ISABELLA COUNTY COVID-19 Preparedness and Response Plan Margaret A. McAvoy County Administrator Controller COVID-19 Workplace Coordinator Date Implemented: May 28, 2020 Revision No. 1: June 03, 2020 Revision No. 2: June 08, 2020 Revision No. 3: June 24, 2020 Revision No. 4: July 08, 2020 Revision No. 5: July 22, 2020 Revision No. 6: August 5, 2020 Revision No. 7: August 19, 2020 Revision No. 8: October 23, 2020 Isabella County is revising this Plan in response to the October 2, 2020 Michigan Supreme Court decision regarding Governor Gretchen Whitmer’s COVID-19 Executive Orders since April 30, 2020. Isabella County will maintain the standards and intent of this Plan now authorized by the MDHHS Emergency Epidemic Orders and the MIOSHA Emergency Rules and implement whatever efforts are necessary to maintain the safety of its employees and visitors.
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ISABELLA COUNTY
COVID-19
Preparedness and Response Plan
Margaret A. McAvoy
County Administrator Controller
COVID-19 Workplace Coordinator
Date Implemented: May 28, 2020
Revision No. 1: June 03, 2020
Revision No. 2: June 08, 2020
Revision No. 3: June 24, 2020
Revision No. 4: July 08, 2020
Revision No. 5: July 22, 2020
Revision No. 6: August 5, 2020
Revision No. 7: August 19, 2020
Revision No. 8: October 23, 2020
Isabella County is revising this Plan in response to the October 2, 2020 Michigan Supreme Court
decision regarding Governor Gretchen Whitmer’s COVID-19 Executive Orders since April 30, 2020.
Isabella County will maintain the standards and intent of this Plan now authorized by the MDHHS
Emergency Epidemic Orders and the MIOSHA Emergency Rules and implement whatever efforts
are necessary to maintain the safety of its employees and visitors.
ISABELLA COUNTY
COVID-19 Preparedness and Response Plan
Table of Contents
COVID-19 Preparedness and Response Plan ................................................................................ 1
Section A: Isabella County COVID-19 Measures: PHASE ONE ............................................... 3 1. County Office Hours ...................................................................................................... 3
Call ahead before visiting your doctor. • Call ahead. Many medical visits for routine
care are being postponed or done by phone or telemedicine.
• If you have a medical appointment that cannot be postponed, call your doctor’s office. This will help the office protect themselves and other patients.
If you are sick, wear a cloth covering over your nose and mouth.• You should wear a cloth face covering over your
nose and mouth if you must be around other people or animals, including pets (even at home).
• You don’t need to wear the cloth face covering if you are alone. If you can’t put on a cloth face covering (because of trouble breathing for example), cover your coughs and sneezes in some other way. Try to stay at least 6 feet away from other people. This will help protect the people around you.
Note: During the COVID-19 pandemic, medical grade facemasks are reserved for healthcare workers and some first responders. You may need to make a cloth face covering using a scarf or bandana.
If you develop emergency warning signs for COVID-19 get medical attention immediately. Emergency warning signs include*:
• Trouble breathing
• Persistent pain or pressure in the chest
• New confusion or not able to be woken
• Bluish lips or face
*This list is not all inclusive. Please consult your medical provider for any other symptoms that are severe or concerning to you.
Call 911 if you have a medical emergency. If you have a medical emergency and need to call 911, notify the operator that you have or think you might have, COVID-19. If possible, put on a facemask before medical help arrives.
CS 316120-A 04/17/2020
cdc.gov/coronavirus
Prevent the spread of COVID-19 if you are sickAccessible version: https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/steps-when-sick.html
If you are sick with COVID-19 or think you might have COVID-19, follow the steps below to help protect other people in your home and community.
Stay home except to get medical care. • Stay home. Most people with COVID-19
have mild illness and are able to recover at home without medical care. Do not leave your home, except to get medical care. Do not visit public areas.
• Take care of yourself. Get rest and stay hydrated.
• Get medical care when needed. Call your doctor before you go to their office for care. But, if you have trouble breathing or other concerning symptoms, call 911 for immediate help.
• Avoid public transportation, ride-sharing, or taxis.
Separate yourself from other people and pets in your home. • As much as possible, stay in a specific room and
away from other people and pets in your home. Also, you should use a separate bathroom, if available. If you need to be around other people or animals in or outside of the home, wear a cloth face covering.
ɞ See COVID-19 and Animals if you have questions about pets: https://www.cdc.gov/coronavirus/2019-ncov/faq.html#COVID19animals
Monitor your symptoms.• Common symptoms of COVID-19 include fever and
cough. Trouble breathing is a more serious symptom that means you should get medical attention.
• Follow care instructions from your healthcare provider and local health department. Your local health authorities will give instructions on checking your symptoms and reporting information.
Cover your coughs and sneezes.• Cover your mouth and nose with a tissue when
you cough or sneeze.
• Throw used tissues in a lined trash can.
• Immediately wash your hands with soap and water for at least 20 seconds. If soap and water are not available, clean your hands with an alcohol-based hand sanitizer that contains at least 60% alcohol.
Clean your hands often.• Wash your hands often with soap and water
for at least 20 seconds. This is especially important after blowing your nose, coughing, or sneezing; going to the bathroom; and before eating or preparing food.
• Use hand sanitizer if soap and water are not available. Use an alcohol-based hand sanitizer with at least 60% alcohol, covering all surfaces of your hands and rubbing them together until they feel dry.
• Soap and water are the best option, especially if your hands are visibly dirty.
• Avoid touching your eyes, nose, and mouth with unwashed hands.
Avoid sharing personal household items.• Do not share dishes, drinking glasses, cups,
eating utensils, towels, or bedding with other people in your home.
• Wash these items thoroughly after using them with soap and water or put them in the dishwasher.
Clean all “high-touch” surfaces everyday.• Clean and disinfect high-touch surfaces
in your “sick room” and bathroom. Let someone else clean and disinfect surfaces in common areas, but not your bedroom and bathroom.
• If a caregiver or other person needs to clean and disinfect a sick person’s bedroom or bathroom, they should do so on an as-needed basis. The caregiver/other person should wear a mask and wait as long as possible after the sick person has used the bathroom.
High-touch surfaces include phones, remote controls, counters, tabletops, doorknobs, bathroom fixtures, toilets, keyboards, tablets, and bedside tables.
• Clean and disinfect areas that may have blood, stool, or body fluids on them.
• Use household cleaners and disinfectants. Clean the area or item with soap and water or another detergent if it is dirty. Then use a household disinfectant.
ɞ Be sure to follow the instructions on the label to ensure safe and effective use of the product. Many products recommend keeping the surface wet for several minutes to ensure germs are killed. Many also recommend precautions such as wearing gloves and making sure you have good ventilation during use of the product.
ɞ Most EPA-registered household disinfectants should be effective.
How to discontinue home isolation• People with COVID-19 who have stayed home
(home isolated) can stop home isolation under the following conditions:
ɞ If you will not have a test to determine if you are still contagious, you can leave home after these three things have happened:
§ You have had no fever for at least 72 hours (that is three full days of no fever without the use of medicine that reduces fevers) AND
§ other symptoms have improved (for example, when your cough or shortness of breath has improved) AND
§ at least 7 days have passed since your symptoms first appeared.
ɞ If you will be tested to determine if you are still contagious, you can leave home after these three things have happened:
§ You no longer have a fever (without the use of medicine that reduces fevers) AND
§ other symptoms have improved (for example, when your cough or shortness of breath has improved) AND
§ you received two negative tests in a row, 24 hours apart. Your doctor will follow CDC guidelines.
In all cases, follow the guidance of your healthcare provider and local health department. The decision to stop home isolation should be made in consultation with your healthcare provider and state and local health departments. Local decisions depend on local circumstances.
APPENDIX F
Families First Coronavirus Response Act (FFCRA) Employee Rights Poster:
EMPLOYEE RIGHTSPAID SICK LEAVE AND EXPANDED FAMILY AND MEDICAL LEAVE UNDER THE FAMILIES FIRST CORONAVIRUS RESPONSE ACT
WAGE AND HOUR DIVISIONUNITED STATES DEPARTMENT OF LABOR
WH1422 REV 03/20
For additional information or to file a complaint:1-866-487-9243
TTY: 1-877-889-5627dol.gov/agencies/whd
1. is subject to a Federal, State, or local quarantine or isolation order related to COVID-19;
2. has been advised by a health care provider to self-quarantine related to COVID-19;
3. is experiencing COVID-19 symptoms and is seeking a medical diagnosis;
4. is caring for an individual subject to an order described in (1) or self-quarantine as described in (2);
► ENFORCEMENTThe U.S. Department of Labor’s Wage and Hour Division (WHD) has the authority to investigate and enforce compliance with the FFCRA. Employers may not discharge, discipline, or otherwise discriminate against any employee who lawfully takes paid sick leave or expanded family and medical leave under the FFCRA, files a complaint, or institutes a proceeding under or related to this Act. Employers in violation of the provisions of the FFCRA will be subject to penalties and enforcement by WHD.
5. is caring for his or her child whose school or place of care is closed (or child care provider is unavailable) due to COVID-19 related reasons; or
6. is experiencing any other substantially-similar condition specified by the U.S. Department of Health and Human Services.
The Families First Coronavirus Response Act (FFCRA or Act) requires certain employers to provide their employees with paid sick leave and expanded family and medical leave for specified reasons related to COVID-19. These provisions will apply from April 1, 2020 through December 31, 2020.
► PAID LEAVE ENTITLEMENTSGenerally, employers covered under the Act must provide employees: Up to two weeks (80 hours, or a part-time employee’s two-week equivalent) of paid sick leave based on the higher of their regular rate of pay, or the applicable state or Federal minimum wage, paid at:
• 100% for qualifying reasons #1-3 below, up to $511 daily and $5,110 total; • 2/3 for qualifying reasons #4 and 6 below, up to $200 daily and $2,000 total; and• Up to 12 weeks of paid sick leave and expanded family and medical leave paid at 2/3 for qualifying reason #5 below for up to $200 daily and $12,000 total.
A part-time employee is eligible for leave for the number of hours that the employee is normally scheduled to work over that period.
► ELIGIBLE EMPLOYEESIn general, employees of private sector employers with fewer than 500 employees, and certain public sector employers, are eligible for up to two weeks of fully or partially paid sick leave for COVID-19 related reasons (see below). Employees who have been employed for at least 30 days prior to their leave request may be eligible for up to an additional 10 weeks of partially paid expanded family and medical leave for reason #5 below.
► QUALIFYING REASONS FOR LEAVE RELATED TO COVID-19 An employee is entitled to take leave related to COVID-19 if the employee is unable to work, including unable to telework, because the employee:
U.S. Department of Health and Human ServicesCenters for Disease Control and Prevention
Handwashing and Hand Sanitizer Use at Home, at Play, and Out and About
CS270631
Germs are everywhere! They can get onto hands and items we touch during daily activities and make you sick. Cleaning hands at key times with soap and water or hand sanitizer is one of the most important steps you can take to avoid getting sick and spreading germs to those around you.
There are important differences between washing hands with soap and water and cleaning them with hand sanitizer. For example, alcohol-based hand sanitizers don’t kill ALL types of germs, such as a stomach bug called norovirus, some parasites, and Clostridium difficile, which causes severe diarrhea. Hand sanitizers also may not remove harmful chemicals, such as pesticides and heavy metals like lead. Handwashing reduces the amounts of all types of germs, pesticides, and metals on hands. Knowing when to clean your hands and which method to use will give you the best chance of preventing sickness.
When should I use?
Soap and Water • Before, during, and after preparing food
• Before eating food
• Before and after caring for someone who is sick
• Before and after treating a cut or wound
• After using the bathroom, changing diapers, or cleaning up a child who has used the bathroom
• After blowing your nose, coughing, or sneezing
• After touching an animal, animal food or treats, animal cages, or animal waste
• After touching garbage
• If your hands are visibly dirty or greasy
Alcohol-Based Hand Sanitizer • Before and after visiting a friend or a loved
one in a hospital or nursing home, unless the person is sick with Clostridium difficile (if so, use soap and water to wash hands).
• If soap and water are not available, use an alcohol-based hand sanitizer that contains at least 60% alcohol, and wash with soap and water as soon as you can.
* Do NOT use hand sanitizer if your hands are visibly dirty or greasy: for example, after gardening, playing outdoors, or after fishing or camping (unless a handwashing station is not available). Wash your hands with soap and water instead.
How should I use?
Soap and Water• Wet your hands with clean running water
(warm or cold) and apply soap.
• Lather your hands by rubbing them together with the soap.
• Scrub all surfaces of your hands, including the palms, backs, fingers, between your fingers, and under your nails. Keep scrubbing for 20 seconds. Need a timer? Hum the “Happy Birthday” song twice.
• Rinse your hands under clean, running water.
• Dry your hands using a clean towel or air dry them.
Alcohol-Based Hand Sanitizer Use an alcohol-based hand sanitizer that contains at least 60% alcohol. Supervise young children when they use hand sanitizer to prevent swallowing alcohol, especially in schools and childcare facilities.
• Apply. Put enough product on hands to cover all surfaces.
• Rub hands together, until hands feel dry. This should take around 20 seconds.
Note: Do not rinse or wipe off the hand sanitizer before it’s dry; it may not work as well against germs.
For more information, visit the CDC handwashing website, www.cdc.gov/handwashing.
How to Protect Yourself and OthersKnow how it spreads
• There is currently no vaccine to prevent coronavirus disease 2019 (COVID-19).
• The best way to prevent illness is to avoid being exposed to this virus.
• The virus is thought to spread mainly from person-to-person.
» Between people who are in close contact with one another (within about 6 feet).
» Through respiratory droplets produced when an infected person coughs, sneezes or talks.
» These droplets can land in the mouths or noses of people who are nearby or possibly be inhaled into the lungs.
» Some recent studies have suggested that COVID-19 may be spread by people who are not showing symptoms.
Everyone should Clean your hands often
• Wash your hands often with soap and water for at least 20 seconds especially after you have been in a public place, or after blowing your nose, coughing, or sneezing.
• If soap and water are not readily available, use a hand sanitizer that contains at least 60% alcohol. Cover all surfaces of your hands and rub them together until they feel dry.
• Avoid touching your eyes, nose, and mouth with unwashed hands.
Avoid close contact
• Avoid close contact with people who are sick.
• Stay at home as much as possible.
• Put distance between yourself and other people.
» Remember that some people without symptoms may be able to spread virus.
» This is especially important for people who are at higher risk of getting very sick. www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/people-at-higher-risk.html
• You could spread COVID-19 to others even if you do not feel sick.
• Everyone should wear a cloth face cover when they have to go out in public, for example to the grocery store or to pick up other necessities.
» Cloth face coverings should not be placed on young children under age 2, anyone who has trouble breathing, or is unconscious, incapacitated or otherwise unable to remove the mask without assistance.
• The cloth face cover is meant to protect other people in case you are infected.
• Do NOT use a facemask meant for a healthcare worker.
• Continue to keep about 6 feet between yourself and others. The cloth face cover is not a substitute for social distancing.
Cover coughs and sneezes
• If you are in a private setting and do not have on your cloth face covering, remember to always cover your mouth and nose with a tissue when you cough or sneeze or use the inside of your elbow.
• Throw used tissues in the trash.
• Immediately wash your hands with soap and water for at least 20 seconds. If soap and water are not readily available, clean your hands with a hand sanitizer that contains at least 60% alcohol.
Clean and disinfect
• Clean AND disinfect frequently touched surfaces daily. This includes tables, doorknobs, light switches, countertops, handles, desks, phones, keyboards, toilets, faucets, and sinks. www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/disinfecting-your-home.html
• If surfaces are dirty, clean them: Use detergent or soap and water prior to disinfection.
Cover your mouth and nose with a cloth face cover when around others
Limits on attendance at residential gatherings.INDOORS: UP TO 10 PERSONS OUTDOORS: UP TO 100 PERSONS
Limits on attendance at non-residential venues.INDOORS
OUTDOORS
Face coverings are still required.
“Gathering” means any occurrence where two or more persons from more than one household are present in a shared space. Except for incidental gatherings in a shared space, all gatherings must include 6 feet of social distance between households.
Region 6, the Traverse City region, has slightly less strict rules, which can be read in the MDHHS Oct. 9, 2020, Epidemic Order at Michigan.gov/Coronavirus.
Businesses, government offices, schools, child care organizations, and other operations must not allow indoor gatherings of any kind unless they require individuals to wear a face covering. These entities may not assume that someone who enters the business without a face covering falls in one of the exceptions; but may accept an individual’s verbal representation that they are not wearing a face covering because they fall within a specified exception. Exceptions can be found within the Oct. 9, 2020, Epidemic Order at Michigan.gov/Coronavirus.
• Indoor gatherings of up to 10 persons and outdoor gatherings of up to 100 persons at a residence are permitted (face coverings are strongly recommended).
• Indoor gatherings of up to 10 persons occurring at a non-residential venue are permitted provided each person at the gathering wears a face covering.
• Indoor gatherings of more than 10 and up to 500 people occurring at a non-residential venue are permitted only to the extent that the organizers and venue:
• FOR FIXED SEATING: limit attendance to 20% of seating capacity of the venue.• WITHOUT FIXED SEATING: limit attendance to 20 persons per 1,000 square feet in each
occupied room.• Require that each person at the gathering wear a face covering.
• Outdoor gatherings of up to 100 persons occurring at a non-residential venue are permitted provided that each person wears a face covering.
• Outdoor gatherings of more than 100 and up to 1,000 persons occurring at a non-residential venue with fixed seating are permitted only to the extent that the organizers and venue:
• FOR FIXED SEATING: limit attendance to 30% of seating capacity.• WITHOUT FIXED SEATING: limit attendance to 30 persons per 1,000 square feet.
including within any distinct area within the event space.• Require that each person at the gathering wear a face covering.
Food Service EstablishmentsINDOOR COMMON AREAS AND SEATING
Capacity Limitations
Organized SportsFACE COVERINGS AND DISTANCE
• Must maintain six feet of distance between each party.
• Must not exceed 50% of normal seating capacity.
• Close indoor common areas in which people can congregate, dance, or otherwise mingle.
• Prohibit indoor gatherings anywhere alcoholic beverages are sold for consumption onsite, except for where parties are seated and separated from one another by at least six feet, and do not intermingle.
• Gatherings at public facilities, such as a retail store, library or museum, may not exceed 50% total occupancy limits.
• Gatherings at recreational sports and exercise facilities, such as gyms, fitness centers, recreation centers, bowling centers, roller and ice rinks, and trampoline parks, may not exceed 25% of total occupancy limits or are not allowed if it is not possible to maintain a distance of six feet between workout stations.
• Gatherings at professional sports and entertainment facilities, including arenas, cinemas, concert halls, performance and sporting venues, stadiums and theaters, are allowed only if the venue can ensure there is six feet of distance between patrons not of the same household.
• Gatherings at outdoor pools must not exceed 50% of capacity limits, and at indoor pools must not exceed 25% of capacity limits.
• Gatherings at non-tribal casinos may not exceed 15% of total occupancy limits.
• Workplace gatherings are prohibited under the following circumstances: it is not necessary to perform job duties; employees not wearing face coverings cannot maintain six feet of distance from others; employees not wearing face coverings occupy the same shared space; if they include any person who is experiencing COVID-19 symptoms or who is subject to a CDC recommendation to isolate or quarantine.
• Athletes must wear face coverings (except when swimming) or consistently maintain six feet of distance from others.
• Follow live audience limits (two per player or as described in attendance limits).
• No concession sales.
• Follow additional guidance from MDHHS.
To read the complete MDHHS Oct. 9, 2020, Epidemic Order, visit Michigan.gov/Coronavirus. Questions or concerns can be emailed to [email protected].
Michigan Department of Health and Human Services (MDHHS) has issued this order under a law first enacted by the Michigan Legislature after the Spanish Flu of 1918, specifically to deal with epidemics. This gives the MDHHS director broad authority to take actions by emergency order to protect the public health during an epidemic. To reduce confusion following the recent Michigan Supreme Court decision, MDHHS issued orders following existing executive orders as much as possible under the different law to prevent and control the spread of COVID-19.
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5 Employees who are in isolation or quarantine because of COVID-19 exposure, symptoms or test results cannot go to work with others, or be required to go to work with others.
Organized sports require masks (except for swimming) and have gathering limits.
Restaurants and bars must limit capacity for gatherings, and may only serve alcohol to parties who are seated, 6 feet apart, and stay separate.
Contact tracing: Many businesses must collect contact information from their customers so they can be contacted in case they are exposed to someone who is ill.
MDHHS has issued orders under a law first enacted by the Michigan Legislature after the Spanish Flu of 1918 specifically to deal with epidemics. Note that the Supreme Court struck down a different, broader law.
MDHHS Epidemic order OCT. 9
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COVID-19
Under MDHHS’s epidemic order:
To reduce confusion following the Supreme Court decision, MDHHS issued orders following existing executive orders as much as possible under the different law to prevent and control the spread of COVID-19.
Capacity limits apply to indoor and outdoor gatherings, including business, social and recreational settings. They’re stricter inside.
Masks must be worn over nose and mouth in gatherings of two or more people, including stores, offices, schools and events. Businesses cannot admit people without masks, with few exceptions.
• Capacity limits and rules for sports are the same as before.• Traverse City (Region 6) has slightly less strict rules, as before.• Mask requirements are almost the same; they do not apply to
individuals not in gatherings.
• There are no longer bar closures, but bars may only serve alcohol to gatherings seated at tables.
• MDHHS rules do not include all prior worker protections.
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To read the complete MDHHS Oct. 9, 2020, Epidemic Order, visit Michigan.gov/Coronavirus. Questions or concerns can be emailed to [email protected].
APPENDIX H
OTHER COVID-19 RESOURCES
Isabella County COVID-19 Preparedness and Response Plan Acknowledgment Form
MDHHS Emergency Orders:
• MDHHS Emergency Order Under MCL 333.2253 – Gathering Prohibition and Mask Order