President Trump has unveiled Guidelines for Opening Up America Again, a three-phased approach based on the advice of public health experts. These steps will help state and local officials when reopening their economies, getting people back to work, and continuing to protect American lives.
OVERVIEW
Criteria
Proposed State or Regional Gating Criteria
Satisfy Before Proceeding to Phased Comeback
SYMPTOMS
Downward trajectory of influenza-like illnesses (ILI) reported within a 14-day period
AND
Downward trajectory of covid-like syndromic cases reported within a 14-day period
CASES
Downward trajectory of documented cases within a 14-day period
OR
Downward trajectory of positive tests as a percent of total tests within a 14-day period (flat or increasing volume of tests)
HOSPITALS
Treat all patients without crisis care
AND
Robust testing program in place for at-risk healthcare workers, including emerging antibody testing
State and local officials may need to tailor the application of these criteria to local circumstances (e.g., metropolitan areas that have suffered severe COVID outbreaks, rural and suburban areas where outbreaks have not occurred or have been mild). Additionally, where appropriate, Governors should work on a regional basis to satisfy these criteria and to progress through the phases outlined below.
Core State Preparedness Responsibilities
TESTING & CONTACT TRACING
- Ability to quickly set up safe and efficient screening and testing sites for symptomatic individuals and trace contacts of COVID+ results
- Ability to test Syndromic/ILI-indicated persons for COVID and trace contacts of COVID+ results
- Ensure sentinel surveillance sites are screening for asymptomatic cases and contacts for COVID+ results are traced (sites operate at locations that serve older individuals, lower-income Americans, racial minorities, and Native Americans)
HEALTHCARE SYSTEM CAPACITY
- Ability to quickly and independently supply sufficient Personal Protective Equipment and critical medical equipment to handle dramatic surge in need
- Ability to surge ICU capacity
PLANS
- Protect the health and safety of workers in critical industries
- Protect the health and safety of those living and working in high-risk facilities (e.g., senior care facilities)
- Protect employees and users of mass transit
- Advise citizens regarding protocols for social distancing and face coverings
- Monitor conditions and immediately take steps to limit and mitigate any rebounds or outbreaks by restarting a phase or returning to an earlier phase, depending on severity
Proposed Phased Approach
BASED ON UP-TO-DATE DATA AND READINESS
MITIGATES RISK OF RESURGENCE
PROTECTS THE MOST VULNERABLE
IMPLEMENTABLE ON STATEWIDE OR COUNTY-BY-COUNTY BASIS AT GOVERNORS' DISCRETION
GUIDELINES FOR ALL PHASESIndividuals
CONTINUE TO PRACTICE GOOD HYGIENE
- Wash your hands with soap and water or use hand sanitizer, especially after touching frequently used items or surfaces.
- Avoid touching your face.
- Sneeze or cough into a tissue, or the inside of your elbow.
- Disinfect frequently used items and surfaces as much as possible.
- Strongly consider using face coverings while in public, and particularly when using mass transit.
PEOPLE WHO FEEL SICK SHOULD STAY HOME
- Do not go to work or school.
- Contact and follow the advice of your medical provider.
GUIDELINES FOR ALL PHASESEmployers
Develop and implement appropriate policies, in accordance with Federal, State, and local regulations and guidance, and informed by industry best practices, regarding:
- Social distancing and protective equipment
- Temperature checks
- Sanitation
- Use and disinfection of common and high-traffic areas
- Business travel
Monitor workforce for indicative symptoms. Do not allow symptomatic people to physically return to work until cleared by a medical provider.
Develop and implement policies and procedures for workforce contact tracing following employee COVID+ test.
Phase One
For States and Regions that satisfy the gating criteria
INDIVIDUALS
ALL VULNERABLE INDIVIDUALS should continue to shelter in place. Members of households with vulnerable residents should be aware that by returning to work or other environments where distancing is not practical, they could carry the virus back home. Precautions should be taken to isolate from vulnerable residents.
All individuals, WHEN IN PUBLIC (e.g., parks, outdoor recreation areas, shopping areas), should maximize physical distance from others. Social settings of more than 10 people, where appropriate distancing may not be practical, should be avoided unless precautionary measures are observed.
Avoid SOCIALIZING in groups of more than 10 people in circumstances that do not readily allow for appropriate physical distancing (e.g., receptions, trade shows)
MINIMIZE NON-ESSENTIAL TRAVEL and adhere to CDC guidelines regarding isolation following travel.
EMPLOYERS
Continue to ENCOURAGE TELEWORK, whenever possible and feasible with business operations.
If possible, RETURN TO WORK IN PHASES.
Close COMMON AREAS where personnel are likely to congregate and interact, or enforce strict social distancing protocols.
Minimize NON-ESSENTIAL TRAVEL and adhere to CDC guidelines regarding isolation following travel.
Strongly consider SPECIAL ACCOMMODATIONS for personnel who are members of a VULNERABLE POPULATION.
SPECIFIC TYPES OF EMPLOYERS
SCHOOLS AND ORGANIZED YOUTH ACTIVITIES (e.g., daycare, camp) that are currently closed should remain closed.
VISITS TO SENIOR LIVING FACILITIES AND HOSPITALS should be prohibited. Those who do interact with residents and patients must adhere to strict protocols regarding hygiene.
LARGE VENUES (e.g., sit-down dining, movie theaters, sporting venues, places of worship) can operate under strict physical distancing protocols.
ELECTIVE SURGERIES can resume, as clinically appropriate, on an outpatient basis at facilities that adhere to CMS guidelines.
GYMS can open if they adhere to strict physical distancing and sanitation protocols.
BARS should remain closed.