Robinson: Trump Is Melting Down Again
Opening Up America Again
President Trump has unveiled Guidelines for Opening Upward America Once more, a three-phased approach based on the communication of public health experts. These steps will help state and local officials when reopening their economies, getting people dorsum to work, and standing to protect American lives.
English language ESPAÑOL
SYMPTOMS
Downwards trajectory of influenza-like illnesses (ILI) reported within a xiv-day menses
AND
Downward trajectory of covid-like syndromic cases reported inside a 14-solar day period
CASES
Downward trajectory of documented cases within a xiv-day period
OR
Downwardly trajectory of positive tests as a percentage of total tests within a 14-twenty-four hours period (flat or increasing book of tests)
HOSPITALS
Treat all patients without crisis intendance
AND
Robust testing program in identify for at-take a chance healthcare workers, including emerging antibody testing
State and local officials may need to tailor the application of these criteria to local circumstances (eastward.g., metropolitan areas that have suffered severe COVID outbreaks, rural and suburban areas where outbreaks accept not occurred or have been mild). Additionally, where appropriate, Governors should work on a regional ground to satisfy these criteria and to progress through the phases outlined beneath.
TESTING & CONTACT TRACING
- Ability to quickly set up prophylactic 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 speedily and independently supply sufficient Personal Protective Equipment and critical medical equipment to handle dramatic surge in need
- Power to surge ICU capacity
PLANS
- Protect the health and prophylactic of workers in critical industries
- Protect the health and safety of those living and working in loftier-hazard facilities (e.k., senior care facilities)
- Protect employees and users of mass transit
- Advise citizens regarding protocols for social distancing and confront coverings
- Monitor conditions and immediately take steps to limit and mitigate any rebounds or outbreaks by restarting a phase or returning to an before phase, depending on severity
Proposed Phased Approach
BASED ON UP-TO-Engagement Information AND READINESS
MITIGATES Adventure OF RESURGENCE
PROTECTS THE MOST VULNERABLE
IMPLEMENTABLE ON STATEWIDE OR Canton-BY-Canton BASIS AT GOVERNORS' DISCRETION
Guidelines for All Phases Individuals
Proceed to adhere to State and local guidance as well as complementary CDC guidance, particularly with respect to face coverings.
CONTINUE TO PRACTICE Practiced 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 oft used items and surfaces as much equally possible.
- Strongly consider using confront coverings while in public, and particularly when using mass transit.
PEOPLE WHO FEEL Ill SHOULD STAY Home
- Practise not go to work or school.
- Contact and follow the advice of your medical provider.
Guidelines for All Phases Employers
Develop and implement appropriate policies, in accord with Federal, State, and local regulations and guidance, and informed by industry best practices, regarding:
- Social distancing and protective equipment
- Temperature checks
- Sanitation
- Employ and disinfection of common and high-traffic areas
- Business organisation travel
Monitor workforce for indicative symptoms. Do not permit symptomatic people to physically render to work until cleared past a medical provider.
Develop and implement policies and procedures for workforce contact tracing following employee COVID+ test.
INDIVIDUALS
ALL VULNERABLE INDIVIDUALS should continue to shelter in place. Members of households with vulnerable residents should be aware that by returning to piece of work or other environments where distancing is not applied, they could carry the virus back home. Precautions should exist taken to isolate from vulnerable residents.
All individuals, WHEN IN PUBLIC (due east.g., parks, outdoor recreation areas, shopping areas), should maximize concrete 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 than x people in circumstances that practice not readily allow for appropriate physical distancing (eastward.yard., receptions, trade shows)
MINIMIZE Non-ESSENTIAL TRAVEL and attach to CDC guidelines regarding isolation following travel.
EMPLOYERS
Go on to ENCOURAGE TELEWORK, whenever possible and viable with business organisation operations.
If possible, Render TO Work IN PHASES.
Shut Mutual AREAS where personnel are likely to congregate and interact, or enforce strict social distancing protocols.
Minimize Not-ESSENTIAL TRAVEL and adhere to CDC guidelines regarding isolation post-obit 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 practice interact with residents and patients must adhere to strict protocols regarding hygiene.
Large VENUES (e.thou., sit-downwardly dining, moving-picture show theaters, sporting venues, places of worship) can operate under strict physical distancing protocols.
ELECTIVE SURGERIES can resume, as clinically advisable, on an outpatient basis at facilities that adhere to CMS guidelines.
GYMS tin can open if they adhere to strict physical distancing and sanitation protocols.
BARS should remain closed.
INDIVIDUALS
ALL VULNERABLE INDIVIDUALS should go on to shelter in identify. Members of households with vulnerable residents should be aware that past returning to piece of work or other environments where distancing is non practical, they could carry the virus dorsum home. Precautions should be taken to isolate from vulnerable residents.
All individuals, WHEN IN PUBLIC (east.g., parks, outdoor recreation areas, shopping areas), should maximize physical distance from others. Social settings of more than fifty people, where appropriate distancing may not be practical, should exist avoided unless precautionary measures are observed.
Not-ESSENTIAL TRAVEL can resume.
EMPLOYERS
Continue to ENCOURAGE TELEWORK, whenever possible and feasible with concern operations.
Close COMMON AREAS where personnel are probable to congregate and interact, or enforce moderate social distancing protocols.
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) can reopen.
VISITS TO SENIOR CARE FACILITIES AND HOSPITALS should exist prohibited. Those who exercise interact with residents and patients must adhere to strict protocols regarding hygiene.
LARGE VENUES (e.g., sit-downwards dining, movie theaters, sporting venues, places of worship) tin operate under moderate physical distancing protocols.
ELECTIVE SURGERIES tin can resume, as clinically appropriate, on an outpatient and in-patient footing at facilities that adhere to CMS guidelines.
GYMS can remain open if they adhere to strict physical distancing and sanitation protocols.
BARS may operate with macerated standing-room occupancy, where applicative and advisable.
INDIVIDUALS
VULNERABLE INDIVIDUALS can resume public interactions, but should practise physical distancing, minimizing exposure to social settings where distancing may not exist practical, unless precautionary measures are observed.
LOW-RISK POPULATIONS should consider minimizing time spent in crowded environments.
EMPLOYERS
Resume UNRESTRICTED STAFFING of worksites.
SPECIFIC TYPES OF EMPLOYERS
VISITS TO SENIOR Intendance FACILITIES AND HOSPITALS can resume. Those who collaborate with residents and patients must be diligent regarding hygiene.
LARGE VENUES (e.g., sit-down dining, film theaters, sporting venues, places of worship) can operate nether limited physical distancing protocols.
GYMS tin remain open up if they adhere to standard sanitation protocols.
Confined may operate with increased standing room occupancy, where applicative.
Appendix Vulnerable Individuals
one. Elderly individuals.
two. Individuals with serious underlying wellness conditions, including high blood pressure level, chronic lung disease, diabetes, obesity, asthma, and those whose immune system is compromised such as by chemotherapy for cancer and other atmospheric condition requiring such therapy.
Source: https://trumpwhitehouse.archives.gov/openingamerica/
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