North Central District Directed Health Measures Effective April 1st at 10:00 PM

North Central District Health Department (NCDHD) in communication with state officials
have signed the North Central District Health Department district counties of Antelope, Boyd, Brown,
Cherry, Holt, Keya Paha, Knox, Pierce, and Rock, into the Directed Health Measures order effective
April 1, 2020 at 10:00 PM through May 11th, unless the order is extended.
Below is further information on the Directed Health Measures. Please read the Directed
Health Measures in full carefully, they can be found on the Department of Health and Human
Services website at http://dhhs.ne.gov/Pages/Coronavirus.aspx or on the NCDHD website at:
https://ncdhd.ne.gov
I. Gatherings are herebyprohibited;
A gathering is defined as any event or convening that brings together more
than ten (10) patrons, customers or other invitees, excluding staff, in a single
room or single space at the same time, including but not limited to, preschools, daycare facility (including in-home facilities), gymnasium, salon,
fitness center, auditorium, stadium, arena, large event conference room,
meeting hall, theater, library, or any other confined indoor or outdoor space.
This also includes weddings and funerals, as well as parades, fairs, festivals,
concerts and other indoor and outdoor events.
For the purpose of clarity, a gathering does not include normal operations
at airports, bus and train stations, health care facilities and services (as
defined in the Health Care Facility Licensure Act NEB. REV. STAT. §§ 71-401
to 71-475), other mental health and /or substance use treatment
day programs which are not required to be licensed (such as Day
Rehabilitation or Day Treatment), shopping malls and centers, or other spaces
where ten or more persons may be in transit. It also does not include typical
office environments, factories, or retail or grocery stores where large numbers
of people are present but it is typically unusual for them to be within six feet of
one another. It also does not include events at which members of the media
may need to be present, courts of law, public utilities, state, county, and city
operations, election offices and polling places on election day,
logistics/distribution centers, or family residences housing ten or more people.
However these settings are directed to use heightened, diligent and effective
disinfection of exposed surfaces meeting the directions of the Nebraska
Department of Health and Human Services, Centers for Disease Control and
Prevention and the Environmental ProtectionAgency.
Liquor, beer, and wine sales are restricted to carry-out sales and delivery only,
to the extent permitted by law. No onsite consumption is permitted. This
includes bars, taverns, and private clubs, regardless of name or
characterization.
Food and beverage sales at restaurants, bars, taverns, private clubs, and any
dine-in establishments are restricted to carry-out, drive-through, and delivery
only. This does not apply to and/or exempts food service inhealth care facilities.
Lines for carry-out and drive-through in the above-referenced establishments
must have an environment where patrons and staff maintain social distancing
(a distance ofsix feet away from other persons) whenever possible.
1. Elective medical and dental surgeries and elective medical and dental
procedures are hereby prohibited. For the purposes of this Order, this means a
surgery or procedure that isscheduled in advance because it does not involve a
medical or dental emergency. Surgeries or procedures that must be done to
preserve the patient’s life or physical health, but do not need to be performed
immediately, are allowed by a case-by-case determination of the medical or
dental provider.
2. Individuals who test positive for COVID-19 or who have the following
symptoms: fever of 100.4 F. or above, or a sudden onset of a cough or
sudden onset of shortness of breath; and individuals who reside or resided
with individuals who have tested positive for COVID-19 or with individuals
who have the above symptoms shall home-quarantine, unless quarantined in
a health care facility, for a period of no less than 14 days, from the date of
the positive test or onset of symptoms, per attached Quarantine Directions.
If a Home-Quarantined is residing with other household members, the
household members’ Home-Quarantine may be discontinued 7 days after
the original person has been released from home-quarantine. However, the
household member(s) must continue to self-monitor for the above listed
symptoms for an additional 7 days. Home-Quarantine shall be per the
attached Quarantine Directions. Individuals with the above-listed symptoms
who have tested positive for influenza or an alternative diagnosis including
seasonal allergies or other chronic condition and individuals who reside or
have resided with individuals who have tested positive for influenza or an
alternative diagnosis including seasonal allergies or other chronic condition
are not subject to quarantine under this Order. Please see the attached, and
hereby incorporated in full, Quarantine directions, per 173 NAC 6-006.03B.
Individuals with the above-listed symptoms who have tested positive for
influenza or an alternative diagnosis including seasonal allergies or other
chronic condition and individuals who reside or have resided with individuals
who have tested positive for influenza or an alternative diagnosis including
seasonal allergies or other chronic condition are not subject to quarantine
under this Order.
II. The following Directed Health Measures are hereby ordered for ALL counties
statewide effectively immediately and continuing until May 31, 2020 unless
renewed, extended, or terminated by subsequent order, all persons in all
the aforementioned counties are ordered to comply:
1. All schools; public, private and parochial: are hereby ordered to
cease all in­ person instruction, and all extra-curricular activities
except for: remote learning, child care services, meal distribution,
distribution of educational materials and supplies, general building
or physical plant operations and maintenance, and residential
services may be continued as needed or necessary
2. Schools are defined as public, private, and parochial elementary and
secondary schools.
This order supersedes previous Directed Health Measure Orders 2020-001, 2020-002,
2020-003, 2020-004, 2020-005, 2020-006 and 2020-007 for the aforementioned
counties, provided, this Order does not supersede the provisions of any Directed Health
Measure(s) issued by Local Health Departments, except that the Directed Health
Measures contained in this order are binding and enforceable regardless of any Directed
Health Measure(s) issued by Local Health Departments.
These Directed Health Measures are enforceable by law enforcement. Persons in violation of
these Directed Health Measures may be charged with a Class V Misdemeanor.