Alameda County Health Care Services Agency Public Health Department Colleen Chawla, Director Kimi Watkins-Tartt, Director Erica Pan, MD, Interim Health Officer Alameda County Revised Shelter in Place Order Issue date: 4/29/20 Effective date: 5/4/20 What are the key provisions of the Order? The following activities may resume as long as physical distancing and industry-specific requirements are followed: • All construction projects that follow the Construction Project Safety Protocols included with the order; • All real estate transactions, with restrictions on open houses and limited tours; • Childcare, camps and educational/rec programs that provide care for children of people who are allowed to work outside of their homes; • Outdoor businesses such as nurseries, landscaping, and agriculture that normally operated outdoors prior to the shelter in place orders; and • Use of certain outdoor recreational facilities, such as skate parks and athletic fields. Golf courses are permitted under local orders, but prohibited under state orders. Essential and minimum business operations, as defined in the order, may continue. All businesses operating in the County must update or create a Social Distancing Protocol to reflect new requirements specified in the order. Public or private gatherings of any size remain prohibited: • Playgrounds, picnic areas, gyms, dog parks, and other shared spaces that do not permit physical distancing or have high-touch equipment must remain closed. • Bars and restaurants continue to be restricted to take-out service only, even if they have outdoor seating. • Funerals are limited to 10 people. Everyone should continue to stay and work at home as much as possible; and wear a face covering when outside their home. Non-essential travel remains prohibited. Where there are differences between the local Health Officer’s order and the State’s order, everyone must follow the stricter restrictions. • Businesses should review both orders to determine compliance and business decisions. Why do we need to continue to shelter in place? At this stage of the pandemic, it is critical that we do not lose the progress we have achieved in controlling the spread of COVID-19. Hospitalizations have stopped increasing for the time being, but more work is needed to safely re-open our communities. Alameda County Health Care Services Agency Public Health Department Colleen Chawla, Director Kimi Watkins-Tartt, Director Erica Pan, MD, Interim Health Officer This global pandemic of COVID-19 is still in its early stages. The virus spreads easily, testing capacity is limited and expanding slowly, and vaccine development is just beginning. If we move too fast to ease restrictions, the potential of exponential spread could have grave impacts to health and wellness of our residents as well as the economy. What are the indicators the Health Officers are monitoring? The Bay Area Health Officers are using the following indicators. If these move in the right direction, we can ease more restrictions. 1. Whether the total number of cases in the community is flat or decreasing; 2. Whether the number of hospitalized patients with COVID-19 is flat or decreasing; 3. Whether there is an adequate supply of personal protective equipment for all health care workers; 4. Whether we are meeting the need for testing, especially for vulnerable populations or those in high-risk settings or occupations; and 5. Whether we have the capacity to investigate all COVID-19 cases and trace all of their contacts, isolating those who test positive and quarantining the people who may have been exposed.