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Colorado’s strict, statewide COVID-19 Public Health orders expired at 12:01 a.m. last night. The COVID-19 Dial has evolved into Public Health Order 20-38: Limited COVID-19 Restrictions, which allows counties to implement regulations at the local level while still maintaining some limited requirements across the state.

Today Chaffee County Public Health joins the other 63 Colorado Counties in responding to the statewide devolution of the dial into – something else. It appears that herding cats might be easier than defining what that “something else” is; as counties take a variety of approaches from no restrictions at all (Weld and Douglas counties for instance) to local versions of modified restrictions.

“I call this the Balkanization of public health across the Colorado counties,” said Commissioner Greg Felt. “As the state orders end, this is now a Chaffee County approach to our future.”

The New Post-dial, Statewide Colorado Public Health Order:

  • Rescinds and replaces PHO 20-36 COVID-19 Dial and PHO 20-29 Voluntary and Elective Surgeries and Procedures
  • Requires compliance with Executive Order D 2020 138, as amended and extended, concerning face coverings
  • Requires all businesses and government entities to consider reasonable accommodations for individuals who cannot access or cannot take COVID-19 vaccines, follow the mask executive order, and strongly encourages following Colorado Department of Public Health and Environment (CDPHE) sector guidance for disease mitigation
  • Requires six feet distancing and masks for mass indoor gatherings, defined as gatherings in public indoor spaces that exceed 100 individuals, and caps these gatherings to no more than 500 people, absent a variance.  Exempts places of worship, retail settings, restaurants that have seated dining and do not have gathering spaces that allow for more than 100 people to congregate, and allows local public health agencies to approve prom and graduation plans in excess of these caps in accordance with CDPHE guidance.
  • Requires schools to follow the CDPHE schools and child care outbreak guidance and further requires that when learning is all remote, extracurricular activities are not authorized in person.
  • Requires CDPHE approval of all outdoor seated, ticketed event venues in excess of 30,000 square feet, in consultation with the local public health agency.
  • Continues existing hospital reporting requirements
  • Continues authority for CDPHE to require additional restrictions for any county when a county’s resident hospitalizations threaten to exceed 85 percent of hospital or hospital system capacity

In response to the devolution of Dial 3.0, Chaffee County is adopting its own local public health order effective today, April 16. The emphasis is on getting our county optimally vaccinated, keeping our local and regional hospital systems from experiencing a surge due to COVID-19, continuing the mask mandate, and focusing on indoor and outdoor event capacity.

“In anticipation of the new and scaled back statewide public health order, Chaffee County Public Health (CCPH), along with many stakeholders from our Leadership Roundtable, sector representatives, and medical community, have been working on a local public health order that takes into consideration virus transmission trends, vaccination rates, hospital capacity, and allowing for the majority of restrictions to be lifted while also strongly recommending that our county remain vigilant about wearing masks when appropriate, washing hands, maintaining physical distancing, staying home when sick, and getting tested when symptomatic,” said Chaffee County Public Health Director Andrea Carlstrom. “We hope this new local order allows all of us to enjoy the things we have been looking forward to for over a year now while learning to live our lives amidst a pandemic.”

Local public health order # 2020–08 – AMENDMENT 16

As the state winds down its strict public health order, the onus is on the counties to decide how much of the protection inherent in the orders that they will keep. At the same time this easing of state restrictions is occurring the state continues to press forward on vaccinating as many Coloradoan’s as possible, even as a fourth wave of the virus is threatening.

In Chaffee County, the two points of contention revolved around maintaining an indoor facemask order, and how to handle the plethora of public events and event planning requests that are coming in at a rapid pace.  The orders that went into effect today are in place through Aug. 31, 2021, unless extended, rescinded, superseded, or amended in writing.

“Most of us aren’t going to be organizing an event. The real guts of this document [Chaffee County Public Health Order] are we are going to continue the mask mandate for indoor public spaces, and encouraging vaccination,” summarized Commissioner Greg Felt, who also chairs the Chaffee Board of Health. “The rest of the restrictions will be focused on indoor and outdoor events.”

The main points of the county’s new public health order:

  • Indoor event capacity shall be capped based on a six-foot (6’) social distancing requirement when considering the size of the venue. Maximum capacity for an indoor event shall be determined by utilizing the social distancing space calculator available at https://covid19.colorado.gov/distancing-calculator.
  • Outdoor events held at venues with determinable boundaries shall be capped based on a three-foot (3’) social distancing requirement for the most densely-populated portion of the venue in question.
  • Outdoor events held at venues without fully determinable boundaries shall be in accordance with the maximum capacities as set forth by the local government or municipality in which the event is held.
  • Masks, except for exempted individuals and in certain settings, must be worn in indoor public spaces, regardless of how many people are present.
  • If 85 percent or more of local or regional hospital bed capacity is reached due to COVID-19, CCPH will review opportunities for mitigation with a focus on the sectors of transmission rather than placing restrictions on all sectors.
  • If Chaffee County reaches a 70 percent vaccination rate of the eligible county population, further lifting of restrictions will be considered. (For reference, Chaffee County is currently at 43.8 percent.)
  • Schools and school-related activities will continue to follow their specific guidance and requirements set forth by the state.

CCPH  says that it recognizes the need for long-term planning for events and activities throughout the summer months. Specifically, because of the need for this consistency and continuity for event planning, it has set the order to extend over the upcoming summer months.

The roundtable had a lively discussion about how much of the county’s five public health safety provisions were needed for the 128-day summer season. Many had commented that the summer was going to fly by, while others on the roundtable clearly chafed at the idea of any restrictions.

The county has made a point that it must act in a consistent manner, to set clear expectations for residents and visitors alike, so that if outbreaks occur, they don’t overwhelm public health or the hospital. It is also attempting to coordinate with neighboring counties, so that visitors have clear behavior expectations.

“This is a controlled reentry,” said Commissioner Keith Baker, during Thursday’s Chaffee COVID-19 Leadership  Roundtable.”We want a smooth transition out of this … we need to focus on what we can do without severely restricting their rights,” he added. “We do have one of the best vaccination rates in the state – most people I see in public are following the five safe practices, this side of five hard and fast requirements, we’ll get a lot of pushback on making it required. This is a transitional period and we’re going to navigate our way through it to ensure their health and safety.

The order is subject to amendment at any time provided the circumstances change. CCPH will review the current metrics and circumstances monthly in an effort to determine if such an amendment is necessary.

It is anticipated that over the upcoming days, CCPH will amend the local order to incorporate more details and respond to the dynamic environment. A summary document of the new order is forthcoming. In addition, sections of the order, such as mask-wearing in public indoor spaces, may expire before others or before August 31, 2021. CCPH will continue providing the various sectors of Chaffee County with recommendations, resources, and supports throughout the next few months, including a toolkit for event planners. CCPH also supports businesses that wish to take a more restrictive response than the current state or local orders if they feel the need to do so.

Chaffee County has ample vaccine supplies to vaccinate everyone who is eligible, essentially anybody who is 16 and older. To schedule a vaccination appointment with CCPH, call 719-539-4510 today.

Colorado COVID-19 Dial Framework

The dial framework, originally implemented on September 15, 2020, standardized the levels of openness or restrictions on a county level, based on the metrics of disease transmission, the level of local testing, and hospitalizations. It allowed Colorado to tailor its response on a county level, recognizing that conditions vary locally.

With increased vaccination rates and less threat to hospital capacity, the state’s role in continuing to mandate statewide restrictions is lessening and the role of local communities to regulate and manage the virus is increasing. The Colorado dial will remain as guidance to counties, and the state still strongly recommends that businesses and other entities follow best practices for preventing the spread of COVID-19.

That said, the state’s COVID-19 cases are on the rise again, much of it attributable to the increase of COVID variants and infections occurring in younger audiences, rather than the state’s more at-risk older population.