Issued December 1, 2020

REGARDING: COVID19 Case Surge and Ongoing Community Wide Spread Leading to Increased Hospitalizations and Mortality Rates.
The District Health Departments No. 2 and 4 are issuing the following advisory to protect the health of the public in Alcona, Iosco, Ogemaw, Oscoda, Alpena, Cheboygan, Montmorency, and Presque Isle counties.

On November 15th, 2020, the Director of the Michigan Department of Health and Human Services signed Emergency Order Under MCL 333.2253 – Gatherings and Face Mask Order to contain the spread of COVID-19, as Michigan continues to see a surge in cases, hospitalizations, and deaths. The new emergency order enacts a three week pause targeting indoor social gatherings and other group activities in an effort to curb rapidly rising COVID-19 infection rates.
Locally, we have an experienced an exponential surge up to six  fold increase in cases over the past 2 months. Our hospital systems are reporting they are reaching critical capacity limits for both beds and staffing. The deaths and hospitalizations due to COVID-19 in our region have reached the highest they have ever been and the COVID-19 risk level for all our counties is now considered highest risk, signifying widespread community transmission.
Therefore, the Health Officer is issuing this Public Health Advisory to provide heightened guidance for our residents to best protect themselves and others. This Public Health Advisory will remain in effect until lifted. The cooperation of all businesses and residents in following best practices and safety precautions is needed to prevent an unmanageable surge on our local healthcare systems, to protect the health and safety of citizens, as well as to prevent additional restrictions and closures. District Health Departments No.2 and 4 continue to urge everyone to wear a facial covering in public places, practice social distancing, exercise good hand hygiene and to comply with the public health orders issued by the Michigan Department of Health and Human Services (MDHHS). Increased gathering with others, travel, and movement in and about local business establishments presents additional risk to our hospitals, business workers, and community members. It is easy to ‘let our guard down’ in what has always been deemed our safe places, our homes and those of our good friends and relatives. Unfortunately, viral transmission is most common, and infection rates are increased, with prolonged exposure times indoors especially when in close proximity to others, which describes typical gatherings with family and close friends. In order to protect our residents, visitors, and employees, the DHD2 and 4 Health Departments are advising that you abide by the following guidelines:

1. If you are sick, stay at home. Do not leave your residence and do not go to work.
2. If you have symptoms suggestive of COVID-19, seek testing as soon as possible and isolate at
home until your test results come back. Contact your healthcare provider or check the local
health department webpage for testing information.
3. If you test positive for COVID-19 immediately isolate yourself and notify your close contacts
to quarantine. Do not wait for instruction from the Health Department as there may be
delays due to rapidly rising cases. See guidance: If you test positive for COVID-19
4. If you are a close contact of a confirmed case of COVID-19 self-quarantine for 14 days from
your last contact with them.
5. Residents are urged to answer all calls, texts, or emails from the State or Local Health
6. All residents and visitors should adhere to the required safety precautions while in business
establishments including face coverings, social distancing, and capacity limits posted at
business entrances.
7. Maintain 6 feet of social distance with those outside your household, and avoid crowding on
outdoor trails, parks, and recreational areas.
8. Comply with limits for social gatherings and events. See MDHHS social gathering limitations.
9. Choose a consistent “social bubble” knowing that as the number increases so does risk of
transmission. Keep your number under 10 and no more than one other household.
10. Consider modified social gatherings and holiday celebrations: Keep them small, local, and
encourage wearing of masks, social distancing, and proper hygiene practices to help slow the
spread of the virus.
11. Travel poses increased risks. If you choose to travel to visit friends or relatives keep the
number low. Consider being very careful in the week or two before travel, and practice
increased caution during the visit. Upon returning home for the week or two after travel you
should monitor closely for any symptoms and stay home if you become sick. Consider getting
tested 5-7 days after travel or visiting and isolating until the results are back. This goes for
those travelling and those who are having visitors, especially if anyone in these groups is
higher risk.
12. If you must travel via public transportation protect yourself and others by wearing a mask,
keeping as much distance from others as possible, and regularly washing or sanitizing your
hands. Keep your hands away from your face as much as possible.

While indoor spaces present increased risk for coronavirus transmission, schools and businesses
currently allowed to remain open should strictly adhere to state and local guidance to maintain lower risk environments. Customers are encouraged to continue to support local businesses but are advised to opt for pickup and delivery whenever possible. Time spent shopping or otherwise inside indoor public spaces should be minimized. Schools are encouraged to continue following their school board approved COVID-19 preparedness and response plans, in addition to utilizing state and local guidance as needed. All residents and businesses are urged to follow all these safety precautions. Failure to do so will perpetuate the spread of COVID-19 and cause prolonged harm to people and businesses. By following these simple guidelines, the risk for spreading COVID-19 lowers significantly, protecting everyone who lives, works, and plays in beautiful northern Michigan.