PETITION UNDER RULEemergency has imposed restrictions 0n restaurants, bars and social gathering locations for seven days, as well as implementing travel ... laws ofthe United States

Marion Superior CourtIndianapolis, Indiana

IN RE: THE MATTER OF REQUESTINGRELIEF UNDER INDIANAADMINISTRATIVE RULE 17 Cause No. 49DOl—200l-CB—OOOO39

Executive Committee

PETITION FOR ADDITIONAL RELIEF UNDER INDIANA ADMINISTRATIVERULE 17

Come now the Courts of Marion County and petition the Supreme Court for

additional relief under Indiana Administrative Rule 17. In support of this petition, the

Marion Circuit and Superior Court inform the Supreme Court as follows:

1. The Indiana Supreme Court issued Supreme Court Case No. QOS-CB—OO 1 13 providing guidance and relief under Indiana Administrative Rule 17.

2. The Marion Circuit and Superior Court request that all previously granted

relief be extended through Friday, May 1, 2020.3. Beginning by close of business on Friday, March 20, 2020, and until

Friday, May 1, 2020, the Marion Circuit and Superior Court requests

permission for all hearings, including but not limited to: initial hearings, bondreviews and dispositive hearings, to be conducted remotely using available

teleconferencing and/ or video conferencing.

4. The Marion Circuit and Superior Court Will provide information to all

lawyers, parties, court staff and judicial officers to access this technology.

5. In addition to the previously outlined rationale for the Marion Circuit andSuperior Court’s initial petition for relief, the following events have occurred:

A. The President of the United States has declared a national emergencyand encouraged gatherings of no more than ten (10) people;

B. The Governor of the State of Indiana has expanded the restrictions onpublic gatherings and closure of bars, restaurants;

C. The Mayor of the City of Indianapolis declared a local disaster

emergency has imposed restrictions 0n restaurants, bars and social

gathering locations for seven days, as well as implementing travel

restrictions;

D. The City-County Council of Indianapolis authorized the Mayor’s

declaration and extended the restrictions for 3O days;

E. Local hospitals have implemented strict visitation policies and cancelled

elective surgeries;

F. The United States Center for Disease Control is encouraging “social

distancing” as a means of limiting the spread of COVID-19 and other

potentially fatal viruses and is suggested that gatherings of individuals

more than fifty (50) for a period of eight (8) weeks;G. The Marion Superior Court has continued to be in contact with its

numerous justice stakeholders and City-County government leaders

03/17/2020 2:51 PMFiled:

20S-CB-113

regarding this situation and received their input on its proposedoperational changes;

H. That mitigation of the spread of contagions is of utmost importance to

protect the Citizens of Marion County;I. The Marion Circuit and Superior Court believe that the additional

requested relief, allowing the Courts to operate remotely by telephonic

technolog, will allow court operations to continue in a manner that

protects the health and safety of its Citizens, parties, staff and judicial

officers while continuing limited essential court operations andminimizing the Marion County jail population;

J. That the local courts have appointed Judge Heather Welch, Presiding

Judge of the Marion Superior Court, as the presiding judge of this

emergency.

The judges of Marion County request that the Supreme Court declare that anemergency exists in Marion County under the authority of Ind. Admin. R. 17, and to

make appropriate emergency orders for Marion County directing and allowing the courts

and clerk of Marion County to alter, modify, and suspend necessary procedures as

provided in the emergency plan submitted herewith, so as to appropriately address this

emergency for the period of Friday, March 20, 2020 through Friday, May 1, 2020,

including a toll on the timeframes set forth in Ind. Crim. R. 4.

Done at Indianapolis, Indiana, this]ZIP

dayoffig2020.M A \k/(OUK KMIWQWAJ‘fidgé HeatFer Welch judge A ciaVGoo nPresiding Judge Associat Presidin Judgg

(WQAWL/x juge Jones Judge Christina Klineman

Ass ciat P sidin Judge Associate Presiding Judge

Judge Sheryl LynchMarion Circuit Court W

THE

PRESIDENT’SCORONAVIRUSGUIDELINES

FORAMERICA

15BAYSTOS'“W

*

THESPREAD

ListentoandfollowthedirectionsofyourSTATEANDLOCALAUTHORITIES.

IFYOUFEELSICK,stayhome.Donotgotowork.Contactyourmedicalprovider.

IFYOURCHILDRENARESICK,keepthem

athome.Donotsendthemtoschool.Contactyourmedicalprovider.

IFSOMEONE

INYOURHOUSEHOLDHASTESTEDPOSITIVEforthecoronavirus,keeptheentirehousehold

athome.Donotgotowork.Donotgotoschool.Contactyourmedicalprovider.

IFYOUAREANOLDERPERSON,stayhomeandawayfromotherpeople.

IFYOUAREAPERSONWITHASERIOUSUNDERLYINGHEALTHCONDITIONthatcanputyouatincreased

risk(forexample,aconditionthatImpairsyourlungorheartfunctionorweakensyourimmunesystem),

stayhomeandawayfromotherpeople.

CORONAVIRUS.GOV

wmflmfimmmm:”3a

.

a

.

,

fiwfléfiémw

.

l4:mimmmflw

EggEager

, ‘

F:m

,v

_

i:

t

]

L

i.

1‘

1

m

$023

..aa

ging

.

_

,

x.Ea§§§§E§

,

.

‘

,

_

.

.

,

a

fimifififi3.mmmmmmmmmfiWEE“:

wfictiéimfixv.iirifiwmm5%

.

u,

8?

,a2%3%<

moi:3...:

‘

mmoemnmaa.‘

.3mfimfimm<55m<am=nmo‘u833:2?333520:aura.«mfimcfilwmoon823m$5

.5.man059.

SqooqmamocaoozmscmwErmamacaw0*umoEmnosmqmmmfimwrecacm .

a_omma.

3/17/2020

ProclamationonDeclaringaNationalEmergencyConcerningtheNovelCoronavirusDisease(COVlD-19)Outbreak

| TheWhiteHouse

mm

PROCLAMATIONS

ProclamationonDeclaringaNational

EmergencyConcerningtheNovel

CoronavirusDisease(COVID-19)Outbreak

Issuedon:March

13,2020

***

lnDecember2019,anovel(new)coronavirusknown

asSARS-CoV—2

(“thevirus”)was

firstdetected

inWuhan,Hubei

Province,People’sRepublicofChina,causingoutbreaksofthecoronavirusdiseaseCOVlD-19thathasnowspread

globally.TheSecretaryofHealthandHuman

Services(HHS)declaredapublichealthemergencyonJanuary31,2020,

undersection319ofthePublicHealthServiceAct(42U.S.C.247d),

inresponsetoCOVID-19.

Ihavetakensweeping

actiontocontrolthespreadofthevirus

intheUnitedStates,includingbysuspendingentryofforeignnationalsseeking

entrywhohadbeen

physicallypresentwithintheprior14days

incertainjurisdictionswhereCOVlD-19outbreakshave

occurred,includingthePeople’sRepublicofChina,theIslamicRepublicofIran,andtheSchengenAreaofEurope.The

FederalGovernment,alongwithStateand

localgovernments,hastakenpreventiveandproactivemeasurestoslowthe

httpstllwww.whitehouse.gov/presidentiaI-actions/proclamation-declaring-national-emergency—concerning-noveI-coronavirus-disease-covid-19-outbreak/

1/3

3/17/2020

ProclamationonDeclaringaNationalEmergencyConcerningtheNovelCoronavirusDisease(COVlD-19)Outbreak

| TheWhiteHouse

spreadofthevirusandtreatthoseaffected,includingbyinstitutingFederalquarantinesforindividualsevacuatedfrom

foreignnations,issuingadeclarationpursuanttosection319F—3ofthePublicHealthServiceAct(42U.S.C.247d-6d),

andreleasingpoliciestoacceleratetheacquisitionofpersonalprotectiveequipmentandstreamlinebringingnew

diangtiC

Capabilitiest0laboratorifis-HQDMrafghlllwwzoltheWorldHealthOrganizatignannguncedthatthe,§QM|Dl§?E

outbreakcanbecharacterizedasapandemic,astheratesofinfectioncontinueto

riseinmany

locationsaroundthe

worldandacrosstheUnitedStates.

ThespreadofCOVlD-19withinourNation’scommunitiesthreatenstostrainourNation’shealthcaresystems.Asof

March

12,2020,1,645peoplefrom47StateshavebeeninfectedwiththevirusthatcausesCOVID—19.

Itisincumbenton

hospitalsandmedical

facilitiesthroughoutthecountrytoassesstheirpreparednesspostureandbepreparedtosurge

capacityand

capability.Additionalmeasures,however,areneededtosuccessfullycontainandcombatthevirus

inthe

UnitedStates.

NOW,THEREFORE,

I, DONALD

J.TRUMP,PresidentoftheUnitedStates,bytheauthorityvested

inmebytheConstitution

andthelawsoftheUnitedStatesofAmerica,includingsections201and301oftheNationalEmergenciesAct(50U.S.C.

1601etseq.)andconsistentwithsection1135oftheSocialSecurityAct(SSA),asamended

(42U.S.C.1320b-5),do

herebyfindandproclaimthattheCOVlD-19outbreak

intheUnitedStatesconstitutesanationalemergency,beginning

March

1,2020.

Pursuanttothisdeclaration,

ldirectasfollows:

SectionL.EmergencyAuthority.TheSecretaryofHHSmay

exercisetheauthorityundersection1135oftheSSAto

temporarilywaiveormodifycertainrequirementsoftheMedicare,Medicaid,and

StateChildren’sHealthInsurance

programsand

oftheHealthInsurancePortabilityandAccountabilityActPrivacyRulethroughoutthedurationof

thepublichealthemergencydeclared

inresponsetotheCOVlD—19outbreak.

https://www.whitehouse.gov/presidential-acfionslproclamation—declaring-national-emergency-concerning-novel-coronavirus-disease-covid-19-outbreak/

2/3

3/17/2020

Proclamationon

DeclaringaNationalEmergencyConcerning

theNovelCoronavirusDisease(COVID—19)Outbreak

| TheWhiteHouse

writtennoticetotheCongressasrequiredbysection1135(d)oftheSSA

(42U.S.C.1320b-5(d)).

Sec.

2.

Certificationand

Notice.

Inexercisingthisauthority,theSecretaryofHHS

shallprovidecertificationandadvance

gs;

3.

GeneralProvisions.

(a)Nothing

inthisproclamationshallbeconstruedtoimpairor

otihierwriisireiaffect:

(i)

theauthoritygrantedbylawtoanexecutivedepartmentoragency,ortheheadthereof;or

(ii)thefunctionsoftheDirectoroftheOfficeofManagementandBudgetrelatingtobudgetary,administrative,or

legislativeproposals.

(b)Thisproclamation

shallbeimplementedconsistentwithapplicablelawandsubjecttotheavailabilityof

appropriations.

(c)Thlsproclamation

isnotintended

to,anddoesnot,createanyrightorbenefit,substantiveorprocedural,

enforceableatlawor

inequitybyanypartyagainsttheUnitedStates,

itsdepartments,agencies,orentities,

itsofficers,

employees,oragents,oranyotherperson.

INWITNESSWHEREOF,

lhavehereuntosetmyhand

thisthirteenthdayofMarch,

intheyearofourLordtwothousand

twenty,andoftheIndependenceoftheUnitedStatesofAmericathetwohundredandforty-fourth.

DONALD

J.TRUMP

https://www.whitehouse.gov/presidential-actions/proclamation-declaring-national-emergency-concerning-nove|—coronavirus-disease—covid-19-outbreak/

3/3

3/1I/ZUZU

Holcomb,HogsenannouncenewgUldancet0preventSpreadOTUUVIU-19

-lndlanaNeWS

-13W

IHR

IndlanapOIIS

NDIANAPOLIS(WTHR) —

IndianaGov.

EricHolcombhasannouncednewguidanceforpreventingthespread

ofCOVID—

19.

Some

ofthenewmeasures

includecancelingeventsandgatheringsofmorethan50ormore

people,discussingoptions

V

forthe16school

districtsthatremainopen,and

closing

bars,clubsand

restaurants

toin-personcustomers.

'

KEricHolcomb

a@GovHolcomb

Today

|announcedmorestepstoslowthespread

ofCOVID—19.

404

11:22AM

-Mar

16,2020

320peoplearetalkingabout

this

Holcomb

alsoordered

hospitalsandsurgerycenters

tocancelorpostpone

electivesurgeries.Ascension

St.Vincentand

CommunityHealthNetworkhavealreadytaken

thatstep.

The

IndianaStateMuseum

willclose

tothepublicTuesdayandthe

visitorscenteratWhiteRiverStatePark

willclose.

Indianastateparksand

recreationcenters

willremainopen.

TheDepartment

ofWorkforceDevelopmenthassuspended

rulesthatrequireunemploymentinsuranceclaimants

to

physicallyappear

ataWorkOne

locationt0engage

inre-employmentservicesoverthenextfourweeks.TheDWD

is

alsorequestinganexpansion

of

eligibilityforunemploymentclaimants.

Tosee

allthenewstepsbeingtaken,

clickhere.

Holcomb‘sannouncement

didnotspecifywhenthesenew

policieswouldgo

intoeffect.Holcomb

willholdanews

conference

at2:30p.m.Monday

todiscussthechanges.

IndianapolisMayorJoeHogsettalsoannounced

restrictionshe'sputting

intoplace

inMarionCounty.

By8a.m.Tuesday,barsand

nightclubsthatdon'tservefood,movietheaters,andgymand

fitness

facilities

inMarion

Countymusttemporarilyclose.Hogsettalsourgedchurchesandplacesofworship

to

limitlargegatherings.

hfinstllwwwwthr.nnm/arfinle/holcnmh—hnosefl-annnlmne—new-m1idance—nrevenf—snread-cnvid-19

1/7

3/1IIZUZU

Holcomb,Hogsettannouncenewguidance

IOpreventSpread

OfCUVlU-19

-IndianaNeWS

-13W

IHR

IndlanapOIIS

Grocerystoresand

cafeterias

inhospitals,nursinghomesandotherhealthcare

facilities

willremainopen.

Hogsettalsoasked

residentstominimizetravelingtoonlygoing

towork,emergency

situationsorpurchasinggroceries

orprescriptions.

HBQ’s'e’ttséidthése

gfii’d’e'l'i’n’e's’Vvi'llirér’fiafiiifibl'éc'é’ffifb'UQfi’5t

léé’s’fffie’Wn’éfisieVera'yéfAébbira’infi’tbnaipféssjféTéaEW

hopes

togetapproval

atMonday

night'sCity-CountyCouncilmeeting

toextendtheorderthrough

atleastApril

5.

htfns:/lwww.wfhr.cnmlarficle/hnlcomh-hnasefl-annmInce—new-m1idanne—nrevenf—snread-cnvid-19

1/1

3/1IIZUZU

(50V

-GOV.HolcombAnnouncesMoreStep5IOSlowtheSpread

01CUVlD-‘IS

IndianaGovernor

Eric}.Holcomb

Signm

Prmt<<Back

toEvents

Gov.HolcombAnnoumces

More

StepstoSlowthe

Spread

OfCOVlD—19

INDIANAPOLIS —

Inacontinuingefforttoslowthespreadofnovelcoronavirus

(COVID—19),GovernorEric

J.Holcombhasannouncedadditional

efforts.

Agency

ThegovernorandotherstateofficialswillconductaCOVID—19briefingtoday

at2:30

Nam:

pm.

inthesouthatriumoftheIndianaStatehouseWiththe

latestupdatesontesting

Governor

and

cases.

Entry

Type:

HereareadditionaldirectivesfromGovernorHolcomb.

Press

Release

0IndianawilladheretotheCentersforDiseaseControlandPreventionforlarge

m.gov

eventsandmass

gatherings.Theguidancerecommendsnoin—personevents0f

Category:

hfinstl/calendarjn.nnv/sifeIanv/evenf/nnv-hnlcnmh-annmInces-rnnre-sfens-fn-slnw-fhe-snread-nf—nnvid-19/

1/4

3/1l/ZUZU

GUV

-GOV.HolcombAnnouncesMoreStepst0SlowtheSpread

OTCUVIU-‘lQ

morethan50people.Here

isalinkt0theguidance:

https://WWW.cdc.gOV/coronavirus/ZO

1 9-ncov/community/large-events/mass-

gatherings-ready-for—covid-19.htm1

Government

Entry

Category:

Media

ff,;,Under

thecurrentguidanceforschools,7213,public,,schooLdistrictsareclosed,

,,,

usinge—leamingdays,or0nspringbreakandhaveannouncedafutureclosure.

TheDepartmentofEducation

isworkingwiththeremaining16school

corporationst0determine

theirnextstepsandneeds

0Bars,nightclubsandrestaurantsarerequiredtocloset0in—personpatronsand

mayprovidetake-outanddeliveryservicesthroughtheendofMarch

0Hospitalsandambulatorysurgicalcentersshouldcanceland/orpostponeelective

andnon-urgentsurgicalproceduresimmediately.Thisactionwillhelpthe

healthcaresystemconserveresourcesandpersonnelnecessarytomeetemerging

healthneeds

Advisory

0Physiciansshouldcontinuetoperform

criticalproceduresnecessaryto

preventshort—termand/orlong—termadverseeffectstotheirpatients’overall

health

0The

state’sEmergencyOperationsCenterhasbeenraisedt0aLevel

1statusand

Willwork

inconjunctionwiththeincidentcommand

centerattheIndianaState

DepartmentofHealthforplanning,coordination,predictiveanalysisandother

functions

0StateemployeesWillmaximize

theuseofremoteworkandmeetVirtually

WheneverpossibleWhilemaintainingoperations.Non-essentialin-person

meetingsWillbelimitedto10persons0rlessandshouldmeetVirtuallywhenever

possible.High-riskindividualsshouldnotattendmeetingsinperson

hflnstl/mlendar‘in_nnv/sife/nnv/event/anv—hnlcnmh-annmInnes—mnre-stens—tn—s|nw-fhe—snread-of—nnvid-19/

9/4

3/1//ZUZU

GOV

-GOV.HolcombAnnouncesMoreSteps

t0SlowtheSpread

0TCUVlD-19

0Stateemployeesovertheageof60withunderlyinghealthconditionsareadvised

toworkfromhome,andagenciesshouldidentifywork

thatcanbeaccomplished

remotelyforthoseindividuals

—,70,Ihelndiana

StateMuseum

and,Historic,,Sites,iwhiCILatteOieid,onMQndays,MQJJ

closet0thepublicbeginningTuesday

0The

VisitorscenteratWhiteRiverStateParkwillclose

0Indiana

stateparksandrecreationcenters,including

stateparkinns,remainopen.

Restaurantswillconvertoperationstotake-outanddelivery

0StateagenciesalreadyaredevelopingremoteworkplansforemployeesandWill

continuet0implementthemWhilemaintainingnecessary

stateservices.

Employeeswhoworkoutdoorsareencouragedt0practicesocialdistancing

TheDepartmentofWorkforceDevelopment(DWD)

hassuspendedrules

requiringcertainunemploymentinsuranceclaimantstophysicallyappear

ata

WorkOne

locationtoengage

inreemploymentservicesforthenextfourweeks.

ThisWillensurethatindividualsWhomaybesymptomaticdonothave

to

physicallyappeartocontinuetheirunemploymentinsurance

eligibility

0TheDWD

willalsorequestflexibilityunderfederaland

statelawtoexpand

eligibilityforclaimantsandeaseburdensonemployers.

0TheIndianaEconomicDevelopmentCorporationwillpostponetheinaugural

IndianaGlobalEconomicSummit,scheduledforApril26-28

0Communities

areencouragedtoworktogethert0providechildcareoptionsfor

allWhoneedassistanceanddeliveryservices0fmealsandothernecessitiesfor

seniorcitizens

hflnstl/calendarjn.nnv/sife/nnv/event/anv—hnlcnmh-annnlInnes-mnre-sfens—fn-slnw—fhe—snread-nf—cnvid-19/

3/4

3/1IIZUZU

GOV

-GOV.HolcombAnnouncesMoreStepstoSlowtheSpread

OTCUVlU-19

0HoosierswhocandonatebloodareencouragedtoVisitlocalbloodcenters.Blood

suppliesare10w.Pleasefollowtheguidance

atwww.redcross.org

Moreinformationmaybefound

attheISDHwebsite

ath_ttps://on.1n.gov/COVID19

andtheCDC

website

athttps://Www.cdc.gOV/coronavirus/2019—ncov/index.html.

-30-

.a

Share

it

EventDetails

ContactPerson

—Mon'daerarch*T6726’20—RaCh'el’Hoffmeyer

Social

Calendar

Email

AllDay

(ET)

RHof‘[email protected]

Remind

Alert

hfinstllcalendarjn,anv/sitelanv/event/anv-hnlnnmh—annmInces-mnre-stens-fo-slnw-fhe-snread-nf—cnvid-19/

4/4

Holcomb,HogsenAddMore

ReSII'ICthHSDue

t0COFOHaVII'US

-InSIdelNdlanaBUSlneSS

3/1[/2020

(.

INSIDEiNDIANA

“

BUSINESS

CONNECTWITHus

EWITH

GERRY

DICK

Q(/story/39258703/inside—

indiana—

fy

busineh—

'Mmmmwfiuimuemnmwuwsdv

in

(https:3\www.|inkedin.com/companv/inside-

Jnd'Lafldtpsflnsidejndlananpi.frcmklyinc.c_om/c,ate,gOLy/300024/news?

businefiehtflrypé[email protected])

34L.

'7

(/story/39258703/inside—indiona-business-podcasts)

Holcomb,HogsettAddMore

RestrictionsDuetoCoronavirus

Monday,March

16th2020,

11:56AMEDT

Updated:

Monday,March

16th2020,2:46PMEDT

ByAlexBrown,AssistantManaging

Editor

hflnstl/wmujnsideindianahlIsinessnnm/sfnrv/M900557/holnnmh-hnasefi-add-mnre—restricfinns-dlIe—tn-mmnavirus

1/8

3/1IIZUZU


ReStl’lCtlonSUue

t0COFODaVII’US

-mS|delNdlanaBUSIneSS

(IIBPhoto)

INDIANAPOLIS

-AsIndianaannouncesthe

firstdeathfromthenovelcoronavirus

inthe

state,Governor

EricHolcombhasdetailed

additional

effortsbythestatetohelpslowthespreadofthe

virus.Among

thenew

directives,thegovernor

isrequiring

allbars,nightclubs

and

restaurantstoclosetoin—personpatrons,thoughtheymay

providetakeoutand

deliveryservicesthroughtheend

ofthemonth.

Additionally,IndianapolisMayorJoeHogsetthosdeclareda

localdisasteremergency

forMarionCounty

inresponsetothecoronavirus

outbreak.

Holcomb’s

officeaddsthestate

willadheretoguidance(https://www.cdc.gov/coronavirus/2019-ncov/communityflge-events/mass-

gctherinqs—reodv-for-covid-19.htmI)fromtheCenters

forDiseaseControland

Prevention

limitingin-personeventstonomorethan50

people.

Currently,thestatesays273publicschool

districts

inIndianaareclosed,usinge—learningdays,oronspringbreakandhaveannounceda

futureclosure.TheIndianaDepartmentofEducation

isworkingwiththeremaining16publicschool

districtstodetermine

theirnextsteps.

hfinstllwww.insideindianahl1siness.nnmlstnrvl41900557/hnlcnmh-hnnsefl-add—mnre-restrinfinns-dlJe-tn-cnrnnavirl

Is

?l8

3/1{/ZUZU


HeStrlCUOflSDue

I0COFODaVII’US

-lnS|delNdlanaBUSIneSS

Holcomb

isencouraging

hospitalsandambulatory

surgicalcenterstocancelorpostpone

electiveandnon-urgentsurgicalprocedures

immediately.

"Thisaction

willhelpthehealthcaresystemconserveresourcesand

personnelnecessarytomeetemerging

healthneeds,"the

statesaid

in

C1news

release.

The

statehasalsopostponedtheinauguralIndianaGlobalEconomicSummit,whichwas

settotakeplace

inlate

April.Thesummit,which

was

firstannounced

(https://www.insideindianabusiness.com/storv/41486853/global-summit-to-brinq—starstudded—lineup)

inDecember,hos

beendescribedcsthe"BusinessSuperBowl"andwasmeanttobringtogetherCEOsfrombusinessesthroughouttheworldaswellas

government,academicand

otherbusinessleaders.

The

IndianaDepartmentofWorkforceDevelopment

issuspending

rulesrequiringcertainunemploymentinsuranceclaimantstophysically

appearataWorkOne

locationtoreceivereemploymentservicesforthenextfourweeks.

"This

willensurethatindividualswhomaybe

symptomaticdonothave

tophysicallyappeartocontinuetheirunemploymentinsurance

eligibility."

The

statesaystheDWD

willalsorequest

flexibilityunderstateand

federallawtoexpand

eligibilityforthoseseekingunemployment

GSSISthCG.

Additionally,Holcomb's

officesaysstateemployees

will"maximizetheuseofremotework”andthoseovertheageof60withunderlying

healthconditionsarebeingadvised

toworkfromhome.Thestate

isalsoclosingtheIndianaStateMuseumand

Historic

Sites,as

wellasthe

White

RiverStatePark

visitorscenter

indowntown

Indianapolis.

Inresponsetothegovernor’sdirectives,IndianapolisMayorJoeHogsettannounced

itwould

alsofollowthe50—person

limitforpublic

gatherings.

Inadditiontotheclosingofbars,nightclubsand

restaurants,themayorsaidthe

citywould

alsorequiremovietheaters,

entertainmentvenues,gymsand

fitnessfacilitiestoclose.

"Thesenew

restrictionscome

ataheavycostforourcommunity,butguidancefrom

public-healthexpertsmakes

cleartheyarenecessaryto

reducethespreadofthecoronavirus,"saidMayorHogsett."Asweworktoput

inplaceprotections

foraffectedbusinessesandemployeesat

alocal

level,

|urgeourpartnersatthestateand

federal

leveltocontinuetomove

swiftlytoenactunemployment

policiesandsmall-

httns://www.insideindianablIsiness‘cnm/sforv/A‘I900557/hnlcnmh—hnasefl-add-more-resfricfinns—dlIe—fn-nnmnavinIs

3/8

3/1IIZUZU

Holcomb,HogseflAddMore

ReSIflCtlonSUue

t0COFOI'IaVIl'US

-lnSldelNdlanaBUSlneSS

business-assistanceprogramsthatconprovideimmediateassistancetoIndianapolis

residents."

Hogsetthas

alsoissuedanexecutiveorderdeclaringa

localdisasteremergency

inMarionCounty,as

wellasawotch-level

localtravel

adVIsory.

Ihe

ddVls'ory,themayor's

offiEesays,advisesagainsttravelexceptwhen

essential,whichincludestravelingtoandFromwork,

in

V

emergency

situations,ortopurchasegroceriesand

pick-up

prescriptionsorfood.

Additionally,the

cityhaslaunchedanonlinetool(https://www.indvAgov/topic/covid)toconnectthoseimpactedbythepandemicwith

community

resources.

Youcan

learnmoreaboutthe

state’sresponsetothecoronovirusby

clickinghere(https://www.in.gov/coronovirus/?utm

source=aqencv;

website&utm

medium=&utm

camlogign=&utm

term=&utm

content=),.

MOSTPOPULARSTORIES


RestrictionsDue

toCoronavirus

hflns:/Iwww.insideindianahlIsiness.nnm/sfnrv/4

1900557lhn|cnmb-hnaseff—add-mnre—resfrinfinns-due—fo—cnmnavinIs

4/8

3/1I/ZUZU

lndlanapollsbars,restaurants,gymsandmOVletheaterssett0CloseDy8am.

[USSday

InCOI’OI‘IaVIrUSresponse

II'OX59

43°

-

'

We'd

liketosendyou

notificationsforthelatest

newsandupdates.N’O'THAN’KS”

"

ALLEN

,fi

.Ifi

‘

.44

.

EEwww

UPDATE:

OnMonday,theIndianapolisCity-CountyCouncilvotedunanimouslytoextendthedeclarationofalocaldisaster

emergencythroughApril

5.Restaurants,barsand

retailfood

facilitiescanremainopenforthetimebeingbutare

limitedtotake-out,deliveryordrive—throughservice.

ORIGINALSTORY:

hftnsrl/fnxSQ.nnm/news/mmnavirlIs/indianannlis-hars-resfalIrants-nvms-and-mnvie—fheaters-set-m-clnse-hv—B-a-m-hJesdav-in-cnmnavims-resnnnsel

9/18

3/1l/ZUZU

Indlanapollsbars,restaurants,gymsandmOVletheaterssett0CloseDy8a.m.

[uesday

InCOFOI’IEVII'USresponse

II'OX59

We'd

liketosendyounotificationsforthe

latest

newsandupdates.

43°

Hogsettissuedanexecutiv

lty.He

alsoactivateda

77

"i777

"N6

Tliiri’N’K

7’7"”7"ELISE?

‘7’

7Watchi-lieg/iélrHaileliadvisiory

rk,emergencies,or

travel

t0purchasegroceriesand

'1.

,-r

r.

-_

1.

_-

Inaddition,Hogsettprohibitedgatheringsof50peopleormoreandclosedbars,nightclubs,movietheaters,

gymsandentertainmentvenues

effectiveat8a.m.Tuesday.

Barsandrestaurantsthatdoservefood

Willbeprohibitedfromservingdine—incustomersbutcanofferfoodvia

carryout,deliveryanddrive—thru.

Houses0fworshipareurgedtolimitlargegatheringsandexplorewaysto“practicetheirrespectivefaithswhole

observmgsoc1a1—7113tanc1ngpractlces."

TheMarionCountyPublicHealthDepartment’sOrderstatesthatthefollowingestablishmentswillbe

temporarilyclosedtothepublicassoonaspossiblebutnolaterthan8a.m.onTuesday,March

17:

oBarsandnightclubsthatdonotservefood;

oMovietheatersandentertainmentvenues;

oGymsandfitness

facilities.

Thefollowingrestrictionswillalsoapply,andshouldbeimplementedassoonaspossiblebutnolaterthan8

a.m.onTuesday,March

17:

hfins:l/fnx59.cnm/news/nnrnnavirlIs/indianannlis-hars-resfalIranfs—m/ms-and-mnvie—fheaters-set—fo-nlnse—hv—8—a-m—flIesdaV-in-nnmnavinIs-resnnnse/

3/18

3/1”ZUZU

IndlanapOIISbars,restaurants,gymsandmOVIetheaterssett0Closeby8a.m.

[ueSday

InCOI'OHBVIFUSresponse

|FOX59

We'd

liketosendyounotificationsforthelatest

newsandupdates.

43°

Withrestaurantsand

kitcht

—eiGa’theringsiOfimoreithal

7W

7r

77,777,,fl:,,,,W",

7,,WW,#77,,WW

,,

rwrithCentersiforiBi-seas:i::fi:

N0THANKS

ALLOW

ControlandPreventionrec

0rbusinesses.

oHousesofworshipareurgedtolimitlargegatheringsontheirpremisesandtoexploreandimplementwayst0

practicetheirrespectivefaithsWhileobservingsocial—distancingpractices.

oResidentsshouldadheretothewatCh-levellocaltraveladvisory,minimizingtravelexcepttoandfromwork,

in

emergency

situations,0rtopurchasegroceriesandpick—upprescriptionsorfood.

Thefollowingestablishmentswillcontinuetooperateasusual:

0Grocerystoreswillremainopen;

oAnd

cafeterlasWlthlnhospltals,nursmghomes,andsimilarhealthcare

facilitiesWillcontinueoperations.

IndianapolisCOVID-19CommunityResources

SuggestaCorrection

SHARETHISSTORY

hh‘ns:l/fnx59‘cnmlnewslcnmnavinIslindiananolis-hars-resfalIranfs-avms-and-mnvie-theaters-sef—tn-nlnse—hv-R-a-m-flIesdav-in-comnavinIs—resnnnse/

4/18

3/17/2020

AddressingCOVlD-19

Subscribe

PastIssues

TranslateV

RSS

View

thisemail

invourbrowser

CityCouncillorBlakeJohnson

forthe12thDistrictoflndianapolis

DearNeighbors

--

Afterabriefing

thiseveningfrom

Dr.VirginiaCaineoftheMarionCountyPublic

HealthDepartment,theIndianapolisCity-CountyCouncilunanimouslyvoted

to

extendMayorHogsett'srecentlocaldisasterdeclarationtoApril5th,2020,

givingtheexecutivebranchneeded

flexibilityineffortstoaddressthespread

of

COVlD—19overthecomingweeks.

The

declarationissuesawatch-Ievel

localtraveladvisory,advisingagainst

travelexceptwhen

essential,suchas

t0andfromwork,

inemergency

situations,ortopurchasegroceriesand

pick—upprescriptionsorfood.

AdditionalordersfromtheMarionCountyPublicHealthDepartmentprovide

expanded

action:

httpszllmailchi.mp/632a98cbfabO/addressing-covid-19?e=e7ecedc301

1/4

3/17/2020

AddressingCOVlD-19

Subscribe

PastIssues

TranslateV

RSS

-__‘..g

...-......-.'--.._

-...._

-.H..

..‘a...-.-.r._

...-‘.

.._

..-V

__,

-..-

oClosingmovietheaters,entertainmentvenues,gymsandfitness

facilities.

oDirectingrestaurants,barsand

retailfood

facilitiestoforegodine-in

servicesaNd

offergnly,d,¢|,ivery.,gatryeoutand

drive—thrur.’

,,,,

lam

deeplyaware

thattheactionsabovearesignificantand

willimpactour

localeconomy,

buttheyarecompletelynecessaryaswework

toprotectour

citizens,lessentheburdenonourhealthcaresystem,and

ultimatelystrengthen

our

city'sdefenseagainstthisvirus.

Belowaresome

additionalnewsitemsandresourcesthatmightbe

informative.

Bottom

line:pleasedowhateveryoucan

topracticesocialdistancingandtake

careofoneanother.

I‘llcontinuetoprovideupdateswhen

appropriate,especiallyonmyFacebook

page.

Allthe

best,

Blake

Indianacoronavirusupdates:

Whyoutbreaks

likecoronavirus

httpsrllmailchi.mp/632398cbfab0/addressing-covid—19?e=e7eced0301

2/4

3/17/2020

AddressingCOVlD-19

Subscribe

PastIssues

TranslateV

RSS

....__.

.-

_-..-

__---...‘,

-.

<--.._<_.--

viaWashingtonPost

vialndyStar

Citylaunchesresourceguideforindividuals,students,and

families

impactedbyCOVlD-19

viaCityofIndianapolis

Copyright©2020

CityCouncillorBlakeJohnson,

Allrightsreserved.

Want

tochangehowyoureceivetheseemails?

https://mailchi.mp/6323980bfab0/addressing—covid-19?e=e7eced0301

3/4

3/17/2020

AddressingCOVlD-19

Subscribe

PastIssues

,

TranslateV

RSS

https:l/mailchi.mp/632a980bfab0/addressing-covid-19?e=e7ecedc301

4/4

3/17/2020

AddressingCOVlD-19

Subscribe

PastIssues

,

TranslateV

RSS

https:l/mailchi.mp/632a980bfab0/addressing-covid-19?e=e7ecedc301

4/4

Background

When a novel virus with pandemic potential emerges,nonpharmaceutical interventions, which will be called

community mitigation strategies in this document, oftenare the most readily available interventions to help slowtransmission of the virus in communities. Communitymitigation is a set of actions that persons and communitiescan take to help slow the spread of respiratory virus infections

Community mitigation is especially important before a vaccineor drug becomes widely available.

The following is a framework for actions which local and statehealth departments can recommend in their community toboth prepare for and mitigate community transmission ofCOVID-19 in the United States. Selection and implementationof these actions should be guided by the local characteristics

of disease transmission, demographics, and public health andhealthcare system capacity.

Goals

The goals for using mitigation strategies in communities withlocal COVID-19 transmission are to slow the transmission ofdisease and in particular to protect:

- Individuals at increased risk for severe illness, includingolder adults and persons of any age with underlying healthconditions (See Appendix A)

- The healthcare and critical infrastructure workforces

These approaches are used to minimize morbidity and mortalityand the social and economic impacts of COVID-19. Individuals,

communities, businesses, and healthcare organizations areall part of a community mitigation strategy. These strategies

should be implemented to prepare for and when there is

evidence of community transmission. Signals of ongoingcommunity transmission may include detection of confirmedcases of COVID-19 with no epidemiologic link to travelers orknown cases, or more than three generations of transmission.

Implementation is based on:

- Emphasizing individual responsibility for implementingrecommended personal—level actions

‘ Empowering businesses, schools, and communityorganizations to implement recommended actions,particularly in ways that protect persons at increased risk ofsevere illness

- Focusing on settings that provide critical infrastructure orservices to individuals at increased risk of severe illness

' Minimizing disruptions to daily life to the extent possible

7

Guiding principles ?

' Each community is unique, and appropriatle mitigationstrategies will vary based on the level of communitytransmission, characteristics of the community and theirpopulations, and the local capacity to implement strategies(Table 1).

- Consider all aspects of a community that might be impacted,including populations most vulnerable to slevere illness andthose that may be more impacted socially ojr economically,and select appropriate actions.

‘

- Mitigation strategies can be scaled up or déwn depending onthe evolving local situation.

‘

° When developing mitigation plans, communities shouldidentify ways to ensure the safety and social well—beingof groups that may be especially impacted By mitigationstrategies, including individuals at increased risk for severeillness.

- Activation of community emergency plans is critical for theimplementation of mitigation strategies. These plans mayprovide additional authorities and coordination needed forinterventions to be implemented (Table 2).

' Activities in Table 2 may be implemented at any timeregardless of the level of community transmission based onguidance on from local and state health officials.

- The level of activities implemented may vary across thesettings described in Table 2 (e.g., they may be at a minimal/moderate level for one setting and at a substantial level foranother setting in order to meet community response needs).

' Depending on the level of community spread, local and statepublic health departments may need to implement mitigationstrategies for public health functions to identify cases andconduct contact tracing (Table 3). When applied, communitymitigation efforts may help facilitate public‘health activitieslike contact tracing

Table 1. Local Factors to Consider for Determining Mitig‘ tion Strategies

Factor Characteristics

\Epidemiology - Level of community transmission (see Table 3)

- Number and type of outbreaks (e.g, nursing homes, schools, etc.)

- Impact of the outbreaks on del very of healthcare or other critical infrastructure‘or services

- Epidemiology'In surroundinglerisdictions

Communify - Size of community and populaTion densityCharacteristics

\

Level of community engagement/support

Size and characteristics of vulnLrable populations

Access to healthcare

Transportation (e.g., public, wa king)‘1

Planned large eventsw

Healthcare capacity

Relationship of community to other communities (e.g., transportation hub, touris’t destination, etc.)

Healthcare workforcej

Number of healthcare facilities including ancillary healthcare facilities)\

Testing capacity

Intensive care capacity

1Availability of personal protective equipment (PPE)

Public health capacity Public health workforce and ave ilability of resources to implement strategies

Available support from other state/local government agencies and partner orgaj‘nizations

Table

2.CommunitymitigationstrategiesbysettingandbylevelofcommunitytransmissionorimpactofCOVlD-19

Factor

lndividuaisandFamiiies

atHome

”Whatyoucandoto

prepare,

ifyouorafamily

membergets

ill,or

ifyour

communityexperiences

spreadofCOVlD-19”

,, Nonfl"

Minimal,”

Knowwheretofind

localinformationon

COVlD-19and

localtrendsofCOVlD—19cases.

Knowthesignsandsymptoms

ofCOV|D~19

andwhattodo

ifsymptomatic:

»Stayhomewhenyouaresick

»Callyourhealthcareprovider’soffice

in

advanceofa

visit

»Limitmovement

inthecommunity

»Limitvisitors

Knowwhatadditionalmeasuresthoseathigh-

riskandwho

arevulnerableshould

take.

Implementpersonalprotectivemeasures

(e.g.,stayhomewhen

sick,handwashing,

respiratoryetiquette,cleanfrequentlytouched

Minimaltomoderate

I

,W,

,A,

,.._

wwgfi,

-Contihuetomonitor

localinformationabout

COVlD—19

inyourcommunity.

-Continuetopracticepersonalprotective

measures.

-Continuetoputhouseholdplanintoaction.

-Individualsatincreased

riskofsevere

illness

shouldconsiderstayingathomeandavoiding

gatheringsorothersituationsofpotential

exposures,includingtravel.

Potentialmitigationactivitiesaccordingtolevelofcommunitytransmission0rimpactofCOVlD-19bysetting

Mfiuhétantia'w

Continuetomonitor

localinformation.

Continuetopracticepersonalprotective

measures.

Continuetoputhouseholdplanintoplace.

Allindividualsshould

limitcommunity

movementandadapttodisruptions

inroutine

activities

(e.g.,schooland/orworkclosures)

accordingtoguidancefrom

localofficials.

surfaces

daily).

Createahouseholdplanofaction

incaseof

illness

inthehouseholdordisruptionofdaily

activitiesdue

toCOVID—19

inthecommunity.

»Consider2—weeksupplyofprescription

andoverthecountermedications,food

andotheressentials.Knowhow

togetfood

delivered

ifpossible.

»Establishwaystocommunicatewithothers

(e.g.,family,friends,co-workers).

»Establishplanstotelework,whattodo

aboutchildcareneeds,how

toadaptto

cancellationofevents.

Knowaboutemergencyoperationsplansfor

schools/workplacesofhouseholdmembers.

Factor

SchooIs/childcare

'”Whatchiidcare

facilities,K-12schools,

andcollegesand

universitiescandoto

prepareforCOVlD—19,

iftheschoolorfacility

hascasesofCOVlD-19,

or

ifthecommunity

is

experiencingspreadof

COVlD-19)”

Potential

NonfietgMi‘nimalw

Knowwhere

tofind

localinformationon

COVlD-19and

localtrendsofCOVlD-1797casesfii

KnowthesignsandsymptomsofCOVlD-19

andwhattodo

ifstudentsorstaffbecome

symptomaticatschool/childcare

site.

Reviewandupdateemergencyoperations

plan(includingimplementationofsocial

distancingmeasures,distancelearning

if

feasible)ordevelopplan

ifone

isnotavailable.

Evaluatewhethertherearestudentsorstaff

who

areatincreased

riskofsevere

illnessand

developplansforthem

tocontinuetowork

orreceiveeducationalservices

ifthere

is

moderate

levelsofCOVlD—19transmissionor

impact.

»Parentsofchildrenatincreased

riskfor

mitigationactivitiesaccordingtolevelofcommunitytransmissionorimpactofCOVlD—19bysetting

Minima!

t0m9derats,

-Implement

socialdistancingmeasures:

iT'R'e'ducethefrequencyoflargegafhé?ifigisi

(e.g.,assemblies),and

limitthenumberof

attendeespergathering.

»Alterschedulestoreducemixing

(e.g.,

staggerrecess,entry/dismissaltimes)

»Limitinter—schoolinteractions

»Considerdistanceore-learning

insome

settings

-Considerregularhealthchecks

(e.g.,

temperatureand

respiratorysymptom

screening)ofstudents,

staff,and

visitors

(if

feasible).

-Short-termdismissalsforschooland

extracurricularactivitiesasneeded

(e.g.,

ifcases

instaff/students)forcleaninqand

HA

qustantialr

7

-Broaderand/orlonger-termschooldismissals,

staffand/orstudentabsenteeism.

-Cancellationofschool-associated

congregations,particularlythosewith

participationofhigh—riskindividuals.

-Implementdistancelearning

iffeasible.

severe

illnessshop|,d,dis,cuss,with,their

healthcareproviderwhetherthosestudents

shouldstayhome

incaseofschoolor

communityspread.

»Staffatincreased

riskforsevere

illness

shouldhaveaplantostayhome

ifthereare

school-basedcasesorcommunityspread.

Encouragestaffandstudentstostayhome

when

sickand

notifyschooladministratorsof

illness(schoolsshouldprovidenon—punitive

sickleaveoptionstoallow

stafftostayhome

when

ill).

Encouragepersonalprotectivemeasures

among

staff/students

(e.g.,stayhomewhen

sick,handwashing,

respiratoryetiquette).

Cleanand

disinfectfrequentlytouched

surfaces

daily.

Ensurehandhygienesuppliesarereadily

available

inbuildings.

contacttracing.

-Studentsatincreased

riskofsevere

illness

shouldconsiderimplementing

individualplans

fordistancelearning,e—learning.

Factor

Assistedlivingfacilities,

seniarlivingfaciiitiesand

adultdayprograms

”What

facilitiescan

do

topreparefor

COVID-1

9,

ifthefacility

hascasesofCOVlD-19,

or

ifthecommunity

is


COVlD-19)”

'

COVlD-19.

'"

,7

,,

N.999t9.Minim9'

.fl

Knowwheretofind

localinformationon


andwhattodo

ifclients/residentsorstaff

becomesymptomatic.

Reviewandupdateemergencyoperations

plan(includingimplementationofsocial

distancingmeasures)ordevelopaplan

ifone

isnotavailable.


among

staff,residentsand

clientswho

live

elsewhere

(e.g.,stayhome

or

inresidences

when

sick,handwashing,respiratoryetiquette).

Cleanfrequentlytouchedsurfacesdaily.


available

in

allbuildings.

Potentialmitigation

activitiesaccordingtolevelofcommunitytransmissionorimpactofCOVID—19bysetting

7aMinimalto

mrordeirate_mm

ki

~Implement


iWQTRiedUCelargegatherings

(e.g.,fifbup

social

events)

»Alterschedulestoreducemixing

(e.g.,

staggermeal,

activity,arrival/departuretimes)

»Limitprogramswithexternal

staff

»Considerhaving

residentsstay

infacilityand

limitexposuretothegeneralcommunity

»Limitvisitors,implementscreening

Temperatureand

respiratorysymptom

screeningofattendees,

staff,and

visitors.

Short—termclosuresasneeded

(e.g.,

ifcases

in

staff,residentsorclientswho

liveelsewhere)

forcleaningandcontacttracing.

WSubstantial_

rr

-Longer—termclosureorquarantineoffacility.

-Restrictorlimitvisitoraccess

(e.g.,maximum

7

of1perday).

J

Factor

Workplace

”Whatworkplacescando

toprepareforCOVlD-1

9,

iftheworkplacehas

casesofCOVlD-1

9,or

ifthecommunity

is


COVlD-19)"

gNone“)Minimiw,

,

Knowwheretofind

localinformationon

COVlD-19and

localtrendsofCOVlD-19cases;v

KnowthesignsandsymptomsofCOVID—19

andwhattodo

ifstaffbecomesymptomaticat

theworksite.

Review,update,ordevelopworkplaceplansto

include:

»Liberalleaveandteleworkpolicies

»Consider7-dayleavepoliciesforpeoplewith

COVlD-19symptoms

»Consideralternateteamapproachesfor

workschedules.

Encourageemployeestostayhomeand

notifyworkplaceadministratorswhen

sick

(workplacesshouldprovidenon-punitive

sickleaveoptionstoallowstafftostaxhome

when

ill).


among

staff(e.g.,stayhomewhen

sick,

handwashing,


Cleanand

disinfectfrequentlytouched

surfaces

daily.


available

inbuilding.

Potentialmitigation

activitiesaccordingtolevelofcommunitytransmissionorimpactofCOVlD—19bysetting

,Minima'tompdsrateq

-Encourage

stafftotelework(when

feasible),

Wparticularlyindividualsatincreasedrisk’of*”'*

severe

illness.

-Implement


»Increasingphysicalspacebetweenworkers

attheworksite

»Staggeringworkschedules

»Decreasing

socialcontacts

intheworkplace

(e.g.,limitin-personmeetings,meetingfor

lunch

inabreakroom,

etc.)

-Limitlargework—relatedgatherings

(e.g.,staff

meetings,after-workfunctions).

'Limitnon-essentialwork

travel.

-Considerregularhealthchecks

(e.g.,

temperatureand

respiratorysymptom

,V

Substantial,

,,7

-Implementextendedteleworkarrangements

"’(Wh'e’nfeasible).

-Ensureflexibleleavepoliciesforstaffwho

needtostayhomeduetoschool/childcare

dismissals.

-Cancelnon-essentialwork

travel.

-Cancelwork—sponsoredconferences,

tradeshows,

etc.

isereening)iofrstaffiandrvisitorsientering

buildings

(iffeasible).

Factor

Communityandfaith-

basedorganizations

”Whatorganizations

cando

toprepare

forCOVlD—1

9,ifthe

organizationshas

casesofCOVlD-1

9,or

ifthecommunity

is


COVlD—19)”

fignetoMiniflmgl

Knowwheretofind

localinformationon

"COVlD-19and

localtrendsofCOVlD—19casesf


andwhattodo

iforganizationmembers/staff

becomesymptomatic.

Identifysafewaystoservethosethatareat

high

riskorvulnerable(outreach,assistance,etc).

Review,update,ordevelopemergencyplans

fortheorganization,especiallyconsideration

forindividualsatincreased

riskofsevere

illness.

Encouragestaffandmembers

tostayhome

and

notifyorganizationadministratorsof

illnesswhen

sick.


amongorganization/membersand

staff

PotentialmitigationactivitiesaccordingtolevelofcommunitytransmissionorimpactofCOVID—19bysetting

,Minrimal‘wmcderatem

,,

-Implement


religiousservices),especiallyfor

organizationswithindividualsatincreased

riskofsevere

illness.

»Considerofferingvideo/audioofevents.

-Determinewaystocontinueprovidingsupport

servicestoindividualsatincreased

riskof

severedisease

(services,meals,checking

in)

whilelimitinggroupsettingsandexposures.

-Cancellargegatherings

(e.g.,>250people,

thoughthreshold

isatthediscretionofthe

community)ormove

tosmallergroupings.

-Fororganizationsthatservehigh-risk

populations,cancelgatheringsofmorethan

10people.

7Wédi1ce

activities

(e.g.,groupcongregation,

,Sylzstantielm

,.

-Cancelcommunityandfaith-basedgatherings

infanysize.

77

{e.wstayhomerwhensickrhandwclshing,


Cleanfrequentlytouchedsurfacesat

organizationgatheringpoints

daily.


available

inbuilding.

Factor

Healthcaresettingsand

healthcarepreyider

(includesoutpatient,

nursinghomes/long-term

carefacilities,inpatient,

telehealth)

”Whathealthcaresettings

includingnursinghomes/

long—termcare

facilities,

candotopreparefor

COVlD-1

9,

ifthe

facilities

hascasesofCOVlD—1

9,

or

ifthecommunity

is


COVlD-19)"

NonetoMinimal“

Providehealthcarepersonnel

([HCP],including

r

staffatnursinghomesandlong-termcare”

'"

facilities)andsystemswithtoolsandguidance

neededtosupporttheirdecisionstocarefor

patientsathome

(orinnursinghomes/Iong-

termcare

facilities).

Developsystemsforphonetriageand

telemedicinetoreduceunnecessaryhealthcare

visits.

Assessfacilityinfectioncontrolprograms;

assesspersonalprotectiveequipment

(PPE)

suppliesandoptimizePPE

use.

AssessplansformonitoringofHCPandplans

forincreasingnumbersofHCP

ifneeded.

Assessvisitorpolicies.

AssessHCP

sickleavepolicies(healthcare

7 Minimaltomordeiratey

77

Implementchangestovisitorpoliciesto

'

'furtherlimitexposurestoHCP,residentSfa'nd”

patients.Changescouldincludetemperature/

symptomchecksforvisitors,limitingvisitor

movement

inthe

facility,etc.

Implementtriagebeforeentering

facilities

(e.g.,parking

lottriage,frontdoor),phone

triage,andtelemedicinetolimitunnecessary

healthcare

visits.

Activelymonitorabsenteeismand

respiratory

illnessamongHCPand

patients.

ActivelymonitorPPEsupplies.

Establishprocessestoevaluateand

testlarge

numbersofpatientsandHCPwithrespiratory

symptoms

(e.g.,designated

clinic,surge

tent).

ConsiderallowingasymptomaticexposedHCP

Potentialmitigation

activitiesaccordingtolevelofcommunitytransmissionorimpactofCOVID—19bysetting

,Subfitantia|,,

_,7

,,,,,.__

Restrictorlimitvisitors

(e.g.,maximumof1per

id'a'y)

t’o’reducefacility—basedtransmiSEibn.

Identifyareasofoperationsthatmaybe

subjecttoalternativestandardsofcareand

implementnecessarychanges

(e.g.,allowing

mildlysymptomaticHCPtoworkwhile

wearing

afacemask).

Cancelelectiveandnon-urgentprocedures

Establishcohortunitsorfacilitiesforlarge

numbersofpatients.

Considerrequiring

allHCP

towearafacemask

when

inthe

facilitydependingonsupply.

facilitieyshouId’provide’n'onip'unitiVE’sitk'l’éaV'e

optionstoallowHCPtostayhomewhen

ill).

EncourageHCP

tostayhomeand

notify

healthcare

facilityadministratorswhen

sick.

Inconjunctionwith

localhealthdepartment,

identifyexposedHCP,andimplement

recommendedmonitoringandwork

restrictions.

Implementtriagepriortoentering

facilities

torapidlyidentifyand

isolatepatientswith

respiratoryillness

(e.g.,phonetriagebefore

patientarrival,triageupon

arrival).

toworkwhllewearingafacemask.

BegintocrosstrainHCP

forworking

inother

units

inanticipationofstaffingshortages.

None to Minimal

Evidence ofisolated cases or limited

community transmission, case

investigations underway, no evidenceof exposure in large communal setting,

e.g., healthcare facility, school, mass

7gathering.

Public health control activities by level of COVlD—19 community transmission

Minimjal to Moderate

Widespread and‘(or sustained

transmission wit‘h high likelihood or

confirmed exposure within communalsettings with po‘fential for rapid increasein suspected cases.

Substantial

Large scale community transmission,

healthcare staffing significantly

impacted, multiple cases within

communal settings like healthcare

facilities, schools, mass gatherings etc.

Continue contact tracing, monitor

and observe contacts as advised in

guidance to maximize containment

around cases.

Isolation of confirmed COVlD-1 9 cases

until no longer considered infectious

according to guidance.

For asymptomatic close contacts

exposed to a confirmed COVlD-1 9

case, consideration of movementrestrictions based on risk level, social

distancing.

Monitoring close contacts should bedone byjurisdictions to the extent

feasible based on local priorities andresources.

Encourage HCP to develop phonetriage and telemedicine practices.

Test individuals with signs and

symptoms compatible with COVID-1 9.

Determine methods to streamline

contact tracing through simplified

data collection and surge if needed(resources including staffing through

colleges and other first responders,

technology etc).

\

- May reduce contact tracing if

resources dicta‘te, prioritizing to those

in high-risk settings (e.g., healthcare

professionals o‘r high-risk settings

based on vuln‘erable populations or

critical infrastrhcture).\

- Encourage HCP to more strictly

implement pthe triage andtelemedicine practices.

- Continue COVI‘b—1 9 testing of

symptomatic p‘ersons; however, if

testing capacity limited, prioritize

testing of high-risk individuals.

- May reduce contact tracing if

resources dictate, prioritizing to those

in high-risk settings (e.g., healthcare

professionals or high—risk settings

based on vulnerable populations or

critical infrastructure).

- Encourage HCP to more strictly

implement phone triage and

telemedicine practices.

- Continue COVID-19 testing of

symptomatic persons; however, if

testing capacity limited, prioritize

testing of high-risk individuals.

Appendix A: Underlying medical conditions that may increase the risk of serious COVlD-1 9 for‘ndividuals

W

of any age.

Blood disorders (e.g., sickle cell disease or on blood thinners)\

Chronic kidney disease as defined by your doctor. Patient has been told to avoid or reduce the dose of medicitions becausekidney disease, or is under treatment for kidney disease, incl‘uding receiving dialysis

‘

Chronic liver disease as defined by your doctor.‘

(e.g., cirrh‘osis, chronic hepatitis) Patient has been told to amjaid or reduce thedose of medications because liver disease or is under treatment for liver disease.

Compromised immune system (immunosuppression) (e.g., seeing a doctor for cancer and treatment such ‘as chemotherapyor radiation, received an organ or bone marrow transplant, taking high doses of corticosteroids or other immunosuppressantmedications, HIV or AIDS)

Current or recent pregnancy in the last two weeks

Endocrine disorders (e.g., diabetes mellitus)

Metabolic disorders (such as inherited metabolic disorder

Heart disease (such as congenital heart disease, congestive

Lung disease including asthma or chronic obstructive pulm‘o

Neurological and neurologic and neurodevelopment conerve, and muscle such as cerebral palsy,

‘developmental delay, muscular dystrophy, or spinal cord injury .

and mitochondrial disorders)

‘heart failure and coronary artery disease)

epilepsy (seizure disorders), stroke, intellectual disability, moderate to

nary disease (chronic bronchitis or emphysema) 161' other chronicconditions associated with impaired lung function or that require home oxygen

ditions [including disorders of the brain, spinal icord, peripheral

severe

10

Documents

PETITION UNDER RULEemergency has imposed restrictions 0n restaurants, bars and social gathering locations for seven days, as well as implementing travel ... laws ofthe United States