**4. MONITOR digital health ecosystem**

The first case of COVID-19 in Mexico was reported on February 27, 2020 [108, 109]. Fully aware of the benefits of DH, the CSF had begun to work on the design of a robust response plan in January 2020. On March 13, 2020, the Carso COVID Protocol was launched, including a comprehensive set of actions and recommendations to prevent and contain COVID-19 in the workplace. As part of implementation of the Protocol, the CSF launched the MONITOR digital health ecosystem (MDHE), aimed at monitoring the wellbeing of CG employees and their families.1

<sup>1</sup> Annex 1 provides a detailed description of the recommendations and actions in the Carso COVID-19 protocol.

*The MONITOR Ecosystem: A Digital Health Intervention for the Early Detection, Control… DOI: http://dx.doi.org/10.5772/intechopen.95260*

MONITOR was initially designed based on WHO and CDC guidelines, and its recommendations are in compliance with current regulations of Mexico's Ministry of Health. Furthermore, MONITOR has been continuously updated with the latest available scientific evidence.

The MDHE comprises three interconnected platforms operating concurrently: a mobile phone application and a web portal for employees and their families to register and report symptoms on a daily basis, the Integrated Measurement for Early Detection (MIDO)-COVID Platform to assess NCDs and COVID-19 serological status among employees at worksites, and the Health Intelligence Platform with robust analytics to support decision making. Importantly, the MDHE is compliant with Mexico's regulatory standards in terms of confidentiality, security and privacy.

## **4.1 Prevention and containment of COVID-19 in the workplace**

MONITOR enables the implementation of a COVID-19 prevention and containment strategy according to the following stepwise process:

	- a.No risk (no symptoms): the employee is encouraged to continue notifying on a daily basis.
	- b.Mild risk: the employee is encouraged to increase the number of notifications to twice a day and to continue monitoring.
	- c.Moderate risk: the employee is encouraged to increase notifications to twice a day and if necessary, to call a dedicated call medical center operating 24/7/365.
	- d.Severe risk: the employee is encouraged to increase notifications to twice a day and to call a medical call center. In addition, an alert is triggered to the human resources (HR) department of the employee's company, to signal a potential complication.
	- a.The employee receives a pulse oximeter for self-monitoring during the 14-day isolation period. The employee is required to notify symptoms via MONITOR.
