HomeMy WebLinkAbout05262020 City Council Spc Mtg Laydown 1 - Plan Part 2 APPENDIX E
STATE OF ALASKA COVID-19 RESOURCES
Reopen Alaska Responsibly Plan Phase III/IV Guidance'
® Phase III & IV State of Alaska Public Health Mandate Advisory Documents
• State of Alaska Public Health Mandates in Effect May 22, 2020
* State of Alaska "Frequently Asked Questions" (Unknown Date of Update)
Department of Health and Social Services "Responding to COVID-19"
' In order to review all previous and current State of Alaska Mandates and Advisory
Guidance, please visit https:Hcovid19.alaska.gov/health-mandates/.
State of Alaska
COVID- 19 (CORONAVIRUS) INFORMATION
Phase 3/4
Starts Friday, May 22, 2020
Phase 3/4 General Guidance
Phase 3/4 Detailed Guidance
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,ALAS
Alaska s Phan Forward
�SpotyS�� s
Alaska has done an excellent job of managing COVID-19. We responded quickly to an unknown threat to
keep our cases low and to ensure our healthcare systems have the increased capacity to deal with COVID-19
cases in the future. The base actions that led to our success will continue to be our playbook for the future:
® 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.
Under Phases I and II, businesses and organizations found new and creative ways to minimize the risk of
COVID-19, and each day we are seeing new national and industry guidelines being released that provide
guidance on safely operating.
It is with the listed guidelines and safety advisories that we can empower businesses, organizations and
Alaskans to protect themselves and each other while continuing to open responsibly.
Now is the time for the next phase of our response. To move ahead, we are combining our future phases,
while encouraging personal and organizational responsibility to safely operate while mitigating the spread of
this disease.
Make no mistake. The virus is with us. We must function with it and manage it. There will be folks who
contract the virus and fall ill, but if we follow these guidelines, we can help lower potential risks and keep
our way of life intact with a few exceptions.
The state, local communities,tribal partners, and healthcare providers have come together to do
tremendous work. We built up our health care capacity to handle a potential increase in cases. We have
increased screening and testing and continued to have robust contact tracing. We have trained our
healthcare workers to safely work with, and treat, the virus. We have stockpiled and distributed PPE around
the state.
We will monitor the situation daily, as we have since this virus arrived in Alaska, and we will adjust, if
necessary, to handle a growth in case clusters to prevent cases spiking.
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.
o 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.
ASKA
Reopen Alaska Responsibly
��� �' R Y
�spoNS�� Phase III/IV Guidance ,
There are a number of strategies and actions that individuals, businesses, and communities can
take to help reduce the spread of the virus that causes COVID-19. This document outlines these
strategies and provides resources Alaskans can use to keep themselves, their families, and their
communities safe. Alaskans have a proud history of taking care of themselves and their
communities during difficult times—Alaska wins when we work together.
Individual Actions
There is currently no vaccine to prevent infection with the virus that causes coronavirus disease
2019 (COVID-19). The best way to prevent illness is to avoid being exposed to this virus.
The virus is thought to spread mainly from person-to-person. It is spread:
- Between people who are in close contact with one another(within about 6 feet).
- Through respiratory droplets produced when an infected person coughs, sneezes or talks.
o These droplets can land in the mouths or noses of people who are nearby or
possibly be inhaled into the lungs.
- COVID-19 has been detected in persons who are not showing symptoms, and recent
studies have suggested that COVID-19 may be spread by asymptomatic people.
It may be possible that a person can get COVID-19 by touching a surface or object that has the
virus on it and then touching their own mouth, nose, or possibly their eyes.
The things you should do as an individual include:
1. Wash your hands often
a. Wash your hands often with soap and water for at least 20 seconds, especially
after you have been in a public place, or after blowing your nose, coughing, or
sneezing.
b. If soap and water are not readily available, use a hand sanitizer that contains at
least 60% alcohol. Cover all surfaces of your hands and rub them together until
they feel dry.
c. Avoid touching your eyes, nose, and mouth with unwashed hands.
d. For homes without running water see Yukon-Kuskokwim Health Corporation's
recommendations for handwashing and disinfecting with household bleach:
2. Avoid close contact
a. Avoid close contact with people who are sick, even inside your home. If possible,
maintain 6 feet between the person who is sick and other household members.
b. Put distance between yourself and other people outside of your home.
i. Remember that some people without symptoms may be able to spread
virus.
ii. Stay at least 6 feet about 2 arms' length) from other eo le.
iii. Do not gather in groups and minimize your interactions with others.
iv. Stay out of crowded places and avoid mass gatherings.
v. Keeping distance from others is especially important for people who are at
Sher risk of getting very sick.
c. Keep your social circle small. If a stronger support network is needed, Alaskans
may choose to expand their social circle to include just a few others. Expanding
your social bubble can provide support as you continue to keep distance from
others.
3. Cover your mouth and nose with a cloth face cover when around others
a. You could spread COVID-19 to others even if you do not feel sick. The cloth face
cover is meant to protect other people in case you are infected.
b. Everyone should wear a cloth face cover when they have to go out in public, for
example to the grocery store or to pick up other necessities.
i. Cloth face coverings should not be placed on young children under age 2,
anyone who has trouble breathing, or is unconscious, incapacitated, or
otherwise unable to remove the mask without assistance.
c. Continue to keep about 6 feet between yourself and others. The cloth face cover is
not a substitute for social distancing.
4. Stay home if you feel ill,and always cover coughs and sneezes.
a. If you feel ill with a fever, cough, shortness of breath or other symptoms of
COVID-19, stay home, call your healthcare provider before going in, and get
tested for COVID-19.
b. If you are in a private setting and do not have on your cloth face covering,
remember to always cover your mouth and nose with a tissue when you cough or
sneeze or use the inside of your elbow.
c. Throw used tissues in the trash.
d. Immediately wash your hands with soap and water for at least 20 seconds. If soap
and water are not readily available, clean your hands with a hand sanitizer that
contains at least 60%alcohol.
5. Clean and disinfect
a. Clean AND disinfect frequently touched surfaces daily. This includes tables,
doorknobs, light switches, countertops, handles, desks, phones, keyboards, toilets,
faucets, and sinks.
b. If surfaces are dirty, clean them. Use detergent or soap and water prior to
disinfection, then use a household disinfectant. Most common EPA-registered
household disinfectants will work.
i. The U.S. Environmental Protection Agency (EPA) has released its List N
Tool, a new web-based application(app)that allows smart phone users
and others to quickly identify disinfectant products that meet EPA's
criteria for use against SARS-CoV-2,the virus that causes COVID-19.
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There many other guidance documents to help individuals slow the spread of COVID and also
keep themselves safe. The DHSS website often has new ones as does the CDC, but here are a
few that cover frequently asked questions:
1. How to Protect Yourself& Others: https://www.cdc.goy/coronavirus/20I9-
ncov/prevent-getting-sickbrevention.html
2. Cleaning and Disinfecting Your Home: https://www.cdc.gov/coronavirus/2019-
ncov/prevent-getting•sick/p revention.html
3. Social Distancing: litLps://www_.edc.gov/Boron,,rvirus/2019-zicov/1)ruyeiit-'e ttirip,-
sick/social-distancing.litml
4. If You Are Sick or Caring for Someone: https://www.cdc.gov/coronavirus/2019-
ncov/if-you-are-sick/index.htm 1
5. Running Essential Errands:: htt s://www.edc. ov/coronavirus/2019-ncov/dail -life-
copinp-lessential-goods-services.html
6. Household checklist: htt s://www.cdc. ov/cor•oilavirus/2019-ncov/dail -life-
coping/checkl ist-household-ready.htm 1
7. Households living in close quarters: https://www.cdc.gov/coronavirus/2019-ncov/daily-
lif'e-co in /livin -in-close- uarters.httiil
8. Living in shared housing: htti)s://www,cdc.gov/coronavirus/2.019-ncov/daily-life-
copinglsliared-housing/index.html
Page 3 of 12
Business Responsibilities
All businesses should assist individuals with personal mitigation strategies including:
1. Opportunities for frequent hand washing
2. Maintaining opportunities for 6 foot distancing between all non-family members.
a. This may include distanced tables, one way entrances, limited capacity
services, and increased outdoor services.
3. Encourage face covering/masks.
4. Screening for people are ill and limiting entrance to those who are healthy.
5. Regular cleaning and extra attention to high touch surfaces.
6. Special accommodations for those at higher risk to help minimize their risk.
Except for as listed below in "Special Populations,"
all mandates have been changed to advisories.
Before businesses open or expand, they should work through relevant CDC guidance and
decision trees (examples below)to help assess risk and mitigate the risk of transmission. They
are also encouraged to follow new industry standards, business best practices, and compliance
with local mandates or restrictions.
It is the responsibility of businesses and organizations to continue to check CDC and industry
guidance to minimize the risk of spreading COVID-19, and to continue to update their protocols
as more is learned about the disease and community transmission levels change.
High Risk Populations and Congregate Settings: Persons in long term care facilities, those in
the custody of the Department of Corrections, residents of remote and isolated villages or
communities with minimal sanitation supplies such as running water or sewer, or those with
crowded living conditions are at greater risk of COVID-19, or greater risk of more severe
consequences of COVID-19. Every effort must be done to limit transmission in these facilities
and geographic areas.an environment where a number of people reside, meet, or gather in close
proximity for either a limited or extended period of time.
According to the CDC, these facilities must remain vigilant for COVID-19 among residents and
staff in order to prevent spread and protect residents and staff from severe infections,
hospitalizations, and death.
While these settings remain high-risk,the CDC recommends:
1. Implementing aggressive social distancing measures;
2. Canceling communal dining and group activities; and
3. Implementing visitor restrictions to restrict all visits except for certain compassionate
care reasons.
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Core practices that should remain in place once facilities begin to reopen include:
• Plan for visitor restrictions;
• Designate an infection control person to provide on-site management of infection control
program;
• Have a plan for testing both residents and staff;
• Provide ongoing education to residents, staff, and visitors about COVID-19 and
protective measures, including not having staff to work when ill;
• Have a staff management plan that includes non-punitive and flexible sick leave policies,
staffing patterns in case of restrictions or shortage, and pre-shift screening;
• Provide supplies needed to adhere to infection prevention and control practices, including
hand hygiene supplies, PPE, environmental cleaning and disinfection with EPA-
registered,hospital-grade disinfectants;
• Have a plan for management of persons who are COVID-positive or status unknown
which includes isolation areas, increased monitoring, and use ofN95 respirators.
Restaurants and Bars: it is important to remember that until a vaccine or therapeutic drug
becomes widely available, plans for reopening should include mitigation of the risk of spread.
This decision tree is a quick reference tool from the CDC.
When reopening or expanding business, restaurants and bars should:
1. Promote social distancing and healthy hygiene practices, such as handwashing and cloth
face coverings. Examples include:
a. Provide drive-through, delivery, or curbside pick-up options, and provide outdoor
seating as much as possible.
b. Provide physical guides to ensure that customers remain six feet apart, and
physical barriers where maintaining distance is difficult(such as sneeze guards
and partitions at host stands).
c. Use touch-free methods of communication, such as replacing "buzzers"with text
notifications of table availability and allowing dine-in customers to order ahead.
d. Avoid any self-serve food or drink options such as buffets, salad bars, and drink
stations.
2. Maintain high standards for cleaning, disinfection, and ventilation. Important actions
include:
a. Cleaning and disinfecting frequently touched surfaces at least daily, and shared
objects between use.
b. Use products that met EPA's criteria for use against SARS-CoV-2.
c. Avoid sharing items as much as possible—use disposable or digital menus, single
serving condiments, touchless payment methods, and disposable food service
items. Sanitize pens between uses.
d. Ensure that ventilation systems operate property and where possible, increase
circulation of outdoor air.
3. Implement a comprehensive staffing and operations plan to prevent spread of the virus.
a. Consider pre-shift screening of staff for symptoms (while protecting staff
privacy);
b. Encourage sick staff to stay home and provide a sick leave policy that is flexible
and non-punitive, as well as telework policies where possible.
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c. Establish an action plan in the event that someone becomes sick—this should
include contact tracing and notifications, notification of authorities, and closing
and properly disinfecting affected areas.
Childcare: safely expanding capacity of childcare facilities is crucial to strengthen the ability of
parents to work. The level of service offered may need to vary depending on the risk factors in
the specific community—in some circumstances, providers may need to limit services to
children of essential workers. In all cases, the following guidance should be considered:
1. Promote social distancing and healthy hygiene practices. Examples include:
a. Teach and reinforce handwashing for children and staff, and face coverings for
staff.
b. Provide adequate supplies of soap, hand sanitizer with at least 60 percent alcohol,
paper towels, and tissues. Children should be supervised if using hand sanitizer.
c. Restrict mixing between groups of children. Limit gatherings and events to those
that support hygiene and distancing standards.
d. Either keep communal spaces closed, or stagger use and disinfect between uses.
e. Avoid sharing—plate childrens' meals individually and use disposable food
service items. Keep children's belongings separated.
f. Ensure adequate supplies to minimize sharing of high-touch materials to the
extent possible (art supplies, equipment etc. assigned to a single child)or limit use
of supplies and equipment by one group of children at a time and clean and
disinfect between uses.
g. Consider staggering arrival and drop-off times or putting in place other protocols
to limit close contact with parents or caregivers as much as possible. Reduce
immediate contact(such as hugging and holding hands) as much as possible.
2. Intensify standards for cleaning, disinfection, and ventilation. Important actions include:
a. Cleaning and disinfecting frequently touched surfaces at least daily, and shared
objects between use.
b. Avoid use of items (for example, soft or plush toys)that are not easily cleaned,
sanitized, or disinfected.
c. Ensure safe and correct application of disinfectants and keep products away from
children.
d. Use products that met EPA's criteria for use against SARS-CoV-2.
e. Ensure that ventilation systems operate property and where possible, increase
circulation of outdoor air.
3. Implement a comprehensive staffing and operations plan to prevent spread of the virus.
a. Consider pre-shift screening of staff for symptoms (while protecting staff
privacy);
b. Encourage sick staff to stay home and provide a sick leave policy that is flexible
and non-punitive, as well as telework policies where possible.
c. Screen children upon arrival and encourage parents to keep sick children home.
d. Establish an action plan in the event that someone becomes sick—this should
include contact tracing and notifications, notification of authorities, and closing
and properly disinfecting affected areas.
Page 6 of 12
Day Camps: these activities provide important peer-to-peer learning and support, as well as
support for parents returning to work. However, the risk of community spread is significant.
Mitigation measures are necessary until a vaccine or therapeutic drug becomes widely available.
Camps may choose to limit operations depending on the transmission rates of the particular
community.
1. Promote social distancing and healthy hygiene practices. Examples include:
a. Teach and reinforce handwashing for children and staff, and face coverings for
staff. Face coverings should be encouraged for campers only when feasible, age-
appropriate, and when social distancing is difficult.
b. Provide adequate supplies of soap, hand sanitizer with at least 60 percent alcohol,
paper towels, and tissues. Children should be supervised if using hand sanitizer.
c. Limit mixing between groups and consider keeping the same groups of children
and the same providers with each group every day.
d. Limit gatherings and events to those that support hygiene and distancing
standards.
e. Space out seating and bedding to six feet apart.
f. Either keep communal spaces closed, or stagger use and disinfect between uses.
g. Avoid sharing—plate childrens' meals individually and use disposable food
service items. Keep children's belongings separated.
h. Ensure adequate supplies to minimize sharing of high-touch materials to the
extent possible (art supplies, equipment etc. assigned to a single child)or limit use
of supplies and equipment by one group of children at a time and clean and
disinfect between uses.
i. Consider limiting nonessential visitors, volunteers, and interactions with other
groups.
j. Consider staggering arrival and drop-off times or putting in place other protocols
to limit close contact with parents or caregivers as much as possible. Reduce
immediate contact(such as hugging and holding hands) as much as possible.
2. Intensify standards for cleaning, disinfection, and ventilation. Important actions include:
a. Cleaning and disinfecting frequently touched surfaces at least daily, and shared
objects between uses.
b. Ensure safe and correct application of disinfectants and keep products away from
children.
c. Use products that met EPA's criteria for use against SARS-CoV-2.
d. Ensure that ventilation systems operate property and where possible, increase
circulation of outdoor air.
3. Implement a comprehensive staffing and operations plan to prevent spread of the virus.
a. Consider pre-shift screening of staff for symptoms (while protecting staff
privacy);
b. Encourage sick staff to stay home and provide a sick leave policy that is flexible
and non-punitive, as well as telework policies where possible.
c. Screen children upon arrival and encourage parents to keep sick children home.
d. Establish an action plan in the event that someone becomes sick—this should
include contact tracing and notifications, notification of authorities, and closing
and properly disinfecting affected areas. Identify an isolation area for anyone
exhibiting symptoms as well as a procedure for safe transportation. Consider
Page 7 of 12
closing for a short time if a person who has been in the building is diagnosed with
COVID-19.
Mass Transit: This essential service continues to carry a heightened risk of community
exposure to the virus. As transportation resumes full service, the following measures can reduce
the level of risk.
1. Implement a comprehensive staffing and operations plan to prevent spread of the virus.
a. Consider assigning workers who are at high risk of severe illness to duties that
minimize contact with others, and conduct worksite hazard assessments to reduce
workplace exposure, in conformity with Occupational Safety and Health
Administration (OSHA) guidelines.
b. Consider pre-shift screening of staff for symptoms (while protecting staff
privacy);
c. Send staff with symptoms home. Provide a sick leave policy that is flexible and
non-punitive, as well as telework policies where possible.
d. Establish an action plan in the event that someone becomes sick—this should
include contact tracing and notifications, notification of authorities, and closing
and properly disinfecting affected areas.
2. Encourage social distancing.
a. Implement measures to physically separate or create distance between occupants
—for example, barriers or markings indicating where occupants should stay to
keep a six foot distance.
b. Install physical barriers between staff and public traffic areas where possible.
3. Promote healthy hygiene practices such as:
a. Cloth face coverings for employees and the public.
b. Provide adequate supplies including soap, hand sanitizer with at least 60 percent
alcohol, paper towels, and no-touch trash cans.
c. Provide employees with PPE when possible.
4. Intensify cleaning, disinfection, and ventilation.
a. Clean and disinfect frequently touched surfaces at least daily, and between uses
when possible.
b. Clean and disinfect operator areas between shifts.
c. Avoid sharing items (such as maps and pens) and use touchless payment, if
possible.
d. Ensure that ventilation systems operate property and where possible, increase
circulation of outdoor air.
Additional important guidance documents can be found at:
1. Businesses and Workplaces: lit(i)s://www.c(ic.gQ
ncov/community/organizations/businesses-employers.html. As workplaces resume
operations it's important to remember that the more an individual interacts with others,
and the longer that interaction, the higher the risk of COVID-19 spread.
2. Gatherings and community events: hops://www.cdc.goy/coronavit-Lis/2.019-
ncov/community/lame-evettt_s/iidex.htinl. Of note, large events pose greater risk of
Page 8 of 12
spread of COVID 19 and local permitting rules must be followed. For any gathering such
as a concert, festival, etc., over 500 people where 6 feet distancing cannot be maintained
at all times with facial coverings, the Division of Public Health should be consulted to
discuss mitigation measures and safety plan.
3. Shared and Congregate Housing: httl2s://www,cdc._gov/coronavirus/2019-
n cov/corn m unity/shared-congxygate-ho use/
4. Community and Faith Based Organizations: https://www.cdc.gov/coronavit-us/2019-.
ncov/communit /or ranizatiottsl uidailee-communit -faith-or anizations.htnil
5. Public Pools,Hot Tubs,and Water Playgrounds During COVID-19:
htt s://www.cdc. ov/coronavirus/2019-ncov/community/ arks-rec/a uatic-venues.html
6. Homeless Service Providers: https://www.cdc.gov/coronavirus/2019-
ncov/communit /homeless-shelters) [an- re are-res ond.htmI
Additional details can be found in"CDC Activities and Initiatives Supporting the
COVID-19 Response and the President's Plan for Opening America Up Again":
htt s://www.cdc. ov/coronavirus/2019-ncov/downloads/ h /CDC-Activities-Initiatives-for-
C_OVID-19-1tesponse.pdf
Page 9 of 12
Community Mitigation Measures
Community mitigation measures are strategies that can help slow the spread of infection, and are
especially important before a vaccine or drug becomes widely available. The following
information is based primarily on two CDC documents. The first document below offers the
most recent and very specific guidance for the communities:
1. CDC Activities and Initiatives Supporting the COVID-19 Response and the President's
Plan for Opening America Up Again
2. Implementation of Mitigation Strategies for Communities with Local COVID-19
Transmission
Because all communities are unique, local characteristics may be useful when considering what
mitigation measures are most appropriate. These characteristics include but are not limited to:
• Travel-associated importations. Is your community at risk?
• Large gatherings. Would it be possible to cancel these events without causing undue
disruption?
• High-risk workplaces and densely populated areas. Does your community have a long-
term care facility?Many long-term care facilities?A correctional facility?A seafood
processing plant?
• Risk for"cryptic transmission." Have residents in your community frequently been
unable to get tested?
• The proportion of your community might qualify as high risk. What proportion of your
community is 65 years and older? What proportion has an underlying medical condition
(such as chronic lung disease, being immunocompromised, or severe obesity)?
• Size of community and population density.
• Level of community engagement/support.
In addition to local characteristics, regional and statewide information may also be useful. The
Alaska Department of Health and Social Services (DHSS)will be continue to be able to provide
state and regional information for communities to consider when making local decisions, and
may add other data as well.
In concert with local data, such as the characteristics listed above, this information can be used to
classify a region or community different as having a different level of disease spread (non-to-
minimal, minimal-to-moderate, of severe)or being in a different phase.
Page 10 of 12
Special Populations
Fishing and Seafood Processing: Given the large influx of people supporting the seafood
industry and risk to rural Alaska, the following rules still apply;
1. Mandate 10 Appendix 01 - Enhanced Protective Measures for Seafood Processing
Workers remains in place. https:Hcovid19.alaska.gov/wp-
content/taploads/2020/05/COVID-MANDATE-10-Appencfi,-01.pcjf
2. Mandate 17 provides standardized protective measures to be followed by all
independent commercial fishing vessels operating within Alaskan waters and ports to
ensure a safe, productive fishing season while protecting communities from the
spread of COVID-19. This mandate and all previously submitted fleet and
association protective plans are still in effect. lit addition, every eJfin.f should he
made to get every worker a COVID PCR test before boarding the vessel.
htt s:/igov.alaska. ov/w -content/u loads/sites/2/C'OVID-19-Health-Mandate-017-
Final.pdf
3. Every effort must be made by industry leaders to follow the guidance for meat
packing and poultry processing as much of the same work applies to the seafood
processing. lilt)s://www.cdc. ov/coronavirus/2019_
ncov/communit /or anizations/meat- oultr - rocessin -workers-em to ers.html
Health care: Given the higher risk of spread in the health care setting there are special
precautions needed to minimize the risk of entrance of COVID into health care facilities. The
Alaska State Medical Board has been working in collaboration with health care providers to
develop guidance to protect patients and providers.
1. Mandate 15 and associated appendices for specific professions remain in effect until
further notice: https-://www.cdc.pov/coronavirus/2019-ileovfhc /us-healthcare-
facilities.html.
2. Every effort must be made by follow the guidance health care facility guidance:
https://www.cdc.gov/coronavirus/2019-ncMov/hcp/us-healthcare-faci lities.htmi.
3. Health care facilities regularly screen and test employees for COVID 19 to prevent
the transmission to vulnerable populations.
Travel: Given Alaska's geographic isolation and expansive size, there are two key strategies to
minimize transmission of COVID-19 into Alaska or between communities within Alaska.
1. Mandate 10—Interstate Travel. It is known that persons who do not display symptoms
can still have the virus. The mandate to quarantine for 14 days upon arrival to Alaska is
based upon the incubation period of the virus, which is 2-14 days. Once a person has
Page 11 of 12
quarantined for 14 days and do not show symptoms, they are not considered at risk for
spreading the virus. Mandate 10 is in effect and requires that any person entering Alaska
must:
a. Submit a Declaration Form at ready.alaska.gov/Form stating their quarantine
location.
b. Proceed directly to the designated quarantine location, and remain in that location
for 14 days (or the duration of the visit, if it is shorter).
e. Stay in the location without leaving for any reason other than medical necessity.
No visitors are allowed. Entering public spaces is prohibited. Public spaces
include sidewalks, public parks and trails, and grocery stores.
Businesses included in Attachment A (Essential Services and Critical Worker
Infrastructure) who have workers traveling interstate must also submit a plan or protocol
for maintaining critical infrastructure to akeoyidpIaris a ak-nrepared.com. Detailed
instructions can be found at https:Hcovidl9.alaska.gov/unified-command/protective-
lp ans/.
Clients who are arriving from out of State to participate in chartered Sport/Personal Use
fishing or hunting do not meet the definition of Critical Infrastructure workers, and must
complete their full 14-day self-quarantine period prior to engaging in their recreational
activity
2. Mandate 18—Intrastate Travel. Many communities in Alaska have limited or no
access to medical care, and thus special precautions must be taken to protect against
outbreaks in these communities. For this reason, Mandate 18 remains in effect.
a. Intrastate travel between communities on the road system (which includes the
Marine Highway System and Inter Island Ferry System) is permitted for all
purposes.
b. Intrastate travel between communities off the road system is prohibited unless the
travel is necessary for critical personal needs or the conduct of essential services
and critical infrastructure.
All businesses, whether Essential Services/Critical hit-r tstr-ucuirc or nott-essential/non-critical,
that have statf traveling to communities off of the ItoadlAMI I5 System must Isle zr nrotcctivc
plan with akeovid laps(ci�ak- r•e ared.coni.
Local communities may enact stricter travel restrictions to protect their community, but no one
traveling between communities for Critical Needs or Essential Services/Critical Infrastructure
can be subjected to any automatic quarantine or isolation on arrival.
Page 12 of 12
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State of Alaska Phase III/IV Advisory Documents
1. Public Facing Businesses Generally (Not including Retail) - Attachment D (5/22/20)
2. Retail - Attachment E (Updated 5/22/20)
3. Restaurants- Attachment F (Updated 5/22/20)
4. Personal Care Services -Attachment G (Updated 5/22/20)
5. Non-Essential Non-Public Facing Business -Attachment H (Updated 5/22/20)
6. Day Camps- Attachment I (Updated 5/22/20)
7. Fishing Charters —Attachment J (Updated 5/22/20)
8. Gyms, Fitness, & Recreational Facilities-Attachment K (Updated 5/22/20)
9. Lodges & Camping- Attachment L (Updated 5/22/20)
10. Graduation Ceremonies-Superintendent Memo (Updated 5/22/20)
11.Social, Religious, & Other Gatherings- Attachment N (Updated 5/22/20)
11. Libraries, Museums, & Archives-Attachment O (Updated 5/22/20)
12. Swimming Pools-Attachment P (Updated 5/22/20)
13. Bars - Attachment Q (Updated 5/22/20)
14. Theatres - Attachment R (Updated 5/22/20)
15. Bowling Alleys - Attachment S (Updated 5/22/20)
16. Bingo Halls - Attachment T (Updated 5/22/20)
17. Organized Sports & Activities-Attachment - Attachment U (Updated 5/22/20)
18. Libraries, Museums, &Archives-Attachment O (Updated 5/22/20)
19. Organized Sports & Activities- Attachment -Attachment U (Updated 5/22/20)
20. Licensed Childcare - Attachment V (Updated 5/22/20)
Non-Essential Public Facing Businesses Generally(Not Including Retail)
Attachment D
ADVISORY DOCUMENT PHASE III-IV
May 22,2020
I. Applicability: This Attachment generally applies to businesses interacting with the
public, which are not included in Alaska Essential Services and Critical Workforce
Infrastructure Order. Retail business guidance is addressed in Attachment E.
II. Non-Essential Businesses can resume operations. The following information is
for the purposes of providing guidance and best practices.
a. Social I7ista17ci11 7:
i. Reservations are encouraged. Walk-ins are permitted. A visitor log is not
necessary, but one that has sufficient information to be able to contact a
visitor should the need arise can be helpful.
ii. It is encouraged to continue having employees, who are in direct contact
with the public, wear cloth face coverings.
iii. Social distancing of at least six feet continues to be a best practice.
iv. Persons with symptoms consistent with COVID-19 should not be on the
premises.
b. Lllygiene Best Practices:
i. Handwashing capability or sanitizer availability is encouraged.
ii. Employees should frequently wash their hands.
C. Staffing:
i. No employee displaying symptoms of COVID-19 will provide services to
customers. Symptomatic or ill employees may not report to work;
ii. No employee may report to the work site within 72 hours of exhibiting a
fever.
iii. Employer must establish a plan for employees getting ill and a return-to-
work plan following CDC guidance, which can be found online at:
htt1www.cdc.gavleo ranavirus/2019-nccrvlcam mu n ity/emu ida nce-business-
resgonse.html.
d. Cleaning and Disinfecting:
i. It is recommended that cleaning and disinfecting continue to be conducted
in compliance with CDC protocols.
ii. When an active employee is identified as being COVID-19 positive by
testing, CDC cleaning and disinfecting must be performed as soon after the
confirmation of a positive test as practical. In lieu of performing CDC
cleaning and disinfecting, businesses may shut down for a period of at least
72 consecutive hours to allow for natural deactivation of the virus, followed
For the latest information on COVID-19, visit coronavirus.alaska.gov
State of Alaska COVID-19 Attachment D
Non-Essential Public Facing Businesses Generally (Not Including Retail)
Page 1 of 2
Non-Essential Public Facing Businesses Generally (Not Including Retail)
Attachment D
ADVISORY DOCUMENT PHASE III-IV
May 22,2020
by site personnel performing a comprehensive disinfection of all common
surfaces.
iii. CDC protocols can be found online at:
https://www.cdc.gov/coronavirus/2019-ncov/communit /guidance-business-
response.html and https://www.cdc.goy/coronavirus/2019-
ncov/corntnunit /disinfectin -buildin -facilit .htinl.
III. Non-Essential Businesses Requiring In-Home Services
a. Applicability: Businesses not falling under the Alaska Essential Services and
Critical Workforce Infrastructure Order(formerly Attachment A)which require
provision of services in a person's home. Examples include, but are not limited to,
installation of products such as windows, blinds, and furniture, non-critical
inspections and appraisals, and showing a home for sale.
b. These businesses can resume operations.
i. Social Distancing:
1. It is encouraged to continue wearing cloth face coverings.
2. Social distancing of at least six feet continues to be a best practice.
3. Persons with symptoms consistent with COVID-19 should not be on
the premises.
ii. Hygiene:
1. All workers should continue to frequently wash hands and/or use hand
sanitizer.
iii. Staff
1. No employee displaying symptoms of COVID-19 will provide
services to customers. Symptomatic or ill employees may not report to
work.
2. No person may work within 72 hours of exhibiting a fever.
For the latest information on COVID-19, visit coronavirus.alaska.Roy
State of Alaska COVID-19 Attachment D -
Non-Essential Public Facing Businesses Generally (Not Including Retail)
Page 2 of 2
Retail Businesses
Attachment E
ADVISORY DOCUMENT PHASE III-IV
May 22, 2020
I. Applicability: This Attachment applies to retail businesses interacting with the public
only, and are not included in the Alaska Essential Services and Critical Workforce
Infrastructure Order(formerly Attachment A).
H. Retail businesses may resume operations.
a. Social Distancing:
i. Social distancing of at least six feet continues to be a best practice.
ii. Continuing to wear cloth face coverings by employees and patrons is
suggested.
iii. Persons with symptoms consistent with COVID-19 should not be on the
premises.
b. Hygiene:
i. Handwashing capability or sanitizer availability is encouraged.
ii. Employees should frequently wash their hands.
c. Staffin O erations:
i. No employee displaying symptoms of COVID-19 will provide services to
customers. Symptomatic or ill employees may not report to work;
ii. No person may work within 72 hours of exhibiting a fever;
iii. Employer must establish a plan for employees getting ill and a return-to-work
plan following CDC guidance, which can be found online at:
htt s://www.cdc.gov/coronavii-Lis/2019-ncov/community/guidance-business-
ivspo nse.htm 1.
d. Cleaning and Disinfectin
i. It is recommended that cleaning and disinfecting continue to be conducted in
compliance with CDC protocols.
ii. When an active employee is identified as being COVID-19 positive by testing,
CDC cleaning and disinfecting must be performed as soon after the
confirmation of a positive test as practical. In lieu of performing CDC
cleaning and disinfecting, retail businesses may shut down for a period of at
least 72 consecutive hours to allow for natural deactivation of the virus,
followed by site personnel performing a comprehensive disinfection of all
common surfaces.
For the latest information on COVID-19, visit coronavirus.alaska.gov
State of Alaska COVID-19 Attachment E
Retail Business
Page 1 of 2
Retail Businesses
Attachment E
ADVISORY DOCUMENT PHASE III-IV
May 22,2020
iii. CDC protocols can be found online at:
1111p,: '\��,\4N.ccic.L,,(,v/coronav_irLis," 114-iico\,!ccx3imunity/t ilidance-business-
1�,�[?17;�.11cnlI and hl�i7 alwv��ti•�[I� [: ,<< ll.l� it il,;:.'.S)I[)_
fiinl 'L't?[111T11lIllfl'[il�lll�til41 _ h�li1[1in Ea;ll��.kl�lril.
For the latest information on COVID-19, visit coronav irus.alaska.€,ov
State of Alaska COVID-19 Attachment E
Retail Business
Page 2 of 2
Restaurants Dine-In Services
Attachment F
ADVISORY DOCUMENT PHASE III-IV
May 22, 2020
I. Applicability: This Attachment applies to restaurants only. Bars are addressed in
Attachment Q.
II. Restaurants may resume table service dining.
a. General:
i. Continue to follow all regulatory and legal standards required to operate a
food services business in Alaska.
ii. Buffets and salad bars are open to self-service.
b. Social Distancing
i. It is encouraged to continue having employees, who are in direct contact
with the public, wear cloth face coverings.
ii. Social distancing of at least six feet continues to be a best practice.
iii. Persons with symptoms consistent with COVID-19 should not be on the
premises.
e. Operations:
i. Reservations are encouraged. Walk-ins are permitted. A visitor log is not
necessary, but one that has sufficient information to be able to contact a
visitor should the need arise can be helpful.
ii. It is encouraged that cloth face coverings be worn by all employees
interacting with the public.
d. I-lygiene Best Practices:
i. Handwashing capability or sanitizer availability is encouraged.
ii. Employees should frequently wash their hands.
e. Staffing:
i. No employee displaying symptoms of COVID-19 may provide services to
customers. Symptomatic or ill employees may not report to work;
ii. No employee may report to the work site within 72 hours of exhibiting a
fever.
iii. Employer must establish a plan for employees getting ill and a return-to-
work plan following CDC guidance, which can be found online at:
ilI t t)s.:j/,ww w c uoVf C:C]V1[OI11 Ill U Ili N/t,ILJidaiiiEe-business-
r��5por1„�.
f. Cleaning and Disinfecting:
i. It is recommended that cleaning and disinfecting continue to be conducted
in compliance with CDC protocols.
ii. When an active employee is identified as being COVID-19 positive by
testing, CDC cleaning and disinfecting must be performed as soon after
For the latest information on COVID-19, visit coronavirus.alaska.gov
State of Alaska COVID-19 Attachment F
Restaurants Dine-In Services
Page 1 of 2
Restaurants Dine-In Services
Attachment F
ADVISORY DOCUMENT PHASE III-IV
May 22,2020
the confirmation of a positive test as practical. In lieu of performing CDC
cleaning and disinfecting, restaurant businesses may shut down for a
period of at least 72 consecutive hours to allow for natural deactivation of
the virus, followed by site personnel performing a comprehensive
disinfection of all common surfaces.
iii. CDC protocols can be found online at:
htt s://www.ede. ov/coronavirus/2019-ncov/communit / uidance-
bLEsiness-re,Vonse.html and https://www.cdc.pov/coronav_i,rus/2019-
ncov/communit /disinfectin buildin facilit .html.
For the latest information on COVID-19, visit coronavirus.alaska.gov
State of Alaska COVID-19 Attachment F
Restaurants Dine-In Services
Page 2 of 2
Personal Care Services
Attachment G
ADVISORY DOCUMENT PHASE III-IV
May 22,2020
I. Applicability: This Attachment applies to personal care services including, but not
limited to, the following business types:
i. Hair salons and hairdressers;
ii. Day spas, permanent cosmetic colorists, estheticians, and esthetics locations;
iii. Nail salons and manicurists;
iv. Barber shops and barbers;
v. Tattoo shops and tattoo artists;
vi. Body piercing locations and body artists;
vii. Tanning facilities;
viii. Rolfing;
ix. Reiki;
x. Lactation consultants;
xi. Acupressure.
II. Personal Care Services can resume.
a. C oniphance witl7 l,icensii?e and Board Direction;Nothing in this advisory
document or any attachment shall be construed to waive any existing statutory,
regulatory, or licensing requirements applicable to providers or businesses
operating under this attachment. Service providers should consult their licensing
board for additional direction on standards for providing services.
b. Business owners and licensees of state boards may opt to require more stringent
safety and sanitation measures when reopening.
c. Social Distancing:
i. Reservations are encouraged. Walk-ins are permitted. A visitor log is not
necessary, but one that has sufficient information to be able to contact a visitor
should the need arise can be helpful.
ii. It is encouraged to continue having employees, who are in direct contact with
the public, wear cloth face coverings.
iii. Social distancing of at least six feet continues to be a best practice.
iv. Persons with symptoms consistent with COVID-19 should not be on the
premises.
d. Hygiene Best Practices:
i. Licensees of the Board of Barbers and Hairdressers are required to follow all
safety and sanitation statutes and regulations. The links below provide every
day and COVID-19 compliance information.
For the latest information on COVID-19, visit coronavirus.alaska.g_ov,
State of Alaska COVID-19 Attachment G
Personal Care Services
Page I of 2
Personal Care Services
Attachment G
ADVISORY DOCUMENT PHASE III-IV
May 22,2020
1. litt s:/Iwww.coinmerce.alaska.7ov/web/ ortals/51 ub/Baildl-1Statiltes
pddf
2. https://www.cominerce.alaska.gov/web/poi-tals/5/pLib/bah 18AAC.2
3.pdf
3. https://dec.alaska.gov/media/1054/18-aac-90.pdf
ii. Any sanitation protocols required in state licensing statutes or regulations that
are more stringent than those listed in this attachment must be followed.
iii. Persons with symptoms consistent with COVID-19 should not be on the
premises.
e. Staffing/Operations:
i. Contractors, such as booth renters, are responsible for providing their own
equipment and for maintaining all shop safety and sanitation requirements
during the hours they are working.
ii. Licensed schools may reopen.
iii. No employee displaying symptoms of COVID-19 will provide services to
customers. Symptomatic or ill employees may not report to work.
iv. No employee may report to the work site within 72 hours of exhibiting a
fever.
v. Employer must establish a plan for employees getting ill and a return-to-work
plan following CDC guidance, which can be found online at:
https:/Iwww.cdG.gov/coronavirus/201.9-ncov community/g-uidance-business-
response.html
£ Cleaning and Disinfecting
i. It is recommended that cleaning and disinfecting continue to be conducted in
compliance with CDC protocols.
ii. When an active employee is identified as being COVID-19 positive by testing,
CDC cleaning and disinfecting must be performed as soon after the
confirmation of a positive test as practical. In lieu of performing CDC cleaning
and disinfecting, businesses may shut down for a period of at least 72
consecutive hours to allow for natural deactivation of the virus, followed by
site personnel performing a comprehensive disinfection of all common
surfaces.
iii. CDC protocols can be found online at: https://www.cdc.gov/coronavirus/2019-
ncov/communit / uidance-business-res onse.htinl and
https://www.edc, og_v/coronayirus/2019-neov/community/disinfecting-buifdin -
facility.html.
For the latest information on COVID-19, visit laska.gov
State of Alaska COVID-19 Attachment G
Personal Care Services
Page 2 of 2
Non-Essential Non-Public-Facing Businesses
Attachment H
ADVISORY DOCUMENT PHASE III-IV
I. Applicability: This Attachment applies to businesses not interacting with the public
and which are not included in the Alaska Essential Services and Critical Workforce
Infrastructure Order(formerly Attachment A).
II. Non-Public-Facing Businesses may resume operations.
a. Social Distancing:
i. It is encouraged to continue having employees, who are in direct contact with
the public, wear cloth face coverings.
ii. Social distancing of at least six feet continues to be a best practice.
iii. Persons with symptoms consistent with COVID-19 should not be on the
premises.
b. Hygiene Best Practices:
i. Handwashing capability or sanitizer availability is encouraged.
ii. Employees should frequently wash their hands.
c. Staffing:
i. No employee displaying symptoms of COVID-19 will provide services to
customers. Symptomatic or ill employees may not report to work.
ii. No person may work within 72 hours of exhibiting a fever.
iii. Employer must establish a plan for employees getting ill and a return-to-work
plan following CDC guidance, which can be found online at:
https://www.cdc.gov/coronavirus/2019-ncov/community/guidance-business-
res ponse.htm I.
d. Cleaning and Disinfecting:
i. It is recommended that cleaning and disinfecting continue to be conducted in
compliance with CDC protocols.
ii. When an active employee is identified as being COVID-19 positive by testing,
CDC cleaning and disinfecting must be performed as soon after the
confirmation of a positive test as practical. In lieu of performing CDC
cleaning and disinfecting, businesses may shut down for a period of at least 72
consecutive hours to allow for natural deactivation of the virus, followed by
site personnel performing a comprehensive disinfection of all common
surfaces.
iii. CDC protocols can be found online at:
https://www,cdc.gov/coronavii-,t-i�."'(]I Ill Wl i! /: iti Kl,mcc-business-
response.html and httt)s://www.cdc. m coroii�ivirus/2019-
ncov/cominunit /disinfectin -biii1(tin_—ilicl1it%.Iitni1.
For the latest information on COVID-19, visit coronavirus.alaska.gov
State of Alaska COVID-19 Attachment H
Non-Essential Non-Public-Facing Businesses
Page 1 of 1
Day Camps
Attachment I
ADVISORY DOCUMENT PHASE III-IV
May 22,2020
I. Purpose: This Attachment is intended to allow people to return to the workforce, and
for children to resume social activities, while still protecting public health.
H. Operations:
a. SocialwDistatic.ing:,
i. Social distancing(a minimum of six feet) should be encouraged whenever
possible with an understanding on limitations in social distancing in young
children.
ii. Activities should be held outside whenever feasible.
iii. Day camps that offer napping for young children should consider social
distancing during rest times and should sanitize sleeping area after use.
iv. Camp must explain health guidelines to all children and staff, in an age-
appropriate manner.
v. Persons with symptoms consistent with COVID-19 should not be on the
premises.
b. Capacity:
i. For any attendees who come from out-of-state or have recently traveled
out-of-state, camp will require affirmation from the parent or guardian that
the child has completed the 14-day quarantine requirement prior to
participation after arriving in the community until that requirement is
lifted.
c. I_Iygiene Best Practices:
i. Handwashing capability or available hand sanitizer is encouraged.
ii. Employees should frequently wash their hands.
iii. Camp should encourage frequent handwashing or use of hand sanitizer, if
handwashing is not available, by the children.
d. Staffin O erations.
i. It is encouraged to continue having employees, who are in direct contact
with the public, wear cloth face coverings.
ii. Cloth face coverings are prohibited on babies and children under the age
of two due to the danger of suffocation, but cloth face coverings could be
encouraged in older children.
iii. Camp must supervise young children when using hand sanitizer.
iv. Camp must communicate to parents or guardians the importance of
keeping children home when they are sick. No child may return to camp or
facility within 72 hours after last fever.
For the latest information on COVID-19, visit coronavirus.alaska.gov
State of Alaska COVID-19 Attachment I
Day Camps
Page 1 of 2
Day Camps
Attachment I
ADVISORY DOCUMENT PHASE III-IV
May 22,2020
v. No personnel displaying symptoms of COVID-19 will provide services to
customers. Symptomatic or ill personnel may not report to work.
vi. No personnel may report to the work site within 72 hours of exhibiting a
fever.
vii. Camp must establish a plan for personnel getting ill and a return-to-work
plan following CDC guidance, which can be found online at:
htt s:l/rvww.cdc. ov/coronavii Gts/2019-ncov/cUmmunit / uidance-
bus iness-response.html.
e. Cleaning and Disinfecting:
i. It is recommended that cleaning and disinfecting continue to be conducted
in compliance with CDC protocols.
ii. When an active staff member or participant is identified as being COVID-
19 positive by testing, CDC cleaning and disinfecting must be performed
as soon after the confirmation of a positive test as practical. In lieu of
performing CDC cleaning and disinfecting, camps may shut down for a
period of at least 72 consecutive hours to allow for natural deactivation of
the virus, followed by staff performing a comprehensive disinfection of all
common surfaces.
iii. CDC protocols can be found on line at:
https://www.edc.jzov/coronavirus/2019-ncov/communit / uidance-
business-response.htmI and https://www.cdc.gov/coj-onavirus/lt019-
ncov/community/disinfecting-building-facil ity.htm 1.
For the latest information on COVID-19, visit coronavirus.alaska.gov
State of Alaska COVID-19 Attachment I
Day Camps
Page 2 of 2
Fishing Charters
Attachment J
ADVISORY DOCUMENT PHASE III-IV
May 22, 2020
I. Applicability: This Attachment applies to day fishing charter operations.
II. Day fishing charters can resume operations:
a. Social Distancing:
i. It is encouraged to continue having employees, who are in direct
contact with the public, wear cloth face coverings.
ii. Social distancing of at least six feet continues to be a best practice. If
this is not possible, crewmember and patrons must maintain as much
social distancing as allowed on the vessel, depending on its size and
configuration. Passengers and crewmembers from the same household
are not required to social distance from each other.
iii. Persons with symptoms consistent with COVID-19 should not be on
the vessel.
b. l ygjeiie BesE_['ractices:
i. Handwashing capability or sanitizer availability is encouraged.
ii. Employees should frequently wash their hands.
c. Staffing:
i. No crewmembers displaying symptoms of COVID-19 may provide
services to customers. Symptomatic or ill employees may not report to
work.
ii. No crewmember may report to the work site within 72 hours of
exhibiting a fever.
iii. Employer must establish a plan for employees getting ill and a return-to-
work plan following CDC guidance, which can be found online at:
hujis,-Ov\�i%.ctfc.govfcoronavirus/2019-neov/community/guidance-
busi ries,,,-i.cstioiise.litm 1.
d. Cleaninp,and Disinfecting:
i. It is recommended that cleaning and disinfecting continue to be
conducted in compliance with CDC protocols.
ii. When an active employee is identified as being COVID-19 positive by
testing, CDC cleaning and disinfecting must be performed as soon after
the confirmation of a positive test as practical. In lieu of performing
CDC cleaning and disinfecting, vessels or facilities may shut down for a
period of at least 72 consecutive hours to allow for natural deactivation
of the virus, followed by site personnel performing a comprehensive
disinfection of all common surfaces.
For the latest information on COVID-19, visit C01_011,1a ii`us.tilasl.t�.�cn
State of Alaska COVID-19 Attachment J
Fishing Charters
Page 1 of 2
Fishing Charters
Attachment J
ADVISORY DOCUMENT PHASE III-IV
May 22,2020
iii. CDC protocols can be found online at:
httos://www.cdc.gov/coronavirus/2019-ncov/communit / uidance-
business-response.htm l and httDs://www.edc. og_v/coronav irus/2019-
ncov/coenmunit /disinfecting-buildin -facility.html.
For the latest information on COVID-19, visit coronavirus.alaskagov
State of Alaska COVID-19 Attachment J
Fishing Charters
Page 2 of 2
Gyms,Fitness Centers, Sports,and Recreational Facilities
Attachment K
ADVISORY DOCUMENT PHASE III-IV
May 22,2020
I. Applicability: This Attachment applies to gyms, fitness businesses, and sports and
recreational facilities (collectively"athletic facilities"). Examples include, but are not
limited to: hockey rinks; indoor fields and tracks; yoga, dance, rock climbing,
cycling, and gymnastics studios. This Attachment does not apply to pools or pool
activities; the Advisory Document for those facilities is Attachment P.
II. Classes, training, and activities by gyms and fitness businesses may resume
operations.
a. Social Distancing:
i. Reservations are encouraged, as appropriate. Walk-ins are permitted. A
visitor log is not necessary, but one that has sufficient information to be able
to contact a visitor should the need arise can be helpful.
ii. If possible, when not exercising, social distancing of a minimum of six feet
should be maintained.
iii. It is encouraged to continue having employees,who are in direct contact
with the public, wear cloth face coverings.
iv. Persons with symptoms consistent with COVID-19 should not be on the
premises.
b. I Ives ienc Hest Practiccs:
L Handwashing capability or sanitizer availability is encouraged.
ii. Employees should frequently wash their hands.
iii. Athletic facilities must comply with CDC guidelines to the maximum
extent possible:
https://www.edc.gov/m rsa/community/env i ron ment/ath let ic-
facilities.html.
c. Staffin LOOperations:
i. A visitor log is not necessary, but one that has sufficient information to be
able to contact a visitor should the need arise can be helpful.
ii. No employee displaying symptoms of COVID-19 may provide services to
customers. Symptomatic or ill employees may not report to work.
iii. No employee may report to the work site within 72 hours of exhibiting a
fever.
iv. Employer must establish a plan for employees getting ill and a return-to-
work plan following CDC guidance, which can be found online at:
https://www.cdc.gov/coronav irus/2019-neov/comm un ity/P-u idance-business-
response.html. -
For the latest information on COVID-19, visit coronavirus.alaska.gvv
State of Alaska COVID-19 Attachment K
Gyms and Fitness Centers
Page 2 of 3
Gyms, Fitness Centers, Sports, and Recreational Facilities
Attachment K
ADVISORY DOCUMENT PHASE III-IV
May 22,2020
d. Cieaiiiiif_,,ami Disinlcctiiiu:
i. It is recommended that cleaning and disinfecting continue to be conducted
in compliance with CDC protocols.
ii. When an active employee is identified as being COVID-19 positive by
testing, CDC cleaning and disinfecting must be performed as soon after the
confirmation of a positive test as practical. In lieu of performing CDC
cleaning and disinfecting, the athletic facility may shut down for a period of
at least 72 consecutive hours to allow for natural deactivation of the virus,
followed by site personnel performing a comprehensive disinfection of all
common surfaces.
iii. CDC protocols can be found online at:
https://www.cdc.gov/coronavirus/2019-ncov/communit /p,uidance-business-
response.html and hulas://www.ccic.Rtav/coronayirus/2019-
ncov/community/disink'eq[gg building-facility.html.
e. Mixed Activity/Use: The Advisory Document for Attachment E applies if there
are retail services provided on-site, such as a gift store or convenience store. The
Advisory Document for Attachment F applies if there are restaurant/dining
services provided on—site.
For the latest information on COVID-19, visit coronavirus.alaskago—v
State of Alaska COVID-19 Attachment K
Gyms and Fitness Centers
Page 2 of 3
Lodging and Overnight Camping
Attachment L
ADVISORY DOCUMENT PHASE III-IV
May 22,2020
I. Applicability: This Attachment applies to camping and lodging facilities and areas,
including, but not limited to:
a. Overnight cabins for rental;
b. RV parks;
c. Tent sites;
d. Privately-owned campgrounds;
e. Bed and breakfasts;
f. Hotels, motels, and inns.
I. The above businesses may resume operations.
a. Social Distancing:
i. Reservations are encouraged. Walk-ins are permitted.A visitor log is not
necessary, but one that has sufficient information to be able to contact a visitor
should the need arise can be helpful.
ii. It is encouraged to continue having employees, who are in direct contact with
the public, wear cloth face coverings.
iii. Social distancing of at least six feet continues to be a best practice.
iv. Persons with symptoms consistent with COVID-19 should not be on the
premises.
b. Hygiene Best Practices:
i. Handwashing capability or sanitizer availability is encouraged.
ii. Employees should frequently wash their hands.
c. Staffing:
i. No employee displaying symptoms of COVID-19 may provide services to
customers. Symptomatic or ill employees may not report to work;
ii. No employee may report to the work site within 72 hours of exhibiting a
fever.
iii. Employer must establish a plan for employees getting ill and a return-to-work
plan following CDC guidance, which can be found online at:
l�ttps:/�v+�w�v.cde. c?v�cnro��rtvir'�rJ2019 fICOVfc011111101)1l/RL1klaIICO bLtsietess-
r�,sl�ortse.it irril..
d. Cleaning and Disinfecting:
i. It is recommended that cleaning and disinfecting continue to be conducted in
compliance with CDC protocols.
ii. When an active employee is identified as being COVID-19 positive by testing,
CDC cleaning and disinfecting must be performed as soon after the
confirmation of a positive test as practical. In lieu of performing CDC
cleaning and disinfecting, businesses may shut down for a period of at least 72
consecutive hours to allow for natural deactivation of the virus, followed by
For the latest information on COVID-19, visit coronavinis.alaskagoov-
State of Alaska COVID-19 Attachment L
Lodging and Overnight Camping
Page 1 of 2
Lodging and Overnight Camping
Attachment L
ADVISORY DOCUMENT PHASE III-IV
May 22,2020
site personnel performing a comprehensive disinfection of all common
surfaces.
iii. CDC protocols can be found online at: ttps://www.edc.p-ov/coronavirus/2019-
ncoy/com in u n ity/gu i dance-b usiness-response.htm I and
htt s://www.cdc. ov/coronavirus/2019-ncov/commtitiit /disinfectin -
building-facility.htm1.
II. Mixed Businesses/Application of Other Attachments
a. If there is a dine-in restaurant on site, then Advisory Document Attachment F also
applies.
b. If there are retail services provided on-site, such as a gift store or convenience
store, then Advisory Document Attachment E also applies.
For the latest information on COVID-19, visit coronavirus.alaska.gov
State of Alaska COVID-19 Attachment L
Lodging and Overnight Camping
Page 2 of 2
u aF THE STATE De�pa rtu� e nt of Education
Eariy Development
ALASKA OFFICE OF THE COMMISSIONER
GOVERNOR MIKE DUNLEAVY P.O.Box 110500
Juneau,Alaska 99811-0500
A z AS Main:907.465.2800
TTY/T D D:907.465.2815
Fax 907.465.4156
MEMORANDUM
TO: Superintendents
FROM: Dr. Michael Johnson, Commissioner �r
DATE: April 23, 2020
SUBJECT: Guidance on 2019-2020 Graduation Ceremonies
With approval from the Alaska Department of Health and Social Services, below is guidance for
school districts' consideration regarding conducting graduation ceremonies during the COVID-19
pandemic.
Educational institutions may conduct graduation ceremonies by following social distancing
requirements: groups of less than 20 people, individuals must be 6 feet apart, non-speaking
personnel must wear face coverings,and no physical interaction between participants.
The following are ideas for consideration:
I. Virtual or Live-Streaming Ceremonies:
• An educational institution may conduct a virtual ceremony by live-streaming to
participants.
® Up to 20 staff members (including any speakers) may be present at the location in
order to organize and conduct the ceremony. Social distancing requirements
must be followed. Face coverings must be worn by non-speaking personnel. If
there is singing or projecting of voice, then a minimum of 10 feet between each
person must be observed.
II. In-Person Ceremonies:
• In either of the below in-person ceremony types, the educational institution may
arrange for students to be present to physically receive their diplomas, subject to
the following requirements necessary to protect the public health, safety, and
welfare:
I. In-person ceremonies must be groups of less than 20 people.
ii. The institution must ensure social distancing of 6 feet between every
individual, and 10 or more feet between any speaker or singer and other
individuals.
Page 1 of 3
iii. The institution must enact a clear protocol for dispersal of students after
diploma collection that complies with social distancing requirements.
o If a student has household members observing from a vehicle, the
student may proceed directly to that vehicle.
iv. All participants must wear face coverings.
v. Diplomas may be conferred in the following manner:
o Those who touch the diplomas or shared surfaces must wear
gloves and face coverings.
o The diploma should be placed on a surface at least 6 feet away
from students waiting to be called.
o The individual handling the diploma must move to a place at least
6 feet away from the surface.
o The student's name can then be announced.
o The student will collect the diploma from the surface and proceed
to a designated area to maintain social distancing requirements.
o Once the student is at least 6 feet away,the next diploma may be
placed and another student's name called.
Example A: Drive-In Ceremonies
® Educational institutions may conduct "drive-in" ceremonies, where onlookers
gather in their vehicles at the designated location and participate in the
ceremony by remote means, subject to the following requirements necessary to
protect the public health, safety, and welfare:
i. Onlookers may leave their homes to travel by vehicle to and from the
school/ceremony facility, and must remain in their vehicle at all times.
ii. Each vehicle may only hold members of the same household.
iii. Vehicles must be parked with 6 feet of separation between vehicles.
o This will be ensured by clearly marked parking stalls or directed by
parking lot staff wearing reflective clothing and face coverings.
iv. Onlookers may not interact physically with school personnel or
participants in other vehicles.
Up to 20 staff members (including any speakers) may be present at the location in
order to organize and conduct the ceremony. Social distancing requirements
must be followed. Face coverings must be worn for non-speaking personnel. If
there is singing or projecting of voice, then a minimum of 10 feet between each
person must be observed.
Example B: Walk-Through Ceremonies
■ Educational institutions may set up a protocol to allow students and a small
group (less than 10) of family members from their own household to enter a
facility at regular intervals to proceed to a designated photo and/or video area to
pick up diplomas from a table.
• An example from one high school:
i. To receive diplomas, students will walk in the high school office entrance
with no more than four family members from their own household. Staff
with masks, staged at regular intervals of no less than 6 feet apart, will
acknowledge students warmly from a distance of over 6 feet and show
them the direction they should go, only allowing the graduate/family to
Page 2 of 3
move along the graduate circuit through the music room, into the gym
(see diagram below). Graduates will then separate from their family once
onto the court (family going mid-court to take photos, students to the
stage to collect diplomas). Once on stage, students will smile from a 6 foot
distance to the Board President, Superintendent, and Principal (who are
all over 6 feet apart from one another).The student's diploma will have
been sanitized with a Lysol wipe when placed on a table. The student will
pick up their diploma and pose for pictures. We will have a paid
photographer to take pictures at a safe distance from family members
who may also be taking pictures. Students will then walk off stage, meet
up with family members, and walk out of the gym for to-go refreshments
in the commons. They will then be ushered by staff out of a different
hallway and door than the one they entered.
ii. Three unmanned video cameras will be set up to record the graduation.
We will edit the footage of graduates receiving their diplomas and
combine it with other pre-recorded events, such as the speeches and the
senior slideshow, for later online viewing.
Page 3 of 3
Social, Religious, and Other Gatherings
Attachment N
ADVISORY DOCUMENT PHASE III-IV
May 22,2020
i
I. Applicability: This Attachment applies to all gatherings of individuals and social
organizations.
II. Social Distancing Protocols for Individuals:
a. 1N'1()W Crnent OLIN& the 11()[11C.
i. Individuals are not required to stay home.
ii. Individuals frequenting businesses may find that businesses have set forth
their own requirements applicable to patronizing that business.
iii. It is encouraged to continue,when in public spaces, efforts to maintain at
least a six foot distance from other individuals.
iv. In all gatherings that include multiple households, it is suggested that cloth
face coverings be worn by all participants. See Health Alert 010 for
helpful information on cloth face coverings. This can be found online at:
htIV.//dhss.alaska.gov/dph/EpL/id/SiteAssets/PWs/HumaiiCoV/SOA 040
32020 HeaIthAlert010 Cloth FaceCoverin s. df
b. Symptomatic Individuals:
i. Any family member who is ill with COVID-19 must be immediately
isolated in their home or other permitted place of isolation. See
htt s://www.gd oov/coronavirus/2019-neov/hc / uidance- revent-
spread.hhn 1#precautions.
ii. Any individual who exhibits symptoms of COVID-19 illness must not
leave their home or place of dwelling within 72 hours of their last fever,
including to work, except as necessary to seek or receive medical care.
Individuals who are symptomatic, but did not manifest a fever, must not
leave their home or dwelling place until they no longer exhibit symptoms.
iii. Any individual who exhibits symptoms of illness may not participate in
gatherings that include non-household members for at least 72 hours past
their last fever. Individuals who are symptomatic, but did not manifest a
fever, must not leave their home or dwelling place until they no longer
exhibit symptoms.
iv. Individuals who have known exposure to a person who has tested positive
for COVID-19 shall self-quarantine for 14 days following the last
exposure, and shall not participate in any gatherings with non-household
members.
For the latest information on COVID-19, visit coronavirus.alaska,gov
State of Alaska COVID-19 Attachment N
Social, Religious and other Gatherings
Page 1 of 2
Social, Religious, and Other Gatherings
Attachment N
ADVISORY DOCUMENT PHASE III-IV
May 22,2020
III. Guidance for Social and Other Gatherings, Generally:
For Indoor gatherings:
a. This section applies broadly to any types of gatherings, including political, union,
fundraising, or other group events, as well as meetings of individuals from
different households.
b. Social distancing of at least six feet continues to be a best practice.
c. It is encouraged to continue wearing cloth face coverings when attending
gatherings. See Health Alert 010 for helpful information on cloth face coverings.
htt ://dhss,alaska. ov/d h/E i/id/SiteAssets/Pa es/1-IufnanCoV/SOA 04032020
HealthAlertOlO Cloth FaceCoverings.pdf.
d. If the event is being held in a building that is open to the public, and not an
individual's home:
i. Persons with symptoms consistent with COVID-19 should not be on the
premises.
ii. Frequent handwashing by staff and volunteers is encouraged.
For Outdoor Gatherings:
a. Social distancing of at least six feet continues to be a best practice.
IV. Additional Guidance for Religious Gatherings:
For Indoor/In-Person Services:
a. Gatherings may include members from different households.
b. Social distancing of at least six feet continues to be a best practice.
i. Wearing cloth face coverings at gatherings including non-household
members, is encouraged, when possible.
ii. The organizer or facility must provide handwashing or sanitizer.
iii. Persons with symptoms consistent with COVID-19 should not be on the
premises.
iv. Handwashing capability or sanitizer availability is encouraged.
v. Establish protocols for sacrament, communion, or collecting offering with
minimal handling of the offering plate and money.
vi. Handwashing capability or sanitizer availability is encouraged.
For Outdoor Services:
a. Further guidance for community and faith-based organizations can be found at:
htt s://www.cdc. ov/coronavirus/2019-ncov/communit /or gnizations/index.html.
For the latest information on COVID-19, visit coronavirus.alaska.gov
State of Alaska COVID-19 Attachment N
Social, Religious and other Gatherings
Page 2 of 2
Libraries, Museums, and Archives
Attachment O
ADVISORY DOCUMENT PHASE III-IV
May 22, 2020
I. Applicability: This Attachment applies to all libraries, museums, and archives.
II. Libraries,archives, and museums may resume operations.
a. General:
i. It is encouraged to continue having employees, who are in direct contact with
the public, wear cloth face coverings.
ii. Social distancing of at least six feet continues to be a best practice.
iii. Persons with symptoms consistent with COVID-19 should not be on the
premises.
b. Hygiene Best.Practices:
i. Handwashing capability or sanitizer availability is encouraged.
ii. Employees should frequently wash their hands.
c. Staffing/Operations:
i. No employee displaying symptoms of COVID-19 may provide services to
the public. Symptomatic or ill employees may not report to work.
ii. No employee may work within 72 hours of exhibiting a fever.
iii. Employer must establish a plan for employees getting ill and a return-to-
work plan following CDC guidance, which can be found online at:
https:l/www.edc.gov/coronavirLIs/2019-ncov/coinmunit /widance-business-
res onse.html.
d. Cleaning and Disinfecting:
i. It is recommended that cleaning and disinfecting continue to be conducted in
compliance with CDC protocols.
ii. When an active employee is identified as being COVID-19 positive by testing,
CDC cleaning and disinfecting must be performed as soon after the
confirmation of a positive test as practical. In lieu of performing CDC
cleaning and disinfecting, the library, archive, or museum may shut down for
a period of at least 72 consecutive hours to allow for natural deactivation of
the virus, followed by site personnel performing a comprehensive disinfection
of all common surfaces.
iii. CDC protocols can be found online at:
https://www.cdc.gov/coronavirL[s/2019-ncov/com1-nLinit /guidance-btisiness-
response.html and https://www.cdc.gov/coronavirus/2019-
ncov/com.munit /disinfectin -btiildin facilit .htinl.
For the latest information on COVID-19, visit coronavirus.alaska.gov
State of Alaska COVID-19 Attachment O
Libraries, Museums, and Archives
Page 2 of 2
Libraries,Museums, and Archives
Attachment O
ADVISORY DOCUMENT PHASE III-IV
May 22, 2020
III. Mixed Businesses/Application of Other Attachments
a. Stores that operate within a library, archives, or museum are subject to the Advisory
Document of Attachment E Retail Businesses.
b. Cafes that operate within a library, archives, or museum are subject to the Advisory
Document for Attachment F Restaurants Dine-In Services.
c. Public gatherings and rentals of spaces within a library, archives, or museum are
subject to the Advisory Document for Attachment N Social, Religious, and Other
Gatherings.
For the latest information on COVID-19, visit con)iiiivirus.,iIuis L}.L�or
State of Alaska COVID-19 Attachment O
Libraries, Museums, and Archives
Page 2 of 2
Swimming Pools
Attachment P
ADVISORY DOCUMENT PHASE III-IV
May 22,2020
I. Applicability: This Attachment applies to pools and swim facilities, including
facilities hosting swim clubs or teams, whether stand-alone or pools that are
associated with a business offering other services (such as a gym or hotel).
II. Pools can resume operations.
a. Social Disiaiicili>;:
i. It is encouraged that cloth face coverings be worn by all patrons and
employees, except when in the water.
ii. It is encouraged to continue having employees, who are in direct contact
with the public, wear cloth face coverings.
iii. Social distancing of at least six feet continues to be a best practice.
iv. Persons with symptoms consistent with COVID-19 should not be on the
premises.
V. No participant may use the facility or join an outdoor swim activity within
72 hours of exhibiting a fever.
b. Hygiene Protocols:
i. Handwashing capability or sanitizer availability is encouraged.
ii. Employees should frequently wash their hands.
iii. Pool, deck, and other communal spaces must be fully sanitized prior to
opening each day.
C. Staffng:
i. Employer must provide training for employees regarding these
requirements and provide each employee with a copy of the business
mitigation plan.
ii. Employer must conduct pre-shift staff screening and maintain a staff
screening log.
iii. No employee displaying symptoms of COVID-19 may provide services to
the public. Symptomatic or ill employees may not report to work.
iv. No employee may report to the work site within 72 hours of exhibiting a
fever.
V. Employer must establish a plan for employees getting ill and a return-to-
work plan following CDC guidance, which can be found online at:
I]11�7ti.� R 11"11.CC1C. 'S71 'i ii!'Uil 11 iris"O I Q-Ilcov•'Cu ill III till if W'/ LIILI11lIcc-
For the latest information on COVID-19, visit coronavirtis.alaskagooy_
State of Alaska COVID-19 Attachment P
Swimming Pools
Page 1 of 2
Swimming Pools
Attachment P
ADVISORY DOCUMENT PHASE III-IV
May 22, 2020
d. Cleaning and Disinfecting:
i. It is recommended that cleaning and disinfecting continue to be conducted
in compliance with CDC protocols.
1. Water: Per CDC guidance, proper operation and maintenance,
including disinfection with chlorine and bromine, should inactivate
any virus in the water. htt s://www.gdc. ov/coronavirus/2019-
ncov/ h /water.htm i
2. Facility: Cleaning and disinfecting must be conducted in compliance
with CDC protocols weekly or, in lieu of performing the CDC
cleaning and disinfecting, the business may shut down for a period of
at least 72 consecutive hours per week to allow for natural deactivation
of the virus, followed by site personnel performing a comprehensive
disinfection of all common surfaces.
ii. When an active employee is identified as being COVID-19 positive by
testing, CDC cleaning and disinfecting must be performed as soon after
the confirmation of a positive test as practical. In lieu of performing CDC
cleaning and disinfecting, businesses or facilities may shut down for a
period of at least 72 consecutive hours to allow for natural deactivation of
the virus, followed by site personnel performing a comprehensive
disinfection of all common surfaces.
iii. CDC protocols can be found online at:
haps:I/www.edc. ov/coronavirus/2019-ncov/communit / uidance-
business-response.htmI and httr)s://www.cdc.p-ov/coroiiavirus/2019-
ncov/com mun ity/d i sin fecti ng-bu i Id ing--faci I ity.htm 1.
For the latest information on COVID-19, visit coronavirus.alaska.gov
State of Alaska COVID-19 Attachment P
Swimming Pools
Page 2 of 2
Bars
ADVISORY DOCUMENT PHASE III-IV
May 22,2020
I. Applicability: This Attachment applies to establishments that serve alcohol, including
standalone bars and bars located within restaurants, hotels, resorts, and breweries
(collectively"Bars").
II. Bars may resume operations.
a. General:
i. It is encouraged to continue having employees, who are in direct contact with
the public, wear cloth face coverings.
ii. Social distancing of at least six feet continues to be a best practice.
iii. Persons with symptoms consistent with COVID-19 should not be on the
premises.
c. 0.1i4ralilons
i. Walk-ins are permitted.A visitor log is not necessary,but one that has sufficient
information to be able to contact a visitor should the need arise can be helpful.
ii. It is encouraged that cloth face coverings be worn by all employees interacting
with the public.
iii. Bar Staff must use new drink coasters between each beverage.
iv. Bars must sanitize or provide disposable menus if menus are provided.
V. Bars should use disposableware when available.
vi. Bars must provide for hourly touch-point sanitization (including at all
workstations, equipment, screens, doorknobs, restrooms).
vii. If food services are offered, please refer to the Advisory Document
Attachment F.
d. H iene Best Practices:
i. Handwashing capability or sanitizer availability is encouraged.
ii. Employees should frequently wash their hands.
e. Staffing:
i. No employee displaying symptoms of COVID=19 may provide services to
customers. Symptomatic or ill employees may not report to work;
ii. No employee may report to the work site within 72 hours of exhibiting a fever.
iii. Employer must establish a plan for employees getting ill and a return-to-work
plan following CDC guidance, which can be found online at:
https://www.cdc.gov/coronavirus/2019-ncov/community/guidance-business-
response.html..
https://www.cdc. -Ov/coronavirus/2019-ncov/communit / uidance-business-
response.html.
For the latest information on COVID-19, visit coronavirus.alaska. ov
State of Alaska COVID-19 Attachment Q
Bars
Page 1 of 2
Bars
ADVISORY DOCUMENT PHASE III-IV
May 22,2020
f. Cleaning and Disinfectin :
i. It is recommended that cleaning and disinfecting continue to be conducted in
compliance with CDC protocols.
ii. When an active employee is identified as being COVID-19 positive by testing,
CDC cleaning and disinfecting must be performed as soon after the
confirmation of a positive test as practical. In lieu of performing CDC
cleaning and disinfecting, businesses may shut down for a period of at least 72
consecutive hours to allow for natural deactivation of the virus, followed by
site personnel performing a comprehensive disinfection of all common
surfaces.
iii. CDC protocols can be found online at:
11 xdc.goy/cC)r(Lna111lis;.'019-ncov//coenmunity/guidance-busirtess-
c5]uu�e.liti�r and 11t1J!s-/A%%N\v.c e.gov/coronavirus/2019-
ncov/com III Lilljh il_5inf clii� ifit .i:[nil.
For the latest information on COVID-19, visit corona_v_irus.alaska,gov
State of Alaska COVID-19 Attachment Q
Bars
Page 2 of 2
Theaters
Attachment R
ADVISORY DOCUMENT PHASE III-IV
May 22,2020
I. A m plicability: This Attachment applies to all movie and performing arts theaters.
II. Theaters may resume operations.
a. Social distancina
i. It is encouraged to continue having employees, who are in direct contact
with the public, wear cloth face coverings.
ii. Social distancing of at least six feet continues to be a best practice.
iii. Persons with symptoms consistent with COVID-19 should not be on the
premises.
b. 1 ly_�icne Protocols;
i. Handwashing capability or sanitizer availability is encouraged.
ii. Employees should frequently wash their hands.
c. Staffin Operations:
i. No employee displaying symptoms of COVID-19 may provide services to
the public. Symptomatic or ill employees may not report to work.
ii. No employee may work within 72 hours of exhibiting a fever.
iii. Employer must establish a plan for employees getting ill and a return-to-
work plan following CDC guidance, which can be found online at:
https://www.cdc.gov/coronavirus/2019-ncov/community/guidance-
business-response.htm1.
d. (jeaning;and Di.siiif'cctirii;:
i. It is recommended that cleaning and disinfecting continue to be conducted
in compliance with CDC protocols.
ii. When an active employee is identified as being COVID-19 positive by
testing, CDC cleaning and disinfecting must be performed as soon after
the confirmation of a positive test as practical. In lieu of performing CDC
cleaning and disinfecting, businesses may shut down for a period of at
least 72 consecutive hours to allow for natural deactivation of the virus,
followed by site personnel performing a comprehensive disinfection of all
common surfaces.
iii. CDC protocols can be found online at:
f�tti�ti `:ee�e ee.cciL, rt e L()[41[I�11 Ei Lrs''10 1 9-11coNi Ellin in Lill ll wR gljdallce-
171E S I I11:5S-I`;SIJU I I tiC.111111_�_
For the latest information on COVID-19, visit coronavirus.alaska.gov
State of Alaska COVID-19 Attachment R
Theaters
Page I of 2
Theaters
Attachment R
ADVISORY DOCUMENT PHASE III-IV
May 22,2020
https://www.cdc.gov/coronavij-us/2019-ncov/coi-n M Lin it /disinfectin -
build ing-facility.html.
III. Mixed Businesses/Application of Other Attachments
i. Stores that operate within a theater are subject to the Advisory Document
for Attachment E for Retail Businesses.
ii. Any food service operated within a theater is subject to the Advisory
Document for Attachment F for Restaurants Dine-In Services.
iii. Any alcoholic beverage service that qualifies as a"bar" within a theater is
subject to the Advisory Document for Attachment Q for Bars.
For the latest information on COVID-19, visit coronav i rus.alaska.gov
State of Alaska COVID-19 Attachment R
Theaters
Page 2 of 2
Bowling Alleys
Attachment S
ADVISORY DOCUMENT PHASE III-IV
May 22,2020
I. A plicahili(v: This attachment applies to all bowling alleys.
II. Bowling alleys may resume operations.
a. Social Distancine:
i. It is encouraged to continue having employees, who are in direct contact with
the public, wear cloth face coverings.
ii. Social distancing of at least six feet continues to be a best practice.
iii. Persons with symptoms consistent with COVID-19 should not be on the
premises.
b. H iene Protocols:
i. Handwashing capability or sanitizer availability is encouraged.
ii. Employees should frequently wash their hands.
c. Stafftng Operations:
i. No employee displaying symptoms of COVID-19 may provide services to the
public. Symptomatic or ill employees may not report to work.
ii. No employee may work within 72 hours of exhibiting a fever.
iii. Employer must establish a plan for employees getting ill and a return-to-work
plan following CDC guidance, which can be found online at:
https://www.cdc.gov/coronavirus/2019-ncov/community/guidance-business-
response.html
d. t leaii i gn and Disinfectinz.
i. It is recommended that cleaning and disinfecting continue to be conducted in
compliance with CDC protocols.
ii. When an active employee is identified as being COVID-19 positive by testing,
CDC cleaning and disinfecting must be performed as soon after the
confirmation of a positive test as practical. In lieu of performing CDC
cleaning and disinfecting, the library, archive, or museum may shut down for
a period of at least 72 consecutive hours to allow for natural deactivation of
the virus, followed by site personnel performing a comprehensive disinfection
of all common surfaces.
For the latest information on COVID-19, visit cc)i-oii vials.alask_a.gov
State of Alaska COVID-19 Attachment S
Bowling Alleys
Page 1 of 2
Bowling Alleys
Attachment S
ADVISORY DOCUMENT PHASE III-IV
May 22,2020
iii. CDC protocols can be found online at:
hUs://www.edc.p-ov/coronavirtis/2019-neov/communily/puidance-business-
response.html.
htt s://www.cdc. ov/coronavirus/2019-ncovlcoinmunit /disinfectin -
building facilitv.htm1.
III. Mixed Businesses/Application of Other Attachments
a. Stores that operate within bowling alleys are subject to the requirements of are
subject to the Advisory Document of Attachment E Retail Businesses.
b. Any food service operated wihin a bowling alley is subject to the Advisory Document
for Attachment F Restaurants Dine-In Services.
a. Any alcoholic beverage service that qualifies as a"bar" within a bowling alley is
subject to the Advisory Document for Attachment Q for Bars.
For the latest information on COVID-19, visit coronav i rus.alaska.gov
State of Alaska COVID-19 Attachment S
Bowling Alleys
Page 2 of 2
Bingo Halls
Attachment T
ADVISORY DOCUMENT PHASE III-IV
May 22,2020
I. Applicability: This Attachment applies to all bingo halls.
II. Bingo Halls may resume operations.
a. Social Distancing.
i. It is encouraged to continue having employees, who are in direct contact with
the public, wear cloth face coverings.
ii. Social distancing of at least six feet continues to be a best practice.
iii. Persons with symptoms consistent with COVID-19 should not be on the
premises.
b. Hygiene Best Practices
i. 1 fandWasliing cahal.)ility or sanitizer availability is encouraged.
ii. Fiiiployces should frequently wash their liands.
C. 5t�irr� Irll[ 7cJali�)ilti:
i. No employee displaying symptoms of COVID-19 may provide services to the
public. Symptomatic or ill employees may not report to work.
ii. No employee may work within 72 hours of exhibiting a fever.
iii. Employer must establish a plan for employees getting ill and a return-to-work
plan following CDC guidance, which can be found online at:
https://www.cdc.gov/coronavirus/2019-ncov/community/guidance-business-
response.html.
d. Qeanin and Disinfectine:
i. It is recommended that cleaning and disinfecting continue to be conducted
in compliance with CDC protocols.
ii. When an active employee is identified as being COVID-19 positive by
testing, CDC cleaning and disinfecting must be performed as soon after
the confirmation of a positive test as practical. In lieu of performing CDC
cleaning and disinfecting, businesses may shut down for a period of at
least 72 consecutive hours to allow for natural deactivation of the virus,
followed by site personnel performing a comprehensive disinfection of all
common surfaces.
For the latest information on COVID-19, visit coronavirus.alaska. ov
State of Alaska COVID-19 Attachment T
Bingo Halls
Page 1 of 2
Bingo Halls
Attachment T
ADVISORY DOCUMENT PHASE III-IV
May 22,2020
iii. CDC protocols can be found online at:
https://Nvw-w.cdc.gov/coronavirus/2019-neo y/comm tin Jt / uidance-
business-res onse.html.
iv. htt s://www.cdc. ovlcoronavirus/2019-ncov/communit /disinfectin -
buifdin -facffit .html.
III. Mixed Businesses/Application of Other Attachments
a. Stores that operate within a bingo hall are subject to the Advisory Document of
Attachment E Retail Businesses.
b. Any food service operated within a bingo hall is subject to the Advisory Document
for Attachment F Restaurants Dine-In Services.
a. Any alcoholic beverage service that qualifies as a"bar" within a bingo hall is subject
to the Advisory Document for Attachment Q Bars.
For the latest information on COVID-19, visit coronavirus.alaska.gov
State of Alaska COVID-19 Attachment T
Bingo Halls
Page 2 of 2
Organized Sports,Activities, and Guided Recreation
Attachment U
ADVISORY DOCUMENT PHASE III-IV
May 22,2020
I. Applicability: This Attachment applies to all organized sports and activities.
a. Organized Spgrts and Activities means organizations, associations, business and
other entities ("Organization(s)")that organize sports and/or recreation teams,
leagues, camps, clinics, events, or competitions (not including community
events).These Organizations typically rent, lease, or enter into agreements to use
indoor and outdoor facilities such as courts, fields, rinks, tracks, park,trail, etc.
for events, practice, competition, or training.
Examples of organizations include, but are not limited to: Alaska School
Activities Association, YMCA sports leagues, Anchorage Sports Association,
Alaska State Hockey Association, Alaska Native dance groups, Little League,
and Alaska Youth Soccer, etc.
b. Guided Recreation means Organizations that provide guided services to
recreationists. Examples of guided recreation services include, but are not limited
to: Alaska Guide Collective, Alaska Alpine Adventures, Alaska Mountaineering
School,NOVA Rafting, and Alaska Bike Adventures.
c. Participants means any person who is participating in the sporting or recreation
activity or event, or is the parent or legal guardian of a minor who is participating
in the activity or events.
II. Social Distancing
a. It is encouraged to continue having employees, who are in direct contact with the
public, wear cloth face coverings.
b. Social distancing of at least six feet for continues to be a best practice.
c. Any persons with symptoms consistent with COVID-19 should not be at the
event.
d. Organizations are encouraged to set a generous refund/deferment policy to
encourage sick customers to stay home.
i. Participants must agree to inform someone from the Organization if they do
become sick within seven days of participation in Guided Recreation, game,
event, sports camp, or practice so that other Participants can be informed
that a fellow Participant became sick and they should monitor for symptoms
and practice recommended social distancing measures.
III. Hygiene Best Practices:
a. Handwashing capability or sanitizer availability is encouraged.
b. Employees should frequently wash their hands.
For the latest information on COVID-19, visit coronavirus.alaska.gov
State of Alaska COVID-19 Attachment U
Organized Sports, Activities, and Guided Recreation
Page 1 of 2
Organized Sports,Activities, and Guided Recreation
Attachment U
ADVISORY DOCUMENT PHASE III-IV
May 22, 2020
c. Employees, officials/referees, coaches and support staff will help encourage all
hygiene practices.
d. Organizations shall comply with CDC guidelines to the maximum extent
reasonably feasible: https://www.cdc.gov/mrsa/commun it /environment/athletic-
facilities.html .
IV. Staffing and Operations
a. No employee displaying symptoms of COVID-19 may provide services to the
public. Symptomatic or ill employees may not report to work.
b. No employee may work within 72 hours of exhibiting a fever.
c. Employer must establish a plan for employees getting ill and a return-to-work
plan following CDC guidance,which can be found online at:
https://www.cdc.gov/coronavirus/2019-ncov/commu nity/guida nce-business-
response.htm I.
V. Cleaning and Disinfecting
a. It is recommended that cleaning and disinfecting continue to be conducted in
compliance with CDC protocols.
b. When an active employee is identified as being COVID-19 positive by testing,
CDC cleaning and disinfecting must be performed as soon after the confirmation
of a positive test as practical. In lieu of performing CDC cleaning and
disinfecting, the Organization may shut down for a period of at least 72
consecutive hours to allow for natural deactivation of the virus, followed by site
personnel performing a comprehensive disinfection of all common surfaces.
c. CDC protocols can be found online at: https://www.edc.gov/coronavirus/2019-
ncov/communit / uidance-business-res onse.html and
https://www.edc.jzov/cororiavirus/2019- ncov/community/disinfecting-bLlildinp,-
facilitv.html
For the latest information on COVID-19, visit coronavirus.alaska.gov_
State of Alaska COVID-19 Attachment U
Organized Sports, Activities, and Guided Recreation
Page 2 of 2
Licensed Child Care Facilities
Attachment V
ADVISORY DOCUMENT PHASE III-IV
May 22,2020
I. Purpose: This Attachment is intended to allow people to return to the
workforce, as much as possible, while still protecting public health.
II. Operations:
a. Social Distancine:
i. Social distancing(a minimum of six feet) should be
encouraged whenever possible with an understanding on
limitations in social distancing in young children.
ii. Activities should be held outside whenever feasible.
iii. Day camps that offer napping for young children should
consider social distancing during rest times and should sanitize
sleeping area after use.
iv. Camp must explain health guidelines to all children and staff,
in an age-appropriate manner.
v. Persons with symptoms consistent with COVID-19 should not
be on the premises.
b. Ca ap city:
i. For any attendees who come from out-of-state or have recently
traveled out-of-state, facility staff will require affirmation from
the parent or guardian that the child has abided by the 14-day
quarantine requirement prior to participation after arriving in
the community.
C. Hygiene Best Practices:
i. Handwashing capability or available hand sanitizer is
encouraged.
ii. Employees should frequently wash their hands.
iii. Facility should encourage frequent handwashing or use of hand
sanitizer, if handwashing is not available, by the children.
iv. Facility staff should promote frequent handwashing by the
children.
d. Staffing/Operations:
i. It is encouraged to continue having employees, who are in
direct contact with the public,wear cloth face coverings.
For the latest information on COVID-19, visit coronavircis.alaska. ov
State of Alaska COVID-19 Attachment V
Licensed Child Care Facilities
Page I of 3
Licensed Child Care Facilities
Attachment V
ADVISORY DOCUMENT PHASE III-IV
May 22,2020
ii. Cloth face coverings are prohibited on babies and children
under the age of two due to the danger of suffocation, but cloth
face coverings could be encouraged in older children.
iii. Facility must supervise young children when using hand
sanitizer.
iv. Facility must communicate to parents or guardians the
importance of keeping children home when they are sick.No
child may return to camp or facility within 72 hours after last
fever.
v. No personnel displaying symptoms of COVID-19 will provide
services to customers. Symptomatic or ill personnel may not
report to work.
vi. No personnel may report to the work site within 72 hours of
exhibiting a fever.
vii. Facility must establish a plan for personnel getting ill and a
return-to-work plan following CDC guidance, which can be
found online at: https://www.cdc.gov/coronavirus/2019-
ncoy/communityjguidance-business-response.html.
viii. No staff displaying symptoms of COVID-19 will provide
services to children. Symptomatic or ill staff may not report to
work.
ix. Employer must establish a plan for employees getting ill and a
return-to-work plan following CDC guidance, which can be
found online at: https://www.cdc.p-ov/coronavirus/2019-
ncavlcom m un itvl�u ida nce-busi ness_res ponse.ht in P.
e. Cleaning and Disinfecting:
i. It is recommended that cleaning and disinfecting continue to be
conducted in compliance with CDC protocols.
ii. When an active staff member is identified as being COVID-19
positive by testing, CDC cleaning and disinfecting must be
performed as soon after the confirmation of a positive test as
practical. In lieu of performing CDC cleaning and disinfecting,
facilities may shut down for a period of at least 72 consecutive
hours to allow for natural deactivation of the virus, followed by
staff performing a comprehensive disinfection of all common
surfaces.
iii. CDC protocols can be found on line at:
htt s: lwww.cdc.govlcoronavirus12019-ncov/community1guidance-
business-response.html and
For the latest information on COVID-19, visit coronavirus.a[aska. ov
State of Alaska COVID-19 Attachment V
Licensed Child Care Facilities
Page 2 of 3
Licensed Child Care Facilities
Attachment V
ADVISORY DOCUMENT PHASE III-IV
May 22,2020
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III. The following best practices are encouraged:
a. Any person in a high-risk population is encouraged to stay home,not
work in childcare settings, and avoid entering for drop off or pick up.
For the latest intlortiiaaion on COVID-19. visit cur1111dViRIS.,ilask,14'm
State oi'AIziskzs COVID-l9 ARachinent V
Licensed Child Care Facilities
Page 3 of 3
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STATE OF ALASKA PUBLIC HEALTH MANDATES IN EFFECT MAY 22, 2020
• State of Alaska Public Health Mandate 10
• State of Alaska Public Health Mandate 14
• State of Alaska Public Health Mandate 15
State of Alaska Public Health Mandate 17
m State of Alaska Public Health Mandate 18
STATE CAPITOL 550 West Seventh Avenue,Suite 1700
P.O.Box 110001
Anchorage,AK 99501
Juneau,AK 99811-0001
r• 907-269-7450
907-465-3500
Governor Michael J. Dunleavy
STATE OF ALASKA
** COVID-19 HEALTH MANDATE **
Issued:Mardi 23, 2020
BY: Governor Mike Dunleavy
Commissioner Adam CrLIMAlaska Department of Health and Social Services
Dr. Anne Linl"Chief Medical Officer, State of Alaska
To prevent the spread off Coronavirus Disease 2019 (COVID-19), the State of Alaska is issuing
its tenth health mandate based on its 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 g« i11to clfcct March 25, 2020 at
12:0lAN1., 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 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 am March 25 2020:
All people arriving in Alaska, whether resident, worker or visitor, are required to Sell'-
(I uar•antine for 14 days and monitor for illness. Arriving residents and workers in self-quarantine,
should work from home, unless you support critical infrastructure (see Attachment A).
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 pin 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.
For the latest information on COVID-19, visit cnronavir�rs xlttsk rev.
State of Alaska COVID-19 Mandate 010
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.
a. If you are a resident, your designated quarantine location is your residence.
b. 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.
a. You may leave your designated quarantine location only for medical emergencies
or to seek medical care.
b. Do not visit any public spaces, including, but not limited to: pools, meetings
rooms, fitness centers or restaurants.
c. 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.
d. Comply with all rules or protocols related to your quarantine as set forth by your
hotel or rented lodging.
e. 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 ccrron3 t+rir�{ti.,al,�sl,,
State of Alaska COVID-19 Mandate 010
Alaska Essential Services and Critical Workforce Infrastructure Order
Formerly"Attachment A" - Issued March 27, 2020
Amended April 10, 2020
Amended May 5, 2020
By: Governor Mike Dunleavy/1" t
Commissioner Adam Cru��� A 1 iska Department of Health and Social Services
Dr. Anne Zink' hief Mee i;C'a} 0I1 icer, State of Alaska
To prevent the spread of Coronavirus Disease 2019 (COVID-19),the State of Alaska is issuing this Order
based on its authority under the Public Health Disaster Emergency Declaration signed by Governor Mike
Dunleavy on March 11, 2020.
This Order amends and supersedes the document formerly referenced to as "Mandate 010, Attachment A,"
and continues to apply to any Health Mandate referencing Attachment A or Critical Workforce
Infrastructure. This Order remains in effect until amended, rescinded, or superseded by further order of the
Governor.
Functioning critical infrastructure is imperative during the response to the COVID-19 emergency for both
public health and safety, as well as community well-being. Certain critical infrastructure industries have a
special responsibility in these times to continue operations.
I. MANDATORY CLOSURES
a. All businesses within Alaska, except those specifically exempted below or by other Health
Mandates or Attachments, are required to cease all activities at facilities located within the
state, except Minimum Basic Operations, as defined in Section I.c.
b. For purposes of this Order, 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.
C. "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:
i. The minimum necessary activities to maintain the value of the business's inventory,
ensure security, process payroll and employee benefits, or for related functions.
ii. The minimum necessary activities to facilitate employees of the business being able
to continue to work remotely from their residences.
IL EXEMPTIONS FOR ESSENTIAL SERVICES AND CRITICAL INFRASTRUCTURE
a. For clarity, businesses may continue operations consisting exclusively of employees or
contractors performing activities at their own residences (i.e., working from home).
b. Quarantine: workers arriving in Alaska from out of state must self-quarantine for 14 days,
pursuant to Health Mandate 010. Businesses exempted from Section I are not exempt from
Health Mandate 010. See kilL asLl,"OV.4111iIWd-ccxix111a11d;, 1,otcrtivc-plaits/ for
further guidance.
Essential Services and Critical Workforce Infrastructure Order Page 1 of 5
May 5, 2020
Alaska Essential Services and Critical Workforce Infrastructure Order
Formerly"Attachment A" - Issued March 27, 2020
Amended April 10, 2020
Amended May 5, 2020
c. Plan Submissions: Businesses with workers who travel from out of state or who travel
between communities within the state of Alaska must submit a plan or protocol outlining
procedures for avoiding the spread of COVID-19, pursuant to Health Mandates 010 and
012. This plan must be submitted to akcovidph ii5irr jk-P ,ircd.com f«r red iew.
d. Businesses exempted from Section I are strongly encouraged to remain in operation. Such
businesses shall, to the extent reasonably feasible, comply with social distancing
requirements by maintaining six-foot social distancing for both employees and members of
the public, including, but not limited to, when any customers are standing in line.
e. For purposes of this Order, Essential Services and Critical Infrastructure industries and
entities in Alaska include:
i. "Healthcare Operations and Public Health,"which includes:
1. Hospitals, clinics, home healthcare services and providers, mental health
providers, dental emergency services, and other healthcare facilities.
2. Pharmacies, companies and institutions involved in the research and
development, manufacture, distribution, warehousing, and supplying of
pharmaceuticals, biotechnology therapies, consumer health products,
medical devices, diagnostics, equipment, services, or any related and/or
ancillary healthcare services.
3. Veterinary care and healthcare services provided to animals.
4. Businesses performing mortuary, funeral, cremation, burial, cemetery, and
related services, including funeral homes, crematoriums, cemetery workers,
and coffin makers. These businesses are required to maintain compliance
with Health Mandates relating to social distancing.
5. "Healthcare Operations" does not include fitness and exercise gyms or
similar facilities.
ii. "Critical Infrastructure," which includes:
1. Public Works, including businesses providing any services or performing
any work necessary to the operations and maintenance of public works, such
as the Port of Alaska, public works construction, airport operations, water,
sewer, gas, electrical, oil production, mining, logging, roads and highways,
public transportation, and solid waste collection and removal.
2. Transportation/Logistics, including airlines, railroads, taxis, private
transportation providers, and public and private mail and shipping services.
3. Technology/Communications, including businesses providing any services
or performing any work necessary to the operations and maintenance of
internet and telecommunications systems (including the provision of
essential global, national, and local infrastructure for computing services,
business infrastructure, communications, and web-based services).
4. Essential Construction,commercial construction, renovation or repair,
including construction of housing.
5. Critical Manufacturing, including manufacture of products needed for
medical supply chains and supply chains associated with transportation,
Essential Services and Critical Workforce Infrastructure Order Page 2 of 5
May 5, 2020
Alaska Essential Services and Critical Workforce Infrastructure Order
Formerly"Attachment A" - Issued March 27, 2020
Amended April 10, 2020
Amended May 5, 2020
energy, communications, information technology, food and agriculture,
chemical manufacturing, wood products, commodities used as fuel for
power generation facilities, operation of dams, water and wastewater
treatment, processing of solid waste, emergency services, and defense.
Manufacturing of materials and products needed for medical equipment and
personal protective equipment. Businesses necessary for mining and
production of minerals, oil, and associated essential supply chains.
6. Food and Agriculture, including grocery stores, supermarkets, food banks,
convenience stores, animal/pet food and supply stores, and other
establishments engaged in the retail sale of food, beverages, and other
household consumer products (such as cleaning and personal care products).
This includes stores that sell groceries but also sell other non-grocery
products. Food and agriculture, cultivation, including farming, livestock,
fishing and processing. This includes manufacturers and suppliers of food
and items necessary to support of the Food and Agriculture industry.
a. This includes farmers markets where vendors sell directly to
consumers only agricultural products, food items, soaps, and
sanitizers.
7. Home Emergency and Safety, including establishments that sell products
necessary to maintaining the safety, sanitation, and essential operation of
residences or provide home emergency/safety equipment and gear including
products for personal protection.
8. Fishing, including persons engaged in subsistence fishing and in the fishing
industry including the fisherman, processors, guides, and transporters of the
fish as well as those under contract with the fisherman, processors, guides,
and transporters for provisioning.
iii. "Financial services sector," which includes workers who are needed to: process
and maintain systems for processing financial transactions and services, such as
payment, clearing and settlement services, wholesale funding, insurance services,
and capital markets activities; provide consumer access to banking and lending
services, including ATMs, movement of currency(e.g., armored cash carriers);
support financial operations, such as those staffing data and security operations
centers, appraisals and titling, and key, third-party providers who deliver core
services.
iv. "Public Safety,"which includes:
1. "First Responders," including emergency management, emergency
dispatch, and law enforcement.
2. "Corrections," including Department of Corrections,jails and detention
facilities, and probation offices.
3. "Government Agencies," including Court systems, Office of Children's
Services personnel acting in an official capacity, Public agencies responding
Essential Services and Critical Workforce Infrastructure Order Page 3 of 5
May 5, 2020
Alaska Essential Services and Critical Workforce Infrastructure Order
Formerly"Attachment A" - Issued March 27, 2020
Amended April 10, 2020
Amended May 5, 2020
to abuse and neglect of children, elders, and vulnerable adults, and
Department of Defense Personnel returning from temporary duty or
engaging in mission essential travel.
a. This includes functions related to returning inmates begin released to
the place of arrest(it is a"critical personal need" for the inmate to
travel).
V. "Essential Governmental Functions,"which includes all services needed to
ensure the continuing operation of government agencies including providing for the
health, safety, and welfare of the public.
vi. "Essential Business," which includes:
1. Businesses that provide food, shelter, social services, and other necessities
of life for economically disadvantaged or otherwise needy individuals;
2. Newspapers, television, radio, and other media services;
3. Gas stations and auto-supply, auto-repair, bicycle-repair, and related
facilities;
4. Hardware stores;
5. Plumbers, electricians, exterminators,mechanics, and other service
providers who provide services that are necessary to maintaining the safety,
sanitation, and essential operation of residences, transportation, and critical
infrastructure;
6. Businesses providing mailing and shipping services, including post office
boxes;
7. Educational institutions facilitating distance learning;
8. Laundromats, dry cleaners, and laundry service providers;
9. Restaurants and other facilities that prepare and serve food, subject to other
applicable Health Mandates and Attachments.
10. Businesses that supply products needed for people to work from home;
11. Businesses that supply other essential businesses with the support or
supplies necessaryto operate;
12. Businesses that transport goods to grocery stores, supermarkets,
convenience stores, engaged in the retail sale of food, household consumer
products, delivery of fuel, or other services directly to residences or other
critical industries outlined in this health mandate;
13. Home-based care for seniors, adults, or children;
14. Residential facilities and shelters for seniors, adults, and children;
15. Professional services, such as legal or accounting services, when necessary
to assist in compliance with legally-mandated activities;
16. Childcare facilities, subject to new recommendations for increased hygiene
and social distancing. Only those who need childcare to work at a critical
job should use childcare facilities.
Essential Services and Critical Workforce Infrastructure Order Page 4 of 5
May 5, 2020
Alaska Essential Services and Critical Workforce Infrastructure Order
Formerly"Attachment A" - Issued March 27, 2020
Amended April 10, 2020
Amended May 5, 2020
III. SOCIAL DISTANCING REQUIREMENTS.
a. "Social Distancing Requirements" includes maintaining at least six-foot social distancing
from other individuals, washing hands with soap and water for at least twenty seconds as
frequently as possible or using hand sanitizer containing at least 60 percent alcohol,
covering coughs or sneezes (into the sleeve or elbow, not hands), regularly cleaning high-
touch surfaces, and not shaking hands.
IV. FEDERAL GUIDANCE.
a. This Order incorporates guidance from the Memorandum on Identification of Essential
Critical Infrastructure Workers during COVID-19 Response issued by the Cybersecurity and
Infrastructure Security Agency of the United States Homeland Security on March 19, 2020.
That guidance is located at https://www.cisa.pov/publication/guidance-essential-critical-
infrastructure-workforce. This order also incorporates federal guidance from the Department
of the Treasury and the Department of Defense that are located at
https://Koine__.treasLiry.p,ov/news/press-releases/sm956 and
https://media.defense.gov/2020/Mar/22/2002268024/-1/-1/1/DEFENSE-fNDUSTRIAL-
BASE-ESSENTIAL-CRITICAL-INFRASTRUCTURE-WORKFORCE-MEMO.PDF
V. PENALTY FOR NONCOMPLIANCE.
A violation of a State COVID-19 Health 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.
a. In addition to the potential civil fines noted above, a person or organization that fails to
follow the State COVID-19 Health Mandates designed to protect the public health from this
dangerous virus and its impact may, under certain circumstances,be criminally prosecuted
for Reckless Endangerment pursuant to Alaska Statute 11.41.250. Reckless endangerment is
defined as follows:
i. 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.
ii. Reckless endangerment is a class A misdemeanor.
b. 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.
c. 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.
Essential Services and Critical Workforce Infrastructure Order Page 5 of 5
May 5, 2020
STATE CAPITOL
P.O.Box 110001
550 West Seventh Avenue,Suite 1700
�.�.., AK 99501
luneau,AK 99811-0001 Anchorage,
907A65-3500 = '' 907-269-7450
Governor Michael J. Dunleavy
STATE OF ALASKA
** COVID-19 HEALTH MANDATE **
Issued:April 13, 2020
By: Governor Mike Dunleavy mrtr
Commissioner Adam f'rtln,if\laska Department of Health and Social Services
Dr. Anne Zink, 4ief\,1ccl1cal 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 q 1ayii
State of Alaska COVID-19 Mandate 014
** COVID -19 HEALTH MANDATE **
Issued: April 21, 2020
Revised: May 5, 2020
By: Governor Mike Dunleavy/t" 1
Commissioner Aciam Crum4lAlaska Department of Health and Social Services
Dr. Anne Zirilc,("Nel Medical Officer, State of Alaska
Commissioner Adam Crum, Alaska Department of Health and Social Services
Dr. Anne Zink, Chief Medical Officer, State of Alaska
The Public Health Disaster Emergency Declaration signed by Governor Mike Dunleavy on March 11, 2020
provides for health mandates to be issued when deemed necessary by the Alaska Department of Health and
Social Services, the Alaska Chief Medical Officer, the Alaska Division of Public Health, and the Office of the
Governor.
While health care is an essential service, there is also the risk of spread of coronavirus 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 Revised is being issued by Governor Dunleavy and the State of Alaska. Mandate 015
Revised goes into effect in phases, with Section I going into effect April 20,2020 and Section II going into
effect Mav 4, 2020; however, the State of Alaska reserves the right to change the Mandate at any time.
This revised Mandate supersedes Mandate 005 and 006 and affects the health care providers directly addressed
in Mandate 009.
Nothing in this Mandate shall be construed to waive any existing statutory, regulatory, or licensing
requirements applicable to Health Care Providers or Health Care Facilities.
Health Mandate 015 Revised — Services by Health Care Providers
I. Delivery of Routine Health Care Services
Section I goes into effect April 20,2020
a. Health care facilities and providers defined in statute, and listed in Section IV,will be able to
resume low-risk, routine-type services which require minimal protective equipment by
For the latest information on COVID-19, visit co'ol) i�IILis.Erl�ltil.;t,L!o�
State of Alaska COVID-19 Mandate 015 REVISED Page 1 of 6
complying with the requirements listed in i. through viii. below. This section is intended to apply
to services that do not require special or invasive procedures—examples include, but are not
limited to, annual physical examinations, prenatal appointments, and routine dental cleanings.
i. Providers and facilities shall make every effort to minimize physical contact to the extent
possible, and explore delivery of care without being in the same physical space as others,
using means such as telehealth, phone consultation, and physical barriers between
providers and patients.
ii. While this mandate allows health care providers to resume delivery of routine services,
they are not required to do so. Providers and employers should weigh the health risks to
their staff and to their patients when deciding whether to resume in-person services.
iii. 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. Face covering info can
be found in Health Alert 010 online:
litt :Hdliss.alaska. ov/d li/i; i/id/SiteAssets/Pa es/HuinanCoV/SOA 04032020 HealthA
lert010�C lothFaceCoveri ngs.pdf
iv. It is the duty of the provider to ensure the health considerations of staff and patients. This
includes ensuring providers and staff do not come to work while ill, minimizing travel of
providers and staff, and provisioning adequate personal protective equipment(PPE).
They are also encouraged to utilize the following means of protection:
I. Pre-visit telephonic screening and questionnaire.
2. Lobbies and waiting rooms with defined and marked social distancing and limited
occupancy.
3. Other personal and environmental mitigation efforts such as gloves, exceptional
hand hygiene, environmental cleaning, and enhanced airflow.
v. Regardless of symptoms, all health care facilities must screen all patients for recent
illness, travel, fever, or recent exposure to COVID-19, and, to the extent that is
reasonably possible, begin testing all admitted patients.
vi. Every reasonable effort shall be made to minimize aerosolizing procedure (such as a
nerve block over deep sedation or intubation).
vii. Unlicensed assistive personnel necessary to conduct procedures under this section may be
included in service delivery.
II. Provision for Resuming Non-Urgent/Non-Emergent Elective Surgeries and Procedures
Section III goes into effect May 4,2020
a. Surgeries and intensive procedures are permitted to proceed if delay is deemed to cause
significant impact on health, livelihood, or quality of life, if the following conditions are met:
i. Health care delivery can meet all of the standards outline in Section I of this mandate.
ii. Health care is delivered by a provider listed in statue (see Section IV).
iii. Procedures are prioritized based on whether their continued delay will have an adverse
medical outcome.
1. Each facility should review these procedures with their task force that was created
in the April 7, 2020 revision to COVID-19 Health Mandate 005.
2. Strongly consider the balance of risks vs. benefits for patients in higher risk
groups such as those over age 60 and those with compromised immune systems or
lung and heart function.
For the latest information on COVID-19, visit coronavirus.alaska.Iov
State of Alaska COVID-19 Mandate 015 REVISED Page 2 of 6
iv. Facility must maintain a plan to reduce or stop performing surgeries and procedures
permitted by this Section II should a surge or resurgence of COVID-19 cases occur, or a
shortage of PPE or testing in their facility or region.
v. The health care can safely done with a surgical mask, eye protection and gloves.
vi. Facility has adequate PPE supplies on hand.
vii. Capacity at the facility (i.e., bed capacity and healthcare workforce)can accommodate an
increase in both COVID-19 hospitalizations and increased post-procedure
hospitalizations.
viii. Facility has access to adequate testing capacity as required under this mandate.
ix. If the procedure puts the health care worker at increased risk with aerosolizing
procedures such as surgical suctioning, intubation, or breathing treatments then a
negative PCR for SARS-CoV-2 must be obtained within 48 hours prior to the procedure.
x. Visitation Policies: Health Care Facilities, not including nursing omes and assisted
living homes,may establish a visitation policy specific to their facility.
a. This policy must allow, at a minimum: end-of-life visits; parents of a minor; a
legal guardian; a support person for labor and delivery settings; and only one
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 cloth face covering.
b. The policy must establish clear protocols for reducing possible exposure and
spread, including at a minimum:
1. All visitors must wear a cloth face covering or be provided with a surgical
mask if hospital policy does not allow for homemade masks.
2. All vistors must be screened for symptoms and exposure prior to visiting the
patient.
3. Records of the screening and visitor contact information must be kept that
are sufficient for contract tracing, if it becomes necessary.
c. Visitation policies at health care facilities may also, but are not required to,
allow for the following visitations to occur outside of the time of discarge or
day of a surgery or procedure:
1. One visitor for inpatients with a terminal disease when the patient does not
test positive for COVID-19 and is not under investigation for having
COVID-19.
2. One visitor to aid in establishing and supporting a plan of care for the
patient. This includes visits that are necessary for clinical staff to educate
one caregiver about exercises or activities that are necessary for the ongoing
support of the patient after discharge.
xi. Workers must maintain social distancing of at least six feet from non-patients and must
minimize contact with the patient.
xii. Exceptional environmental mitigation strategies must be maintained, including the
protection of lobbies and front desk staff.
xiii. Unlicensed assistive personnel necessary to conduct procedures under this section may be
included in service delivery.
III. Urgent and Emergent Services, Surgeries and Procedures
a. Urgent or Emergent health care services that cannot be delayed without significant risk to life
should continue, but with the enhanced screening and safety measures listed in Section I and the
guidance below:
For the latest information on COVID-19, visit coronavirus.alaska.gov
State of Alaska COVID-19 Mandate 015 REVISED Page 3 of 6
ii. Each facility should review these procedures with their task force that was created in
the April 7, 2020 revision to COVID-19 Health Mandate 005.
iii. Urgent or emergent procedures with an increased risk of exposure, such as surgeries,
deliveries, emergent 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.
a. 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. 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 cloth face
covering.
V. Unlicensed assistive personnel necessary to conduct procedures under this section may
be included in service delivery.
IV. Applicability: This Mandate applies to the following heath care facilities and health care
providers:
a. Heath Care Facilities
i. Hospitals, private, municipal, state, or federal, including tribal
ii. Independent diagnostic testing facilities
iii. Residential psychiatric treatment centers
iv. Skilled and intermediate nursing facilities,
v. Kidney disease treatment, including free standing facilities
vi. Ambulatory surgery centers
vii. Free standing birth centers
viii. Home health agencies
ix. Hospice
x. Rural health clinics defined under AS 47.32.900(21) and 7 AAC 12.450
xi. A health care provider office (for reference see 7 AAC 07.001)
b. Health Care Providers as Defined in Statute
i. Acupuncturists
ii. Ambulatory Surgery Centers
iii. Assistant Behavior Analysts
iv. Athletic Trainers
v. Audiologists/Speech-Language Pathologists
vi. Behavior Analysts
vii. Certified Nurse Aides
viii. Chiropractors
ix. Dental Hygienists
x. Dentists
xi. Dieticians
xii. Hospitals
xiii. Hearing Aid Dealers
For the latest information on COVID-19, visit coi-otio..%irtGs.alasl�a,�_���
State of Alaska COVID-19 Mandate 015 REVISED Page 4 of 6
xiv. Health Aides
xv. Long-Term Care Facilities
xvi. Marital and Family Therapists
xvii. Massage Therapists
xviii. Midwives
xix. Mobile Intensive Care Paramedics
xx. Naturopaths
xxi. Nurses
xxii. Nutritionists
xxiii. Occupational Therapy Assistants
xxiv. Opticians
xxv. Optometrists
xxvi. Pharmacists
xxvii. Pharmacy Technicians
xxviii. Physical Therapists
xxix. Occupational Therapists
xxx. Physician Assistants
xxxi. Physicians/Osteopathic Physicians
xxxii. Podiatrists
xxxiii. Professional Counselors
xxxiv. Psychologists
xxxv. Psychological Associates
xxxvi. Religious Healing Practitioners
xxxvii. Social Workers
xxxviii. Veterinarians
xxxix. Students training for a licensed profession who are required to receive training in a health
care facility as a condition of licensure.
V. Other Considerations—Applies to Sections I,II, and III
a. Licensing boards can determine if individual health care provider types can safely perform the
services or service types relative to health care constraints, including PPE or testing availability,
or the nature of services including length of time of exposure, personal contact, and ability to
provide environmental mitigation strategies.
b. Travel for medical procedures and health care services qualifies as a"critical personal need"
under Health Mandate 012—Intrastate Travel.
c. 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.
d. 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.
e. 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.
f. Every reasonable effort should be made in the outpatient and ambulatory care setting to reduce
the risk of COVID-19 and follow the following guidelines:
• his://www.cdc.gov/coronavirus/2019-ncov/he /arnbutatoiy-care-settings htinl
g. 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:
For the latest information on COVID-19, visit c c�rt7n:�G i riEs.,il;tslta•gOy
State of Alaska COVID-19 Mandate 015 REVISED Page 5 of 6
• [ittps://www.edc.i;ov/cot-oiiavirus/2019-neov/hcp/det lal-settiligs.htrnl
h. Dialysis centers provide life-saving work, but it is also a place where high-risk individuals
congregate. They need to follow the following guidelines:
https://www.edc.pov/corotiavirtis/2019-neov/hcp/dialysis.htjii]
*** 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 coroiiavirus.alaska.gov
State of Alaska COVID-19 Mandate 015 REVISED Page 6 of 6
** COVID-19 HEALTH MANDATE **
Issued: April 23, 2020
Rcvised: May 20, 2020
13y: C ovenior lvlike DLrnleavy
Coinmissioiier Adair CrUin Alaska Department of Health and Social Services
Dr. Anne Zink,(fief Medical Officer, State of Alaska
To slow the spread of Coronavirus Disease 2019 (COVID-19), the State of Alaska is issuing its
seventeenth health mandate, based on its authority under the Public Health Disaster Emergency
Declaration signed by Governor Mike Dunleavy on March 11, 2020.
Given the ongoing concern for new cases of COVID-19 being transmitted via community spread
within the state, Governor Dunleavy and the State of Alaska issued Mandate 017 to become
effective April 24,2020 at 8:00 a.m. This Mandate has been reviewed, and will remain in
effect until rescinded or superceded.
This Mandate is issued to protect the public health of Alaskans. By issuing this Mandate, the
Governor is establishing 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 enact protective measures for independent commercial fishing
vessels operating within Alaskan waters and ports in order to prevent, slow, and otherwise
disrupt the spread of the virus that causes COVID-19.
The State of Alaska acknowledges the importance of our commercial fishing fleet to our
economy and lifestyle as Alaskans. In order to ensure a safe, productive fishing season this year,
while still protecting Alaskan communities to the maximum extent possible from the spread of
the virus, the State is establishing standardized protective measures to be followed by all
independent commercial fishing vessels operating in Alaskan waters and ports.
For the latest information on COVID-19, visit C01-011avirus.alaska.gov
State of Alaska COVID-19 Mandate 017-REVISED
Independent Commercial Fishing Vessels
Pagel of 3
Health Mandate 017—Protective Measures for Independent Commercial Fishing Vessels.
I. Applicability
a. Definition: For the purposes of this Mandate, "independent commercial fishing
vessels"are defined as all catcher and tender vessels that have not agreed to
operate under a fleet-wide plan submitted by a company, association, or entity
that represents a fleet of vessels. This Mandate alleviates the requirement for
independent commercial fishing vessels to submit a Community/Workforce
Protective Plan in response to Health Mandates 010 or 012.
b. This Mandate does not apply to skiffs operating from shore; protective measures
for those vessels will be provided under separate guidance.
II. Required Protective Measures/Plans
a. Independent commercial fishing vessels operating in Alaskan waters and ports
must enact the protective measures and procedures described in Appendix 01, the
Alaska Protective Plan for Commercial Fishing Vessels.
b. Vessel captains must enact controls on their vessel to ensure crewmember
compliance with this Mandate.
III. Travel and Access
a. Compliance with this Mandate does not constitute a right to travel or access into
any areas.
b. It is incumbent upon the individual traveler to ensure that any proposed travel
itinerary is still possible, and to adhere to any additional restrictions enacted by air
carriers and lodging facilities or by small communities.
IV. Compliance and Penalties
a. Vessel captains are required to maintain documentation as directed by Appendix
01, Paragraph I, and must provide a copy of the Mandate 017 Acknowledgement
Form (Appendix 02) upon request by any seafood purchasing agent or Federal,
State, or local authority, to include law enforcement and fisheries regulators.
b. 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.
c. 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 impacts 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.
For the latest information on COVID-19, visit coronavirus.alaska: ov
State of Alaska COVID-19 Mandate 017-REVISED
Independent Commercial Fishing Vessels
Page 2 of 3
(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 And Replaces All Previously Submitted
Protective Plans For Independent Commercial Fishing Vessels.
This Mandate Does Not Supersede Or Replace Any Previously
Enacted Protective Plans For Corporate Vessel Fleets.
For the latest information on COVID-19, visit coronavirus.alaska.rov
State of Alaska COVID-19 Mandate 017-REVISED
Independent Commercial Fishing Vessels
Page 3 of 3
STATE CAPITOL S50 West Seventh Avenue,Suite 1700
P.O.Box 110001 ..v' Anchorage,AK 99501
Juneau,AK 99811-0001 ,'„: 907-269-7450
907465-3500
Governor Michael J. Dunleavy
STATE OF ALASKA
** COVID-19 HEALTH MANDATE **
Issued:May 11, 2020
By: Governor Mike Dunlca.%
Commissioner Adam 0-kin , laska Department of Health and Social Services
Dr. Anne Zink,�iief%,1cclicaii Officer, State of Alaska
To prevent the spread of Coronavirus Disease 2019 (COVID-19),the State of Alaska is issuing
its eighteenth health mandate based on its authority under the Public Health Disaster Emergency
Declaration signed by Governor Mike Dunleavy on March 11, 2020.
Given the ongoing concern for new cases of COVID-19 being transmitted via community spread
within the state, Governor Dunleavy and the State of Alaska are issuing Mandate 018,to go into
effect Ala►• 1212020 at 8:00 a.m. and will remain in effect until :tmended su )erseded or
rescinded.
This Mandate is being issued to protect the public health of Alaskans. By issuing this Mandate,
the Governor continues to establish consistent mandates across the State in order to mitigate the
impacts of COVID-19. The goal is to flatten the curve, disrupting the spread of the virus.
The purpose of this Mandate is to clarify and centralize all requirements related to intrastate
travel, to increase the ability of individuals within Alaska to travel,while still working to provide
sufficient mitigation factors to prevent, slow, and otherwise disrupt the spread of the virus that
causes COVID-19.
This Mandate supersedes Mandate 012 and Mandate 016-Attachment M.
Effective 8:00 a.m. on May 12,2020,intrastate travel is permitted under the following
conditions and guidance:
For the latest information on COVID-19,visit ceirt)navirus.alask,�,_c,,-tc)%
State of Alaska COVID-19 Mandate 018
Intrastate Travel
Page 1 of 3
I. Detinitlons for pttrposes or 02is Mandate:
a. "Road System" is defined as any community connected by a road to the Seward,
Parks, Klondike, Richardson, Sterling, Glenn, or Top of the World Highways.
b. "Marine Highway System" is defined as any community served by the Alaska Marine
Highway System or the Inter-Island Ferry System.
c. "Critical Personal Needs" is defined as those needs that are critical to meeting a
person's individual or family needs. Those 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.
d. "Essential Services/Critical Infrastructure" is defined as businesses included in
"Alaska's Essential Services and Critical Infrastructure" (formerly Attachment A)
11. Intrastate ] r-�Ivcl Between Communities Located On The Road System And/OrThe
!1 a itty_I figh t�tti is permitted for all purposes. Note: travelers may travel between
the Road System and Marine Highway System communities via any normal means of
transportation, including vehicle, boat, ferry, aircraft, and commercial air carrier.
III. All Travel 1'o ()r I roan ,\ Coninwnil\ Ofl'Thc Road System Or The Marine iii glg ivvity
System Is I'Kohibited, kxccl)t As Necessary I or:
a. Critical Personal Needs
b. The conduct of Essential Services/Critical Infrastructure
IV. (_encr'il ftLrl�}i'tii�rr�ts
a. No one traveling to or from any community for Critical Infrastructure/Essential
Services reasons or Critical Personal Needs travel may be subject to any automatic
quarantine or isolation on arrival, except as allowed under Alaska Statutes or
Health Mandates.
b. Air carriers, ferries, and other travel-related businesses have no duty to verify that
intrastate travelers meet the criteria for permissible travel under this 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.
C. Groups traveling are subject to Mandate 016, Attachment N, Social Distancing.
d. All businesses,whether Essential Services/Critical Infrastructure or non-
essential/non-critical, that have staff traveling between communities, must file a
protective plan with al(co%idlil.urti rr,al.-l)r(:l)at-c(l.c[)-m. The plan should outline how
the business will avoid the spread of COVID-19 and not endanger lives in the
communities in which the business wants to operate, endanger others who serve as
a part of the business community, or endanger the ability of critical infrastructure
For the latest information on COVID-19, visit.coroii n
State of Alaska COVID-19 Mandate 018
Intrastate Travel
Page 2 of 3
to function. If you have already submitted a plan pursuant to a prior Health
Mandate,you do not need to submit another plan. Visit
h([Ts::,'ctwid11.,&tskct. vc-phi,nsl for guidance.
C. Alaskans should refer to other Health Mandates and guidance as necessary and
appropriate.
V. Precautions while traveling:
a. Stops shall be minimized on the way to the final destination.
b. if travelers must stop for food, gas, or supplies,only one traveler shall engage
with the third-party vendor. All travelers must practice social distancing by
keeping six feet away from others when possible, and avoid crowded places
whenever possible. Cloth face coverings should be used whenever a traveler
engages with a third-party vendor(s).
C. Travelers,traveling by car or vehicle, who have to stop shall wash their hands or
use hand sanitizer before exiting, and immediately after returning to,the car or
vehicle.
***This Health Mandate Supersedes Mandate 012,Attachment B, and Mandate 016-
Attachment M.
For the latest information on COVID-19,visit c oro am,i I'LISM I aska.mov
State of Alaska COVID-19 Mandate 018
Intrastate Travel
Page 3 of 3
** COVID-19 HEALTH MANDATE �*
Issued: April 23, 2020
Revised: May 20, 2020
By: Governor Mike ❑L1111cavv
C'or11n1issioner:clam Crum naaska Department of Health and Social Services
Dr.Anne Zink,(.:-hief Medical Officer, State of Alaska
To slow the spread of Coronavirus Disease 2019 (COVID-19),the State of Alaska is issuing its
seventeenth health mandate, based on its authority under the Public Health Disaster Emergency
Declaration signed by Governor Mike Dunleavy on March 11, 2020.
Given the ongoing concern for new cases of COVID-19 being transmitted via community spread
within the state, Governor Dunleavy and the State of Alaska issued Mandate 017 to become
effective April 24,2020 at 8:00 a.m. This Mandate has been reviewed, and will remain in
effect until rescinded or superceded.
This Mandate is issued to protect the public health of Alaskans. By issuing this Mandate, the
Governor is establishing 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 enact protective measures for independent commercial fishing
vessels operating within Alaskan waters and ports in order to prevent, slow, and otherwise
disrupt the spread of the virus that causes COVID-19.
The State of Alaska acknowledges the importance of our commercial fishing fleet to our
economy and lifestyle as Alaskans. In order to ensure a safe, productive fishing season this year,
while still protecting Alaskan communities to the maximum extent possible from the spread of
the virus,the State is establishing standardized protective measures to be followed by all
independent commercial fishing vessels operating in Alaskan waters and ports.
For the latest information on COVID-19, visit curonavirus.alaska.guv
State of Alaska COVID-19 Mandate 017-REVISED
Independent Commercial Fishing Vessels
Page 1 of 3
Health Mandate 017—Protective Measures for Independent Commercial Fishing Vessels.
I. Applicability
a. Definition: For the purposes of this Mandate, "independent commercial fishing
vessels" are defined as all catcher and tender vessels that have not agreed to
operate under a fleet-wide plan submitted by a company, association, or entity
that represents a fleet of vessels. This Mandate alleviates the requirement for
independent commercial fishing vessels to submit a Community/Workforce
Protective Plan in response to Health Mandates 010 or 012.
b. This Mandate does not apply to skiffs operating from shore; protective measures
for those vessels will be provided under separate guidance.
H. Required Protective Measures/Plans
a. Independent commercial fishing vessels operating in Alaskan waters and ports
must enact the protective measures and procedures described in Appendix 01, the
Alaska Protective Plan for Commercial Fishing Vessels.
b. Vessel captains must enact controls on their vessel to ensure crewmember
compliance with this Mandate.
III. Travel and Access
a. Compliance with this Mandate does not constitute a right to travel or access into
any areas.
b. It is incumbent upon the individual traveler to ensure that any proposed travel
itinerary is still possible, and to adhere to any additional restrictions enacted by air
carriers and lodging facilities or by small communities.
IV. Compliance and Penalties
a. Vessel captains are required to maintain documentation as directed by Appendix
01, Paragraph I, and must provide a copy of the Mandate 017 Acknowledgement
Form (Appendix 02) upon request by any seafood purchasing agent or Federal,
State, or local authority,to include law enforcement and fisheries regulators.
b. 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.
c. 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 impacts 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.
For the latest information on COVID-19, visit coronavirus.alaska.gov
State of Alaska COVID-19 Mandate 017-REVISED
Independent Commercial Fishing Vessels
Page 2 of 3
(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 And Replaces All Previously Submitted
Protective Plans For Independent Commercial Fishing Vessels.
This Mandate Does Not Supersede Or Replace Any Previously
Enacted Protective Plans For Corporate Vessel Fleets.
For the latest information on COVID-19, visit coronavirus-alaska.gov
State of Alaska COVID-19 Mandate 017-REVISED
Independent Commercial Fishing Vessels
Page 3 of 3
Alaska Protective Plan for Independent Commercial Fishing Vessels
Appendix 01 to Health Mandate 017
Part of Phase 1
Issued: April 23, 2020
By: Governor Mike Dunleavy
Coinmissioncr Adam Cruin. Aiaska Department of Health and Social Services
❑r. Anne ic f medical 011-icer, State of Alaska
I. Documentation. Vessel captains are required to maintain a ship's log as a written or
time-stamped electronic document covering, at a minimum, the following information:
a. An acknowledgement of the requirements of this Mandate and an explicit
description of which protective plan(State Mandate 017 or fleet-wide plan)they
are enacting and enforcing on the vessel.
b. Certification that crew members have been screened upon arrival in accordance
with Paragraph I11.
C. Certification when crewmembers have completed self-quarantine in accordance
with Paragraph IV.
d. In the event of a sick crewmember, documentation of the information required in
Paragraph VII.c.iii.
For the 2020 season, each independent vessel captain must sign the Health Mandate 017
Acknowledgement Form (Appendix 02)prior to actively participating in the 2020
commercial fishing season. This form will indicate that the captain and owner will
comply with the Mandate.
Prior to accepting any fish, or making any payment for fish to an independent fishing
vessel, a tender or processor must receive and confirm a signed copy of the vessel's
Acknowledgement Form. The vessel captain must submit a copy of the
Acknowledgement Form the first time they sell fish to a tender or processor. Subsequent
sales to the same tender or processor do not require submission of another copy of the
Acknowledgement Form (e.g., the form only needs to be submitted once, per fishing
season, per tender or processor), but every tender or processor that an independent
commercial fishing vessel sells to must have, and retain until December 31, 2020, a
signed copy of the Acknowledgement Form. This form shall be provided to the Alaska
Department of Fish and Game upon request.
By accepting the Acknowledgement Form, the tender or processor may rely upon the
submission of the Acknowledgement Form as proof of compliance of Health Mandate
017 and Appendix 01. The tender or processor is not required to confirm compliance with
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State of Alaska COVID-19 Mandate 017—Appendix 01
Page 1 of 11
Alaska Protective Plan for Independent Commercial Fishing Vessels
Appendix 01 to Health Mandate 017
Part of Phase 1
Issued: April 23, 2020
Health Mandate 017 and Appendix 01, other than to collect the Acknowledgment Form,
and assumes no liability for any failure to comply by any independent commercial fishing
vessels.
II. Travel Procedures.
a. All crewmembers in transit on commercial or chartered aircraft must wear a cloth
face covering that meets the recommendations contained in Health Alert 010. This
face covering must be worn while transiting air terminals(to be temporarily
removed for security screening), while on the plane, and any follow-on ground
transportation until they reach their self-quarantine facility(e.g., bunkhouse,
vessel or private lodging). Crewmembers shall clean or dispose of face coverings
in accordance with Health Alert 010.
b. Crewmembers in transit shall carry documentation from the vessel or company
indicating that they are an essential Critical Infrastructure Worker as defined
under State Health Mandates.
C. Arriving crewmembers must proceed directly to the�,essel cr ir designated
self-quarantine location, must practice social distancing and avoid interaction with
the community, and may not stop at any location between arrival at the local
airport and transport to the vessel or self-quarantine location.
III. Self-Quarantine. The requirements of Health Mandate 010 remain in effect. All people
arriving in Alaska, whether resident,worker, or visitor, are required to self-quarantine for
14 days after arriving in the State and monitor for illness. To the greatest extent possible,
arriving people should self-quarantine at their final destination in Alaska.
a. Arriving crewmembers should be aware that some local communities, boatyards,
or harbormasters may have enacted additional protective measures, and must
comply with those measures.
b. Crewmembers' temperature shall be taken twice daily during self-quarantine.
Should fever symptoms develop during quarantine, follow the Identification
protocol in Paragraph VII (a), seek testing and medical treatment immediately if
symptoms are suspected to be caused by COVID-19.
C. If it is necessary for a crewmember to board the vessel before their 14-day
quarantine ends (to work or because the vessel must get underway),the time on
the vessel may count toward the 14 days.
d. If a new crewmember joins a worksite or vessel prior to completing the 14-day
self-quarantine after arrival at their final destination, they must complete their
quarantine at the worksite or vessel. If it is not possible to fully quarantine in a
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State of Alaska COVID-19 Mandate 017—Appendix 01
Page 2 of 11
Alaska Protective Plan for Independent Commercial Fishing Vessels
Appendix 01 to Health Mandate 017
Part of Phase 1
Issued: April 23, 2020
separate room, the 14-day self-quarantine period must be restarted for the entire
crew.
e. For crewmembers who live locally, or return to port daily, crewmembers and
families or roommates shall practice social distancing for the duration of the
season.
f. Workers living on shore during their 14- day self-quarantine period, may only
travel directly between their designated self-quarantine lodging and worksite.
They must observe self-quarantine restrictions when not on the worksite.
g. The time spent in transit from the final out-of-state port to Alaska on a vessel,
demonstrated through a ship's log or equivalent record, will count towards the in-
state, 14-day mandatory self-quarantine period if all protective measures are
followed.
h. The vessel must report that it is undergoing self-quarantine, or has a self-
quarantined crewmember on board, if it has any contact with another vessel, a
processor, or a harbormaster. Vessels are required to fly a"Lima" flag or similar
yellow and black pennant if they have any crew on board still under self-
quarantine.
i. Once the initial self-quarantine period after arriving in the State has been
observed, there is no requirement to repeat the self-quarantine period when
moving between Alaskan communities.
IV. Screening of Personnel. All crewmembers will be screened upon arrival to the vessel,
using the following procedures, or an equivalent medically- vetted procedure. Vessel
captains may wish to arrange for dedicated spaces to conduct private arrival screening.
a. Verbal Screening Questions
i. Have you experienced any cough, difficulty breathing, shortness of breath,
loss of smell or taste, sore throat, unusual fatigue or symptoms of acute
respiratory illness in the last 72 hours?
ii. Have you experienced a fever(100.4' F [38' C] or greater using an oral
thermometer)within the last 72 hours?
iii. Have you experienced signs of a fever such as chills, aches and pains, etc.
within the last 72 hours?
iv. In the past 14 days, have you traveled in an area or country with
widespread COVID-19 transmission without practicing social distancing?
V. Have you had contact, within the past 14 days, with a lab-confirmed or
suspected COVID-19 case patient? (Contact defined as being within six
feet of a COVID-19 case patient for a prolonged period of time (ten
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State of Alaska COVID-19 Mandate 017—Appendix 01
Page 3 of 11
Alaska Protective Plan for Independent Commercial Fishing Vessels
Appendix 01 to Health Mandate 017
Part of Phase 1
Issued: April 23, 2020
minutes or more)or having direct contact with infectious secretions of a
COVID-19 case patient)?
b. Physical Screening
i. Each crewmember shall demonstrate a measured temperature< 100.4°F.
(This reference is for oral temperature, a forehead (temporal) scanner is
usually 0.5°F (0.3°C)to 17 (0.6°C) lower than an oral temperature.An
ear(tympanic)temperature is 0.57 (0.3°C)to 1°F (0.6°C)higher than an
oral temperature.)
ii. Anyone performing a physical screening shall wear appropriate personal
protective equipment (PPE). If PPE is not available, the crewmember may
take their own temperature.
iii. Each crewmember must be free of fever or respiratory symptoms. A
possible exception would be if a crewmember has mild symptoms that are
clearly attributable to another source (i.e., allergies).
C. If a crewmember fails verbal or physical screening, or is displaying viral
symptoms, they will not be allowed to board.
d. Additionally, vessel captains should assess each crewmember's individual risk
factors (e.g., older age; presence of chronic medical conditions, including
immunocompromising conditions) and enact additional protective measures as
needed to minimize their risk.
V. Protecting the Public. It is anticipated that catcher and tender vessels may have local
community contact for the following reasons: offload, resupply, and maintenance;
planned shipyard work at the beginning of the season; vessels that return to port daily or
frequently as part of their fishery; medical or other unforeseen emergencies. Vessel
captains and crewmembers must use the following procedures to limit contact with
members of the public to the greatest extent possible:
a. For crewmembers who live locally or return to port daily, crewmembers and
families or roommates must comply with Health Mandate 011 on social
distancing.
b. Other crew may not disembark the vessel while in port for non-essential purposes.
C. All face-to-face interaction between crew and shore-based workers will be kept to
an absolute minimum, such as receiving for supplies, off-loading catch, fish
tickets, and refueling. Those interactions that cannot be conducted remotely must
follow social distancing guidelines.
d. When contracting for services, vessel captains shall ensure that vendors providing
services to, or onboard, vessels in port use the following procedures:
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State of Alaska COVID-19 Mandate 017—Appendix 01
Page 4 of 11
Alaska Protective Plan for Independent Commercial Fishing Vessels
Appendix 01 to Health Mandate 017
Part of Phase 1
Issued: April 23, 2020
i. If possible, any deliveries shall be made without a vendor boarding a
vessel. The delivery shall be disinfected, if possible, before bringing it on
board.
ii. In the event that a vendor must board a vessel,they must undergo the
same screening as a crewmember boarding a vessel and be denied
boarding if they have a fever, respiratory symptoms, or a high-risk
COVID-19 exposure in the prior 14 days.
iii. Vendors shall wear a mask and face shield on board and shall wash their
hands or use hand sanitizer prior to boarding and after leaving.
iv. Vendors and crew must practice social distancing and remain six feet
apart, if possible.
V. Where feasible, use methods of communication that minimize yelling
(such as radios or microphones).
vi. If working in an engine room, keep ventilation fans running for
circulation, even at the dock.
vii. Try to allow vendors to work alone and use only the absolute minimum
required number of workers in a space.
viii. Carefully control the ingress and egress of vendors from the vessel.
ix. If vendors must use onboard tools they must be disinfected prior to and
after use.
X. After a vendor leaves, the ship shall be disinfected and all crew shall wash
hands.
e. Vessel captains shall check in with the harbormaster prior to any port of call, and
follow the directives of harbormasters while in their ports.
f. Private sector businesses such as retailers, hotels, and air carriers may also enact
additional measures as a part of their protective plans, which must be followed in
order to obtain their services.
VI. On Board Protective Measures.All crewmembers must receive training on the
requirements of this Mandate, including Appendix 01. Vessel captains shall enact
protective measures as appropriate to their vessel size and design in order to limit
proximity of persons while onboard or underway.
a. Vessel captains should consider limiting the number of crewmembers allowed in
operational spaces such as the wheelhouse and engine room. These social
distancing measures are not required if the entire vessel crew is comprised of
members of a single-family unit. These social distancing measures may not be
possible on smaller vessels.
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State of Alaska COVID-19 Mandate 017—Appendix 01
Page 5 of 11
Alaska Protective Plan for Independent Commercial Fishing Vessels
Appendix 01 to Health Mandate 017
Part of Phase 1
Issued: April 23, 2020
b. Best practices for galleys and mess areas are:
i. Ensure all crew wash hands before eating or touching any food items or
utensils.
ii. Any crew with cough or respiratory symptoms must eat separately. Galley
shall be prepared to send individual meals to sick crew and clean dishes
separately.
iii. Eliminate buffet or family-style dining and any common serving dishes.
Identify one crewmember to handle food and to prepare a plate for each
crew. Do not allow serving utensils to be shared.
iv. Consider having a galley crewmember prepare individual snacks for the
day and distribute to each crewmember. Eliminate common bowls of
snacks or opportunities for multiple people to touch food or packaged food
products.
V. Galley crew shall practice meticulous hand and cough hygiene and shall
wear a mask and gloves while serving food.
vi. Some additional protective measures may include:
1. Self-service utensils—to reduce the opportunity for items to be
touched by multiple people, set up trays with utensils on them and
hand them out or set table before service.
2. Use of single-use cups/plates/etc.
3. Aggressive sanitizing of push button/lever beverage dispensers,
condiments, etc.—areas that people may be touching during the
meal service.
4. Stagger meal breaks to reduce the number of people in the galley at
one time or reducing the seating capacity in the galley so people
are spaced farther apart.
5. Ensure people sanitize their hands on the way to and from the
galley.
C. Best practices for cleaning and sanitation of PPE, surfaces, and spaces are:
i. Dedicated person(s) shall be assigned to the tasks of cleaning, sanitizing,
and disinfecting. After tasks are completed,they shall spray disinfectant
chemical on the soles of their shoes, to prevent any cross-contamination.
They shall also change out of their uniform, send to laundry in sealed bag,
and take a shower. Consider the use of"dissolvable laundry bags" for
contaminated linen and clothing.
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State of Alaska COVID-19 Mandate 017—Appendix 01
Page 6 of 11
Alaska Protective Plan for Independent Commercial Fishing Vessels
Appendix 01 to Health Mandate 017
Part of Phase 1
Issued: April 23, 2020
ii. Daily disinfection of surfaces that people touch frequently can help
decrease the spread of germs. When illness has been identified on board,
consider disinfecting surfaces multiple times per day.
iii. Surfaces that people touch a lot (door handles, railings, light switches,
chairs and tables) and bathroom and kitchen surfaces shall be cleaned,
sanitized, and disinfected at least three times a day.
iv. Vessels must have in place a detailed procedure for cleaning, sanitizing,
and disinfecting a vessel and disposing of PPE.
d. Vessel captains shall encourage basic common hygiene practices, such as:
frequent and thorough hand washing; respiratory etiquette, including covering
coughs and sneezes; discouraging crewmembers from using others' personal
property, work tools, and equipment.
e. Crewmembers are required to stay in their,.assigned accommodations if they are
sick.
f. For any material (e.g., lines, fish tickets)that must be passed between vessels or
to shore, crewmembers shall wear gloves and face coverings when handling
material and perform hand hygiene after transfer. Crewmembers must disinfect
any new supplies that arrive on board. After handling material, crew shall remove
and discard or wash gloves, immediately wash hands with soap and water or use
hand sanitizer, and then disinfect any personal items they may have touched, such
as radios.
g. If the crew will be completing the 14-day self-quarantine on board, it is
acceptable to continue to fish during this time. Restrict contact with tenders or
shore-personnel as much as possible. If contact with other vessels or personnel
must occur, adhere to the safety plans set up by tender or port facilities, and
utilize the following precautions:
i. Restrict personnel from boarding the vessel, any communication shall be
done by phone or radio instead of in person if possible
ii. Wipe down rails, door handles, and surfaces frequently with disinfecting
wipes.
iii. Vessels are required to fly a"Lima" flag or similar yellow and black
pennant if they have any crew on board under quarantine.
VII. Procedures for Crewmembers who Become I11. Vessels must follow the following
procedures for identification, isolation and assessment of crewmembers who begin to
show symptoms of infection:
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V_
State of Alaska COVID-19 Mandate 017—Appendix 01
Page 7 of 11
Alaska Protective Plan for Independent Commercial Fishing Vessels
Appendix 01 to Health Mandate 017
Part of Phase 1
Issued: April 23, 2020
a. Identification. Observe crew daily for:
i. New signs of fever, cough, difficulty breathing, loss of smell or taste,
unusual fatigue, or shortness of breath.
ii. If there is a respiratory illness identified on board, take temperature twice
daily of each crewmember.
iii. If there are symptoms presenting, repeat the screening from Paragraph IV.
iv. If a crewmember screens "yes"to any of the verbal symptom questions (I-
3), place a surgical mask on, if tolerated.
V. If a crewmember screens "yes"to BOTH: (1) any of the verbal symptom
questions (1-3); AND (2) an epidemiological risk factor questions (4 or 5),
place a surgical mask on crewmember. if tolerated. and isolate per the
Isolation protocol below. If an isolation room is not available, the entire
vessel will be considered under isolation.
vi. Evaluating provider must don appropriate PPE and begin to document
who has had exposure to the crewmember within the last two days.
vii. If a crewmember screens "yes"to fever and respiratory symptoms, but
does not clearly have an exposure that would qualify for a COVID-19
suspect case, seek medical evaluation and, at a minimum,recommend
isolation. The crewmember shall wait to return to work until 72 hours
AFTER the fever ends without the use of fever-reducing medications
AND an improvement in initial symptoms (i.e. cough, shortness of
breath).
b. Isolation. Isolation separates sick people with a contagious disease from people
who are not sick. When possible, isolate sick crewmembers in a separate
stateroom and designate a head that is only for isolated crew. In vessels that
cannot accommodate individual isolation,consider the entire vessel under
isolation for 14 days.
i. If a crewmember is identified as a potential COVID-19 case, immediately
ask them to wear a facemask(a surgical mask, not N-95), if tolerated. If
there are no facemasks available, a cloth face covering may be used as a
last resort.
ii. Place the crewmember in a private room with the door closed, ideally an
airborne infection isolation room if available. Place a label on the door
indicating no one is to enter the room without proper PPE. This room shall
have separate toilet and bathing facilities.
iii. Any staff entering the room shall use Standard Precautions, Contact
Precautions, and Airborne Precautions, and use eye protection such as
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State of Alaska COVID-19 Mandate 017—Appendix 01
Page 8 of 11
Alaska Protective Plan for Independent Commercial Fishing Vessels
Appendix 01 to Health Mandate 017
Part of Phase 1
Issued: April 23, 2020
goggles or a face shield. If N-95 masks are not available, a surgical mask
may be considered an acceptable alternative at this time.
iv. Access to the room shall be limited to personnel involved in direct care.
Meals shall be delivered to the room and dishes and utensils cleaned
separately. Anyone with exposure to the crewmember shall document the
date and time of exposure, nature of exposure(close contact, same room,
secretions), and PPE worn. Meticulous hand hygiene MUST be performed
immediately after removing PPE.
V. Maintain a distance of six feet from the sick crewmember and keep
interactions with them as brief as possible.
vi. Limit the number of people who interact with sick people. To the extent
possible, have a single person give care and meals to the sick person.
vii. Avoid touching your eyes, nose, and mouth.
viii. Wash your hands often with sudsy soap and warm/hot water and wash
your hands immediately after leaving the presence of the sick
crewmember. If soap and water are not available, and if hands are not
visibly soiled, use a hand sanitizer containing at least 60%alcohol.
ix. Provide tissues and access to soap and water, and ask the sick
crewmembers to cover their mouth and nose with a tissue (or facemask)
when coughing or sneezing.
C. Notification. If person on vessel becomes ill with suspected or confirmed COVID-
19, contact local public health nursing for further guidance:
i. Dillingham Public Health Center: 842-5981
ii. Homer Public Health Center: 235-8857
iii. Ketchikan Public Health Center: 225-4350
iv. Kodiak Public Health Center: 486-3319
V. Nome Public Health Center: 443-3221
vi. Petersburg Public Health Center: 772-4611
vii. Sitka Public Health Center: 747-3255
viii. Valdez Public Health Center: 835-4612
ix. lift ciUsS.al�Fskii. l7V/Lll)�li�Lil:Sll1`j�ali��l��IUI ilIC�115.c1S�1\
(a) For a person ill or injured and not suspected of COVID-19 follow
established process to evaluate for establishing healthcare.
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State of Alaska COVID-19 Mandate 017—Appendix 01
Page 9 of 11
Alaska Protective Plan for Independent Commercial Fishing Vessels
Appendix 01 to Health Mandate 017
Part of Phase 1
Issued: April 23, 2020
(b) If the vessel containing an ill crewmember is not directed to shore-side
medical attention, the vessel may continue to fish and complete a 14-
day quarantine at sea. If unloading to a tender/processor is necessary
during this time, the vessel must tell the tender/processor it has a sick
crewmember on board. During the unloading, all crew must wear
gloves and face coverings, and follow the procedures in Paragraph
VLg.
d. Transportation.
i. Procedure on transportation of suspected COVID-19 cases at
disembarkation.
ii. For the crewmember with suspected COVID-19: A facemask shall be
worn by the patient for source control. Follow guidance from Public
Health Centers listed in IV.c.Notification.
iii. If general medical issue, contact and seek medical care from local clinic.
e. Quarantine. Quarantine separates and restricts the movement of people who
were exposed to a contagious disease to see if they become sick. If separate
staterooms with designated bathrooms are available,this procedure may be
considered for individual crew. Otherwise, consider the entire vessel under
quarantine.
i. Passengers and crew members who have had high-risk exposures to a
person suspected of having COVID-19 shall be quarantined in their
cabins. All potentially exposed passengers, ship medical staff, and
crewmembers shall avoid leaving the vessel and self-monitor under
supervision of ship medical staff or telemedicine providers until 14 days
after the last possible exposure (if the ill crewmember remained on the
vessel and could not be fully separated from healthy crew, consider the
entire vessel under quarantine for 14 days after the case is determined by
public health to no longer need isolation). If an entire vessel is under
quarantine, they may continue to work.
ii. A high-risk exposure could occur through close contact with the suspected
case without PPE. Close contact is defined as:
1, being within approximately six feet(two meters) of a COVID-19
case for a prolonged period of time (ten minutes or longer); (close
contact can occur while caring for, living with, visiting, or sharing
a healthcare waiting area or room with a COVID-19 case);
OR
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I'll ---------------
State of Alaska COVID-19 Mandate 017—Appendix 01
Page 10 of 11
Alaska Protective Plan for Independent Commercial Fishing Vessels
Appendix 01 to Health Mandate 017
Part of Phase 1
Issued: April 23, 2020
2. having direct contact with infectious secretions of a COVID-19
case(e.g., being coughed on).
iii. For a catcher or tender vessel with a suspected case, consider the entire
crew to have had a high-risk exposure.
iv. If personnel develop fever, cough, difficulty breathing, or other symptoms
of COVID-19 while in quarantine, they shall be isolated and undergo
medical assessment,reporting and transportation as per the other relevant
sections of this Mandate.
v. Vessel management and telemedicine providers shall remain in contact
with personnel through the self-monitoring period to oversee self-
monitoring activities.
vi. If the vessel returns to port with a sick crewmember, remaining
crewmembers are not permitted to leave the vessel except to receive
medical care or to move directly to a suitable quarantine location.No off-
vessel work is permitted. The vessel must coordinate delivery of food or
other necessities. Vessels are required to fly a"Lima" flag or similar
yellow and black pennant if they have any crew on board under
quarantine.
vii. The remaining exposed crewmembers must complete a 14-day quarantine
period, from the time the sick crewmember is transported, on the vessel or
in a suitable quarantine location.
VIII. Continuity of Fisheries Operations.
a. Vessel captains shall consider the impact that this pandemic will have on the
fishing industry as a whole,their suppliers and wrap-around services such as fuel,
groceries, and lodging.
b. Vessel captains shall consider the potential impact to their operations that may
arise as a result of outbreaks or increased rates of crewmember absenteeism, and
enact plans for cross-training crewmembers to the greatest extent possible.
C. Vessel captains must cease operations and return to port if they do not have
enough healthy crewmembers remaining to safely operate the vessel.
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State of Alaska COVID-19 Mandate 017—Appendix 01
Page 11 of 11
t� Nw STATE OF ALASKA
DEPARTMENT OF HEALTH AND SOCIAL SERVICES
INDEPENDENT FISHING VESSEL AND
SHORE-BASED FISHING OPERATION PROTECTIVE MEASURES
ACKNOWLEDGMENT FORM—HEALTH MANDATE 017 APPENDIX 02
The State of Alaska acknowledges the importance of our commercial fishing fleets to our economy and our
lifestyle as Alaskans. In order to ensure a safe and productive fishing season this year while protecting Alaskan
communities to the maximum extent possible from the spread of the coronavirus,protective measures are
necessary for independent commercial fishing vessels and shore-based harvesting operations operating within
Alaskan waters and ports in order to prevent, slow, and disrupt the spread of the virus that causes COVID-19.
Vessel Name USCG or ADFG#
Home Port
Shore-based Location CFEC/Setnet Number(s)
Vessel Captain or
Site Manager Name(s)
Total Onboard/On Site
have read and understand all of the requirements of Mandate 017
and applicable appendices. As the person responsible for the above-named vessel or shore-based fishing
operation, I hereby acknowledge and agree to: (initial one)
Comply with the protective plan in Appendix 01 of Mandate 017 for my vessel for the 2020 fishing
season.
Comply with the fleet or association protective plan submitted by
for the 2020 fishing season.
Comply with the protective plan in Appendix 03 of Mandate 017 for my harvesting operation for the 2020
fishing season.
I agree to comply with all other Mandates and health advisories issued by the State of Alaska and any local
community mandates, ordinances, or directives that are not in direct conflict with this Mandate. I agree to keep
a copy of this form and any other documentation required under this Mandate and the Appendixes for the
entirety of the 2020 fishing season. I shall produce this form and any other required documentation upon request
to the United States Coast Guard, the State of Alaska, Department of Fish and Game, Department of Health and
Social Services, and/or the Alaska State Troopers.
CERTIFICATE: I swear or affirm,under penalty of perjury, that the above information I provided on this
document is true and correct. I swear or affirm I will comply with all of the requirements set out in Health
Mandate 017 and the Appendixes.
WARNING: If you provide false information on this form,you may be convicted of a Class B felony under
AS 11.56.200 and/or a Class A misdemeanor under AS 11.56.210. Additionally, due to the imminent danger to
the public by the spread of coronavirus, if you violate the self-quarantine regulations set forth in the Mandate,
you may also be convicted of a class A misdemeanor which is punishable by a fine of up to $25,000, or
imprisonment of not more than one year, or both pursuant to AS 12.55.035 and AS 12.55.135.
SIGNATURE: DATE:
PRINTED NAME:
Alaska Protective Plan for Independent Commercial Fishing Harvesters
Appendix 03 to Health Mandate 017
Issued: May 15, 2020
By: Governor Mike Dunleavy/4�a __
Coininissioner Adam C111111 tf%Iaska Department of Health and Social Services
Dr. Anne Zink;`C li is 17 Medical Officer, State of Alaska
This Appendix will establish general guidance for commercial fishing harvesters operating from
shore, open skiffs, and other means where the crew is not living on board a vessel for multiple
days at sea.
I. Applicability.
a. This Appendix applies to all commercial fishing harvesters who do not meet the
applicability definition for independent commercial fishing vessels contained in
Health Mandate 017, and that have not agreed to operate under a fleet-wide plan
submitted by a company, association, or entity that represents a fisheries sector.
II. Definitions.
a. Self-Quarantine. This refers to a quarantine process that is not monitored by an
employer or healthcare provider. The requirements of Health Mandate 010 remain
in effect: all people arriving in Alaska, whether residents, workers, or visitors are
required to self-quarantine for 14 days after arriving in the State and monitor for
illness.
i. Harvesters' temperature should be taken twice daily during self-
quarantine. Should fever symptoms develop, follow the Identification
protocol in Section VIII.a. Seek testing and medical treatment
immediately if symptoms are suspected to be caused by COVID-19.
ii. The time spent in transit from the final out-of-state port to Alaska on a
vessel, demonstrated through a ship's log or equivalent record, will count
toward the in-state 14-day mandatory self-quarantine period, if all
protective measures are followed.
iii. Once the initial self-quarantine period after arriving in the State has been
observed, there is no requirement to repeat the self-quarantine period
when moving between Alaskan communities,though it is highly
recommended for all Alaska residents to follow the procedures in Section
IV.a when traveling from their permanent home to their Harvesting
Operation worksite.
b. Harvesting Operation. Multiple harvesters working at the same site in close
proximity will be considered an Harvesting Operation. They may be in shared
For the latest information on COVID-19, visit COI'Orliwi,'«s.,Ilaskzi.Lo%
State of Alaska COVID-19 Mandate 017—Appendix 03
Page 1 of 12
Alaska Protective Plan for Independent Commercial Fishing Harvesters
Appendix 03 to Health Mandate 017
Issued: May 15, 2020
accommodations or separate facilities, but using the same equipment and selling
their catch collectively.
C. Site Manager. Though there may be several individual permit holders in an
Harvesting Operation, the senior permit holder who conducts business
transactions on behalf of the Harvesting Operation will be considered the Site
Manager, and be responsible for enacting and enforcing this Appendix within his
or her Harvesting Operation.
III. Documentation. Site Managers are required to maintain written or time-stamped
electronic documents covering, at a minimum, the following information:
a. An acknowledgment of the requirements of this Mandate and all applicable
appendices and an explicit agreement to comply with this protective plan and
enforce it for their Harvesting Operation.
b. Certification that harvesters were screened upon arrival to the worksite in
accordance with Paragraph V.
C. Certification when harvesters have completed self-quarantine in accordance with
Paragraph IV.
For the 2020 season, each Site Manager must sign the Health Mandate 017
Acknowledgement Form (Appendix 02)prior to actively participating in the 2020
commercial fishing season. This form will indicate that the Site Manager will comply
with this Mandate and applicable appendices and enforce all requirements among any
other harvesters in the same Harvesting Operation.
Prior to accepting any fish - or making any payment for fish to an independent harvester-
a tender or processor must receive and confirm a signed copy of the Site Manager's
Acknowledgement Form. The Site Manager must submit a copy of the
Acknowledgement Form the first time they sell fish to a tender or processor. Subsequent
sales to the same tender or processor do not require submission of another copy of the
Acknowledgement Form (e.g., the form only needs be submitted once per fishing season
per tender or processor), but every tender or processor that a Harvesting Operation sells
to must have, and retain until December 31, 2020, a signed copy of the
Acknowledgement Form. This form shall be provided to the Alaska Department of Fish
and Game upon request.
By accepting the Acknowledgement Form, the tender or processor may rely upon the
submission of the Acknowledgement Form as proof of compliance of Health Mandate
017 and all applicable appendices. The tender or processor is not required to confirm
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State of Alaska COVID-19 Mandate 017—Appendix 03
Page 2 of 12
Alaska Protective Plan for Independent Commercial Fishing Harvesters
Appendix 03 to Health Mandate 017
Issued: May 15, 2020
compliance with Health Mandate 017, other than to collect the Acknowledgment Form,
and assumes no liability for any failure to comply with any Harvesting Operation.
IV. Travel and Quarantine Options. Harvesting Operations will make every effort to
prevent a potentially infectious harvester from exposing other harvesters or community
members during travel, and in their final destination community in Alaska. Harvesting
Operations will arrange for their arriving harvesters to follow one of the following
methods:
a. Mid-Travel Quarantine. Harvesters will travel to Alaska and observe a 14-day
self-quarantine period in temporary lodging in a large community that has a
General Acute Care or Critical Access Hospital (i.e., Anchorage or Juneau) prior
to beginning onward travel to their final destination community. This method will
allow harvesters to immediately begin provisioning and operating under the
protective measures in Section VI below upon arrival to their destination
community.
i. Travel. All harvesters in transit on commercial aircraft must wear a cloth
face covering that meets the recommendations contained in Health Alert
010. This face covering must be worn while transiting air terminals (to be
temporarily removed for security screening), while on the plane, and any
follow-on ground transportation until they reach their quarantine facility.
ii. Self-Quarantine. All harvesters will comply with the protective measures
set by Health Mandate 010, the local government, and their lodging
facility during self-quarantine.
iii. Testing. To the greatest extent possible, harvesters should receive a PCR
test within 48 hours prior to commencing onward travel to their
destination community, or as close as possible to the end of their
quarantine to receive results prior to commencing onward travel.
Harvesters should retain documentation of test results.
iv. Arrival Screening. All harvesters will be screened (see Section V) for
symptoms upon arrival at the worksite prior to being allowed to enter the
lodging facility.
V. Alaska Residents. This method is not requ.ircd, bUt i s fi i gh I y
recommended, for all Alaska residLms to follow when traveling from their
permanent home in Alaska to their l lgrvcsting Operation worksitc.
b. Post-Travel Quarantine. Harvesters will travel to their final destination
community in Alaska and observe a 14-day self-quarantine period prior to any
interaction with harvesters from other Harvesting Operations or members of the
local community. This method will require harvesters to follow stricter protective
For the latest information on COVID-19, visit coron�►virus_ laska. ov
State of Alaska COVID-19 Mandate 017—Appendix 03
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Alaska Protective Plan for Independent Commercial Fishing Harvesters
Appendix 03 to Health Mandate 017
Issued: May 15, 2020
measures in Section IV.b.iv after arrival to their destination community while in
their 14-day self-quarantine period.
i. Travel. All harvesters in transit on commercial aircraft must wear a cloth
face covering that meets the recommendations contained in Health Alert
010. This face covering must be worn while transiting air terminals (to be
temporarily removed for security screening), while on the plane, and any
follow-on ground transportation until they reach their quarantine facility.
ii. Testing. If locally available, arriving harvesters should receive a PCR test
within 48 hours of arrival at their destination community, preferably prior
to entering their self-quarantine lodging. The initial test may be conducted
en route to their destination community. Harvesters should retain
documentation of test results.
iii. Arrival Screening. All harvesters will be screened (see Section V) for
symptoms upon arrival at the worksite prior to being allowed to enter the
lodging facility.
iv. Self-Quarantine. Arriving harvesters mist pi-occed directly to their
designated.se11-giiEii-ai1Jne locitioii, must practice social distancing and
avoid interaction with the community, and may not stop at any location
between arrival at the local airport and transport to the worksite or self-
quarantine location unless it is to receive a PCR test.
1. If possible, arriving harvesters will quarantine in single rooms and
practice social distancing from other members of the Harvesting
Operation. If single rooms are not available, and/or social
distancing is not feasible, the entire Harvesting Operation will
observe quarantine together.
2. If a new harvester joins a quarantined Harvesting Operation and
social distancing is not feasible, the 14-day clock will re-start for
the entire Harvesting Operation.
3. Quarantined harvesters must maintain social distancing measures
from all people outside of their Harvesting Operation, regardless of
their quarantine status.
4. Harvesting Operations must arrange for provisioning via delivery
services, curbside pick-up, or supply runners.
5. Quarantined harvesters may not enter public spaces, to include
retail stores, for any reason other than to seek medical attention.
For the latest information on COVID-19, visit coruiia' irus.alasl:a.�ov
State of Alaska COVID-19 Mandate 017—Appendix 03
Page 4of12
Alaska Protective Plan for Independent Commercial Fishing Harvesters
Appendix 03 to Health Mandate 017
Issued: May 15, 2020
6. If the lodging facility is not adjacent to the worksite, quarantined
harvesters may only travel between their designated self-
quarantine lodging and worksite.
7. Harvesting Operations may commence work and begin fishing
during quarantine, provided they can maintain social distancing
measures from all people outside of their Harvesting Operation. If
they need to off-load catch during this time, they must inform the
tender, processor, or transporting agent of their quarantine status.
V. Compliance with this Mandate does not constitute a right to travel or access into any
areas. It is incumbent upon the individual traveler to ensure that any proposed travel
itinerary is still possible and to adhere to any and all additional restrictions enacted by air
carriers and lodging facilities
VI. Screening of Personnel. All harvesters will be screened upon arrival to the worksite or
lodging facility, using the following procedures, or an equivalent, medically-vetted
procedure. Site Managers may wish to arrange for dedicated spaces to conduct arrival
screening in a space that can be disinfected should an arriving harvester fail the
screening.
a. Verbal Screening Questions
i. Have you experienced any cough, difficulty breathing, shortness of breath,
loss of smell or taste, sore throat, unusual fatigue, or symptoms of acute
respiratory illness in the last 72 hours?
ii. Have you experienced a fever(100.4' F [38' C] or greater using an oral
thermometer)within the last 72 hours?
iii. Have you experienced signs of fever such as chills, aches and pains, etc.,
within the last 72 hours?
iv. In the past 14 days, have you traveled in an area or country with
widespread COVID-19 transmission without practicing social distancing?
V. Have you had contact within the past 14 days with a lab-confirmed or
suspected COVID-19 case-patient? (Contact defined as being within six
feet of a COVID-19 case for a prolonged period of time (ten minutes)or
having direct contact with infectious secretions of a COVID-19 case).
b. Physical Screening
i. Each harvester should demonstrate a measured temperature of< 100.4° F
[38' C]. (This reference is for oral temperature, a forehead (temporal)
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State of Alaska COVID-19 Mandate 017—Appendix 03
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Alaska Protective Plan for Independent Commercial Fishing Harvesters
Appendix 03 to Health Mandate 017
Issued: May 15, 2020
scanner is usually 0.5°F (0.3°C)to 1°F (0.6°C) lower than an oral
temperature. An ear(tympanic)temperature is 0.5°F (0.3°C)to 17
(0.6°C)higher than an oral temperature.)
ii. Anyone performing a physical screening should wear appropriate personal
protective equipment(PPE). If PPE is not available, the harvester may
take their own temperature.
iii. Each harvester must be free of fever or respiratory symptoms. A possible
exception would be if harvester has mild symptoms that are clearly
attributable to another source (i.e., allergies).
C. If a harvester fails verbal or physical screening or is displaying viral symptoms
they will immediately be isolated in accordance with Section VIII.b.
d. Additionally, site managers should assess each harvesters' individual risk factors
(e.g., older age; the presence of chronic medical conditions, including
immunocompromising conditions) and enact additional protective measures as
needed to minimize their risk.
VII. Protecting the Public. After all members of an Harvesting Operation have completed
quarantine, it is anticipated that harvesters may have local community contact. Harvesters
must use the following procedures to limit contact with members of the public to the
greatest extent possible:
a. For harvesters who live locally or return to port daily,harvesters and families or
roommates must comply with all social distancing protocols.
b. Travel to high-traffic areas in communities such as retail stores will be kept to an
absolute minimum. Harvesting Operations should take advantage of delivery
services, curbside pick-up, and supply runners as much as possible.
C. All face-to-face interaction between harvesters and other fisheries industry
workers will be kept to an absolute minimum, such as receiving for supplies, off-
loading catch, fish tickets, and refueling. Those interactions that cannot be
conducted remotely must follow social distancing guidelines.
d. Private sector businesses such as retailers, hotels, and air carriers may also enact
additional measures as a part of their protective plans which must be followed in
order to obtain their services.
VIII. Worksite/Campsite Protective Measures.
a. Harvesting Operations should encourage basic common hygiene practices, such as
frequent and thorough hand washing; respiratory etiquette, including covering
For the latest information on COVID-19, visit [rLr,-la ska,gov
State of Alaska COVID-19 Mandate 017—Appendix 03
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Alaska Protective Plan for Independent Commercial Fishing Harvesters
Appendix 03 to Health Mandate 017
Issued: May 15, 2020
coughs and sneezes; discouraging harvesters from using others' personal property,
work tools, and equipment.
b. Harvesters are required to stay in their assigned accommodations if they are sick.
C. Harvesting Operations should confine harvesters to their own campsite and
practice social distancing with neighbors as much as possible.
d. Best practices for food preparation and dining areas are:
i. Ensure all harvesters wash hands before eating or touching any food items
or utensils.
ii. Any harvester with cough or respiratory symptoms must eat separately.
iii. Eliminate buffet or family-style dining and any common serving dishes.
Identify one harvester to handle food and to prepare a plate for each
harvester. Do not allow serving utensils to be shared.
iv. Consider having a designated harvester prepare individual snacks for the
day and distribute it to each harvester. Eliminate common bowls of snacks
or opportunities for multiple people to touch food or packaged food
products.
V. Consider the use of single-use cups/plates/etc.
IX. Procedures for Harvesters who Become Ill. Harvesting Operations must follow the
following procedures for identification, isolation, and assessment of harvesters who begin
to show symptoms of infection:
a. Identification. Screen all harvesters daily for:
i. New signs of fever, cough, difficulty breathing, loss of smell or taste,
unusual fatigue or shortness of breath
ii. If there is a respiratory illness identified, take temperature twice daily of
each harvester
iii. If symptoms are presenting, repeat the screening from Paragraph II.
iv. If a harvester screens "yes"to any of the symptom questions (1-3), place a
surgical mask on, if tolerated.
V. If a harvester screens "yes"to BOTH: (1) any of the symptom questions
(1-3);AND (2) an epidemiological risk factor questions (4 or 5), place a
surgical mask on harvester, if tolerated, and isolate per the Isolation
For the latest information on COVID-19, visit
State of Alaska COVID-19 Mandate 017—Appendix 03
Page 7 of 12
Alaska Protective Plan for Independent Commercial Fishing Harvesters
Appendix 03 to Health Mandate 017
Issued: May 15, 2020
protocol below. If an isolation room is not available, consider all members
of the Harvesting Operation under isolation.
vi. Evaluating provider must don appropriate PPE and begin to document
who has had exposure to the harvester within the last two days.
vii. If available, or as soon as practicable, obtain a rapid influenza swab. If
positive, and no other reason to suspect COVID-19, treat harvester as an
influenza case, not a COVID-19 case. There can be co-infection with
COVID-19 and influenza, if there is any suspicion for COVID-19
exposure in the prior 14 days, continue to treat as a suspected COVID-19
case.
viii. If a harvester screens "yes"to fever and respiratory symptoms, but does
not clearly have an exposure that would qualify for a COVID-19 suspect
case, seek medical evaluation and, at a minimum, recommend isolation for
72 hours AFTER the fever ends without the use of fever-reducing
medications AND an improvement in initial symptoms (i.e., cough,
shortness of breath)before returning to work.
b. Isolation. Isolation separates sick people with a contagious disease from people
who are not sick. When possible, isolate sick harvesters in a separate room and
designate a bathroom or head that is only for the isolated crew. For l larvestin
O erations that cannot acccn,imodate isolation. consider all 17ieiiibers of the
l laNCSting ()p � tit oil unifier QUararitinc iGor- 14 days.
i. If a harvester is identified as a potential COVID-19 case, immediately ask
them to wear a a surgical mask(not an N-95) if tolerated. If there are no
surgical masks available, a cloth face covering may be used as a last
resort.
ii. Place the harvester in a private room with the door closed, ideally an
airborne infection isolation room if available. Place a label on the door
indicating no one is to enter the room without proper PPE. This room
should have a separate toilet and bathing facilities.
iii. Any staff entering the room should use Standard Precautions, Contact
Precautions, and Airborne Precautions, and use eye protection such as
goggles or a face shield. If N-95 masks are not available, a surgical mask
may be considered an acceptable alternative at this time.
iv. Access to the room should be limited to personnel involved in direct care.
Meals should be delivered to the room and dishes and utensils cleaned
separately. Anyone with exposure to the harvester should document the
date and time of exposure, nature of exposure (close contact, same room,
For the latest information on COVID-19, visit coronavirus.alaska.gvv
State of Alaska COVID-19 Mandate 017—Appendix 03
Page 8 of 12
Alaska Protective Plan for Independent Commercial Fishing Harvesters
Appendix 03 to Health Mandate 017
Issued: May 15, 2020
secretions), and PPE worn. Meticulous hand hygiene must be performed
immediately after doffing PPE.
V. Maintain a distance of six feet from the sick harvester and keep
interactions with them as brief as possible.
vi. Limit the number of people who interact with sick people. To the extent
possible, have a single person give care and meals to the sick person.
vii. Avoid touching your eyes, nose, and mouth.
viii. Wash your hands often with soap and warm/hot water, and wash your
hands immediately after leaving the presence of the sick crew member
with soap and water. If soap and water are not available, and if hands are
not visibly soiled, use a hand sanitizer containing at least 60 percent
alcohol.
ix. Provide tissues and access to soap and water, and ask the sick harvesters to
cover their mouth and nose with a tissue (or facemask)when coughing or
sneezing.
C. Notification.
i. If a harvester becomes ill with suspected or confirmed COVID19,the Site
Manager must contact local public health nursing for further guidance:
ii. Dillingham Public Health Center: 842-5981
iii. Homer Public Health Center: 235-8857
iv. Ketchikan Public Health Center: 225-4350
V. Kodiak Public Health Center: 486-3319
vi. Nome Public Health Center: 443-3221
vii. Petersburg Public Health Center: 772-4611
viii. Sitka Public Health Center: 747-3255
ix. Valdez Public Health Center: 835-4612
X. Irltp:l'tII1s.�ila4k�.�r�3v/d h/Nursiii��'f'a��4ti/1t�� �[j�1115.aSp7t
1. For a person ill or injured and not suspected of COVID-19 follow an
established process to evaluate for establishing healthcare.
For the latest information on COVID-19, visit cororzavirus.alaska,�,,()v_
State of Alaska COVID-19 Mandate 017—Appendix 03
Page 9of12
Alaska Protective Plan for Independent Commercial Fishing Harvesters
Appendix 03 to Health Mandate 017
Issued: May 15, 2020
2. If the ill harvester is not directed to a medical facility, the Harvesting
Operation may continue to fish and complete a 14-day quarantine. If
unloading to a tender/processor is necessary during this time,the
Harvesting Operation must tell the tender/processor it has a sick
harvester. During the unloading, all crew must wear gloves and face
coverings.
d. Transportation. Procedure on transportation of suspected COVID-19 cases at
disembarkation
i. For the harvester with suspected COVID-19: A facemask should be worn
by the patient for source control. Alternatively, an oxygen mask can be
used if clinically indicated. If the patient requires intubation,see:
irutii2QI9—n«)v/hcp,/,_,uidl iiicc-f Or-ems.html
for aerosol-generating procedures.
ii. If ambulance transportation is required: Local EMS should be notified that
this is a potential COVID-19 case so that responders may use appropriate
PPE and follow their protocols.
iii. If private vehicle transportation is utilized: Anyone who will be driving a
harvester with suspected COVID-19 should maintain as much distance
from the harvester as possible, wear a mask if available, and avoid
unnecessary contact with the ill person and their belongings. If the driver
will provide direct care to the ill person (e.g., moving patients onto
stretchers), they should wear recommended PPE. After transportation is
complete, and before reentering a driver's compartment, the driver should
remove and dispose of any PPE in a sealed plastic bag and perform hand
hygiene. Windows should be down to allow for air exchange if possible.
iv. Personnel should avoid touching their face while transporting.
V. The receiving healthcare facility must be notified that a patient with
suspected COVID-19 is being brought in so that they may take appropriate
infection control precautions.
e. Quarantine. Quarantine separates and restricts the movement of people who
were exposed to a contagious disease to see if they become sick. If separate
accommodations with designated bathrooms are available, this procedure may be
considered for the individual crew. Otherwise, consider the entire Harvesting
Operation under quarantine.
i. Harvesters who have had high-risk exposures to a person suspected of
having COVID-19 should be quarantined in their assigned
accommodations. All potentially exposed members should avoid leaving
For the latest information on COVID-19, visit coroii_tw i_rtis.�tl 1( .uo
State of Alaska COVID-19 Mandate 017—Appendix 03 4
Page 10 of 12
Alaska Protective Plan for Independent Commercial Fishing Harvesters
Appendix 03 to Health Mandate 017
Issued: May 15, 2020
the worksite or lodging facility and self-monitor under the supervision of
the site manager or telemedicine providers until 14 days after the last
possible exposure. If an entire Harvesting Operation is under quarantine,
they may continue to work.
i i. A high-risk exposure could occur through close contact with the suspected
case without PPE. Close contact is defined as:
1. being within approximately six feet(two meters) of a COVID-19
case for a prolonged period of time (ten minutes or longer); (close
contact can occur while caring for, living with, visiting, or sharing
a healthcare waiting area or room with a COVID-19 case);
OR
2. having direct contact with infectious secretions of a COVID-19
case (e.g., being coughed on).
iii. For a Harvesting Operation with a suspected case, consider the entire crew
to have had a high-risk exposure.
iv. If personnel develop fever, cough, difficulty breathing, or other symptoms
of COVID-19 while in quarantine, they should be isolated and undergo a
medical assessment, reporting, and transportation as per the other relevant
sections of this Appendix.
V. The site manager and telemedicine providers should remain in contact
with personnel through the self-monitoring period to oversee self-
monitoring activities.
vi. The remaining exposed harvesters must complete a 14-day quarantine
period, from the time the sick harvester is transported, in a suitable
quarantine location.
X. Continuity of Fisheries Operations.
a. Site managers should consider the impact that this pandemic will have on the
fishing industry as a whole, their suppliers, and wrap-around services such as fuel,
groceries, and lodging.
b. Site managers should consider the potential impact on their operations that may
arise as a result of outbreaks or increased rates of harvester absenteeism, and
enact plans for cross-training harvesters to the greatest extent possible.
For the latest information on COVID-19, visit
State of Alaska COVID-19 Mandate 017—Appendix 03
Page 11 of 12
Alaska Protective Plan for Independent Commercial Fishing Harvesters
Appendix 03 to Health Mandate 017
Issued: May 15, 2020
C. Site managers must temporarily cease operations if they do not have enough
healthy harvesters remaining to safely run the Harvesting Operation.
For the latest information on COVID-19, visit core iw ,irLis,iih-s-U.--ov
State of Alaska COVID-19 Mandate 017—Appendix 03
Page 12 of 12
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Frequently Asked Questions about the COVID-19 Health Mandates
Health Mandate 10.1 — International and Interstate Travel — Order for Self-
Quarantine
Issued March 23. Goes into effect March 25, 2020 at 12:01 a.m. Will be reevaluated by April 21,
2020. Find full text and attachments available at:
https:l/content.govdelivery.com/accou its AKDHSS bulletins 282d20b
What does Health Mandate 10.1 mean and what is its purpose?
Health Mandate 10.1 has been implemented to help control the entry into Alaska from areas
outside the state to help prevent the spread of COVID-19. 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 they support
critical infrastructure (see Attachment A).
What does the mandate say?
"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." See
Attachment A—Alaska Critical Workforce Infrastructure
How will this be tracked?
Travelers arriving in Alaska will fill out a declaration form at the airport, and in the future at
border crossing, when they arrive and indicate where they will be self-quarantining for 14 days.
What should a traveler do immediately upon arriving in Alaska?
Anyone arriving in Alaska should go directly from the airport to the designated quarantine
location they identified on the mandatory State of Alaska Travel Declaration Form.
I don't have any symptoms, do I have to self-quarantine?
All people arriving in Alaska, regardless of their perceived health, 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 they support critical
infrastructure (see AtLachi-nenl A). While in quarantine, you should monitor for symptoms
according to health guidance from the CDC and the State of Alaska.
Can I quarantine at home?
Yes, if you are an Alaska resident, your designated quarantine location is your residence.
What if I'm visiting?
If you are a visitor or worker, your designated quarantine location is your hotel room or rented
lodging.
How long does this mandate last?
It will be reevaluated on April 21, 2020.
What happens if someone doesn't follow this mandate?
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.
If I know a business or individual that isn't following this mandate, who should I report this
to?
Violations may be reported to in frnSpal��sfta. )_v.
How long do I have to stay in quarantine?
You should stay at your designated location for 14 days or until you leave the state, if less than
14 days.
If I'm sick, may I go to the doctor?
Yes. You may leave your designated quarantine location only for medical emergencies or to
seek medical care. Please call your doctor before going to their office or facility.
Can I go to meetings or exercise areas if my quarantine location?
Do not visit any public spaces. Those include pools, meetings rooms, fitness centers,
restaurants and more.
Health Mandate 10.1—International and Interstate Travel—Order for Self-Quarantine
May I have visitors at my quarantine location?
No visitors are allowed, other than doctors, health care providers or other critical infrastructure
service providers. See Attachment A.
What if someone is living with me at my quarantine location?
If someone else is at your location, you must comply with social distancing guidelines, including
remaining at least six feet away from others, and frequently cleaning surfaces. If you need help
accessing food, please contact your local jurisdiction to request help.
If I can't leave, how do I get food at my quarantine location?
Many grocery stores deliver food, and delivery services can bring food from restaurants, all of
which can be dropped off outside the door to prevent contact.
Some travelers and businesses providing critical infrastructure are exempted. What is
considered critical infrastructure?
A variety of professions and businesses support critical infrastructure, including health care,
first responders, financial institutions and more. Find the full list at: htt s: /gov.alaska.gov/wp-
content uploads sites/2/03232020-COVID-19-Health-Mandate-010-Attachment-A pdf
What should you do if your business or employees support critical infrastructure and you have
travelers coming in from out of state?
If your business is included in Attachment A, and your workers must travel to enter Alaska, you
need to submit a plan or protocol for maintaining critical infrastructure to the Department of
Commerce, Community and Economic Development by 3 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." Plans may be submitted to Alaska Development@alaska.gpv.
EXAMPLE: What if a telecommunications provider is wondering if it needs to enforce
quarantine requirements on its in-state employees who have been on vacation out of
state, and are now returning? (Note that communications providers have been deemed
"essential"critical infrastructure).
The provider (company) needs to submit their business implementation plan to
Alaskadeveglopment alaska�ov.That plan should articulate how the company is protecting
workers and customers with respect to the mandate and guidance for quarantine and social
distancing. If the employee cannot comport with the company guidance and
recommendations for social distancing, we suggest the company have that employee stay
home.
Health Mandate 10.1—International and Interstate Travel—Order for Self-Quarantine
EXAMPLE:I work for a moving company, and I drive across the U.S.-Canadian border
frequently, but I'm alone in my truck. Do I still have to quarantine for 14 days after
arriving in Alaska?
No. Moving and trucking companies are considered critical infrastructure, but they are
asked to have a mitigation plan on how to avoid the public and help to prevent the spread
of COVID-19. This plan should be submitted to
EXAMPLE: What if someone is traveling back to their home from out-of-state but have a
stopover in another community on their way home? What does this person need to do?
Transient accommodations, including temporary lodging at the stopover location at a hotel,
is permissible. The same applies for those travelers with overnights due to weather or other
extenuating circumstances on their journey home.
EXAMPLE:If someone is traveling back to a village but stopping in Anchorage, does that
person need to quarantine in both communities?
The person traveling must quarantine when they arrive at their home or employee lodging
at the final destination. This person does not need to quarantine in Anchorage. Travelers
should state the final destination, not intermediary destinations.
What if my critical infrastructure business or operation relies on outside travelers, but they
won't be entering Alaska prior to April 21, do I have to submit a plan?
No.
I have been traveling to various communities within Alaska, does this impact me?
At this time, travel within the state of Alaska is not restricted by this mandate, though public
health guidance in He Ith /llert Oo9 issued Niarch 20 calls for avoiding non-essential in-state
trips.
My spouse is in the military and will be arriving in Alaska, does this impact traveling military
personnel?
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 they support critical infrastructure (see, lutac:hnleilE. il).
I am in the military and my dependents will be arriving in Alaska, how does this impact
military dependents?
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 they support critical infrastructure (sec Attachn r.11L A).
Health Mandate 10.1—International and Interstate Travel—Order for Self-Quarantine
Will the mandatory declaration form be collected at the highway border as well as
airports? What state agency will be collecting the Declaration forms at the airports and will
they be given to municipalities and or law enforcement agencies? What will be done with the
forms?Are they public records?
For March 24, 2020, forms are being collected in drop boxes at Ted Stevens Anchorage
International Airport(ANC), and Fairbanks International Airport (FAI). For travelers to Juneau
(JNU), forms will be collected by City and Borough of Juneau employees. All forms will be
collected and provided to State of Alaska Department of Health and Social Services staff in all
locations, and will be secured and stored with DHSS.They will not be given to municipalities or
to any local, state or federal law enforcement agencies. If in the future a misdemeanor criminal
investigation is ongoing, law enforcement will request specific documentation (evidence)from
the department, which will be processed in the customary way documentation is provided
during criminal investigations, ensuring protocols for chain of custody are applied.The State of
Alaska is developing the procedures and collection protocols for forms at land border
crossings. The same protocols will apply for collection and preservation.
Health Mandate 10.1—International and Interstate Travel—Order for Self-Quarantine
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ofA
RESPONDING TO
COVI! =19
DHSS has been tremendously busy responding to the COVID-19 crisis, as well as
attending to the ongoing critical issues, programs, finances and policy required
for running the state's health care system. There are many challenges caused by
both the contagion and its parallel effects on workforce and accessibility. Our
priorities have been:
• Getting assistance and benefits into people's hands faster, with fewer barriers.
The elderly population and their care and safety.
• The stability and accessibility of health care providers.
• Proactively positioning the department should this epidemic worsen.
To this end, the following efforts are ongoing:
Health response
DHSS is moving to modify or waive many existing regulations to assist with the accessibility of
care in areas some of which include:
a. Suspending service authorization limits and durations.
b. Permitting facilities to use multiple types of spaces for patient care as needed.
c. Increasing or waiving service limits for services such as personal care services.
d. Waving the prohibition against family members being paid to provide services for the
disabled and elderly population.
e. Waiving assessments and reassessments for disabilities services.
Concerning Medicaid services, the department has applied for and received a waiver for its
disabilities services, this has been granted and allows for(among other things):
a. Services being provided in other settings not previously allowed (such as hotel rooms).
b. Substitutions across services, such as respite being used instead of day habilitation.
c. Many services being provided telephonically.
d. The removal of service caps.
April 8, 2020
For the rest of the Medicaid population,the department has applied for and received an
emergency 1135 wavier by Centers for Medicare and Medicaid Services(CMS). This waiver
would allow for(among other things):
a. Waiving or postponing many enrollment requirements such as obtaining fingerprints,
allowing for a provisional enrollment.
b. Allowing for presumptive eligibility for the aged, blind and disabled population.
c. Postpone or suspend administrative hearings, federal audits and other audit
requirements.
d. Modifying the timely provider filing requirements.
e. Suspending level of care requirements, allowing patients to be cared for where they are
instead of being transferred.
f. Allowing for the creation of a new isolation and quarantine system to provide safe
places for those that cannot quarantine at home.
Suspended regulations and statutes:
a. Allow videoconferencing and other ways to conduct assessments other than face to
face.
b. Relaxing of response timelines at Office of Children's Services (OCS).
c. Permit additional Medicaid funding for COVID-19 related hospitalizations.
d. Provisional approval of background checks without fingerprinting.
e. Allow payment to family members providing care for Seniors & Disabilities Services.
See the last two pages of this document for more information about the two Medicaid waivers.
Disaster response (Division of Public Health)
• DHSS Emergency Operations Center is active in disaster response in every community,
testing and tracking, and planning for future patient care.
Section of Epidemiology is systematically holding 'town hall' meetings with communities
to assess individual needs and plan the appropriate responses.
Public assistance and benefits (Division of Public Assistance)
• Able Bodied Adult Without Dependents (ABAWD) work requirements for the
Supplemental Nutrition Assistance Program (SNAP) have been temporarily suspended,
as well as extending the certification periods.
• Adult public assistance and senior benefits eligibility extended 6 months.
Women, Infants and Children (WIC) participants are allowed to be certified without
going to a WIC clinic.
Modified workflow and accessibility, allowing Alaskans to drop off paperwork and
establish call-in appointments to allow better access and ensure public services and
social service program eligibility.
• Presumptive eligibility where possible, so benefits accessed faster.
Changing or waiving protocols like in-person meetings.
April 8, 2020
• Asking for and using any federal flexibility in programs to get payments to child care
providers and any other assistance programs.
Facility-driven services and children services (Pioneer Homes, Division of Juvenile
Justice, Alaska Psychiatric Institute, Office of Children's Services)
• All public entry to OCS offices are by appointment only.
• All family contact is limited to electronic methods for visitation such as FaceTime, Zoom
or telephone visits, or other communication applications.
• Liberal, daily phone calls between children and their parents are being done through
OCS.
• Foster parent frequently asked questions about COVID-19 posted to OCS website.
DJJ is posting COVID information to their website and developing a parent corner
section to provide updates to families.
• Pioneer Homes are reviewing on a case-by-case basis the 180 days allowed for an Alaska
resident to be out of state in order to remain on the waitlist. This requirement is being
waived if the elder was out of state and should not travel back to Alaska due to COVID-
19.
■ Reduce community spread through very limited visitation.
• Working with community providers to reduce cross-facility spread. (Many employees
work at various facilities in their community).
• Being mindful and frugal with use of PPE and other supplies to reduce the burn rate.
• Evaluating the need for transport to medical facilities and taking care of more needs in
facility.
• Working with families on end-of-life requests to reduce emergency room and hospital
use.
Medicaid driven services (Health Care Services, Division of Behavioral Health, Division of
Public Assistance, and Senior and Disability Services)
• Reducing regulatory burden for providers to give unfettered access to patients.
• Worked with our partners, including Alaska State Hospital and Nursing Home
Association, Alaska Behavioral Health Association, Alaska Mental Health Trust, and
Alaska Native Health Board, to identify needs and write to massive emergency plans
with CMS (the Appendix K and the 1135 Waiver).
• Working with our federal partners including CMS, Administration for Children and
Families, and FEMA to implement emergency protocol for programs and vulnerable
populations.
Specifically, the waivers include modifications such as:
• Exempting the settings, scope, duration, and frequency of services provided during the
crisis.
April 8, 2020
• Setting new rates for specific services such as home and community-based services for
the elderly to incentivize providers to provide care in-home rather than in congregate
settings.
• Extending plans of care during the emergency so that providers can focus on care rather
than administrative work.
• Extending licensing and credentials of providers including a waiver for certified nurse
assistants to work on provisional license and out-of-state providers to provide
telehealth services while not licensed in Alaska.
• Modifying caregiving requirements allowing personal care attendants the flexibility of
location to provide more comprehensive care in homes.
• Modifying our telehealth capacity to allow services regardless of the origination of the
service (i.e. an out-of-state or region provider could provide services without a physical
examination in certain cases), removing the video requirement for most services, and
relaxing the technological requirements for many services to allow simple interface such
as Facetime.
For businesses
• Working with child care providers in order to keep them whole and modify their work
during this time, including hosting webinars and answering frequently asked questions.
• Increasing funding through both federal and state sources to allow for incentive pay and
stabilization pay for health care providers.
DHSS is leading a discussion with Department of Commerce, Community, and Economic
Development, Department of Labor, and Department of Natural Resources regarding
the commercial fishing industry and its personnel for economic stability of the fleet(s)
and has daily discussions with the health care industry in order to provide flexibility and
maximize health care professional recruitment and reimbursement.
April 8, 2020
of A
RESPONDING TO
ovi =19
Medicaid Waivers
Increasing access and providing safer means to health care services
during the COVID-19 health emergency
On April 2, 2020, the Centers for Medicare and Medicaid Services granted the Alaska
Department of Health and Social Services' (DHSS) waivers of Medicaid requirements. These
waivers allow DHSS greater flexibility to respond to the COVID-19 health emergency through
increased accessibility to care and safer mechanisms for the provision of health care during this
time of crisis.
Appendix K, the first of the two waivers, was granted on March 25, 2020.The Appendix K
waiver is specific to Alaskans who receive Medicaid Home and Community Based Wavier
services through Senior and Disabilities Services. The second waiver, under Section 1135 of the
Social Security Act, was granted on April 2, 2020.The Section 1135 waiver ensures that, during
an emergency, sufficient health care services are available to Medicaid enrollees and Medicaid
providers are relieved of requirements that could impede the provision of health care.
In broad terms, these waivers allow Medicaid-enrolled providers to provide more accessible
care in the following ways:
w Allows health care professionals to provide care in different settings, for flexible
duration and scope, and with less administrative burden;
• Extends or waives plans of care requirements, and allows providers more flexibility in
documentation and reporting;
Modifies current requirements for health care professional licensing in order to allow
more health care professionals provisional licenses for care in Alaska;
• Eases restrictions and administrative process on health care professionals seeking to
enroll as Medicaid providers; and
Allows a wide variety of services to be performed via telehealth.
April 8, 2020
Waiver provisions will be implemented on an as needed basis, and DHSS will notify providers of
the effective date of each change. Until DHSS notification is issued, services provided under
waiver provisions will not be covered. Notices will be published at Alaska Medicaid Health
Enterpriise and the Division of Behavioral Health_websites as approved waivers are
implemented.
For specific questions about these waivers or their implications:
If you are a: Contact:
Medicaid applicant or enrollee Division of Public Assistance
Director of Public Assistance
_ hssdpadirectoroffice@alaska.gov or 907-500-2131
Health care provider(e.g., Division of Health Care Services
hospital, physician, dentist, m Brenda Vincent brenda.vincent@alaska.gov or 907-
therapist) with a question about 334-2430
provision of Medicaid services a Sherri Larue sherri.larue@alaska.gov or
907-334-2656
Health care facility (e.g., hospital, Division of Health Care Services
skilled nursing facility, • Matthew Thomas matthew.thomas2@alaska.gov
ambulatory surgery center) with or 907-334-2664
a question regarding licensure or ® For DETs Gennifer Moreau
certification Gen nifer.moreau@alask„a. ov 907-717-1346
Health care provider with a Division of Health Care Services
question about Medicaid • Jason Ball jason.ball@alaska.gov or 907-334-2186
enrollment
Behavioral health provider(e.g., Division of Behavioral Health
community behavioral health • Terry Roth terry.roth@alaska.gov or 907-744-3707
providers including Tribal health, MPASSUNIT mpassunit@alaska.gov
autism services, mental health
physician clinics) with questions
regarding the provision of
Medicaid services _
Assisted living homes with Division of Health Care Services
questions about licensing and • Craig Baxter cr.3ia.baxter@alaska.gov or 907-334-
operations 2492
April 8, 2020
STATE CAPITOL
550 West Seventh Avenue,Suite 1700
P.O. Box 110001 {; v Anchorage,AK 99501
Juneau,AK 99811-0001
907-465-3500 907-269-7450
Governor Michael I Dunleavy
STATE OF ALASKA
** COVID-19 HEALTH MANDATE **
Issued:March 27, 2020
By: Oovvrnoi- Mike Dw le',lvyn"°OV461"�
('o111MiSS1011C1° ;ldai)7 CR[111�11,,kkkska Department of Health and Social Services
f)r. Anita I.is1 llicf`ibieclic tl Officer. State of Alaska
To prevent the spread of Coronavirus Disease 2019 (COVID-19),the State of Alaska is issuing
its eleventh health mandate based on its 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 tram 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
E1fective 5:00 rant 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
For the latest information on COVID-19,visit cLironayirus.alaska.gg
State of Alaska COVID-19 Mandate 01 1 Page 1 of
not currently reside. Read the "Mit ndato l I & 12 FAO's"" for more details, which can be found
here: littp:/Idhss.alaska.gov/dL)ii/L-pi/i(]/Il geslCOVID-19/detinu1La:s px
Critical infrastructure includes those items listed in"Alaska's Essential Services and Critical
Infrastructure" (formerly Attachment A) https:Hpov.alaska.gov/wp:
conlent/tiploads/sites/2/03232020-COVID-19-1.1calth-Mandate-010-Attac;lzment-A.pdf
I. The Governor orders individuals to abide by the following:
a. Work from home as much as possible (see Alaska Essential Services and Critical
Workforce Infrastructure Order).
b. Immediately isolate any family member who is ill.
littps://www.cdc.gov/corortavu-us/2019-neov/iic: /`oui�ec-pi,event-
S read.lit inig precautions
c. 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.
d. Any individual who exhibits symptoms of illness must not leave their home,
including to work, except as necessary to seek or receive medical care.
e. 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.
f. Individuals experiencing homelessness are exempt from this mandate but are
urged to obtain shelter.
II. The Governor orders the closure of non-essential businesses:
a. 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).
b. 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
a. "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:
i. The minimum necessary activities to maintain the value of the business's
inventory, ensure security, process payroll and employee benefits, or for
related functions.
ii. 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:
For the latest information on COVID-19, visit corot yjj Us.aLa,., v
State of Alaska COV1D-19 Mandate 011 Page 2 of
a. 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.
b. 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.
c. 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 corimavirlas.a[A ska.gov
State of Alaska COVID-19 Mandate 011 Page 3 of 3