Facilites ~ Higher risk sports February 1, 2021 : Reereational Facilities Owners/Operators FROM: Oneida County Health Department (OCHD) HEALTH ADVISORY: HIGHER-RISK RECREATIONAL SPORTS FACILITIES ‘+ New York State's Interim Guidance For Sports And Recreation During The Covid-19 Public Health Emergeney eategorizes sports and reereation activities as lower risk, moderate risk, and higher risk, Wrestling, football, ice hockey, basketball, contact lacrosse, martial art, rugby, volleyball, competitive cheer and group dance other sports and reereation activities with similar abilities to maintain physical distance andior limit exposure to shared equipment prior to such equipment being cleaned and disinfected are among the sports categorized us higher isk, ‘© On January 22, 2021, Governor Cuomo announced that effective February 1, 2021, participants in higher rsk sports and recreation activities may partake in individual or distanced group taining and organized noflow.contact group training and may partake in other types of play, including competitions and tournaments, only as permitted by their local health department ‘© The Interim Guidance For Sports And Recreation During The Covid19 Public Health Emergency stipulates that the following fectors should be considered regarding higher risk sports, which may weigh against permitting such setvities Whether a more-transmissible variant of SARS-CoV-2 (the virus that causes COVID-19 disease) has been identified by New York State Department of Health (NYSDOH) inthe area, + Currently there have been no cases of a more-transmissible variant of SARS-CoV-2 identified in Oneida County + Local rates of SARS-CoV-2 transmission or rate of positivity.+ Local rates of positivity and of transmission (Rt) ar at acceptable levels to permit higher risk sports with restrictions and have been on @ downward trend since the first week of Janay. * Local ability to monitor and enforce compliance with requirements. + In order for OCHD to effectively monitor and enforce compliance with ‘equiements, OCH must have the full participation, assistance and ‘cooperation ofeach recreational sports facility which wishes to host ligher tisk sports BACKGROUND “The World Health Organization defines health as “a state of complete physical, mental and social ‘well-being and not merely the absence of disease or infirmity.” Regarding SARS-CoV-2 and participation in sports the American Academy of Pediatrics has indicated that r-engaging in sports activities has physical and psychological health benefits. Participating in sports allows ‘youth to improve their eardiovaseular health, strength, body composition, and overall fitness. Mentally, youth may experience benefits from increased socialization and from a more structured routine Both the psychological and physical benefits support developmental growth and can have immune system benefits. ‘The State's decision to permit higher-isk sports and recreation activities does not mean that the risk inherent in higher risk sports activities has changed. Any time people are gathered, there is a Fisk of exposure to SARS-CoV-2, which ean lead to serious medieal conditions and even death. ‘Symptomatic and asymplomatic individuals can spread the virus. Masking, distancing, and other mitigation measures reduce, but donot eliminate tsk, Further, there i a significant risk of transmission to those in the home of an infected athlete. At present, it eannot be predicted who will ecome severely il, although older people and those ‘with underlying health conditions are at higher risk, The long-term effects of SARS-CoV2 are not knavwn: even pele with mild eases may experience long-term complications. Players, parents, coaches, referees and officials should understand that social interactions outside of an actual practice or eompetition (eg. locker rooms, buses) are also potential places of transmission among student-athletes. Regarding clusters of SARS-CoV-2 cases among athletes, at this time, there is insufficient data to determine whether transmission is more likey to have ‘ecurred because of the nature ofa given sport or because of the social factors and enviroament surrounding the athletes and teams.‘Ultimately, the decision falls on the parents/guardian to decide whether they will allow their children to participate in a given sport or ativity. ‘The effects of SARS-CoV-2 transmission are ‘numerous and far reaching, Before choosing to participate in any higher risk activity, parents and facility ownet/operators must educate themselves sbout the potential ramifications of participation. On January 26,2021, the CDC published in its “Morbidity and Morality Weekly Report” (*MMWR")a study entitled “SARS-CoV.2 Transmission Associated with High School ‘Wrestling Toumaments — Florida, December 2020-Januaty 2021” which sets forth the SARS- CoV-2 transmission and related consequences resulting from a wrestling tournament held in Florida in early Devember 2020 (soe attached article) Athletes willbe permitted to participate in recreational higher-risk sports facilities in Oneida County provided that each recreational sports facility prepares plan for approval by the OCHD adheres tothe requirements set forth below. OCHD will have two objectives when reviewing and monitoring plans which provide forthe safe participation in higher risk sports: first, to prevent any participants (athletes, coaches, referees, officals, trainers, spectators, ct.) fiom contracting SARS-CoV-2; second, tothe extent a participant contracts SARS-CoV-2, 0 swiflly and effectively curtail the opportunity for the vius to be transmited to others. REQUIREMENTS KOR HIGHER RISK_SPORTS IN ONEIDA COUNTY Bach owner/operator ofa ficility which provides spaces for higher risk resreational leagues and sports, must oversee the ereaton ofa spor-specifi preparedness plan that delineates: ‘© Apilan administrator, who is responsible for communicating the plan to athletes, coaches, parents, trainers, refereesofficals, et. © Aplan coordinator, who will serve as a point of contact, should any cases be identified, The coordinator must facilitate and asist with case investigation and contac elicitation and notification ‘oA dsily system to ensure that no one associated withthe facility is ill, including all employees. © Assystem for logging attendance by all individuals associated with the facility, including referoes/oicals hired by the facility and spectators. The system must ‘capture names, phone numbers and email addresses. ‘© How practice and game times can be staggered to avoid crowding and congestion ‘winen participants, referees/olicials and spectators ate arriving, playing, and leaving.‘© How sharing of objects (e., water bottles, towels, snacks) will be avoided and the use of dedicated personal equipment encouraged. (© How locker rooms and facility shower use can be avoided, ‘© How congregate dining will be minimized and when itis necessary, how NYS social istancing regulations related to dining and gatherings will be adhered to, + Each sports facility shall have every participant or parent/guardian of a participant, s the ‘case may be, sign a SARS-CoV-2 informed consent that, at a minimum, acknowledges tha: ‘© Participation in the higher-rsk sport places the student-athlete at rsk of exposure to SARS-CoV-2. ‘©. Symptomatic and asymptomatic individuals ean spread the virus (© Masking, distancing, and other mitigation measures reduce, but do not eliminate risk. ‘© Atpresen, it annot be predicted who will become severely ili infected ‘©. SARS-CoV-2 ean lead to serious medical conditions and death for people of all ages. ‘© The long-term effects of SARS-CoV-2 ar, at present, unknown; even people with 1mild cases may experience long-term complications. (©. Thore is a significant risk of transmission to those in the home of infected student- athletes. ‘© Older people and people with underlying health conditions are at higher risk of serious disease. (© Attaches the CDC “Morbidity and Mortality Weekly Report,” dated January 26, 202 ‘© Consent that a condition of ongoing participation wll be full cooperation with case! contact investigations and compliance with isolation/quarantine requests if indicated, + Bach facility establishes and disseminates their own phone number and email address to allow athletes, parents or others to report alleged failures to adhere tothe obligations reflected in those requirements and/or those in NYS" Interim Guidance For Sports And Recreation During The Covid-19 Public Health Emergeney. ‘+ Masks that conform to recommendations from the Centers for Disease Control and Prevention must be worn a all ies, by all athletes, coaches, managers, referces/oficals, spectators, individuals dropping off or picking up athletes, ete. IFatletes are unable to wear ‘mask because of difficulty breathing during high intensity activities or swimming, they ‘ust wear all times when not actively playing, including when on bench or pool deck. ‘© Any mask that becomes saturated with sweat must be changed immediately.(© Reusable masks (cloth face coverings) must be washed daily in hot water and not reused until leaned, (© Facility employees should monitor proper use and correct improper use by athletes, coaches, managers, referees, officials, spectators and employees when indicated, OCHD requites each employee ofa facility which hosts higher risk sports be tested every fourteen days and recommends each athlete, manager, referee/offcial, trainer or other individuals associated with higher risk sports undergo, PCR-based SARS-CoV.2 testing, ‘every fourteen dys unless the inuividuel has docuuentation of a positive PCR-based SARS- ‘CoV-2 test within the previous 90 days. + ‘The owmerfoperatorof the facility, or is representative, must report to OCHD positive test results of any employee or individual participating at its facility, including but not limited to athletes, coaches, managers, referees, officials and spectators of which its, ‘aware within 24 hours of learning of the result. Pailities for reeteational sports must limit spectators to minimize the risk of transmission and comply with venue guidance and capacity limits, No more than two spectators per athlete :may be permitted for indoor sports. ‘Malti-team events or tournaments involving higher-tisk sports are not permitted in Oneida County ‘The owner! operator of the fucility acknowledges the guidelines for participation in higher risk sports may change as new information becomes available and cireumstances change, and, asa result, the facility will adjust its plan and practices accordingly, as soon as it ‘becomes aware of such changes in guidelines Failure of the facility to abide by its approved plan will result in losing the privilege of offering a particular higher risk sport oral higher risk sports, fora period of time, or at all, as the ease may be.Centers for Disease Control and Prevention Early Release /Vol.70 ‘Morbidity and Mortality Weekly Report January 26,2021 SARS-CoV-2 Transmission Associated with High School Wrestling Tournaments — Florida, December 2020-January 2021 ‘hin Arse, PHD, May Sip MP ay See en, DYNES Son, MDW yack MD, “Sn Rak (On December 7, 2020 lo pice ficasn ra county Aswere notified of a peson with an antigen pose SARS.CoN'2 ten” elt who had attended two igh school ‘wren tournamens eld inthe county on Decnber 4nd 3 The tourament included 10 paricpaing high scols fiom thre conte. The how school (cool An aunty A) prtpmted inthe ourtamentson both days Be ighsehoo! teas fmm two cute pratd theft day oy four Ilion high school teams fom the three counties pa Tipit secon diy. Aco of 130 weer, conde, tnd referees attended the tournament (Tale). Dutig December #-9, 13 wrestlers om school A recived positive SARS.CHV.2 ve esl (Figure; ineluing nine who were symptomatic who wee aympromat, and ow fo whom Syimpom sanura time of specimen collection wax unin Tol publ heath oficial in the thee counties ntated an invesigation! and ete specimens fom 29 adiional ‘Qattendas rom nine of he 1 paripating schools cal (oF 54 (1.5%) ofthe 130 rurnamene attendee recived tes ing and 38 cases of SARS-CoV infexion were denied: the minimum ack rate was 30.29 (38 of 1269), and 70.4% {GBF 54) of ests hada pov rele Amongcontes ofthe BR COVID-19 pnts 46 were determined by investors on seein aie bs ot Boia came COE ‘Dv ta Nake MPA to meet the CDC defaion of clove contac including 62 who were household emacs aul 384 who were in-school nace (sme, echers,noscompaing wrestling ter ‘embry and other school athletic eam member). Among, ‘hse 446 cones, ive hd reve a dagnasisof COVID-19 Ahring Jne-Noveber and were etude From attack ate faleulitons, Among 95 (21.3%) contacts who received SARS.CiN2 ening 1 (43.290) rziveda poste res eae (nim auackerte = 9.396 [41 aF41):21 1.2%) persons svth postive res reales were sympeomate eight (19.5%) ‘wee asymptomsti, and symptom sats for 12 29.3%) was “unkown a he time of spacimen collection. Among com> tact attack rte were highew among houshold members {G0.0%) and wring cam mere wh dd noratend he touimament (20.39%), a¢ wee the percentages of positive est ‘ult (6.0% among household membetsand 54.2% among team member). Among all contacts the olds of eeving 2 pve tet resule were highest among household cones (od ratio = 2.7; 959% confidence interval = 12-60), Loel Fal autories spond che death of one adult cantar aged >50 yeas. ‘An esimatd 1,700n-peson schoo days ere lstas2.con- sequence of iaation and quarantine of pasens and contact during this COVID-19 outbreak The umber of in-person schooldays ost woud katy have been higher had the ou break no occured roma the end ofthe fl 2020 seme US. Deparment of Health and Human Services Contr fr Dsease Conta nd PreventionEyles {TABLE chor operon with CMD. tide uth igh choo restng touramants— li Deeb 220 Jany 201 oo vay SAEART pete ‘sor “ham Stra Bins Papi oor 33th tt nn ios wis ada eae Se Sy in ta eet, a epemet Fe tea Somtoniinster Sos 7M MOE ar siren tua sun ano = nate ee Be ie es pa aa sas 3g sem ‘Racine an amano thing ae ob Nan aie Sear es ames shennan vette Ropvalwn conc nue urtnown, In adion, tis outbreak resulted in the suspension ofall ‘winter indoor and outdo high shoo tle in eouny A, _Mfcring approximately 1500 sodens. “The Amica Acadey of Pedic meri guidance for rerun spots peicaly recommends agains ask wea ing during resting bose of the choking hazard eat fice ‘ering could pos (1), In Octobe, lal able hel and ‘cool oil n county Acsabihed COVID-19 mitigation len psc wrertng fr pracson, matches, and tour ment including mae wearing and physical dianclng (at Tease 6 es) when no actively wreting symp seeking, an infection of space and equipment. However, not Fee to ainsi phys dancing and univer mas ‘wean during practice and competition for highcontact {poressuch a resting ’Ac che cine ofthe tournament, the L4ay cumulative CCOVID-19 lncience in county A, home wo seven ofthe 10 siping high shoal enn e368 pe ON. pre 57.7% of es For SARS-CoV? had postive results (2). The inckence in coungy A place he eotamanity i the highest category Fr tanemiion of SARS-CaV-21" CDC guidance Testor acne hn provides commanitytasmsion level thresholds for school ‘ecson makers that shoul beappi tse athletics related soil gatherings High-contct choo alse activ tc for which mask wearing and phys! dancing are not posible shoul be postpone during periods wth substantial Or high Ives of SARS-CV-2 community tanamison (3). Oabreaks mong athletes parcpatngin Righeantc poets ‘an impact psn lamingforalstentsand increase rise for secondary in achoel and communigyransmision with potenally severe outcomes incuing death (8. Acknowledgments Sania Woes Mla inne, Tiny Sean, Mla CGhampmmnnant, Le Eker, Gregory Dana, Bernard open Tmmy Dune, Hora Depriene of Hea a Tal Conse Marre A Hon, Mask Andeson, Amada Hay, {Get Gi Cha Bing, Ral Fak, CDC: Namen Pa ia Deparment of Hen Hilsborugh Cony ‘Si Dono Wa Wl Ca are, Ho as {Al auiovs hve completed and sabi the erations Commit Meal ural Edson ordeleeweof poe Conon ft, Nope confi of noe were sdSURE. 54S CoV.2 et with porte among attendees of igh sho! wrstngtoumamants nd thr contacs, by specimen olen Ste Flr ecerber 2020 Jonny 2031 207 nates Vgasenineincay 1 sereotcontets re 2 Dae tspecenen clei References $000, Acted Seay 1, 001 nipeic epee tert mii 2 Ron Crpaonen of Hae COVID. 19 mama or oi ‘Pipe i Atced Deseme ,2021; hep ase econ pac ‘ui sees ong pn ‘sony some hapa 2 on Mn Bla i Ep ony 26301 eta 8.103074 4, He it Chae Re DA. ely CDC COVID-19 Rope “Tam Sm of gaan rp ea seep ae gh lec omy mmnie 9 SARS. cel dt, ‘Sn 50, MAA Mode na Wey 50906918007. PAID SS 3043 epg 858Seme sed Reade whe hve diy ace hs PDF fle may ac the HIDML He at hepato gv mt vlume7hwrn 700K, hime iran? Add ng abo the MEER See, nding tl wo be considered for pbleon, wo Br, ‘dS Meg V25-5, CDC, 10 Chon RA, NE, Alia, CA 30329 4027 orto merge g