How does the state’s tier system work? The tier framework lays out the measures that each county must meet, based on indicators that capture disease burden, testing and health equity. The California Department of Public Health website has a good explanation of the new four tiered system and how it’s implemented.
What is “equity adjustment” in the tier system? The state applies an “equity adjustment” formula to county case numbers based on how the number of tests conducted compare to the state median number of tests. This way, counties with higher case numbers aren’t penalized if they also have a higher amount of testing. Likewise, counties without as much testing may have lower case numbers, but that doesn’t necessarily mean the prevalence of COVID-19 is lower.
Why are some things open in another city and not in Carlsbad? Cities can be more restrictive than county and state public health orders, but not less. In some cases, the City of Carlsbad has decided to relax restrictions more slowly than what is allowed, or we might just need a little more time to put all the safety precautions in place.
When will more things reopen? The state has released a four-tier system that will guide when certain health restrictions can be eased. Read more about how the state will determine what reopens when on the state's COVID-19 website. Here is an at-a-glance chart showing how some of the activities and businesses will reopen in stages. Detailed guidance for various industries is also available on the state's COVID-19 website.
Why do the public health orders allow some things and not others even when the risk seems comparable? Many people have asked why some things are allowed and not others, especially when it seems like the risks are comparable. What sometimes seems comparable is different from an enforcement perspective or even just operationally in terms of what it would take to reopen.
State and county health officials are trying their best to keep us safe while recognizing the unintended consequences of the restrictions in place. Most decisions are made by public health experts at the county and state based on current health data and their best judgement. As conditions change, rules evolve with the goal of maintaining public health and safety.
What is the guidance on school reopening? Schools are allowed to reopen with modifications when a county is in the red, orange or yellow tier. If a county is in the purple tier, schools may not reopen unless they had previously been in a higher tier and had already reopened. In the case that schools are eligible to reopen, it is up to the discretion of school districts to decide whether or not to do so and must follow the guidance for schools and school-based programs that the state has developed to create a safer environment for students, families and staff. This guidance applies to in-person learning and distance learning. The California Department of Public Health has also composed frequently asked questions about guidance for schools.
What does a “community outbreak” mean? A community setting outbreak is when three or more people are confirmed for COVID-19 at one location who are from different households. Community outbreaks are one of the 13 triggers the county is closely monitoring to determine whether additional measures are necessary to prevent the spread of the virus.
Why can’t you let the public know where the community outbreaks have occurred? The county does not report the names of businesses or facilities associated with outbreaks unless they determine a public health need to do so. During the course of their investigation and contact tracing, if they are able to identity and notify all close contacts, and the business is in compliance with all of the follow-up, then there is no risk to the public to go to that business. If there were additional steps needed to protect the public at a particular business, then the county would take them, including notifying the public.
What case information is available specific to Carlsbad? The county prepares a weekly dashboard with information about cases in specific cities. The county also provides daily updates on cases by ZIP code and testing by ZIP code, but otherwise most statistics are reported on a countywide basis.
Is it okay to get together with friends as long as you're outside, maintain distance and wear masks? Based on new state rules, it’s officially okay to get together with friends, as long as there are no more than three households total. Here’s a summary, but to get the full details, please read the guidance yourself on the California Department of Public Health website.
No more than three households, including yours. Ideally keep this group stable over time.
Outdoors only, but awnings and other shade structures are okay. Indoor restroom trips are OK.
Keep it short – two hours or less.
No communal (single serving dish) food or drinks (like pitchers).
Keep at least 6 feet between households, including seating (in all directions, front, side, behind, etc.).
Wear face coverings except when eating and drinking.
Make sure you know how to contact everyone present in case you need to later.
Unfortunately, people in high risk groups, including those 65 and older, are still advised to avoid all gatherings.
How is the city enforcing the health orders? Enforcement in Carlsbad is the responsibility of the Police Department. The Police Department is taking an education first approach, meaning people will be first informed about the rules and given an opportunity to comply. If needed, police can issue citations for non-compliance. The city also has monitors at parks and beaches to help inform people about the rules and is distributing free face coverings at public locations to increase compliance.
What should I do if I see someone not complying? Take care of your own health and safety first. If you observe someone not complying, keep in mind the following:
People with illnesses and mental health conditions that prevent them from wearing facial coverings are exempt
People who live together do not need to stay 6-feet apart
It’s not always possible to discern these things. However, if you have a significant concern, you can call 760-931-2197 and the Police Department will assess the situation and take the appropriate actions.
Where can I get tested? Contact your health care provider or call 2-1-1 for a referral to a testing site. The county also has testing sites that require no referral. Appointments can be made online or by calling 888-634-1123.
How does contact tracing work? When a person or “case” is confirmed, a case investigator from the county talks to the person who tested positive to find out about close contacts during the time the person was considered infectious. This infectious time frame is considered to be two days before symptoms appeared until the person was isolated at home. The people identified through this case investigation are known as the “contacts.”
The contact tracers focus on “close contacts.” That means having 15 minutes or more of close contact (within 6 feet) with someone known to have COVID-19. This may include:
People who had unprotected (without a face cover) direct contact with infectious secretions of a COVID-19 case, for instance, someone who was coughed or sneezed on.
People who have been in a small, enclosed environment (such as a home, classroom, meeting room, restaurant, hospital waiting room, etc.) with the infected person.
Healthcare workers and others providing care to individuals with COVID-19 may be considered contacts as well if they were not using the recommended personal protective equipment such as masks, gloves, or goggles or following proper cleaning recommendations for handwashing and disinfection of objects and surfaces
Once contacts are identified, a contact tracer will reach out to contacts to notify them of their potential exposure to a COVID-19 case. The contact tracer will ask the contacts about COVID-19 related symptoms they may be experiencing and if they have any underlying medical conditions. You can read more about contact tracing here.
How can businesses apply for a permit for temporary use of public sidewalk or private parking lot for outdoor dining or expanded retail space? The Community Development Department has made it quick and easy to apply for a permit. Here is the dedicated city webpage with background information and permit applications specific to each use.
Who is making decisions? Here’s a quick overview of how public health decisions are made:
Cities take their lead from counties because counties have responsibility for public health.
Counties are technically branches of the state government, so they take their lead from the state.
The federal government has put out “guidance” for reopening, but made it clear that states will make the ultimate decisions.
Most cities in San Diego County, like the City of Carlsbad, have a council-manager form of government, where policy decisions require a majority vote of the City Council. The Carlsbad municipal code designates the City Manager as the director of emergency services. This means that the City Manager has the authority to take immediate steps to protect health and safety, and then the City Council subsequently votes on those actions.
What this means for Carlsbad?
We must follow all federal, state and county health orders and other laws.
We are not experts in public health; that is the role of the county.
Where discretion exists on policies, the Carlsbad City Council will make those decisions or ratify emergency decision that may be taken by the City Manager.