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COVID-19 Sept. 18 Update: Cases top 5K, adding 46 while no new deaths reported Featured

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A note from our editor

DAILY UPDATE: Current information as of 2 p.m. Friday, Sept. 18, with CDC data as of 11:59 p.m. Thursday, Sept. 17

AUGUSTA - Cases of COVID-19 topped the 5,000 mark on Friday when 46 new cases were reported, bringing the state's case count to 5,005. Meanwhile, deaths related to COVID-19 remained steady at 138 for a third consecutive day, according to the Maine Center for Disease Control and Prevention (Maine CDC).

Total cases across the state on Thursday were revised downward by three, indicating investigations had determined some cases didn't qualify. With 475 new cases reported in the first 17 days of September, the month is already on track to surpass both July's and August's case counts at the current 15-day run rate of 838 anticipated cases if the trend continues. Still, many factors can affect that total as the month progresses. There were 634 new cases statewide in August, which was slightly lower than July's total case count of 649 new cases and well below the 935 new cases recorded in June. May still holds the single-month record at 1,199, while April's total case count was 781. March remains the lowest month with 342 total cases when tracking began.

Cases in Penobscot County were revised downward by one to 252 on Friday. Still, this come on the heels of a nearly 100-case jump in just a month from the 156 recorded on Aug. 13. According to Dr. Nirav Shah, director for the Maine CDC, the dramatic rise in cases in both Penobscot and York counties in August largely stemmed from the outbreaks tied to the wedding reception held at the Big Moose Inn in Millinocket on Aug. 7. So far, at least 177 individuals linked to the wedding have tested positive, including 55 who directly attended or worked at the reception or came into contact with those attendees (secondary infections), and 122 others who had contact with those with secondary infections (tertiary infections).

In all, 65 people attended or worked at the event and the Maine CDC updated figures on Tuesday for three other outbreaks that have been linked directly to the initial infections in Millinocket. The Maplecrest Rehabilitation Center in Madison, which undertook another round of testing last week, now has 39 cases - 24 residents and 15 staff - and six deaths related to the wedding, while the York County Jail has 72 cases. Additionally, 10 cases at the Calvary Baptist Church in Sanford have now been linked to the wedding. The seven deaths attributed to the outbreak did not actually attend the wedding but were in fact secondary or tertiary infections.

Shah said that investigations would continue to determine the extent of the outbreak. The Big Moose Inn, which violated state rules regarding the indoor 50-person limit, was temporarily shut down by state officials on Aug. 26 after failing a health inspection, according to Jeanne Lambrew, commissioner for the Department of Health and Human Services. The license was reinstated by DHHS on Aug. 28 after a subsequent inspection determined the location had returned to compliance.

The Tri-Town Baptist Church, which held the wedding itself, nor the couple who held the wedding have been cited, according to Shah.

Overall, there were 88 new cases in Penobscot County in August, which was more than double July's total of 38 new cases. In fact, August's case count surpassed July's total in just 16 days and September's 24 new cases thus far are poised to surpass July while still remain shy of August's figures.

According to the zip code breakdown, which was updated on Sept. 17 with data as of Sept. 13 and usually lags current case count data by at least a few days to as much as a week, the Bangor/Hermon area had 82 cases, which was the same as last week. Brewer also remained the same at nine, while Hampden added one to total nine as well. Orono rose by one to 11, and Carmel also rose by one to eight. Due to the wedding outbreak, both Millinocket and East Millinocket joined the 5 or more case tracking last month and have 28 and 20 cases respectively, which is unchanged from last week. Medway also stayed the same at 13. Aside from those municipalities, all other zip codes in Penobscot County continue to report five or less to no cases in total.

Taking into account the six deaths that have occurred in Penobscot County and the 230 cases that have since recovered, the county's net active or unresolved cases dropped back to 16 on Friday due to the revision. In August, that figure ranged as high as 52 active cases calculated on Aug. 21 and as low as 19 on Aug. 13 before the Millinocket outbreak was discovered. In comparison, that statistic was only seven cases at the beginning of July. According to Shah, Penobscot County is one of four official "community transmission" counties in the state, meaning a certain ratio of disease transmission is happening from sources that cannot be contact traced. However, the county has not had nearly the amount of growth in new cases as Maine's three other community transmission counties of Cumberland, York and Androscoggin - that is, until the wedding outbreak.

Still, York County has had 340 new cases since Aug. 15 when new cases linked to the wedding were starting to be discovered and representing over 40 percent of all new cases in Maine in that same period. Shah reiterated during Thursday's press briefing that half of all current outbreaks are occurring in that county and the county is contributing nearly half of all new cases across the state, which has led to concern among state officials. In fact, that ratio was about the same Wednesday as 12 of the 25 newly reported cases are in York County. On Thursday, that ratio dropped as only seven of the 25 new cases were reported there. On Friday, that ratio dropped again as only eight of the 46 cases came from York County. 

In contrast, both Oxford and Androscoggin counties marked the largest increases on Friday, with 15 and 11 new cases respectively. Meanwhile, Piscataquis County marked a rare milestone on Sept. 7 in being the only county in Maine with no active cases and that trend continued as of Friday.

Statewide, Friday's cumulative figures showed 437 of all cases required hospitalization or are currently hospitalized - including 27 in Penobscot - and 4,335 have recovered. While total cumulative cases continue to rise across the state, Friday's statewide net active or unresolved case count - determined by subtracting those who have recovered or died from total cases - rose by 25 to 532 after dropping to 496 on Wednesday. With that figure surpassing the 530 active cases calculated last weekend, Friday's figure marked the new high point thus far for September. In contrast, there were 364 active cases calculated on Aug. 11 before the Millinocket outbreak was discovered, and the high point in August was 441 on Aug. 31.

In fact, July also saw a lot of variability in net active cases, which began the month at 471 before dropping to as low as 372 on July 16. To put that variability into perspective, consider that the lowest record for active cases since April continues to be the 372 case count recorded July 16, and Wednesday's total is still lower than the 524 active cases at the beginning of June. Active cases had been showing a steady decline throughout April until it surged after a rash of outbreaks occurred across the state at the beginning of May. In all, over 70 outbreaks have been identified in either congregate, long-term care or employer settings (see the table below) and Shah attributed most of the case growth in May to those outbreaks.

The Maine CDC is currently monitoring 520 of those active cases under its Sara Alert contract tracing system, up 67 from last week.

Regarding hospitalizations, 11 are currently hospitalized across the state and five are in ICUs with one of those patients on ventilators, according to the latest data. Overall, current hospitalizations dropped in August and have generally been showing a steady decrease for the past few months. Shah said last week that Maine's hospitalization rate is less than one per 100,000 people, compared to the national average of 15 per 100,000.

 

According to Shah, 1,010 cases involve healthcare workers, which was up 11 from the previous reporting on Sept. 10. He confirmed last week that 933 of those healthcare workers have since recovered. Shah said previously that the ratio of healthcare workers testing positive to general infections would naturally rise as the Maine CDC conducted universal testing at long-term care and congregate settings and with the testing of healthcare workers being a priority in general. The ratio of cases involving heathcare workers has historically ranged from an average of 21-25 percent the past few months. As of Tuesday, that ratio dropped to around 20.5 percent, down three basis points from last week.

 

About 357.397 PCR (active RNA swab) tests and 9,624 antibody tests have tested negative, while 509 antibody tests have tested positive as of Friday. Including tests that were deemed indeterminate, 374,058 tests have been conducted across the state as of Sept. 17. According Shah, Maine's one-day positivity rate is 0.59 percent while the seven-day positivity rate 0.63 percent as of Monday, which is lower than last week and compares to about 5 percent nationally. However, he said Tuesday that York County's much higher positivity rate is skewing those figures, which is causing that concern for state health officials.

 

In the past few weeks, Shah has reported new outbreaks at the Sanford American Legion, the Lafayette Club in Sanford and Hartt Transportation in Bangor and this week saw another four outbreak investigations opened for social clubs in Sanford that are linked to a funeral and reception held Aug. 31 at the Sanford American Legion. On Tuesday, he added ND Paper in Rumford to the outbreak list and said outbreak investigations were closed at Seal Rock in Saco, Merrill Farms in Wells and Wyman's in Cherryfield.

 

In all, there have been 74 identified outbreaks and nearly 28 percent of all cases have occurred in congregate, long-term care or workplace settings. Of the 138 deaths in Maine, 85 - or just over 62 percent - involve residents from long-term care facilities. Below is a breakdown of Maine's outbreaks:

 

Open and closed outbreaks in Maine

Residents

Workers/Patrons/Students

Deaths

Total

100 State Street - Portland

20

0

0

20

Abbott Laboratories - Scarborough

0

29

0

29

Augusta Center for Rehabilitation

48

29

8

77

Barron Center - Portland

1

3

0

4

Bath Iron Works - Bath

0

3

0

3

Big Moose Inn - Millinocket

0

55

0

55

Birchwoods at Canco - Portland

0

6

0

6

Bluestar Homecare - Biddeford

1

4

0

5

Bristol Seafood - Portland

0

19

0

19

Brook House

6

10

0

16

Buxton/Saco/Sanford Fire Departments

0

4

0

4

Calvary Baptist Church - Sanford

0

10

0

10

Cape Memory Care - Cape Elizabeth

61

24

7

85

Cape Seafood - Saco

0

10

0

10

Central Maine Medical Center

15

0

0

15

Cianbro Construction

0

29

0

29

Clover Health Care - Auburn

5

20

0

25

Coastal Community Care Maple - Lewiston

2

2

0

4

Colby College - Waterville

0

4

0

4

Corsetti's Restaurant - Westbrook

0

4

0

4

Creative Works - Westbrook

4

4

0

8

Durgin Pines - Kittery

2

4

0

6

Easy Care Residential - Portland

6

0

0

6

Edgewood Rehab - Farmington

17

4

1

21

Eldredge Lumber Yard - York

0

13

0

13

Falmouth by the Sea - Falmouth

45

30

4

75

Family Shelter - Portland

16

0

0

16

Goodwill Industries - Gorham

0

4

0

4

Granite Bay Care - Seven sites in total

20

12

0

32

Hancock Foods - Ellsworth

0

13

0

13

Hartt Transportation - Bangor

0

4

0

4

Hope House - Bangor

18

4

0

22

Houlton Ambulance Service - Houlton

0

11

0

11

John F. Murphy Home - Auburn

12

0

0

12

Landry French Construction

0

6

0

6

Lafayette Club - Sanford

0

3

0

3

Maine Maritime Academy - Castine

0

3

0

3

Maine Vets Home - Scarborough

34

29

13

63

Maple House - Spurwink

1

6

0

7

Maplecrest Rehabilitation Center - Madison

24

15

6

39

Marshwood Center - Lewiston

31

17

4

48

Merrill Farms - Wells

0

13

0

13

Milestone Recovery - Portland

2

3

0

5

Montello Manor - Lewiston

2

2

0

4

ND Paper - Rumford

0

4

0

4

Nichols Manufacturing - Portland

0

9

0

9

Oak Grove Center - Waterville

0

3

0

3

Orono Commons - Orono

5

5

3

10

Oxford Street Shelter - Portland

12

3

0

15

Pine Point Center - Scarborough

9

6

0

15

Port Resources - South Portland

7

5

0

12

Portland Center for Assisted Living - Portland

3

2

0

5

Pratt & Whitney - Berwick

0

6

0

6

Proctor and Gamble - Auburn

0

13

0

13

Ready Seafood - Saco

0

11

0

11

Residential Community Support Services - Biddeford

1

3

0

4

Seal Rock - Saco

5

7

2

12

Sanford American Legion

0

4

0

4

Sedgewood Commons - Falmouth

41

18

10

59

Serenity Residential Care - Gorham

5

0

0

5

Springbrook Center - Westbrook

52

25

9

58

Support Solutions - Auburn

4

0

0

4

Tall Pines - Belfast

32

11

13

43

The Cedars - Portland

12

6

4

18

The Mooring on Foreside - Cumberland Foreside

2

4

1

6

Tyson Foods - Portland

0

55

0

55

Ubuntu Care Center - Lewiston

0

4

0

4

University of Maine - Orono

0

4

0

4

University of Maine Law School - Portland

0

1

0

1

University of New England - Biddeford

0

3

0

3

Walmart - Presque Isle

0

3

0

3

Woodfords Family Services - South Portland

2

1

0

3

Wyman's of Maine - Cherryfield

0

7

0

7

York County Jail - Alfred

48

34

0

82

Total

633

722

85

1,355

(data courtesy of Maine CDC)

 

According to Shah, three of the four counties designated as community transmission counties - Cumberland, York and Androscoggin - continue to see growth in cases but leveled off to the point where Gov. Janet Mills allowed indoor seating at restaurants, gyms and nail salons to reopen. However, bars without outdoor seating and nightclubs remain closed across the state.

 

Cumberland County continues to remain the hardest hit county across the state with a total of 2,269 confirmed and probable cases, followed by York with 1,031 - most of that county's recent case growth has stemmed from the York County Jail and Sanford funeral outbreaks - and Androscoggin at 668. Those three counties have accounted for the majority of the case growth the past three months, although Penobscot County largely contributed to August's rise. While not designated a community transmission county, Kennebec County had been the fourth hardest hit for months with 202 cases since COVID-19 tracking began in March due mostly to outbreaks in congregate or LTC settings. However, Penobscot County surpassed Kennebec's figures on Aug. 14 to take fourth place.

 

Nationally, cases have topped 6.69 million across the U.S. and the death toll Friday stood at 198,055, according to the Johns Hopkins Coronavirus Resource Center. Although total cases continue to rise in some areas, other hotspots have been declining and the case mortality rate across the nation has actually been dropping since the pandemic began. It was about 3.7 percent in early July, 3.4 percent on Aug. 4, and 3.11 percent on Aug. 21. Friday's figure stood at 2.95 percent, down two bases points from Thursday. 

 

Worldwide, infections have topped the 30 million mark with 947,919 deaths. The U.S. was a major contributor to the growth in both cases and deaths in late spring and early summer as testing efforts expanded markedly across the country, although the latter as a percentage has been dropping. Cases in India, Brazil, Russa and some other hotspots in the southern hemisphere have spiked in the past month.

 

In fact, India overtook Brazil two weeks ago in total cases as COVID-19 rages in that country and topped the 5 million mark Wednesday and stood at 5.21 million on Friday - that is second only to the U.S. but on track to overtake the U.S. in total cases if that trend continues. Brazil is still third highest with 4.45 million cases, and Russia crossed the million threshhold Sept. 2 and now has 1.086 million cases.

 

U.S. officials believe China, where the virus reportedly orginated, and Iran continue to report numbers that are suspect, according to national reports.

 

Other major developments (by day):

 

July 31

Green means go. At least that what the Mills administration said today when they released updated guidance to assist school communities in making their decisions about how to resume instruction this fall in the face of COVID-19.  This guidance includes the Health Advisory System that classifies counties’ relative risk by color as well as updated requirements for schools to reopen safely.

The Health Advisory System, a collaboration among the Maine Department of Education (DOE), the Maine Department of Health and Human Services (DHHS), and the Maine CDC previously announced classifications developed to categorize counties based on quantitative and qualitative data about COVID-19 including recent data on case rates, positivity rates, and syndromic data (e.g., symptoms of influenza or COVID-19) among others. The system categorizes counties by three-color based designations: red, yellow, and green.

The initial assessment released today showed that all 16 of Maine's counties are currently categorized as “green,” suggesting a currently low COVID-19 risk relatively and that in-person instruction can be adopted as long as schools can implement the six "Requirements for Safely Opening Schools in the Fall." While COVID-19 is more prevalent in Cumberland, York, Androscoggin, and Sagadahoc counties than in Maine's other counties, the assessment pertains to the unique circumstances of schools and currently indicates relatively limited risk statewide. All counties, like the state as a whole, have COVID-19 prevalence below that of virtually all other states.

July 30

Gov. Janet Mills announced during Thursday's Maine CDC press briefing that she will be expanding protections to help renters who continue to be impacted by the COVID-19 pandemic.

 

Mills said that MaineHousing will double its rental assistance from $500 to $1,000 through the COVID-19 Rental Relief Program beginning Monday, Aug. 3. The governor, who established the program with MaineHousing in April, is dedicating an initial $5 million in Coronavirus Relief Funds (CRF) to support the expansion. She also signed an executive order continuing expanded timeframe protections for renters in the evictions process.

 

The moves come as the Maine Supreme Judicial Court plans to reopen courts for hearings next week and as the Federal government appears poised to reduce Federal unemployment benefits, leaving people concerned they may face a housing cliff.

 

“Many Maine people are still experiencing significant financial hardship as a result of COVID-19, and the last thing they need to worry about is losing their home,” said Mills. “While the future of the $600 boost in Federal unemployment benefits remains in question, we believe the combination of an expanded rental relief program and continued protections through the updated Executive Order can help renters while also not leaving landlords behind. My Administration will continue to work closely with MaineHousing and local agencies across the state to help keep Mainers housed.”

 

The program, which the administration said has helped nearly 10,000 people, expires Friday, July 31, 2020, and those who still wish to sign up for the program may do so until 5 p.m. that day. The expanded program will begin accepting applications next week. Information may be found at mainehousing.org/covidrent.

 

July 1

Gov. Janet Mills announced during Wednesday’s Maine CDC press briefing that visitors from Connecticut, New York, and New Jersey will be exempted from the 14-day quarantine requirement or negative COVID-19 testing alternative. Mills said the change will be effective Friday, July 3.

 

Mills said the decision to add those states to the exemption that already includes Vermont and New Hampshire comes after review of those states’ public health data measurements including the prevalence of the virus and the positivity rates in those other states. In reviewing the metrics, Mills said Connecticut, New York, and New Jersey had lower positive rates than Maine’s and the prevalence of the virus in those states is similar and continues a downward trend.

 

Additionally, Mills said she will be issuing an executive order requiring Maine’s large retail stores, lodging establishments, restaurants, and outdoor bars and tasting rooms in Maine’s coastal counties and in the more populous cities of Bangor, Brewer, Lewiston and Auburn to enforce the state’s face covering requirement. In the last week, states across the country, such as North Carolina, Nevada, Washington, and Oregon, have implemented similar strong measures related to face coverings, given the evidence that masks significantly reduce transmission of the virus.

 

The coastal counties include Hancock, Waldo, Knox, Lincoln, Sagadahoc, Cumberland and York.

 

June 22

Jeanne Lambrew, commissioner for the Department of Health and Human Services, said during the Maine CDC's press briefing that the Mills administration will postpone reopening indoor bar service for bars and bar areas of restaurants across the state. Originally scheduled to reopen July 1, Lambrew cited data from ongoing outbreaks traced to bars in Texas, Louisiana, Idaho and Florida and the fact that bar settings are problematic since spaces are smaller where patrons can't socially distance or wear masks due the traditional nature of bar settings.

 

May 27

Gov. Janet Mills announced restuarants in Androscoggin, Cumberland and York counties will remained closed to dine-in service as Stage 2 of Maine's reopening plan takes effect June 1. Stage 2 involves reopening retail outlets, restaurants, fitness and excercise centers, nail technicians, lodging, campgrounds and children's day camps for Maine residents and those who have met the 14-day quarantine requirement, and coastal state parks.

 

Previously, Department of Health and Human Services Commissioner Jeanne Lambrew said gyms and nail salons across the state would not be permitted to reopen June 1 due to COVID-19 transmission concerns observed in other states where they have reopened. Mills added restaurants to that delay Wednesday for the three community transmission counties due to continued case growth of COVID-19, while taking Penobscot County off that list since the county has only had an average of three cases a day since April.

 

"I know this is not welcome news for those restaurants who have been preparing to fully reopen next week," Mills said Wednesday. "It is our hope that by reopening for outdoor dining and curbside pickup and take out, we can still protect the public health and perhaps lessen the economic hardship that these businesses are are enduring."

 

May 18

Mills and Shah announced that the new IDEXX PCR testing machines were up and running and the state's Health and Environmental Lab (HETL) now has the capacity to process up to 1,000 tests per day on the new equipment. Correspondingly, Mills announced the testing priorities and tiers that were in place were recinded and new guidelines were established, including testing specimens from any person who has one or more symptoms, and testing those who are asymptomatic but may be at risk of speading COVID-19 to others. 

 

May 15

Maine Department of Education Commissioner Pender Makin announced that her department has secured internet access and devices for all of Maine's children who were in need of it to complete their learning. Of the 21,845 students statewide lacking connectivity, based on data from the 75 percent of schools that responded, 14,494 students needed a wireless contract and 7,351 students needed only a device in order to have equitable access to online learning opportunities.

 

Through a combined effort with the Department of Administrative and Financial Services, ConnectME, and business and philanthropic entities, the Maine Department of Education (Maine DOE) has acquired 14,494 service contracts through three different service providers, nearly all of which are for WiFi-enabled Samsung Galaxy Tablets that can be used as learning tools and hotspots or hotspots only. Through one of the service providers, DOE was also able to order MiFi, a wireless router that acts as a mobile WiFi hotspot, to fulfill internet-only needs. To fulfill the device only needs, Maine DOE was able to order 7,450 Chromebooks.

 

Shah said the state has received another seven cases of Remdesivir, the antiviral drug from Gilead Sciences that has shown some success in treating the symptoms of the virus. This is in addition to the 10 cases Shah said the state received earlier in the week. The intravenous drug has already been shipped to hospitals across the state. 

 

May 14

Maine Department of Economic and Community Development Commissioner Heather Johnson said Thursday that the lodging industry can now begin taking reservations for in-state residents and those who have already traveled to Maine and satisfied the 14-day quarantine to begin lodging as of June 1. The restrictions for taking reservations for out-of-state travelers remains in place as the date those travelers can come to the state is currently set for July 1. 

 

May 13

Mills signed an order Wednesday extending Maine’s state of civil emergency for thirty days through June 11, 2020. It was Mills' second extension of the State of Civil Emergency and, by doing so, Mills said it gives her more time to access federal disaster and pandemic funding and allows her to continue using certain powers to slow the spread of the coronavirus. The new order is distinct from the Governor’s Executive Orders and from the Restarting Maine’s Economy plan. The Governor’s Executive Orders and the Restarting Maine’s Economy plan remain in effect and unchanged.

 

May 8

Mills announced Friday modified reopening plans for Maine's 12 rural counties that have not been deemed community transmission counties by the Maine CDC. She said Stage 1 restrictions will still be in place in the remaining four that have been deemed counties where community transmission are still occuring. She added that her "Stay Safer at Home" executive order will remain in place for the entire state.

 

May 7

Mills announced that the state has entered into a partnership with Idexx Laboratories in Westbrook, Maine that will triple Maine's testing capacity, which may affect the plan to reopen as testing ramps up.

 

May 5

Shah provided an update about antibody testing, a milestone epidemiologists state will aid in reopening and determine what the true infection rate is among the population. He said there are a lot of questions surrounding the testing, and even more questions about the reliability of tests that are currently available.

 

"Right now, there are a lot of different tests that are on the market for antibody testing. Some of them are very good, others of them are lacking," Shah said. "In fact, some of the ones that are out there right now in the United States haven't even received authorization from the Food and Drug Administration."

 

He added that some of the tests have been studied and the numbers have been disturbing, comparing their reliability to a coin toss.

 

"Given the number of different tests that are out there, it's really difficult to know whether the test that you might be getting is one of the really good ones or whether it's more akin to a coin flip," he said.

 

April 28

Mills announced her "Stay Safer at Home" executive order, extending the state of emergency until May 31. In doing so, she rolled out her four-stage plan to reopen Maine's economy, which in all respects has been decimated by the shutdowns. 

 

April 16

Mills issued an order that bars landlords from evicting their tenants during the pandemic. She also announced a new $5 million relief fund that would grant one-time $500 payments for eligible tenants who cannot pay their rent due to income loss.

 

"We are limiting evictions during this state of emergency," she said. "The order that I signed applies to commerical ventures as well as small businesses and homes and rental apartments."

 

Mills said the order strengthens penalties for landlords and property owners who try to evict someone unlawfully, especially since courts and the eviction process are essentially closed. In addressing mortgages and foreclosures, she added that while the federal CARES act put a moratorium on forclosures for federally-backed loans, she reached out to Maine-based banks and credit unions to do the same.

 

"I am urging them in the strongest terms to avoid initiating residential and commercial foreclosures and to pause any foreclosures that may be in progress," she said. "I'm urging them to refrain from mailing notices to cure to Maine residences and Maine businesses as long as this moratorium is in effect." 

 

April 3

Mills ordered the closure of all hotels, motels, bed and breakfasts, inns and short-term rentals and put in place the requirement that all travelers arriving in Maine self-quarantine for 14 days. The order is still in effect with lodging able to open to Maine residents June 1 as part of stage 2, and out-of-state tourists on July 1 as part of stage 3, provided they self-quarantine for 14 days upon their arrival. Some lodging remained open to house essential healthcareand, utility and other workers.

Mills also previously moved the primary election to July 14.

Symptoms of COVID-19 include fever, shortness of breath, and lower respiratory distress. Individuals who exhibit those symptoms are advised to contact medical providers before going to a health care facility. Medical providers will make initial determinations about who should be tested.

Last modified on Friday, 18 September 2020 13:09

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