Covid-19

New guidelines issued for vaccination schedules

Modified Stay At Home Order extended as numbers continue to increase at alarming pace; 96 counties now designated as “red” or “orange”

North Carolina National Guard mobilized, other efforts underway to support vaccine distribution

RALEIGH: Governor Roy Cooper and North Carolina Department of Health and Human Services Secretary Dr. Mandy Cohen shared an update today on North Carolina’s efforts to prevent the spread of COVID-19 and support the vaccination effort currently underway.

Governor Cooper extended North Carolina’s Modified Stay At Home Order that requires people to be at home from 10 pm – 5 am to last through at least Friday, January 29. Secretary Cohen also issued a Secretarial Directive with stark warnings for North Carolinians to avoid indoor spaces without masks and gatherings between households. Read here for more details on the Secretarial Directive.

“We have turned the page on a new year – one that we’re hoping will bring better times. But as we know, the virus didn’t disappear at midnight on December 31,” Governor Cooper said. “In fact, in North Carolina, we have seen some of our highest case counts, percent positives, hospitalizations and ICU bed usage numbers in the past few days. No matter where you live, work, worship or play, COVID-19 remains a deadly threat, and we must treat it that way.”

“We are in a very dangerous position. North Carolinians need to take immediate actions to save lives, slow the spread of the virus, and protect hospital capacity so that medical care is available to anyone who may need it, whether for COVID-19 or for any other reason,” said NCDHHS Secretary Mandy K. Cohen, M.D.

Dr. Cohen provided an update on North Carolina’s data and trends.

Trajectory in COVID-Like Illness (CLI) Surveillance Over 14 Days
• North Carolina’s syndromic surveillance trend for COVID-like illness is increasing.

Trajectory of Confirmed Cases Over 14 Days
• North Carolina’s trajectory of cases is increasing.

Trajectory in Percent of Tests Returning Positive Over 14 Days
• North Carolina’s trajectory in percent of tests returning positive is increasing.

Trajectory in Hospitalizations Over 14 Days
• North Carolina’s trajectory of hospitalizations is increasing.

In addition to these metrics, the state continues building capacity to adequately respond to an increase in virus spread in testing, tracing and prevention.

Testing
• Testing is widely available across the state.

Tracing Capability
• There have been more than 600,000 downloads of the exposure notification app, SlowCOVIDNC.

Personal Protective Equipment
• North Carolina’s personal protective equipment (PPE) supplies are stable.

Dr. Cohen also provided an update on North Carolina’s COVID-19 County Alert System map. There are now 84 counties designated as red (critical community spread) and 12 counties that are yellow (substantial community spread). Read the update to see where each county stands and how the system was designed.

Vaccine Efforts Underway
Governor Cooper and Dr. Cohen also highlighted North Carolina’s efforts to support the COVID-19 vaccination campaign. Governor Cooper has mobilized approximately 50 North Carolina National Guard personnel to support NCDHHS and North Carolina Emergency Management. The Guard will assist with administering the vaccine and logistics support for local entities.

“As we work to prevent the spread of COVID-19, we are also helping local hospitals and health departments to support their vaccine efforts. Getting the vaccine out quickly is the most urgent priority right now, and we will use everything and everyone needed to get the job done,” Governor Cooper said.

NCDHHS is onboarding more health care providers to administer the vaccine and sharing detailed guidance with providers to help them get the vaccine out more quickly. NCDHHS has also notified vaccine providers that future allocations will be based on how quickly they are able to get their supply out to eligible recipients. If an entity is not using their vaccine supply quickly enough or keeping the state database updated on their progress that will impact how much they are allocated going forward.

As the state moves into Phase 1b, local hospitals and other vaccine providers can now begin administering vaccines to those over age 75. Individuals should call their local health department or hospital to see if they have started to schedule vaccine appointments. A comprehensive list of local health department contact numbers can be found here.

Finally, NCDHHS and the state of North Carolina continue to work with communities around the state who may be hesitant to accept the vaccine when it is their turn. Governor Cooper and Dr. Cohen underscored that this vaccine was authorized after independent health experts reviewed the data from tens of thousands of trial participants.

Read Executive Order No. 188.

View the slides from today’s briefing.

RALEIGH: Today, Governor Roy Cooper signed Executive Order 184, extending North Carolina’s evictions moratorium through January 31, 2021. Research shows that eviction moratoriums help prevent the spread of COVID-19. States that let their eviction moratoriums lapse saw a COVID-19 incidence rate that was 1.6 times higher than states that kept a moratorium in place.

“Too many families are living on the edge, trying to do the right thing, but left with impossible choices. This Order will help them stay in their homes, which is essential to slowing the spread of the virus,” Governor Cooper said.

E.O. 184 clarifies and expands the federal eviction moratorium, which was extended by Congress until January 31, 2021. With many people struggling financially due to this pandemic, this Order halts evictions for nonpayment of rent.

In North Carolina, an estimated 485,000 adults in rental housing reported that they are not caught up on rent and nearly three million adults reported difficulty in covering usual household expenses, according to the Center on Budget and Policy Priorities.

This order also extends protections for individuals applying for assistance through the state’s Housing Opportunities and Prevention of Evictions (HOPE) Program. This program assists North Carolinians facing financial hardship by providing rent and utility payments directly to landlords and utility companies. Over 21,000 renters have been notified that they will receive rent or utility payment help and award notices totaling $37.4 million have been issued as the HOPE Program continues to provide more assistance to its applicants.

Today’s Order received approval from the Council of State.

Governor Cooper also underscored the importance of doubling down on prevention efforts to slow the spread of COVID-19 by wearing a mask and practicing social distancing. North Carolina has seen record-high rates of hospitalizations and percent of COVID-19 tests returning positive in the last week. The state is also under a Modified Stay at Home Order until at least January 8, 2021, which requires people to be home between the hours of 10 pm – 5 am.

Read Executive Order 184.

Read a Frequently Asked Questions document about the evictions moratorium.

More than 90 percent of North Carolina counties now in the red or orange zone

Vaccines continue to be distributed to communities around the state

RALEIGH: Today, Governor Roy Cooper and Secretary of North Carolina Department of Health and Human Services Dr. Mandy Cohen shared updates on the COVID-19 County Alert System, warning that more than 90 percent of North Carolina counties are now designated as red or orange.

“North Carolina needs to drive down our numbers. To do that, we all need to change our holiday plans if you haven’t already,” Governor Cooper said. “The best and safest option is to connect virtually or by phone. But if you gather in-person, keep it small and do it outside. Get a COVID-19 test before you go.

Spread out the tables and chairs. Follow the modified Stay at Home Order and be home by 10 PM. And, always, always wear a mask.”

The County Alert System uses COVID-19 case rates, the percent of tests that are positive and hospital impact within the county to categorize counties into the following tiers:
• Yellow: Significant Community Spread
• Orange: Substantial Community Spread
• Red: Critical Community Spread

There are currently 65 red counties, 27 orange counties and only 8 yellow counties. Read the updated report to see where each county stands and how the alert system was designed.

“The county alert map shows how quickly things can escalate. As you think about the upcoming Christmas and New Year holidays please avoid traveling and gathering. If you absolutely must, get tested ahead of time, wear a mask all the time, keep it small and keep it outdoors,” said Secretary Mandy K. Cohen, M.D.
Governor Cooper and Dr. Cohen also highlighted updates on North Carolina’s distribution of two COVID-19 vaccines. The state expects to receive approximately 60,000 doses of the Pfizer vaccine and 176,000 doses of the Moderna vaccine. The Moderna vaccine does not require ultra-cold storage and is slated to go to 59 hospitals and 97 local health department sites.

Governor Cooper and health officials warned against traveling and large gatherings ahead of the Christmas and New Year’s holidays. The Governor also reminded people that the statewide mask mandate and Modified Stay at Home Order requiring people to be home between 10 PM and 5 AM will still be in effect through the holidays until at least Jan. 8, 2021

Pastor Joseph Casteel from First United Methodist Church in Roanoke Rapids and Reverend James White from Christ Our King Community Church in Raleigh joined today’s briefing to discuss how critical it is for communities of faith to follow the safety measures while celebrating. They stress that the most important thing people can do for their communities this Christmas is taking the steps necessary to protect their communities, even if that means pausing or adapting traditions.

“The opportunity for you and your family to remain safe, an opportunity not to put anyone else at risk and, the freedom for you to choose the time for meaningful worship that works for you. It’s a win-win. There will be a myriad of online opportunities for meaningful worship. It will be okay,” Pastor Joseph Casteel said.

“Pastors, Rabbis and other faith leaders are often expected to have words of hope. Maybe we are all appropriately lost for words. What is most needed are actions and perspectives that will lead to life now and in the future,” Rev. James White said. “Perhaps we all need to figure out how to create celebrations in the midst of limitations. This is not as impossible as it may sound.”

The CDC is encouraging people to avoid traveling for the holidays. If continuing to gather, state officials urge North Carolinians to keep get togethers small and outside with social distancing and masks. People can also get a COVID-19 test ahead of gathering.

Read the full holiday guidance from NCDHHS.

RALEIGH:  Governor Roy Cooper signed an Executive Order authorizing the North Carolina ABC Commission to permit the delivery or carry-out of mixed beverages as an alternative to on-site consumption.

This Order is effective December 21, 2020 at 5:00 pm through January 31, 2021.

“This order will help people avoid settings that can contribute to increased viral spread while giving restaurants and bars a financial boost that they need right now,” said Governor Cooper. “With cases and hospitalizations high around the country, let’s all do our part to slow the spread of COVID-19 while supporting local, small businesses safely.”

Under this Order, establishments holding certain permits from the ABC Commission, including restaurants, hotels, private clubs, private bars, and some distilleries, are allowed to sell mixed beverages to-go or for delivery. These businesses, delivery service providers that contract with these businesses, and purchasers of mixed beverages to-go must follow the restrictions in the Order and any additional restrictions and guidance established by the ABC Commission.

The Modified Stay at Home Order remains in effect and the sale of alcohol for on-site consumption must still cease at 9 pm. Businesses subject to the Order may continue to sell mixed beverages for off-site consumption until their business closes and in accordance with other applicable laws and regulations.

The Council of State concurred with this Order.

Read the Executive Order.

Read the FAQs.

Due to COVID-19, drive-in events are popping up across the nation. Locally, our Ghost Walk became a drive-in event. If your organization is considering a drive-in event, be sure to check out this helpful guidance from the North Carolina Department of Health and Human Services.

Executive Order No. 171 clarifies the CDC’s eviction moratorium to prevent unwarranted evictions and help struggling communities

RALEIGH: Today, Governor Roy Cooper issued Executive Order No. 171 to strengthen eviction protections to help North Carolina renters stay in their homes. With COVID-19 case counts increasing and many people continuing to work and learn remotely, preventing evictions is critical to the state’s fight against this virus. This order supplements the existing NC HOPE initiative started two weeks ago that pays landlords and utilities directly to keep people in their homes with the lights on.

“Many families are trying to do the right thing, but this virus has made it difficult. Roughly three to 400,000 households across North Carolina are currently unable to pay rent. Therefore, today, I have signed a new Executive Order to prevent evictions in North Carolina for people who can’t afford the rent,” said Governor Cooper. “The result during this global pandemic will be more North Carolinians staying in their homes, more landlords getting paid rent, and fewer utility companies shutting off power.”

The economic toll of COVID-19 has left thousands of families struggling to make ends meet. According to a report from the National Council of State Housing Agencies, approximately 300,000 – 410,000 households across North Carolina are currently unable to pay rent, and an estimated 240,000 eviction filings will be submitted by January 2021.

Last month, the Center for Disease Control and Protection (CDC) put a temporary residential eviction moratorium into effect nationwide from September 4 through December 31, 2020. The CDC order protects residential tenants from eviction for nonpayment of rent. However, confusion over who this order protects has caused inconsistent enforcement and unwarranted evictions in some parts of the state.

Executive Order No. 171 requires landlords to make residential tenants aware of their rights under the CDC Order. For eviction actions commencing after Executive Order No. 171, landlords must give residents the option to fill out a declaration form before starting any eviction action.

The Order also sets forth procedures to ensure protection for residential tenants once they provide the required declaration form to the court or to the landlord.

Executive Order No. 171 also clarifies the CDC moratorium so that it clearly applies to all North Carolinians who meet the CDC’s eligibility criteria, regardless of whether they live in federally-subsidized properties. The Order ensures that recipients of the N.C. Housing Opportunities and Prevention of Evictions (HOPE) program are still able to qualify and that these renter protections will apply to North Carolinians regardless of the CDC Order’s status in other courts.

Today’s Order received concurrence from the Council of State.

Two weeks ago, Governor Cooper launched the $117 million NC HOPE program that provides assistance to eligible low-and-moderate income renters experiencing financial hardship due to the pandemic by making direct payments to landlords and utility companies. This program has received 22,800 eligible applications as of today. Given the demand for assistance shown over the last two weeks, the state will continue working to boost the HOPE program so it can help more North Carolinians make ends meet.

“The HOPE program is going a long way to help families stay safe in their homes by using coronavirus funds responsibly to pay landlord and utilities directly,” said Governor Cooper. “My administration is continuing to find ways to help struggling renters, but we still need Washington to put partisanship aside and send more relief to North Carolina.”

People can apply for help by calling 2-1-1 or going to nc211.org/hope.
In addition, to help ease housing concerns, North Carolina is funding the Back@Home program, which helps families experiencing homelessness and provides financial relief to some landlords whose tenants are at risk of homelessness.

Read the Executive Order.

Read a FAQ about today’s Order.

Important information about get togethers as fall events, holidays, and gatherings appear on our calendars.

Gov. Cooper & health officials urge North Carolinians to recommit to prevention efforts

RALEIGH: Governor Roy Cooper announced today that North Carolina will remain paused in Phase 3 for three more weeks as health officials continue to monitor North Carolina’s viral trends. North Carolina has seen increased hospitalizations and trajectory of cases in recent weeks. Governor Cooper underscored the importance of wearing masks, social distancing, and using good judgment despite fatigue or frustration with the pandemic.

“As this pandemic continues, I know it’s difficult and tiring to keep up our guard, especially when we’re gathered with people we love. But it’s necessary. No one wants to spread COVID-19 accidentally to friends or family, so we must keep prevention at the forefront,” said Governor Cooper. “Wearing a mask shows you care about people. Wearing a mask is an easy way to protect our communities and look out for each other. Confronting the virus head on and doing our part as individuals is good for our health and good for our economy.”

Also today, Governor Cooper updated on progress with the NC Housing Opportunities and Prevention of Evictions (HOPE) program. Since Governor Cooper announced the (HOPE) Program last week, 12,000 eligible applicants have filed for assistance. The HOPE Program provides assistance to eligible low-and-moderate income renters experiencing financial hardship due to the pandemic by making direct payments to landlords and utility companies. People can apply for help by calling 2-1-1 or going to nc211.org/hope.

“As the number of applications climbs higher every day, it should make us remember that it’s more than a number. Every one of those applications represents a family having to make impossible choices between basic necessities during a global pandemic,” said Governor Cooper.

Yesterday, Secretary of Health and Human Services Dr. Mandy Cohen and Secretary of Department of Public Safety Erik Hooks sent a letter to local officials in communities with increased viral spread urging their continued action in fighting COVID-19 and suggesting additional measures to mitigate its spread. Read more about that letter here.

“We are doing everything we can to slow the spread of this virus. This simple fact is we can’t do it on our own. Ignoring the virus doesn’t make it go away – just the opposite,” said NCDHHS Secretary Mandy K. Cohen, M.D. “As hard as this is, it will end. We will get through this. Let’s do it by looking out for one another. Whatever your reason, get behind the mask.”

Trajectory in COVID-Like Illness (CLI) Surveillance Over 14 Days
• North Carolina’s syndromic surveillance trend for COVID-like illness is level.

Trajectory of Confirmed Cases Over 14 Days
• North Carolina’s trajectory of cases is increasing.

Trajectory in Percent of Tests Returning Positive Over 14 Days
• North Carolina’s trajectory in percent of tests returning positive is increasing but is lower than it was during the last time North Carolina’s cases were at their peak in July.

Trajectory in Hospitalizations Over 14 Days
• North Carolina’s trajectory of hospitalizations is increasing.

In addition to these metrics, the state continues building capacity to adequately respond to an increase in virus spread in testing, tracing and prevention.

Testing
• Testing capacity is high.

• There have been almost 250,000 downloads of the exposure notification app, SlowCOVIDNC.

Personal Protective Equipment
• North Carolina’s personal protective equipment (PPE) supplies are stable.

Read Executive Order 170.

Read the slides from today’s briefing.

Safety precautions set for large outdoor and some indoor venues

RALEIGH: North Carolina will ease cautiously some restrictions while continuing safety measures to combat the spread of COVID-19 as the state’s metrics remained stable in September, Governor Roy Cooper announced today.

“Our top priority remains getting children back to in-person learning. This month marks a major shift for many families now and in the coming months as schools open their doors, some for the first time since the pandemic,” said Governor Cooper. “The virus continues to spread, so we must take the next steps methodically, and responsibly.”

“We must continue our hard work to slow the spread of this virus,” said Secretary Mandy K. Cohen, M.D. “By practicing the 3Ws — wear, wait and wash, — getting your flu shot, and downloading the SlowCOVIDNC app, each of us can protect the progress we have made.”

Dr. Cohen reviewed the state’s key metrics:

Trajectory in COVID-Like Illness (CLI) Surveillance Over 14 Days
• North Carolina’s syndromic surveillance trend for COVID-like illness has a slight increase.

Trajectory of Confirmed Cases Over 14 Days
• North Carolina’s trajectory of lab-confirmed cases is level.

Trajectory in Percent of Tests Returning Positive Over 14 Days
• North Carolina’s trajectory in percent of tests returning positive is level.

Trajectory in Hospitalizations Over 14 Days
• North Carolina’s trajectory of hospitalizations is level.

In addition to these metrics, the state continues building capacity to adequately respond to an increase in virus spread in testing, tracing and prevention.

No-cost testing events are being deployed across the state and testing turnaround times are improving. New contact tracers are bolstering the efforts of local health departments. A new NCDHHS app, SlowCOVIDNC, is notifying users of exposure to the virus. Personal protective equipment (PPE) supplies are stable.

As these metrics and capacity remain stable, the state will ease some restrictions starting Friday. Executive Order 169 begins Oct. 2 at 5 p.m. and continues for three weeks through October 23. Its new provisions include:
• Large outdoor venues with seating greater than 10,000 may operate with 7% occupancy for spectators.
• Smaller outdoor entertainment venues, like arenas or amphitheaters, may operate outdoors at 30% of outdoor capacity, or 100 guests, whichever is less.
• Movie theaters and conference centers may open indoor spaces to 30% of capacity, or 100 guests, whichever is less.
• Bars may operate outdoors at 30% of outdoor capacity, or 100 guests, whichever is less.
• Amusement parks may open at 30% occupancy, outdoor attractions only.
• The limits on mass gatherings will remain at 25 people indoors and 50 people outdoors.
• The 11 pm curfew on alcohol sales for in-person consumption in locations such as restaurants and outdoor bars will be extended to October 23.
State and public health officials will continue watching the key COVID-19 trends over the next several weeks to determine if any further restrictions can be eased when the current Executive Order expires October 23.

Read Executive Order 169.
Read the FAQs on Executive Order 169.
Read the slides from today’s briefing.