As a result of the significant disruption that is being caused by the COVID-19 pandemic we considered that many authors and peer reviewers will be making adjustments to their professional and personal lives. As a result they may have difficulty in meeting the timelines associated with our peer review process. Therefore, for best proceeding of peer-review and revisions please let the IJHST editorial office know additional time is needed. Our systems will continue to remind you of the original timelines but we intend to be flexible.