finland, France, Georgia, Germany, Greece. Guatemala, Hungary, India, Iran, Iraq, Ireland (Rep.), Italy, Jordan, Kazakhstan, Kenya, Korea (Rep.), Kosovo, Kuwait, Latvia, Lebanon, Mauritania, Moldova, Mongolia, Montenegro, Morocco, Nepal, Netherlands, Niger, North Macedonia (Rep.), Norway, Oman, Panama, Peru, Philippines, Poland, Portugal, Saudi Arabia, Slovenia, Spain, Sri Lanka, Sudan, Sweden, Switzerland, Tunisia, Ukraine, United Arab Emirates and Uzbekistan in the last 2 weeks are not allowed to enter Turkey.
	All passengers who traveled to the above restricted countries during the last 14 days may be prohibited from entering Turkey. Otherwise, all passengers on the flights will be quarantined for 14 days.
	Passengers with a British or a Chinese Taipei passport are not allowed to enter Turkey.
	The government has expanded flight restrictions to a total of 68 countries; cargo is not affected.

South America

Chile

	Passengers are not allowed to enter Chile, with the exception of nationals, residents, and a select group of others.
	Nationals and residents of Chile will be quarantined for 14 days.
	The Chilean government has begun issuing “immunity passports” to those who have recovered from coronavirus, allowing their return to work.
	President Sebastián Piñera warned that infections will get worse over the coming weeks.
	Limited domestic flights are available through LATAM Airlines.
	International flights remain suspended until the end of May.
	A nationwide curfew is in place until June 17.
	Borders remain closed to non-resident foreigners.
	Cargo transport is not restricted, including ports, airports, and customs processing.

Brazil

	State and city governments are enforcing restrictions in defiance of President Jair Bolsonaro.
	Customs agents are limited to two working days a week.
	The U.S. government is considering limiting travel from Brazil.

Africa

South Africa

	Flights to South Africa are suspended, but essential service flights are still operating.
	Anyone entering the country is subject to a 21-day quarantine.
	Lockdown restrictions were eased beginning May 1.
	Domestic flights are currently suspended.

Nigeria

	Airports in Nigeria are closed, though this does not affect emergency and essential flights.
	Nigeria has extended its original three-week lockdown for an additional two weeks, effective April 13.
	Nigeria has placed a complete travel ban on 13 countries.

Thank you for reading the Yourway newsletter. As we navigate the current global situation, our priority is to keep our customers abreast of ongoing developments, including border closures and openings.

Our 21 global depots re operating at full capacity and we continue to deliver clinical trial materials around the world and directly to patients without issue.

If your company is experiencing disruptions or challenges in your supply chain, contact Yourway for solutions to your specific needs.

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