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Gov. Polis Presents Key Indicators That Will be Considered in Modifying Colorado’s Social Distancing Guidance
DENVER – Governor Jared Polis announced the key indicators that are guiding Colorado’s process for ongoing updates to policies, guidance, and requirements on statewide social distancing measures. These will be used to get the state through COVID-19 pandemic while minimizing loss of life and further economic disruption.
“Coloradans have done an amazing job of staying at home. Staying at home whenever possible is likely to remain one of the most important, if not the most important tool we have to flatten the curve and save lives. But we also know that we are in this for the long haul. It is likely to be many months until there is a vaccine or herd immunity, and we need a way of life that is sustainable psychologically and economically while meeting the health goals spelled out today,” said Gov. Jared Polis. “As we reopen our state, we know that things will work differently than they did before, and we must enshrine social distancing in the way we live, work, and play in a sustainable way for a matter of months. The science and data will provide the information we need to adapt our policies to build upon what works and change what isn’t working.”
The Governor thanked Coloradans for working together to help flatten the curve and save lives. The Governor also noted that expanding capacity for health care beds is on track. Gov. Polis is focused on sustainability and ensuring that Coloradans are able to safely earn a living without the risk of running out of hospital beds after the expiration of the stay-at-home order.
Current steps to stop the spread of COVID-19, including the temporary closure of bars and restaurants in Colorado communities, the state’s stay-at-home order, and the cultural adaptation of mask-wearing, have yielded positive results in slowing the spread of COVID-19. But these swift measures have also taken a toll on the state and local economies and threatened the state’s health care system and most vulnerable populations.
Until Colorado builds immunity – through a vaccine or herd immunity – or until scientists are able to deliver a truly effective clinical treatment, the state will need to:
- Implement social distancing measures in an economically and psychologically sustainable manner
- Ensure the capacity to care for those who are ill (COVID-19 and non-COVID-19 related illnesses) without sacrificing the quality of care
- Increase efforts to prevent infection in vulnerable Coloradans
The Governor outlined three stages for the state’s response to COVID-19: urgent, stabilization, and recovery. Colorado is currently in the urgent phase and the Governor discussed how Colorado will get to stabilization and recovery.
The state of Colorado continues working toward a return to a sustainable way of life that protects public health and the economy. Key elements of that strategy include:
- Increasing the capability to protect Coloradans and communities through forms of testing and support for those who test positive or have been exposed.
- Increased testing
- Testing must be coupled with robust containment efforts locally, regionally, and statewide.
- Robust containment includes: Expanded contact tracing capacity; Increased epidemiology staff; Expanded isolation support services.
- Reducing the spread to vulnerable Coloradans who are at risk.
- Taking additional steps to protect nursing homes, senior care facilities.
- Action plan for responding to outbreaks as they occur
- Hospitals and health systems managing increased demand.
- Hospitals have internally increased beds
- New beds through additional alternative care sites:
- Ranch, Larimer County Fairgrounds and Events Complex
- Colorado Convention Center in Denver
- St. Anthony North in Westminster
- St. Mary-Corwin Medical Center in Pueblo
- Western Slope Memory Care in Grand Junction
- Businesses maintaining physical and social distancing.
- Non-critical businesses will need to engage in similar social distancing measures, which will be enforced, as the critical businesses are during this period of time including but not limited to wearing masks, physical distancing, staggering shifts, and allowing telecommuting to the extent practicable
These key indicators will inform ongoing monitoring and potential modifications of social distancing measures, like reinstating stay-at-home orders at the community level, regionally or statewide if necessary.
Within the next five days, the state expects the data and the science to determine what level of suppression the stay-at-home order has achieved. Also within the next five days, the state expects to have the data and science to determine what level of ongoing social distancing Coloradans need to strive for to effectively manage the future spread of COVID-19.
Moving forward, the state will be reporting facility-level data on a weekly basis. This information will include the name and type of the facility, date the outbreak occurred, and total cases reported there. Data will cover health care, correctional and other settings. This can include long-term care facilities, assisted living facilities, state prisons, county and city jails, factories, schools, child care centers, and more. There are currently 231 nursing facilities, 706 assisted living facilities and 21 intermediate care facilities in Colorado. In addition, the Colorado Hospital Association has announced that hospitals will now be releasing information about discharges.
Gov. Polis Provides Update on State Response to COVID-19
** INFORMACIÓN SEGUIDA EN ESPAÑOL**
DENVER – Gov. Jared Polis today provided an update on the state’s response to COVID-19.
“Colorado’s beef industry is a critical part of our state’s economy, which is why we continue working closely with the Weld County public health department to ensure the safety of the JBS workers and get the plant open as soon as is safe in order to protect the food supply,” said Governor Jared Polis. “We should all be doing our part and staying home as much as possible, but when we leave the house for essential activities it’s critical that we wear a face mask to protect those around us. Coloradans are known for their creative and entrepreneurial spirits, and are always ready to rise to the challenge. The Colorado Face Mask Challenge is just one way for Coloradans to add their personal touch and I can’t wait to see the designs they submit.”
Gov. Polis provided an update on the outbreak at the JBS plant in Greeley. The priority in this situation remains protecting workers and the Greeley community at large, as well as getting this critical part of the national food infrastructure back online. JBS closed the facility for a deep cleaning on Friday, March 10, and will be closed for two weeks. The Department of Public Health and Environment (CDPHE) and Weld County Public health have been in conversations with JBS to design an aggressive testing and containment strategy, so they can continue their critical work which ranchers and consumers rely on. Gov. Polis has prioritized the Colorado National Guard to provide logistical support for testing so the plant can safely start up again. Affected JBS workers should contact the Department of Labor and Employment at coloradoui.gov to be connected with potential benefits or assistance.
On April 3, Governor Polis urged all Coloradans to wear masks to limit the spread of COVID-19 when leaving their homes for critical activities. Today, Gov. Polis encouraged Coloradans to participate in the Colorado Face Mask Design Challenge. Some of the submitted designs will be featured on the Colorado Creative Industries Facebook page, and a select few will be printed on real face masks produced by Colorado companies and will be available for purchase. Coloradans can submit designs by filling out the submission form and can learn more about the challenge here.
The Governor also announced that the state will begin releasing all available race and ethnicity data on reported cases of COVID-19 in the state. The data released currently represents 75% of all reported COVID-19 cases, initial disease reports to public health are often missing information on race and ethnicity. CDPHE is drafting a public health order to clarify the type of data the department needs from health care entities. The public health order will help the department have a more complete dataset moving forward. The initial data shows that that the percentage of cases is statistically higher for Hispanic/Latino, African Americans, and Native Hawaiian/Pacific Islander Coloradans compared to the overall population distribution.
The administration is also continuing conversations with the hospital association around hospital discharge data and the best way to report patients who have recovered and have been discharged. CDPHE is also working with local public health departments to gather comprehensive and uniform data.
El Gobernador Polis Da a Conocer la Actualización sobre la Respuesta Estatal a COVID-19
DENVER – El gobernador Jared Polis anunció el día de hoy una actualización sobre la respuesta del estado a COVID-19.
“La industria de la carne bovina de Colorado es parte fundamental de la economía de nuestro estado, por lo que seguimos trabajando estrechamente con el Departamento de Salud Pública del Condado de Weld para garantizar la seguridad de los trabajadores de JBS y abrir la planta lo antes posible para proteger nuestro suministro de alimentos “, dijo el gobernador Jared Polis. “Todos debemos estar haciendo nuestra parte y quedarnos en casa tanto como sea posible, pero cuando salimos de casa para realizar actividades esenciales, es fundamental que usemos una máscara facial para proteger a quienes nos rodean. Los habitantes de Colorado son conocidos por su espíritu creativo y emprendedor, y siempre están listos para enfrentar un desafío. El reto Colorado Face Mask Challenge, es solo una forma para que los habitantes de Colorado agregen su toque personal y no puedo esperar para ver los diseños que envían “.
El gobernador Polis proporcionó una actualización sobre el brote en la planta de JBS en Greeley. La prioridad en este caso continúa siendo proteger a los trabajadores y a la comunidad de Greeley en general, así como también volver a restaurar la operación de esta parte crítica de la infraestructura alimenticia nacional. JBS cerró las instalaciones para una limpieza profunda el viernes 10 de marzo, y el estado espera una reapertura esta semana. El Departamento de Salud Pública y Medio Ambiente (CDPHE) y el Departamento de Salud Pública del Condado de Weld han estado en conversaciones con JBS para diseñar una estrategia agresiva de pruebas y contención, para que puedan continuar su crítico trabajo en el que confían los ganaderos y los consumidores. El gobernador Polis ha dado prioridad a la Guardia Nacional de Colorado para que brinde apoyo logístico para las pruebas, de modo que la planta pueda volver a comenzar operaciones de manera segura. Los trabajadores de JBS afectados deben comunicarse con el Departamento de Trabajo y Empleo en coloradoui.gov para tener acceso a posibles beneficios o asistencia.
El 3 de abril, el gobernador Polis instó a todos los habitantes de Colorado a usar máscaras para limitar la propagación de COVID-19 cuando salgan de sus hogares para realizar actividades críticas. Hoy, el gobernador Polis alentó a los habitantes de Colorado a participar en el reto Colorado Face Mask Design Challenge. Algunos de los diseños presentados se presentarán en la página de Facebook de Colorado Creative Industries, y varios de esto diseños se usarán en máscaras reales producidas por compañías de Colorado y estarán disponibles para compra. Los habitantes de Colorado pueden enviar diseños completando el formulario de solicitud y pueden obtener más información sobre el desafío aquí.
El gobernador también anunció que el estado comenzará a divulgar todos los datos disponibles de raza y origen étnico sobre los casos reportados de COVID-19 en el estado. Los datos divulgados actualmente representan el 75% de todos los casos reportados de COVID-19, los informes iniciales de enfermedades de salud pública a menudo carecen de información sobre raza y origen étnico. CDPHE está redactando una orden de salud pública para clarificar el tipo de datos que este departamento necesita recibir de las entidades de atención médica. La orden de salud pública ayudará al departamento a tener datos más completos en el futuro. Los datos iniciales muestran que el porcentaje de casos es estadísticamente más alto para habitantes hispanos/latinos, afroamericanos y nativos de Hawái/del Pacífico que los habitantes de Colorado en comparación con la distribución general de la población.
La administración también continúa conversaciones con la asociación de hospitales sobre los datos de admisión hospitalaria y la mejor manera de informar acerca de los pacientes que se han recuperado y han sido dados de alta. CDPHE también está trabajando con los departamentos locales de salud pública para recopilar datos completos y uniformes.
- The Governor held a press conference last night updating some of the state’s goals and actions in response to COVID-19. You can view the slide deckhe referenced during the press conference.
There are currently 3,338 cases of COVID in Colorado, 77 have died, 612 have been hospitalized, and the virus is in 55 counties. The state would like to increase their critical care bed capacity to 5,000 beds by April 18th for the worst cases. They intent to break bed availability up into tiers. Hospitals would be Tier 1 patients – the sickest patients needing ICU level care. Tier 2 patients would be located in ambulatory and surgical centers and freestanding emergency rooms. These patients need IV medications and fluids. By April 18th the state would like an additional 2,000 Tier 3 beds for patients who need daily monitoring. For these beds they are looking at arenas, warehouses, stadiums, and convention centers. And finally, by May 15th, the state would like an additional 10,000 beds for Tier 4 patients located in dorms and hotels.
The state has ordered 2.5 million N-95 masks, 1 million surgical masks, 25,000 face shields, and 750 ventilators. They have also recruited 2,500 medical volunteers. He encouraged those with medical training to help bolster medical staff by signing up to volunteer at HelpColoradoNow.org
The Governor again reiterated that this is not a vacation and told citizens to not venture into the mountains for recreational activities or to visit a second home.
He also announced that he is extending the closure of schools from April 17th until April 30th. Read the extended Executive Order here.
In response to a question on if the statewide stay-at-home order should also be extended to April 30th to coincide with the school closure order, the Governor said that they would need to look at the data to make a decision and that they still have 10 days to make those kinds of decisions.
Finally, the Governor reminded the public that the special enrollment period for the state’s health care exchange is ending on Friday. Those who do not have health care coverage currently can sign up at www.connectforhealthco.com.
- The Governor also issued Executive Order D 2020 20related to telehealth. It suspends the definition of telehealth and exclusions for telehealth, suspends carrier reimbursements to a provider for telehealth services to be subject to all terms and conditions of the health benefit plan, suspends the need for HIPAA compliant audio-visual platforms for telehealth, allows out-of-state practitioners in behavioral health to provider telehealth services in Colorado, and gives authority to the Division of Insurance to promulgate rules accordingly.
This Order is in effect until April 30th.
The Division of Insurance, in conjunction with this Order, is soliciting requests for comment on the corresponding Emergency Draft Regulation, 20-E-05 The comment period will be open until April 2 at 8:00 pm.
- Due to the closure of multiple state offices that provide valuable services to the public, the Governor felt it necessary to issue guidanceto state departments that provide public services on how to notice the public and provide those services in other ways that don’t require in-person interaction. The guidance discusses areas such as publicly posted notices and ways to communicate the alternative to the public.
Supreme Court Ruling
In a 4-3 decision, the Colorado Supreme Court has ruled that the legislative clock can be “paused” during a declared public health emergency. The majority opinion states in part:
“Together, these rules (Joint Legislative Rules 23(d) and 44(g)) interpret article V, section 7 to count the 120 calendar days of a regular session consecutively, except in the extraordinary circumstance of a declared public health disaster emergency that disrupts the regular session, in which case only ‘working calendar days’ (i.e., calendar days when at least one chamber is in session) count toward the 120-day limit. We conclude that such an interpretation does not run afoul of either the text or underlying purposes of article V, section 7 and is therefore valid.”
The House is scheduled to gavel in tomorrow. The General Assembly will now be able to make more concrete decisions on their timing and process now that the question of their legislative clock has been settled.
As of today we have 2,627 cases, 51 deaths, and 414 hospitalizations out of 15,364 completed tests. Colorado has seen its first death of someone in their 40s, underscoring that no one, no matter how young or how healthy, is invincible or immune from this virus. We are thinking of these families and communities during these trying times.
The Governor shared some encouraging news today that shows that the social distancing steps that we are taking are helping to slow the spread of the virus, which will protect our health care capacity, our frontline workers, and ourselves.
This first chart shows that the rate of positive cases is slowing down. On March 12th, the number of positive cases in Colorado were doubling every 1.5 days. Today, the number of positive cases are doubling every 5 days.
While we are encouraged by this slowdown in the rate of positive cases, the volume of cases still threatens to overwhelm our health care system, which is why we need to continue to do all we can to maintain social distancing and stay at home.
This second chart shows the decline in vehicular traffic in Colorado; car traffic is down 60% in the past four weeks.
This isn’t a perfect metric, but it can be used as a proxy for social interactions. Fewer people on the roads means fewer person-to-person contacts, fewer chances for Colorado residents to spread the virus to others.
Personal Protective Equipment (PPE) Update
This chart shows our severe need for personal protective equipment (PPE) for our medical personnel. What the Governor has requested to date will get us through a couple of weeks. It doesn’t begin to reflect what we know the need will be in the weeks and months ahead as this situation evolves.
The administration is doing everything we can to pursue additional PPE through alternative channels, including: PPE drive(s), through the Innovation Response Team marshalling the private sector and identifying additional supply chains, and of course we are relying on whatever help we can get from the federal government.
You can view these charts and the rest of the presentation here.
Major Disaster Declaration
On Saturday night, the Governor received the news that he secured a Major Disaster Declaration from the federal government for the state of Colorado, which unlocks access to more federal resources during this trying time.
In a practical sense, this declaration means that we will have access to greater emergency assistance. It ensures that Colorado can be on a level playing field with other states that already have this status like New York and Washington when it comes to federal disaster funding and Federal Emergency Management Agency assistance.
The Governor spoke with the President and the Vice President today to discuss additional programs and aid for Colorado under the disaster declaration.
We greatly appreciate your helping to share information during this crisis. We will continue to send these regular updates. As always, please feel free to reach out to me with any questions or needs from our office. My cell phone is 210-385-7556. We are all in this together!
Estimados líderes comunitarios,
¡Les habla Analysse con el equipo de participación comunitaria de la oficina del Gobernador!
En un esfuerzo por continuar proporcionándoles actualizaciones oficiales de la oficina del Gobernador de Colorado, a continuación, incluyo algunas actualizaciones anunciadas por el Gobernador el día de hoy. Agradecemos su apoyo para ayudar a difundir estas actualizaciones con sus redes de contacto.
Enlaces para mantenerse actualizado:
Actualmente tenemos 2,627 casos, 51 muertos y 414 hospitalizaciones de 15,364 pruebas completas. Colorado ha presenciado el primer fallecimiento de una persona en sus 40 años, lo que subraya que nadie, sin importar cuán joven o saludable sea, es invencible o inmune a este virus. Tenemos a estas familias y comunidades en nuestros pensamientos durante estos tiempos difíciles.
Hoy el Gobernador compartió algunas noticias alentadoras que demuestran que los pasos de distanciamiento social que estamos tomando están ayudando a frenar la propagación del virus, lo que protegerá nuestra capacidad de atención médica, nuestros trabajadores de primera línea y a nosotros mismos.
CONTEO DE CASOS ACUMULADOS Y EL PROMEDIO DE DUPLICACIÓN CADA 3 DÍAS
Esta primera gráfica muestra que la tasa de casos positivos está disminuyendo. El 12 de marzo, el número de casos positivos en Colorado se duplicaba cada 1.5 días. El día de hoy, el número de casos positivos se duplica cada 5 días.
Si bien nos sentimos alentados por esta disminución en la tasa de casos positivos, el volumen de casos aún amenaza con sobrecargar nuestro sistema de atención médica, por lo que debemos seguir haciendo todo lo posible para mantener el distanciamiento social y permanecer en casa.
% DE CAMBIO EN VOLUMEN DE AUTOS VS. HACE 4 SEMANAS
Esta segunda gráfica muestra la disminución del tráfico de vehículos en Colorado; el tráfico de automóviles ha bajado un 60% en las últimas cuatro semanas.
Esta no es una medida perfecta, pero se puede usar como una representación del volumen de interacciones sociales. Menos personas en los caminos/carreteras significan menos contactos personales, menos oportunidades para que los residentes de Colorado transmitan el virus unos a otros.
Actualización del equipo de protección personal (EPP)
CONTEO DE SUMINISTROS
Esta gráfica muestra nuestra grave necesidad de equipo de protección personal (EPP) para nuestro personal médico. Lo que el gobernador ha solicitado hasta la fecha nos ayudará a resolver la demanda de un par de semanas. Esto no refleja lo que sabemos será la necesidad durante las semanas subsecuentes y los meses siguientes a medida que esta situación evolucione.
Nuestra administración está haciendo todo lo posible para encontrar equipo PPE adicional a través de canales alternativos, que incluyen: recaudación de donaciones de PPE, a través del Equipo de Respuesta a la Innovación que reúne al sector privado e identifica cadenas de suministro adicionales, y por supuesto cualquier ayuda proveniente del gobierno federal.
Pueden ver estos cuadros y el resto de la presentación aquí.
Declaración de Desastre Mayor
El sábado por la noche, el Gobernador recibió la noticia de que se obtuvo una Declaración de Desastre Mayor del gobierno federal para el estado de Colorado, lo cual crea acceso a recursos federales adicionales durante este tiempo difícil.
Prácticamente, lo que esta declaración significa es que tendremos acceso a una mayor asistencia de emergencia. Asegura que Colorado pueda estar en igualdad de condiciones con otros estados que ya han recibido este estatus, como Nueva York y Washington en relación a fondos federales para desastres y asistencia de la Agencia Federal para la Administración de Emergencias.
El Gobernador habló hoy con el Presidente y el Vicepresidente para discutir programas adicionales y ayuda para Colorado bajo la declaración de desastre.
Apreciamos de sobremanera que compartan esta información durante esta crisis. Continuaremos enviando actualizaciones periódicamente. Como siempre, no duden en comunicarse conmigo con alguna pregunta o necesidad. Mi teléfono celular es 210-385-7556. ¡Estamos aquí para ayudarles!
DATE OF ORDER: MARCH 25, 2020
AMENDED PUBLIC HEALTH ORDER 20-24 IMPLEMENTING STAY AT HOME
PURPOSE OF THE ORDER
I issue this Amended Public Health Order (PHO or Order) pursuant to the Governor’s directive
in Executive Orders D 2020 017 ( Ordering Coloradans to Stay at Home Due to the Presence
of COVID-19 in the State) in response to the existence of hundreds of confirmed and
presumptive cases of Coronavirus disease 2019 (COVID-19) and related deaths across the State
of Colorado. Further, there is substantial evidence of community spread of COVID-19
throughout the State. This Order has been amended to direct Coloradans to Stay at Home.
1. Due to the increasing incidence of COVID-19 in the general public, the designation of
pandemic by the World Health Organization, the Declaration of a Disaster Emergency by
Governor Polis on March 10, 2020, and a National Emergency by the President of the United
States on March 13, 2020, and previous PHOs issued by this Department, including PHO 20-20
(Restricting Visitors all all Colorado Skilled Nursing Facilities, Assisted Living Residences and
Intermediate Care Facilities); PHO 20-22 (Closing Bars, Restaurants, Theaters, Gymnasiums,
Casinos, Noncritical Personal Services Facilities, and Horse Track and Off-Track Betting
Facilities Statewide); and PHO 20-23 (Implementing Social Distancing Measures); I hereby
declare that the actions and prohibitions outlined in this PHO are necessary for the health and
safety of the residents of Colorado.
2 . Scientific evidence and best practices regarding the most effective manner to slow the
transmission of communicable diseases generally and COVID-19 specifically, and evidence that
the population of Colorado is at risk for serious health complications, including death, from
COVID-19 make it imperative that the measures included in this PHO be taken immediately.
3. There is clear evidence that some individuals who contract the COVID-19 virus have no
symptoms or have mild symptoms, which means they may not be aware they carry the virus.
Because even people without symptoms can transmit the disease, and because evidence shows
the disease is easily spread, gatherings promote transmission of COVID-19. COVID-19 also
physically contributes to property loss, contamination, and damage due to its propensity to attach
to surfaces for prolonged periods of time.
Amended Public Health Order 20-24
4. The scientific evidence also shows that at this stage of the emergency, it is critical to slow
transmission as much as possible to protect the most vulnerable and to prevent Colorado’s health
care system from being overwhelmed. One proven way to slow the transmission is to limit
interactions among people to the greatest extent practicable and increase the distance between
people in the work environment. This PHO helps to reduce the property damage caused by
COVID-19 and preserves the welfare of our residents by reducing the spread of the disease in
our communities and our workplaces, and preserving critical emergency and healthcare capacity
in the State.
5. The intent of this PHO is to minimize contact between residents and to the great extent
possible minimize the exposure of the public to contaminated public surfaces. By staying home
we can maximize the number of people isolating in place, reduce the number of people
congregating in workplaces at one time and reduce the proximity of people in the workplace, and
enable the services, businesses, and travel necessary to protect public health and safety and
preserve the continuity of social and commercial life as we save lives.
6. When people leave their places of residence, whether to obtain or perform critical
emergency services, recreate, go to work, or for other valid reasons, they should at all times
comply with Social Distancing Requirements as defined in Section III.F below. All provisions
of this PHO should be interpreted to effectuate this intent. Failure to comply with any of the
provisions of this PHO constitutes an imminent threat to public health.
I. STAY AT HOME
A. All individuals currently living within the State of Colorado are ordered to
Stay at Home whenever possible . Individuals living in shared or outdoor spaces must at
all times, to the greatest extent possible, comply with Social Distancing Requirements ,
and may leave their Residences only to perform or utilize Necessary Activities .
B. All public and private gatherings of any number of people occurring outside
a Residence are prohibited, except for the limited purposes expressly permitted in this
PHO which include Essential Activities. Nothing in this PHO prohibits the gathering of
members living in the same Residence .
Amended Public Health Order 20-24
C. People at high risk of severe illness from COVID-19 and people who are
sick are urged to stay in their Residence at all times except as necessary to seek medical
D. Individuals experiencing symptoms of COVID-19 must self-isolate until
their symptoms cease or until they have a negative test result. Due to limited testing
availability and narrow criteria for testing, if an individual has tested positive for
COVID-19 and/or has developed symptoms of COVID-19, including early or mild
symptoms (such as cough and shortness of breath), they should be in isolation (staying
away from others) until they have had no fever for at least seventy-two (72) hours (that is
three full days of no fever without the use of medicine that reduces fevers), other symptoms
have improved (such as cough or shortness of breath) and at least seven (7) days have
passed since symptoms first appeared.
E. People experiencing homelessness are strongly urged to obtain shelter, and
governmental and other entities are strongly urged to make shelter available as soon as
possible and to the maximum extent practicable. People experiencing homelessness must
comply with Social Distancing Requirements at all times.
F. All travel, including, but not limited to, travel by automobile or public
transit, except Necessary Travel is prohibited. People must use public transit only for
purposes of performing Necessary Activities or to travel to and from work to operate
Critical Businesses or maintain Critical Governmental Functions . People riding on
public transit must comply with Social Distancing Requirements as defined in Section
III.F, below, to the greatest extent feasible.
II. BUSINESS REQUIREMENTS
A. Critical Businesses , as defined below, are exempt, subject to certain
limitations , from this PHO and are encouraged to remain open. Critical Businesses must
comply with Social Distancing Requirements at all times and implement tele-work or
other strategies, such as staggered schedules or re-designing workplaces, to create more
distance between workers unless doing so would make it impossible to carry out critical
functions. Critical Businesses that serve the public such as grocery stores and other
Critical Retail shall comply with Social Distancing Requirements at all times including,
but not limited to, when any customers are standing in line.
B. To successfully contain the spread of the virus, all employers and
individuals must observe Social Distancing Requirements at all times and to the greatest
Amended Public Health Order 20-24
C. Child care facilities providing services exempted in this PHO must, to the
extent possible, operate under the following mandatory conditions: (1) child care must be
carried out in stable groups of 10 or fewer (“stable” means that the same 10 or fewer
children are in the same group each day); (2) children shall not change from one group to
another; (3) If more than one group of children is cared for at one facility, each group shall
be in a separate group. Groups shall not mix with each other; (4) child care workers shall
remain solely with one group of children. To the extent possible, child care shall be
performed in compliance with Social Distancing Requirements .
A. Necessary Activities. For purposes of this PHO, individuals may leave their
Residence only to perform any of the following Necessary Activities , provided they comply at
all times and to the greatest extent possible with Social Distancing Requirements below.
People at high risk of severe illness from COVID-19 and people who are sick, however, must not
leave their Residence except as necessary to receive medical care. Necessary Activities
1. Engaging in activities or perform tasks essential to their health and safety, or to
the health and safety of their family or household members, including, but not
limited to, pets and livestock, such as, by way of example only and without
limitation, obtaining medical supplies, walking your dog, feeding barnyard
animals, obtaining durable medical equipment, obtaining medication, visiting a
healthcare professional, or obtaining supplies they need to work from home.
2. Obtaining necessary services or supplies for themselves and their family or
household members, or to deliver those services or supplies to others, such as, by
way of example only and without limitation, food, pet supply, other household
consumer products, and products or equipment necessary to maintain the safety,
sanitation, and essential operation of a Residence.
3. Engaging in outdoor activity, such as, by way of example and without limitation,
walking, hiking, nordic skiing, snowshoeing, biking or running. For purposes of
outdoor activity, State parks will remain open to the public to engage in walking,
hiking, biking, running, and similar outdoor activities but all playgrounds, picnic
areas, other similar areas conducive to public gathering, and attended areas shall
be closed. Additionally, the permitted outdoor activities in this PHO do not
include activities that would violate the Social Distancing Requirement s defined
in Section III.F, below.
Amended Public Health Order 20-24
4. Performing work providing essential products and services for a Critical
Business or Critical Government Function as defined in Section III.C and D,
below, or to otherwise carry out activities permitted in this PHO.
5. Caring for a family member, a vulnerable person, or pet in another household, or
to care for livestock kept at a location other than an individual’s home.
B. Necessary Travel . For purposes of this Order, travel is Necessary for any of the
following purposes: (1) providing or accessing Necessary Activities , Minimum Basic
Operations , Critical Government Functions , and Critical Businesses ; (2) receiving materials
for distance learning, for receiving meals, and any other related services from educational
institutions; (3) returning to a place of Residence from outside the jurisdiction; (4) travel
required by law enforcement or court order; (5) non-residents returning to their place of
C. Critical Business. Any business, including any for profit or non-profit,
regardless of its corporate structure, engaged in any of the commercial, manufacturing, or service
activities listed below, may continue to operate as normal. Critical Businesses must comply
with the guidance and directives for maintaining a clean and safe work environment issued by
the CDPHE and any applicable local health department. Critical Businesses must comply with
Social Distancing Requirements and all PHOs currently in effect to the greatest extent possible
and will be held accountable for doing so. Critical Businesses do NOT include health clubs as
defined in C.R.S. § 6-1-102(4.6), fitness and exercise gyms, and similar facilities, or any of the
other businesses required to close by PHO 20-22.
“ Critical Business ” means:
1. Healthcare Operations, Including:
● Hospitals, clinics, and walk-in health facilities
● Medical and dental care, including ambulatory providers
● Research and laboratory services
● Medical wholesale and distribution
● Home health care companies, workers and aides
● Pharmaceutical and biotechnology companies
● Behavioral health care providers
● Veterinary care and livestock services
● Nursing homes, residential health care, or congregate care facilities
Amended Public Health Order 20-24
● Medical supplies and equipment manufacturers and providers, including
durable medical equipment technicians and suppliers
● Blood banks
2. Critical Infrastructure, Including:
● Utilities and electricity, including generation, transmission, distribution
and fuel supply
● Road and railways
● Oil and gas extraction, production, refining, storage, transport and
● Public water and wastewater
● Telecommunications and data centers
● Transportation and infrastructure necessary to support critical businesses
● Hotels, and places of accommodation
● Businesses and organizations that provide food, shelter, social services,
and other necessities of life for economically disadvantaged, persons with
access and functional needs, or otherwise needy individuals
● Food and plant cultivation, including farming crops, livestock, food
processing and manufacturing, animal feed and feed products, rendering,
commodity sales, and any other work critical to the operation of any
component of the food supply chain
● Any business that produces products critical or incidental to the
construction or operation of the categories of products included in this
3. Critical Manufacturing, Including:
● Food processing, manufacturing agents, including all foods and beverages
● Computers and computer components
● Medical equipment, components used in any medical device, supplies or
● Sanitary products
● Household paper products
Amended Public Health Order 20-24
● Any business that produces products critical or incidental to the
processing, functioning, development, manufacture, packaging, or
delivery of any of the categories of products included in this subsection
● Any manufacturing necessary to support a Critical Business
4. Critical Retail, Including:
● Grocery stores including all food and beverage stores
● Farm and produce stands
● Gas stations and convenience stores
● Restaurants and bars (for take-out/delivery only as necessary under
Executive Order D 2020 011 and PHO 20-22 , as amended)
● Marijuana dispensary (only for the sale of medical marijuana or curbside
delivery pursuant to Executive Order D 2020 011 )
● Firearms stores
● Hardware, farm supply, and building material stores
● Establishments engaged in the retail sale of food and any other household
consumer products (such as cleaning and personal care products)
● Establishments engaged in the sale of products that support working from
5. Critical Services, Including:
● Trash, compost, and recycling collection, processing and disposal
● Mail and shipping services, and locations that offer P.O. boxes
● Self-serve laundromats and garment and linen cleaning services for critical
● Building cleaning and maintenance
● Child care services
● Automobile rental, auto supply and repair (including retail dealerships that
include repair and maintenance, but not retail sales)
● Warehouse/distribution and fulfillment, including freight distributors
● Funeral homes, crematoriums, and cemeteries
● In-person pastoral services for individuals who are in crisis or in need of
end of life services provided social distancing is observed to the greatest
● Storage for Critical Businesses
● Animal shelters, animal boarding services, animal rescues, zoological
facilities, animal sanctuaries, and other related facilities
Amended Public Health Order 20-24
6. News Media
● Other media services
7. Financial Institutions, Including:
● Banks and credit institutions
● Insurance, payroll, and accounting services
● Services related to financial markets
8. Providers of Basic Necessities to Economically Disadvantaged Populations,
● Homeless shelters and congregate care facilities
● Food banks
● Human services providers whose function includes the direct care of
patients in State-licensed or funded voluntary programs; the care,
protection, custody and oversight of individuals both in the community
and in State-licensed residential facilities; those operating community
shelters and other critical human services agencies providing direct care or
9. Construction, Including:
● Housing and housing for low-income and vulnerable people
● Skilled trades such as electricians, plumbers
● Other related firms and professionals for who provide services necessary
to maintain the safety, sanitation, and critical operation of residences, and
other essential services
● Defense, security, and intelligence-related operations supporting the State
of Colorado, local government, the U.S. Government or a contractor for
any of the foregoing
● Aerospace operations
Amended Public Health Order 20-24
● Military operations and personnel
● Defense suppliers
11. Critical Services Necessary to Maintain the Safety, Sanitation and
Critical Operations of Residences or Other Critical Businesses, Including:
● Law enforcement
● Fire prevention and response
● Building code enforcement
● Emergency management and response
● Building cleaners or janitors
● General maintenance whether employed by the entity directly or a vendor
● Automotive repair
● Snow removal
12. Vendors that Provide Critical Services or Products, Including Logistics
and Technology Support, Child Care and Services:
● Technology support for online and telephone services
● Child care programs and services
● Government owned or leased buildings
● Critical Government Functions
D . Critical Government Functions . The provision, operation and support of the
following government functions shall continue:
1. Critical services, including
● Public safety (police stations, fire and rescue stations, correctional
institutions, emergency vehicle and equipment storage, and, emergency
● Emergency response
● Judicial branch operations, including attorneys if necessary for ongoing
trials and required court appearances, unless appearances can be done
● Emergency medical (hospitals, ambulance service centers, urgent care
centers having emergency treatment functions, and non-ambulatory
surgical structures but excluding clinics, doctors offices, and non-urgent
care medical structures that do not provide these functions)
Amended Public Health Order 20-24
● Designated emergency shelters
● Communications (main hubs for telephone, broadcasting equipment for
cable systems, satellite dish systems, cellular systems, television, radio,
and other emergency warning systems, but excluding towers, poles, lines,
cables, and conduits)
● Public utility plant facilities for generation and distribution (hubs,
treatment plants, substations and pumping stations for water, power and
gas, but not including towers, poles, power lines, buried pipelines,
transmission lines, distribution lines, and service lines)
● Transportation. Airlines, taxis, transportation network providers (such as
Uber and Lyft), vehicle rental services, paratransit, and other private,
public, and commercial transportation and logistics providers necessary
for Necessary Activities
● Transportation infrastructure (aviation control towers, air traffic control
centers, and emergency equipment aircraft hangars), critical road
construction and maintenance
● Hazardous material safety
● Services to at-risk populations and Vulnerable Individuals
● Any government service required for the public health and safety,
government functionality, or vital to restoring normal services
E. Minimum Basic Operations . The minimum necessary activities to (1) maintain
the value of the business’s inventory, ensure security, process payroll and employee
benefits, or for related functions; or (2) facilitate employees of the business being able to
continue to work remotely from their Residences are allowable pursuant to this Order.
Any business supporting Minimum Basic Operations must comply at all times with
Social Distancing Requirements .
F. Social Distancing Requirements . To reduce the risk of disease transmission,
individuals shall maintain at least a six-foot distance from other individuals, wash hands
with soap and water for at least twenty seconds as frequently as possible or using hand
sanitizer, cover coughs or sneezes (into the sleeve or elbow, not hands), regularly clean
high-touch surfaces, and not shake hands.
G. “ Stay at Home ” means to stay in your place of Residence , which includes hotels,
motels, and shared rental facilities, and not leave unless necessary to provide, support,
perform, or operate Necessary Activities, Minimum Basic Operations, Critical
Government Functions, and Critical Businesses .
Amended Public Health Order 20-24
H. “ Vulnerable Individual ” means anyone with a disability, anyone over the age of
60 and anyone with a serious underlying health condition.
This order will be enforced by any appropriate legal means. Local authorities are encouraged to
determine the best course of action to encourage maximum compliance. Failure to comply with
this order could result in penalties including a fine of up to one thousand (1,000) dollars and
imprisonment in the county jail for up to one year, pursuant to 25-1-114, C.R.S.
If any provision of this PHO to the application thereof to any person or circumstance is held to
be invalid, the reminder of the PHO, including the application of such part or provision to other
persons or circumstances, shall not be affected and shall continue in full force and effect. To this
end, the provisions of this PHO are severable.
This PHO shall become effective at 6:00 a.m. on Thursday March 26, 2020 and will continue to
be in effect until 11:59 p.m. on April 11, 2020, unless extended, rescinded, superseded, or
amended in writing.
_________________________________ March 25, 2020
Jill Hunsaker Ryan, MPH