Large Events Planning Form

Per the directed health measures put into place by the state of Nebraska, effective June 1st, large events and gatherings can take place under the following conditions:

Community call regarding Large Event Planning can be rewatched here:              Recorded Webinar 6.2.2020

  • Gatherings will be limited to the greater of 25 people (excluding staff) or 25% of rated occupancy (not exceed 3,000) for gatherings held at:
    • Indoor or Outdoor Arenas, Indoor or Outdoor Auctions, Stadiums, Tracks, Festivals, Zoos, Auditoriums, Large Event Conference Rooms, Meeting Halls, Indoor Theaters, Libraries, Swimming Pools or any other confined indoor or outdoor space.
      • Ticketing must be done in groups no larger than 6 individuals
      • Six (6) feet separation between different ticketed groups must be maintained
    • Parades, carnivals, street dances, and beer gardens are prohibited through June 30th and may be extended.
      • Parades, where patrons remain in their vehicles along with spectators remaining in their vehicles, are permitted.
    • Drive-in movie theatres may open at full capacity if patrons remain in/on their vehicles while viewing the movie and congregating at concession and restroom areas are not permitted.
    • All locations/venues that hold (500-1,000) or more individuals will be required to submit a reopening plan for approval to their local health department. The reopening plan must contain a planned number of guests, how the location or venue will follow current social distancing guidelines associated with current DHMs and sanitation guidelines.

(Community Celebrations, County Fairs, Church Celebrations, Weddings, Grand Openings, etc)

Please complete this form:  Large Event Planning Form | PPE Request Form

Please note that Large Events Plans must be submitted at least 7 days in advance. 

If you have questions please call NCDHD at 402-336-2406.


Please note our 24/7 emergency line number is: 402-961-1718

NCDHD understands concerns over the new COVID-19 virus can make us anxious. While we don’t know where and to what extent this disease may spread here in Nebraska, we do know that it is contagious. As we go about our daily lives, we ask that you remain watchful in yourself, your family, and those you may care for when it comes to symptoms of illness. This page serves a place to find additional information or resources.

The Center for Disease Control (CDC) website or the Word Health Organization (WHO) website is where you can find the most up-to-date information that is available. 

Directed Health Measures Issued 6/1/2020


World Health Organization Recommendations (WHO)

WHO COVID-19 Resource Page

WHO on Social Distancing


CDC Recommendations

CDC COVID-19 Resource Page

CDC Guidance on Large Events and Mass Gatherings

Coronavirus Disease 2019 Information for Travel

Preventing COVID-19 Spread in Communities

Protect Yourself and Your Family


State of Nebraska Health and Human Services

COVID-19 Information from DHHS

State of Nebraska COVID-19 Map  updated daily at 12:00 PM CDT


University of Nebraska Medical Center (UNMC)

COVID-19 in Nebraska (map)


Resources for Businesses

Best Practices for Barbers and Salons (DHHS 5.11.20)

Pool Memo from NE Dept of Environment and Energy

Restaurant In-Room Dining Reopening Guidelines – Spanish

Restaurant In-Room Dining Reopening Guidelines

NDA Dental Office Opening Protocols- Updated 5/2/2020

Guidelines for the Conduct of Faith-Based Services

CISA_Guidance_on_Essential_Critical_Infrastructure_Workers

Health Alert Template for Businesses

Financial Resources

Families First Coronavirus Response Act

U.S. Small Business Administration

Small Business Association Press Release from 4.2.2020

Nebraska Department of Labor

NDOL – COVID-19 Resources and Information

U.S. Chamber of Commerce

U.S. Chamber of Commerce – Small Biz Loan


Other Resource

Nebraska Strong – Mental Health Contact Free and Confidential

COVID Companion – Free Text-Message Based Program

COVID Proof Your Home

Do It Yourself Hand Sanitizer and Disinfecting Spray/Wipes

NALHD-What is Quarantine (English)

NALHD What is Quarantine (Spanish)

NALHD What is Isolation (English)

NALHD-What is Isolation (Spanish)

CDC Guide on How to Make and Properly Wear a Cloth Mask

Surgeon General Video on How to Make a No-Sew Cloth Mask 

Guidance for Summer School and Summer Learning (eff. June 8th)

Swimming Pool Operator Information

EPA Guidance for Disinfecting


 


NCDHD Needs Your Feedback on COVID-19 Response

NCDHD is seeking community feedback on their COVID-19 response. Feedback will offer NCDHD a chance to reflect on their current response and adapt to better serve North Central Nebraska communities during future waves of COVID-19. You can help by taking the survey at https://www.surveymonkey.com/r/NCDHDCOVID . The survey is 13 questions and takes 5-10 minutes to complete. Personal information is not collected and will not be tied to responses. NCDHD thanks you for your time in providing feedback.

NCDHD would also like to pass along updated case count numbers as of today, 6/5/2020 at 3:00 PM: 28 total cases and 22 recoveries (R).

Antelope: 8 R: 8                Keya Paha: 0

Boyd: 1                                 Knox: 11 R: 9

Brown: 0                              Pierce: 6 R: 3

Cherry: 1 R: 1                     Rock: 0

Holt: 1 R: 1

NCDHD would also like to remind district residents that Test Nebraska will be in our district throughout the month of June. To sign up for a Test Nebraska event please visit the Test Nebraska website at www.testnebraska.com. The questionnaire is available in English or Spanish. Click the START NOW button at the top to begin and complete the questions to the best of your knowledge. Based on the answers given, it will be determined if you qualify to be tested. If you qualify, you will need to schedule your test. Directions to the clinic site will be available based on the clinic you select. Please save or print the QR code that is generated after scheduling and bring this with you to the clinic.

updated: 6/5/2020


Positive Case in Pierce County, Positive Case in Boyd County, NCDHD to Host Event Planning Information Meeting, Additional Test Nebraska Events

North Central District Health Department (NCDHD) was made aware of an additional positive case in Pierce County.

NCDHD was also made aware of the first confirmed positive COVID-19 case in Boyd County. The case is in isolation at home and through investigations is deemed to have contracted the illness through community spread. All close contacts have been contacted and asked to quarantine.

NCDHD would like to remind residents that community spread is present in our area and you should assume COVI19 is present in your community. Continue to practice social distancing, good hand hygiene, and wearing a mask in public settings were social distancing can be difficult.

NCDHD would like to remind district residents that there will be a virtual community meeting regarding the planning of upcoming large events during COVID-19 on Tuesday, June 2, 2020 from 5:00 PM – 6:00 PM. NCDHD will be able to answer questions about the new Directed Health Measures and other guidance outlined effective June 1st  as well as other questions that event planners may have. This meeting can be attended via conference call or Go-To-Meeting web link. You do not need to register to attend. To attend the meeting, log on or call in using the following information:

https://www.gotomeet.me/NCDHD/planning-with-covid-19-community-events-planning-m Call in: +1 (571) 317-3129; Access Code: 881-210-197

NCDHD would also like to remind district residents that Test Nebraska will be coming to the area. One of the first testing events will be on June 2nd in Valentine at the Valentine Fire Hall from 8:00 am – 12:00 pm. Additionally, Test Nebraska will be in O’Neill on June 5th at the Holt County Roads Department maintenance building from 8:00 am – 12:00 pm.

To sign up for the Test Nebraska event please visit the Test Nebraska website at www.testnebraska.com. The questionnaire is available in English or Spanish. Click the START NOW button at the top to begin and complete the questions to the best of your knowledge. Based on the answers given, it will be determined if you qualify to be tested. If you qualify, you will need to schedule your test. Directions to the clinic site will be available based on the clinic you select. Please save or print the QR code that is generated after scheduling and bring this with you to the clinic. Additional testing events will take place in the NCDHD region throughout June.

Case count update as of 6/1/2020 at 3:00 PM: 28 total cases and 20 recoveries (R)

Antelope: 8 R: 7                Keya Paha: 0

Boyd: 1                                 Knox: 11 R: 9

Brown: 0                              Pierce: 6 R: 2

Cherry: 1 R: 1                     Rock: 0

Holt: 1 R: 1

updated: 6/1/2020


Test Nebraska to come to Valentine June 2nd

North Central District Health Department (NCDHD) would like to pass along to district residents that it was announced today that Test Nebraska will be coming to the area. One of the first testing events will be on June 2nd in Valentine. To sign up for the Test Nebraska event please visit the Test Nebraska website at testnebraska.com in either the English or Spanish version by clicking the language preference at the top of the page. Click the START NOW button at the top to begin and complete the questions to the best of your knowledge. Based on the answers given it will be determined if you qualify to be tested. If you qualify there will be additional information as well a direction on where the nearest upcoming testing event will be.

Case count update as of 5/28/2020 at 3:00 PM: 25 total cases and 18 recoveries (R)

Antelope: 8 R: 6                Keya Paha: 0

Boyd: 0                                 Knox: 11 R: 9

Brown: 0                              Pierce: 4 R: 1

Cherry: 1 R: 1                     Rock: 0

Holt: 1 R: 1

updated: 5.28.2020


Confirmed Case in Knox County

North Central District Health Department (NCDHD) has been made aware of a positive case in Knox County today. Close contacts have been identified, contacted, and are in quarantine. Community spread is present in Knox County and residents should practice social distancing, diligent hand hygiene, and wearing a mask in public settings when social distancing is difficult to maintain.

Case count update as of 5/27/2020 at 2:00 PM: 25 total cases

Antelope: 8                         Keya Paha: 0

Boyd: 0                                 Knox: 11

Brown: 0                              Pierce: 4

Cherry: 1                              Rock: 0

Holt: 1

update: 5/27/2020


Confirmed Cases in Pierce and Knox Counties

North Central District Health Department (NCDHD) has been made aware of three (3) additional cases since the last update on Friday, May 22. Two cases in Pierce county with one of those cases being related to direct exposure to a confirmed case and one being contracted from community spread. The third case is a resident of Knox county where community spread has been present.  A district case count total can be found below with updated per county breakdown. NCDHD reminds district residents that we should assume that COVID-19 is present in the communities we live in. NCDHD will no longer be reporting risk level to the general community unless there is a situation that warrants notice of community exposure. Residents are encouraged to follow guidelines which include extra handwashing, social distancing, stay home and limit unnecessary travel, remain six feet from others, and wearing a mask in public.

NCDHD remains in close contact with other health districts and has been notified of other individuals that live in different areas of the state but have worked or traveled through the NCDHD district. NCDHD works closely with impacted employers or businesses when notified of these instances to ensure safety of the employer and community members in the areas of travel.

Case count update as of 5/26/2020 at 2:00 PM: 24 total cases

Antelope: 8                         Keya Paha: 0

Boyd: 0                                 Knox: 10

Brown: 0                              Pierce: 4

Cherry: 1                              Rock: 0

Holt: 1

updated: 5.26.2020


Positive Case in Pierce County

North Central District Health Department (NCDHD) was made aware of a positive case in Pierce County. The case contracted the illness outside the district in an area with an ongoing outbreak. The case is in quarantine at home and all close contacts have been notified and are in self-quarantine.

Moving forward, NCDHD will be providing a weekday posting update of case information. The update will be posted regardless of confirmed cases announced that day or not. The posting will include, total number of cases for the district, confirmed cases per county, recovered cases, and deaths. The district information will be posted around 3:00 PM on our website and Facebook page Monday – Friday. If there are any discrepancies between the NCDHD posting and the DHHS website data, the NCDHD posting should be considered most up-to-date. As of 3:00 PM 5.21.20, district case count information is as follows:

NCDHD Case Counts- 21, Deaths: 0, Recoveries: Coming soon.

Knox: 9, Antelope: 8, Pierce: 2, Holt: 1, Cherry: 1

updated: 5.21.2020


Clarification on Keya Paha County Case Data

On the afternoon of May 20th there was a data entry error during the State of Nebraska COVID-19 daily website update. During the update there were three cases populated for Keya Paha County. North Central District Health Department (NCDHD) would like to confirm with residents that Keya Paha County case count remains at zero, with no new cases to report as of today. NCDHD has been in contact with the Department of Health and Human Services (DHHS) and DHHS is working on correcting the website error.

Moving forward, NCDHD will be providing a weekday posting update of case information. The update will be posted regardless of confirmed cases announced that day or not. The posting will include, total number of cases for the district, confirmed cases per county, recovered cases, and deaths. The district information will be posted around 3:00 PM on our website and Facebook page Monday – Friday. If there are any discrepancies between the NCDHD posting and the DHHS website data, the NCDHD posting should be considered most up-to-date. As of 9:00 AM 5.21.20, district case count information is as follows:

NCDHD Case Counts- 20, Deaths: 0, Recoveries: Coming soon.

Knox: 9, Antelope: 8, Pierce: 1, Holt: 1, Cherry: 1

NCDHD is following current DHM guidance through May 31st. NCDHD has not yet received further information on guidance following the updated DHM set to be effective June 1st. This information will be shared with our district communities as it is obtained. Residents are encouraged to listen to Gov. Ricketts daily press briefings at 2:00 PM for additional information that is shared statewide. The press briefing can be viewed or listened to on the NET website under the Live and On Demand section.

updated 5.21.2020


Positive Case in Antelope County, Additional Information on Knox County Positives, and District Updates

North Central District Health Department (NCDHD) was made aware of a positive case in Antelope county today. The case was due to direct contact with a positive COVID-19 case. All close contacts have been identified and asked to quarantine.

NCDHD would like to report additional information on the two positive COVID-19 cases in Knox County yesterday. Through case investigations it has been determined that the cases are due to community spread. This means that the source of the person’s exposure could not be identified through the case investigation process.

NCDHD in coordination with the Nebraska National Guard hosted two testing events for COVID-19 this week on Tuesday, May 12th in Neligh, and Wednesday, May 13th in Valentine. 144 district residents were tested in Neligh, and 87 residents were tested in Valentine. NCDHD has begun receiving lab results from the events and is contacting residents with their results and next steps, if needed.

NCDHD would also like to provide an update on the case counts for the district including today’s reported case:

Antelope:8, Boyd:0, Brown:0, Cherry:1, Holt:1, Keya Paha:0, Knox:9, Pierce:1, Rock: 0

Total for district: 20

NCDHD would like to reiterate to our district communities that residents should not become complacent. Continue to remain cautious, be aware of your surroundings, and practice social distancing as there are positive COVID-19 cases in adjoining counties and outbreaks in neighboring districts. To protect yourself and others from COVID-19 continue to cover your cough with a tissue and throw it away, or a bent elbow. Wash your hands with soap and water frequently. Practice social distancing by staying home, but if you need to go out, remain six feet from others and please wear a mask while in public settings.

update: 5/15/2020


Positive Cases in Knox County

North Central District Health Department (NCDHD) was made aware of two positive COVID-19 cases in Knox County. Case investigations are being completed and all close contacts will be notified and will be asked to self-quarantine.

NCDHD would like to reiterate to our district communities that residents should not become complacent as Directed Health Measures are loosened. Continue to remain cautious, be aware of your surroundings, and practice social distancing as there are positive COVID-19 cases in adjoining counties and outbreaks in neighboring districts. To protect yourself and others from COVID-19 continue to cover your cough with a tissue and throw it away, or a bent elbow. Wash your hands with soap and water frequently. Practice social distancing by staying home, but if you need to go out, remain six feet from others and please wear a mask while in public settings.

updated: 5/14/2020


Update on May 10th Antelope Case and Valentine Testing Event Update

North Central District Health Department (NCDHD) would like to provide an update on the confirmed case that was reported out on May 10th. Through contact with the case and contact investigations, NCDHD was able to identify all close contacts.

NCDHD would like to provide an update on the testing event that will occur this week in Valentine on Wednesday, May 13th. The event will be from 10:00 am -12:00 pm at the Valentine Fire Hall. Please visit our Facebook page or website at ncdhd.ne.gov for additional information and a link to sign up for the testing event.

NCDHD reminds district residents that we should assume that COVID-19 is present in the communities we live in. Residents are encouraged to follow guidelines which include extra handwashing, social distancing, stay home and limit unnecessary travel, remain six feet from others, and wear a mask in public.

updated: 5.11.2020


Positive Case in Antelope County

North Central District Health Department (NCDHD) was made aware of a positive COVID-19 case in Antelope County. North Central District Health Department is in the process of contacting the case using various means. At this time, the risk of exposure to the public is unknown.

As mentioned in a previous release it should be assumed that COVID-19 is present in the communities we live in. Residents of Antelope County are encouraged to follow guidelines which include extra handwashing, social distancing, stay home and limit unnecessary travel, remain six feet from others, and wear a mask in public.

updated: 5/10/2020


Positive case in Knox County and District Case Count Update

North Central District Health Department (NCDHD) was made aware of a positive COVID-19 case in Knox County. The resident contracted the illness through direct contact with a positive case. The case is in quarantine. All close contacts have been identified and are in quarantine. Through investigation, it has been determined there is low risk to the communities in Knox county from this case.

North Central District Health Department (NCDHD) would like to provide an update to district residents on a case count adjustment that will be reflected on the DHHS COVID-19 Case Map. The following NCDHD case counts per county for the NCDHD District as of 4:00 PM today are as follows:

Antelope:6, Boyd:0, Brown:0, Cherry:1, Holt:1, Keya Paha:0, Knox:7, Pierce:1, Rock:0

Case total for NCDHD District: 16

NCDHD would like to reiterate to our district communities that residents should still be cautious, be aware of your surroundings, and practice social distancing as there are positive COVID-19 cases in adjoining counties and outbreaks in neighboring districts. To protect yourself from COVID-19 continue to cover your cough with a tissue and throw it away, or a bent elbow. Wash your hands with soap and water frequently. Practice social distancing by staying home, but if you need to go out, remain six feet from others and please wear a mask.

updated: 5/9/2020


NCDHD to Host Two Additional Testing Event Opportunities in Neligh on May 12th and Valentine on May 13th

North Central District Health Department (NCDHD) will be hosting two additional mass testing events in partnership with the Nebraska National Guard. The testing events will take place on Tuesday, May 12th from 10 AM – 1 PM in Neligh at the Antelope County Fairgrounds and Wednesday, May 13th from 10 AM- 12:00 PM in Valentine at the Valentine Fire Hall. These events are an effort by NCDHD to offer greater testing capacity to the communities in the nine counties that we serve.

Testing priorities will be given to anyone that falls in these categories:

  • Having symptoms of COVID-19: fever, chills, cough, shortness of breath, or trouble breathing, sore throat, runny nose, loss of taste or of smell, diarrhea, fatigue, congestion, or other symptoms
  • Healthcare Worker
  • Public Safety/First Responder (EMS, Law Enforcement, Firefighter)
  • Resident at a group home (nursing home, homeless shelter, daycare)
  • Had direct or close contact to a patient with COVID 19 in the last 14 days
  • Traveled outside of Nebraska in the last 14 days
  • Traveled around inside Nebraska to places with outbreaks such as: Lexington, Grand Island, Norfolk, Dakota County, Sioux City, IA, Yankton, SD, etc.
  • 65 years or older or have serious underlying conditions
  • Work in retail, hospitality, or food service such as: grocery store, convenience store, restaurant, hotel, etc.
  • Work in other high-risk exposure settings: meat processing plant, large manufacturer, over the road trucking, etc.

Testing opportunity will be open to public to sign up with 150 tests scheduled to be collected at the event in Neligh, and 125 tests in Valentine. Walk-ups to the testing sites will not be accepted.  If anyone in the district is interested in participating in either of the events, district residents are asked to please sign up using the following links specific to the event they will be able to attend:

Neligh Sign up: https://www.surveymonkey.com/r/BDRTLW8  

When: 5/12/2020 10 AM – 1 PM

Where: Antelope County Fairgrounds 709 E HWY 275, Neligh, NE

Use the fairgrounds entrance

 

Valentine Sign uphttps://www.surveymonkey.com/r/PMBG2FW  

When: 5/13/2020 10 AM – 12:00 PM

Where: Valentine Fire Hall – 224 S Hall Street, Valentine, NE

Please use the North entrance

 

Important information about the events:

  • Time slots for testing are in 30 min increments, persons being tested are expected to arrive at the beginning of the half hour time slot that they signed up for and wait for your turn.  This is not an appointment. It is first come, first serve for the appointed half hour. Anticipate some wait time.
  • You will remain in your vehicle
  • There is no cost for the test
  • You will not be required to self-quarantine or isolate until results come in unless you have symptoms
  • If you are unsure that you will be able to make the appointed time, DO NOT sign up.  If you sign up, it is expected you will arrive to get tested.
  • If for some reason, you are not able to make it at your assigned time, please call us at 402-336-2406 as soon as possible.

NCDHD will follow up with individuals who participated in the testing with results and address any potential positive results on next steps. NCDHD would like to note that these events are not part of the Test Nebraska initiative recently announced by Gov. Ricketts. If there are additional questions about the events, please call our office M-F between 8:00 AM – 4:30 PM at 402-336-2406.

updated: 5/8/2020


Two Positive Cases for 5/7/2020

North Central District Health Department (NCDHD) was made aware of two additional positive COVID-19 cases on May 7th. One positive case is a resident in Knox County. The case is in the hospital in isolation. All direct exposures are being contacted and asked to quarantine. NCDHD is currently conducting an investigation to determine the risk to the general public from this case.

The second case is a resident of Antelope County. The case contracted the illness due to direct exposure to a confirmed COVID-19 case. The case is currently hospitalized in isolation. The case investigation determined that risk to the Antelope County community from this case is low.

To limit confusion and multiple press releases of case notices each day, NCDHD is moving to limit press releases to one time per day around 3:00 PM. If cases present with community exposure events NCDHD will notify the public as soon as the appropriate information is acquired and may occur outside of the 3:00 PM release.

updated: 5/7/2020


Positive Case in Antelope County

North Central District Health Department (NCDHD) was made aware of a positive COVID-19 case in Antelope County. The resident contracted the illness through their direct contact with a positive COVID-19 case. The case is remaining at home. After conducting contact investigations, it has been determined that risk to the communities of Antelope county from this case are low.

updated: 5/6/2020


Fifth Positive Case in Knox County

North Central District Health Department (NCDHD) was made aware of an additional positive COVID-19 case in Knox County on 5/6/2020. The resident was exposed outside of the district and is at home. Contact investigations were initiated and all direct contacts have been contacted and are in quarantine. Case investigation determined that risk to the Knox County community from this case is low.

NCDHD would like to reiterate to our district communities that though this case was contracted outside of the district, district residents should still be cautious, be aware of your surroundings, and practice social distancing as there are positive COVID-19 cases in adjoining counties and outbreaks in neighboring districts.

Please note that New Directed Health Measures went into effect on Monday, May 4th. A summary of the guidance can be found on our Facebook page or the DHHS Facebook page. The full Directed Health Measures can be found by county on the DHHS website here: http://dhhs.ne.gov/Pages/COVID-19-Directed-Health-Measures.aspx or on the NCDHD website at www.ncdhd.ne.gov under the COVID-19 Resources and Updates section as well as may other resources.

updated: 5/6/2020


Additional Positive COVID-19 Case in Knox County

North Central District Health Department (NCDHD) was made aware of an additional positive COVID-19 case in Knox County this afternoon. The resident was exposed outside of the state and is housed in isolation outside of the state. Case investigation determined there is no risk to the communities in Knox County from this case.

NCDHD would like to provide some insight as to case reporting practices that we must follow as a Local Health Department:

  • Local Health Departments report cases to the CDC based on the permanent address of the residence of the person who tested positive.
  • Positive cases are not counted in the county total where the test was performed unless the person who tested positive lives there.
  • Cases that are in quarantine outside of the county or district that they reside in are only counted in the case total for the county of their permanent address.
  • All Local Health Departments follow these guides to ensure accurate tracking at the state and national levels.

NCDHD would like to reiterate to our district communities that though this case was contracted outside of the state, district residents should still be cautious, be aware of your surroundings, and practice social distancing as there are positive COVID-19 cases in adjoining counties and outbreaks in neighboring districts.

updated: 5/5/2020


Positive COVID-19 Case in Knox County

North Central District Health Department (NCDHD) was made aware of a positive COVID-19 case in Knox County. The resident contracted the illness outside of the district in an area with an ongoing outbreak. The case is at home in isolation. All close contacts have been identified and are in quarantine. Through investigation, it has been determined there is low risk to the communities in Knox county from this case.

NCDHD would like to reiterate to our district communities that though this case was contracted outside of the county, district residents should still be cautious, be aware of your surroundings, and practice social distancing as there are positive COVID-19 cases in adjoining counties and outbreaks in neighboring districts.

Gov. Ricketts announced yesterday in his daily press conference that the Six Rules to Keep Nebraska Healthy are still a great guide as we move through May.

A reminder of these Six Rules are:
1. Stay Home. Do not take unnecessary trips outside the home.
2. Socially distance your work. Work from home or use the six-foot rule as much as possible in the workplace.
3. Shop alone and only shop once a week. Do not take family with you.
4. Help kids follow social distancing. Play at home. No group sports and no playgrounds.
5. Help seniors stay at home by shopping for them. Do not visit long-term care facilities.
6. Exercise daily at home or with an appropriately socially-distanced activity.

updated: 5/5/2020


Case Reporting Practices

  • Local Health Departments report cases to the CDC based on the permanent address of residence of the person who tested positive.
  • Positive cases are not counted in the county total where the test was performed, unless the person who tested positive lives there.
  • Cases that are in quarantine outside of the county or district that they reside in are only counted in the case total for the county of their permanent address.
  • All Local Health Departments follow these guides to ensure accurate tracking at the state and national levels.

updated: 5/5/2020


Positive COVID-19 Case in Antelope County

North Central District Health Department (NCDHD) was made aware of a positive COVID-19 case in Antelope County. The resident contracted the illness outside of the district in an area with an ongoing outbreak. After conducting contact investigations, it has been determined there is no risk to the communities of Antelope county from this case. The case is in quarantine at home. NCDHD would like to reiterate to our district communities that though this case was contracted outside of the county, district residents should still be cautious and practice social distancing as there are positive COVID-19 cases in adjoining counties and outbreaks in neighboring districts.

NCDHD would also like to offer some clarification on misclassification of a case in Pierce County. Today, during a site update on the DHHS COVID-19 Case Map an additional case in Pierce County was added. There is not an additional case in Pierce County to report today and the DHHS COVID-19 Case Map will be adjusted.

NCDHD would like to remind our district communities it was announced from the office of Governor Ricketts new Directed Health Measures (DHM) for the NCDHD area are effective today, May 4th. New guidance is available on the DHHS website as well as the NCDHD Facebook page.

updated: 5/4/2020


First Positive COVID-19 Case from Holt County

North Central District Health Department (NCDHD) was made aware of the first positive COVID-19 case in Holt County. The case resides in Holt County but is currently in quarantine outside of the district. The case was exposed in a county outside of the NCDHD district and has not been in the district for 1.5 weeks prior to symptoms. All close contacts have been identified and contacted. The risk to the communities of Holt County from this positive case is none.

NCDHD would like to reiterate to our district communities that though this case is outside of the county, district residents should still be cautious and practice social distancing as there are positive COVID-19 cases in adjoining counties and outbreaks in neighboring districts.

NCDHD would like to remind our district communities it was announced from the office of Governor Ricketts new Directed Health Measures (DHM) for the NCDHD area will be in effect tomorrow, May 4th. New guidance is available on the DHHS website as well as the NCDHD Facebook page.

updated: 5/3/2020


Directed Health Measures Guidance that has been shared by Governor Pete Ricketts over the last couple of weeks during his press conferences. Reminder: Current DHM is effective through May 3rd.

Places of Worship:

  • Religious services, weddings and funerals are permissible but limited to ceremony or service only.
  • Household units must remain 6ft. apart from other household units.
  • It is not permissible for items to be passed around during services.

Child Care Centers

  • Max of 15 children per room
  • Groups of children must not mix with other groups of children (Centers with age groups in separate rooms)

Restaurants

  • Dine-in establishments are limited to 50% of the rated occupancy max at all times.
  • 6ft. of distance between tables
  • 6 people or fewer per table
  • No self-service (buffets)
  • Must be seated for a meal to consume alcohol
  • No counter or bar seating or alcohol-only service

Beauty Services

  • Re-open approved for May 4, 2020
  • No more than 10 customers in the facility at one time
  • Staff and customers must wear face masks
  • NCDHD does not have masks available for distribution for beauty services

Gatherings

  • Restricted to 10-person rule, excluding staff, for the following:
  • Preschools, beauty/nail salons, barbershops, massage therapy, tattoo parlor/studios, gymnasiums, fitness centers, auditorium, stadium, arena, large event conference room, meeting hall, library, or any other confined indoor or outdoor space.
  • This also includes parades, fairs, festivals, concerts, auto racing, and other indoor and outdoor events.
  • Fitness centers/clubs, gymnasiums, gyms, health clubs, and health spas should ensure that a minimum distance of 6 ft must be maintained between all customers.

Liquor, Beer, &Wine Sales

  • Limited to carry-out sales and delivery only, within the limits of the law.
  • Not permissible to service alcohol-only on-premise in bars, taverns, and private clubs, regardless of name or characterization

Updated: 5/1/2020


Confirmed case in Todd County, SD holds exposures for Cherry County, NE

North Central District Health Department (NCDHD) was made aware of a positive COVID-19 case in Todd County, South Dakota due to the proximity of Todd County, SD and Cherry County, NE. The case is currently housed in isolation.

After continued communication with South Dakota Department of Health, and local law enforcement, NCDHD would like to inform residents of Cherry County that due to the activity of the confirmed case, exposure risk to the general public in Valentine is anticipated. At this time, due to noncompliance of the case, NCDHD does not anticipate receiving exact exposure locations in Cherry County.  NCDHD encourages community members to continue to practice social distancing, limit unnecessary travel, practice good hand hygiene, and self-monitor for symptoms.  NCDHD will update our district communities as we acquire additional information.

updated: 5/1/2020


Positive Case in Antelope County

North Central District Health Department (NCDHD) was made aware of a positive COVID-19 case in Antelope County. The case and their family are in quarantine. The case is due to work-related travel in Dawson county where a high incident of confirmed cases exists and community spread is present.

NCDHD has initiated contact investigations and have been rapidly assessing potential exposures. A limited number of close contacts that were around the case while they were symptomatic have been identified and are in self-quarantine (staying home). At this time, risk to the general public is low as the case and close contacts are following guidance and taking necessary precautions.

NCDHD would like to remind our district communities it was announced from the Office
of Governor Pete Ricketts new Directed Health Measures (DHM) for the NCDHD area will
be issued on May 4th. Continue to follow current guidance through May 3rd. NCDHD will
notify the district of DHM updates and changes via press, social media, and our website

at www.nchd.ne.gov as we receive them.

updated: 4/30/2020

Guidance on Reopening – May 4th 

During Governor Pete Ricketts 2:00 PM press conference today guidance on reopening for restaurants and dental offices was discussed. See the below links for two of the documents that were referenced.

Restaurants: https://restaurant.org/Downloads/PDFs/business/COVID19-Reopen-Guidance.pdf

Dental Offices: https://www.nedental.org/docs/librariesprovider32/default-document-library/nda-dental-office-opening-protocols.pdf?sfvrsn=0

updated: 4/28/2020


Guidance on best practices during branding, gardening, and planting seasons.

Prepping for Spring Planting – Steps to Protect Yourself and Others

    • Arrange for pick up or drop off
    • If going to the store, go alone. Limit family that goes with you if possible
    • Practice social distancing. remain 6 feet from others.
    • Wear a mask. Homemade masks are acceptable.

Branding Guidance  – How to be responsible during COVID-19

    • Consider staying home if, in the last 14 days, you have been sick, have been around someone who was sick, have been to an area with a confirmed COVID-19 case, or have traveled outside of the area.
    • Consider staying home if you are elderly or have health issues. Also, consider leaving children at home.
    • Make sure those preparing food wear gloves, are not sick, and have not potentially been exposed. Have servers make plates up to limit how much each individual touches and to help limit the amount of time in line. Eat outdoors while practicing social distancing.
    • Consider ways to limit the size of the branding crew to decrease each person’s exposure (Nordfork, calf table, etc.)
    • Limit who you invite from affected areas or anyone living out of the area including family members. This is not the year to have your daughter’s friend from the city out to experience a branding.
    • Consider not inviting someone who is not taking COVID-19 precautions seriously because they have a greater likelihood of contracting and spreading the disease.
    • Practice social distancing by avoiding close contact: maintain a 6 foot distance and avoid handshakes, high fives, hugging, etc.

Updated: 4/27/2020


Positive Case in Antelope County

North Central District Health Department (NCDHD) was made aware of a positive COVID-19 case in Antelope County. The case and their family are in quarantine. The case is due to work-related travel in Dawson county where a high incident of confirmed cases exists and community spread is present.

NCDHD has initiated contact investigations and have been rapidly assessing potential exposures. A limited number of close contacts that were around the case while they were symptomatic have been identified and are in self-quarantine (staying home).  At this time, risk to the general public is low as the case and close contacts are following guidance and taking necessary precautions.

NCDHD would like to remind our district communities it was announced from the Office of Governor Ricketts new Directed Health Measures (DHM) for the NCDHD area will be issued on May 4th. Continue to follow current guidance through May 3rd. NCDHD will notify the district of DHM updates and changes via press, social media, and our website at www.nchd.ne.gov as we receive them.

updated: 4/30/2020


Positive Case in Antelope County

North Central District Health Department (NCDHD) was made aware of a positive COVID-19 case in Antelope County. North Central District Health Department initiated contact investigations and was able to quickly determine this case is not due to community spread. It has been identified that this case is due to close contact with an individual who has tested positive with COVID-19 that is not in the NCDHD district. The case has been in self-isolation at home since the onset of symptoms and continues to remain at home in self-isolation. At this time, the risk to the public remains low due to the diligence and self-awareness of symptoms and prompt action of the case to self-isolate.

To protect yourself from COVID-19 during these times continue to cover your cough with a tissue and throw it away, or a bent elbow. Wash your hands with soap and water frequently. Practice social distancing by staying home, but if you need to go out, remain six feet from others.

updated: 4/25/2020


New Directed Health Measures for NCDHD Area to be issued May 4- May 31

     Announced in Governor Pete Ricketts daily press conference today updated Directed Health Measures (DHM) for the North Central District Health Department, effective May 4th, will provide updates on faith-based services, weddings, funerals, bars, restaurants dine-in guidance, daycare guidance on the number of children allowed, elective surgeries, salons, tattoo parlors and massage therapy reopening guidance.

     NCDHD would like to take this time to thank our district communities on their efforts of social distancing and compliance with following the Directed Health Measures. Compliance from our community members help drive our case numbers down. NCDHD will continuously analyze COVID-19 data and trends, as well as reevaluate a need to extend or expire measures set on a Local Health Department level.

     NCDHD has not yet received guidance on social distancing (i.e. 10-person rule, 6 ft from others rule, etc.) for the purpose of reopening. Once further information on changes outlined today is conformed regarding the updated DHM set to be effective May 4th, this information will be shared with our district communities through media, our website, and our Facebook page.

updated: 4/24/2020


One-time COVID-19 Testing Events Hosted by National Guard

The Nebraska National Guard will be assisting the North Central District Health Department (NCDHD) on Friday, April 17th with one-time testing events held in O’Neill and Bloomfield. NCDHD would like to stress that the presence of the Nebraska National Guard and the testing events are not due to a large number of cases in the district. The Nebraska National Guard has been in contact with Local Health Departments across the state of Nebraska to set up these testing events to gain a clearer picture of the presence of COVID-19 in our state.

These testing events are not a voluntary testing opportunity for the general public. NCDHD has been in contact with community partners throughout the district and persons in continued public exposure settings have been asked to participate in the testing and will be contacted for scheduling. The participants in the testing have not been limited to having to reside in the counties where the testing events are taking place. Testing samples will be obtained from residents across the district. The Nebraska National Guard is prepared to test 100 total people. NCDHD will follow-up with individuals who participated in the testing and address any potential positive results on next steps.

NCDHD would also like to remind district residents that we are in day 7 of 21 for the 6 Rules to Follow to Keep Nebraska Healthy issued by Gov. Ricketts. Every day our community members follow these guides helps flatten the curve.

  1. Stay home. No non-essential errands and no social gatherings. Respect the ten-person limit.
  2. Socially distance your work. Work from home or use the six-foot rule as much as possible in the workplace.
  3. Shop alone and only shop once a week. Do not take family with you.
  4. Help kids follow social distancing. Play at home. No group sports. And no playgrounds.
  5. Help seniors stay at home by shopping for them. Do not visit long-term care facilities.
  6. Exercise daily at home or with an appropriately socially-distanced activity.

updated: 4/16/2020


NCDHD Planning Efforts

North Central District Health Department (NCDHD) would like to acknowledge some information that was released today on mass casualties and to give reassurance and clarification to our communities. NCDHD would like to reiterate that the information that was released is for planning purposes and was not written intended to be shared with the general public in our communities.

NCDHD, in working with County Officials and mortuaries in the district, compiled this data to better put plans in place with our partners in the event of mass casualties. From the information that was released a 0.67% fatality rate (300 deaths in the 9 counties NCDHD serves) is an estimation of worldwide data when community members are going about normal activity and not practicing social distancing. In the case of no social distancing measures being followed, that could be a potential reality.

However, measures are in place and our communities are following them. We are working to flatten the curve, together. NCDHD is very proud of our communities and all the measures they are taking to practice social distancing, following Governor Rickett’s 6 Rules for the Next 21 Days, and all the extra measures above and beyond those guides that our communities are demonstrating.

NCDHD encourages our community members to interact with their nuclear family, send one person to shop once a week, work from home if you can, limit non-essential travel, remain calm and to stay home, stay healthy, stay connected.

updated: 4/15/2020


Exposure at Atkinson Blood Drive

North Central District Health Department (NCDHD) was made aware of an exposure incident of a positive COVID-19 case in Atkinson. The case is a female worker from The American Red Cross who was working during the Atkinson Blood Drive on Wednesday, April 1, 2020 while symptomatic. The case does not live in our district.

NCDHD has initiated contact investigations and have been rapidly assessing potential exposures to determine next steps.  At this time, NCDHD believes this case is low exposure as the worker stated that she wore a mask the entire time while working. Those who have been identified as being exposed are in the process of being contacted and asked to practice strict social distancing. Additional details on the case will be shared as they are acquired.

updated: 4/10/2020


Governor Ricketts Issues New Guidance for Next 21 Days

For the next 21 days, we are asking every Nebraskan to #StayHome and stay healthy. We are asking everyone to follow the Six Rules to Keep Nebraska Healthy as we work together to slow the spread and win the war against the virus.

  1. Stay home. No non-essential errands and no social gatherings. Respect the ten-person limit.
  2. Socially distance your work. Work from home or use the six-foot rule as much as possible in the workplace.
  3. Shop alone and only shop once a week. Do not take family with you.
  4. Help kids follow social distancing. Play at home No group sports and no playgrounds.
  5. Help seniors stay at home by shopping for them Do not visit long-term care facilities
  6. Exercise daily at home or with an appropriately socially-distanced activity.

updated: 4/9/2020


Community Information on Yankton County, SD

The NCDHD team stays abreast of situations in our neighboring communities and will pass along additional information to our district residents.

NCDHD would like to pass along information regarding Yankton County, SD. This county community is experiencing substantial community spread. According to the South Dakota Department of Health counties or communities are identified to have substantial community spread if there are five or more cases of community-acquired COVID-19 in the county or a distinct group of cases in a single area (e.g. city or county). As of 11:30 am 4/9/2020 Yankton County is reported to have 18 cases. Please note that not all cases may be community spread.

Please continue to follow the guidance Governor Pete Ricketts has been sharing over the last week. Stay Home. Stay Healthy. Stay Connected.

updated: 4/9/2020


Analytic Services Department at Northeast Community College and COVID -19 updates

The Analytic Services Department at Northeast Community College is working to connect what we see in the news with the situation on the ground where we live.

The articles located on the site linked below are prepared by Jody Gibson, a data scientist within the Northeast Community College Analytic Services Department. She has a bachelor’s degree in mathematics and health, as well as a master’s degree in public health, specializing in epidemiology and biostatistics.

https://northeast.edu/research/

updated: 4/7/2020


Reconsider Unnecessary Travel 

NCDHD would like to stress the importance of not becoming complacent as the weeks roll on. We encourage continuing to be diligent with social distancing, limiting unnecessary travel, and remaining home during this time.

We recognize that these decisions are difficult and your compliance helps flatten the curve and helps prevent our healthcare workers from becoming overrun.

We’re in this together for each other.

updated: 4/6/2020


NCDHD addresses growing concerns from Cherry County communities due to notice of positive COVID-19 case

North Central District Health Department (NCDHD) would like to address growing concerns from Cherry County communities due to the notice of the first positive COVID-19 case in the county. NCDHD initiated a thorough contact investigation and determined this case is not due to community spread. This case was quickly identified to be due to close contact with an individual who has tested positive with COVID-19 that is not in the NCDHD district.

The Cherry County case has been in quarantine at home for five (5) days PRIOR to symptom onset per NCDHD recommendations. The case remains at home in self-isolation. We would also like to take this opportunity to applaud the case for their dedication to quarantine and daily monitoring. Their diligence and compliance efforts have protected Cherry County from COVID-19 exposure risk.

updated 4/4/2020


Information for Veterinarians 

Please see the below information from the American Veterinary Medical Association on how to minimize exposure.

COVID-19-Minimize-Exposure-Flowchart

updated: 4/3/2020


Information on Critical Infrastructure/Essential Paperwork (Updated )

NCDHD is receiving an influx in inquires regarding the issuing of essential paperwork.

Please note that NCDHD does not issue these documents, nor makes decisions on who qualifies as an essential worker. NCDHD will pass along additional information on where and when this paperwork will be distributed as it is received. Thank you for your patience as we work through your questions.

_ _ _

Update:

NCDHD received information that there is “no essential staffing list maintained by the State of Nebraska for people who have jobs to perform. Individuals leaving their homes in order to perform an activity or function for their jobs DO NOT need to carry or present any letter, identification card or other paper proving that they are allowed to leave their home.”

updated: 4/2/2020


 

North Central District Directed Health Measures 

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.

Please read the Directed Health Measures in full carefully, they can be found here.

NCDHD Directed Health Measures 2020.008

updated: 4/1/2020


North Central District Health Department District Counties Signed into Directed Health Measures

North Central District Health Department is in communication with state officials in regard to issuing a state Directed Health Measure. On April 1, 2020 at 2:00 PM it was announced that a DHM will be coming later today, which will include the North Central District Health Department district counties of Antelope, Boyd, Brown, Holt, Keya Paha, Knox, Pierce, and Rock.

Details on the Directed Health Measure will be provided as they are available. Directed Health Measures are enforceable by law enforcement. Persons in violation of Directed Health Measures may be charged with a Class V Misdemeanor.

updated: 4/1/2020


Update in Todd County, SD holds potential exposures for Cherry County, NE residents.

North Central District Health Department (NCDHD) was made aware of a positive COVID-19 case in Todd County, South Dakota due to the close proximity of Todd County, SD and Cherry County, NE. The adult and their entire family are in quarantine and isolated at home in Todd County, SD.

After continued communication with South Dakota Department of Health, NCDHD would like to make patrons in Cherry County aware of two potential low-risk COVID-19 exposures.  Exposures are considered low risk because interactions with the COVID-19 confirmed case were likely less than 10 minutes long.

The low-risk exposures occurred from 5:00 pm – 6:30 pm on March 20, 2020

  • Henderson’s IGA and Scotty’s Ranchland Foods in Valentine

If you believe you have been exposed to the Todd County COVID-19 case, you should quarantine (stay home) and monitor yourself for a fever, cough, or shortness of breath.  If you believe you have developed COVID-19 symptoms, contact your healthcare provider. The 14-day period for monitoring yourself for the development of symptoms from these exposure sites will end on April 3, 2020.

At this time, these are the only known Nebraska exposure risks from the confirmed Todd County case.  If additional risks in Nebraska are discovered, NCDHD will update our patrons.

updated: 3/31/2020


Positive Case in Antelope County

North Central District Health Department (NCDHD) was made aware of a positive COVID-19 case in Antelope County. The individual and their family are in quarantine.

NCDHD has initiated contact investigations and have been rapidly assessing potential exposures to determine next steps. All identified close contacts will self-quarantine (stay home) and be actively monitored twice daily by public health officials for fever and respiratory symptoms.

At this time, the community exposure times related to the case are the following:

  • March 25th – Casey’s General Store in Neligh, NE at 12:00 PM – low risk
  • March 25th – Clearwater Market between 1:00 PM and 3:00 PM – low risk
  • March 27th – Clearwater Market at 4:00 PM – low risk

If you feel you have been exposed, NCDHD encourages you to self-monitor your symptoms. If you feel you are ill, please call your provider and follow their next steps.

updated: 3/30/2020


“Confirmed case in Todd County, SD holds potential exposures for Cherry County, NE residents”

North Central District Health Department (NCDHD) was made aware of a positive COVID-19 case in Todd County, South Dakota due to the close proximity of Todd County, SD and Cherry County, NE. The adult and their entire family are in quarantine and isolated at home in Todd County, SD.

After continued communication with South Dakota Department of Health, NCDHD would like to make patrons in Cherry County aware of two potential low-risk COVID-19 exposures.  Exposures are considered low risk because interactions with the COVID-19 confirmed case were likely less than 10 minutes long.  The low-risk exposures occurred at Henderson’s IGA and Scotty’s Ranchland Foods in Valentine on March 20, 2020.

If you believe you have been exposed to the Todd County COVID-19 case, you should quarantine (stay home) and monitor yourself for a fever, cough, or shortness of breath.  If you believe you have developed COVID-19 symptoms, contact your healthcare provider. The 14-day period for monitoring yourself for the development of symptoms from these exposure sites will end on April 3, 2020.

At this time, these are the only known Nebraska exposure risks from the confirmed Todd County case.  If additional risks in Nebraska are discovered, NCDHD will update our patrons.

updated: 3/30/2020


Fact-Checking

There is a lot of information circulating out there these days. Make sure that you are checking trusted sources for information regarding COVID-19. Refer to the World Health Organization (WHO) and the Center for Disease Control (CDC) when you have questions. Quick links to those sites can be found above.

updated: 3/30/2020


COVID-19 Testing in NCDHD Service Area 3/26/2020 10:00 AM

Antelope County: Resident Tested: 1, Negative Test: 1, Positive Result: 0, Probable Case: 0
Boyd County: Resident Tested: 0, Negative Test: 0, Positive Result: 0, Probable Case: 0
Brown County: Resident Tested: 2, Negative Test: 1, Positive Result: 0, Probable Case: 0
Cherry County: Resident Tested: 4, Negative Test: 3, Positive Result: 0, Probable Case: 0
Holt County: Resident Tested: 15, Negative Test: 12, Positive Result: 0, Probable Case: 0
Keya Paha County: Resident Tested: 0, Negative Test: 0, Positive Result: 0 , Probable Case: 0
Knox County: Resident Tested: 16, Negative Test: 9, Positive Result: 2, Probable Case: 3
Pierce County: Resident Tested: 4, Negative Test: 3, Positive Result: 0, Probable Case: 0
Rock County: Resident Tested: 1, Negative Test: 1, Positive Result: 0, Probable Case: 0

updated 3/26/2020


Social Distancing Heros

Do you know a business or organization that has gone “above & beyond” to promote social distancing during the COVID-19 pandemic? Examples may include switching to drive-thru and take-out only or allowing employees to work from home. Let us know about them so we can recognize their efforts!

Send your nominations to: health@ncdhd.ne.gov 

updated: 3/25/2020


A new study suggests how long coronavirus can stay on surfaces

Click here for full details

updated: 3/24/2020


Governor Pete Ricketts Daily Press Conferences

Follow this link for more information from the Office of Governor Pete Ricketts

https://governor.nebraska.gov/

updated: 3/25/2020


Recommendations to Returning Out-of-State Travelers

The best way to minimize COVID-19 virus introduction/spread in Nebraska is to:
1. limit unnecessary travel;
2. upon return from out-of-state travel: maximize self-quarantine, social distancing, and non-pharmaceutical interventions (e.g., washing hands often, staying home if you are ill, covering your cough/sneezes, and cleaning frequently touched surfaces (www.cdc.gov/nonpharmaceutical-interventions).

Out-of-state travelers: When to Self-monitor, Self-quarantine, or Self-isolate:
Returning international travelers from regions with widespread sustained transmission (e.g., CDC Level 3 countries – https://wwwnc.cdc.gov/travel/notices#alert ) should self-quarantine for 14 days following return.

Widespread local transmission is occurring in many regions of the U.S., and may be unrecognized and underreported due to the lack of testing. Returning travelers from regions of the U.S. with widespread transmission should self-quarantine for 14 days following return (e.g., Santa Clara County, CA; New York City, NY; Seattle, WA; etc.). Please note with continued widespread transmission across the U.S., the listed areas above are an example and may change over time.

Any returning traveler who develops fever or respiratory illness symptoms, should immediately self-isolate, and report to a healthcare provider if symptoms are severe or medical attention is needed (calling ahead, when possible). If symptoms are mild, follow home care guidance and guidance to discontinue self-isolation (further defined below).

Every healthcare worker who returns from out-of-state travel (excluding commuters) should consult with a trained medical professional at their facility (e.g., infection preventionist or physician) and establish a specific infection control protocol (e.g., PPE while at work, self-monitoring, self-quarantine) that mitigates patient and co-worker exposures. Special considerations should be taken for those working with high-risk patients (e.g., patients in long-term care, chronic heart or lung conditions, diabetes, pregnant women).

All other out-of-state travelers (excluding commuters that cross the state border, they are not considered at-risk) returning from any other international or domestic locations, should limit public interactions, practice strict social distancing, self-monitor for symptoms, and self-quarantine for 14 days if feasible.

Discontinuation from self-monitoring and self-quarantine:
1. Discontinuation from self-quarantine and self-monitoring may cease if after 14 days there has been NO development of respiratory illness symptoms. Symptoms may include fever, cough, shortness of breath, sore throat, runny nose.

Discontinuation from self-isolation:
1. CDC guidance (www.cdc.gov/…/2019-ncov/if-you-are-sick/steps-when-sick.html) states that an individual can stop self-isolation if:
First, it has been at least 7 days since symptoms first appeared
AND
Second, no fever for at least 72 hours (fever-free for 3 full days off fever-reducing medicine)
AND
Third, all other symptoms have improved (e.g., cough has improved)

updated: 3/23/2020


Updated Public Health Recommendations for Travelers

All returning travelers, from any international or domestic location, have an increased risk of COVID-19 infection.
• All returning travelers, from any international or domestic location, should limit public interactions, practice strict social distancing, and self-monitor for symptoms.
• IF a returning traveler develops a fever or respiratory illness, they need to IMMEDIATELY self-isolate and report to a healthcare provider or local health department.
• Returning travelers should assume that COVID-19 disease is present at the locations they have visited and traveled through. Additional specific information might available on CDC, state, and local public health websites and from media sources.
• More jurisdictions have widespread sustained transmission (e.g., CDC Level 3 countries – https://wwwnc.cdc.gov/travel/notices#alert – plus U.S. locales such as Seattle, WA; New York City; and Santa Clara County, CA).
• To limit spread in Nebraska, all travelers should self-quarantine for 14 days upon returning home and immediately report any symptoms consistent with COVID-19 infection to their health care provider. Individuals unable to observe the 14-day self-quarantine should consult with their local health department about appropriate actions.
• Every health care worker who returns from travel should consult with a trained medical professional at their facility (e.g., infection preventionist or physician) and establish a specific infection control protocol (e.g., home quarantine, self-monitoring, PPE while at work) that mitigates patient and co-worker exposures.

updated: 03/19/2020


Additional Information on Second Positive Knox County COVID-19 Case

NCDHD Public Service Announcement

On Wednesday, March 18th North Central District Health Department (NCDHD) was made aware of additional community exposure times relating to the second positive COVID-19 case in Knox County.

NCDHD has initiated contact investigations and have been rapidly assessing potential exposures to determine next steps. All identified close contacts will self-quarantine (stay home) and be actively monitored twice daily by public health officials for fever and respiratory symptoms.

At this time, the only known community exposure times related to the case, which remains at low risk, are the following:

  • Saturday, March 14th from 1:00 PM – 4:00 PM at Dollar General in Hooper, NE
  • Sunday, March 15th from 9:30 AM-11:30 AM at Country Market in Bloomfield, NE
  • Monday, March 16th from 2:00 PM – 3:00 PM at Walmart in Norfolk, NE
  • Monday, March 16th from 3:00 PM – 3:30 PM at Sonic Drive-In drive-thru in Norfolk, NE

At this time, general risk to the community remains low, however NCDHD encourages the individuals who might have been at these locations during these times to self-monitor for the onset of fever, cough, shortness of breath for 14 days which would be through March 29, 2020.  If you feel you are ill, please call your provider and follow their next steps.

updated: 3/18/2020


“COVID-19 Positive Case”
NCDHD Public Service Announcement

On Tuesday, March 17th North Central District Health Department was made aware of a positive COVID-19 case in our district. The person is a man in his 30s and a resident in Knox county. He recently traveled to another state where there is community transmission of COVID-19. He is self-isolating at home.

NCDHD has initiated contact investigations and have been rapidly assessing potential exposures to determine next steps. All identified close contacts will self-quarantine (stay home) and be actively monitored twice daily by public health officials for fever and respiratory symptoms.

At this time, the only known community exposure times, which is low risk, related to the case are the following:

• Sunday, March 15th from 9:30 AM-11:30 AM at Country Market in Bloomfield, NE
• Saturday, March 14th from 1:00 PM – 4:00 PM at Dollar General in Hooper, NE

At this time, general risk to the community remains low, however NCDHD encourages the community to self-monitor their symptoms. Symptoms of COVID-19 are fever, cough, and shortness of breath. If you feel you are ill, please call your provider and follow their next steps.

updated: 3/17/2020


 

Gov. Ricketts Issues Executive Order to Give Public Boards the Flexibility to Hold Virtual Meetings

LINCOLN – Today, Governor Pete Ricketts issued an executive order to permit state and local governmental boards, commissions, and other public bodies to meet by videoconference, teleconference, or other electronic means through May 31, 2020.  The Governor’s order stipulated that all such virtual meetings must be available to members of the public, including media, to give citizens the opportunity to participate as well as to be duly informed of the meetings’ proceedings.  The Governor’s order did not waive the advanced publicized notice and the agenda requirements for public meetings.

The Governor’s executive order comes a day after the White House Coronavirus Task Force issued guidance limiting social gatherings to 10 people or less through March 31, 2020.  The executive order is part of an overall public health strategy to increase social distancing to stem the spread of the coronavirus disease.

The complete text of the executive order.
EO 20-03 – Corona Virus – Public Mtgs .pdf

updated: 3/17/2020


Important COVID-19 Note on Travel 

If you choose to travel, please monitor where you are going before you leave and know there might be a chance you will have to quarantine for 14-days when you return. Also, consider how a 14-day quarantine will impact your work and childcare.

updated: 3/17/2020


Gov. Ricketts Reminds Nebraskans of CDC Guidance Limiting Gatherings to Ten People

LINCOLN – This afternoon, Governor Pete Ricketts reminded Nebraskans of new guidance from the Centers for Disease Control and Prevention (CDC) limiting gatherings to ten people or less.

“I want to remind everyone that the 10-person limit is guidance from the CDC,” said Gov. Ricketts.  “It is not a law enforcement action.  It’s going to take individual action from all of us to make this work.  Please use common sense in applying it.  There will be a great sacrifice for all of us in this.  Together, we can combat COVID-19 and keep Nebraskans healthy.”

The most recent guidance can be found by clicking here.

updated: 3/16/2020


Important COVID-19 Testing Resources For People And Providers

LINCOLN – Public health officials, health care providers, and laboratories are working daily to increase Nebraska’s capacity to test more people for COVID-19.

Currently, testing supplies are limited. Local, state, and federal partners are working to expand testing supplies and the ability to promptly test people experiencing symptoms.

Due to testing limitations, health care providers and local health departments are screening people to prioritize testing for those who based on symptoms and exposure history have the highest likelihood of having COVID-19 including:

  • Hospitalized patients who have signs and symptoms compatible with COVID-19.
  • Symptomatic patients with a high risk of getting very sick from COVID-19 such as older adults and individuals with underlying health conditions like diabetes, heart disease and lung disease.
  • People including healthcare workers who within 14 days of symptom onset had close contact with a suspected or confirmed COVID-19 patient.
  • People who have a history of travel from affected geographic areas (https://wwwnc.cdc.gov/travel/notices#alert ) within 14 days of their symptom onset.
  • Other factors, which can guide COVID-19 testing decisions like COVID-19 infections in a certain area especially where community transmission has been reported.

People who are concerned they may have COVID-19 should self-isolate and call ahead to their primary care provider to be screened over the phone. The provider can evaluate and determine if testing is necessary. Flu activity is also still high in Nebraska. Flu tests should be considered as a first test option before considering a COVID-19 test. “We believe that these resources will be most valuable to our public and the medical providers that are diligently treating sick patients and assessing others who may have had exposure,” said Dr. Gary Anthone, Director of Public Health and Chief Medical Officer for DHHS.

Providers with the resources to evaluate and test patients for COVID-19 virus, and who would like to be added to our DHHS testing availability list should email alexis.trout@nebraska.gov with your complete contact information.

As we are able to test more people, we’ll provide additional information on where Nebraskans can receive testing on the healthcare network list at www.dhhs.ne.gov/coronavirus.

DHHS will continue to update Nebraskans through the DHHS website and on Facebook and Twitter as we have new information. The CDC’s website is also a good resource for COVID-19 information – https://www.cdc.gov/covid19 .

updated: 3/15/2020


COVID-19 Case Update – Potential High Numbers Of Community Exposures Associated With Cases In Douglas County

LINCOLN – The first community transmitted case of coronavirus disease 2019 was identified in Douglas County yesterday. Today, contact investigations related to cases of COVID-19 in Douglas County also have identified several events and locations in the Omaha area and Sarpy County that could result in potentially high numbers of people exposed in the community and could affect Nebraskans statewide.

People who were at the following locations – https://www.douglascountyhealth.com/latest-news  – during the time frames mentioned should self monitor for the development symptoms that include a fever, cough, shortness of breath and in some cases a sore throat.

“We are monitoring the situation for a second community-acquired case, said Dr. Gary Anthone, Chief Medical Officer and Director of Public Health for the Nebraska Department of Health and Human Services (DHHS). “The number of exposures associated with these events is potentially very high and may be beyond the ability for public health to continue to do complete contact tracing as we have been able to do up until this point.

“We need your help. DHHS is advising Nebraskans to stay home if they’re experiencing any symptoms consistent with COVID-19 or other respiratory illnesses including fever, cough, shortness of breath and in some cases a sore throat. By staying home you protect those in your community.”

Social distancing and taking other actions to slow the spread of COVID-19 is critical. Slowing the spread of the virus will help decrease the potential strain on health care providers and facilities and help ensure care for those who may need it.

As we’ve already seen in some areas, Nebraskans should continue to expect closures and cancellations in their communities as we work to slow the spread of COVID-19. Guidance for events, public gatherings and schools is available on the DHHS website – http://dhhs.ne.gov/coronavirus.

People experiencing symptoms who are concerned they may have COVID-19 should self-isolate and call ahead to their primary care provider to be screened over the phone. The provider can evaluate and determine if testing is necessary. Flu activity is also still high in Nebraska. Flu tests should be considered as a first test option before considering a COVID-19 test.

COVID-19 testing

Public health officials, health care providers, and laboratories are working daily to increase Nebraska’s capacity to test more people for COVID-19.

Currently, testing supplies are limited and testing is only being done on people who have symptoms.

While we work to increase supplies and testing, health care providers and local health departments are screening people to prioritize testing for those who have the highest likelihood of being exposed to or having COVID-19 including:

  • Hospitalized patients who have signs and symptoms compatible with COVID-19.
  • People with symptoms such as, older adults and individuals with underlying health conditions like diabetes, heart disease and lung disease that may put them at higher risk of getting very sick from COVID-19.
  • People who have had close contact with a suspect or confirmed COVID-19 patient in the last 14 days and have symptoms starting after this contact.
  • People who have a history of travel from affected areas (international or U.S. –  (https://wwwnc.cdc.gov/travel/notices#alert ) in the last 14 days and have symptoms starting after this contact.
  • Other factors may also help guide COVID-19 testing decisions like COVID-19 infections in a certain area and known community transmission.

New testing resources for people and providers

Health care providers can find the latest guidance for COVID-19 testing here – http://dhhs.ne.gov/Pages/Health-Alert-Network.aspx.

Public health partners across the state continue to take action to protect the health of Nebraskans.

Certain people are at higher risk of getting very sick from COVID-19 including older adults and people who have serious chronic medical conditions like heart disease, diabetes and lung disease, according to the CDC.

People in these higher-risk groups should: 

  • Stock up on supplies , including extra necessary medications.
  • Take everyday precautions  to keep space between yourself and others.
  • When you go out in public, keep away from others who are sick, limit close contact and wash your hands often.
  • Avoid crowds  as much as possible.
  • Avoid cruise travel  and non-essential air travel.
  • If there is a COVID-19 outbreak in your community, stay home  as much as possible to further reduce your risk of being exposed.

Everyone can help reduce the spread of COVID-19 and other respiratory infections by:

  • Avoiding close contact with sick people and stay home if you are sick.
  • Washing hands often with soap and water for at least 20 seconds. If soap and water aren’t available, use an alcohol-based sanitizer.
  • Avoiding touching your eyes, nose, and mouth with unwashed hands.
  • Covering your nose and mouth with a tissue when you cough or sneeze then throw the tissue in the trash.
  • Cleaning and disinfecting frequently touched objects and surfaces.

Here’s where to find tools and resources for individuals and families, schools, communities, businesses, healthcare facilities, and first responders on the DHHS website – http://dhhs.ne.gov/coronavirus and CDC’s website – https://www.cdc.gov/covid19 .

DHHS opened a statewide coronavirus (COVID-19) information line to help answer general questions and share the latest information and resources with Nebraskans to help keep them informed. The number is (402) 552-6645; hours of operation are 8 a.m.-8 p.m. CST, 7 days a week.

DHHS will continue to update Nebraskans through the DHHS website and on Facebook and Twitter as we have new information. The CDC’s website is also a good resource for COVID-19 information – https://www.cdc.gov/covid19 .

updated: 3/15/2020


First Community Spread COVID-19 Case Identified in Douglas County

LINCOLN – The first community spread case of coronavirus disease 2019 was identified in Douglas County today. It is the woman in her 60s who tested positive yesterday and was reported as a travel-related case. The Douglas County Health Department’s continuing investigation determined her symptoms were present before she traveled so the case is now being classified as community spread. She continues to self-isolate at home.

“We will continue to see more cases in Nebraska and we expect additional community transmission of COVID-19,  but we can all work together to help slow the spread,” said Dr. Gary Anthone, Chief Medical Officer and Director of Public Health for the Nebraska Department of Health and Human Services (DHHS).  “Nebraskans need to be extra vigilant and stay home if they’re experiencing any symptoms consistent with COVID-19 or other respiratory illnesses including fever, cough, shortness of breath and in some cases a sore throat.”

As we’ve already seen in some areas, Nebraskans should expect closures and cancellations in their communities as we work to slow the spread of COVID-19.

Two additional presumptive positive cases that are travel-related were reported to DHHS today, along with another case under investigation. All are from Douglas County. One is a male in his 50s who recently traveled to Spain and the other is a male in his 30s who traveled to Douglas County from Singapore. Both are self-isolating and DCHD is in the process of identifying close contacts to help reduce further spread.

You can find further information on the Douglas County Health Department’s website – https://www.douglascountyhealth.com/latest-news 

People who are concerned they may have COVID-19 should self-isolate and call ahead to their primary care provider to be screened over the phone. The provider can evaluate and determine if testing is necessary. Flu activity is also still high in Nebraska. Flu tests should be considered as a first test option before considering a COVID-19 test.

Public health officials, health care providers, and laboratories are working daily to increase Nebraska’s capacity to test more people for COVID-19.

Currently, testing supplies are limited. Local, state, and federal partners are working to expand testing supplies and the ability to test people experiencing symptoms as quickly as possible.

While we work to increase supplies and testing, health care providers and local health departments are screening people to prioritize testing for those who have the highest likelihood of being exposed to or having COVID-19 including:

  • Hospitalized patients who have signs and symptoms compatible with COVID-19.
  • People with symptoms such as, older adults and individuals with underlying health conditions like diabetes, heart disease and lung disease that may put them at higher risk of getting very sick from COVID-19.
  • People who have had close contact with a suspect or confirmed COVID-19 patient in the last 14 days and have symptoms starting after this contact.
  • People who have a history of travel from affected areas (international or U.S. – https://wwwnc.cdc.gov/travel/notices#alert ) in the last 14 days and have symptoms starting after this contact.
  • Other factors may also help guide COVID-19 testing decisions like COVID-19 infections in a certain area and known community transmission.

Health care providers can find the latest guidance for COVID-19 testing here – http://dhhs.ne.gov/Pages/Health-Alert-Network.aspx.

Public health partners across the state continue to take action to protect the health of Nebraskans.

Certain people are at higher risk of getting very sick from COVID-19 including older adults and people who have serious chronic medical conditions like heart disease, diabetes and lung disease, according to the CDC.

People in these higher-risk groups should: 

  • Stock up on supplies, including extra necessary medications.
  • Take everyday precautions to keep space between yourself and others.
  • When you go out in public, keep away from others who are sick, limit close contact and wash your hands often.
  • Avoid crowds as much as possible.
  • Avoid cruise travel and non-essential air travel.
  • If there is a COVID-19 outbreak in your community, stay home as much as possible to further reduce your risk of being exposed.

Everyone can help reduce the spread of COVID-19 and other respiratory infections by:

  • Avoiding close contact with sick people and stay home if you are sick.
  • Washing hands often with soap and water for at least 20 seconds. If soap and water aren’t available, use an alcohol-based sanitizer.
  • Avoiding touching your eyes, nose, and mouth with unwashed hands.
  • Covering your nose and mouth with a tissue when you cough or sneeze then throw the tissue in the trash.
  • Cleaning and disinfecting frequently touched objects and surfaces.

Here’s where to find tools and resources for individuals and families, schools, communities, businesses, healthcare facilities, and first responders on the DHHS website – http://dhhs.ne.gov/coronavirus and CDC’s website – https://www.cdc.gov/covid19 .

DHHS opened a statewide coronavirus (COVID-19) information line to help answer general questions and share the latest information and resources with Nebraskans to help keep them informed. The number is (402) 552-6645; hours of operation are 8 a.m.-8 p.m. CST, 7 days a week.

DHHS will continue to update Nebraskans through the DHHS website and on Facebook and Twitter as we have new information. The CDC’s website is also a good resource for COVID-19 information – https://www.cdc.gov/covid19 .

updated: 3/14/2020


Gov. Ricketts Issues Emergency Declaration for COVID-19

Click here for full details

LINCOLN – As Nebraska continues to take proactive steps to address COVID-19, Governor Pete Ricketts has signed an emergency declaration, so regulatory provisions of state law can be suspended to aid the state’s response.  This has also allowed him to issue an Executive Order waiving certain hauling requirements for truckers delivering food and supplies, such as food products to grocery stores.

“I am declaring a State of Emergency in Nebraska as we continue to work to be the best-prepared state in the nation for COVID-19,” said Governor Ricketts.  “All across the state, individuals, businesses, employers, and churches are stepping up to make plans to mitigate the impact of the virus.  There is a role for each one of us in this as we work together to keep people healthy.”

The State of Emergency will help the State bring together the resources it needs to combat COVID-19.  It does not mean the State is closing schools or banning mass public gatherings at this time.  A copy of the State’s guidance regarding school closures and large gatherings can be found by clicking here.

Additionally, Governor Ricketts signed an Executive Order waiving certain hauling requirements.  A copy of the Executive Order can be found by clicking here.

A copy of the Governor’s emergency declaration can be found by clicking here.

updated: 3/13/2020


Gov. Ricketts Issues Guidance for School Closures

Click Here for full details

LINCOLN – Today, Governor Pete Ricketts issued guidance for school closures and provided an update on the state’s preparations for COVID-19 along with education and business leaders.

“I am issuing guidance today to help schools and families understand when state-directed closures will occur,” said Gov. Ricketts.  “Until the thresholds in the guidance are met, school districts will continue to manage their operations based on the best information they have.  We continue to ask everyone – individuals, families, employers, schools, and churches – to prepare for closures in their community as social distancing widens.”

“The Nebraska Department of Education (NDE) is committed to assisting schools and communities during the ongoing public health emergency,” said NDE Commissioner Matt Blomstedt.  “We support districts in their decisions to keep student and staff safety their top priority.  We encourage schools to work with local health departments.  We also want schools to continue to serve the community however they can and to provide some sense of normalcy for students.”

School closure guidance can be found by clicking here.

A map of ESU districts can be found by clicking here.

COVID-19 resources for schools can be found by clicking here.

A link to the video from today’s news conference can be found by clicking here.

update: 3/13/2020


Knox County Update – PSA

The North Central District Health Department (NCDHD) has received further information on COVID-19 testing conducted on Knox county residents.  The following is a Knox county case count update:

  • Total number of Knox county residents tested for COVID-19: 6
    • Total number of presumptive positive COVID-19 cases: 1
    • Total number of cases undergoing further testing at the Nebraska Public Health Lab: 0
    • Total number of cases that tested negative: 5

The presumptive positive case remains hospitalized at the University of Nebraska Medical Center’s (UNMC) Biocontainment Unit. This individual’s first lab specimen was collected at Avera Sacred Heart in Yankton, SD. The individual remains presumptive positive.

NCDHD has taken appropriate actions in Knox county to slow the spread of   COVID-19.  Anyone who has been identified to have close contact with the presumptive positive case during the onset of their symptoms has been notified and needs to remain in quarantine through the end of day on March 19th.  NCDHD continues to follow plans to respond to COVID-19. If there are positive lab results in NCDHD’s nine counties, NCDHD will continue to initiate public health controls to stop the spread of disease.

update: 3/13/2020


Two Patients Under Investigation for COVID-19 Lab Results are Presumptive Negative – PSA

Two residents in Knox county had been under investigation for possible COVID-19. North Central District Health Department (NCDHD) received notification that these individuals tested presumptive negative for the disease.

North Central District Health Department provides the Center for Disease Control (CDC) guidance tips via our website and Facebook pages on how to help reduce the spread of respiratory illnesses including COVID-19.  NCDHD continues to encourage patrons of our district to wash their hands using proper handwashing techniques, avoid those who may be sick, if you feel sick, please stay home, and if you think you need to seek medical attention, please call ahead.

COVID-19 symptoms include a fever, cough, and breathing difficulties. Anyone who is experiencing these symptoms should stay home and contact their healthcare provider. Most people who become ill from this disease will recover with rest, fluids, and by taking pain and fever medication.

Additional information on tips for yourself, your family, home, or office can be found at the Center for Disease Control (CDC) website at cdc.gov

updated: 3/13/2020


Patient Under Investigation for COVID-19 Lab Results are Negative – PSA

A resident of Cherry County had been under investigation for possible COVID-19. North Central District Health Department (NCDHD) received notification that this individual has tested negative for the disease.

North Central District Health Department provides the Center for Disease Control (CDC) guidance tips via our website and Facebook pages on how to help reduce the spread of respiratory illnesses including COVID-19.  NCDHD continues to encourage patrons of our district to wash their hands using proper handwashing techniques, avoid those who may be sick, if you feel sick, please stay home, and if you think you need to seek medical attention, please call ahead.

COVID-19 symptoms include a fever, cough, and breathing difficulties. Anyone who is experiencing these symptoms should stay home and contact their healthcare provider. Most people who become ill from this disease will recover with rest, fluids, and by taking pain and fever medication.

Additional information on tips for yourself, your family, home, or office can be found at the Center for Disease Control (CDC) website at cdc.gov.

update: 3/12/2020


Potential Exposure Events – PSA

North Central District Health Department (NCDHD) has identified the people that are at highest risk associated with the presumptive positive COVID-19 case in Knox County. These individuals are in self-quarantine and are not a risk to the public.

Potential exposure events that community members should be aware of include:

  • Girls State Basketball Hartington Cedar Catholic vs. Weeping Water Game held in Lincoln, NE on March 5th at 9:00 AM. This game was held at Lincoln Southwest High School.  Exposures may have occurred in the Hartington Cedar Catholic general fan section. The individual sat in the middle of the bleachers, about halfway up, and in the general fan section on the Hartington Cedar Catholic side during the game.
  • Girls State Basketball Crofton vs. Bancroft-Rosalie/Lyons-Decatur held in Lincoln, NE on March 5th at 7:00 PM.  This game was held at Lincoln North Star High School.  Exposures may have occurred in the Crofton general fan section. They sat in the middle of the gym, slightly higher than half up, in the general fan section on the Crofton side during the game.
  • Crofton Elementary students and staff who attended school on March 10th

If additional risks are identified, North Central District Health Department will release this information publicly and work with those affected.

If you feel you have been in direct exposure, please contact our North Central District Health Department office at 402-336-2406.

updated: 3/11/2020


COVID-19 Information Line 8:30am -4:00pm

Do you have additional questions about COVID-19?  Call the COVID-19 informational line for answers to these questions at 402-444-3400.

updated: 3/11/2020


COVID-19 Presumptive Positive Case- PSA

On the evening of March 10th NCDHD was made aware of the first presumptive positive coronavirus case in our district. The person is a student in Knox county. The person started experiencing symptoms Thursday, March 5th.

NCDHD has initiated contact investigations and have been rapidly assessing potential exposures to determine next steps. All identified close contacts will self-quarantine (stay home) and be actively monitored twice daily by public health officials for fever and respiratory symptoms.

At this time, we are encouraging the community to self-monitor their symptoms. Symptoms of COVID-19 are fever, cough, and shortness of breath. If you feel you are ill, please call your provider and follow their next steps.

update: 03/10/2020


No Confirmed Cases in the NCDHD Area

At this time we have no confirmed cases of COVID-19 in our NCDHD Area.
Reminders:
☝️ Continue to wash your hands
✌️ Stay home if you are sick
👌 If you feel you need medical attention, call your provider first and follow their next steps.

updated: 3/10/2020


When to Visit – Community Support

Older adults and people who have serious chronic medical conditions like Heart disease, Diabetes, Lung disease, or other underlying health issues should be taken into special consideration when planning visits to nursing homes or assisted living facilities. If you have a loved one in one of these types of settings please, if you feel the least bit under the weather, do not visit.

updated: 3/9/2020


Confirmed Case in Nebraska

NCDHD is aware of the Fremont Family YMCA Special Olympic event that took place in Fremont on February 29th where Nebraska’s first confirmed COVID-19 case had been in attendance. We are asking the patrons of our district that if there was anyone in attendance to follow these steps:
1. Self-quarantine
2. Limit exposure to others
3. Monitor themselves for development of COVID-19 symptoms
4. Call the NCDHD emergency after-hours line at 402-961-1718

 

EPA List of Products

The EPA has released a list of antimicrobial products helpful in preventing the spread of COVID-19. While wiping down frequently touched surfaces in your home be sure to read and follow product instructions. View more information in the link below and a full list of products.

Find additional information and the full list here: EPA.GOV Disinfectant List

updated: 3/7/2020


Guidance for Businesses and Employers

As we build awareness and prepare individually, as families, and as communities, we encourage businesses and employers to review their policies and capacity when discussing a plan and response to COVID-19. Follow this link from the CDC to help with those efforts.

Prevention & Treatment

Though there is currently no vaccine to prevent  COVID-19, the best prevention is to avoid being exposed to the virus. Everyday preventive actions will help prevent the spread of respiratory diseases.

  • Avoid close contact with people who are sick..
  • Avoid touching your eyes, nose, and mouth.
  • Stay home when you are sick.
  • Cover your cough or sneeze with a tissue, then throw the tissue in the trash.
  • Clean and disinfect frequently touched objects and surfaces using a regular household cleaning spray or wipe.
  • Wash your hands often with soap and water for at least 20 seconds, especially after going to the bathroom; before eating; and after blowing your nose, coughing, or sneezing.
  • If soap and water are not readily available, use an alcohol-based hand sanitizer with at least 60% alcohol. Always wash hands with soap and water if hands are visibly dirty.

Read more here: CDC: Prevention and Treatment

updated: 3/6/2020


 

Preparedness

North Central District Health Department encourages the citizens in Antelope, Boyd, Brown, Cherry, Holt, Keya Paha, Knox, Pierce, and Rock counties to practice preparedness at all times to avoid running out of essential items in times of natural disaster or an illness outbreak.

As awareness and conversations of COVID-19 continue, here are a few steps to consider and discuss in your household. It is always encouraged to keep a two-week supply of essential items on hand.

1 Daily Activities:
What do you do on a daily basis? Where do you go? Work, school, daycare? Consider how a lengthly illness could impact those these types of activities and prepare accordingly.

2. Take Inventory: What do you use on a daily basis? Consider preparing meals ahead of time and keeping a two week supply of things like toilet paper, non-perishable foods, baby formula, diapers, medications, and pet food on hand. There is no need to stockpile, but having some extras on hand is best practice when staying prepared.

3. Update Contacts: Review personal contacts and discuss who needs to be contacted in an emergency. Create an emergency contact list and post it in a central location in your home. Make copies for safes, totes, cars, and employers. Consider others that you may assist regularly. How will they be assisted if you are unavailable?

4. Prescriptions and Subscriptions: Review any prescriptions to see if a 90-day supply is possible. Make sure expired medications are disposed of properly. if you subscribe to food delivery service, grocery pick up or online/subscription services such as Amazon, consider how a halt in these services may affect your household.

Unsure where to start? Visit the links below for additional information.

Ready.gov CDC: Get Your Household Ready

updated: 03/03/2020