Ohio 355.223?? Mike DoWIne. Governor Lance D. Himoe. Interim Director Jon Hunted. LLGovernor ORDER Re: Director?s Second Order to Extend the Expiration Date of Various Orders 1, Lance D. Himes, Interim Director of the Ohio Department of Health (ODH), pursuant to the authority granted to me in R.C. 3701.13 to ?make Special preventing the spread of contagious or infectious diseases? Order the following to prevent the spread of in the State of Ohio: 1. Preamble: The sacri?ces and incredible efforts that Ohioans have undertaken, make it possible to begin to lift the mandame requirements and restrictions that were needed during the initial phase of the 9 Pandemic. The adjustment of these orders is able to proceed based upon the facts and the science existing at this time in Ohio, however if the situation continues to improve, then more restrictions will be lifted, and if the situation deteriorates additional targeted restrictions will need to be made. While government can set the baseline, it should be understood that these orders set forth the minimum acts that must be taken and if people do more than the minimum to act safely, it will bene?t everyone. 2. Extend the Expiration Date of Various Orders. The expiration date of various orders is extended as follows: a. The expiration date of the Director?s Order that Reopens Hair Salons, Day Spas, Nail Salons, Barber Shops, Tattoo Parlors, Body Piercing Locations and Tanning Facilities, with Exceptions, signed May 14, 2020, is extended until the earlier of the State of Emergency declared by the Governor no longer exists, or the Director of the Ohio Department of Health rescinds or modi?es the Order. The sector Speci?c requirements and guidelines in the Order may be amended and posted at coronavirus.ohio.gov and are then to be considered incorporated by reference as if fully rewritten into the Order, when ordered by the Director of Health. b. The expiration date of the Director?s Order that Reopens Campgrounds, with Exceptions, signed May 20, 2020, is extended until the earlier of the State of Emergency declared by the Governor no longer exists, or the Director of the Ohio Department of Health rescinds or modi?es the Order. The sector speci?c requirements and guidelines in the Order may be amended and posted at coronavirus.ohio.gov and are then to be considered incorporated by reference as if ?illy rewritten into the Order, when ordered by the Director of Health. 0. The expiration date of the Director?s Order that Provides Guidance for Baseball, Softball, Batting Cages, Golf Courses, Miniature Golf, Local and Public Pools and Aquatic Centers, Tennis Facilities, Skills Training for All Sports, and General Non-Contact Sports including Bowling Alleys, with Exceptions, signed May 22, 2020, is extended until the earlier of the State of Emergency declared by the Governor no longer exists, or the Director of the Ohio Department of Health rescinds or modi?es the Order. The sector speci?c requirements and guidelines in the Order may be amended and posted at ooronavirus.ohio.gov and are then to be considered incorporated by reference as if ?rlly rewritten into the Order, when ordered by the Director of Health. The expiration date of the Director?s Order that Reopens Gyms, Dance Instruction Studios, and Other Personal Fitness Venues, with Exceptions, signed May 22, 2020, is extended until the earlier of the State of Emergency declared by the Governor no longer exists, or the Director of the Ohio Department of Health rescinds or modi?es the Order. The sector speci?c requirements and guidelines in the Order may be amended and posted at coronavirus.ohio. gov and are then to be considered incorporated by reference as if fully rewritten into the Order, when ordered by the Director of Health. The Third Amended Order the Closure of All K-12 Schools in the State of Ohio, signed May 27, 2020, will be replaced by a Director of Health order that details requirements and guidance for the reopening of schools that provide kindergarten through grade twelve instruction. The expiration date of the Director?s Updated and Revised Orders for Business Guidance and Social Distancing is extended until the earlier of the State of Emergency declared by the Governor no longer exists, or the Director of the Ohio Department of Health rescinds or modi?es the Order. The sector speci?c requirements and guidelines in the Order may be amended and posted at coronavirus.ohio.gov and are then to be considered incorporated by reference as if ?Jlly rewritten into the Order, when ordered by the Director of Health. The expiration date of the Director?s Amended Order that Reopens Restaurants and Bars, Banquets and Catering Facilities to Dine-in Service, with Exceptions, signed June 5, 2020, is extended until the earlier of the State of Emergency declared by the Governor no longer exists, or the Director of the Ohio Department of Health rescinds or modi?es the Order. The sector speci?c requirements and guidelines in the Order may be amended and posted at coronavirus.ohio. gov and are then to be considered incorporated by reference as if ?rlly rewritten into the Order, when ordered by the Director of Health. 3. Elderly people and those who are vulnerable as a result of illness should take additional precautlons. People at high risk of severe illness ?om including elderly people and those who are sick, are urged to stay in their residence to the extent possible except as necessary to seek medical care. According to CDC, the risk of severe illness ?'onr increases as people grow older and those at high-risk for severe illness from also include pe0ple and people of all ages with underlying medical conditions, particularly if not well controlled, including: r-p?qn m? 9-9 9?2? Women who are pregnant; People with chronic lung disease or moderate to severe asthma; People who have serious heart conditions; People who are immune compromised; People with severe obesity (body mass index of 30 or higher); People with diabetes; People with Sickle Cell disease; People with chronic kidney disease undergoing dialysis; and People with liver disease. 4. Facial Coverings (Masks). Businesses must allow all customers, patrons, visitors, contractors, vendors and similar individuals to use facial coverings, except for speci?cally documented legal, life, health or safety considerations and limited documented security considerations. Businesses must require all employees to wear facial coverings, except for one of the following reasons: Page 2 of 7 Facial coverings in the work setting are prohibited by law or regulation; Facial coverings are in violation of documented industry standards; Facial coverings are not advisable for health reasons; Facial coverings are in violation of the business?s documented safety policies; Facial coverings are not required when the employee works alone in an assigned work area; or There is a functional (practical) reason for an employee not to wear a facial covering in the workplace. L'h Businesses must provide written justi?cation, upon request, explaining why an employee is not required to wear a facial covering in the workplace. At a minimum, facial coverings (masks) should be cloth/fabric and cover an individual?s nose, mouth, and chin. . Social Distancing Requirements. For purposes of this Order, Social Distancing Requirements includes maintaining at least six-foot social distancing ?'om other individuals, washing hands with soap and water for at least twenty seconds as ?equently as possible or using hand sanitizer, covering coughs or sneezes (into the sleeve or elbow, not hands), regularly cleaning high-touch surfaces, and not shaking hands. a. Required measures. Businesses and Operations and businesses must take proactive measures to ensure compliance with Social Distancing Requirements, including where possible: i. Designate six-foot distances. Designating with signage, tape, or by other means six- foot spacing for employees and customers in line to maintain appropriate distance; ii. Hand sanitizer and sanitizing products. Having hand sanitizer and sanitizing products readily available for employees and customers; and Oniine and remote access. Posting online whether a facility is open and how best to reach the facility and continue services by phone or remotely. . Questions. The Director of Health hereby delegates to local health departments the authority to answer questions in writing and consistent with this Order,but does not require local health departments to provide advisory opinions to nongovernmental entities. . General COVID-19 Information and Checklist for Businesses/Employers. Business and employers are to take the following actions: a. Strongly encourage as many employees as possible to work ?'orn home by implementing policies in areas such as teleworking and video conferencing, subject to the discretion of the employer; b. Actively encourage sick employees to stay home until they are ?'ee of fever (without the use of medication) for at least 72 hours (three ?rll days) AND have improved for at least 72 hours AND at least seven days have passed since ?rst began. Do not require a healthcare provider?s note to validate the illness or return to work of employees sick with acute respiratory illness; healthcare provider of?ces and medical facilities may be extremely busy and not able to provide such documentation in a timely way; Page 3 of 7 c. Ensure that your sick leave policies are up to date, ?exible, and non-punitive to allow sick employees to stay home to care for themselves, children, or other family members. Consider encouraging employees to do a self-assessment each day to check if they have any (fever, cough, or shortness of breath); d. Separate employees who appear to have acute reapiratory illness ?'om other employees and send them home immediately. Restrict their access to the business until they have recovered; e. Reinforce key messages stay home when sick, use cough and sneeze etiquette, and practice hand hygiene to all employees, and place posters in areas where they are most likely to be seen. Provide protection supplies such as soap and water, hand sanitizer, tissues, and no-touch disposal receptacles for use by employees; f. Frequently perform enhanced environmental cleaning of commonly touched surfaces, such as workstations, countertops, railings, door handles, and doorknobs. Use the cleaning agents that are usually used in these areas and follow the directions on the label. Provide disposable wipes so that commonly used surfaces can be wiped down by employees before each use; g. Be prepared to change business practices if needed to maintain critical operations identify alternative suppliers, prioritize customers, or temporarily suspend some of your operations); and h. Comply with all applicable guidance ?om the U.S. Centers for Disease Control and Prevention and the Ohio Department of Health regarding social distancing. 8. Duration. This Order shall be effective immediately and remains in full force and effect until the State of Emergency declared by the Governor no longer exists, or the Director of the Ohio Department of Health rescinds or modi?es this Order. COVID-19 is a respiratory disease that can result in serious illness or death, is caused by the 2 virus, which is a new strain of coronavirus that had not been previously identi?ed in humans and can easily spread ?-om person to person. The virus is spread between individuals who are in close contact with each other (within about six feet) through respiratory dr0plets produced when an infected person coughs or sneezes. It may be possible that individuals can get COVID-19 by touching a surface or object that has the virus on it and then touching their own mouth, nose or eyes. On January 23, 2020, the Ohio Department of Health issued a Director?s Journal Entry making COVID- 19 a Class A reportable disease in Ohio. On January 28, 2020, the Ohio Department of Health hosted the ?rst statewide call with local health departments and healthcare providers regarding COVID-19. On January 30, 2020, the International Health Regulations Emergency Committee of the World Health Organization declared the outbreak of COVID-19 a public health emergency of international concern. On January 31, 2020, Health and Human Services Secretary, Alex M. Azar II, declared a public health emergency for the United States to aid the nation?s healthcare community in responding to COVID-19. Page 4 of 7 On February 1, 2020, the Ohio Department of Health issued a statewide Health Alert Network to provide local health departments and healthcare providers with updated guidance for COVID-19 and revised Person Under Investigation (PUI) criteria. On February 3, 2020, the Ohio Department of Health trained over 140 personnel to staff a call center for COVID-19, in the event it was needed. On February 5, 2020, the Ohio Department of Health began updating and notifying the media of the number of PUIs in Ohio every Tuesday and Thursday. On February 6, 2020, the Ohio Department of Health updated all agency assistant directors and chiefs of staff on COVID-19 preparedness and status during the Governor?s cabinet meeting. On February 7, 2020, the Ohio Department of Health and the Ohio Emergency Management Agency met to conduct advance planning for COVID-19. On February 13, 2020, the Ohio Department of Health conducted a Pandemic Tabletop Exercise with State agencies to review responsive actions should there be a pandemic in Ohio. On February 14, 2020, the Ohio Department of Health held a conference call with health professionals across the state. The purpose of the call was to inform and engage the healthcare community in Ohio. Presentations were provided by the Department of Health, Hamilton County Public Health, and the Ohio State University. On February 27, 2020, the Ohio Department of Health and the Ohio Emergency Management Agency briefed the directors of State agencies during the Governor?s cabinet meeting regarding preparedness and the potential activation of the Emergency Operations Center. On February 28, 2020, the "Governor DeWine, Health Director Update COVID-19 Prevention and Preparedness Plan" was sent to a broad range of associations representing healthcare, dental, long-tenn care, K-12 schools, colleges and universities, business, public transit, faith-based organizations, non-profit organizations, and local governments. On March 2, 2020, the Ohio Department of Health activated a Joint Information Center to coordinate communications. On March 5, 2020, the Ohio Department of Health hosted the Governor?s Summit on Preparedness, a meeting with the Governor, cabinet agency directors, local health department commissioners, and their staff. On March 6, 2020, the Ohio Department of Health Opened a call center to answer questions ?'om the public regarding 9. Page 5 of 7 On March 9, 2020, testing by the Department of Health con?rmed that three (3) patients were positive for in the State of Ohio. This con?rms the presence of a potentially dangerous condition which may affect the health, safety and welfare of citizens of Ohio. On March 9, 2020, the Ohio Emergency Management Agency activated the Emergency Operations Center. On March 9, 2020, the Governor Declared a State of Emergency in Executive Order 2020-01D. On March 11, 2020, the head of the World Health Organization declared a pandemic. On March 11, 2020, testing by the Ohio Department of Health con?rmed that one (1) more patient was positive for in the State of Ohio. On March 1 1, 2020, the Ohio Departments of Health and Veterans Services issued a Joint Directors? Order to limit access to Ohio nursing homes and similar facilities. On March 15, 2020, the Ohio Department of Health issued a Director?s Order to limit access to Ohio?s jails and detention facilities. On March 15, 2020, the Ohio Department of Health issued a Director?s Order to limit the sale of food and beverages, liquor, beer and wine to carry-out and delivery only. On March 15, 2020, the CDC issued Interim Guidance for mass gatherings or large community events, stating that such events that consist of 50 or more people should be cancelled or postponed. On March 16, 2020 the Ohio Department of Health issued a Director?s Order closing polling locations for the March 17, 2020 primary election. On March 17, 2020 the Ohio Department of Health issued a Director?s Order for the management of non- essential surgeries and procedures throughout Ohio. On March 17, 2020 the Ohio Department of Health issued an Amended Director?s Order to limit and/or prohibit mass gatherings and the closure of venues in the State of Ohio. On March 19, 2020, the Ohio Department of Health issued a Director?s Order closing hair salons, nail salons, barber shops, tattoo parlors, body piercing locations, and massage therapy locations. On March 21, 2020, the Ohio Department of Health issued a Director?s Order closing older adult day care services and senior centers. On March 21 2020, the Ohio Department of Health issued a Director?s Order closing family entertainment centers and internet cafes. On March 22, 2020, the Ohio Department of Health issued a Director?s Order that all persons are to stay at home unless engaged in essential work or activity. Page 6 of 7 On March 24, 2020, the Ohio Department of Health issued a Director?s Order that closed facilities providing child care services. On March 30, 2020, the Ohio Department of Health issued an Amended Director?s Order that closed all schools in the State of Ohio. On April 2, 2020, the Ohio Department of Health issued an Amended Director?s Order that all persons are to stay at home unless engaged in essential work or activity. On April 30, 2020, the Ohio Department of Health issued the Stay Safe Ohio Order that reopened businesses, with exceptions, and continued a stay healthy and safe at home order. Multiple areas of the United States are experiencing ?community spread? of the virus that causes COVID- 19. Community spread, de?ned as the transmission of an illness for which the source is unknown, means that isolation of known areas of infection is no longer enough to control spread. the virus that causes COVID-19, has been demonstrated to transmit infection from infected persons when and Mass gatherings (10 or more persons) increase the risk of community transmission of the virus COVID- 1 9. Accordingly, I hereby ORDER that the expiration date of various Director of Health Orders be extended as set forth in this Order. This Order shall remain in ?ill force and effect until the earlier of the State of Emergency declared by the Governor no longer exists, or the Director of the Ohio Department of Health rescinds or modi?es this Order. To the extent any public of?cial enforcing this Order has questions regarding what services are prohibited under this Order, the Director of Health hereby delegates to local health departments the authority to answer questions in writing and consistent with this Order. MW 1111*. 6. 2020 Lance D. Him'es Interim Director of Health Page 7 of 7