The first cases were reported on March 25, 2020. A state of emergency was declared on March 28, followed by a state of calamity declared on September 9, and a state of health alert declared on December 10. In response to signs of a second wave, a state of calamity was reestablished by presidential decree on January 23, 2021. Except for the reopening of schools, containment measures remain broadly the same: borders remain open subject to sanitary inspections; all travelers are obliged to present a negative PCR test obtained no more than 72 hours before travelling; social gatherings, public meetings, discos and bars, gyms and cultural events are prohibited; restaurants can only operate on take-away mode. The country is covered by COVAX. The first 12,000 doses of vaccines (AstraZeneca) arrived on March 22 provided by a private donor. The country is also expecting to receive 120,000 AstraZeneca doses by the end of May from the COVAX facility (28,800 already delivered) and has received 10,000 doses from Senegal. According to COVAX schedule, the aim is to protect about 400,000 people (at least 20% of the population) by the end of the year. Guinea-Bissau was amongst the 28 beneficiary countries of the IMF debt service relief through the Catastrophe Containment and Relief Trust (CCRT), approved on April 13, October 2, 2020, and April 1, 2021. It requested to join the Debt Service Suspension Initiative (DSSI) in December 2020. A request for a Rapid Credit Facility (RCF) arrangement of SDR 14.2 million (50 percent of quota) was approved by the Board on January 25, 2021. A staff-monitored program is under discussion to build a sound track record toward a possible Extended Credit Facility (ECF) arrangement possibly in the first quarter of 2022.