According to the Caribbean Public Health Agency ( Situation Report No 29 (issued on March 31 2020 up to 32 countries in the Caribbean region have reported the importation of at least one confirmed case of COVID 19 The risk of further importation of cases to the Caribbean Region remains Very High The aim for all countries now, is to stop transmission and prevent the spread of the virus Based on the Draft CARPHA Health Sector Response Guidelines for COVID 19 circulated to Member States, most countries are encouraged to implement actions in keeping with the Initial or Targeted Action in the Response Phase