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Page 1: Opening soon...Opening soon Alberta’s relaunch strategy 5 Message from Dr. Deena Hinshaw, Chief Medical Officer of Health Over the past several months the COVID-19 pandemic has affected

Opening soon | Alberta’s relaunch strategy 1

Alberta’s relaunch strategy

Opening soon

Page 2: Opening soon...Opening soon Alberta’s relaunch strategy 5 Message from Dr. Deena Hinshaw, Chief Medical Officer of Health Over the past several months the COVID-19 pandemic has affected

Opening soon | Alberta’s relaunch strategy 3

Message from Premier Jason Kenney ...................................................................................................................................... 4

Message from Dr. Deena Hinshaw, Chief Medical Officer of Health ..................................................................................... 5

Overview ......................................................................................................................................................................................6

Conditions for relaunch ............................................................................................................................................................. 6

Key measures to watch and timing .......................................................................................................................................... 7

Early actions ............................................................................................................................................................................... 8

Relaunch stage highlights ......................................................................................................................................................... 9

. Stage 1 ...................................................................................................................................................................................... 9

. Stage 2 .......................................................................................................................................................................................9

. Stage 3 .......................................................................................................................................................................................9

Key public health measures .................................................................................................................................................... 10

How Alberta compares: Public health measures .................................................................................................................. 11

How Alberta compares: Industry restrictions ........................................................................................................................ 11

Protecting seniors and vulnerable populations ..................................................................................................................... 11

Strengthening the economy ..................................................................................................................................................... 11

Do your part ............................................................................................................................................................................. 11

Contents

Page 3: Opening soon...Opening soon Alberta’s relaunch strategy 5 Message from Dr. Deena Hinshaw, Chief Medical Officer of Health Over the past several months the COVID-19 pandemic has affected

Opening soon | Alberta’s relaunch strategy4

Message from Premier Jason KenneyAlbertans have responded to the worst global pandemic in over a century with the cooperation, and resilience that runs deep in our provincial character. Your efforts and tremendous sacrifices have so far succeeded in containing the spread of the virus far below the devastating scale of the outbreak in many other places, and well below the capacity of our healthcare system to look after vulnerable Albertans.

Our success has been built on a sound pandemic response plan, implemented by Dr. Hinshaw and our team at Alberta Health, who saw COVID-19 coming before many others did. They acted quickly and prudently to ensure our stockpile of medical supplies and aggressive testing regime would be the best in Canada, and among the very best in the world.

Our relaunch strategy, developed with the advice of public health officials, is our path to carefully and gradually lift the restrictions imposed on our economy, and our lives. Our province is facing the most severe economic conditions since the Great Depression, and it will take heroic efforts to get Alberta working again. This will be achieved by carefully moving through the stages of our relaunch strategy while ensuring we all continue to follow public health guidelines.

With Alberta’s relaunch strategy, we can finally begin to shift our focus from the fear and anxiety of the past few weeks and start looking with hope and cautious confidence towards the future. Together, we will move through the stages of the relaunch strategy with the same determination and commitment to personal and collective responsibility that Albertans have shown over the past two months.

With the care and common sense Albertans are best known for, we will all stay safe together and begin the process of rebuilding our beautiful province.

Premier Jason Kenney

Page 4: Opening soon...Opening soon Alberta’s relaunch strategy 5 Message from Dr. Deena Hinshaw, Chief Medical Officer of Health Over the past several months the COVID-19 pandemic has affected

Opening soon | Alberta’s relaunch strategy 5

Message from Dr. Deena Hinshaw, Chief Medical Officer of HealthOver the past several months the COVID-19 pandemic has affected Albertans from across the province. Many have suffered with the virus, many others have suffered from restrictions as a result of public health measures that have required fundamental changes in the way we live, work and play.

I am grateful for the collective efforts and sacrifices of Albertans that have built a barrier between our communities and what could have been an overwhelming surge of cases. I have had your safety and well-being in mind through every recommendation that I have made and I will continue to work to protect your health as we move forward.

I want to stress that the fight against this virus is far from over. Alberta’s relaunch strategy is the next phase in our collective efforts to protect each other. We must continue to work together to manage risk, use common sense and remain vigilant to contain this virus. Each stage of our relaunch will be advanced after careful consideration.

Please continue to wash your hands, stay home when you are sick, maintain physical distance from others, stay socially connected, and look out for your friends, family and community as we progress through each stage. We will need each other through every stage of this relaunch and into the future.

We are all in this together.

Dr. Deena Hinshaw, Chief Medical Officer of Health

Page 5: Opening soon...Opening soon Alberta’s relaunch strategy 5 Message from Dr. Deena Hinshaw, Chief Medical Officer of Health Over the past several months the COVID-19 pandemic has affected

Opening soon | Alberta’s relaunch strategy6

Overview While we face a long road to recovery, there are good signs our collective efforts of physical distancing, good hygiene practices, and staying safe together are helping slow the spread of COVID-19.

That has given government confidence to begin implementing Alberta’s relaunch strategy, a plan that puts safety first while gradually reopening businesses and activities to the public, and getting people back to work.

Unlike other provinces such as Quebec, we were able to safely keep areas like construction, manufacturing and energy operating over the last several weeks by enforcing physical distancing and following the guidance of our Chief Medical Officer of Health. Thanks to that, we are starting from a strong place, and we will be able to apply that same guidance to other businesses across the province.

To be successful, we must ensure the sacrifices we have already made to contain the virus are not wasted. Continued care, common sense and resilience will move us forward. Here are some of the highlights of how we plan to get there.

To prepare for the first stage of relaunch, we must have the following elements in place.

Enhancing our nation-leading COVID-19 testing capacity

Robust and comprehensive contact tracing, aided by technology, to quickly identify and notify people who are at risk

Support for those who test positive to enable isolation and containment of spread

Stronger international border controls and airport screening

Public use of masks in specified crowded spaces, or mass transit

Strong protections for the most vulnerable, including those in long-term care

Rapid response teams to deal with future outbreaks

With these foundational elements in place, we will ensure a safer reopening.

Conditions for relaunch

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Opening soon | Alberta’s relaunch strategy 7

Key measures and timingGetting to each stage of relaunch will depend on our ability to keep infection rates low, and well within the capacity of the healthcare system. Health measures we will be watching include:

Percentage of tests that are positive

Hospitalization and intensive care unit (ICU) rates

Confirmed cases will be monitored in real-time to inform proactive responses in localized areas of the province.

We need to learn as we go and evaluate as we take careful, considered steps from one stage to the next. There may be times we need to take a step back, but in time, we will adjust and move forward together.

Continuous evaluation of health triggers could result in restrictions being removed or reapplied in some localized areas of the province.

Page 7: Opening soon...Opening soon Alberta’s relaunch strategy 5 Message from Dr. Deena Hinshaw, Chief Medical Officer of Health Over the past several months the COVID-19 pandemic has affected

Opening soon | Alberta’s relaunch strategy8

Alberta Health Services will resume some scheduled, non-urgent surgeries as soon as May 4.

Dental and other regulated health-care workers such as physiotherapists, speech language pathologists, respiratory therapists, audiologists, social workers, occupational therapists, dietitians, chiropractors, optometry and more will be allowed to resume services starting May 4, as long as they are following approved guidelines set by their professional colleges.

Vehicle access to parking lots and staging areas on public land and parks will open on May 1.

Alberta Parks’ online campground reservation system will open on May 14 for bookings at select campground starting June 1 onward.

Access to boat launches will open in select provincial parks May 1.

Golf courses can open on May 2, with restrictions including keeping clubhouses and pro shops closed. These will be able to open consistent with other businesses that will be open in stage one.

Early actionsBecause of the sacrifices Albertans have made to prevent the spread, we are ready to take some steps that will allow some activities to begin:

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Opening soon | Alberta’s relaunch strategy 9

Stage 1 (as early as May 14)

Stage 2 (timing to be determined based on health indicators)

Stage 3 (timing to be determined based on health indicators with gradual implementation)

With increased infection prevention and controls, some businesses and facilities will be allowed to resume operations as early as May 14.

This stage will allow some businesses and services to reopen and resume operations with two metre physical distancing requirements and other public health guidance in place. This includes:

Post-secondary institutions will continue to deliver courses; however how programs are delivered – whether online, in-person, or a blend – will be dependent on what restrictions remain in place at each relaunch phase.

Retail businesses such as clothing, furniture and bookstores.

Some personal services, such as hairstyling and barber shops.

Museums and art galleries.

More scheduled surgeries and dental procedures.

Daycares with limits on occupancy.

Summer camps with limits on occupancy. This could include summer school.

Cafés, restaurants (minors allowed in liquor-licensed establishments) with no bar service to reopen for public seating at 50 per cent capacity.

Some additional outdoor recreation.

Timing of this stage will be determined by the success of Stage 1, considering the capacity of the health care system and continued limiting and/or reduction of the rate of infections, hospitalization, and ICU cases.

This stage will allow additional businesses and services to reopen and resume operations with two metre physical distancing requirements and other public health guidelines in place. This includes:

Potential Kindergarten to Grade 12 schools with restrictions.

Libraries.

More scheduled surgeries, including backlog elimination.

Personal services such as artificial tanning, esthetics, cosmetic skin and body treatments, manicures, pedicures, waxing, facial treatments, massage and reflexology.

Restaurants, cafés, lounges and bars continuing to operate at reduced capacity.

Permitting of some larger gatherings (number of people to be determined as we learn more about the levels of risk for different activities) in some situations.

Movie theatres and theatres opening with restrictions.

Timing of this stage is to be determined and will involve:

Fully reopening all businesses and services, with limited restrictions.

Permitting larger gatherings (number of people to be determined).

Rules and guidance for the use of masks in crowded spaces, especially on mass transit.

Visitors to patients at health-care facilities will continue to be limited.

Visitors to patients at health-care facilities will continue to be limited.

Public attendance at businesses, facilities and events that have close physical contact will not be permitted, including: arts and culture festivals, major sporting events, and concerts.

Movie theatres, pools, recreation centres, arena, spas, gyms and nightclubs will remain closed.

Nightclubs, gyms, pools, recreation centres and arenas will remain closed.

Arts and culture festivals, concerts and major sporting events will continue to not be permitted.

Arts and culture festivals, concerts and major sporting events will be permitted with enhanced protection controls in place.

Nightclubs, gyms, pools, recreation centres and arenas will reopen with enhanced protection controls in place.

Physical distancing restrictions will be maintained.

Resuming industry conferences with restrictions.

Non-essential travel is not recommended. Non-essential travel is not recommended. Non-essential travel no longer discouraged.

Remote working is advised where possible.

Enhanced infection prevention and control measures will be in place in all phases.

Relaunch stage highlights

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Opening soon | Alberta’s relaunch strategy10

Public health measure Current

Stage 1 (to start as early as May 14)

Stage 2 Stage 3

Physical distancingMaintain distance of 2m

Maintain distance of 2m

Maintain distance of 2m

Maintain distance of 2m

GatheringsGatherings > 15 prohibited

Gatherings > 15 prohibited

Size of permitted gatherings will increase

Size of permitted gatherings will increase

Public masksEncourage wearing a mask where unable to physically distance

Encourage wearing a mask where unable to physically distance

Encourage wearing a mask where unable to physically distance

Unnecessary

Vulnerable Albertans (outside facility)

Remain home unless medically necessary

Stay at home as much as possible

Resume normal activities and interactions

Resume normal activities and interactions

Vulnerable Albertans (facility-based)

Visitor, staff, and operational restrictions

Visitor, staff, and operational restrictions

Visitor, staff, and operational restrictions

Lifted

Non-essential domestic travel

Non-essential travel not recommended

Non-essential travel not recommended

Non-essential travel not recommended

Lifted

Isolation and quarantine

14 days for cases, close contacts, and returning travelers

10 days if symptomatic but don’t fit above categories

14 days for cases, close contacts, and returning travelers

10 days if symptomatic but don’t fit above categories

14 days for cases, close contacts, and returning travelers

10 days if symptomatic but don’t fit above categories

Lifted

Key public health measures

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Opening soon | Alberta’s relaunch strategy 11

Protecting seniors and vulnerable populationsWe will continue to put a ring of defence around seniors and vulnerable populations. This means we will continue to support vulnerable and at-risk Albertans feeling the impacts of the COVID-19 pandemic.

Restrictions and measures intended to protect seniors, such as continued limits to visitors (long-term care facilities, licensed supportive living facilities including seniors lodges and group homes) and strict health protocols for staff are expected to remain in place through all stages of relaunch. Any changes would be guided by the advice of Alberta’s Chief Medical Officer of Health.

Strengthening the economyMore information on a new blueprint for economic recovery, which will set the course for our province’s future prosperity, will be provided in the coming days and weeks.

Do your partWe’re confident Albertans will face relaunch with the same adaptability and resilience they have shown throughout the COVID-19 pandemic.

Our individual actions are the strongest tool we have to protect our health-care system as we pull together to relaunch our economy.

Learn more about steps you can take to stop the spread of COVID19 at: alberta.ca/covid19

How Alberta compares: Public health measures

How Alberta compares: Industry restrictionsWhile some sectors have reamained open in each province, other provinces have placed further restrictions on construction, manufacturing and natural resources.

AB BC SK ON QC NB

Physical distancing 2 meter distancing

Gatherings > 15 prohibited > 50 prohibited > 10 prohibited > 5 prohibited All prohibited > 10 prohibited

Regions locked down None NoneYes

(Northern SK)None

Yes (10 + regions)

None

Restaurants Dine-in suspended

Business Virtual, or curbside only

Schools Online learning only

Isolation

14 days for close contacts and returning travelers

10 days if symptomatic or tested positive for COVID-19

14 days for positive cases, symptomatic individuals, close contacts, and returning travelers

AB BC ON QC

Construction Permitted PermittedPermitted for certain

industriesPermitted for certain

industries

ManufacturingPermitted

All deemed essentialPermitted for certain

industriesPermitted

All deemed essentialPermitted for certain

industries

Natural Resources Permitted Permitted PermittedPermitted, with Mining

initially limited then allowed after April 15.

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alberta.ca/covid19©2020 Government of Alberta | Published: May 2020 | Updated May 03, 2020

WORKPLACE GUIDANCE FOR BUSINESS OWNERS

OverviewThis document has been developed to support all business and sectors (excluding health care settings) in reducing the risk of transmission of COVID-19 among workers, volunteers and patrons. This document outlines the criteria that should be addressed in individual, written workplace policies and procedures established to address the COVID-19 pandemic response. All workplaces are expected to develop and implement these policies and procedures prior to re-opening or continuing operations after May 1, 2020. Industries or business with specialized operations or aspects may be subject to additional guidance. Any additional guidance made available is intended to augment this document.

The guidance in this document includes:

1) Communication related to COVID-19

2) Sick staff and volunteers

a. Employee or volunteer NOT diagnosed with COVID-19

b. Employee or volunteer diagnosed with COVID-19

3) Prevention

a. Screening

b. Hygiene

c. Cleaning and disinfecting

d. Personal Protective Equipment

e. Workplace bathrooms and showers

f. Distancing & gatherings in the workplace

g. Retail Items

h. Home Delivery, Drive through, Take-out and Curbside Pick-up

4) Appendix A: Information on Isolation and Quarantine

5) Appendix B: COVID-19 Plan for Large Production Facilities

As the COVID-19 pandemic is an evolving situation, this document and the guidance within are subject to change and will be updated as appropriate.

This information is not intended to exempt employers from existing occupational health and safety (OHS) requirements. OHS questions and concerns can be directed to the OHS Contact Centre by telephone at 1-866-415-8690 (in Alberta) or 780-415-8690 (in Edmonton) or online.

COVID-19 INFORMATION

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alberta.ca/covid19©2020 Government of Alberta | Published: May 2020 | Updated May 03, 2020

Communication related to COVID-19 • Encourage staff and volunteers to remain up to date with developments related to COVID-19.

• Remind employees about available social and mental health supports during this stressful time, and encourage them to use these resources.

• Notify employees and volunteers and patrons of the steps being taken by the workplace to prevent the risk of transmission of infection, and the importance of their roles in these measures. These notifications should also include:

- how workers and volunteers can mitigate risks when commuting to and from work (e.g., carpooling, public transit, chartered buses)

- how workers and volunteers can mitigate risks of transmission in homes and shared living accommodations - how workers and volunteers can mitigate risks when engaging in other activities outside of work, including at secondary job

locations - how patrons can mitigate risks when conducting business in store

• Post this information in areas where employees and volunteers can refer to them.

- “Help prevent the spread” posters are available. - When possible, provide necessary information in languages that are preferred by staff and volunteers.

• Prepare for increases in absenteeism due to illness among staff, volunteers and their families.

• Ensure employees and patrons are aware that Order 05-2020 requires individuals who have returned from travel outside of Canada to be in isolation for a minimum of 14 days.

- If an individual becomes sick during the 14-day isolation period, they should remain in isolation for an additional ten days from the start of symptoms, or until the symptoms resolve, whichever is longer.

- All non-essential travel outside Canada should be cancelled, as per the Government of Canada’s travel advisory.

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alberta.ca/covid19©2020 Government of Alberta | Published: May 2020 | Updated May 03, 2020

Sick staff and volunteers• Encourage employees with symptoms such as cough, fever, shortness of breath, runny nose, or sore throat symptoms to

complete the self assessment and get tested for COVID-19.

• Order 05-2020 legally obligates individuals who have a cough, fever, shortness of breath, runny nose, or sore throat (that is not related to a pre-existing illness or health condition) to be in isolation for 10 days from the start of symptoms, or until symptoms resolve, whichever takes longer.

- These requirements must be followed regardless of whether or not the individual has been tested for COVID-19.

• If an employee or volunteer does come to work sick, or becomes sick while at work, the following requirements apply:

- Employees, volunteers or patrons who appear to have acute respiratory illness symptoms (e.g., cough, shortness of breath) upon arrival to the workplace, or become sick while at the workplace, should begin isolation at home immediately.

- After being directed to leave the business, symptomatic employees should follow hand hygiene and respiratory etiquette and maintain at least 2 meters of distance from other employees, volunteers and patrons.

- Arrangements should be made by the employer for transportation home where needed; public transportation like buses, taxis or ride sharing should be avoided.

- Once a sick individual has left the workplace, clean and disinfect all surfaces and areas with which they may have come into contact.

- The employer should immediately consider and record the names of all close contacts of the sick worker has been in contact with that day and in the 48 hours prior to when the symptoms started in the case. This information may be necessary if the sick worker later tests positive for COVID-19.

• More information on isolation and quarantine can be found in Appendix A

Employee or volunteer diagnosed with COVID-19

• Order 05-2020 legally requires individuals to be in isolation for a minimum of 10 days if they have tested positive for COVID-19.

- For clarity, the isolation period is 10 days from the start of symptoms, or until symptoms resolve, whichever takes longer.

• If an employee or volunteer is confirmed to have COVID-19, and it is determined that other people may have been exposed to that person, Alberta Health Services (AHS) may be in contact with the business to provide the necessary public health guidance. Records may be sought up to two-weeks prior to the individual becoming ill.

- Employers should work cooperatively with AHS to ensure those potentially exposed to the individual receive the correct guidance.

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alberta.ca/covid19©2020 Government of Alberta | Published: May 2020 | Updated May 03, 2020

Prevention• All businesses should:

- Prevent the risk of transmission of infection amongst workers, volunteers or (as applicable) patrons; - Provide for rapid response if a worker, volunteer or member of the public develops symptoms of illness while at the place of

business; and - Maintain high levels of hygiene.

• Conduct hazard assessments on all tasks performed in the business. Consider business closure or suspension of specific tasks where the risk of transmission of infection to staff, volunteers and patrons cannot be mitigated.

Screening

• Employers should implement active daily screening of staff, volunteers and patrons for symptoms of fever, sore throat, cough, runny nose or difficulty breathing.

• Emphasize that anyone who is sick with cold-like symptoms such as cough, fever, runny nose, sore throat or shortness of breath, MUST NOT be in the workplace.

- Patrons with these symptoms should not be allowed in the workplace and should be advised to return home. - Employers are encouraged to examine sick-leave policies to ensure they align with public health guidance. There should be

no disincentive for staff or volunteers to stay home while sick or isolating. - Changes to the Employment Standards Code will allow full and part-time employees to take 14 days of job-rotected leave if

they are:

• required to isolate

• caring for a child or dependent adult who is required to isolate.

- Employees are not required to have a medical note.

• To enable quick contact with employees, employers should maintain an up-to-date contact list for all staff and volunteers, including names, addresses and phone numbers.

• For the purposes of tracing close contacts, employers should be able to indicate

- roles and positions of persons working in the workplace - who was working onsite at any given time - who an employee may have worked with on any given shift.

• If a workplace has patrons within 2 metres of employees, then lists of patrons by time and date should also be kept.

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alberta.ca/covid19©2020 Government of Alberta | Published: May 2020 | Updated May 03, 2020

Hygiene

• Employers and businesses should promote and facilitate frequent and proper hand hygiene for employees, volunteers and patrons.

- It is strongly encouraged that businesses provide a means to sanitize hands at points of entry to the business and at other locations in a business where patrons and staff are known to handle goods.

• Employers should instruct staff and volunteers to wash their hands often with soap and water for at least 20 seconds or use an alcohol-based hand sanitizer (greater than 60% alcohol content).

- Hand washing with soap and water is required if the employee or volunteer has visibly dirty hands. - The AHS Hand hygiene education webpage has more information, posters and videos about hand hygiene. - Glove use alone is not a substitute for hand hygiene. Hands should be cleaned before and after using gloves.

• Employers should make every effort to encourage respiratory etiquette (e.g., coughing or sneezing into a bent elbow, promptly disposing of used tissues in the trash) is followed.

• The use of posters that remind staff, volunteers and patrons to practice respiratory etiquette and hand hygiene is strongly encouraged in work areas where they are easily seen (e.g., entrances, washrooms and staff rooms).

- Posters are available here.

Cleaning and disinfecting

• Cleaning refers to the removal of visible soil. Cleaning does not kill germs but is highly effective at removing them from a surface. Disinfecting refers to using a chemical to kill germs on a surface. Disinfecting is only effective after surfaces have been cleaned.

- Use a “wipe-twice” method to clean and disinfect. Wipe surfaces with a cleaning agent to clean off soil and wipe again with a disinfectant.

• Develop and implement procedures for increasing the frequency of cleaning and disinfecting of high traffic areas, common areas, public washrooms and showering facilities.

• Frequently clean and disinfect high-touch/shared surfaces such as:

- Doorknobs, light switches, toilet handles, faucets and taps, elevator buttons, railings - Phones, computers, remote controls, keyboards, desktops, conference room equipment, cash registers, surface counters,

customer service counters, menus - Equipment handles, hand tools, machinery control panels, seat belt buckles, joysticks, steering wheels and controls on

powered mobile equipment - Staff rooms, kitchens, washrooms

• Regular household cleaning and disinfecting products are effective against COVID-19 when used according to the directions on the label.

- Use a disinfectant that has a Drug Identification Number (DIN) and a virucidal claim (efficacy against viruses). - Alternatively, use a bleach-water solution with 100 ml of bleach to 900 ml water. - Health Canada has approved several hard-surface disinfectants and hand sanitizers for use against COVID-19. Use these

lists to look up the DIN number of the product you are using or to find an approved product. - Make sure to follow instructions on the product label to disinfect effectively

• Disposable towels and spray cleaners, or disposable wipes, should be available to staff, volunteers and (as necessary) patrons to regularly clean commonly used surfaces.

• Remove all communal items that cannot be easily cleaned, such as newspapers, magazines, and stuffed toys.

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alberta.ca/covid19©2020 Government of Alberta | Published: May 2020 | Updated May 03, 2020

Personal Protective Equipment (PPE)

• Business owners should conduct hazard assessments to identify existing and potential hazards related to COVID-19. Where elimination of these hazards is not possible or reasonable, they should be controlled.

• PPE is based on risk of exposure to a pathogen that considers both the risk associated with a specific task/activity as well as the source of infection (e.g. ill person). PPE that is chosen should be appropriate to the hazard

• When hazards related to COVID-19 cannot be completely eliminated, the following hierarchy of controls are required:

- First choice: Engineering controls These control the hazard at the source. Examples include placing barriers or partitions between staff, removing seats from lunch rooms and dining areas, re-arranging lockers, restricting general access to the business and increasing ventilation.

- Second choice: Administrative controls These controls change the way workers, volunteer and patrons interact. Examples include policies for physical distancing, limiting hours of operations and respiratory etiquette and providing adequate facilities, supplies and reminders for hand hygiene. Increased frequency of cleaning as outlined above is also required.

- Third choice: PPE PPE is necessary when physical distancing of 2 metres or physical barriers cannot be maintained by administrative and engineering controls. PPE controls the hazard at the worker, volunteer and client level. Examples of PPE include gloves, eye protection, gown, face protections, procedure/surgical masks or NIOSH-N95 masks1.

When a hazard cannot be controlled by a single control method, the business owner should utilize a combination of these controls to provide an acceptable level of safety.

• PPE should be stored, used and maintained as per the manufacturer’s instruction for use, so it can perform its intended function to protect staff and volunteers.

• If a hazard assessment determines that PPE is necessary, the business owner should ensure that the PPE fits the workers and volunteers effectively.

- If a mask is deemed necessary, surgical and non-surgical masks are most often sufficient. - Respirators (e.g. N95 masks) are only required when the work might cause large droplets containing COVID-19 to be

aerosolized into tiny airborne particles1. This is not common in a majority of business settings. - Resources are available to assist in developing codes of practice for the use of respirators. A code of practice sets out

information on the selection, maintenance and use of respiratory protective equipment.

• PPE should be discarded in a lined garbage bag in between clients.

• PPE, such as eye protection, may be reused by the same user, only if the manufacturer allows it and has provided clear cleaning and disinfecting instructions.

- Assign a user’s name and store separately from other PPE, after cleaning and disinfecting.

1 Specific medical procedures called aerosolized generating medical procedures (AGMP’s) can transform larger, heavier COVID-19 droplets into tiny particles and may remain airborne for a period of time. Respiratory protection from aerosolized particles, during an AGMP requires fit-tested, seal checked NIOSH-N95 respirators.

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alberta.ca/covid19©2020 Government of Alberta | Published: May 2020 | Updated May 03, 2020

Workplace bathrooms and showers

• Maintain bathrooms and showers and any associated amenities in a clean and sanitary condition. The frequency of cleaning and disinfection will vary depending on usage.

- Use a “wipe-twice” method to clean and disinfect high-touch shower surfaces such as faucets, door handles, soap and shampoo dispensers and towel bars. Wipe these kinds of surfaces with a cleaning agent to clean off soil and wipe again with a disinfectant.

• Consider physical distancing of users in order to prevent the spread of COVID-19. Distancing can be facilitated by the use of partitioned stalls, decommissioning toilets or urinals that are less than 2 metres apart or staggering entry into locker rooms and showers so that fewer users are present at a time.

- As the virus spreads in large droplets, it will fall to the ground once a shower is complete, presenting minimal risk to the next user.

• Post signage in bathrooms and shower areas that informs users of how to mitigate risks of COVID-19 transmission (E.g., hand hygiene, respiratory etiquette).

• Where necessary, maintain an adequate supply of soap, paper towel, toilet paper, hand sanitizer and other supplies.

Distancing & gatherings in the workplace

• Order 07-2020 prohibits gatherings of more than 15 people, however this does not prohibit businesses from having more than 15 workers in a workplace.

• Examples of how to support distancing between employee, volunteers and patrons to reduce the risk of transmission amongst workers, volunteers and patrons include:

- Maintaining a 2 metre separation between individuals (e.g., workers, volunteers, patrons) is preferred in any business. - Restricting the number of employees, volunteers and patrons in a business at any one time. - Installing a physical barrier, such as a cubicle, partition or window, to separate workers, volunteers and patrons. - Increasing separation between desks and workstations. - Eliminating or re-structuring of non-essential gatherings (e.g. meetings, training classes) of staff, patrons and volunteers.

Typically, this involves moving in-person meetings to virtual media platforms like teleconference or video conference. - Limiting the number of people in shared spaces (such as lunchrooms) or staggering break periods. Removing chairs form

spaces and taping markers at 6-foot distances may be helpful in preventing crowds. - Limiting hours of operation or setting specific hours for at-risk patrons. - Implementing contact-free modes of patron interaction such as home-delivery of goods or curb-side pickup of items. - Placement of reference markers (e.g., markings on the floor in grocery line-ups) that set out two-meter distances.

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alberta.ca/covid19©2020 Government of Alberta | Published: May 2020 | Updated May 03, 2020

Retail Items

• Develop strategies to minimize the handling of retail objects before purchase.

- Businesses should minimize the risk of ‘trying-on’ of garments by encouraging customers to sanitize hands before trying on clothes. Surfaces in changerooms should be cleaned and disinfected after use.

• Update return policies to prevent the risk of transmission of COVID-19 to workers, volunteers and patrons. This may include:

- Eliminating the opportunity to return purchased goods (i.e. Final sale only) - Cleaning and disinfecting hard-surfaced, returned good prior to placing them back onto the sales floor; and - Storing soft-surface items for a period of 24 hours prior to resale.

Home Delivery, Drive through, Take-out and Curbside Pick-up

• Any business still permitted to operate is allowed to sell their goods via delivery, drive-thru, take-out and curbside pick- up.

• Interactions between workers, volunteers and patrons that occur via delivery, drive-thru, take-out and curbside pick-up are intended to be completed as immediately as possible and with minimal to no interaction at a distance of less than 2 meters.

• For the purposes of conducting important duties (e.g., filling orders, counting inventory), staff and volunteers may continue to work within a business that has been otherwise ordered to restrict public access.

• Owners of businesses that offer delivery or onsite pick-up of goods to patrons should conduct a hazard assessment and mitigate any new risks including those related to traffic and the transmission of infection to workers, volunteers and patrons.

- At this time it is understood that the risk of transmission of COVID-19 to patrons who pick-up goods, or have them delivered, is minimal so long as workers and volunteers are mitigating risks in the workplace (e.g., performing hand hygiene, not letting sick workers be in the workplace, conducting surface cleaning and disinfection) and during delivery.

• Owners should ensure that workers and volunteers follow requirements for hand hygiene when handling or delivering goods.

• It is strongly recommended that businesses offering delivery and curbside pick up remind patrons to observe physical distancing while collecting goods and to perform hand hygiene after handling goods.

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alberta.ca/covid19©2020 Government of Alberta | Published: May 2020 | Updated May 03, 2020

ResourcesGovernment of Alberta (Alberta Health) – COVID-19 Information for Albertans

Alberta Health Services – COVID-19 Self-Assessment Tool

Government of Canada – Coronavirus disease (COVID-19)

Information Privacy FOIP-PIPA Help Desk: 780-427-5848 Toll free: 310-0000 before the phone number (in Alberta) Email: [email protected]

Health Information Act (HIA) Help Desk: 780-427-8089 Toll free: 310-0000 before the phone number (in Alberta) [email protected]

Office of the Information and Privacy Commissioner: Privacy in a Pandemic

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alberta.ca/covid19©2020 Government of Alberta | Published: May 2020 | Updated May 03, 2020

Appendix A: Information on Quarantine and IsolationOne of the first critical steps to preventing further transmission of disease is the implementation of quarantine and isolation procedures. It is important to understand the difference and the mandatory requirements for each.

When someone is exposed to a contagious disease, they may not always get sick. If they do become sick, there will be a period of time between being exposed and becoming sick. It can take up to 14 days for people to start experiencing COVID-19 symptoms (e.g., fever, cough, shortness of breath/difficulty breathing, sore throat or runny nose).

Quarantine and isolation refer to separating and restricting people from contact with all others to prevent transmission.

Quarantine Isolation

Done when people are not yet sick, but have been exposed Done when people are sick, to keep them from infecting others

The quarantine period for COVID-19 is 14 days

• This is because it can take up to 14 days for an individual to develop symptoms

The isolation period for COVID-19 is 10 days or until symptoms resolve, whichever is longer

Alberta’s Chief Medical Officer of Health Order 05-2020 (see Order for full details and exemptions) states the situations where Albertans are legally obligated to quarantine or isolate:

• Albertans are legally required to be in quarantine for 14 days either:

- Immediately upon return from travel outside of Canada, or - If they are a close contact of a person who tested positive for COVID-19.

• Albertans are legally required to be in isolation for 10 days, or until symptoms resolve, whichever takes longer, if they:

- Are diagnosed with COVID-19. - Develop a cough, fever, shortness of breath/difficulty breathing, runny nose, or sore throat not related to a pre-existing

illness or health condition or to a known exposure to COVID-19.

• Order 05-2020 includes the following restrictions and requirements for isolation:

- Remaining at home, and 2 metres distant from others at all times; - Not attending work, school, social events or any other public gatherings; - Not taking public transportation.

• Persons in isolation are not required to remain in isolation if they test negative for COVID-19 and have no known exposure to COVID-19. However, they must not return to work until symptoms have resolved. Returning while still ill may result in others being infected with their illness (e.g. cold or flu) and forcing those persons to isolate.

• Order 05-2020 includes the following restrictions and requirements for quarantine:

- Remaining at home - Not attending work, school, social events or any other public gatherings - Not taking public transportation - Watching for relevant symptoms

If persons in quarantine begin to experience symptoms (cough, fever, shortness of breath/difficulty breathing, runny nose, or sore throat) not related to a pre-existing illness or health condition or to a known exposure to COVID-19, they must enter isolation for a period of 10 additional days from the start of their symptoms, or until symptom resolve, whichever is longer. However, in no case shall the total stay in quarantine/isolation be less than 14 days. Staff are should use the AHS Self-Assessment tool for self-assessment.

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alberta.ca/covid19©2020 Government of Alberta | Published: May 2020 | Updated May 03, 2020

Appendix B: COVID-19 Plan for Large Production FacilitiesOperators of large production facilities, such as food processing, manufacturing plants, etc., have a responsibility to prevent the risk of COVID-19 transmission to staff, contractors and other visitors at their facilities, and to provide for rapid response when a person develops relevant symptoms and is required to immediately isolate.

This appendix details the minimum criteria that operators should incorporate into their written rapid response plans to ensure their readiness to manage symptomatic individuals, confirmed cases of COVID-19 and to respond to an outbreak, should one occur.

Completed proactive plans should be implemented immediately, even if no cases have been reported in the facility. Written documentation should be readily available for government agencies to review, when requested, to facilitate the evaluation of facility readiness and also to aid in investigations of symptomatic workers and/or outbreaks.

Operators of large production facilities should incorporate, at a minimum, the following measures into a written COVID-19 preparedness and response plan. The plan should be put in place immediately to prevent the possibility of spread, even before any cases are identified at the workplace:

1. Site map

I. Configuration and drawing that identifies all areas of the food facility/processing plant, including:

a. All buildings

b. Accommodation facilities, dining areas, washrooms and showers – where applicable

c. Recreational activity areas (e.g., fitness facilities, games rooms, etc.) – where applicable

d. Areas intended for isolation and quarantine, if staff residence is provided onsite

e. Medical and first aid offices and resources

f. Site and facility entry and exit points

2. Physical Distancing Requirements

I. Describe how physical distancing requirements set out in the Workplace Guidance for Business Owners will be maintained throughout the facility.

3. Use of Administrative, Engineering and Personal Protective Equipment

I. Describe how workers will be protected when physical distancing requirements set out in the Workplace Guidance for Business Owners cannot be maintained.

4. Cleaning and Disinfection

I. Describe the capacity of staff to increase frequency of cleaning and disinfecting

II. Describe protocols for increasing frequency of cleaning and disinfection around the facility.

a. Production areas

b. Cafeterias, locker rooms, change rooms, staff rooms and lunch rooms

c. High touch areas e.g. door knobs, handles, rails, washrooms

d. Communal equipment and materials e.g. vending machines, ice machines, water coolers

III. Protocols for quality control monitoring of cleaning and disinfection

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alberta.ca/covid19©2020 Government of Alberta | Published: May 2020 | Updated May 03, 2020

5. Staff and Visitor Inventory

I. Describe the protocol for maintaining an up-to-date rolling 6 week inventory of all people visiting the work site including:

a. Full names, addresses, phone numbers for all staff

i. Particular attention should be paid to recognize instances where multiple workers reside in the same location (i.e. be aware of the potential for transmission in close quarters).

b. Check in and check out procedures for staff

c. Staff work assignments (where in the facility do staff perform their duties)

d. Method of transportation to and from work chosen by employees (e.g., carpooling, public transit, drive alone)

e. Contractor and visitor information (e.g., delivery drivers, repair workers) for those coming onto the site

i. Full names, addresses, phone numbers for contractors and visitors

ii. Company name, phone number and address

iii. Location in facility accessed by contractor/visitor

II. Full name and contact information of all medical and safety personnel employed, and qualifications, including

a. OH&S representatives

b. Nurses

c. First aid trained staff

d. Other responsible persons

6. Site-specific isolation and quarantine protocols

I. When to notify Alberta Health Services and how; who is responsible for doing so

II. Describe procedures for the safe transport of symptomatic individuals to allow isolation at an offsite location (e.g., individual’s home, isolation facility). If no capacity to isolate onsite, describe alternatives:

a. Identify off-site facilities

b. Notification of, and arrangements made with, off-site facilities

c. Safe transportation to homes or offsite facilities without exposing others

d. How transporting vehicles will be cleaned/disinfected

e. Informing staff who may have been exposed to a symptomatic worker of the need to self-monitor and to report if symptoms develop

f. Informing individual of legal obligations to prevent exposure to others during transport and isolation/quarantine periods at home or in off-site facilities

g. Protocol for consultation with AHS before allowing any individual to leave the work site for isolation/quarantine

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alberta.ca/covid19©2020 Government of Alberta | Published: May 2020 | Updated May 03, 2020

III. Describe how isolating/quarantining individuals will be monitored for deteriorating health if housed in company provided residences

a. Describe capacity for emergency transportation – i.e. transport before the need for 911.

b. Describe capacity to have emergency vehicles respond in a short time frame?

c. Call 911 for individuals requiring emergency medical assistance. Let the operator know that they could have COVID-19, so they can make appropriate arrangements to care for them safely.

7. Screening

I. Protocol for screening of staff and visitors for COVID-19 upon arrival (Suggested questionnaire below). If a visitor answers YES to any of the questions, the individual SHOULD NOT be allowed on the business premises. Facilities should observe visitors for any of the symptoms listed above.

1. Do you have any of the below symptoms:

• Fever (greater than 38.0C) YES NO

• Cough YES NO

• Shortness of Breath / Difficulty Breathing YES NO

• Sore throat YES NO

• Runny Nose YES NO

2. Have you, or anyone in your household travelled outside of Canada in the last 14 days? YES NO

3. Have you, or anyone in your household been in contact in the last 14 days with someone who is being investigated or confirmed to be a case of COVID-19?

YES NO

4. Are you currently being investigated as a suspect case of COVID-19? YES NO

5. Have you tested positive for COVID-19 within the last 10 days? YES NO

II. Protocol for conducting daily health check/screening of workers and visitors (e.g. delivery persons and repair persons) using the table above as a reference

III. Protocol for controlling entry and exit points from work site to ensure adequate screening

IV. Protocols for requiring staff and visitor reporting of illness

V. Procedures used by onsite health and safety staff to screen individuals:

a. Questionnaire

b. Temperature checks (if chosen as a screening method)

c. Visual observation

d. Other

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alberta.ca/covid19©2020 Government of Alberta | Published: May 2020 | Updated May 03, 2020

8. Communication protocols

I. Protocol for communicating health-related messaging to employees in their preferred language

II. Protocol for rapid and mass communication with all staff, if necessary

III. Protocol for ensuring symptomatic and isolating workers have the necessary specialized supports

IV. Protocol for educating staff of the importance to protect themselves from infection while on and off work – for example, while at home, carpooling, etc

V. Protocol for rapid response when issues are identified through screening, self-reporting or through communication of symptomatic contractors of visitors

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08/05/2020 Cleaning and Disinfecting Your Facility | CDC

https://www.cdc.gov/coronavirus/2019-ncov/community/disinfecting-building-facility.html 1/4

Coronavirus Disease 2019 (COVID-19)

Cleaning and Disinfecting Your FacilityEveryday Steps, Steps When Someone is Sick, and Considerations for Employers

How to clean and disinfect

CleanWear disposable gloves to clean and disinfect.

Clean surfaces using soap and water, then use disinfectant.

Cleaning with soap and water reduces number of germs, dirt and impurities on the surface. Disinfectingkills germs on surfaces.

Practice routine cleaning of frequently touched surfaces.

More frequent cleaning and disinfection may be required based on level of use.

Surfaces and objects in public places, such as shopping carts and point of sale keypads should becleaned and disinfected before each use.

High touch surfaces include:Tables, doorknobs, light switches, countertops, handles, desks, phones, keyboards, toilets, faucets,sinks, etc.

DisinfectRecommend use of EPA-registered household disinfectant .Follow the instructions on the label to ensure safe and e�ective use of the product.Many products recommend:

Keeping surface wet for a period of time (see product label).

Precautions such as wearing gloves and making sure you have good ventilation during use of theproduct.

Diluted household bleach solutions may also be used if appropriate for the surface.Check the label to see if your bleach is intended for disinfection, and ensure the product is not pastits expiration date. Some bleaches, such as those designed for safe use on colored clothing or forwhitening may not be suitable for disinfection.

Unexpired household bleach will be e�ective against coronaviruses when properly diluted.Follow manufacturer’s instructions for application and proper ventilation. Never mix householdbleach with ammonia or any other cleanser.Leave solution on the surface for at least 1 minute.

To make a bleach solution, mix:

5 tablespoons (1/3rd cup) bleach per gallon of waterOR

4 teaspoons bleach per quart of water

Bleach solutions will be e�ective for disinfection up to 24 hours.

Alcohol solutions with at least 70% alcohol may also be used.

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08/05/2020 Cleaning and Disinfecting Your Facility | CDC

https://www.cdc.gov/coronavirus/2019-ncov/community/disinfecting-building-facility.html 2/4

Soft surfacesFor soft surfaces such as carpeted �oor, rugs, and drapes

Clean the surface using soap and water or with cleaners appropriate for use on these surfaces.

Launder items (if possible) according to the manufacturer’s instructions.Use the warmest appropriatewater setting and dry items completely.

OR

Disinfect with an EPA-registered household disinfectant. These disinfectants  meet EPA’s criteria foruse against COVID-19.

Vacuum as usual.

ElectronicsFor electronics, such as tablets, touch screens, keyboards, remote controls, and ATM machines

Consider putting a wipeable cover on electronics.

Follow manufacturer’s instruction for cleaning and dinfecting.If no guidance, use alcohol-based wipes or sprays containing at least 70% alcohol. Dry surfacethoroughly.

LaundryFor clothing, towels, linens and other items

Launder items according to the manufacturer’s instructions. Use the warmest appropriate water settingand dry items completely.

Wear disposable gloves when handling dirty laundry from a person who is sick.

Dirty laundry from a person who is sick can be washed with other people’s items.

Do not shake dirty laundry.

Clean and disinfect clothes hampers according to guidance above for surfaces.

Remove gloves, and wash hands right away.

Cleaning and disinfecting your building or facility if someone is sickClose o� areas used by the person who is sick.

Companies do not necessarily need to close operations, if they can close o� a�ected areas.

Open outside doors and windows to increase air circulation in the area.

Wait 24 hours before you clean or disinfect. If 24 hours is not feasible, wait as long as possible.

Clean and disinfect all areas used by the person who is sick, such as o�ces, bathrooms, common areas,shared electronic equipment like tablets, touch screens, keyboards, remote controls, and ATM machines.

Vacuum the space if needed. Use vacuum equipped with high-e�ciency particular air (HEPA) �lter, ifavailable.

Do not vacuum a room or space that has people in it. Wait until the room or space is empty tovacuum, such as at night, for common spaces, or during the day for private rooms.

Consider temporarily turning o� room fans and the central HVAC system that services the room orspace, so that particles that escape from vacuuming will not circulate throughout the facility.

Once area has been appropriately disinfected, it can be opened for use.

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08/05/2020 Cleaning and Disinfecting Your Facility | CDC

https://www.cdc.gov/coronavirus/2019-ncov/community/disinfecting-building-facility.html 3/4

Workers without close contact with the person who is sick can return to work immediately afterdisinfection.

If more than 7 days since the person who is sick visited or used the facility, additional cleaning anddisinfection is not necessary.

Continue routing cleaning and disinfection. This includes everyday practices that businesses andcommunities normally use to maintain a healthy environment.

Cleaning and disinfecting outdoor areasOutdoor areas, like playgrounds in schools and parks generally require normal routine cleaning, but donot require disinfection.

Do not spray disinfectant on outdoor playgrounds- it is not an e�cient use of supplies and is notproven to reduce risk of COVID-19 to the public.

High touch surfaces made of plastic or metal, such as grab bars and railings should be cleanedroutinely.

Cleaning and disinfection of wooden surfaces (play structures, benches, tables) or groundcovers(mulch, sand) is not recommended.

Sidewalks and roads should not be disinfected.Spread of COVID-19 from these surfaces is very low and disinfection is not e�ective.

When cleaningRegular cleaning sta� can clean and disinfect community spaces.

Ensure they are trained on appropriate use of cleaning and disinfection chemicals.

Wear disposable gloves and gowns for all tasks in the cleaning process, including handling trash.Additional personal protective equipment (PPE) might be required based on the cleaning/disinfectantproducts being used and whether there is a risk of splash.

Gloves and gowns should be removed carefully to avoid contamination of the wearer and thesurrounding area.

Wash your hands often with soap and water for 20 seconds.Always wash immediately after removing gloves and after contact with a person who is sick.

Hand sanitizer: If soap and water are not available and hands are not visibly dirty, an alcohol-basedhand sanitizer that contains at least 60% alcohol may be used. However, if hands are visibly dirty,always wash hands with soap and water.

Additional key times to wash hands include:After blowing one’s nose, coughing, or sneezing.

After using the restroom.

Before eating or preparing food.

After contact with animals or pets.

Before and after providing routine care for another person who needs assistance (e.g., a child).

Additional considerations for employersEducate workers performing cleaning, laundry, and trash pick-up to recognize the symptoms of COVID-19.

Provide instructions on what to do if they develop symptoms within 14 days after their last possibleexposure to the virus.

Develop policies for worker protection and provide training to all cleaning sta� on site prior to providingcleaning tasks.

Training should include when to use PPE, what PPE is necessary, how to properly don (put on), use,and do� (take o�) PPE and how to properly dispose of PPE.

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08/05/2020 Cleaning and Disinfecting Your Facility | CDC

https://www.cdc.gov/coronavirus/2019-ncov/community/disinfecting-building-facility.html 4/4

and do� (take o�) PPE, and how to properly dispose of PPE.

Ensure workers are trained on the hazards of the cleaning chemicals used in the workplace in accordancewith OSHA’s Hazard Communication standard (29 CFR 1910.1200 ).

Comply with OSHA’s standards on Bloodborne Pathogens (29 CFR 1910.1030 ), including proper disposalof regulated waste, and PPE (29 CFR 1910.132 ).

Alternative disinfection methodsThe e�cacy of alternative disinfection methods, such as ultrasonic waves, high intensity UV radiation, andLED blue light against COVID-19 virus is not known.

EPA does not routinely review the safety or e�cacy of pesticidal devices, such as UV lights, LED lights,or ultrasonic devices. Therefore, EPA cannot con�rm whether, or under what circumstances, suchproducts might be e�ective against the spread of COVID-19.

CDC does not recommend the use of sanitizing tunnels. There is no evidence that they are e�ective inreducing the spread of COVID-19. Chemicals used in sanitizing tunnels could cause skin, eye, orrespiratory irritation or damage.

CDC only recommends use of the surface disinfectants identi�ed on List N  against the virus thatcauses COVID-19.

For facilities that house people overnightFollow CDC’s guidance for colleges and universities. Work with state and local health o�cials to determinethe best way to isolate people who are sick and if temporary housing is needed.

For guidance on cleaning and disinfecting the bedroom/bathroom for someone who is sick, review CDC’sguidance on disinfecting your home if someone is sick.

More details: Detailed Disinfection Guidance for Community Facilities

More information

Transport Vehicles

Page last reviewed: April 14, 2020

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COVID-19 INFORMATION

PLEASE DO NOT ENTER

alberta.ca/covid19

April 1, 2020

Have a fever, cough, sore throat, runny nose, or shortness of breath

Have travelled outside of Canada within the last 14 days

Are a close contact of a person who tested positive for COVID-19

All other visitors, please wash your hands, or clean them with hand sanitizer before and after your visit. Please maintain physical distancing of 2 metres.

Thank you for your cooperation.

Stay informed on how you can help prevent the spread.

AND SELF-ISOLATE IMMEDIATELY, IF YOU:

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COVID-19 INFORMATION

OPEN FOR BUSINESS AND KEEPING ALBERTANS SAFE

alberta.ca/covid19

The safety of customers and staff of Alberta business is a priority. That’s why this business is committed to:

Cleaning regularly, especially in high traffic areas

Wiping down and disinfecting surfaces

Providing access to hand sanitizer

Encouraging staff to stay home and away from others if sick

Helping Albertans maintain physical distancing of 2 metres

Stay informed on how you can protect yourself and others from COVID-19.

April 1, 2020

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RUB HANDS FOR HAND HYGIENE! WASH HANDS WHEN VISIBLY SOILED

Apply a palmful of the product in a cupped hand, covering all surfaces; Rub hands palm to palm;

Right palm over left dorsum with interlaced fingers and vice versa;

Palm to palm with fingers interlaced; Backs of fingers to opposing palms with fingers interlocked;

Rotational rubbing of left thumb clasped in right palm and vice versa;

Rotational rubbing, backwards and forwards with clasped fingers of right hand in left palm and vice versa;

Once dry, your hands are safe.

How to Handrub?Duration of the entire procedure: 20-30 seconds

May 2009

1a 1b 2

3 4 5

6 7 8

All reasonable precautions have been taken by the World Health Organization to verify the information contained in this document. However, the published material is being distributed without warranty of any kind, either expressed or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the World Health Organization be liable for damages arising from its use.

WHO acknowledges the Hôpitaux Universitaires de Genève (HUG), in particular the members of the Infection Control Programme, for their active participation in developing this material.

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WASH HANDS WHEN VISIBLY SOILED! OTHERWISE, USE HANDRUB

How to Handwash?Duration of the entire procedure: 40-60 seconds

0 1 2

3 4 5

6 7 8

9 10 11

Rub hands palm to palm;Apply enough soap to cover all hand surfaces;

Wet hands with water;

Right palm over left dorsum with interlaced fingers and vice versa;

Palm to palm with fingers interlaced; Backs of fingers to opposing palms with fingers interlocked;

Rotational rubbing of left thumb clasped in right palm and vice versa;

Rotational rubbing, backwards and forwards with clasped fingers of right hand in left palm and vice versa;

Rinse hands with water;

Your hands are now safe.Use towel to turn off faucet;Dry hands thoroughlywith a single use towel;

All reasonable precautions have been taken by the World Health Organization to verify the information contained in this document. However, the published material is being distributed without warranty of any kind, either expressed or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the World Health Organization be liable for damages arising from its use.

WHO acknowledges the Hôpitaux Universitaires de Genève (HUG), in particular the members of the Infection Control Programme, for their active participation in developing this material.

May 2009