COVID-19 Frequently Asked Questions & Directives
Shelby County Health Department

About This Resource

The Shelby County Health Department is committed to providing our community with the most accurate information about Coronavirus Disease 2019, known as COVID-19. 

This page includes the most current Health Directive from The Shelby County Public Health Department, frequently asked questions, and other resources. Please scroll down the page to read the latest Public Health Directive, or use the menu buttons at the top of the page to navigate. 

FACE MASK HEALTH ORDER AND DIRECTIVE July 7, 2020

Printable PDF Version of Health Directive No. 8

COVID-19 Call Center
833-943-1658
Available to take calls 8:00am-4:30pm Monday-Sunday

Services and/or Businesses – Requests for Health Department Review of Safety Measures and/or Protocols:


If you would like the Shelby County Health Department to review a proposal to reopen or expand your business operations in a manner that is not already addressed in the current Health Directive, please do the following:

1) Prepare a plan with proposed safety measures.

2) Make sure that your plan’s provisions do not conflict with the safety measures already included in the Health Directive.

3) Review and incorporate industry specific safety guidance that is provided for by local, state, or federal agencies, such as, for example, guidance from the Tennessee Occupational Safety and Health Administration and the Centers for Disease Control and Prevention.

4) Provide a cover letter with the following information: a contact person and their phone number, the general availability of the contact (in the event the Health Department would like to conduct a site visit), and the proposed date for implementing your plan.

5) Send your documents by email to covid@shelbycountytn.gov, or complete this webform (link).

All submissions will be reviewed for purposes of incorporating any substantive changes into the next Health Directive. Individuals and businesses are encouraged to use the requirements and guidance in the health directive as a basis for engaging in businesses, services, and essential activities. 

Public Health Directive

FORMAL ISSUANCE OF HEALTH ORDER AND DIRECTIVE No. 8

Pursuant to the Declarations of a State of Emergency
by Shelby County Mayor Lee Harris
and the Necessity of a Communicable Disease Control Threat Procedure
by the Shelby County Health Department

_______________________

TO: Residents, Services, Businesses, and Visitors of Shelby County, Tennessee

FROM: Lee Harris, Shelby County Mayor

Bruce Randolph, M.D., M.P.H, Shelby County Health Officer

Alisa Haushalter, DNP, RN, PHNA-BC, Shelby County Health Director

RE: Public Health Announcement on COVID-19 Response

_______________________

Pursuant to the emergency management authority vested in Shelby County, Tennessee, for coordination of relief efforts in the event of a countywide emergency that may result in substantial injury or harm to the population, and the necessity to respond to public health emergencies vested in the Shelby County Health Department, this Health Directive is being issued to protect the public health for all citizens and businesses in Shelby County, Tennessee. Those citizens and owners of businesses described herein and currently within Shelby County, Tennessee serve as the class of people subject to this Directive. This Directive supersedes all prior written or oral Health Directives and shall remain in effect unless superseded. This Health Directive will be modified as needed to account for current and relevant Shelby County health data. Any changes between this Directive and Directive No. 7 shall take effect Wednesday, July 8, 2020, at midnight. 

All Health Directives involve consultation with a back-to-business task force group comprised of representatives of key stakeholders in the County, including the City of Memphis, other municipalities, health officials and doctors, and governmental attorneys. 

SARS-CoV-2, the virus that causes COVID-19, is thought to be mostly spread by respiratory droplets released when people talk, cough, or sneeze. It is thought that the virus may also spread to hands from a contaminated surface and then to the nose, mouth or eyes, causing infection. Therefore, the important personal prevention practices to prevent the virus’s spread are:

• Staying home when sick

• Limiting close contact with others

• Maintaining at least 6 feet of distance from other people

• Wearing a cloth face covering or mask over your nose and mouth (please also refer to the Shelby County Health Department's Face Mask Order and Directive.)

• Frequently washing hands with soap and water, or using hand sanitizer (60% alcohol)

• Cleaning and disinfecting frequently touched surfaces and objects 

The goal is safety while balancing the needs of citizens to receive the necessities of life, i.e., food and shelter, allowing people to work in a safe manner, and further ensuring the availability of resources to the community. Every effort should be made by providers of essential and other services to take steps to stop the spread of this deadly disease. These actions are meant to protect everyone. 

This Directive removes certain restrictions on the ability to return to work and engage in essential activities. It is intended to be a guide toward developing long-term safety measures, as detailed below, to slow and end the transmission of COVID-19, which continues to be a direct and deadly threat to the population of Shelby County, Tennessee. When determining whether a specific Service or Business should reopen, the Department considers two main factors: the risk of COVID-19 spread when conducting said business activity in light of the latest science and research about the spread of COVID-19, and the prevalence of the disease in our community. As prevalence goes down, the level of acceptable risk increases. This is due to the fact that with low prevalence, the risk that any one person is spreading the disease decreases, and, when cases do occur, the Department has better capacity to conduct intensive contact tracing and monitoring, which are critical to controlling the spread of COVID-19.

In order to facilitate evolving efforts to expand the opening of services and businesses in Shelby County, this Directive provides the following guidance on:

1) Safety Measures for Individuals;

2) Safety Measures for all Services and Businesses; and

3) Safety Measures for Services and Businesses that require in-person interaction with the public or those who otherwise regularly welcome non-employees into their place of business.

All businesses and services in Shelby County may open for business with the following exceptions:

1) Bars/Limited Service Restaurants, and Clubs (please see https://www.tn.gov/abc/licensing/liquor-by-the-drink-licenses.html for assistance and please see FAQs)

2) Adult entertainment venues; and

3) Schools. (Further guidance on reopening schools will be developed in partnership with the schools and will be provided well in advance of when schools are scheduled to reopen for the Fall 2020 school year.)

4) Festivals, fairs, parades, large scale sporting events, and large scale community events. (These types of events are under consideration for future purposes). 

Nothing in this order restricts the ability of the Department to take targeted action against specific businesses where COVID-19 outbreaks or clusters occur under The Department’s standing authorities to control disease outbreaks.  

Nothing in this Directive mandates closure of a place of worship or prohibits weddings or funerals as a matter of law. Weddings may be conducted in any manner that is permissible under Governor Lee’s Executive Order No. 38. However, places of worship are strongly encouraged to continue to utilize virtual or online services and gatherings, and are strongly encouraged to follow guidelines as issued by the State of Tennessee’s Office of Faith-Based and Community Initiatives regarding any in-person services that can be conducted safely. Further, it is strongly encouraged that the public celebration component of weddings and funerals be postponed or attended only by close family members. Any modification by the State of Tennessee to this provision must also be followed.

1) Safety Measures for Individuals:

• Individuals should stay at home when possible and limit unnecessary activity. Although this Directive allows some individuals to return to work (as provided for below), the threat of COVID-19 remains very serious. Because avoiding unnecessary public interactions is critical to protecting the health and safety of everyone in Shelby County, all persons are still strongly encouraged to continue to stay at home and to minimize in-person contact with people not in the same household, except when engaging in essential activities such as employment or exercise or other activities as outlined in this Directive.

• Individuals should practice social distancing, which means keeping at least 6 feet of space between yourself and other people outside of your home.

• Individuals must wear cloth face coverings or masks that cover the nose and mouth in public settings where being in close proximity to others is anticipated and particularly where other social distancing measures are difficult to maintain at all times. Cloth face coverings or masks should not be placed on young children under the age of two or required of any children twelve and under if they cannot understand how and when to wear a face mask, anyone who has trouble breathing, or anyone who is incapacitated or otherwise unable to remove the mask without assistance.

• Individuals must not congregate in groups of more than fifty (50) people, regardless of social distancing or mask wearing.

• Individuals must avoid using communal items and products that are shared with people who are not of the same household; such items include writing utensils, condiment containers, and work-related devices.

• Individuals may engage in outdoor activities provided that persons adhere to the CDC, Tennessee Department of Health, and Shelby County Health Department health guidelines, including, but not limited to physical activities that utilize public areas while maintaining the aforementioned safety precautions.

• Individuals may assist all businesses that are closed under this Directive with minimum basic operations consisting in performing activities at their own residences (i.e., working from home) or at their workplaces in order to maintain the value of the business’s inventory, ensure security, process payroll and employee benefits, or for other related, necessary business functions.

2) Safety Measures for all Services and Businesses

The following safety measures must be in place for services and businesses to remain open or to reopen as further specified under “Specific Parameters for Services and Businesses.” Services and Businesses that may not reopen should consider adopting these safety measures to prepare for reopening in the future.

• Cooperate with health authorities’ efforts to prevent and control the spread of COVID-19.

• Request technical assistance from the Department when needed.

• Comply with all federal and state business COVID-19 safety requirements, whether industry-specific or not, such as the Occupational Safety and Health Administration (OSHA) requirements.

• Place prominent informational signs at entrances and high-traffic areas (such as entrances and restroom areas) to educate and encourage a partnership of safety for businesses and the public. Signs must meet or exceed the requirements and safety guidelines outlined by the CDC at https://www.cdc.gov/coronavirus/2019-ncov/downloads/stop-the-spread-of-germs.pdf.

• Place prominent informational signs at entrances and high-traffic areas (such as entrances and restroom areas) that masks are required within the business.

• Place prominent informational signs at entrances that employees, patrons, and all others must not enter if they are sick or currently have signs or symptoms of COVID-19, such as the CDC’s recommended sign located here: https://www.cdc.gov/coronavirus/2019-ncov/downloads/StayHomeFromWork.pdf.

• Ensure proper ventilation in all indoor areas of any business location.

• Require all employees, customers and visitors to wear a mask or cloth face covering while within their establishments. Employees are not required to wear masks when at their desk or workstation so long as the workstation is greater than 6 feet from any other employee and they do not share that workstation with any other employee.

• Continue promoting frequent and thorough handwashing by providing workers, customers, and visitors a place to wash their hands or use alcohol-based hand sanitizer at or near entrances to a facility and other high-traffic areas. It is strongly encouraged that CDC handwashing guides be placed in all bathrooms and near any handwashing sink as described at https://www.cdc.gov/handwashing/pdf/wash-your-hands-poster-english-508.pdf

• Close all water fountains.

• Require workers to stay home if they are sick.

• Health checks and screenings for fever (100.4 degrees Fahrenheit) or other signs and symptoms of COVID-19 must be performed at the start of each employee’s shift so that any employee that exhibits such symptoms may not enter any workplace. This includes taking the temperature of employees who are reporting to work and asking the following:

1. Have you been in close contact with a confirmed case of COVID-19?

2. Are you experiencing a cough, shortness of breath or sore throat?

3. Have you had a fever in the last 48 hours?

4. Have you had new loss of taste or smell?

5. Have you had vomiting or diarrhea in the last 24 hours?

Employees who exhibit COVID-19 symptoms (i.e., by answering yes to any of the screening questions or who are running a fever) should be directed to leave the premises immediately and seek medical care and/or COVID-19 testing. Alternatively, employees may self-validate their status at the beginning of each shift to their supervisor.

• Require any employee who has had contact with a person who tests or has tested positive for COVID-19 to notify The Department at 901-222-9229.

• Develop a plan on how to communicate with customers/patrons if they are exposed to someone (such as an employee or another patron) who tests positive for COVID-19. For example, restaurants must maintain seating charts for 21 days to assist with contact tracing as further explained below.

• As determined by the employer and where feasible, allow employees to work from home or permit flexible worksites and hours (including staggered shifts) to increase physical distancing among and between employees.

• Discourage workers from using other employee’s phones, desks, offices or other work tools and equipment, when possible. When this is not possible, sanitizers should be used both prior to use of communal items and immediately after, and care should be taken not to touch the face.

• Increase regular housekeeping practices for all areas to more than twice a day cleanings, including routine cleaning and disinfecting of surfaces, equipment, high-touch surfaces, work areas, break rooms, bathrooms, common areas, and any other areas of the work environment.

• Limit the number of people who can enter a facility at any time to no more than 50% of listed occupancy and ensure that people inside can easily maintain a minimum 6-foot distance from each other at all times, except when necessary to complete a business transaction such as payment or delivery of goods.

3. Safety Measures for Services and Businesses that require in-person interaction with the public or those who otherwise regularly welcome non-employees into their place of business

(The following measures are required in addition to the requirements listed above for all businesses.)

• Where feasible, implement contactless transactions.

• Close all self-service customer bulk-item food and/or supply bins.

• Place an employee at entrances to ensure any applicable building occupancy thresholds (as further delineated below) are not exceeded and customers are wearing masks prior to entering the store.

• Indicate where lines may form at a facility, marking 6-foot increments as guides for where individuals should stand to maintain social distancing.

• Concession registers should be configured to allow for 6-foot spacing between customers.

• Consider installing plexiglass barriers at registers and other employee/customer points of contact.

• If gloves are used by employees, they should be replaced every 30 minutes and discarded whenever an employee washes his/her hands. If at any time the gloves become contaminated with a foreign substance, the gloves are to be discarded and replaced with a new pair.

• Make best efforts to establish hours when they are only available to senior citizens age 55 and older, pregnant women, and otherwise vulnerable populations and consider implementing other measures to help serve vulnerable populations, such as offering delivery services.

• As described above, occupancy limits must not exceed 50% of the allowed occupancy of the facility.

• Patrons must not be allowed to congregate in groups larger than six and each group must maintain social distance of greater than 6 feet from any other group and follow all appropriate safety procedures. Where the service or business routinely provides seating or other congregate settings (e.g. tables, benches, fitness equipment, etc.), each setting or group of seats must be placed more than 6 feet from every other table or group of seats. In the event the business has fixed seating or equipment, seats and equipment must be closed with signs to allow for social distancing.

• Restaurants, theaters, and other businesses that allow for group activities or dining (e.g. recreational facilities, pools, etc.) may allow groups to enter together and act as a “family unit” so long as each group maintains a distance of 6 feet from all other groups. Regardless of “family unit” status, all patrons must continue to wear a mask unless eating or drinking. Where these family unit groups are allowed, the facility must maintain a record of all patrons to include, at a minimum, first name, last name, time of service/attendance, and cell phone or other contact number to allow for contact tracing in the event a COVID+ case is identified. Restaurants must maintain seating charts for 21 days to assist with contact tracing. Records must be maintained for a minimum of 30 days after the date on which the service occurred. The Department will provide technical assistance to any business upon request.

• All business that require close contact between patrons and/or employees for the provision of services (i.e. Nail Salons, Barbershops, Salons, and other personal appearance businesses) must maintain a record of all patrons including, at a minimum, first name, last name, time of service, and cell phone number or other contact number to allow for contact tracing in the event a COVID+ case is identified. Records must be maintained for a minimum of 30 days after the date on which the service occurred.

• Where practical, businesses are encouraged to use outdoor space for the provision of services. Restaurants in particular are encouraged to provide outdoor dining.

• All communal use of items and products should be prevented, including, for example, writing utensils, store bags, condiment containers, self-service stations, and buffets. All menus or service literature should be disposable, single-patron usage, and/or accessible by personal electronic devices (e.g., internet website, QR Code, etc.).

• Patrons or facility personnel must clean equipment with disinfecting wipes before and after each use. Shared equipment that cannot be cleaned in between use is not allowed.

• High-touch areas, such as elevator buttons, door handles, and counters must be cleaned regularly throughout the day with disinfectant.

• Communal showers and locker rooms must be closed to the public; bathrooms should remain open with regular cleaning and disinfection as required for high-contact areas. Facilities that would normally require changing clothes prior to using their services should encourage all patrons to change prior to coming to the facility; where this is not practical, facilities may allow for a changing area.

• Hot tubs must remain closed.

• If the layout of the facility is such that ingress/egress would often prompt encounters of less than 6 feet, facilities must use best efforts to make for one-way traffic flow and/or specific entrances and exits.

• Scholastic and other organized teams not deemed to be high-risk as determined by the National Federation of State High School Associations may conduct more comprehensive practices, but contact must be limited and all other social distancing principles should apply as much as is practicable. High risk sports include for example wrestling, football, lacrosse, competitive cheer, and dance, and these activities should not occur at this time.

• Daycare and childcare businesses may operate, provided that they prioritize children of parents working as emergency/first responders or in essential services, and implement screening procedures, develop safe drop-off and pickup procedures, ensure additional steps are taken to enhance personal hygiene of employees, (including wearing face coverings that cover the nose and mouth), and provide regular sanitization efforts within the facilities themselves. Activities that occur at any of these businesses should follow the applicable specific protocols outlined in this Directive and the current CDC Guidance.

• Live music performances are not allowed unless the facility can ensure that each performer will maintain 18 feet of distance (three times current guidelines for social distancing) between any other performer, employee, or patron while singing.

• The Shelby County Government Division of Corrections shall follow all safety precautions as stated in any executive order by Mayor Lee Harris.

• Detention facilities: If not already established, Facility administrators should adopt protocols that house new detainees separately from the inmate population in order to properly screen and care for the new inmate until such time as the new inmate can safely be placed in the same environment with the existing inmate population. If any detained person is released on their own recognizance (ROR) or makes bond, they should be provided with a copy of the current “Shelby County Health Order and Directive” and instructed to follow that directive upon release. Additionally, they shall be provided information (6th grade reading level) about COVID-19 and “How to Protect Yourself and Others” issued by the CDC. Nothing in this Directive is intended to delay or impede the release of detained individuals if they are eligible to be released. Please refer to How to Protect Yourself from COVID 19”: https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/prevention.html. 

• Nothing in this Directive is intended to delay or impede the release of detained individuals if they are eligible to be released.

• The State of Tennessee has developed statewide guidelines for the following types of facilities. Each type of facility is required to follow all applicable state guidelines located online as indicated below (as of July 7, 2020).

1. Restaurants: https://www.tn.gov/governor/covid-19/economic-recovery/restaurant-guidelines.html.

Further, club houses at golf courses, if they qualify as a restaurant under state law, must comply with the same safety requirements as restaurants, and all restaurants shall close at 10:00 pm. This means that guests who are already in the restaurant at 10:00 p.m. may remain there until 10:30 p.m. but may not be served food or beverages after 10:00 p.m. Only staff needed to close, open, or clean shall be in any restaurant between the hours of 10:30 p.m. and 5:00 a.m. (please see FAQs on curbside, drive-thru, and delivery service)

2. Recreational Facilities: https://www.tn.gov/governor/covid-19/economic-recovery/recreation-guidelines.html

3. Exercise Facilities: https://www.tn.gov/governor/covid-19/economic-recovery/exercise-facilities-guidelines.html

4. Salons, Barbershops, and Nail Salons, and other personal appearance businesses that require close contact between patrons and employees: https://www.tn.gov/governor/covid-19/economic-recovery/close-contact-business-guidelines.html

5. Visitation in Long Term Care Facilities and Assisted Living Centers: https://www.tn.gov/content/dam/tn/health/documents/cedep/novel-coronavirus/LTCF_Visitation.pdf. Any positive test result shall be reported to the Department of Health by 5:00 p.m. of the day following receipt of such test result. The Department shall have unrestricted access to the facility where such access is determined necessary by the Department for purposes of testing all personnel for COVID-19, and in such circumstances, the operator and administrator shall cooperate fully to facilitate such testing.

Please contact the Shelby County Health Department if you require technical assistance regarding any safety parameters.

______________________

In conclusion, the aforementioned guidelines set forth in this Directive present, at this time, the least restrictive means by which transmission of COVID-19 may be slowed while also permitting businesses to reopen and remain open.

The Shelby County Health Department, with the assistance of the Shelby County Sheriff’s Office, is authorized to take emergent and immediate action to enforce this Directive.

Requirement to Collect Demographic Data.

Any health care provider located in Shelby County, Tennessee that provides COVID-19 testing or clinical care shall provide to the Shelby County Health Department (SCHD), as requested by the SCHD, demographic data regarding individuals tested or cared for by the provider. Such data shall be in such forms, formats and/or schedules that the SCHD will reasonably specify to the provider by written guidelines, including by way of example and without limitation the following data: gender, race, ethnicity, date of birth or other indicia of age, and such other demographic-based clinical information that the SCHD deems relevant and necessary to respond to and serve the needs of Shelby County related to the COVID-19 pandemic.

The Shelby County Health Department, with the assistance of the Shelby County Sheriff’s Office, is authorized to take emergent and immediate action to enforce this Directive.

Approved and adopted by:

LEE HARRIS,
SHELBY COUNTY MAYOR

BRUCE RANDOLPH, M.D., M.P.H.,
SHELBY COUNTY HEALTH OFFICER

ALISA HAUSHALTER, DNP, RN, PHNA-BC,
SHELBY COUNTY HEALTH DIRECTOR

Your Right of Review

If you feel this Directive has been issued in error, you may request a review by the Chief Medical Officer, Dr. Tim Jones, for the Tennessee Department of Health (TDH), or his designee, at (615) 741-3111. Dr. Jones, or a designee, will review your request within five (5) business days of its receipt, and you will receive a decision in writing. You may also request that the TDH obtain a court order containing the provisions of this Directive. If you request this option, the TDH will take the matter to an available and appropriate court of record. Please be aware you are still required to abide by all of the provisions contained in this Health Directive during any review process. A copy of the rules setting forth the Health Directive procedure and related rights is available on the Shelby County Health Department website. 

Frequently Asked Questions

Taprooms, Breweries, Distilleries

Q: Are taprooms, breweries, distilleries, wine bars, private clubs, beer-only bars or any other alcohol production businesses where on-premises consumption of alcohol occurs permitted to operate?

A: Any beer/wine/liquor production portion of a business enterprise may continue to operate, but the on-premises consumption of alcohol, inside or outside, of any of the aforementioned establishments cannot occur at this time. If permitted by state law, any curb-side, drive-thru, or delivery service is permissible. This FAQ does not apply to any establishment with a full-service restaurant license.

Curbside, Drive-thru, and Delivery Service

Q: May curbside, drive-thru, and delivery service continue by any properly permitted/licensed food service entity?

A: Yes, so long as all safety measures are followed, and further, these services may continue without the restriction of closing at 10 pm.

Clubs

Q: Are all clubs ranging from small private clubs to country clubs closed?

A: Yes, unless a club also has a restaurant license, then it may continue to operate as a “restaurant” as provided for in the directive. Also, if an entity is properly permitted/licensed to provide curb-side, drive-thru, and/or delivery service, they may continue to do so without the restriction of closing at 10 pm.

Wedding Ceremonies and Receptions

Q: How should I conduct my wedding and/or wedding reception under the current Health Directive?

A: Governor Lee’s executive orders preempt local health department directives as to weddings and currently (as of May 22, 2020) provides the following:

Worship services, weddings, funerals, and events related thereto are not social gatherings … and nothing in this Order mandates closure of a place of worship, or prohibits weddings or funerals as a matter of law. Nevertheless, places of worship are strongly encouraged to continue to utilize virtual or online services and gatherings and strongly encouraged to follow the Guidance for Gathering Together in Houses of Worship issued by the Governor's Office of Faith-Based and Community Initiatives regarding in-person services that can be conducted safely. Likewise, persons at weddings and funerals are strongly encouraged to follow the Health Guidelines and maintain appropriate social distancing as provided for herein to the greatest extent practicable, although it is further strongly encouraged that any large public celebration component of weddings and funerals be postponed or attended only by close family members.

Please reach out to the Office of Faith-Based and Community Initiatives for assistance on planning your wedding, and if needed, further questions can be directed to the Tennessee Department of Health. Wedding planners are encouraged to use their creativity to plan memorable and safe weddings and/or receptions and should follow applicable guidelines set forth in the current Health Directive, such as general business safety measures, safety measures for businesses that are permitted to be open, safety measures addressing food service (see restaurants and hotels), permitted numbers of people for gatherings, and so forth. Please note that the Directive does not affect the operations of any place of worship. 


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