Guidelines on Opening Up America Again

President Trump’s Administration released a pathway to re-opening called “Guidelines for Opening Up America Again”

  • It is advisory. Governors have the authority to re-open.
  • Goals: reduce the risk of resurgence, protect the most vulnerable, implement state-wide or county-by-county.

Before Thinking of Reopening: Gathering Criteria

States must satisfy three components:

  1. SYMPTOMS: 14 days of downward trajectory of influenza-like AND Covid-like symptoms
  2. CASES: 14 days of downward trajectory of documented cases or positive cases as a percentage of total tests (flat or increasing volume of tests)
  3. HOSPITALS: able to treat patients without crisis AND robust testing programs in place for at-risk healthcare workers, including emerging antibody testing

State and local officials should tailor these criteria to local circumstances (ex. severe metro areas vs. mild rural and suburban areas)

 

States Preparedness Responsibilities

  • Have safe & efficient COVID screening and testing sites and contact tracing for COVID+ results.
  • Healthcare must have sufficient Personal Protection Equipment (PPE) to handle a dramatic surge.
  • ICU surge capacity.
  • Have plans to protect health and safety workers including in high-risk facilities, users of mass transit, advise citizens on physical distancing and face coverings.
  • Monitor conditions to limit and mitigate any rebounds or outbreaks by returning to an earlier phase of this plan.

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Individual Responsibilities

1) Good Hygiene (washing hands, avoid touching face, sneezing into elbow or tissue, disinfecting frequently used items and surfaces), strongly consider face coverings in public, particularly mass transit

2) Stay Home When Sick

    Employer Responsibilities

    1) Develop & Implement Policies Regarding social distancing, protective equipment, temperature checks, testing, isolating, and contact tracing, sanitation, use and disinfection of common high-traffic areas, and business travel

    2) Don’t allow symptomatic people to return to work.

    3) Develop policies for workforce contact tracing following an employee COVID+ test

    .PHASE 1: States that Satisfy Gathering Criteria

    Individuals:

    • All vulnerable individuals and household members shelter in place (elderly, serious underlying health conditions). 
    • Publicly socially distance
    • No social setting of more than 10 people WITH social distancing
    • Minimize non-essential travel

    Employers:

    • Encourage telework. 
    • Return to work in phases.
    • Close common areas.
    • Minimize non-essential travel.
    • Special accommodations for members of vulnerable populations

    Specific Employers:

    • No school and organized youth activities including childcare and camps.
    • No visits to senior living facilities or hospitals.
    • Large venues (dining, movie theaters, sporting events, places of worship) with strict physical distancing.
    • Allow elective surgeries on an out-patient basis.
    • Gyms open with strict physical distancing and sanitizing protocols.
    • Bars remain closed.

    PHASE 2: States & Regions With No Evidence of a Rebound

    Changes are underlined

    Individuals:

    • All vulnerable individuals and household members shelter in place. 
    • When in public, maximize physical distance from others.
    • No social setting of more than 50 people WITH physical distancing.
    • Non-essential travel can resume.

    Employers:

    • Encourage telework. 
    • Close common areas.
    • Non-essential travel can resume.
    • Strongly Consider: Special accommodations for members of vulnerable populations.

    Specific Employers:

    • School and organized youth activities reopen
    • No visits to senior living facilities and hospitals.
    • Large venues (dining, movie theaters, sporting events, places of worship) with moderate physical distancing.
    • Allow elective surgeries on an out-patient and in-patient basis.
    • Gyms open with strict physical distancing and sanitizing protocols.
    • Bars may operate with diminished standing-room occupancy, where applicable and appropriate

    PHASE 3: States with No Rebound From Phase 2

    Individuals:

    • All vulnerable individuals and household members can resume public interaction while physical distancing, minimizing exposure
    • All should consider minimizing time spent in crowded environments

    Employers:

    • Resume unrestricted staffing

    Specific Employers:

    • Visits to senior living facilities and hospitals resume
    • Large venues (dining, movie theaters, sporting events, places of worship) can operate under limited physical distancing protocols
    • Gyms open with standard sanitizing protocols.
    • Bars may operate with increased standing room occupancy.

    Post expires at 1:27pm on Tuesday October 27th, 2020

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