Utah health guidance levels

COVID-19 Transmission Index


The COVID-19 Transmission Index represents the collaborative work of state and local public health, the Governor’s Office, the hospital industry, business leaders, and important guidance from legislative leadership on the elements of the approach to protect communities.

The transmission index clarifies the public health metrics used to determine which counties are placed in which transmission level. Counties will be placed in one of three transmission levels: High, Moderate, or Low. These levels correspond directly to case rates, positivity rates, and ICU utilization.

Data will be analyzed weekly, and counties will be placed into a transmission level depending solely on what their data show. Changes from a lower level to a higher level may occur weekly. Changes from a higher level to a lower level may occur every 14 days at minimum, when thresholds are met.

The data helps us understand the real risk of transmission in our communities. Important health behaviors, based on epidemiology and medical science, are outlined at each level to protect yourself, your family, and your community from COVID-19.

Transmission index metrics per county


Metric

7-day average percent positivity

14-day case rate per 100K population*

Statewide ICU utilization
(7-day average)

High level of
transmission

≥ 13%

≥ 325/100K

Total utilization ≥72%

AND

≥15% COVID-19
ICU Utilization

Moderate level
of transmission

6-12.9%

101 – 324 /100K

Total utilization 69-71.9%

AND

6-14.9% COVID-19
ICU Utilization

Low level of
transmission

≤ 5.9%

≤ 100/100K

Total utilization 68.9%

AND

5.9% COVID-19
ICU Utilization


A transmission level (high, moderate, low) is determined if a county has two of the three metrics in the designated level of transmission.

*Frontier counties (those with fewer than six people per square mile) with less than or equal to 14 cases in the previous 14 days will automatically be designated as “low” transmission. Frontier counties with more than 14 cases in the previous 14 days will have their transmission level determined using the standard transmission index criteria.

Counties in High Level of Transmission

Masks required.


Beaver
Box Elder
Cache
Carbon
Davis
Duchesne
Emery
Garfield
Grand
Iron
Juab
Kane 
Millard
Morgan
Piute
Rich
Salt Lake
San Juan
Sanpete
Sevier
Summit
Tooele
Uintah
Utah
Wasatch
Washington
Weber



Counties in Moderate Level of Transmission

Masks required.


 
 


Counties in Low Level of Transmission

Masks required.


Daggett

Wayne

Transmission index metrics per county

High level of transmission

7-day average percent positivity
≥ 13%

14-day case rate per 100K population*
≥ 325/100K

Statewide ICU utilization
(7-day average)
Total utilization ≥ 72%

AND

≥ 15% COVID-19 ICU Utilization

Moderate level of transmission

7-day average percent positivity
6-12.9%

14-day case rate per 100K population*
101 – 324 /100K

Statewide ICU utilization
(7-day average)
Total utilization 69-71.9%

AND

6-14.9% COVID-19 ICU Utilization

Low level of transmission

7-day average percent positivity
≤ 5.9%

14-day case rate per 100K population*
≤ 100/100K

Statewide ICU utilization
(7-day average)
Total utilization ≤ 68.9%

AND

≤ 5.9% COVID-19 ICU Utilization


A transmission level (high, moderate, low) is determined if a county has two of the three metrics in the designated level of transmission.

*Frontier counties (those with fewer than six people per square mile) with less than or equal to 14 cases in the previous 14 days will automatically be designated as “low” transmission. Frontier counties with more than 14 cases in the previous 14 days will have their transmission level determined using the standard transmission index criteria.

Actions for all individuals and businesses


Image

Gathering safely

Social gatherings, such as family dinner, get togethers with friends, book club
(not including formal religious services or educational events or gatherings with an event host)


High level of transmission

Recommendation: Practice physical distancing and wearing a mask unless you are by yourself or only with members of your same household

Recommendation: Limit gathering size to 10 or fewer


Moderate level of transmission

Recommendation: Practice physical distancing and wearing a mask unless you are by yourself or only with members of your same household

Recommendation: Limit gathering size to 10 or fewer


Low level of transmission

Recommendation: Practice physical distancing and wearing a mask unless you are by yourself or only with members of your same household

Recommendation: Limit gathering size to 50 or fewer


Image

Masks worn in public indoor settings, and outdoors when physical distancing is not feasible; this includes both employees and patrons.

New research shows statewide mask requirements are more effective at spurring economic activity. Learn more


High level of transmission

Required-state-wide

Public Health Order:
Businesses shall post signage indicating that patrons are expected to wear masks


Moderate level of transmission

Required-state-wide

Public Health Order:
Businesses shall post signage indicating that patrons are expected to wear masks

Download Business Signs (Zip)


Low level of transmission

Required-state-wide

Public Health Order:
Businesses shall post signage indicating that patrons are expected to wear masks

Download Business Signs (Zip)


Image

Physical distancing 

Between household groups where feasible, even at social gatherings
Strongly recommended at all levels of transmission


Image

Hygiene practices

Strongly recommended at all levels of transmission


Image

Stay home when sick

Required at all levels of transmission


Image

Follow public health quarantine/isolation guidance

Public Health Order: Required at all levels of transmissions

Note: For transmission within a business: quarantine for 7 days if negative test results from a test on the 7th day

Protect yourself and others


All businesses


  • Refer to Business Manual (PDF Updated 12/2020)
  • Require 6’ of distancing between household groups, unless masks are worn
  • Post signage listing COVID-19 symptoms, asking employees and customers with symptoms to stay home, and encouraging physical distancing Download Business Signs (Zip)
  • Offer alternative pickup options when possible (such as curbside pickups, delivery, takeout)
  • Ensure ventilation systems operate properly
  • Plexiglass barriers between staff and customers where feasible at cash registers and customer service counters when 6’ distancing is difficult
  • Thoroughly clean and disinfect restrooms at least twice daily
  • Facilitate employees working from home when ill or if they are high-risk individuals
  • Stay Safe to Stay Open Pledge (or a similar industry-approved pledge that increases health and safety measures to prevent the spread of COVID-19) is strongly encouraged
  • For businesses hosting an event, follow the event host requirements

    Image

    Restaurants
    (including buffets)


    High level of transmission

    Public Health Order: 6’ distancing required between tables

    Masks required unless actively eating or drinking, customer must remain in one place while eating or drinking

    Recommendation: Families and individuals should dine only with members of their same households (i.e. live under the same roof)


    Moderate level of transmission

    6’ distancing between parties strongly recommended when seated, required in waiting areas

    Masks required unless actively eating or drinking, customer must remain in one place while eating or drinking


    Low level of transmission

    6’ distancing between parties strongly encouraged

    Masks required unless actively eating or drinking, customer must remain in one place while eating or drinking


    Image

    Bars


    High level of transmission

    Public Health Order: 6’ distancing required between tables. 

    Masks required unless actively eating or drinking, customer must remain in one place while eating or drinking

    Recommendation: Families and individuals should dine only with members of their same households (i.e. live under the same roof)


    Moderate level of transmission

    6’ distancing between parties strongly recommended; limit occupancy to 75% of capacity; patrons should wear a mask when intermingling with other parties

    Masks required unless actively eating or drinking, customer must remain in one place while eating or drinking


    Low level of transmission

    6’ distancing between parties strongly encouraged

    Masks required unless actively eating or drinking, customer must remain in one place while eating or drinking


    Image

    Workout Gyms


    High level of transmission

    Public Health Order: 6’ physical distancing required between patrons not of the same household


    Moderate level of transmission

    Public Health Order: 6’ physical distancing required between patrons not of the same household


    Low level of transmission

    OPEN


    Image

    Public Gatherings 

    Any establishment or organization with an event host that allows public gathering, such as live events, movie theatres, sporting events, weddings, recreation, and entertainment (Does not apply to an individual attending or participating in a religious service)

    Public Health Order: Masks are required; (egress/ingress included) performers/athletes are exempt while performing

    Public Health Order: Completion and execution of Event Management Template is required

    Individual businesses will be expected to modify their operations based on individual outbreaks; Local Health Department discretion on severity of modifications, supported by Utah Department of Health


    High level of transmission

    Public Health Order: 6’ physical distancing between household groups is required at all time (egress/ingress included); performers and athletes are exempt during the event

    Exception to 6’ physical distancing between household groups may be requested through county executives in consultation with the local health officer. Exceptions shall be considered based on the requesting party’s ability to demonstrate safe operations as outlined in the business manual. Exceptions may be reviewed and reconsidered every 14 days.


    Moderate level of transmission

    Public Health Order: 6’ physical distancing between household groups is required at all time (egress/ingress included); performers and athletes are exempt during the event

    Exception to 6’ physical distancing between household groups may be requested through county executives in consultation with the local health officer. Exceptions shall be considered based on the requesting party’s ability to demonstrate safe operations as outlined in the business manual. Exceptions may be reviewed and reconsidered every 14 days.


    Low level of transmission

    6’ physical distancing between household groups is strongly encouraged, side by side seating without physical distance between household groups is allowed; performers/athletes are exempt from physical distancing while performing



    Image

    Elementary (K-8)

      High School

      • Keep students in class
      • Public Health Order: K-12 mask mandate still applies
      • Public Health Order: In person extracurricular activities require testing of each coach, official, and player/participant at least every other week. Positive individuals will not be permitted to participate until after completing their isolation period as outlined in the school manual (PDF Updated 12/2020)
      • Recommendation: Gatherings before and/or after practices or competitions should be limited to members of the same household
      • Adherence to new guidelines established by UHSAA shall be followed
      • Public Health Order: Club sports require symptom and exposure checking of each coach, official, and player/participant before each in person engagement. Individuals experiencing symptoms or currently quarantined due to exposure shall not be permitted to participate until completing quarantine or isolation requirements

      Higher Education

      • Refer to USHE/individual university/college reopening plans
      • Keep students in class
      • Public Health Order: Testing strategy employed for all students for public degree granting institutions and technical colleges and private institutions of higher education with a student body greater than 10,000 students
      • Social gathering guidelines adhered to 
      • Public Health Order: Symptom checking required for all organized extracurricular/intramural activities