Chicago Sun-Times

MAYOR’S ORDERS: FEELING SICK AT ALL? STAY AT HOME.

Those with coronaviru­s — and anyone exhibiting symptoms — must stay inside or face citations, fines

- BY FRAN SPIELMAN, CITY HALL REPORTER fspielman@suntimes.com | @fspielman Contributi­ng: Tom Schuba

Mayor Lori Lightfoot on Thursday ordered all Chicagoans with confirmed cases of coronaviru­s — as well as those just exhibiting symptoms of the highly contagious disease — to stay home to prevent community spread of the pandemic.

The mayor took the unpreceden­ted step after Health Commission­er Dr. Allison Arwady signed a public health order stating that those with confirmed cases or symptoms “may not leave their homes, go to work or meet in groups.”

The only exception to the stayat-home order is to seek “essential services, including necessary clinical care or evaluation and life-sustaining needs” that include “obtaining food and medicine.”

Violators will be slapped with citations and fines by Chicago police and the Department of Public Health, even though it’s not known precisely how they will be identified.

“We have repeatedly asked throughout this crisis that, if you are sick, stay home. Most of you have listened, but some have not. And those of you that have not, have not only put yourselves at risk, you are endangerin­g the public,” Lightfoot said during her TV address.

“We have documented an increasing number of cases in which sick people went to their workplace and got other people sick with the coronaviru­s.”

Lightfoot said the order issued at her direction will mandate what some Chicagoans who have tested positive for coronaviru­s and those with symptoms have refused to do on their own.

“Until further notice, if you are sick with respirator­y symptoms like cough, fever or shortness of breath, but also, and importantl­y if you are

beginning to feel sick — body aches, fatigue, sore throat — you, too, are ordered to stay home unless seeking medical care or other essentials like food,” the mayor said.

“If you violate this order, there must be consequenc­es. Be smart, be safe and stay home if you are sick. That’s an order.”

Lightfoot said she’s well aware that the restrictio­ns she imposed are “causing hardships.” But she said she is “doing this to save lives — pure and simple.”

“We have seen what these extreme measures have yielded in places like Japan and Singapore. Those countries have started bending the arc of the virus. And China is reporting progress for the first time. These measures work, and we need them now as this virus progresses here in Chicago.”

The stay-at-home order will remain in place until Arwady makes a written determinat­ion that the threat posed to public health has diminished, City Hall said.

The order defines “COVID-19 Illness” as “demonstrat­ing symptoms of acute respirator­y disease, including, but not limited to, new onset of fever, cough, shortness of breath, congestion in the nasal sinuses or lungs, sore throat, body aches or unusual fatigue.”

Dr. Howard Ehrman, a former assistant commission­er of the Chicago Department of Public Health, said the mayor’s order doesn’t go far enough and could put people in danger.

“Stay in your house if you’re sick and you’ve got symptoms, but nobody will come test you,” Ehrman said, mocking the directive. “If you really feel sick, then leave your house, take two buses, go to the closest emergency room and maybe you’ll get tested there.”

Ehrman said encouragin­g sick people to leave their home for treatment is counterint­uitive.

“All it takes is for one person to be positive and then you’ve got several more hundred people that potentiall­y are positive,” he said. “But even if you have your own car and you go to the best place in town, you could come into contact with other people.”

Should a person with coronaviru­s symptoms break quarantine, they still may not be able to get a test. While some private hospitals have started administer­ing tests and the Illinois Department of Public Health expanded its guidance on who can get one, there’s still a shortage of testing kits and other supplies needed to process them.

“This is the whole insanity of what’s going on now without having enough of these tests. You get in these crazy conundrums,” said Dr. Robert Murphy, executive director of the Institute for Global Health at Northweste­rn University.

Determinin­g how many people have the disease is critical for stopping the spread, said Murphy, who pointed to countries in Asia that have been able to vastly expand their testing capabiliti­es. He noted that South Korean health care workers have effectivel­y used drive-through labs to help test around 15,000 people a day, nearly five times the number of tests Illinois has run altogether.

Though Northweste­rn Memorial Hospital and other medical centers have started conducting drivethrou­gh tests, there are still limitation­s. At Northweste­rn, a patient needs an order from a doctor.

“WE HAVE DOCUMENTED AN INCREASING NUMBER OF CASES IN WHICH SICK PEOPLE WENT TO THEIR WORKPLACE AND GOT OTHER PEOPLE SICK WITH THE CORONAVIRU­S.” MAYOR LORI LIGHTFOOT

 ?? FRAN SPIELMAN/SUN-TIMES ?? Mayor Lori Lightfoot issued a public health order on Thursday.
FRAN SPIELMAN/SUN-TIMES Mayor Lori Lightfoot issued a public health order on Thursday.

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