COVID19 in Alaska Reopening Alaska Responsibly Commissioner Adam

COVID-19 in Alaska Reopening Alaska Responsibly Commissioner Adam Crum Alaska Department of Health and Social Services April 24, 2020

Starts today, April 24, 2020 § On April 22, Governor Dunleavy announced Health Mandate 016 which outlines Phase 1 of his Reopen Alaska Responsibly Plan. § Phase 1 seeks to balance the ongoing need to maintain diligent efforts to slow and disrupt the rate of infection with the corresponding critical need to resume economic activity in a reasonable and safe manner. § Guidance documents for businesses sectors.

We need to embrace a new way of doing business in Alaska. § The virus is still here, and still around the world. § Businesses will need to open safely and customers will want to feel safe visiting your business. § We know how to do this. Alaska successfully flattened the curve, with fewer restrictions and more voluntary measures than in many states and countries. § We do not have a treatment nor a vaccine. We still need to protect all Alaskans, especially those most vulnerable to severe illness. § We need to think of the world differently – but we are resilient and strong. § If we adjust our behaviors and slowly move forward together, we can establish a healthy and strong future.

Lifting restrictions depends on: • Disease burden that is initially decreasing for 14 days and no exponential growth moving forward; • A surveillance system capable of promptly detecting any increase in infection; • A public health system that is actively tracking all cases of COVID-19; and • A health care system that has the capacity to handle all cases and that can rapidly deal with a surge in cases.

When we can lift advisories and mandates GO: If we’re seeing downward trends and all is going well, we’ll methodically move to lift restrictions. PROCEED WITH CAUTION: If the situation is stable or we are seeing a slow increase in cases, we may ask for voluntary measures to flatten the curve. STOP: If we are seeing a consistent or rapid increase in cases or if we think we are running out of capacity to care for people with COVID-19 (regardless of the trend in cases), then we will need to reimplement some restrictions. Different areas may follow different rules We can use geography to our advantage to prevent cases from spreading. Local authorities can work with the State if more strict or more liberal rules are needed, depending on their unique situation. Working with the State, different communities may implement different phases at different times. This will allow for more precise control of COVID-19.

Metrics We will be following these metrics to move forward: q. Epidemiology: Disease burden and trends q. Testing: Overall volume, fast turnaround of results and reporting q. Public Health Capacity: Monitoring and contact investigations q. Health care capacity: Ensuring hospitals have adequate capacity and supplies (PPE, hospital beds) to care for COVID-19 patients and other patients needing urgent care.

EPIDEMIOLOGY Positive cases in Alaska continue to trend down

Statewide

TESTING Testing capacity in Alaska continues to increase • There are now 111 sites where you can get tested (sample collection sites). • More than 60 facilities throughout Alaska are able to perform COVID-19 testing in addition to state public health laboratories and commercial laboratories. • Public health centers will now be offering referrals for testing and will also be sample collection sites in some areas. 10, 842 cumulative tests; 631 new tests since yesterday; 2. 9% of tests were positive

PUBLIC HEALTH CAPACITY Monitoring and contact investigations • The State of Alaska has over 100 people working on this now and we plan to expand more moving forward. • State epidemiologists, working with the Anchorage Heath Department and other local partners, have been able to investigate and follow every case in Alaska.

HEALTH CARE CAPACITY Alaska hospitals have capacity for patient care • Are people seeking care for symptoms that could be COVID-19? • Can we care for every COVID-19 patient who needs care? • Do we have sufficient capacity to care for other patients?

Phase I – Key Components q Most non-essential businesses reopen, with safeguards q 25% capacity for most businesses and allowances for outdoor services q Small gathering of fewer than 20 allowed, with social distancing q Social distancing, table spacing, no waiting rooms q Bars, theaters, bowling alleys and bingo parlors (recreational venues) not yet open

Coronavirus. alaska. gov OR covid 19. alaska. gov

Coronavirus. alaska. gov OR covid 19. alaska. gov

What will businesses be expected to do?

General guidelines Social distancing, minimum six feet but more dependent on the business and situation. COVID-19 Mitigation Plan required addressing practices and protocols to protect staff and the public. Entryway signage notifying the public of the business’s plan and stating that no one with COVID-19 may enter premises. Hand-washing and sanitizer readily available, frequent handwashing required. Hourly touch-point sanitization, plus cleaning/disinfecting per CDC protocols Entryway, curbside and home delivery encouraged Telephone and online ordering for contactless pickup and delivery Cashless and receipt-less transactions. Pre-shift screening. Symptomatic or ill employees not allowed to work. Quarantine required for symptomatic, ill or COVID-19 positive employees.

Restaurants Bars remain closed. Reservations only; no walk in service. Continue to encourage take-out and systems that minimize contact Fabric face coverings worn by all employees Groups limited to household members only. Limit indoor capacity to 25 percent. Businesses must determine, post and enforce this new capacity. Indoors: Table seating between non-household members must be 10 feet apart. Outdoors: Same rules as indoors, no more than 20 tables. All regulatory and legal standards continue to apply. 10 ft Tables will be 10 feet apart 25% capacity of regular seating Attachment F

Retail Businesses No more than 20 customers, or 25% capacity (whichever is smaller). Social distancing of at least 6 feet. Universal fabric face coverings (employees and patrons). Only one adult per household per visit. Sanitizer at entrance, hourly sanitization, staff screening. Pre-shift screening. Cleaning and disinfecting per CDC guidelines. No person may work if they are symptomatic or ill. Entry, curbside and home delivery, non-entry methods of sale encouraged. Six feet apart, 25% capacity, encouragin wearing of face mas 6 ft Attachment E

Personal Services One provider, one client, no waiting room Hair salons, day spas/esthetics locations, nail salons, barber shops, tattoo shops, body piercing locations, tanning facilities, rolfing, reiki, lactation consultants, acupressure. One provider, one client, no waiting rooms. Requirements: reservation only, one customer per staff, universal face coverings, 6 feet between workstations, sanitizer at entrance, sanitization between customers. No more than 20 customers, or 25 percent capacity of building (whichever is smaller). Social distancing of at least six feet between customer-employee pairs. Attachment G

Non-Public Facing Businesses Fabric face coverings must be worn by all employees. All occupied desks, cubicles, or open work spaces must be at least six feet apart. Special accommodations must be made for high-risk employees. Maximize remote work for eligible employees. Frequent handwashing and sanitation. Pre-shift screening of employees, no symptomatic or ill employees. Employers must establish a plan for employees who get ill and for when they return to work per CDC guidelines. Cleaning and disinfecting per CDC guidelines. Attachment H

Public Facing Businesses Reservations only. Walk-ins prohibited. Fabric face coverings must be worn by all employees. No more than 20 customers, or 25% maximum building occupancy (whichever is smaller). Frequent handwashing and sanitation. Pre-shift screening of employees, no symptomatic or ill employees. Employers must establish a plan for employees who get ill and for when they return to work per CDC guidelines. Cleaning and disinfecting per CDC guidelines. Attachment D

Fishing Charters Passengers must bring their own food and drink onboard and kept separate from crew’s food and drinks. Passengers and crewmembers must wear cloth face coverings. Social distancing of at least six feet to the extent possible. Passengers and crewmembers must wear cloth face coverings. Household members can fill a boat. Non-household members allowed if social distancing requirements can be maintained. Cleaning, disinfecting and hygiene per CDC protocols. Attachment J

Gyms Reservations only. Walk-ins prohibited. Class or group workouts must consist of 20 or fewer participants. Social distancing of at least 10 feet must be maintained while exercising or six feet when not exercising. Fabric face coverings must be worn by all employees. Each participant must be screened prior to the activity. No one can participate if symptoms are present or with a suspected positive COVID-19 case within past 14 days. Attachment K

Remote Lodges & Camping Reservations only. Walk-ins prohibited. Electronic payments encouraged. Non-household members are prohibited from sharing cabins, tents or other lodging. Fabric face coverings must be worn by all employees. Attachment L

Childcare & Day Camps Groups of no more than 10 children. Social distancing should be encouraged whenever possible with an understanding on limitations in social distancing in young children. Fabric face coverings to be worn by staff; encouraged for older children. Activities should be held outside whenever feasible. Visitors and field trips with other groups are prohibited. Activities that require voice projection or physical exertion should occur outside with a minimum of 10 feet between children. Camps should encourage registration for longer periods to minimize mixing of participants. Attendees from out-of-state must quarantine for 14 days before joining a camp program. No sick children or staff will be allowed at camp. Children and staff will be screened daily. Cleaning, disinfecting, frequent handwashing required. Attachmen t. I

Intrastate Travel & Outdoor Day Activity This attachment applies to recreational intrastate travel and outdoor daytime activities (not overnight) and modifies travel restrictions in Health Mandate 012 and relevant portions of Health Mandate 011. Household Members: members of the same household, travelling in a passenger vehicle or car, are permitted to travel between communities and generally on the road system for any purpose, including, but not limited to, recreational or sightseeing activities conducted within the mandate guidelines. Groups not to exceed 20 people. Non-household members shall maintain six feet distance from members of other household and travel in the same car. Follow strict hygiene protocols Minimize stops and interactions with food, gas or supply vendors. Attachment M

Phase II – Key Components q Limited visitation at some residential facilities permitted q 50% capacity for most businesses q Gyms, bars, theaters, bowling alleys, bingo halls open at 25% capacity q Walk-ins allowed for restaurants, personal services and state libraries, archives and museums q Lift restrictions on intrastate travel q Larger gatherings allowed, including non-household members (with social distancing)

Phase III – Key Components q 75% capacity for most businesses q All elective medical procedures resume q Larger gatherings allowed, including non-household members

Phase IV – Key Components q q q 100% capacity Visitation allowed at state residential facilities, with screening Allow intrastate travel without screening If data indicates, lift interstate travel restrictions Gatherings of any size including non-household members permitted, with social distancing.

Phase V – Key Components q No restrictions

Thank you, Alaska. Everyone is essential. § Questions regarding DHSS COVID response, including mandates and alerts, can be sent to: covidquestions@alaska. gov. § Questions regarding DHSS data can be sent to: data. coronavirus@alaska. gov § For general questions, contact 2 -1 -1 or 1 -800478 -2221. Extended call center hours: 7 a. m. – 8 p. m. , 7 days a week.