COVID-19: Resource Links, State Mandates, FNSB Updates

COVID-19-Health Mandates

COVID-19-Health Mandates

As we go through these difficult times in Interior Alaska with the Coronavirus, COVID-19, we want to share with you the latest updates as they become available and resources to help you and your family.

If you are experiencing fever, coughing, or shortness of breath – Call Fairbanks Memorial Hospital’s hotline at 458-2888 or if you are a Chief Andrew Isaac Health Clinic beneficiary Call 907-451-6682 option 9. Our providers will assist you in making plans to get screened and tested for COVID-19.

Fairbanks Health Partners Drive-thru testing stations are next to the Tanana Valley Clinic at 9th Ave. & Noble St.and outside the Emergency Room at Fairbanks Memorial Hospital.

Other testing sites are Tanana Valley First Care at 9th Ave and Chief Andrew Isaac Health Center on Lathrop St.

It is up to all of us to keep our communities safe. Do your part by staying home and keeping distance between yourself and others. Together we can slow the spread of COVID-19.

SDS E-Alert: Covid-19 Guidance for Long-Term Care, Residential, Assisted Living, Retirement Communities and Independent Living Facilities

Please find below links to CDC and State of Alaska COVID-19 guidance and resources.

·Updated State of Alaska COVID-19 Guidance for Long-Term Care, Residential and Assisted Living Facilities: This resource assists all types of residential facilities in developing an infection control or influenza plan. The State of Alaska encourages all facilities to complete items 2.A. – 2. E.

http://dhss.alaska.gov/dph/Epi/id/SiteAssets/Pages/HumanCoV/DHSS_LTCF_COVID19-Guidance_20200323.pdf

·CDC Guidance for Retirement Communities and Independent Living: This resource offers guidance on how to plan, prepare, and respond to COVID-19 in Retirement Communities and Independent Living Communities.

https://www.cdc.gov/coronavirus/2019-ncov/community/retirement/index.html

·CDC Guidance on Preventing the Spread of COVID-19 in Retirement Communities and Independent Living Facilities (Interim Guidance): This resource offers prevention guidance to owners, administrators, operators, workers, volunteers, visitors, and residents of retirement communities and independent living facilities that are not health care facilities.

https://www.cdc.gov/coronavirus/2019-ncov/community/retirement/guidance-retirement-response.html

·CDC Guidance on Coronavirus disease 2019 (COVID-19) Checklist: Older Persons: This checklist offers tips on how older persons can stay healthy and/or respond in case there is a COVID-19 outbreak in the community or if the older person might think they have COVID-19.

https://www.cdc.gov/coronavirus/2019-ncov/community/retirement/checklist.html

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Reopen Alaska Responsibly: Alaska's Plan Moving Forward: Phases 3 and 4 - Starting Friday, May 22, 2020

The following information is provided by the State of Alaska.

Phase 3 & 4 : Effective Friday May 22, 2020 - Alaska is Open for Business:

  • All businesses can open
  • All houses of worship can open
  • Libraries and museums can open
  • All recreational activities can open
  • All sports activities can open

It’s the responsibility of individuals, businesses, and organizations to minimize the spread of COVID-19. We encourage all to follow local, state, national, and industry guidelines on ways to conduct business and activities safely.

Exceptions/restrictions/closures:

  • 14-day quarantine for interstate and international travel to Alaska remains in place. This will be reevaluated by June 2, 2020, but will be reviewed weekly.
  • All senior centers, prisons, and institutions will continue to have restricted access.
  • Any proposed large public gatherings such as festivals and concerts need to consult first with public health before scheduling.
  • The State will continue to work with large industries to protect their workforce and the communities in which they operate.
  • Communities may still elect to keep in place travel restrictions. Some Alaskan communities may wish to extend restrictions on non-essential travel into their communities for health reasons. Check with your local community.
  • Health Mandates 15 (Elective Medical/Dental), 17 (Commercial Fishing), and 18 (Intrastate Travel) remain in effect.

It’s because of you, Alaska, that our statewide numbers remain low. We will keep our numbers low because of your actions. Remember to:

  • Stay six feet or more away from non-family members
  • Wash your hands frequently
  • Wipe down surfaces frequently
  • Wear a face covering when in a public setting in close contact with others
  • Stay home if you are sick and get tested for COVID-19 if you have symptoms
  • Be mindful and respectful to those Alaskans that are most vulnerable to this virus. Those being our seniors and those with existing health issues

Business & Entity Guides : In order to equip Alaskans with the tools needed to reopen Alaska responsibly, the State of Alaska is providing this information on best practices for reopening and access to additional resources with more detailed guidance.

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State of Alaska Health Mandate 018: Intrastate Travel UPDATED: May 22, 2020 (Issued on May 11)

State of Alaska Health Mandate 017: Protective Measures for Independent Commercial Fishing Vessels UPDATED: MAY 27, 2020 (Issued on April 22)

Governor Announces Phase Two of Reopen Alaska Responsibly Plan

May 6, 2020 (Anchorage, AK) – Alaska Governor Mike Dunleavy today announced plans for Phase Two of the State’s approach to reopening segments of the Alaskan economy in an effort to balance the ongoing need to slow the rate of the COVID-19 infection with the critical need to resume economic activity in a reasonable and safe manner.

Beginning Friday, May 8, 2020, Phase Two of the Reopen Alaska Responsibly Plan will take effect, allowing most non-essential businesses to reopen with safeguards. This will allow for the following:

  • 50% capacity for retail, restaurants, and other non-essential businesses outlined in Phase One. Walk-ins permitted.
  • 50% capacity, or up to 20 patrons, for personal care services. Reservations only.
  • 50 person capacity for social and religious gatherings.
  • 25% capacity for fitness centers. Walk-ins permitted.
  • 50% capacity for swimming pools. Walk-ins permitted.
  • 25% capacity for bars, libraries, and museums. Walk-ins permitted.

Additional guidance will be available on May 7, 2020 at https://covid19.alaska.gov/reopen/.

CARES Act Funds

Governor Dunleavy today called upon the Alaska Legislative Budget and Audit (LB&A) Committee to meet as soon as possible and approve the distribution of the pending $870 million CARES Act funds to Alaskan communities and businesses.

“CARES Act funding was approved several weeks ago by Congress. Right now, a large part of it is still waiting for approval from the legislature – the LB&A Committee. We were hoping that today we’d be able to report that LB&A met and approved approximately $568 million for municipal relief, $290 million for small business relief, $100 million for fisheries relief, $10 million for homeless prevention, $49 million for FAA grants to rural airports, and $3 million for transportation operations. Unfortunately, these funds are still awaiting approval by the legislature,” said Governor Mike Dunleavy. “As we’ve said before, we need this money in the hands of these entities now. We’re asking that the LB&A Committee to join with Senator Giessel and Representative Pruitt, and other members of the Legislature, in their effort to move quickly on this so these entities can begin mitigating the economic impacts of the virus.”

Background

On March 26th, the U.S. Congress passed the CARES Act. President Donald Trump signed the CARES Act on March 27th. On April 21st, upon receiving the funds from the U.S. Treasury, the Dunleavy administration submitted an initial distribution plan to the LB&A Committee for consideration. On May 1st, following meetings with lawmakers, community leaders, and federal partners, the Dunleavy Administration submitted a revised distribution plan to the LB&A Committee, requesting expedited action.

The Governor’s COVID-19 Health Mandates can be found here.

For the latest information on Alaska’s response to COVID-19, please visit https://covid19.alaska.gov/

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**COVID-19 HEALTH MANDATE 016**

Issued: April 22, 2020 - Goes into effect at 8 AM, Friday, April 24, 2020

By: Governor Mike Dunleavy, Commissioner Adam Crum - Alaska Department of Health and Social Services, and Dr. Anne Zink - Chief Medical Officer - State of Alaska

The State of Alaska is issuing its sixteenth health mandate, based on its authority under the Public Health Disaster Emergency Declaration signed by Governor Mike Dunleavy on March 11, 2020. This Mandate will go into effect April 24, 2020. The State of Alaska reserves the right to amend the Mandate at any time.

To date, the State of Alaska has issued 15 mandates to protect the public health of all Alaskans. These mandates, which have been aimed at flattening the curve, have been beneficial in slowing the spread of the disease.

This Mandate seeks to balance the ongoing need to maintain diligent efforts to slow and disrupt the rate of infection with the corresponding critical need to resume economic activity in a reasonable and safe manner.

This Mandate is the first of a series that are intended to reopen Alaska responsibly. By issuing this Mandate, the Governor is establishing consistent mandates across the State in order to mitigate both the public health and the economic impacts of COVID-19 across Alaska.

This Mandate addresses and modifies a number of prior Mandates and Health Care Advisories, as appropriate, to implement Phase I of the “Reopen Alaska Responsibly Plan.” If there is any discrepancy between this Mandate, including its attachments, and any other statements, mandates, advisories, or documents regarding the “Reopen Alaska Responsibly Plan”, this Mandate and its attachments will govern. FAQs may be issued to bring additional clarity to this Mandate based on questions that may arise.

Health Mandate 016 – REOPEN ALASKA RESPONSIBLY PLAN- PHASE I-A

Health Mandate 016 goes into effect at 8:00 AM on Friday, April 24, 2020.

Reopening Alaska’s businesses is vital to the state’s economic well-being, and to the ability of Alaskans to provide for their families. At the same time, everyone shares in the obligation to keep Alaska safe and continue to combat the spread of COVID-19. As a result, businesses and employees must, to the extent reasonably feasible, continue to take reasonable care to protect their staff and operations during this pandemic. Meanwhile, all Alaskans have an obligation to help promote public health and fight this pandemic by continuing to follow public health guidance regarding sanitizing, handwashing, and use of face masks. Those that are at high risk of infection are encouraged to continue to self-quarantine, to the extent possible, and strictly follow social distancing mandates and advisories.

Unless explicitly modified by this Mandate as set forth below and in Attachments D through H, prior Mandates remain in effect unless and until they are amended, rescinded, or suspended by further order of the Governor. The Governor and the State of Alaska reserve the right to amend this Mandate at any time in order to protect the public health, welfare, and safety of the public and assure the state’s safe resumption of economic activity.

The activities and businesses listed below that were previously governed by the referenced Mandates may resume under the conditions and guidance provided in the following attachments.

Attachment D– Non-Essential Public Facing Businesses Generally – modifies Mandate 011

Attachment E– Retail Businesses – modifies Mandate 011

Attachment F– Restaurants Dine-In Services – modifies Mandate 03.1

Attachment G– Personal Care Services – modifies Mandate 09

Attachment H– Non-Essential Non-Public-Facing Businesses – modifies Mandate 011 

Mandate 016, issued on April 22, 2020, is amended to include Attachments I through M.

Unless explicitly modified by this Mandate, as set forth below and in Attachments I through M, prior Mandates remain in effect, unless and until they are amended, rescinded, or suspended by further order of the Governor. The Governor and the State of Alaska reserve the right to amend this Mandate at any time in order to protect the public health, welfare, and safety of the public and assure the state’s safe resumption of economic activity.

The activities and businesses listed below that were previously governed by the referenced Mandates may resume under the conditions and guidance provided in the following attachments.

Attachment I– Childcare and Day Camps – modifies Mandate 011

Attachment J– Fishing Charters – modifies Mandate 011

Attachment K– Gyms and Fitness Centers – modifies Mandate 03.1

Attachment L– Lodging and Overnight Camping – modifies Mandate 011

Attachment M– Intrastate Travel/Outdoor Day Activity – modifies Mandates 011 and 012

ENFORCEMENT

A violation of a State of Alaska COVID-19 Mandate may subject a business or organization to an order to cease operations and/or a civil fine of up to $1,000 per violation. In addition to the potential civil fines noted, a person or organization that fails to follow State COVID-19 Mandates designed to protect the public health from this dangerous virus and its impact may, under certain circumstances, also be criminally prosecuted for Reckless Endangerment pursuant to Alaska Statute 11.41.250. Reckless endangerment is defined as follows:

(a) A person commits the crime of reckless endangerment if the person recklessly engages in conduct which creates a substantial risk of serious physical injury to another person.

(b) Reckless endangerment is a class A misdemeanor.

Pursuant to Alaska Statute 12.55.135, a defendant convicted of a class A misdemeanor may be sentenced to a definite term of imprisonment of not more than one year.

Additionally, under Alaska Statute 12.55.035, a person may be fined up to $25,000 for a class A misdemeanor, and a business organization may be sentenced to pay a fine not exceeding the greatest of $2,500,000 for a misdemeanor offense that results in death, or $500,000 for a class A misdemeanor offense that does not result in death.

***This Mandate is in effect until rescinded or modified.***

For the latest information on COVID-19, visit covid19.alaska.gov

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**COVID-19 HEALTH MANDATE 015**

Issued: April 15, 2020

By: Governor Mike Dunleavy, Commissioner Adam Crum - Alaska Department of Health and Social Services, and Dr. Anne Zink - Chief Medical Officer - State of Alaska

To prevent the spread of Coronavirus Disease 2019 (COVID-19), the State of Alaska is issuing its fifteenth health mandate based on its authority under the Public Health Disaster Emergency Declaration signed by Governor Mike Dunleavy on March 11, 2020.

While health care is an essential service, there is also the risk of coronavirus spreading in health care facilities and to vulnerable populations. The suspension of non-essential procedures and health care have been beneficial in slowing the spread of the disease. The benefits of suspension must also be balanced with delayed health care and other health outcomes.

Health Mandate 015 is being issued by Governor Mike Dunleavy and the State of Alaska. Mandate 015 will go into effect in phases, with Section II going into effect April 20, 2020 and Section IV going into effect May 4, 2020; however, the State of Alaska reserves the right to amend the Mandate at any time.

This Mandate supersedes Mandate 005 and 006 and affects the health care providers directly addressed in Mandate 009.

Health Mandate 015 – Services by Health Care Providers

I. Applicability: This Mandate applies to the following heath care facilities and health care providers:

  1. Heath Care Facilities
    1. Hospitals, private, municipal, state, or federal, including tribal
    2. Independent diagnostic testing facilities
    3. Residential psychiatric treatment centers
    4. Skilled and intermediate nursing facilities
    5. Kidney disease treatment, including free-standing facilities
    6. Ambulatory surgery centers
    7. Free-standing birth centers
    8. Home health agencies
    9. Hospice
    10. Rural health clinics defined under AS 47.32.900(21) and 7 AAC 12.450
    11. A health care provider office (for reference see 7 AAC 07.001)
  2. Health Care Providers as Defined in Statute
    1. Acupuncturists
    2. Ambulatory Surgery Centers
    3. Assistant Behavior Analysts
    4. Athletic Trainers
    5. Audiologists/Speech-Language Pathologists
    6. Behavior Analysts
    7. Certified Nurse Aides
    8. Chiropractors
    9. Dental Hygienists
    10. Dentists
    11. Dietitians
    12. Hospitals
    13. Hearing Aid Dealers
    14. Health Aides
    15. Long-Term Care Facilities
    16. Marital and Family Therapists
    17. Massage Therapists
    18. Midwives
    19. Mobile Intensive Care Paramedics
    20. Naturopaths
    21. Nurses
    22. Nutritionists
    23. Occupational Therapy Assistants
    24. Opticians
    25. Optometrists
    26. Pharmacists
    27. Pharmacy Technicians
    28. Physical Therapists
    29. Occupational Therapists
    30. Physician Assistants
    31. Physicians/Osteopathic Physicians
    32. Podiatrists
    33. Professional Counselors
    34. Psychologists
    35. Psychological Associates
    36. Religious Healing Practitioners
    37. Social Workers
    38. Veterinarians
    39. Students training for a licensed profession who are required to receive training in a health care facility as a condition of licensure

II. Health Care Delivery

Section II goes into effect April 20, 2020

  1. Health care facilities and providers defined in statute and listed in Section I, will be able to resume services that require minimal protective equipment and follow the guidance below.
    1. Every effort should continue to be made to deliver care without being in the same physical space, such as utilizing telehealth, phone consultation, and physical barriers between providers and patients.
    2. All health care, delivered both in and out of health care facilities, (this includes hospitals, surgical centers, long-term care facilities, clinic and office care, as well as home care) shall deploy universal masking procedures in coordination with the facility infection control program. This may be a combination of cloth face coverings (for employees not present for provision of services or procedures, such as front desk staff) and surgical masks for those involved in non-aerosolizing direct-patient care.
    3. Regardless of symptoms, all health care facilities should screen all patients for recent illness, travel, fever, or recent exposure to COVID-19, and to the extent that is possible, begin testing all admitted patients.
    4. Every effort shall be made to minimize aerosolizing procedure (such as a nerve block over deep sedation or intubation).
    5. Other urgent or emergent procedures with an increased risk of exposure, such as deliveries, dental work, aerosolizing procedures such as suctioning, intubation, and breathing treatments, should have patients tested for SARS CoV-2 prior to the procedure or birth, to the extent that is reasonably possible, after considering available testing capacity and any other relevant constraints. In the alternative, clinicians should use rigorous screening procedures and treat suspicious patients as if they are positive for COVID-19.
    6. It is the duty of the provider to ensure the health considerations of staff and patients. This includes the health of the provider, ensuring providers not come to work while ill, minimizing travel of providers, and adequate personal protective equipment. They are also encouraged to utilize the following means of protection:
      1. Pre-visit telephonic screening and questionnaire.
      2. Entry screening.
      3. Lobbies and waiting rooms with defined and marked social distancing and limited occupancy.
      4. Other personal and environmental mitigation efforts such as gloves, exceptional hand hygiene, environmental cleaning, and enhanced airflow.

III. Urgent and Emergent Services

  1. Health care services that are urgent or emergent should continue, but with the enhanced screening and safety measures listed in Section II.
    1. In addition to emergent surgeries and procedures that cannot be delayed without significant risk to life, surgeries and procedures are permitted to proceed if delay is deemed to cause significant impact on health, livelihood, or quality of life. Each facility should review these procedures with its task force that was created in the April 7, 2020 revision to COVID-19 Health Mandate 005. Surgeries and procedures that can be delayed without posing a significant risk to health, livelihood, or quality of life must be postponed until further notice.
    2. All patients coming to surgery should be tested for SARS CoV-2 within 48 hours of their procedure. If positive, all procedures should be considered for delay, and specifically those procedures not urgent or emergent, as defined by the American College of Surgeons (ACS), should be postponed or canceled. If a facility is unable to test patients within 48 hours of their procedure, facilities should use rigorous screening procedures and treat suspicious patients as if they are positive for COVID-19.

IV. Provision for Resuming Non-Urgent/Non-Emergent Elective Services

  1. Health care services that cannot be delayed beyond eight weeks without posing a significant risk to quality of life may resume Monday May 4, 2020 if the following conditions are met:
    1. Health care delivery can meet all of the standards outlined in Section II of this mandate.
    2. Health care is delivered by a provider listed in statute (see Section I).
    3. Health care can be safely done with a surgical mask, eye protection and gloves.
    4. If the procedure puts the health care worker at increased risk such as deliveries, dental work, or aerosolizing procedures such as suctioning, intubation, or breathing treatments then a negative PCR for Sars-CoV-2 must be obtained within 48 hours prior to the procedure.
    5. There are to be no visitors in health care facilities except for: end-of-life visits; a parent of a minor; a support person for labor and delivery settings; and only one (1) spouse or caregiver that resides with the patient will be allowed into the facility during the day of a surgery or procedure and at the time of patient discharge to allow for minimal additional exposure. If a caregiver does not reside with the patient, they can be with the patient at the time of discharge. Any of the allowed visitors must wear a fabric face covering.
    6. Workers must maintain social distancing of at least six feet from non-patients and must minimize contact with the patient.
    7. Exceptional environmental mitigation strategies must be maintained, including the protection of lobbies and front desk staff.
    8. Unlicensed assistive personnel necessary to procedures under this section may be included in service delivery.

V. Other Considerations

  1. Patients traveling for medical procedures and health care services is allowed under Health Mandate 012 to travel within Alaska as a critical personal need.
  2. Patients whose communities have established quarantines for return from intra-state travel as outlined in Attachment B – Alaska Small Community Emergency Travel Order, should have a plan in place, developed with their local community, for return home after their procedures.
  3. Transportation may be arranged on behalf of individuals who must travel to receive medical care and must be able to return home following the medical treatment or must arrange for their own accommodations if they are unable to return home.
  4. Every effort should be made to minimize physical interaction and encourage alternative means such as telehealth and videoconferencing. For many licensed health care professionals, this will mean continued delays in care or postponing care.
  5. Every effort should be made in the outpatient and ambulatory care setting to reduce the risk of COVID-19 and follow the following guidelines:
  1. Dental work carries an added risk of spreading COVID-19, especially to the dentist who can spread it to others and so dental guidance should be followed and are listed here:
  1. Dialysis centers provide life-saving work, but it is also a place where high-risk individuals congregate. They need to follow the following guidelines:

*** State of Alaska reserves the right to change this mandate at any time ***

THIS MANDATE SUPERSEDES ANY AND ALL LOCAL GOVERNMENT MANDATES OR ORDERS PUT INTO EFFECT BY BOROUGHS, MUNICIPALITIES, CITIES, VILLAGES, AND TRIBES.

For the latest information on COVID-19, visit coronavirus.alaska.gov State of Alaska COVID-19 Mandate 015

Mandates available at https://gov.alaska.gov/home/covid19-healthmandates/

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**COVID-19 HEALTH MANDATE 014**

Issued: April 13, 2020

By: Governor Mike Dunleavy, Commissioner Adam Crum - Alaska Department of Health and Social Services, and Dr. Anne Zink - Chief Medical Officer - State of Alaska

To prevent the spread of Coronavirus Disease 2019 (COVID-19), the State of Alaska is issuing its fourteenth health mandate based on its authority under the Public Health Disaster Emergency Declaration signed by Governor Mike Dunleavy on March 11, 2020.

This mandate is issued to protect the public health of Alaskans and mitigate the impact of COVID-19. The goal is to flatten the curve and disrupt the spread of the virus.

Health Mandate 014 – Non-Congregate Sheltering Order

The State of Alaska is prepared to implement a temporary quarantine and isolation program utilizing non-congregate shelter solutions including hotels, college and university dormitories, and properly modified non-traditional structures to house three specific populations:

  1. First responders and healthcare workers who need to quarantine safely without exposing their families.
  2. Homeless families, with at least one member who tested positive for COVID-19, who live in congregate shelters and will require isolation.
  3. Homeless individuals who require quarantine or isolation.

As of April 12, 2020, there were 277 confirmed or presumptive cases of COVID-19 in the state. Chief Medical Officer for the State of Alaska has reviewed the data regarding actual COVID-19 cases and reported exposures among vulnerable populations.

Therefore, in order to protect public health and to ensure public safety, as well as to lessen or avert the threat of a healthcare catastrophe, the implementation of non-congregate shelter quarantine and isolation solutions to prevent the spread of COVID-19 among vulnerable populations must be put in place.

This mandate will remain in effect until rescinded.

For the latest information on COVID-19, visit coronavirus.alaska.gov State of Alaska COVID-19 Mandate 014 Mandates available at https://gov.alaska.gov/home/covid19-healthmandates/

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**COVID-19 HEALTH MANDATE 013**

Issued: April 9, 2020

By: Governor Mike Dunleavy, Commissioner Adam Crum - Alaska Department of Health and Social Services, and Dr. Anne Zink - Chief Medical Officer - State of Alaska

To prevent the spread of Coronavirus Disease 2019 (COVID-19), the State of Alaska is issuing its 13th health mandate based on its authority under the Public Health Disaster Emergency Declaration signed by Governor Mike Dunleavy on March 11, 2020.

This mandate is issued to protect the public health of Alaskans and mitigate the impact of COVID-19. The goal is to flatten the curve and disrupt the spread of the virus.

Health Mandate 013 – K-12 Public and Private Schools

The statewide school closure of all K-12 public and private schools is being extended from May 1, 2020 to the end of the 2019-2020 school year. Despite the need to extend school building closures, student learning will continue, per each school district’s individual plan, to provide distance-delivered educational services to students.

It is recognized that this difficult decision ends the school year with students physically separated from their teachers. Incident Command will reconvene later this month to consider whether the state’s health outlook will safely allow for small groups of students to meet with their teachers in-person for final student conferences before the end of the school year. This option, if allowed, will be dependent upon the coordination of each school district.

As school districts contemplate how to properly celebrate this year’s graduates, COVID-19 Health Mandate 011 - Social Distancing is still in effect, which prohibits gathering for events, such as graduation.

This mandate supersedes COVID-19 Health Mandate 008.

For the latest information on COVID-19, visit coronavirus.alaska.gov State of Alaska COVID-19 Mandate 013 Mandates available at https://gov.alaska.gov/home/covid19-healthmandates/

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Implemented on Friday, March 27 by Governor Mike Dunleavy, Commissioner Adam Crum - Alaska Department of Health and Social Services, and Dr. Anne Zink - Chief Medical Officer - State of Alaska. Covid-19 Health Mandates 012 and 011 went into effect Saturday, March 28, 2020 for the state of Alaska. These mandates include social distancing, sheltering-in-place, and limiting travel between communities. Exempted are those engaged in essential health care services, public government services, and essential business activities.

**COVID-19 HEALTH MANDATE 012**

Issued 5 PM March 27: STATEWIDE SHELTER IN PLACE, TRAVEL BAND ORDERED FOR ALASKA

By: Governor Mike Dunleavy, Commissioner Adam Crum - Alaska Department of Health and Social Services, and Dr. Anne Zink - Chief Medical Officer - State of Alaska

To prevent the spread of Coronavirus Disease 2019 (COVID-19), the State of Alaska is issuing its 12th health mandate based on the authority under the Public Health Disaster Emergency Declaration signed by Governor Mike Dunleavy on March 11, 2020

Given the increasing concern for new cases of COVID-19 being transmitted via community spread within the state, Governor Dunleavy and the State of Alaska are issuing the following mandate to go into effect March 28, 2020 at 8:00 am and will be reevaluated by April 11, 2020.

This mandate is issued to protect the public health of Alaskans. The Governor looks to establish consistent mandates across the State in order to mitigate the impact of COVID-19. The goal is to flatten the curve and disrupt the spread of the virus.

The purpose of this mandate is to control the movement of individuals within Alaska in order to prevent, slow, and otherwise disrupt the spread of the virus that causes COVID-19.

The State of Alaska and the Alaska Department of Health and Social Services (DHSS) acknowledge the importance of minimizing intrastate travel to avoid introducing new COVID-19 cases into Alaska communities and slow the spread of the virus in state. It is imperative that Alaskans heed these guidelines.

Critical infrastructure is vital to keeping Alaska safe, and as a result businesses and employees of critical infrastructure industries must, to the extent reasonably feasible, take reasonable care to protect their staff and operations during this pandemic. If your business is included in “Alaska’s Essential Services and Critical Infrastructure” (formerly Attachment A), you must submit a travel plan or protocol for maintaining critical infrastructure to akcovidplans@ak-prepared.com. The plan should outline how you will avoid the spread of COVID-19 and not endanger the lives of the communities in which you operate, of others who serve as a part of that infrastructure, or the ability of that critical infrastructure to function. If you have already submitted a plan pursuant to Health Mandate 10.1 related to interstate travel, you do not need to submit another plan.

Critical infrastructure includes those items listed in “Alaska’s Essential Services and Critical Infrastructure” (formerly Attachment A) https://gov.alaska.gov/wp-content/uploads/sites/2/03232020-COVID-19-Health-Mandate-010-Attachment-A.pdf

Health Mandate 012 – Intrastate Travel – Limiting travel between communities to critical infrastructure or critical personal needs.

Effective 8:00 am March 28, 2020

All in-state travel between communities, whether resident, worker, or visitor, is prohibited unless travel is to support critical infrastructure, or for critical personal needs. Certain Small Alaskan communities may implement further travel restriction pursuant to “Alaska Small Community Emergency Travel Order - Attachment B.”

Personal travel is prohibited except as necessary to meet critical personal needs or work in critical infrastructure jobs. Critical personal needs include buying, selling, or delivering groceries and home goods; obtaining fuel for vehicles or residential needs; transporting family members for out-of-home care, essential health needs, or for purposes of child custody exchanges; receiving essential health care; providing essential health care to a family member; obtaining other important goods; and engaging in subsistence activities. Travelers are reminded to follow social distancing measures, including, to the extent reasonably feasible, keeping six feet away from others, avoiding crowded places, and limiting public gatherings to less than ten people. Read the “Mandate 11 and 12 FAQ’s” for more details.

No one traveling to or from any community for critical reasons or critical personal travel may be subject to any automatic quarantine or isolation on arrival except as allowed under Alaska Statutes or Health Mandates.

Air carriers and other travel-related businesses have no duty to verify that intrastate travelers meet the criteria for permissible travel under this heath mandate. Air carriers shall inquire if travelers are permitted to travel under this mandate and shall rely upon a traveler’s assurance that they are eligible to travel.

***This Mandate supersedes any local government or tribal mandate, directive, or order restricting intrastate travel ***

For the latest information on COVID-19, visit coronavirus.alaska.gov State of Alaska COVID-19 Mandate 012

Mandates available at https://gov.alaska.gov/home/covid19-healthmandates/

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**COVID-19 HEALTH MANDATE 011**

Issued 5 PM March 27:

By: Governor Mike Dunleavy, Commissioner Adam Crum - Alaska Department of Health and Social Services, and Dr. Anne Zink - Chief Medical Officer - State of Alaska

To prevent the spread of Coronavirus Disease 2019 (COVID-19), the State of Alaska is issuing its 11th health mandate based on the authority under the Public Health Disaster Emergency Declaration signed by Governor Mike Dunleavy on March 11, 2020

Given the increasing concern for new cases of COVID-19 being transmitted via community spread within the state, Governor Dunleavy and the State of Alaska are issuing the following mandate to go into effect March 28, 2020 at 5:00 pm and will be reevaluated by April 11, 2020.

This mandate is issued to protect the public health of Alaskans. The Governor looks to establish consistent mandates across the State in order to mitigate the impact of COVID-19. The goal is to flatten the curve and disrupt the spread of the virus.

The purpose of this mandate is to restrict the movement of individuals within the State of Alaska in order to prevent, slow, and otherwise disrupt the spread of the virus that causes COVID-19.

The State of Alaska and the Alaska Department of Health and Social Services (DHSS) acknowledge the importance of social distancing, while maintaining essential healthcare services, public government services, and other essential business activities, to prevent, slow, and otherwise disrupt the spread of COVID-19 in Alaska. It is imperative that Alaskans heed these guidelines.

Health Mandate 011 – Social Distancing

Effective 5 p.m. March 28, 2020:

All persons in Alaska, except for those engaged in essential health care services, public government services, and essential business activities, are mandated to remain at their place of residence and practice social distancing. For the purpose of this mandate, social distancing is defined as maintaining a distance of six feet or greater from any individuals with whom you do not currently reside. Read the “Mandate 11 & 12 FAQ’s” for more details, which can be found here: http://dhss.alaska.gov/dph/Epi/id/Pages/COVID-19/default.aspx

Critical infrastructure includes those items listed in “Alaska’s Essential Services and Critical Infrastructure” (formerly Attachment A) https://gov.alaska.gov/wp-content/uploads/sites/2/03232020-COVID-19-Health-Mandate-010-Attachment-A.pdf

I. The Governor orders individuals to abide by the following:

  1. Work from home as much as possible (see Alaska Essential Services and Critical Workforce Infrastructure Order).
  2. Immediately isolate any family member who is ill. www.cdc.gov/coronavirus/2019-ncov/hcp/guidance-prevent-spread.html#precautions
  3. Outdoor activity (e.g., walking, hiking, bicycling, running, fishing or hunting) is permitted when a distance of six or more feet can be maintained between individuals not in the same household.
  4. Any individual who exhibits symptoms of illness must not leave their home, including to work, except as necessary to seek or receive medical care.
  5. All individuals shall cease participation in public or private gatherings that include non-household members, regardless of the number of people involved. This includes, but is not limited to, weddings, faith gatherings, graduations, and funeral events.
  6. Individuals experiencing homelessness are exempt from this mandate but are urged to obtain shelter.

II. The Governor orders the closure of non-essential businesses:

  1. All businesses within Alaska, except those listed in Alaska Essential Services and Critical Workforce Infrastructure Order, are required to cease all activities at facilities located within the state except Minimum Basic Operations, as defined in Section II(c). For clarity, businesses may also continue operations consisting exclusively of employees or contractors performing activities at their own residences (i.e., working from home).
  2. For purposes of this Mandate, covered businesses include any for-profit, non-profit, or educational entities, regardless of the nature of the service, the function they perform, or corporate or entity structure.
  3. Minimum Basic Operations” include the following, provided that employees comply with Social Distancing Requirements as defined in this Section, to the extent possible, while carrying out such operations:
    1. The minimum necessary activities to maintain the value of the business’s inventory, ensure security, process payroll and employee benefits, or for related functions.
    2. The minimum necessary activities to facilitate employees of the business being able to continue to work remotely from their residences.

III. The Governor orders employers to abide by the following:

  1. Businesses providing essential services and critical infrastructure will, to the extent reasonably feasible, take reasonable precautions to ensure the health of their service sector and employees.
  2. Public-facing businesses providing essential services and critical infrastructure will proactively promote social distancing between employees and others, including, but not limited to, expanding delivery options, drive-through services, limiting the number of individuals in a building, clearly spacing lines to keep individuals six feet apart, or making appointment times to minimize interactions between members of the public.
  3. Employers will evaluate which of their employees can feasibly work remotely from home and to the extent reasonable, take steps to enable employees to work from home.

A violation of a state COVID-19 Mandate may subject a business or organization to an order to cease operations and/or a civil fine of up to $1,000 per violation.

In addition to the potential civil fines noted above, a person or organization that fails to follow the state COVID-19 Mandates designed to protect the public health from this dangerous virus and its impact may, under certain circumstances, also be criminally prosecuted for Reckless Endangerment pursuant to Alaska Statute 11.41.250. Reckless endangerment is defined as follows:

(a) A person commits the crime of reckless endangerment if the person recklessly engages in conduct which creates a substantial risk of serious physical injury to another person.

(b) Reckless endangerment is a class A misdemeanor.

Pursuant to Alaska Statute 12.55.135, a defendant convicted of a class A misdemeanor may be sentenced to a definite term of imprisonment of not more than one year.

Additionally, under Alaska Statute 12.55.035, a person may be fined up to $25,000 for a class A misdemeanor, and a business organization may be sentenced to pay a fine not exceeding the greatest of $2,500,000 for a misdemeanor offense that results in death, or $500,000 for a class A misdemeanor offense that does not result in death.

This mandate supersedes any local government or tribal mandate, directive, or order.

For the latest information on COVID-19, visit coronavirus.alaska.gov State of Alaska COVID-19 Mandate 011

Mandates available at https://gov.alaska.gov/home/covid19-healthmandates/

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FOR IMMEDIATE RELEASE – City of Fairbanks Emergency Declaration - COVID-19 DATE: March 24, 2020

Mayor Matherly has issued an emergency declaration in response to the COVID19 pandemic that is currently impacting our community. The declaration will be in effect for seven days. Mayor Matherly will be asking the Fairbanks City Council to ratify the declaration at the March 30th council meeting, which will extend the effective period for as long as needed. According to state law, an emergency declaration by the Mayor is only effective for seven days unless ratified by the Council.

The City of Fairbanks is working closely with local and state medical experts and the Mayor supports their recommendations for slowing the spread of this virus. Fairbanks residents must comply with statewide mandates issued from the Governor’s office. Those mandates can be found at www.coronavirus.alaska.gov.

Regarding the situation in Fairbanks, Mayor Matherly stated, “It is imperative that we act now by remaining in our homes and staying away from public places unless absolutely necessary. I’ve spent many hours in the recent days hearing from local physicians, and the situation in Fairbanks is very serious. The number of confirmed positive cases does not reflect the full picture. Every resident needs to do their part to protect themselves, their families, and the community. If your family needs groceries, only send one person to the store. Check in on those considered high risk; help those ones stay home by going to the grocery store or pharmacy for them. I am imploring the community to take this seriously and stay home.”

The March 30th City Council Meeting will be streamed over the City of Fairbanks website

MEDIA CONTACT: Teal Soden, Communications Director, 907-687-9221, tsoden@fairbanks.us

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**COVID-19 HEALTH MANDATE 010**

Issued: March 23, 2020

By: Governor Mike Dunleavy, Commissioner Adam Crum - Alaska Department of Health and Social Services, and Dr. Anne Zink - Chief Medical Officer - State of Alaska

To prevent the spread of Coronavirus Disease 2019 (COVID-19), the State of Alaska is issuing its 10th health mandate based on the authority under the Public Health Disaster Emergency Declaration signed by Governor Mike Dunleavy on March 11, 2020

Given the increasing concern for new cases of COVID-19 around Alaska, Governor Dunleavy and the State of Alaska are issuing the following mandate to go into effect March 25, 2020 at 12:01 a.m., and will be reevaluated by April 21, 2020.

This mandate is issued to protect the public health of Alaskans. The Governor looks to establish consistent mandates across the state in order to mitigate the impact of COVID-19. The goal is to flatten the curve and prevent the spread of the virus.

The purpose of this mandate is to control the ingress to Alaska from outside localities in order to prevent the spread of the virus that causes COVID-19.

Health Mandate 10.1 – International and Interstate Travel – Order for Self-Quarantine

Effective 12:01 a.m. March 25, 2020:

All people arriving in Alaska, whether resident, worker or visitor, are required to self-quarantine for 14 days and monitor for illness. Arriving residents and workers in self-quarantine, should work from home, unless you support critical infrastructure.

Critical infrastructure is vital to keeping Alaska safe, and as a result businesses and employees of critical infrastructure industries must take special care to protect their staff and operations during this pandemic. If your business is included in Attachment A, and your workers must travel to enter Alaska, you must submit a plan or protocol for maintaining critical infrastructure to the Department of Commerce, Community and Economic Development by 3:00 p.m. March 24, outlining how you will avoid the spread of COVID-19 and not endanger the lives of the communities in which you operate, of others who serve as a part of that infrastructure or the ability of that critical infrastructure to function.

Pursuant to the Governor’s declaration, the State of Alaska hereby orders the following. Upon arrival in any community in Alaska from another state or nation, you must:

  1. Proceed directly from the airport to your designated quarantine location, which is the location identified and affirmed by you on the mandatory State of Alaska Travel Declaration Form (attached).
    1. If you are a resident, your designated quarantine location is your residence.
    2. If you are a visitor or worker, your designated quarantine location is your hotel room or rented lodging.
  2. Remain in your designated quarantine location for a period of 14 days, or the duration of your stay in Alaska, whichever is shorter.
    1. You may leave your designated quarantine location only for medical emergencies or to seek medical care.
    2. Do not visit any public spaces, including, but not limited to: pools, meetings rooms, fitness centers or restaurants.
    3. Do not allow visitors in or out of your designated quarantine location other than a physician, healthcare provider, or individual authorized to enter the designated quarantine location by Unified Command.
    4. Comply with all rules or protocols related to your quarantine as set forth by your hotel or rented lodging.
    5. If you are required to self-quarantine and there are other individuals in your residence, hotel room, or rented lodging, you are required to comply with social distancing guidelines.

This mandate supersedes any local government travel restrictions.

The failure to follow this order is punishable by a fine of up to $25,000, or imprisonment of not more than one year, or both pursuant to Alaska Statute 12.55.035 and Alaska Statute 12.55.135

Authority: AS 26.23.020(g)(7) For the latest information on COVID-19, visit coronavirus.alaska.gov State of Alaska COVID-19 Mandate 010

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**COVID-19 HEALTH MANDATE 008**

Issued: March 20, 2020

By: Governor Mike Dunleavy, Commissioner Adam Crum - Alaska Department of Health and Social Services, and Dr. Anne Zink - Chief Medical Officer - State of Alaska

To prevent the spread of Coronavirus Disease 2019 (COVID-19), the State of Alaska is issuing its eighth health mandate based on the authority under the Public Health Disaster Emergency Declaration signed by Governor Mike Dunleavy on March 11, 2020.

Given the increasing concern for new cases of COVID-19 around Alaska, the purpose of this mandate is to limit all close contacts (people outside of a family unit) to be farther than six feet from each other to prevent the spread of the virus that causes COVID-19.

Mandate 8.1 – State of Alaska – Public and Private Schools

Public and private schools are closed to students through May 1, 2020. Students will receive instruction through distance delivery methods. All after school activities will be suspended during this time.

Effective March 21 at 8 AM, all business congregations or gatherings where individuals are less than 6 feet from each other must cease in the Fairbanks North Star Borough. The mandate applies to hair salons, day spas, nail salons, barber shops, tattoo shops, body piercing locations, massage therapy locations and tanning facilities.

These are measures to protect Alaskans. We appreciate the public’s understanding of this mandate in an effort to mitigate this virus.

For the latest information on COVID-19, visit coronavirus.alaska.gov State of Alaska COVID-19 Mandate 008

**COVID-19 HEALTH MANDATE 006**

Issued: March 19, 2020

By: Governor Mike Dunleavy, Commissioner Adam Crum - Alaska Department of Health and Social Services, and Dr. Anne Zink - Chief Medical Officer - State of Alaska

To prevent the spread of Coronavirus Disease 2019 (COVID-19), the State of Alaska is issuing its sixth health mandate based on the authority under the Public Health Disaster Emergency Declaration signed by Governor Mike Dunleavy on March 11, 2020.

The State of Alaska and the Alaska Department of Health and Social Services (DHSS) acknowledge the proactive efforts of Alaska’s oral health providers and practitioners to protect the health and safety of patients and the state in response to COVID-19.

Mandate 6.1 – Elective Oral Health Procedures

Dental clinical settings and oral health professionals are recognized within the highest risk categories for both transmission and contraction of the Coronavirus, as most dental procedures release significant aerosols in the operatory atmosphere. Therefore, in concurrence with recommendations from the American Dental Association (ADA), the Alaska Dental Society, and the Centers for Disease Control & Prevention, elective oral health care procedures are required to be postponed for a period of one month. [ ... ]

Recommended actions:

  • Postpone all elective and non-essential dental procedures.
  • Prioritize treatment for patients experiencing dental emergencies, here defined by the ADA as ‘Health care related to relief of severe dental/oral pain and infection management’.
  • To help decrease the overburden of emergency rooms and urgent care facilities as COVID-19 response rapidly increases, oral health practitioners are encouraged to provide emergency dental care through patients’ regular dental home, including after-hours where possible, except in the case of a life-threatening emergency.
  • Limit orders and use of PPE to the minimum necessary for emergency care.

For the latest information on COVID-19, visit coronavirus.alaska.gov State of Alaska COVID-19 Mandate 006

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