Baltimore Sun

Health officials ready new guidelines as rules ease

Revised restrictio­ns from CDC still little more than advice

- By Kevin Freking and Mike Stobbe

WASHINGTON — Businesses should close break rooms. Restaurant­s should consider disposable menus and plates. Schools should have students eat lunch in their classrooms.

These are some of the recommenda­tions in new federal plans designed to help restaurant­s, schools, churches and businesses safely reopen as states look to gradually lift their coronaviru­s restrictio­ns.

The draft guidance from the Centers for Disease Control and Prevention has been sent to Washington but still could be revised before the Trump administra­tion unveils it to the public. The recommenda­tions were obtained from a federal official who was not authorized to release them publicly.

The CDC put together “decision trees” for at least seven types of organizati­ons: schools, camps, child care centers, religious facilities, mass transit systems, workplaces and bars/restaurant­s.

White House officials previously released a three-phase reopening plan for the nation that mentioned schools and other organizati­ons that come back online at different points. But it hadn’t previously offered more specific how-to guidelines for each kind of entity.

The new guidance still amounts to little more than advice. State and local officials will be the ones to adopt and enforce them. Some state and local government­s have already put rules in place for businesses that are operating. Michigan requires businesses to limit how many customers can be in a store at one time.

New York Gov. Andrew Cuomo on

Sunday said each business that wants to reopen will have to submit a plan on how to do that.

The new guidance could give state officials cover if their requiremen­ts for businesses are challenged in the courts, said Lindsay Wiley, an American University public health law expert.

“It allows the state to say ‘well the CDC said to do it this way,’ and the judge then is very happy to say ‘well yes you consulted CDC and that’s the appropriat­e body,’ and then uphold the restrictio­ns and say they’re appropriat­ely evidence based.”

Some examples from the guidance:

In the initial reopening phases, schools should space desks 6 feet apart, nix any field trips and assemblies, and have students eat lunch in their classrooms instead of the cafeteria.

Churches should hold services through video streaming or at drive-in or outdoor venues as much as possible. They should also encourage everyone to wear cloth face masks, use a stationary collection box, and schedule extra services if necessary to make sure church pews are not packed and congregant­s stay at least 6 feet from each other.

Restaurant­s should consider using throwaway menus, single-service condiments, and disposable forks, knives, spoons, and dishes. They should install sneeze guards at cash registers, limit the number of employees on a shift, and avoid having buffets, salad bars, and drink stations.

The guidance for religious groups includes providing congregant­s spiritual and emotional care “on a flexible or virtual basis or refer them to other available resources.”

Allen Fagin, executive vice president of the Orthodox Union, said that as much as worship in synagogues is “one of the most fundamenta­l aspects of Jewish life,” his faith also believes that “the sanctity of life is more important than any other aspect of observance.”

Applicatio­n of any guidelines are likely to have significan­t regional and demographi­c variation, Fagin added.

“There’s going to have to be a great deal of both training and soul-searching in particular communitie­s to make certain the guidelines are understood and will in fact be adhered to, to the letter,” he said.

The National Restaurant Associatio­n last week put out guidance to restaurant­s considerin­g reopening. The associatio­n said restaurant­s should clean and sanitize reusable menus, while the CDC suggests using disposable menus.

And the CDC recommends that employees use cloth masks when interactin­g with customers, but the associatio­n doesn’t. But some guidance is similar. The associatio­n and the CDC both recommend seating dining parties at least 6 feet apart.

Larry Lynch, a senior vice president at the trade group, said the restaurant industry is already heavily regulated in order to prevent foodborne illnesses. So he doesn’t think additional guidelines from the CDC are onerous.

“The fact is we’re probably already 80% of the way there with the mandates coming out of the food code,” he said.

Lynch said the biggest concern for restaurant­s isn’t federal guidelines, but convincing people that it’s safe to return to restaurant­s.

 ?? OLIVIER DOULIERY/GETTY-AFP ?? A small boutique advertises the availabili­ty of masks, gloves and other pandemic necessitie­s in Arlington, Virginia, amid the novel coronaviru­s outbreak.
OLIVIER DOULIERY/GETTY-AFP A small boutique advertises the availabili­ty of masks, gloves and other pandemic necessitie­s in Arlington, Virginia, amid the novel coronaviru­s outbreak.

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