Utah health guidance levels

COVID-19 Transmission Index


The transition from the phased guidelines of red, orange, yellow and green to the new COVID-19 Transmission Index was done to further strengthen the balance in our response to protect communities. It 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 that will persist beyond the two week circuit breaker that was imposed.

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
Emery
Garfield
Grand
Juab
Millard
Morgan 
Salt Lake
San Juan
Sanpete
Sevier
Summit
Tooele
Utah
Wasatch
Washington
Weber


Counties in Moderate Level of Transmission

Masks directed by public health until 10/29.


Duchesne
Iron
Uintah


Counties in Low Level of Transmission

Masks strongly recommended.


Daggett 
Kane
Piute
Rich
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


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Gathering safely

Casual social gatherings, such as family dinner, get togethers with friends, book club (not including formal religious services or events with organizational oversight)


High level of transmission

Social gatherings of 10 or fewer are permitted


Moderate level of transmission

Until 10/29: Social gatherings of 10 or fewer are permitted

After 10/29: Social gatherings of 25 or fewer are permitted. The size may exceed 25 if each individual wears a face mask.


Low level of transmission

Social gatherings of 50 or fewer are permitted. The size may exceed 50 if each individual wears a face mask.


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

A business may require masks in areas of moderate or low transmission


High level of transmission

Required


Moderate level of transmission

Until 10/29: Directed by public health

After 10/29: Strongly recommended by public health; mask requirement is at the discretion of county executives in consultation with the local health officer


Low level of transmission

Strongly recommended by public health; mask requirement is at the discretion of county executives in consultation with the local health officer


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Physical distancing 

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

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Hygiene practices

Strongly recommended at all levels of transmissions

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Stay home when sick

Required at all levels of transmissions


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Follow public health quarantine/isolation guidance

Required at all levels of transmissions

All businesses


  • Refer to Business Manual
  • 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
  • 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 higher-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
  • Exceptions for public gatherings and events may apply

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    Physical distancing in restaurants
    (including buffets)


    High level of transmission

    6’ between parties at all times
    (including waiting areas and when seated)


    Moderate level of transmission

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


    Low level of transmission

    6’ distancing between parties strongly encouraged


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    Bars


    High level of transmission

    6’ between parties at all times
    (including waiting areas and when seated)


    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


    Low level of transmission

    6’ distancing between parties strongly encouraged


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    Any establishment that allows public gathering, such as live events, movie theatres, sporting events, weddings, recreation and entertainment

    •  Masks are required; performers/athletes are exempt while performing
    • Completion 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 UDOH

    High level of transmission

    • 6’ physical distancing between household groups
    • Exception to 6’ physical distancing between household groups can be requested through county executives in consultation with the local health officer. Exceptions may be reviewed every 14 days. Due to the high risk of transmission in this level, exceptions will be rare and are strongly discouraged.

    Moderate level of transmission

    • 6’ physical distancing between household groups
    • Exception to 6’ physical distancing between household groups can be requested through county executives in consultation with the local health officer. Exceptions may be reviewed every 14 days. Exceptions are discouraged, but may be more frequent than in high risk.

    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.

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    Schools

    Higher Education