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April 27, 2020
ADDENDUM No. 2 TO HEALTH DIRECTIVE No. 2 NOTICE OF SAFETY MEASURES
TO: Citizens of Shelby County, Tennessee
FROM: Bruce Randolph, M.D., M.P.H, Shelby County Health Officer
RE: Public Health Announcement on COVID-19 Response
On April 4, 2020, as the Health Officer for Shelby County, I formally issued Health Directive No. 2 which supersedes any other prior Health Directive (written or oral) issued by this office. This Addendum No. 2 to Health Directive No. 2 serves to provide guidance in advance of future re-openings and the easing of restrictions that have been placed on citizens, businesses owners, government, and non-profit institutions. This guidance directs members of the aforementioned groups to develop long term safety measures, as detailed below, to slow and end the transmission of COVID-19, which continues to be a direct and deadly threat to the population of Shelby County, Tennessee. This Addendum No. 2 is for information and notice purposes only.
The County is currently operating under Health Directive No. 2, which contains: 1) limitations on businesses that may operate, either in a limited or full manner, and 2) required closures of businesses that do not qualify as providing essential services or do not facilitate the exercise of essential activities. In order to facilitate an appropriate preparation and transition to expanding the opening of businesses, certain Threshold Criteria and Safety Measures should first be met. This Addendum No. 2 provides the following guidance: 1) it provides a brief overview of the Threshold Criteria for reopening businesses; 2) it outlines the Safety Measures that must be in place for businesses to reopen (at limited or full capacity as delineated below); 3) it specifies Parameters, if any, on how certain businesses may reopen; and 4) it explains how individuals may engage in Essential Activities.
As stated above, this Addendum is being provided in advance of identifying a date of any reopening so that businesses and people can prepare themselves for this future event. Once the Threshold Criteria are met that warrants the reopening of businesses as set forth below, I will issue a formal health directive announcing the date of such reopening.
Please be advised of the following:
1. Threshold Criteria
The following criteria must be met before a reopening may occur:
2. Safety Measures
The following measures must be in place for businesses to be permitted to reopen (either at limited or full building capacity as further delineated below):
3. Parameters of reopening "Essential Services" and "Other Services"
"Essential services" means services and/or businesses that the interruption of which would endanger the life, health, or personal safety of the whole or part of the population and shall include the following with additional safety measures as specified below.
"Other Services" may open and operate after meeting benchmarks (as specified below) and/or following a reopening approach as set forth below.
4. "Essential Activities" permitted under any future health directive shall include:
In conclusion, it is my belief that the aforementioned guidelines set forth in this Addendum No. 2 will, once Threshold Criteria are met, present the least restrictive means by which businesses may reopen while also slowing the transmission of COVID-19.
Limiting close contact with others is the best way to reduce the spread of COVID-19. Therefore, everyone should practice social distancing. Social distancing, also called "physical distancing," means keeping space between yourself and other people outside of your home. To practice social/physical distancing:
Please keep in mind that the goal is safety while balancing the needs of citizens to receive the necessities of life, i.e., food and shelter, allowing people to work in a safe manner, and further ensuring the availability of resources to the community. Every effort should be made by providers of essential and other services to take steps to stop the spread of this deadly disease. These prophylactic actions are meant to protect everyone.
Requirement to Collect Demographic Data. Any health care provider located in Shelby County, Tennessee that provides COVID-19 testing or clinical care shall provide to the Shelby County Health Department (SCHD), as requested by the SCHD, demographic data regarding individuals tested or cared for by the provider. Such data shall be in such forms, formats and/or schedules that the SCHD will reasonably specify to the provider by written guidelines, including by way of example and without limitation the following data: gender, race, ethnicity, date of birth or other indicia of age, and such other demographic based clinical information that the SCHD deems relevant and necessary to respond to and serve the needs of Shelby County related to the COVID-19 pandemic.
The Shelby County Health Department is authorized to take emergent and immediate action to enforce this Addendum, and it serves as official notice of your requirement to comply with it. Immediate action may be taken for any violating it.
Your Right of Review
If you feel this Directive has been issued in error, you may request a review by the TDH’s Chief Medical Officer, Dr. Tim Jones (615) 741-3111, or a designee. Dr. Jones, or a designee, will review your request within five (5) business days of its receipt, and you will receive a decision in writing. You may also request that the TDH obtain a court order containing the provisions of this Directive. If you request this option, the TDH will take the matter to an available and appropriate court of record. Please be aware you are still required to abide by all of the provisions contained in this Health Directive during any review process.
A copy of the rules setting forth the Health Directive procedure and your related rights is attached to this Health Directive.