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Coronavirus (COVID-19) Health Orders

 

Latest orders:



Order of the Health Officer No. C19-12b - Order of the Health Officer of the City and County of San Francisco Generally Requiring Members of the Public and Workers to Wear Face Coverings - 5/28/20

Since March 2020, the City and County of San Francisco (the “City”), its citizens, and the Bay Area have collectively worked together to reduce the spread of SARS-CoV-2, the virus that causes coronavirus disease 2019 (“COVID-19”) and that is the cause of the global pandemic. These efforts have shown enough success that the City’s Health Officer continues to allow the careful, gradual return of more business, social, and other activities. As the City adds these additional components, people will be increasingly interacting in person, creating a risk that viral transmission will increase. One of the strongest protections we, as a society, can implement as we continue to interact more in person is to increase our use of Face Coverings. LEARN MORE


Order of the Health Officer No. C19-06b - Order of the Health Officer of the City and County of San Francisco Directing Hospitals to Limit Visitors and Other Non-Essential Persons From Being on Hospital Premises and to Prepare Written Protocols Regarding COVID-19, Including Screening of Visitors and Other Protections for Patients, Visitors, and Personnel - 5/26/20

The City and County of San Francisco (the “City”) and five other Bay Area counties and the City of Berkeley have been under shelter-in-place orders since March 16, 2020, in a collective effort to reduce the impact of the virus that causes coronavirus disease 2019 (“COVID-19”). The SARS-CoV-2 virus is easily transmitted, especially in group and healthcare settings, and the disease can be extremely serious. It can require long hospital stays and in some instances can cause long-term health consequences or death. It can impact not only those known to be at high risk but also other people, regardless of age. This spread of disease is a global pandemic causing untold societal, social, and economic harm. To mitigate the harm from the pandemic, these jurisdictions issued parallel health officer orders on March 16, 2020 imposing shelter in place limitations across the Bay Area, requiring everyone to stay safe at home except for certain essential needs, and those orders have been subsequently updated multiple times. Other jurisdictions in the Bay Area and ultimately the State have since joined in adopting stay-safe-at-home orders. LEARN MORE


Directive of the Health Officer No. 2020-14 - Directive of the Health Officer of the City and County of San Francisco Regarding Required Best Practices for Childcare Providers - 5/26/20

By this Directive, the Health Officer of the City and County of San Francisco (the “Health Officer”) issues industry-specific direction that childcare providers as described below must follow as part of the local response to the Coronavirus Disease 2019 (“COVID-19”) pandemic. This Directive constitutes industry-specific guidance as provided under Section 6 of Health Officer Order No. C19-07e issued on May 22, 2020 (the “Stay-Safe-At-Home Order”) and, unless otherwise defined below, initially capitalized terms used in this Directive have the same meaning given them in that order. LEARN MORE

 

Directive of the Health Officer No. 2020-13 - Directive of the Health Officer of the City and County of San Francisco Regarding Required Best Practices for Summer Camps - 5/26/20

By this Directive, the Health Officer of the City and County of San Francisco (the “Health Officer”) issues industry-specific direction that summer camps as described below must follow as part of the local response to the Coronavirus Disease 2019 (“COVID-19”) pandemic. This Directive constitutes industry-specific guidance as provided under Section 6 of Health Officer Order No. C19-07e issued on May 22, 2020 (the “Stay-Safe-At-Home Order”) and, unless otherwise defined below, initially capitalized terms used in this Directive have the same meaning given them in that order. This Directive goes into effect immediately upon issuance and compliance is required before a summer camp is permitted to begin operations pursuant to the Stay-Safe-At-Home Order, and this Directive remains in effect until suspended, superseded, or amended by the Health Officer, as further provided below. LEARN MORE


Order of the Health Officer No. C19-07e - (Shelter in Place) - 5/22/20

The City and County of San Francisco (the “County”) and five other Bay Area counties and the City of Berkeley have been under shelter-in-place orders since March 16, 2020, in a collective effort to reduce the impact of the virus that causes coronavirus disease 2019 (“COVID-19”). That virus is easily transmitted, especially in group settings, and the disease can be extremely serious. It can require long hospital stays, and in some instances cause long-term health consequences or death. It can impact not only those known to be at high risk but also other people, regardless of age. This spread of disease is a global pandemic causing untold societal, social, and economic harm. To mitigate the harm from the pandemic, these jurisdictions issued parallel health officer orders on March 16, 2020 imposing shelter in place limitations across the Bay Area, requiring everyone to stay safe at home except for certain essential needs. Other jurisdictions in the Bay Area and ultimately the State have since joined in adopting staysafe- at-home orders. LEARN MORE


Order of the Health Officer No. C19-07d - (Shelter in Place) - 5/18/20

The City and County of San Francisco (the “County”) and five other Bay Area counties and the City of Berkeley have been under shelter-in-place orders since March 16, 2020, in a collective effort to reduce the impact of the virus that causes coronavirus disease 2019 (“COVID-19”). That virus is easily transmitted, especially in group settings, and the disease can be extremely serious. It can require long hospital stays, and in some instances cause long-term health consequences or death. It can impact not only those known to be at high risk but also other people, regardless of age. This spread of disease is a global pandemic causing untold societal, social, and economic harm. To mitigate the harm from the pandemic, these jurisdictions issued parallel health officer orders on March 16, 2020 imposing shelter in place limitations across the Bay Area, requiring everyone to stay safe at home except for certain essential needs. Other jurisdictions in the Bay Area and ultimately the State have since joined in adopting staysafe- at-home orders. LEARN MORE


Directive of the Health Officer No. 2020-12 - Directive of the Health Officer of the City and County of San Francisco Regarding Required Best Practices for Warehouse and Logistical Support Businesses - 5/17/20

By this Directive, the Health Officer of the City and County of San Francisco (the “Health Officer”) issues industry-specific direction that certain Additional Businesses and Essential Businesses providing goods and services described below must follow as part of the local response to the Coronavirus Disease 2019 (“COVID-19”) pandemic. This Directive constitutes industry-specific guidance as provided under Section 6 and Appendix C-1 of Health Officer Order No. C19-07d issued on May 17, 2020 (the “Stay-Safe-At-Home Order”) and, unless otherwise defined below, initially capitalized terms used in this Directive have the same meaning given them in that order. LEARN MORE | Fillable Form


Directive of the Health Officer No. 2020-11- Directive of the Health Officer of the City and County of San Francisco Regarding Required Best Practices for Manufacturing Businesses - 5/17/20

By this Directive, the Health Officer of the City and County of San Francisco (the “Health Officer”) issues industry-specific direction that certain Additional Businesses and Essential Businesses providing goods and services described below must follow as part of the local response to the Coronavirus Disease 2019 (“COVID-19”) pandemic. This Directive constitutes industry-specific guidance as provided under Section 6 and Appendix C-1 of Health Officer Order No. C19-07d issued on May 17, 2020 (the “Stay-Safe-At-Home Order”) and, unless otherwise defined below, initially capitalized terms used in this Directive have the same meaning given them in that order. LEARN MORE | Fillable Form


Directive of the Health Officer No. 2020-10 - Directive of the Health Officer of the City and County of San Francisco Regarding Required Best Practices for Retail Businesses with Curbside Pickup - 5/17/20

By this Directive, the Health Officer of the City and County of San Francisco (the “Health Officer”) issues industry-specific direction that certain Additional Businesses providing goods and services described below must follow as part of the local response to the Coronavirus Disease 2019 (“COVID-19”) pandemic. This Directive constitutes industryspecific guidance as provided under Section 6 and Appendix C-1 of Health Officer Order No. C19-07d issued on May 17, 2020 (the “Stay-Safe-At-Home Order”) and, unless otherwise defined below, initially capitalized terms used in this Directive have the same meaning given them in that order. LEARN MORE | Fillable Form | Fillable Form Sample


Directive of the Health Officer No. 2020-09b - Directive Of The Health Officer of The City And County of San Francisco Regarding Required Best Practices for Dental Health Care - 5/17/20

By this Directive, the Health Officer of the City and County of San Francisco (the “Health Officer”) issues mandatory, context-specific direction permitting the provision of certain kinds of health-related care as part of the local response to the Coronavirus Disease 2019 (“COVID-19”) pandemic. This Directive constitutes context-specific guidance as provided under Sections 1 and 3 of Health Officer Order No. C19-08b issued on May 15, 2020 (the “Medical Care Order”) and, unless otherwise defined below, capitalized terms used in this Directive have the same meaning given them in that order. LEARN MORE


Directive of the Health Officer No. 2020-08 - Directive of The Health Officer of The City And County of San Francisco Regarding Required Best Practices for Elective Surgeries - 5/15/20

By this Directive, the Health Officer of the City and County of San Francisco (the “Health Officer”) issues mandatory, context-specific direction permitting the provision of certain kinds of health-related care as part of the local response to the Coronavirus Disease 2019 (“COVID-19”) pandemic. This Directive constitutes context-specific guidance as provided under Sections 1 and 3 of Health Officer Order No. C19-08b issued on May 15, 2020 (the “Medical Care Order”) and, unless otherwise defined below, capitalized terms used in this Directive have the same meaning given them in that order. LEARN MORE


Order of the Health Officer of the City and County of San Francisco Restricting Routine Medical Appointments and Elective Surgery, Encouraging Remote Appointments, Encouraging Delivery of Cannabis Products and Prescriptions, and Establishing Directives to Permit for Certain Surgeries, Procedures, and Visits to Occur - 5/15/20

The Health Officer of the City and County of San Francisco (the “City”) issued a shelter-in-place order on March 16, 2020, in an effort to reduce the impact of the virus that causes novel Coronavirus Disease 2019 (“COVID-19”). That virus is easily transmitted, and the disease can be extremely serious. It can require long hospital stays, and in some instances it can cause long-term health consequences or death. It can impact not only those known to be at high risk based on age or certain medical conditions but also other people, regardless of age or underlying health condition. This is a global pandemic causing untold societal, personal, and economic harm. Capitalized terms used in this Order are generally defined in Sections 1, 2, and 15 below. LEARN MORE


Directive of the Health Officer No. 2020-07 - Directive of the Health Officer of the City and County of San Francisco Regarding Required Best Practices for Pharmacies, Farmers Markets and Stands, Grocers and Other Sellers of Unprepared Foods and Household Consumer Products, and Hardware Stores - Updated 5/15/20

By this Directive, the Health Officer of the City and County of San Francisco (the “Health Officer”) issues industry-specific direction that certain Essential Businesses providing goods and services described below must follow as part of the local response to the Coronavirus Disease 2019 (“COVID-19”) pandemic. This Directive constitutes industryspecific guidance as provided under Section 6 of Health Officer Order No. C19-07c issued on April 29, 2020 (the “Stay-Safe-At-Home Order”) and, unless otherwise defined below, initially capitalized terms used in this Directive have the same meaning given them in that order. LEARN MORE | Health and Safety Plan LEARN MORE | 中文 | Español | Vietnamese


Directive of the Health Officer No. 2020-06 - Directive of the Health Officer of the City and County of San Francisco Regarding Required Best Practices for Shipping or Delivery Essential Businesses - Updated 5/15/20

By this Directive, the Health Officer of the City and County of San Francisco (the “Health Officer”) issues industry-specific direction that certain Essential Businesses providing goods and services described below must follow as part of the local response to the Coronavirus Disease 2019 (“COVID-19”) pandemic. This Directive constitutes industryspecific guidance as provided under Section 6 of Health Officer Order No. C19-07c issued on April 29, 2020 (the “Stay-Safe-At-Home Order”) and, unless otherwise defined below, initially capitalized terms used in this Directive have the same meaning given them in that order. LEARN MORE | 中文 | Arabic | Español | Health and Safety Plan LEARN MORE | 中文 | Español | Vietnamese | Exhibit A LEARN MORE | 中文 | Arabic | Español


Directive of the Health Officer No. 2020-05 - Directive of the Health Officer of the City and County of San Francisco Regarding Required Best Practices for Restaurants and Other Facilities that Prepare and Serve Food for Delivery or Carry Out - Updated 5/15/20

By this Directive, the Health Officer of the City and County of San Francisco (the “Health Officer”) issues industry-specific direction that certain Essential Businesses providing goods and services described below must follow as part of the local response to the Coronavirus Disease 2019 (“COVID-19”) pandemic. This Directive constitutes industryspecific guidance as provided under Section 6 of Health Officer Order No. C19-07c issued on April 29, 2020 (the “Stay-Safe-At-Home Order”) and, unless otherwise defined below, initially capitalized terms used in this Directive have the same meaning given them in that order. LEARN MORE | 中文 | Arabic | Pilipino | Español | Health and Safety Plan LEARN MORE | 中文 | Vietnamese | Exhibit A LEARN MORE | 中文 | Arabic | Pilipino | Español



City and County of San Francisco Health Officer Directive - Attachment Handout for Personnel (Employees, Contractors, Volunteers) of Essential Business and Other Businesses Permitted to Operate During the Health Emergency - 5/8/20

Any business or entity that is subject to a Health Officer Directive to which this handout is attached each Business must give a copy of this handout to Personnel who work in the City outside their household during this emergency. Go to www.sfcdcp.org/covid19 for more info or a copy of this form.
LEARN MORE | 中文 | Pilipino | Español | Russian | Vietnamese


Order of the Health Officer No. C19-13 - Order of the Health Officer of the City and County of San Francisco Requiring Testing of Residents and Personnel at Certain Residential Facilities and Requiring Those Facilities to Comply with Testing, Reporting, and Guidance Requirements of the San Francisco Department of Public Health - 5/7/20

This Order requires each listed Facility to follow the Testing, Collaboration, Reporting, and Guidance requirements of the San Francisco Department of Public Health (“DPH”), and the Order also requires that all Residents and Personnel of each Facility comply with this Order’s Testing requirements. Many of the activities that will be required under this order are preventative in nature, providing the most protection for Residents and Personnel. In addition, certain Facilities will be contacted sooner than others in order to best implement the protections of this Order in a strategic manner. LEARN MORE


Directive of the Health Officer No. 2020-03 - 5/4/20

To help slow COVID-19’s spread, protect vulnerable individuals, and prevent the healthcare system in the City from becoming overwhelmed, it is necessary for the City’s Health Officer to require individuals who have been diagnosed with, or are likely to have, the COVID-19 virus to self-isolate. This self-isolation requirement protects everyone in the City, including people who are high risk for serious illness, such as older adults and people with weakened immune systems. LEARN MORE


Directive of the Health Officer No. 2020-02 - 5/4/20

Individuals in close contact with a person diagnosed with or likely to have the virus that causes COVID-19 may themselves easily become infected and may then inadvertently spread it even if they have no symptoms or only have mild symptoms or before they become symptomatic. To help slow COVID-19’s spread, protect vulnerable individuals, and prevent the healthcare system in the City from becoming overwhelmed, it is necessary for the City’s Health Officer to require the self-quarantine of persons exposed to a person diagnosed with or likely to have the COVID-19 virus. LEARN MORE


Order of the Health Officer No. C19-07c - 4/29/20

Order of the Health Officer of the City and County of San Francisco directing all individuals in the county to continue sheltering at their place of residence except for essential needs and identified outdoor activities in compliance with specified requirements. LEARN MORE | Stay Safe at Home FAQ | Appendix A - Social Distancing Protocol | Additional Information | Construction Safety Protocols for City Public Works Projects | Anticipated Directive on Curbside Businesses


Order of the Health Officer of the City and County of San Francisco Generally Requiring Members of the Public and Workers to Wear Face Coverings - 4/17/20

The United States Centers for Disease Control and Prevention (“CDC”), California Department of Public Health (“CDPH”), and San Francisco Department Public Health (“SFDPH”) have recommended that members of the public, when they need to interact with others outside the home and especially in settings where many people are present such as waiting in lines and shopping, should cover the mouth and nose to prevent inadvertently spreading the virus that causes Coronavirus Disease 2019 (“COVID-19”). LEARN MORE


Directive of the Health Officer of City and County of San Francisco (GUIDANCE FOR CONSTRUCTION-RELATED ESSENTIAL BUSINESSES) - 3/31/20

All on-site managers, contractors, or supervisors of Essential Businesses performing Construction as those terms are defined in the Order must, by 11:59 p.m. on April 4, 2020, create, adopt, and implement a written plan conforming with the recommendations of the “San Francisco Construction Industry Consensus - Best Practices COVID-19 / Construction Field Safety Guidelines” issued by City Administrator Naomi M. Kelly on April 1, 2020 (the “Guidelines”). A copy of the Guidelines is attached to this Directive as Exhibit A. For clarity, this Directive requires each construction-related Essential Business to create or update a Site- Specific Health and Safety Plan and to draft and implement a Code of Safe Practices that include implementation of each measure listed in the Guidelines, which are made mandatory by this directive. LEARN MORE


Order of the Health Officer of the City and County of San Francisco Directing all Individuals Living in the County to Continue Sheltering at Their Place of Residence Except for Essential Needs - 3/31/20

It is now well established that the virus that causes Novel Coronavirus 2019 Disease (“COVID-19”) is easily transmitted, especially in group settings, and that the disease can be extremely serious. It can require long hospital stays, and in some instances cause long-term health consequences or death. It can impact not only those known to be at high risk but also other people, regardless of age. LEARN MORE | 中文


Protective Quarantine for Laguna Honda Hospital and Rehabilitation Center - 3/24/20

The virus that causes Coronavirus 2019 Disease (“COVID-19”) is easily transmitted, especially in group settings, and it is essential that the spread of the virus be slowed to protect the most vulnerable people throughout City and County of San Francisco (the “City”). Some residents of residential care facilities are elderly and/or being treated for health conditions, and both these factors make many residential care facility residents extremely vulnerable to suffering the most serious complications of COVID-19 infection, including death. LEARN MORE


Order of the Health Officer of the City and County of San Francisco Directing all Laboratories Conducting COVID-19 Diagnostic Tests to Report COVID-19 Test Information - Including Positive, Negative, and Inconclusive Test Results - to Local and State Public Health Authorities - 3/24/20

The virus that causes Coronavirus 2019 Disease (“COVID-19”) is easily transmitted, especially in group settings, and it is essential that the spread of the virus be monitored and slowed to protect the ability of public and private health care providers to handle the influx of new patients and safeguard public health and safety. Because of the risk of the rapid spread of the virus, and the need to protect all members of the community and the Bay Area region, especially our members most vulnerable to the virus and health care providers, this Order requires that all Laboratories conducting COVID-19 Diagnostic Tests comply with mandated Reporting Requirements as defined below. LEARN MORE


Limitations on Residential Facility Visitors - 3/19/20

The virus that causes Coronavirus 2019 Disease (“COVID-19”) is easily transmitted, especially in group settings, and it is essential that the spread of the virus be slowed to protect the ability of public and private health care providers to handle the influx of new patients and safeguard public health and safety. LEARN MORE


Moratorium on Routine Medical Appointments and Elective Surgery - 3/18/20

This Order prohibits routine procedures and elective surgeries, permits counseling and other appointments to occur remotely, permits in-person essential appointments if the provider screens the client/patient and follows social distancing, and clarifies that although cannabis dispensaries and pharmacies are open for pickup or home delivery, home delivery is strongly encouraged. LEARN MORE


Shelter in Place - 3/16/20

Summary: The virus that causes Coronavirus 2019 Disease (“COVID-19”) is easily transmitted, especially in group settings, and it is essential that the spread of the virus be slowed to protect the ability of public and private health care providers to handle the influx of new patients and safeguard public health and safety. Because of the risk of the rapid spread of the virus, and the need to protect all members of the community and the Bay Area region, especially including our members most vulnerable to the virus and also health care providers, this Order requires all individuals anywhere in San Francisco to shelter in place—that is, stay at home—except for certain essential activities and work to provide essential business and government services or perform essential public infrastructure construction, including housing. LEARN MORE | STAY AT HOME FAQ


Limitations on Hospital Visitors - 3/14/20

Summary: The virus that causes Coronavirus 2019 Disease (“COVID-19”) is easily transmitted, especially in group settings, and it is essential that the spread of the virus be slowed to protect the ability of public and private health care providers to handle the influx of new patients and safeguard public health and safety. Many patients of hospitals are being treated for health conditions that make them particularly vulnerable to suffering the most serious complications of COVID-19 infection, including death. Also, medical personnel and other essential staff of hospitals will likely experience increased stress associated with providing excellent care during this public health emergency. It is critical to protect both populations from avoidable exposure to pathogens. LEARN MORE


Order of the Health Officer No. C19-05b Prohibiting Large Gatherings (revised) - 3/13/20

This Order prohibits all indoor public and private gatherings and outdoor gatherings within an enclosed space that has a maximum occupant load of 100 people or more anywhere in San Francisco beginning at 5 p.m. on March 13, 2020 and continuing for seven weeks through April 30, 2020. LEARN MORE


Restricting Visitors and Non-Essential Personnel from Laguna Honda Hospital and the Skilled Nursing Facility Unit at Zuckerberg San Francisco General Hospital - 3/12/20

The virus that causes Coronavirus 2019 Disease places residents at long-term care facilities at high risk. Visitors to such facilities may have the virus but may not have symptoms or may have mild symptoms. Such visitors can easily pass the virus on to vulnerable residents. Because of this risk, and the need to protect these vulnerable members of the community, this Order restricts Visitors and Non-Essential Personnel from Laguna Honda Hospital and the skilled nursing facility unit at Zuckerberg San Francisco General Hospital for the next six weeks, until April 21, 2020. LEARN MORE


Excluding Visitors to Skilled Nursing Facilities (SNF) - 3/12/20

The virus that causes Coronavirus 2019 Disease places residents at longterm care facilities at high risk. Visitors to such facilities may have the virus but may not have symptoms or may have mild symptoms. Such visitors can easily pass the virus on to vulnerable residents. Because of this risk, and the need to protect these vulnerable members of the community, this Order restricts Visitors and Non-Essential Personnel from those facilities for the next six weeks. LEARN MORE


Prohibiting Large Gatherings - 3/11/20

The virus that causes Coronavirus 2019 Disease is easily transmitted, especially in group settings, and it is essential that the spread of the virus be slowed to protect the ability of public and private health care providers to handle the influx of new patients and safeguard public health and safety. Because of the risk of the rapid spread of the virus, and the need to protect the most vulnerable members of the community, this Order prohibits all indoor public and private gatherings and outdoor gatherings within an enclosed space of 1,000 persons or more anywhere in San Francisco beginning at 1 p.m. on March 11, 2020 and continuing for two weeks through March 25, 2020, subject to the limited exceptions and under the terms and conditions more particularly set forth below. For all other gatherings, the Health Officer strongly recommends following the social distancing protocols attached to this Order, including canceling, rescheduling, or not attending events with more than 250 persons. And organizations that serve high-risk populations should cancel gatherings of more than 10 people. LEARN MORE


Environmental Cleaning for SROs - 3/10/20

Effective as of the date of this Order, and for the limited duration specified in Section 8 below, Owners and/or Operators of each and every Residential Hotel, as those terms are used and defined m San Francisco Administrative Code Chapter 41, must fully and immediately comply with Minimum Environmental Cleaning Standards set forth in Attachment A to this Order. This Order applies only to common areas of Residential Hotels including, but not limited to, shared bathrooms, kitchens, common rooms, lobbies, hallways, and doorways. LEARN MORE

COVID-19 Minimum Environmental Cleaning Standards

COVID-19 Fighting Products


Prohibiting Gatherings at City-Owned Locations - 3/7/20

Effective as of the date of this Order, and for the limited two-week duration as specified in Section 7 below, no City-Owned Facility (as defined in Section 4 below) shall permit any Non-Essential Group Event (as defined in Section 5 below) from occurring onsite. Such City-Owned Facilities may otherwise remain open for business during the duration of this Order. LEARN MORE


Declaration of Local Health Emergency - 3/6/20

WHEREAS, Section 101080 of the California Health and Safety Code authorizes the local health officer to declare a local health emergency in the health officer's jurisdiction whenever the health officer reasonably determines that there is an imminent and proximate threat to the public health due to the introduction of any contagious, infectious, or communicable disease; LEARN MORE