What Grocery and Food Retail Workers Need to Know about COVID-19
As a grocery or food retail worker, how can I protect myself and slow the spread?
As a grocery or food retail worker, potential sources of exposures include
close contact for prolonged periods of time with a customer with COVID-19 and
touching your nose, mouth, or eyes after handling items, cash, or merchandise
that customers with COVID-19 have touched.

Notify your supervisor and stay home if having symptoms (fever, cough, or shortness of breath).
Follow CDC-recommended steps if you are sick. You should not return to work until the criteria to discontinue home isolation are met, in consultation with healthcare providers and state and local health departments.
Follow CDC recommended precautions and notify your supervisor if you are well but have a sick family member at home with COVID-19.
Limit close contact with others and maintain a distance of at least 6 feet, when possible.
Remind customers to maintain 6 feet distance from workers and other customers with verbal announcements on the loudspeaker and written signage.

CDC recommends wearing cloth face coverings in public settings where other social distancing measures are difficult to maintain, especially in areas of significant community-based transmission. Cloth face coverings may prevent people who don’t know they have the virus from transmitting it to others. These face coverings are not surgical masks or respirators and are not appropriate substitutes for them in workplaces where masks or respirators are recommended or required.
Encourage customers to use touchless payment options, when available. Minimize handling cash, credit cards, reward cards, and mobile devices, where possible.
When exchanging paper and coin money:
Do not touch your face afterward.
Ask customers to place cash on the counter rather than directly into your hand.
Place money directly on the counter when providing change back to customers.
Wipe counter between each customer at checkout.

Clean and disinfect frequently touched surfaces such as workstations, cash registers, payment terminals, door handles, tables, and countertops on a routine basis. Follow the directions on the cleaning product’s label and clean hands afterwards.
Practice proper hand hygiene. This is an important infection control measure. With appropriate hand hygiene, gloves are not necessary for workers who are not involved in food preparation. Wash your hands regularly with soap and water for at least 20 seconds. An alcohol-based hand sanitizer containing at least 60% alcohol can be used, but not as a substitute for cleaning hands with soap and water.
Key times to clean hands include:
Before, during, and after preparing food
Before eating food
After using the toilet
After blowing your nose, coughing, or sneezing
After putting on, touching, or removing cloth face coverings

Additional workplace-specific times to clean hands include:
Before and after work shifts and periodically throughout shift
Before and after work breaks
After touching money or objects that have been handled by customers, such as reusable grocery bags
Before putting on and taking off disposable gloves when performing food prep

Avoid contact with body fluids.
Do not touch your eyes, nose, or mouth.
Use tissues when you cough, sneeze, or touch your face. Throw used tissues in the trash.


What Grocery and Food Retail Workers Need to Know about COVID-19
What steps should my employer take?
Grocery and food retail establishment employers should have a COVID-19 health
and safety plan to protect employees, following CDC
Interim Guidance for Businesses and
Employers. This plan should be shared with you and your
coworkers. Employers should:
Reduce transmission among employees

Take steps to help prevent the spread of COVID-19 if an employee is sick.
Actively encourage sick employees to stay home.
Sick employees diagnosed with COVID-19 shouldn’t return to work until the criteria to discontinue home isolation are met, in consultation with healthcare providers and state and local health departments.
Provide employees with accurate information about COVID-19, how it spreads, and risk of exposure.
Be aware that some employees may be at higher risk for serious illness, such as older adults and those with chronic medical conditions. Implement specific policies to minimize face-to-face contact between these employees or assign work tasks that allow them to maintain a distance of six feet from other workers, customers and visitors, or to telework if possible.
Provide training to employees on proper hand washing practices and other routine preventative measures. This will help prevent the spread of many diseases, including COVID-19.

Provide employees with access to soap, clean running water, and materials for drying their hands, and provide alcohol-based hand sanitizers containing at least 60% alcohol at stations around the establishment for use by both workers and customers.

Maintain a healthy work environment

Institute measures to physically separate and increase distance between employees, other coworkers, and customers, such as:
Configure partitions with a pass-through opening at the bottom of the barrier in checkout lanes, customer service desks, and pharmacy and liquor store counters as a barrier shield, if possible.
Use every other check-out lane to aid in distancing.
Move the electronic payment terminal/credit card reader farther away from the cashier in order to increase the distance between the customer and the cashier, if possible.
Use verbal announcements on the loudspeaker and place signage throughout the establishment, at entrances, in restrooms, and in breakrooms to remind employees and customers to maintain distances of 6 feet from others.
Place visual cues such as floor decals, colored tape, or signs to indicate to customers where they should stand during check out.
Shift primary stocking activities to off-peak or after hours when possible to reduce contact with customers.
Remove or rearrange chairs and tables or add visual cue marks in employee break rooms to support social distancing practices between employees. Identify alternative areas such as closed customer seating spaces to accommodate overflow volume.

Provide remote shopping alternatives for customers, including click-and-collect, delivery, pick-up, and shop-by-phone to limit customers in the establishment. Set up designated pick-up areas.
Control the flow of traffic into the establishment by ensuring that maximum capacity plans are adjusted and managed at the front door.
Place posters that encourage staying home when sick, cough and sneeze etiquette, and good hand hygiene at the entrance to the workplace and in other workplace areas where they are likely to be seen.
Provide tissues and no-touch disposal receptacles for use by employees.
Clean and disinfect frequently touched surfaces within the establishments. If the surfaces are visibly dirty, clean them prior to disinfecting. To disinfect, use products that meet EPA’s criteria for use against SARS-CoV-2external icon, diluted household bleach solutions prepared according to the manufacturer’s label for disinfection, or alcohol solutions with at least 70% alcohol, and are appropriate for the surface. Follow manufacturer’s directions for use.
Clean frequently touched shelving, displays, and reach-in refrigerator units nightly when closed to the public.
Conduct frequent cleaning of employee break rooms, rest areas, and other common areas.
Clean grocery carts and baskets.
Require employees to clean out lockers nightly to facilitate overnight deep cleaning processes.

Provide disposable disinfectant wipes, cleaner, or spray so employees can wipe down frequently touched surfaces such as workstations, cash registers, credit card touch pad, door handles, conveyer belts, tables, cart handles, and countertops.
Follow all applicable local, state, and federal regulations and public health agency guidelines.

Maintain healthy business operations

Designate a person who is responsible for responding to COVID-19 concerns. Employees should know who this person is and how to contact them.
Consider using a hotline for employees to voice concerns anonymously.
Implement flexible worksites (telework) for office staff to the extent feasible.
Limit travel for multi-store personnel to only what is required for critical facility functions. Whenever possible, conduct conversations through phone calls.
Leverage closed-circuit television (camera systems) to remotely view facilities as opposed to physically visiting the location.
Implement flexible sick leave and supportive policies and practices. Consider drafting non-punitive emergency sick leave policies if sick leave is not offered to some or all employees. Employers should not require a positive COVID-19 test result or a healthcare provider’s note for employees who are sick to validate their illness, qualify for sick leave, or to return to work.
Provide information on who to contact if employees become sick. If an employee is confirmed to have COVID-19 infection, employers should inform fellow employees of their possible exposure to COVID-19 in the workplace but maintain confidentiality as required by the Americans with Disabilities Act (ADA).
Implement a system in which relief workers rotate into the cashier station to allow cashiers to leave the station to wash their hands regularly.
Consider decreasing open business hours to perform more frequent deep cleans.


What Long-Haul Truck Drivers Need to Know about COVID-19
As a long-haul truck driver, how can I protect myself and slow the spread?
As a long-haul truck driver, you spend many hours alone in the cab of your
truck. However, there are times when you will be at increased risk of exposure
to COVID-19. For long-haul truck drivers, potential sources of exposure
include having close contact with truck stop attendants, store workers, dock
workers, other truck drivers, or others with COVID-19, and touching your nose,
mouth, or eyes after contacting surfaces touched or handled by a person with
COVID-19.

Notify your supervisor and stay home if having symptoms.
Make a plan with your employer and your family as to what to do if you become sick while you’re on the road. Include where to stop, where and how to seek medical advice and treatment, and plans for freight delivery.
Follow CDC-recommended steps if you are sick. You should not return to work until the criteria to discontinue home isolation are met, in consultation with healthcare providers and state and local health departments.
Follow CDC recommended precautions and notify your supervisor if you are well but have a sick family member at home with COVID-19.
Limit close contact with others by maintaining a distance of at least 6 feet when possible.
Limit time spent outside of the truck cab during fueling, loading and unloading, and at rest and truck stops.
Use paperless, electronic invoicing for fueling, deliveries, and other tasks, when available.
Contact facilities in advance to make an appointment for unloading of cargo. Be aware that some facilities may not grant access to restrooms, and plan as best you can.
Use radio/phone to talk with dock managers or other drivers, if possible.
Pack food, water, and supplies to limit the number of stops.
Avoid shaking hands.
Keep your truck well-ventilated.

CDC recommends wearing cloth face coverings in public settings where other social distancing measures are difficult to maintain, especially in areas of significant community-based transmission. Cloth face coverings may prevent people who don’t know they have the virus from transmitting it to others. These face coverings are not surgical masks or respirators and are not appropriate substitutes for them in workplaces where masks or respirators are recommended or required.
Clean and disinfect frequently touched surfaces on a routine basis such as:
In the truck cab (driver door handle, steering wheel, seat belt and buckle, arm and head rest, seat cover, turn signal, wiper controls, dashboard, air ducts, radio, and temperature controls).
In the sleeper berth (light switches, mattress tray, temperature controls, and other flat surfaces).
If a third party must have access to the interior of your truck (for example., mechanics, other drivers, inspectors), request that the third party clean and disinfect the truck before turning it back over to you.
For disinfection, use products that meet EPA’s criteria for use against SARS-CoV-2external icon, diluted household bleach solutions, or alcohol solutions with at least 70% alcohol, and are appropriate for the surface. Follow manufacturer’s directions for use and clean hands afterwards; more detailed cleaning and disinfecting guidance is also availableexternal icon.

Practice proper hand hygiene. This is an important infection control measure. Wash your hands regularly with soap and water for at least 20 seconds, or use an alcohol-based hand sanitizer containing at least 60% alcohol.
Key times to clean hands include:
Before entering and leaving the cab, including deliveries, loading and unloading of cargo, rest breaks, fueling, and other activities;
Before eating or preparing food;
After putting on, touching, or removing cloth face coverings;
After blowing your nose, coughing, or sneezing;
After using the restroom.

Avoid touching surfaces often touched by others when outside of the cab.
Do not share personal protective equipment (PPE) (such as vests, safety glasses, hard hats), tools, phones, radios, or other personal items.
Use pre-qualified truck stops or hotels identified by your employer as having appropriate COVID-19 protections.
Continue to comply with current Federal Motor Carrier Safety Administrationexternal icon (FMCSA) regulations.
Get adequate sleep (7–9 hours) prior to driving. This is critical even when essential supplies and equipment are being transported.
Pull over, drink a cup of coffee. or take a 15–30 minute nap before continuing if you feel fatigued while driving.

When team driving or ride-alongs are required, wear cloth face coverings inside the truck and avoid sharing bedding in the sleeper berth.
If any directive from your employer or a shipper is unclear, ask questions.


What Long-Haul Truck Drivers Need to Know about COVID-19
What steps should my employer take?
Employers should have a COVID-19 response plan to protect drivers, following
CDC Interim Guidance for Businesses and
Employers. This plan should be shared with you and your
coworkers. Employers should:
Reduce transmission among employees

Take steps to help prevent the spread of COVID-19 if a driver is sick.
Actively encourage sick drivers to stay home.
Sick drivers diagnosed with COVID-19 shouldn’t return to work until the criteria to discontinue home isolation are met, in consultation with healthcare providers and state and local health departments.

Provide drivers with accurate information about COVID-19, how it spreads, and risk of exposure.
Be aware that some drivers may be at higher risk for serious illness, such as older adults and those with chronic medical conditions. Put in place specific policies to minimize face-to-face contact between these drivers, or assign work tasks that allow them to maintain a distance of six feet from other workers, customers, and visitors.
Provide training to drivers on proper handwashing practices and other routine preventative measures. This will help prevent the spread of many diseases, including COVID-19.

Provide drivers with all PPE (including vests, safety glasses, hard hats) that they might need while on the road so that the driver does not need to borrow PPE from shippers.
Provide alcohol-based hand sanitizers containing at least 60% alcohol for truck cabs.
Provide tissues and small trash cans for truck cabs.
Take additional precautions to address risks associated with ride-alongs or team driving (two drivers in the cab on a long-haul run) when they cannot be avoided. For example, install a removable barrier between the driver and passenger that does not obstruct the task of driving and/or to separate sleeper berth.

Maintain a healthy work environment

Conduct worksite assessments to identify COVID-19 prevention strategies.
Institute measures to physically separate and increase distance between drivers, other coworkers, and customers, such as:
Develop policies and technology options that allow and encourage contactless deliveries, such as no-signature delivery. These options limit contact, provide space, and avoid the sharing of items like pens and electronic signature pads between drivers and individuals at the delivery location.
During driver training situations, use virtual training methods and in-vehicle monitoring systems where possible. Limit ride-alongs and in-person classroom-based training. Follow all applicable federal motor carrier regulations and public health agency guidelines.

Place posters that encourage staying home when sick, cough and sneeze etiquette, and proper hand hygiene practices on the dock and in other workplace areas where they are likely to be seen.
Provide disposable disinfectant wipes so that surfaces commonly touched can be wiped down. To disinfect, use products that meet EPA’s criteria for use against SARS-CoV-2external icon, diluted household bleach solutions, or alcohol solutions with at least 60% alcohol, and are appropriate for the surface. Provide drivers training on manufacturer’s directions for use; more detailed cleaning and disinfecting guidance is also availableexternal icon.
Pre-qualify truck stops, rest areas, and hotels to ensure such facilities are open, supplied, and follow recommended COVID-19 safety practices, such as:
cleanliness and disinfection (such as routine cleaning, available hand-sanitizing stations, and private showers);
proper food handling and food service (such as replacing self-service with full service);
contactless fuel payment.

Follow all applicable local, state, and federal regulations and public health agency guidelines.

Maintain healthy business operations

Follow the CDC guidance for critical infrastructure workers who may have had exposure to a person with suspected or confirmed COVID-19.
Reintegrating exposed, asymptomatic workers back to work, while discussed in the guidance, should not be misinterpreted as the first or most appropriate option.
Home isolation may still be the most preferred and viable option for exposed workers.

Designate a person who is responsible for responding to COVID-19 concerns. Drivers should know who this person is and how to contact them.
Consider using a hotline for employees to voice concerns anonymously.
Make a plan with your employees as to what to do if they become sick while on the road. Include where to stop, where and how to seek medical advice and treatment, and plans for freight delivery.
Implement flexible sick leave and supportive policies and practices. Consider drafting non-punitive emergency sick leave policies if sick leave is not offered to some or all employees. Employers should not require a positive COVID-19 test result or a healthcare provider’s note for employees who are sick to validate their illness, qualify for sick leave, or to return to work.
Provide information on who to contact if employees become sick. If an employee is confirmed to have COVID-19 infection, employers should inform fellow employees of their possible exposure to COVID-19 in the workplace, but maintain confidentiality as required by the Americans with Disabilities Act (ADA).
Reach out to local public health officials to establish ongoing communications to facilitate access to relevant information before and during a local outbreak.
Schedule driver routes to allow for adequate sleep, and use fatigue management strategies.
Understand that the current environment could elevate stress levels among drivers. Provide resources to help manage stress.


What Rail Transit Operators Need to Know About COVID-19
As a rail transit operator, how can I protect myself?
For rail transit operators, potential sources of exposure include having close
contact with a passenger with COVID-19, by contacting surfaces touched or
handled by a person with COVID-19, or by touching your mouth, nose, or eyes.

Limit close contact with others by maintaining a distance of at least 6 feet, when possible.
Avoid touching surfaces often touched by transit passengers.
Practice routine cleaning and disinfection of frequently touched surfaces, including those in the train cockpit commonly touched by the operator, following the directions on the cleaning product’s label.
Use gloves if required to touch surfaces contaminated by body fluids.
Proper hand hygiene is an important infection control measure. Wash your hands regularly with soap and water for at least 20 seconds. If soap and water are not readily available, use an alcohol-based hand sanitizer containing at least 60% alcohol.
Key times to clean hands in general include:
Before, during, and after preparing food
Before eating food
After using the toilet
After blowing your nose, coughing, or sneezing

Additional times to clean hands on the job include:
Before and after work shifts
Before and after work breaks
After touching frequently touched surfaces, such as fareboxes and handrails
After putting on, touching, or removing cloth face coverings

Avoid touching your eyes, nose, or mouth.


What Rail Transit Operators Need to Know About COVID-19
What steps should my employer take?
Employers of rail transit operators should develop a COVID-19 health and
safety plan to protect employees according to CDC business
guidance.
This plan should be shared with you and your coworkers. Your employer should:

Take steps to help prevent the spread of COVID-19 if an employee is sick. Actively encourage sick employees to stay home. Sick employees should not return to work until the criteria to discontinue home isolation are met, in consultation with healthcare providers and state and local health departments.
Provide information on who to contact if employees become sick.
Implement flexible sick leave and supportive policies and practices. Consider drafting non-punitive emergency sick leave policies if sick leave is not offered to some or all employees.
Designate someone to be responsible for responding to COVID-19 concerns. Employees should know who this person is and how to contact them.
Provide employees with correct information about COVID-19, how it spreads, and risk of exposure.
Provide employees training on proper hand washing practices and other routine infection control precautions. This will help prevent the spread of many diseases, including COVID-19.
Provide employees access to soap, clean running water, and drying materials or alcohol-based hand sanitizers containing at least 60% alcohol at their worksite.
Provide employees with appropriate gloves when necessary and providing training on properly using them.
Provide disposable disinfectant wipes so that surfaces commonly touched by the rail transit operator can be wiped down. To disinfect, use products that meet EPA’s criteria for use against SARS-CoV-2external icon, diluted household bleach solutions, or alcohol solutions with at least 70% alcohol, and are appropriate for the surface. Provide employees training on manufacturer’s directions for use.
Provide tissues and no-touch disposal receptacles for use by employees.
Place posters that encourage staying home when sick, covering coughs and sneezes, and washing hands often practices at the entrance to the workplace and in other workplace areas where they are likely to be seen.
Reach out to local public health officials to establish ongoing communications to facilitate access to relevant information before and during a local outbreak.
Follow all applicable federal regulations and public health agency guidelines.


What Transit Maintenance Workers Need to Know About COVID-19
As a transit maintenance worker, how can I protect myself?
For transit maintenance workers, potential sources of exposure include close
contact with a coworker with COVID-19, contacting surfaces touched or handled
by a person with COVID-19, or by touching your mouth, nose, or eyes.

Limit close contact with others by maintaining a distance of at least 6 feet, when possible.
Avoid touching surfaces often touched by transit passengers.
Practice routine cleaning and disinfection of frequently touched surfaces following the directions on the cleaning product’s label.
Proper hand hygiene is an important infection control measure. Wash your hands regularly with soap and water for at least 20 seconds. If soap and water are not readily available, use an alcohol-based hand sanitizer containing at least 60% alcohol.
Key times to clean hands in general include:
Before, during, and after preparing food
Before eating food
After using the toilet
After blowing your nose, coughing, or sneezing

Additional times to clean hands on the job include:
Before and after work shifts
Before and after work breaks
After touching surfaces in the vehicles frequently touched by passengers
After putting on, touching, or removing cloth face coverings

Avoid contact with body fluids.
Avoid touching your eyes, nose, or mouth with unwashed hands.


What Transit Maintenance Workers Need to Know About COVID-19
Which transit vehicle surfaces should be cleaned? What are the best cleaning chemicals to use when cleaning?
Perform routine cleaning and disinfection of all frequently touched non-porous
surfaces within the interior of the transit vehicle on a daily basis and, in
particular, before maintenance workers conduct repairs such as removing or
repairing seats. These surfaces can include hard seats, arm rests, door
handles, seat belt buckles, light and air controls, adjacent walls and
windows, and grab handles. If the surfaces are visibly dirty, they should be
cleaned prior to disinfectant application. For soft or porous surfaces, remove
any visible contamination if present and clean with appropriate cleansers
indicated for use on these surfaces.
Appropriate disinfectants include:

EPA’s Registered Antimicrobial Products for Use Against Novel Coronavirus SARS-CoV-2, the cause of COVID-19, are expected to be effective against COVID-19 based on data for harder to kill viruses. Follow the manufacturer’s instructions for all cleaning and disinfection products (e.g., concentration, application method, and contact time). A list of products with EPA-approved emerging viral pathogens claims is available at:
https://www.epa.gov/pesticide-registration/list-n-disinfectants-use-against-
sars-cov-2external icon.

Diluted household bleach solutions prepared according to the manufacturers label for disinfection can be used if appropriate for the surface. Follow manufacturer’s instructions for application and proper ventilation. Check to ensure the product is not past its expiration date. Never mix household bleach with ammonia or any other cleanser. Unexpired household bleach will be effective against coronaviruses when properly diluted.

Alcohol solutions with at least 70% alcohol.

Wear the personal protective equipment (PPE) required for using the cleaning
and disinfection products according to the product manufacturer’s
instructions. After removing PPE, employees should wash their hands with soap
and water for at least 20 seconds. Work uniforms worn during cleaning and
disinfecting should be laundered afterwards. If possible, launder
items
using the warmest appropriate water setting for the items and dry items
completely. Clean hands after handling laundry by washing hands with soap and
water or using an alcohol-based hand sanitizer with at least 60% alcohol if
soap and water are not available.


What Transit Maintenance Workers Need to Know About COVID-19
What steps should my employer take?
Employers of transit maintenance workers should develop a COVID-19 health and
safety plan to protect employees according to CDC business
guidance.
This plan should be shared with you and your coworkers. Employers should:

Take steps to help prevent the spread of COVID-19 if an employee is sick. Actively encourage sick employees to stay home. Sick employees should not return to work until the criteria to discontinue home isolation are met, in consultation with healthcare providers and state and local health departments.
Provide information on who to contact if employees become sick.
Implement flexible sick leave and supportive policies and practices. Consider drafting non-punitive emergency sick leave policies if sick leave is not offered to some or all employees.
Designate a person who is responsible for responding to COVID-19 concerns. Employees should know who this person is and how to contact them.
Provide employees with correct information about COVID-19, how it spreads, and risk of exposure.
Conduct worksite assessments to identify COVID-19 prevention strategies.
Provide employees training on good hand washing practices and other routine infection control precautions. This will help prevent the spread of many diseases, including COVID-19.
Develop policies for worker protection and training according to OSHA standards (e.g., hazard communicationexternal icon, personal protective equipmentexternal icon, etc.) for employees prior to conducting disinfection work tasks, particularly if new chemicals are introduced in the workplace to use.
Provide employees with access to soap, clean running water, and drying materials, or alcohol-based hand sanitizers containing at least 60% alcohol at their worksite.
Provide employees with appropriate PPE as needed for cleaning and disinfecting and provide training on properly using them.
Provide disposable disinfectant wipes so that frequently touched surfaces can be wiped down by employees. Provide products to disinfect that meet EPA’s criteria for use against SARS-CoV-2external icon, diluted household bleach solutions, or alcohol solutions with at least 70% alcohol, and are appropriate for the surface. Provide employees training on manufacturer’s directions for use.
Provide tissues and no-touch disposal receptacles for use by employees.
Place posters that encourage staying home when sick, covering coughs and sneezes, and washing hands often practices at the entrance to the workplace and in other workplace areas where they are likely to be seen.
Reach out to local public health officials to establish ongoing communications to facilitate access to relevant information before and during a local outbreak.
Follow all applicable federal regulations and public health agency guidelines.


What Transit Station Workers Need to Know About COVID-19
As a transit station worker, how can I protect myself?
For transit station workers, potential sources of exposure include having
close contact with a transit passenger with COVID-19, by touching surfaces
contaminated with coronavirus, or by touching your mouth, nose, or eyes.

Limit close contact with others by maintaining a distance of at least 6 feet, when possible.
Avoid touching surfaces often touched by transit passengers.
Practice routine cleaning and disinfection of frequently touched surfaces, following the directions on the cleaning product’s label.
Use gloves if required to touch surfaces contaminated by body fluids.
Proper hand hygiene is an important infection control measure. Wash your hands regularly with soap and water for at least 20 seconds. If soap and water are not readily available, use an alcohol-based hand sanitizer containing at least 60% alcohol.
Key times to clean hands in general include:
Before, during, and after preparing food
Before eating food
After using the toilet
After blowing your nose, coughing, or sneezing

Additional times to clean hands on the job include:
Before and after work shifts
Before and after work breaks
After touching frequently touched surfaces
After putting on, touching, or removing cloth face coverings

Avoid touching your eyes, nose, or mouth.


What Transit Station Workers Need to Know About COVID-19
Which transit station surfaces should be cleaned? What are the best cleaning chemicals to use when cleaning?
Perform routine cleaning and disinfection of all frequently touched non-porous
surfaces within the transit station on a daily basis. These include kiosks,
ticket machines, turnstiles, benches, handrails, garbage cans, door handles,
payphones, restroom surfaces (e.g., faucets, toilets, counters), elevator
buttons, and system maps. If the surfaces are visibly dirty, they should be
cleaned prior to disinfectant application. For soft or porous surfaces, remove
any visible contamination if present and clean with appropriate cleansers
indicated for use on these surfaces.
Appropriate disinfectants include:

EPA’s Registered Antimicrobial Products for Use Against Novel Coronavirus SARS-CoV-2, the cause of COVID-19, are expected to be effective against COVID-19 based on data for harder to kill viruses. Follow the manufacturer’s instructions for all cleaning and disinfection products (e.g., concentration, application method, and contact time). A list of products with EPA-approved emerging viral pathogens claims is available at:
https://www.epa.gov/pesticide-registration/list-n-disinfectants-use-against-
sars-cov-2external icon.

Diluted household bleach solutions prepared according to the manufacturers label for disinfection can be used if appropriate for the surface. Follow manufacturer’s instructions for application and proper ventilation. Check to ensure the product is not past its expiration date. Never mix household bleach with ammonia or any other cleanser. Unexpired household bleach will be effective against coronaviruses when properly diluted.

Alcohol solutions with at least 70% alcohol.

Wear the personal protective equipment (PPE) required for using the cleaning
and disinfection products according to the product manufacturer’s
instructions. After removing PPE, wash your hands with soap and water for at
least 20 seconds. Work uniforms worn during cleaning and disinfecting should
be laundered afterwards. If possible, launder
items using the warmest appropriate water setting for the items
and dry items completely. Clean your hands after handling laundry by washing
your hands with soap and water or using an alcohol-based hand sanitizer with
at least 60% alcohol if soap and water are not available.


What Transit Station Workers Need to Know About COVID-19
What steps should my employer take?
Employers of transit station workers should develop a COVID-19 health and
safety plan to protect employees according to CDC business
guidance.
This plan should be shared with you and your coworkers. Your employer should:

Take steps to help prevent the spread of COVID-19 if an employee is sick. Actively encourage sick employees to stay home. Sick employees should not return to work until the criteria to discontinue home isolation are met, in consultation with healthcare providers and state and local health departments.
Provide information on who to contact if employees become sick.
Implement flexible sick leave and supportive policies and practices. Consider drafting non-punitive emergency sick leave policies if sick leave is not offered to some or all employees.
Designate someone to be responsible for responding to COVID-19 concerns. Employees should know who this person is and how to contact them.
Provide employees with correct information about COVID-19, how it spreads, and risk of exposure.
Conduct worksite assessments to identify COVID-19 prevention strategies.
Provide training on proper hand washing practices and other routine infection control precautions. This will help prevent the spread of many diseases, including COVID-19.
Develop policies for worker protection and training according to OSHA standards (e.g., hazard communicationexternal icon, personal protective equipmentexternal icon, etc.) for employees prior to conducting disinfection work tasks, particularly if new chemicals are introduced in the workplace to use.
Provide employees with access to soap, clean running water, and drying materials, or alcohol-based hand sanitizers containing at least 60% alcohol at their worksite.
Provide employees with appropriate PPE as needed for cleaning and disinfecting and provide training on properly using them.
Provide disposable disinfectant wipes so that surfaces frequently touched can be wiped down. To disinfect, use products that meet EPA’s criteria for use against SARS-CoV-2external icon, diluted household bleach solutions, or alcohol solutions with at least 70% alcohol, and are appropriate for the surface. Provide employees training on manufacturer’s directions for use.
Provide tissues and no-touch disposal receptacles for use by employees.
Place posters that encourage staying home when sick, covering coughs and sneezes, and washing hands often practices at the entrance to the workplace and in other workplace areas where they are likely to be seen.
Reach out to local public health officials to establish ongoing communications to facilitate access to relevant information before and during a local outbreak.
Follow all applicable federal regulations and public health agency guidelines.


What Construction Workers Need to Know about COVID-19
As a construction worker, how can I protect myself and slow the spread?
Potential sources of exposure include having close contact with a coworker or
member of the public who is ill with COVID-19 and touching your nose, mouth,
or eyes after touching surfaces contaminated with the virus or handling items
that others infected with COVID-19 have touched. Actions you can take include
the following:

Notify your supervisor and stay home if you have symptoms.
Follow CDC-recommended steps if you are sick. You should not return to work until the criteria to discontinue home isolation are met, in consultation with healthcare providers, your employer, and state and local health departments.
Follow CDC-recommended precautions and notify your supervisor if you are well but have a sick family member at home with COVID-19.
Limit close contact with others by maintaining a distance of at least 6 feet, when possible.
Limit the number of workers in small workspace areas such as job site elevators, trailers and vehicles, and spaces under construction if possible.

CDC recommends wearing cloth face coverings in public settings where other social distancing measures are difficult to maintain, especially in areas where there is significant community-based transmission of COVID-19.
Cloth face coverings may prevent people who don’t know they have the virus from transmitting it to others.

Cloth face coverings are NOT surgical masks or respirators and are not appropriate substitutes for them in workplaces where masks or respirators are recommended or required.
Clean and disinfect frequently touched surfaces such as shared tools, machines, vehicles and other equipment, handrails, ladders, doorknobs, and portable toilets. Clean and disinfect frequently touched surfaces periodically throughout the shift but also:
At the beginning and end of every shift
After anyone uses your vehicle, tools, or workstation

Limit tool sharing if possible.
Practice proper hand hygiene. This is an important infection control measure. With appropriate hand hygiene, you do not need gloves to protect you from COVID-19. When possible, wash your hands regularly with soap and water for at least 20 seconds or use an alcohol-based hand sanitizer containing at least 60% alcohol.
Key times to clean hands include:
Before and after work shifts and breaks
After blowing your nose, coughing, or sneezing
After using the restroom
Before eating and before and after preparing food
After touching objects which have been handled by coworkers, such as tools and equipment
Before putting on and after taking off work gloves
After putting on, touching, or removing cloth face coverings
Before donning or doffing eye or face protection (safety glasses, goggles, etc.)
Do not touch your eyes, nose, or mouth.
Use tissues when you cough, sneeze, or touch your face. Throw used tissues in the trash and wash your hands or use hand sanitizer containing 60% alcohol if a sink to wash your hands is not available.


What Construction Workers Need to Know about COVID-19
What steps should my employer take?
Employers should have a COVID-19 response plan to protect workers, following
CDC Interim Guidance for Businesses and
Employers, and share this plan with you and your coworkers in
languages you all understand. Small construction businesses should review the
CDC small business
guidelines. Your employer should take steps to:
Reduce transmission among workers:

Take steps to help prevent the spread of COVID-19 if an employee is sick.
Actively encourage sick employees to stay home.
Sick employees diagnosed with COVID-19 shouldn’t return to work until the criteria to discontinue home isolation are met, in consultation with healthcare providers and state and local health departments.

Provide employees with accurate information (in a language they understand) about COVID-19, how it spreads, and risk of exposure.
Provide workers with basic facts.
Conduct toolbox talks on all job sites to explain the protective measures in place.

Be aware that some employees may be at higher risk for severe illness, such as older adults and those with underlying medical conditions. Implement specific policies to minimize face-to-face contact for these employees or assign work tasks that allow them to maintain a distance of at least 6 feet from other workers, customers, and visitors, or to telework if possible.
Provide training to employees on proper handwashing practices and other routine preventative measures. This will help prevent the spread of many diseases, including COVID-19.
Provide employees with access to soap, clean running water, and materials for drying their hands, or if soap and water are not readily available provide alcohol-based hand sanitizers containing at least 60% alcohol at stations around the establishment for use by both workers and customers.
Place handwashing stations and/or hand sanitizers in multiple locations (including in or adjacent to portable restrooms) to encourage hand hygiene.

Explore alternative ways to promote hand hygiene if there is difficulty sourcing hand sanitizer and running water is not available on site. Some examples may include:
Install temporary or mobile handwashing stations, making sure there is an adequate supply of water, soap, and single-use paper towels.
Provide a large (5+ gallon) bucket with a lid and tap that can be used to provide water for handwashing. If this method is used, the water tap should be regularly cleaned and disinfected, and the contaminated wastewater must be collected and treated in accordance with local laws and environmental regulations. Provide fresh clean water daily.
Depending on the size or configuration of the job site, there may need to be multiple handwashing stations available to accommodate the workforce while maintaining social distancing, and stations may need to be restocked during the course of the day to maintain adequate handwashing supplies.

Develop and implement social distancing guidance for the workplace to maintain a distance of at least 6 feet between workers when possible.

Maintain a healthy work environment

Institute measures to physically separate and increase distance between employees, such as the following:
Modify work schedules to stagger work, provide alternating workdays or extra shifts to reduce the total number of workers on a job site at any given time.
Restrict access to reduce the number of workers in enclosed and confined areas at one time. Confined and enclosed areas (e.g., trailers, small rooms in buildings under construction) should be identified and access should be restricted to essential personnel only. Enclosed spaces (e.g., toilets, break areas) are potential transmission areas and should be treated accordingly. Time spent in these areas should be minimized.
Rearrange administrative area workstations so that workers can stay at least 6 feet away from other workers.
Install shields or barriers, such as plexiglass barriers, where possible.
Remove or rearrange chairs and tables or add visual cue marks in break areas to support social distancing practices between workers. Identify alternative areas to accommodate overflow volume.
Disinfect break or lunchroom areas between each group using the areas.
Maintain social distancing when visiting lunch trucks or construction site vendors.
Limit casual (social) conversations that normally occur at work.
Cancel or postpone in-person meetings/trainings whenever possible. If you must meet, spread out to a distance of 6 feet or more between attendees.
Reduce the number of individuals at meetings, including worker orientations, to increase the distance between individuals.

Conduct a hazard assessment to determine if hazards are present, or are likely to be present, for which workers may need personal protective equipment (PPE). CDC and OSHA have recommended PPE for some types of work activities when engineering and administrative controls cannot be implemented or are not fully protective.
Employers are required to determine, select, provide, and train on correct PPE use and application for their workers’ specific job duties (see 29 CFR 1926 Subpart Eexternal icon).

Place posters that encourage staying home when sick, cough and sneeze etiquette, signs and symptoms of COVID-19, and proper hand hygiene practices at the entrance to the workplace and in other workplace areas where they are likely to be seen.
Provide tissues and no-touch disposal receptacles for employees to use.
Clean and disinfect frequently touched surfaces. If the surfaces are visibly dirty, clean them prior to disinfecting. To disinfect, use products that meet EPA’s criteria for use against SARS-CoV-2external icon, diluted household bleach solutions that are prepared according to the manufacturer’s label for disinfection, or alcohol solutions with at least 70% alcohol, and that are appropriate for the surface. Follow manufacturer’s directions for use.
Clean workspaces and breakrooms at least once per shift or as often as workers change workstations.
Provide worker training on manufacturer’s directions for disinfectant use and provide workers with any additional PPE required for disinfection.

Provide disposable disinfectant wipes (when available) so that surfaces commonly touched can be wiped down.
Follow all applicable local, state, and federal regulations and public health agency guidelines.

Maintain healthy business operations

Designate a safety and health officer to be responsible for responding to COVID-19 concerns at every jobsite. Workers should know who this person is and how to contact them.
Implement flexible sick leave and supportive policies and practices. Consider drafting non-punitive emergency sick leave policies if sick leave is not offered to some or all employees. Employers should not require a positive COVID-19 test result or a healthcare provider’s note for employees who are sick to validate their illness, qualify for sick leave, or to return to work.
Provide information on whom to contact if employees become sick. If an employee is confirmed to have COVID-19 infection, employers should inform fellow employees of their possible exposure to COVID-19 in the workplace but maintain confidentiality as required by the Americans with Disabilities Act (ADA).
Reach out to local public health officials to establish ongoing communications to facilitate access to relevant information before and during a local outbreak.


What Food and Grocery Pick-up and Delivery Drivers Need to Know about COVID-19
As a food and grocery pick-up and delivery driver (like Uber Eats, Grubhub,
DoorDash, Postmates, Instacart), how can I protect myself and others?
Potential sources of exposure include having close contact with individuals
with COVID-19 when picking up or delivering food or groceries, or by touching
surfaces touched or handled by a person with COVID-19.
Stay home if you are sick

If you develop a fever or symptoms, such as cough or difficulty breathing, call your healthcare provider for medical advice before visiting their office.
You should not return to work until the criteria to discontinue home isolation are met, after talking with your doctor.

Wear a cloth face covering

CDC recommends wearing cloth face coverings in public settings where other social distancing measures are difficult to maintain, especially in areas where a lot of people are infected.
Cloth face coverings may prevent people who don’t know they have the virus from transmitting it to others.
These face coverings are not surgical masks or respirators and are not appropriate substitutes for them in workplaces where masks or respirators are recommended or required.

Limit contact

Avoid close contact with individuals as much as possible when picking up food, groceries, or other items at restaurants or grocery stores. This helps protect both you and the workers at the restaurants or grocery stores bringing the items to you.
Practice contactless deliveries to the greatest extent possible. Contactless deliveries allow you to leave a delivery at a doorstep, move back to a distance greater than 6 feet away while verifying receipt of the delivery with the person getting the delivery, and try to do all interactions electronically (e.g., in an app or over a phone). This eliminates the need for close contact between you and the person getting the delivery.
Limit your contact with frequently touched surfaces during pickups and deliveries, such as countertops, elevator buttons, doorbells, door handles, radio buttons, etc.
Avoid sharing scanners, pens, or other tools with customers.
Use a foot, shoulder, elbow, hip, or forearm instead of hands when opening doors at pick-up and delivery sites, if possible.

Practice Everyday Preventive Actions

Avoid touching your eyes, nose, or mouth.
Proper hand hygiene is an important infection control measure. Keep in mind where you can access and use facilities with soap and water during your shift. Wash your hands regularly with soap and water for at least 20 seconds or use an alcohol-based hand sanitizer containing at least 60% alcohol.
Key times to clean hands include:
Before, during, and after preparing food
Before eating food
After using the toilet
After blowing your nose, coughing, or sneezing

Additional times to clean hands on the job include:
Before and after work shifts
Before and after work breaks
Before and after making a delivery
After putting on, touching, or removing cloth face coverings
After touching frequently touched surfaces such as doorbells or door handles
Before wearing and after removing cold-weather gloves
Before and after pumping gas

Carry tissues in your vehicle and use them when you cough, sneeze or touch your face. Throw used tissues in the trash.

Clean and Disinfect

Get and carry cleaning and disinfectant spray or disposable wipes and a trash bag with you in your vehicle.
Clean and disinfect commonly touched surfaces at the beginning and end of each shift, particularly if the vehicle is also used by other drivers, following the directions on the cleaning product’s label. Clean surfaces that are visibly dirty with detergent or soap and water prior to disinfection. Frequently touched surfaces include the steering wheel, gearshift, signaling levers, door handles, and seatbelt buckles.
Wipe down items such as pens and electronic signature pads/mobile devices if shared with a delivery recipient after each use.
Appropriate disinfectants to use for hard non-porous surfaces include:
EPA’s Registered Antimicrobial Products for Use Against Novel Coronavirus SARS-CoV-2external icon
Diluted household bleach solutions prepared according to the manufacturer’s label for disinfection, if appropriate for the surface
Alcohol solutions with at least 70% alcohol


What Food and Grocery Pick-up and Delivery Drivers Need to Know about COVID-19
What steps should the food or grocery delivery company take for whom I am a
driver?
The food or grocery delivery company for whom you are a contract driver should
develop and share a set of COVID-19 health and safety measures to inform and
help protect delivery drivers. They should:

Actively encourage sick delivery drivers to stay home.
Encourage the use of and assist you in obtaining hand sanitizer and disposable wipes and other cleaning products so that frequently touched surfaces can be wiped down by drivers.
Provide you with information on where to find accurate information about COVID-19 and how it spreads.
Develop policies and technology options that allow and prioritize contactless deliveries (e.g., no-knock, no-signature, all electronic credit card transactions, etc.) that limit or eliminate close contact between delivery drivers and suppliers and purchasers.


What Mail and Parcel Delivery Drivers Need to Know about COVID-19
As a mail and parcel delivery driver (such as for Amazon, DHS, FedEx,
Purolater, UPS, USPS), how can I protect myself and others?
As a mail and parcel delivery driver, potential sources of exposure include
having close contact with co-workers or delivery recipients, or when you touch
surfaces touched or handled by a person who has COVID-19.
Stay home if you are sick

If you develop a fever or symptoms, such as cough or difficulty breathing, call your healthcare provider for medical advice before visiting their office.
You should not return to work until the criteria to discontinue home isolation are met, after talking with your doctor.

Wear a cloth face covering

CDC recommends wearing cloth face coverings in public settings where other social distancing measures are hard to do, especially in areas that have high rates of COVID infection.
Cloth face coverings may help prevent people who don’t know they have the virus from spreading it to others.
These face coverings are not surgical masks or respirators and are not appropriate substitutes for them in workplaces where masks or respirators are recommended or required.

Limit Contact

Practice contactless deliveries whenever you can. Contactless deliveries allow you to leave a delivery at a doorstep, move back to a distance greater than 6 feet away while verifying receipt of the delivery with the recipient (if required), and try to do everything electronically whenever you can (e.g., in an app or over a phone). This eliminates the need for close contact between you and delivery recipient.
Maintain a distance 6 feet or greater from others you might meet or need to speak to while making your deliveries.
Limit contact with frequently touched surfaces during deliveries, such as doorbells or door handles. Use a foot, shoulder, elbow, hip, or forearm when opening doors, instead of hands, if possible.
Avoid sharing scanners, pens, or other tools with customers.
If you are wearing machine-washable work gloves normally worn for the job throughout your shift, do not touch your face with gloved hands. Remove them and wash hands before eating. At the end of the work shift, remove the gloves, store them for washing, and wash your hands. When doing laundry, wash gloves using the warmest appropriate water setting and dry them completely.

Clean and Disinfect

If surfaces are visibly dirty, they should be cleaned with detergent or soap and water prior to disinfection.
Carry cleaning and disinfectant disposable wipes, if available, and a trash bag with you in your vehicle. Follow the directions on the cleaning product’s label.
Clean and disinfect frequently touched surfaces of the delivery vehicle (particularly if it is shared) at the start and end of the shift. These include the steering wheel, gearshift, signaling levers, and door handles.
Wipe down pens, clipboards, and electronic signature pads after each use with the public if shared when performing a delivery.

Appropriate disinfectants for hard non-porous surfaces include:
EPA’s Registered Antimicrobial Products for Use Against Novel Coronavirus SARS-CoV-2external icon
Diluted household bleach solutions prepared according to the manufacturers label for disinfection, if appropriate for the surface
Alcohol solutions with at least 70% alcohol.

Practice Everyday Preventive Actions

Avoid touching your eyes, nose, or mouth.
Proper hand hygiene is an important infection control measure. Keep in mind where you can access and use facilities with soap and water during your shift. Wash your hands regularly with soap and water for at least 20 seconds or use an alcohol-based hand sanitizer containing at least 60% alcohol.
Key times to clean hands include:
Before, during, and after preparing food
Before eating food
After using the toilet
After blowing your nose, coughing, or sneezing

Additional times on the job to clean hands include:

Before and after work shifts
Before and after work breaks
After putting on, touching, or removing cloth face coverings
Before and after making deliveries, including after picking up from drop-boxes and customer pickups
After touching frequently touched surfaces, such as doorbells or door handles
Before wearing and after removing cold-weather gloves
Before and after pumping gas

Carry tissues in your vehicle to use when you cough, sneeze, or touch your face. Throw used tissues in the trash.


What Mail and Parcel Delivery Drivers Need to Know about COVID-19
What steps should my employer take?
Mail and parcel delivery employers should develop a COVID-19 response plan to
protect employees, following CDC business
guidance.
This plan should be shared with you and your coworkers. Your employer should
consider the following guidance:

Provide information on who to contact if you become sick.
Take steps to help prevent the spread of COVID-19 if an employee is sick
Implement flexible sick leave and supportive policies and practices. Consider drafting non-punitive emergency sick leave policies if sick leave is not offered to some or all employees.
Actively encourage sick employees to stay home.
Sick employees shouldn’t return to work until the criteria to discontinue home isolation are met.
If an employee is confirmed to have COVID-19, maintain their confidentiality as required by the Americans with Disabilities Act (ADA) and inform employees of their possible exposure to COVID-19 in the workplace.
Develop policies and technology options that allow and encourage contactless deliveries such as no-knock and no-signature. These options limit contact, provide space, and avoid the sharing of items such as pens and electronic signature pads between drivers and individuals at the delivery destinations.
Designate someone to be responsible for responding to COVID-19 concerns and ensure employees know who this person is and how to contact them.
Provide employees with the most current information from the CDC about COVID-19, how it spreads, and risk of exposure.
Provide employees with training on proper hand hygiene practices and other routine infection control precautions. This will help reduce the spread of many diseases, including COVID-19.
Show employees where they can access soap, clean running water, and drying materials, and provide alcohol-based hand sanitizers containing at least 60% alcohol; adjust delivery schedules to build in time for frequent hand washing.
Provide disposable disinfecting wipes or suitable alternatives so that commonly touched surfaces can be wiped down by employees. Provide employees training on manufacturer’s directions for use.
Provide tissues and no-touch trash options for the delivery truck.
Place posters that encourage staying home when sick, cough and sneeze etiquette, and good hand hygiene at the entrance to the workplace and in other workplace areas where they are likely to be seen.
Reach out to local public health officials to establish ongoing communications to facilitate access to relevant information before and during a local outbreak.
Where available, engage employee representatives and unions regarding company COVID-19 response plans to protect employees.
Follow all applicable federal worker safety and health regulations and public health agency guidelines.


What Maritime Pilots Need to Know about COVID-19
As a maritime pilot, how can I protect myself and slow the spread of
COVID-19?
For maritime pilots, potential sources of exposures include close contact with
a vessel crewmember with COVID-19 and touching your nose, mouth, or eyes after
contacting surfaces or handling items that a person with COVID-19 has touched.

Notify your pilots’ association and stay home if having symptoms.
Follow CDC-recommended steps if you are sick. You should not return to work until the criteria to discontinue home isolation are met, in consultation with healthcare providers.
Follow CDC-recommended precautions and notify your pilots’ association if you are well but have a sick family member at home with COVID-19.
Limit close contact (within 6 feet) with others when possible and consider taking the following steps:
Use external stairs following a path of minimum exposure to anyone on board to access the vessel bridge when possible.
Do not shake hands with anyone aboard, including during the “master-pilot exchange”.
Remind the vessel master to limit wheelhouse crew to essential personnel (such as crew involved in vessel navigation) while the pilot is on board.
Limit your use to one radar, workstation, etc.
Avoid unnecessary contact with frequently touched bridge surfaces.
Consider carrying hand sanitizer containing at least 60% alcohol for all pilotage assignments and use it to clean hands when soap and water are not available for handwashing.
Following each pilot job, clean and disinfect radios, portable pilot units, life jackets, etc. with an EPA-approved disinfectantexternal icon against the virus that causes COVID-19. If EPA-approved disinfectant is not available, a diluted bleach solution prepared according to the manufacturer’s label for disinfection can be used.

CDC recommends wearing cloth face coverings where other social distancing measures are difficult to maintain, especially in areas of significant community-based transmission. Cloth face coverings may prevent people who don’t know they have the virus from transmitting it to others. These face coverings are not surgical masks or respirators and are not appropriate substitutes for them in workplaces where masks or respirators are recommended or required.
Practice proper hand hygiene. This is an important infection control measure. With appropriate hand hygiene, gloves are not necessary for workers not already required to wear them. Wash your hands regularly with soap and water for at least 20 seconds or use an alcohol-based hand sanitizer containing at least 60% alcohol if soap and water are not available.
Key times to clean hands include:
Before and after pilotage assignments
After blowing your nose, coughing, or sneezing
After using the restroom
Before eating and before and after preparing food
Before and after putting on, touching, or removing cloth face coverings or personal protective equipment (PPE) (if applicable).
After touching objects which have been handled by coworkers, such as tools, equipment, or surfaces

Do not touch your eyes, nose, or mouth with unwashed hands.
Use tissues when you cough, sneeze, or touch your face. Throw tissues in the trash and wash your hands.


What Maritime Pilots Need to Know about COVID-19
What steps should pilots’ associations take?
It is important to note that maritime pilotage is based upon local policies
and procedures and each group is unique. While these guidelines are a general
framework, each association should tailor protocols to local needs and
customs. Pilots’ associations should have a COVID-19 response plan to protect
employees, following CDC Interim Guidance for Businesses and
Employers. This plan should be shared with you and your
coworkers. Pilots’ associations should train and designate a competent person
at each work site to ensure the plan is implemented and has the knowledge and
authority to recognize hazards and address them on vessels. Pilots’
associations should take steps to:
Reduce transmission while on piloted vessels

Conduct a hazard assessment before boarding each vessel to determine if hazards are present, or are likely to be present, for which workers may need PPE. CDC and OSHApdf iconexternal icon have recommended PPE for some types of work activities when engineering and administrative controls are not able to be implemented or are not fully protective. Employers are required to determine, select, provide, and train on correct PPE use and application for their workers’ specific job duties.
Report pilot boat or vessel crew who exhibit COVID-19 symptoms to the nearest Captain of the Port (COTP).
With the cooperation of local authorities and COTP, consider advising vessels planning to engage a pilot that they must take the following precautions prior to the pilot boarding:
Immediately prior to pilot boarding, use an product that meets EPA’s criteria for use against SARS-CoV-2,external icon against the virus that causes COVID-19 to wipe down any surface that the pilot might be anticipated to touch, such as: bridge equipment, radar, ECDIS controls, VHF radios, helm and machinery controls, the interior buttons of any elevator, and staircase hand railings that the pilot may use. If EPA-approved disinfectant is not available, a diluted bleach solution prepared according to the manufacturer’s label for disinfection can be used.
Provide a one-person escort for the pilot to and from the bridge following a path of minimum exposure to anyone on board. If equipped, only the pilot and the escort will be permitted in the elevator to and from the bridge.
Allow only essential personnel on the bridge while a pilot is on board.
Anyone entering the bridge must thoroughly wash their hands immediately prior to entering. Hand soap and paper towels should be available in the bridge head for this purpose.
All aboard shall maintain a minimum 6 feet from the pilot and each other to the extent feasible.

Reduce transmission among pilots and employees while in the office or on
pilot boat

Take steps to help prevent the spread of COVID-19 if a pilot or employee becomes sick.
Actively encourage sick pilots and employees to stay home.
Sick pilots and employees should not return to work until the criteria to discontinue home isolation are met, in consultation with healthcare providers. Clean and disinfect any areas that symptomatic individuals have had access to. Inform client vessels with individuals suspected/confirmed to have COVID-19, that they should clean and disinfect their vessels appropriately.

Provide and train pilots and employees with accurate information (in their native language) about COVID-19, how it spreads, risk of exposure, the designated competent person, and how to contact them.
Be aware that some pilots or employees may be at higher risk for serious illness, such as older adults and those with chronic medical conditions. Implement specific policies to minimize face-to-face contact between these pilots and employees or assign work tasks that allow them to maintain a distance of at least six feet from other workers, customers, and visitors.

Institute measures to physically separate and increase distance between employees and others, such as:
Rearrange workstations and break rooms at the port office so that employees can stay at least 6 feet away from other employees (i.e., use alternative work areas such as conference and training rooms).
Reduce staffing levels on each shift or implement telework policies, where applicable.
Implement on call protocols to reduce the number of employees at the port office at a given time.
Provide technology solutions to reduce the need for face-to-face communication.

Provide pilots and employees training on proper handwashing practices, cough and sneeze etiquette, and other routine infection control precautions. This will help prevent the spread of many diseases, including COVID-19.
Provide pilots and employees with access to soap, clean running water, and materials for drying their hands, and provide hand sanitizers containing at least 60% alcohol.

Maintain a healthy work environment

Place posters that encourage staying home when sick, cough and sneeze etiquette, and good hand hygiene at the entrance to the office and in other workplace areas where they are likely to be seen.
Provide tissues and no-touch disposal receptacles for use by pilots and employees.
Clean and disinfect frequently touched surfaces on a routine basis:
In break rooms, rest rooms, and office spaces: such as telephones, door handles, keyboards, card readers, radios and electronics.
On pilot boats, such as door handles, control panels chart table, armrests, headsets, radio controls, and mics.

If the surfaces are visibly dirty, clean them prior to disinfecting. To disinfect, use products that meet EPA’s criteria for use against SARS-CoV-2,external icon diluted household bleach solutions prepared according to the manufacturer’s label for disinfection, or alcohol solutions with at least 70% alcohol, and are appropriate for the surface. Follow manufacturer’s directions for use.
Provide disposable disinfectant wipes, cleaner, or spray so employees can clean and disinfect surfaces as needed.
Follow all applicable local, state, and federal regulations and public health agency guidelines.

Maintain healthy business operations

Implement flexible sick leave and supportive policies and practices. Consider drafting non-punitive “emergency sick leave” policies if sick leave is not offered to some or all employees.
Provide information on who to contact if pilots or employees become sick. If an employee is confirmed to have COVID-19 infection, employers should inform fellow employees of their possible exposure to COVID-19 in the workplace but maintain confidentiality as required by the Americans with Disabilities Act (ADA).


What Rideshare, Taxi, Limo, and other Passenger Drivers-for-Hire Need to Know about COVID-19
As a rideshare, taxi, limo, or other driver-for-hire, how can I protect
myself and others?
As a driver-for-hire, potential sources of exposure include having close
contact with passengers with COVID-19, or touching surfaces touched or handled
by a person with COVID-19.
Stay home if you are sick

If you develop a fever, or symptoms such as a cough or difficulty breathing, call your healthcare provider for medical advice and guidance before visiting their office.
You should not return to work until the criteria to discontinue home isolation are met, after talking with your doctor or nurse.

Wear a cloth face covering

CDC recommends wearing cloth face coverings in public settings where other social distancing measures are difficult to maintain, especially in areas where there may be a lot of infected people.
Cloth face coverings may prevent people who don’t know they have the virus from transmitting it to others.
These face coverings are not surgical masks or respirators and are not appropriate substitutes for them in workplaces where masks or respirators are recommended or required.

Limit contact

Avoid providing pooled rides or picking up multiple passengers who would not otherwise be riding together on the same route.
Tell the passenger to sit in the back seat; do not let passengers sit in the front seat.
Avoid close contact with passengers, when possible.
Keep a distance of at least 6 feet from passengers when you are outside the vehicle.
Ask that passengers sit six feet from the driver when transporting passengers in larger vehicles such as vans and buses.
Consider asking passengers to handle their own personal bags and belongings during pick-up and drop-off.

If you work for a company that offers a large fleet of vehicles, ask company management for a car/taxi (when applicable) with a partition between driver and passengers, if available.
Avoid using the recirculated air option for the car’s ventilation during passenger transport; use the car’s vents to bring in fresh outside air and/or lower the vehicle windows.
Avoid offering items such as water bottles or magazines often provided for free to passengers.
Avoid contact with surfaces frequently touched by passengers or other drivers, such as door frame/handles, windows, seatbelt buckles, steering wheel, gearshift, signaling levers, and other vehicle parts before cleaning and disinfection.

Clean and disinfect

Get and carry cleaning and disinfectant spray or disposable wipes and disposal trash bags with you in your vehicle.
Follow the directions on the cleaning product’s label.
If surfaces are visibly dirty, they should be cleaned with detergent or soap and water prior to disinfection.

At a minimum, clean and disinfect frequently touched surfaces in the vehicle at the beginning and end of each shift, and between transporting passengers who are sick.

Appropriate disinfectants for hard non-porous surfaces include:

EPA’s Registered Antimicrobial Products for Use Against Novel Coronavirus SARS-CoV-2external icon
Diluted household bleach solutions prepared and used according to the manufacturers label for disinfection if appropriate for the surface
Alcohol solutions with at least 70% alcohol.

Practice everyday preventive actions

Avoid touching your eyes, nose, or mouth.
Proper hand hygiene is an important infection control measure. Keep in mind where you can access and use facilities with soap and water during your shift. Wash your hands regularly with soap and water for at least 20 seconds or use an alcohol-based hand sanitizer containing at least 60% alcohol.
Key times to clean hands include:
Before, during, and after preparing food
Before eating food
Before and after using the toilet
After blowing your nose, coughing, or sneezing

Additional times on the job to clean hands include:
Before and after work shifts
Before and after work breaks
After handling passengers’ personal belongings, if unavoidable
Between rides and after handling/exchanging money
After putting on, touching, or removing cloth face coverings
Before wearing and after removing cold-weather gloves
Before and after pumping gas

Carry tissues in your vehicle to use when you cough, sneeze, or touch your face. Throw used tissues in the trash.

Passengers

Ask passengers to wear a cloth face covering and cover their mouth and nose with tissues if they cough or sneeze. Ask the passenger to dispose of the tissues after exiting the vehicle.
Immediately report any passengers intentionally spreading their germs in car interior to management, your app rideshare company, and/or the authorities, as appropriate.
If you feel uncomfortable with providing transport to a visibly sick passenger for safety reasons, you can choose to refuse transport. However, discrimination against passengers on the basis of race, national origin, or other reasons as described in your company’s policies is not allowed.


What Rideshare, Taxi, Limo, and other Passenger Drivers-for-Hire Need to Know about COVID-19
What steps should my rideshare service or taxi/limo transportation company
take?
The rideshare services or taxi/limo transportation companies for whom you are
a contract driver should develop and share a set of COVID-19 response measures
to inform and help protect drivers and passengers. They should:

Actively encourage sick drivers to stay home.
Provide employees with where to find accurate information about COVID-19, its symptoms, and how it spreads.
Encourage the use of and provide assistance in acquiring hand sanitizer and disposable wipes and cleaning products so that commonly touched vehicle surfaces can be wiped down by drivers.
Develop policies and technology options that allow and prioritize contactless transactions that limit or eliminate close contact and the sharing of items such as pens and electronic signature pads between drivers and passengers.


What School Nutrition Professionals and Volunteers at Schools Need to Know about COVID-19
As a school nutrition professional, how can I protect myself and slow the
spread?
For school nutrition professionals and volunteers working in meal preparation
and/or distribution at a school/school district site or other public settings,
potential sources of exposure include close contact with co-workers, students,
and families with COVID-19 and touching your nose, mouth, or eyes after
touching contaminated surfaces or handling items that others infected with
COVID-19 have touched. Currently there is no evidence to support transmission
of COVID-19 is spread through food.

Notify your supervisor and stay home if having symptoms.
Follow CDC-recommended steps if you are sick. You should not return to work until the criteria to discontinue home isolation are met, in consultation with healthcare providers and state and localexternal icon health departments.
Follow CDC recommended precautions and notify your supervisor if you are well but have a sick family member at home with COVID-19.
Limit close contact with others and maintain a distance of at least 6 feet, when possible.
CDC recommends wearing cloth face coverings in public settings where other social distancing measures are difficult to maintain, especially in areas of significant community-based transmission. Cloth face coverings may prevent people who don’t know they have the virus from transmitting it to others. These face coverings are not surgical masks or respirators and are not appropriate substitutes for them in workplaces where masks or respirators are recommended or required.
Clean, sanitize, and disinfect frequently touched surfaces such as kitchen countertops, cafeteria and service tables, door handles, carts, and trays, throughout the day. Follow the directions on the cleaning product’s label and clean hands afterwards.
Practice proper hand hygiene. This is an important infection control measure. With appropriate hand hygiene, gloves are not necessary for workers who are not involved in food preparation. Wash your hands regularly with soap and water for at least 20 seconds. An alcohol-based hand sanitizer containing at least 60% alcohol can be used, but not as a substitute for cleaning hands with soap and water.
Key times to wash hands include:
Before and after work shifts
Before and after work breaks
After using the restroom
Before eating or preparing food
Before putting on and after taking off disposable gloves when preparing food
After touching objects with bare hands which have been handled by other staff, customers or visitors, such as tables, trays, carts, racks, dishes, cups, utensils, bags, coolers, totes, and trash
After blowing your nose, coughing, or sneezing
After putting on, touching, or removing cloth face coverings

Avoid contact with body fluids.
Do not touch your eyes, nose, or mouth.
Use tissues when you cough, sneeze, or touch your face. Throw used tissues in the trash, and then wash your hands.


What School Nutrition Professionals and Volunteers at Schools Need to Know about COVID-19
What steps should my employer take?
Employers should have a COVID-19 response plan to protect employees, following
CDC Interim Guidance for Businesses and
Employers. This plan should be shared with you and your
coworkers. Employers should:
Reduce transmission among employees

Take steps to help prevent the spread of COVID-19 if an employee is sick.
Actively encourage sick employees to stay home.
Sick employees diagnosed with COVID-19 shouldn’t return to work until the criteria to discontinue home isolation are met, in consultation with healthcare providers and state and localexternal icon health departments.

Provide employees with accurate information about COVID-19, how it spreads, and risk of exposure.
Be aware that some employees may be at higher risk for severe illness, such as older adults and those with serious underlying medical conditions. Implement specific policies to minimize face-to-face contact between these employees or assign work tasks that allow them to maintain a distance of six feet from other workers, customers and visitors, or to telework if possible.
Provide training to employees on proper hand washing practices and other routine preventative measures. This will help prevent the spread of many diseases, including COVID-19.
Provide employees with access to soap, clean running water, and materials for drying their hands, and provide alcohol-based hand sanitizers containing at least 60% alcohol at stations around the establishment for use by both workers and customers.

Maintain a healthy work environment

Institute measures to physically separate and increase distance between employees, volunteers, other coworkers, students, and their families, such as:

Plan menus, production, and food preparation schedules to allow employees to maintain the recommended social distance of 6 feet while working when possible.

Use tape to mark 6-foot workstations (boxes or stripes on the floor) in the kitchen, food service, and food delivery points where interactions with students or their families occur, if possible.

Implement a plan for curbside pickup of meals or contactless delivery service (if possible) to minimize contacts with students and their families, when possible. When not possible, encourage employees to wear cloth face coverings.

Place posters that encourage staying home when sick, cough and sneeze etiquette, and good hand hygiene in the school, at entrances, and where they are likely to be seen.

Provide tissues and no-touch disposal receptacles for use by employees, volunteers and customers.
Clean, sanitize, and disinfect frequently touched surfaces often. If the surfaces are visibly dirty, clean them prior to disinfecting. To disinfect, use products that meet EPA’s criteria for use against SARS-CoV-2external icon, diluted household bleach solutions prepared according to the manufacturer’s label for disinfection, or alcohol solutions with at least 70% alcohol, and are appropriate for the surface. Follow manufacturer’s directions for use.
Conduct frequent cleaning of entrances, employee break rooms, rest areas, and other common areas, focusing on surfaces and objects that are touched by multiple people.

Provide disposable disinfectant wipes, cleaners, or sprays that are effective against COVID-19 so employees can wipe down frequently touched surfaces such as food service work areas in kitchens, cafeterias, door handles, tables, and countertops, and in outside distribution areas.
Follow all applicable local, state, and federal regulations and public health agency guidelines.

Maintain healthy business operations

Designate a person who is responsible for responding to COVID-19 concerns. Employees should know who this person is and how to contact them.
Implement flexible sick leave and supportive policies and practices. Consider drafting non-punitive emergency sick leave policies if sick leave is not offered to some or all employees. Employers should not require a positive COVID-19 test result or a healthcare provider’s note for employees who are sick to validate their illness, qualify for sick leave, or to return to work.
Provide information on who to contact if employees become sick. If an employee is confirmed to have COVID-19 infection, employers should inform fellow employees of their possible exposure to COVID-19 in the workplace but maintain confidentiality as required by the Americans with Disabilities Act (ADA).


What Waste Collectors and Recyclers Need to Know about COVID-19
As a waste collector or recycler, how can I protect myself and slow the
spread?
For waste collectors and recyclers, potential sources of exposure include
having close contact with a coworker or member of the public with COVID-19, or
by contacting surfaces touched or handled by a person with COVID-19.

Notify your supervisor and stay home if having symptoms.
Follow CDC-recommended steps if you are sick. You should not return to work until the criteria to discontinue home isolation are met, in consultation with healthcare providers and state and local health departments.
Follow CDC recommended precautions and notify your supervisor if you are well but have a sick family member at home with COVID-19.
Limit close contact with others by maintaining a distance of at least 6 feet when possible.
CDC recommends wearing cloth face coverings in public settings where other social distancing measures are difficult to maintain, especially in areas of significant community-based transmission. Cloth face coverings may prevent people who don’t know they have the virus from transmitting it to others. These face coverings are not surgical masks or respirators and are not appropriate substitutes for them in workplaces where masks or respirators are recommended or required.
Practice routine cleaning and disinfection of frequently touched surfaces, such as steering wheels, door handles, levers, and control panels. Key times for cleaning include:
At the beginning and end of every shift
After anyone else uses your vehicle or workstation

Wear your normal personal protective equipment (PPE) as you go about your day. This may include work gloves, eye protection (such as safety glasses), and a work uniform or coveralls.
Use Environmental Protection Agency (EPA) registered disinfectantexternal icon to clean eye protection at the beginning and end of your shift.

Replace work gloves when they become damaged (for example, if they are ripped or torn).

Practice proper hand hygiene and cough and sneeze etiquette. These are important infection control measures. Wash your hands regularly with soap and water for at least 20 seconds or use an alcohol-based hand sanitizer containing at least 60% alcohol. Key times to clean hands include:

Before and after work shifts and work breaks

After blowing your nose, coughing, or sneezing
After using the restroom
Before eating or preparing food
Before putting on, touching, or removing cloth face coverings

Avoid contact with body fluids, if possible. Use gloves if you have to touch surfaces contaminated by body fluids.

Avoid touching your eyes, nose, or mouth. Be extra careful when putting on or taking off PPE.
Stay up to date on your company’s current policies on COVID-19. Follow the social distancing guidance provided by your employer.


What Waste Collectors and Recyclers Need to Know about COVID-19
What steps should my employer take?
Employers should have a COVID-19 health and safety plan to protect employees,
following CDC Interim Guidance for Businesses and
Employers.
This plan should be shared with you and your coworkers. Employers should:
Reduce transmission among employees

Take steps to help prevent the spread of COVID-19 if an employee is sick.
Actively encourage sick employees to stay home.
Sick employees shouldn’t return to work until the criteria to discontinue home isolation are met, in consultation with healthcare providers and state and local health departments.

Provide employees with accurate information about COVID-19, how it spreads, and risk of exposurepdf iconexternal icon.
Be aware that some employees may be at higher risk for severe illness, such as older adults and those with chronic medical conditions. Implement specific policies to minimize face-to-face contact between these employees or assign work tasks that allow them to maintain a distance of 6 feet from other workers, customers, or visitors.
Provide employees training on proper handwashing practices, cough and sneeze etiquette, and other routine infection control precautions. This will help reduce the spread of many diseases, including COVID-19.

Provide employees access to soap and clean running water or alcohol-based hand sanitizers containing at least 60% alcohol at their worksite, which may include inside a vehicle.

Maintain a healthy work environment

Institute measures to physically separate and increase distance between employees and customers, such as:
Rearrange workstations so that employees can stay at least 6 feet away from other employees.
Stagger shifts, start times, and break times to reduce the number of people in work and break areas at one time.
Remove or rearrange chairs and tables, or add visual cue marks, in employee break rooms to support social distancing practices between employees. Identify alternative areas to accommodate overflow volume.
Communicate through use of text messaging, phone, and email and personal mobile phones to communicate instead of face-to-face contact.
Cancel or postpone in-person meetings and trainings whenever possible. If you must meet, spread out to a distance of 6 feet or more between attendees.
If possible, limit waste collectors to one person per truck.

Place posters that encourage staying home when sick, cough and sneeze etiquette, and proper hand hygiene practices at the entrance to the workplace and in other workplace areas where they are likely to be seen.
Provide tissues and no-touch disposal receptacles for use by employees.
Clean and disinfect frequently touched surfaces within the facility or vehicle. If the surfaces are visibly dirty, clean them prior to disinfecting. To disinfect, use products that meet EPA’s criteria for use against SARS-CoV-2external icon, diluted household bleach solutions prepared according to the manufacturer’s label for disinfection, or alcohol solutions with at least 70% alcohol, and ensure products are appropriate for the surface. Follow manufacturer’s directions for use.
Clean and disinfect at the beginning and end of each shift, particularly if tools, workstations, or vehicles are shared among workers.
In facilities, these may include shared equipment such as cart handles, knives or other tools, buttons, levers, and
In vehicles, these could include the steering wheel, gearshift, signaling levers, door handles, and seatbelt buckles.
Conduct frequent cleaning of employee break rooms, restrooms, and other common areas.
Require employees to clean out lockers nightly to facilitate overnight deep cleaning processes.

Provide disposable disinfectant wipes so that surfaces commonly touched can be wiped down.
Follow all applicable worker safety and health federal regulations and public health agency guidelines.

Maintain healthy business operations

Designate a person who is responsible for responding to COVID-19 concerns. Employees should know who this person is and how to contact them.
Consider using a hotline for employees to voice concerns anonymously.
Implement flexible worksites, such as telework, for staff who can perform their job functions remotely.
Implement flexible sick leave and supportive policies and practices. Consider drafting non-punitive emergency sick leave policies if sick leave is not offered to some or all employees. Employers should not require a positive COVID-19 test result or a healthcare provider’s note for employees who are sick to validate their illness, qualify for sick leave, or to return to work.
Provide information on who to contact if employees become sick. If an employee is confirmed to have COVID-19 infection, employers should inform fellow employees of their possible exposure to COVID-19 in the workplace but maintain confidentiality as required by the Americans with Disabilities Act (ADA).
Explore alternative other ways to promote hand washing if there is difficulty sourcing hand sanitizer and waste collectors and recyclers cannot utilize use public restrooms. For example, provide a large (5+ gallon) bucket with a lid and tap that can be used to provide water for handwashing. Buckets should we cleaned with detergent between uses.
Maintain adequate supplies of water, soap, and single use paper towels on the truck.
Place hand sanitizers in multiple locations to encourage hand hygiene.


Clinical Questions about COVID-19: Questions and Answers
Drugs and Investigational Therapies
Do nonsteroidal anti-inflammatory drugs (NSAIDs) worsen the course of disease for people with COVID-19?
CDC is currently not aware of scientific evidence establishing a link between
NSAIDs (e.g., ibuprofen, naproxen) and worsening of COVID‑19. FDAexternal
iconexternal icon,
the European Medicines Agencyexternal
icon, the World Health
Organization, and CDC are
continuing to monitor the situation and will review new information on the
effects of NSAIDs and COVID-19 disease as it becomes available. For those who
wish to use treatment options other than NSAIDs, there are other over-the-
counter and prescription medications approved for pain relief and fever
reduction. Patients who rely on NSAIDs to treat chronic conditions and have
additional questions should speak to their healthcare provider for
individualized management. Patients should use NSAIDs, and all medications,
according to the product labels and advice of their healthcare professional.


Clinical Questions about COVID-19: Questions and Answers
Patients with Liver Disease
Should hepatitis A and hepatitis B vaccines continue to be administered to adults at risk for hepatitis A or hepatitis B?
Yes. Continue to administer these vaccines if an in-person visit must be
scheduled for some other purpose and the clinical preventive service can be
delivered during that visit with no additional risk; or an individual patient
and their clinician believe that there is a compelling need to receive the
service based on an assessment that the potential benefit outweighs the risk
of exposure to SARS-CoV-2 virus. For more information see Delivery of Adult
Clinical Preventive Services, Including
Immunizations.


Clinical Questions about COVID-19: Questions and Answers
Obstetrical Care
What guidance is available for labor and delivery HCP with potential exposure in a healthcare setting to patients with COVID-19 infection?
HCP in labor and delivery healthcare settings should follow the same infection
prevention and control recommendations and personal protective equipment
recommendations as all other HCP. If HCP are exposed to patients with COVID-19
infection, guidance is available for HCP and healthcare facilities on steps to
take. For more information, please see: Interim U.S. Guidance for Risk
Assessment and Public Health Management of Healthcare Personnel with Potential
Exposure in a Healthcare Setting to Patients with Coronavirus Disease
(COVID-19)


Clinical Questions about COVID-19: Questions and Answers
COVID-19 Risk
I am a HCP living with someone who is at higher risk of severe illness from COVID-19. What precautions should I take?
Take the same precautions recommended for people at higher
risk of
severe illness from COVID-19. There are no additional precautions for HCP.
Some HCP may choose to implement extra measures when arriving home from
providing healthcare, such as removing any clothing worn during delivery of
healthcare, taking off shoes, washing clothing, and immediately showering.
However, these are optional personal practices because there is insufficient
evidence on whether they are effective.


Clinical Questions about COVID-19: Questions and Answers
COVID-19 Risk
Who is at risk for infection with the virus that causes COVID-19?
Currently, those at greatest risk of infection are persons who have had
prolonged, unprotected close contact with a patient with symptomatic,
confirmed COVID-19 and those who live in or have recently been to areas with
sustained transmission. For more information, see Risk
Assessment.


Clinical Questions about COVID-19: Questions and Answers
Obstetrical Care
Is forceful exhalation during the second stage of labor considered an aerosol-generating procedure for respirator prioritization during shortages?
Based on limited data, forceful exhalation during the second stage of labor
would not be expected to generate aerosols to the same extent as procedures
more commonly considered to be aerosol generating (such as bronchoscopy,
intubation, and open suctioning. Forceful exhalation during the second stage
of labor is not considered an aerosol-generating procedure for respirator
prioritization during shortages over procedures more likely to generate higher
concentrations of infectious respiratory aerosols.
When respirator supplies are restored, as with all clinical care activities
for patients with known or suspected COVID-19, HCP should use respirators (or
facemasks if a respirator is not available), eye protection, gloves, and gowns
during the second stage of labor, in addition to other personal protective
equipment that may be typically indicated for labor and delivery. For more
information please see: Healthcare Infection Prevention and Control
FAQs


Clinical Questions about COVID-19: Questions and Answers
Patients with Liver Disease
Should routinely recommended hepatitis A and hepatitis B vaccines continue to be administered to children?
Routine hepatitis A and hepatitis B vaccination of children should continue to
the extent possible, according to the CDC immunization
schedules.
Maintaining Childhood Immunizations During COVID-19
Pandemic
The COVID-19 pandemic is changing rapidly and continues to affect communities
across the United States differently. Some of the strategies used to slow the
spread of disease in communities include postponing or cancelling non-urgent
elective procedures and using telemedicine instead of face-to-face encounters
for routine medical visits.
Different strategies are needed to ensure the delivery of newborn care and
well-child care, including childhood immunizations. Healthcare providers in
communities affected by COVID-19 are using strategies to separate well visits
from sick visitsexternal
icon.
Examples include:

Scheduling well visits in the morning and sick visits in the afternoon.
Separating patients spatially, such as by placing patients with sick visits in different areas of the clinic or another location from patients with well visits.
Collaborating with providers in the community to identify separate locations for holding well visits for children.

Because of personal, practice, or community circumstances related to COVID-19,
some providers may not be able to provide well-child care, including
immunizations, for all patients in their practice. If a practice can provide
only limited well-child visits, healthcare providers are encouraged to
prioritize newborn care and vaccination of infants and young children (through
24 months of age) when possible. CDC is monitoring the situation and will
continue to provide guidance.