5/1/2020

A Guide to Re-opening

Shawnee County, Kansas COVID-19 Safety Requirements for Businesses,

Owner/Operators, Planners, Managers and Individuals

Gianfranco Pezzino, Shawnee County, Kansas, Health Officer Dusty Nichols, Shawnee County, Kansas, COVID-19 Response Team Incident Commander

Timing: On May 3rd, 2020 12:00 AM, the safer-at-home order issued by Dr. Gianfranco Pezzino that covers Shawnee County and has been in effect since March 26, 2020, will be rescinded. The following order will be in effect beginning May 4, 2020 at 12:01 am. Situation: The CDC, the state of Kansas and Shawnee County are closely monitoring an outbreak of respiratory illness caused by a novel coronavirus strand named 2019-nCoV. This virus was first detected in Wuhan City, Hubei Province, China. Investigations on this virus are ongoing with the hopes to learn more about the severity of this illness and get a complete clinical picture. At this time, confirmed infections have ranged from people being mildly sick, to being severely ill and dying. On January 30, 2020, the World Health Organization (WHO) declared a Public Health Emergency of International Concern. On January 31, 2020, the U.S. Department of Health and Human Services declared a public health emergency in the U.S. Stay at Home orders have been issued at the county level and superseded by the state Stay-at-Home orders. Governor Kelly’s Executive Order 20-16 implemented the stay-at-home order until April 19, 2020. A follow up order extended this order until May 3, 2020 at 11:59pm. On May 4, 2020, Governor Laura Kelly lifts the state-wide “stay-at-home” order and allow Shawnee County to begin phased re-opening by issuing a state-wide executive order (EO) to begin Phase One of the “Ad Astra: A Plan to Reopen Kansas Framework.” This document alongside the “Ad Astra: A Plan to Reopen Kansas”, will be a guide to develop the “Phase Two” order for Shawnee County and future local health orders.

Purpose:

There are two separate documents that discuss Shawnee County reopening and subsequent recovery.

While these are complimenting and coordinated efforts, they are two different documents.

a) The “Shawnee County Re-Opening Guide” that has been developed by the Shawnee County

COVID-19 Response Team, which is largely the Governor’s language for Re-Opening Kansas

orders issued April 30,2020, and;

b) The “Shawnee County Recovery Plan” that is being developed by the Shawnee County Recovery

taskforce. Also following the Re-Opening Guide as well as additional information provided by

the industries and organizations the taskforce members represent. This plan will be released

soon.

This guide will be implemented in phases concurrent with the Governor’s “Ad Astra: A Plan to Reopen

Kansas”. The Governor will evaluate the state’s disease spread, testing rates, death rates,

hospitalizations, ability of state and local public health authorities to contain outbreaks and conduct

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contact tracing, and personal protective equipment availability when determining if the state should

move to the next “Phase.” Science indicates that COVID-19 can be in an individual’s system for up to 14

days before exhibiting symptoms. Keeping tracing in mind, each subsequent phase of this document will

have a minimum of 14 days in between phases and can be reversed at any time the incidence of an

outbreak is detected.

Scope and focus:

Shawnee County is operating under a fluid timeframe that will evolve based on our community’s

condition; the Governor’s “Ad Astra: A Plan to Reopen Kansas” includes criteria that must be met before

the next phase can be implemented. The Governor’s phases will direct the movement of Shawnee

County’s phases. By Executive Order 20-29, the Shawnee County Health Officer has the authority to

issue public health orders during any phase of the Plan, as does K.S.A. 65-116a through 65-129f and

K.S.A. 65-202. The Shawnee County Health Officer hereby incorporates by reference Phase 1 of the

Governor’s Ad Astra Plan as the plan for Shawnee County upon the effective date of Executive Order 20-

29, and the restrictions contained therein shall become the restrictions in Shawnee County. These

restrictions will remain in effect until the Shawnee County Health Officer has determined that public

health conditions and criteria will allow movement to the next phase. The Shawnee County Health

Officer reserves the right to issue more restrictive public health orders, if and when necessary, during

this Phase 1 of the plan. The Shawnee County Health Officer also reserves the right to issue more

restrictive orders to specific employers and/or businesses who fail to follow all social distance and other

guidelines required to safely reopen.

Specific business and activity restrictions in each phase of the Governor’s plan were determined by

assessing the contact intensity of the service provided, the number of contacts generally possible, and

ability to modify the risk of activities and services. Regardless of phase, the State Health Officer retains

the authority to impose additional public health interventions in any area that contains an emergent and

significant public health risk as determined by the State Health Officer. The Shawnee County Health

Officer retains the authority to impose additional restrictions and orders based on the aforementioned

guidelines, specific to the county’s needs. The persons and businesses covered in this order are the

entirety of Shawnee County, Kansas.

Throughout all these phases, Shawnee County residents should maintain social distancing, practice good

hygiene, remain home when sick, follow isolation and quarantine orders issued by state or local health

officers, use cloth face masks when leaving their homes, and continue to clean and disinfect surfaces.

These are basic public health guidelines that will slow the spread of this disease as we slowly re-open

Shawnee County. Individuals are strongly encouraged to resume seeking medical services while

following safety guidelines issued by each respective medical facility.

Mass gathering limits for each phase were determined by considering the capacity of our public health

infrastructure and determining a measured, gradual approach for loosening restrictions. The Governor

reserves the right to loosen or strengthen these restrictions in subsequent phases based on the state’s

health progress. Further, the Shawnee County Health officer reserves the right to make more stringent

restrictions based on Shawnee County’s needs.

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Any phase of this guide and supporting orders can be rescinded by the county or state Health Officers

and more strict measures can be adopted if there are signs of that the situation is worsening that cannot

be immediately controlled or contact tracing investigations that cannot be maintained.

Responsibilities:

As stated previously, the State will set the regulatory baseline for Kansas local governments in each

phase of this framework. This will allow Shawnee County to retain the ability to impose additional

restrictions that are in the best interest of the health of our respective residents. Any specific guidelines

not outlined in the Governor’s Re-Open Kansas Framework fall under the jurisdiction of Shawnee

County.

It is important to note that the State will not force communities to re-open. However, the Kansas

Department of Health and Environment (KDHE) recommends that each jurisdiction monitor the

following health criteria when determining if it should continue the Shawnee County “safer-at-home”

order or impose any additional restrictions:

Disease Spread Hospitals Deaths

Rate of COVID-19 cases per 100,000 population. (Goal:

Stable or Declining over a 14-day period).

Stable (flat) or a downward trajectory of the COVID-19

inpatient counts within a 14-day period (decreasing number of

new COVID-19 admissions).

Downward trajectory of COVID-

19 deaths within a 14-day period (decreasing number of

deaths).

Assumptions:

This guide was developed with the following assumptions:

Resources are anticipated stay at critical levels. To ensure we have adequate resources it is

imperative we prepare for a mass casualty event or patient surge as we attempt this phased

release/re-opening.

Social distancing recommendations will be accepted by the community and strictly adhered to.

Cleaning and disinfecting of areas will be routinely done.

Any adjustments will be communicated quickly in the community and partners will aid with

compliance.

The Health Officer will issue any Emergency Orders to “shut down” or stop any event where the

risk is unacceptable based on our ability to provide care for the community in its entirety.

Organizations such as the American Dental Association, corporate level retail, National

Restaurant Association and others have issued COVID-19 guidance. That guidance is expected to

be followed with any applicable restrictions/guidance in this document.

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Thank you in advance for your assistance to safely getting our community “re-opened”. This is a

delicate balance and communication and cooperation is required to be successful.

As we re-open, the Shawnee County Recovery Task Force plans will be implemented in a different

format and shared through that organization.

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Re-opening Shawnee County for business: Safety requirements

General principles

1. Some form of social distancing will be necessary for the foreseeable future.

2. Restrictions need to be adjusted depending on the level of transmission and other epidemiological factors in the community.

3. If transmission increases, it may be necessary to reverse to a previous phase (i.e., stricter restrictions).

4. The timing indicated in the chart is only indicative and will be modified, as necessary.

5. High-risk individuals need to distance themselves from social activities more than other individuals.

6. Businesses and settings with higher risk of transmission (because of limited, feasible social distancing or other factors) need to be

subject to more restrictions than others. Additional Requirements for Shawnee County

7. In phase one of this plan, in concert with the Governors “Ad Astra framework” the following businesses are prohibited from opening:

a. Bars and night clubs, excluding already operating curbside and carryout services –

b. Casinos (non-tribal)

c. Theaters, museums, and other indoor leisure spaces (trampoline parks, arcades, etc.)

d. Fitness centers and gyms

e. Nail salons, barber shops, hair salons, tanning salons, tattoo parlors and other personal service businesses where close

contact cannot be avoided

f. Organized sports facilities and tournaments *to include Dance studios and rehearsal halls (local addition)

g. Summer camps

h. Community centers

i. Outdoor and indoor large venues with capacity of 2,000 or more Fairs, festivals, carnivals, parades, and graduations

j. Swimming pools (other than backyard pools)

8. The following tables contain additional guidelines to the requirements in the Governor’s “Ad Astra: A Plan to Reopen Kansas” order.

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Phase 1 Phase 2 Phase 3 Phase out

Timing Start: May 4, 2020 Minimum duration: 14 days, longer if required by state or local order

Earliest start: May 18, 2020 Minimum duration: 14 days, longer if required by state or local order

Earliest start: June 1, 2020 Minimum duration: 28 days, longer if required by state or local order

Earliest start: June 15, 2020 Minimum duration: 14 days

Restaurants and bars

Reservation or call-ahead system is highly encouraged to

assure compliance of social distancing requirements

Cannot allow a waiting line to form outside their doors

Screen workers for fevers and any symptoms of COVID

using the form in Appendix A and retain a copy of the form

for 14 days

• People with symptoms should not enter or be allowed to remain in the premises • Cannot provide service at the counter, only at tables appropriately distanced (6 feet or more) • Cannot allow self-service of food or drinks from common areas (e.g., no self-service at salad bars or drinking stations)

Must comply with the industry’s best practices available at

https://go.restaurant.org/rs/078-ZLA-

461/images/National-Restaurant-Association-COVID19-

Reopening-Guidance.pdf

TBD TBD TBD

Retail Businesses Screen workers for fevers and any symptoms of COVID

using the form in Appendix A and retain a copy of the form

for 14 days

Limit the number of customers in the store at any given time to 5 customers for each 1000 square feet

If the store reaches its capacity, customers should be

admitted on a “1-out-1-in” basis. Retail operator is

TBD TBD TBD

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responsible for managing the crowd outside the store,

assuring social distancing is maintained

Shopping carts must be disinfected by staff before

customers can have access to them

Must comply with the industry’s best practices available at

https://cdn.nrf.com/sites/default/files/2020-04/NRF%20-

%20Operation%20Open%20Doors%20-%20Checklist.pdf

Real Estate Individual showings are allowed, provided that the limit to

social gatherings size is respected and social distancing can

be maintained at all times.

All individuals involved should wear a mask

No open houses

https://www.sunflowerrealtors.com/clientuploads/COVID-19/Guide_To_Safe_Practices_Coronavirus.docx.pdf

TBD TBD TBD

Childcare Outdoor activities are encouraged; use of commonly

touched items such as playground equipment, toys, and

sports equipment is discouraged.

Perform enhanced cleanings daily, using products and

procedures recommended by the CDC (see

https://www.cdc.gov/coronavirus/2019-

ncov/community/organizations/cleaning-disinfection.html)

To respect the limitation to mass gatherings, children

should be cared for in rooms of 10 or less with the same

caregiver(s) each day placed into cohorts so that the same

children are in the same room each day.

Screen workers and children for fevers and any symptoms

of COVID with a questionnaire at facility entrance

Parents and caregivers should not enter the facility, except

for the time strictly necessary to drop off and pick up

children.

TBD TBD TBD

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APPENDIX A

EMPLOYEE SCREENING TOOL

Instructions: Each employee should complete this form at the beginning of each shift and submit it to the supervisor. Employers should retain

the forms for 14 days. The information provided by the employees must be considered confidential and should only be shared upon request

with public health authorities.

Name: _________________________________________________________

Today’s date: _____________________________________________________

Today’s time: ______________________________________________________

Have you had any signs or symptoms of a fever in the past 24 hours such as chills, sweats, felt "feverish" or had a

temperature that is elevated for you!100.0F or greater? *

Yes No

Do you have any of the following symptoms?

. Cough

- Shortness of Breath or Chest

- Sore Throat

- Nasal Congestion/Runny Nose

- Myalgia (Body Aches)

- Loss of Taste and/or Smell

- Diarrhea

- Nausea

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- Vomiting

- Fever/Chills/Sweats

Yes No

Have you been in contact within the last 14 days with someone with a confirmed diagnosis of COVlD-19?

Yes No

Have you traveled outside of Shawnee County in the past 14 days?

Yes No

IF YES, where? _____________________

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