UNCLASSIFIED// ROUTINE R 301952Z APR 21 MID200000818064U FM CNO WASHINGTON DC TO NAVADMIN INFO SECNAV WASHINGTON DC CNO WASHINGTON DC BT UNCLAS NAVADMIN 086/21 MSGID/NAVADMIN/CNO WASHINGTON DC/CNO/APR// SUBJ/UPDATED GUIDANCE TO COMMANDERS ON ADJUSTING HEALTH PROTECTION CONDITIONS AND BASE SERVICES DURING COVID-19 PANDEMIC (CORRECTED COPY)// REF/A/NAVADMIN/OPNAV/20MAY2020// REF/B/MEMO/OSD/29APR2021// REF/C/OPNAV/30APR2021// REF/D/OPNAV/DOC/13APR2020// REF/E/SECNAV/MSG/231933ZMAR2020// REF/F/SECNAV/MEMO/30APR2021// REF/G/SECNAV/ALNAV/30APR2021// NARR/ REF A IS CNO GUIDANCE TO COMMANDERS ON ADJUSTING HEALTH PROTECTION CONDITIONS AND BASE SERVICES. REF B IS OUSD PR GUIDANCE FOR COMMANDERS RISK-BASED RESPONSES AND IMPLEMENTATION OF THE HEALTH PROTECTION CONDITION FRAMEWORK DURING CORONAVIRUS DISEASE 2019. REF C IS OPNAV OCCUPANCY EXEMPTIONS AUTHORIZATION. REF D IS OPNAV PREVENTION FRAMEWORK. REF E IS ALNAV 029-20 STATE AND LOCAL SHELTER-IN-PLACE ORDERS IMPACT ON DEPARTMENT OF THE NAVY OPERATIONS. REF F IS SECNAV MEMO DELEGATING AUTHORITIES AND AMPLIFYING HPCON GUIDANCE. REF G IS ALNAV 032-21 UPDATE TO DEPARTMENT OF THE NAVY HEALTH PROTECTION CONDITION POLICIES. RMKS/1. REFERENCES (A) AND (D) ARE CANCELLED. THIS NAVADMIN INTRODUCES THE COVID-SPECIFIC DOD-DIRECTED HEALTH PROTECTION CONDITION (HPCON) FRAMEWORK OUTLINED IN REF (B); IDENTIFIES HPCON IMPLEMENTATION GOVERNANCE; IDENTIFIES CRITERIA AND OCCUPANCY LIMITATIONS ALIGNED WITH HPCON LEVELS PER REF (B); AND, PROVIDES NAVY EXEMPTION PROCESS FOR OCCUPANCY LEVELS. THIS IS A SIGNIFICANT CHANGE FROM REF (A). NAVY COMPONENT COMMANDERS (NCC) WILL USE TABLE 1 OF REF (B), ALONG WITH GUIDANCE SET FORTH IN REF (B) TO SET HPCON LEVELS, TRANSITION BETWEEN HPCON LEVELS AND DIRECT ACTIVITIES ACROSS HPCON LEVELS TO PROTECT THE FORCE AND PROVIDE MISSION ASSURANCE. 2. MISSION. HPCON IS AN AGILE FRAMEWORK ENABLING MISSION ASSURANCE WHILE PROTECTING PERSONNEL. DECISIONS TO CHANGE HPCON WILL BE BASED ON LOCAL PUBLIC HEALTH SURVEILLANCE DATA; GUIDANCE FROM THE CDC OR FROM HOST NATION EQUIVALENT IF OCONUS; COLLABORATION WITH STATE, TERRITORIAL, AND LOCAL PUBLIC HEALTH AND MEDICAL AUTHORITIES; COORDINATION BETWEEN NEARBY INSTALLATIONS; AND ADVICE FROM THE COMMAND PUBLIC HEALTH EMERGENCY OFFICER (PHEO) AND LOCAL MILITARY MEDICAL TREATMENT FACILITY (MTF). 2.A. THOSE WITH HPCON IMPLEMENTATION AUTHORITY WILL COORDINATE CHANGES IN HPCON LEVELS WITH OTHER MILITARY INSTALLATIONS IN THE SAME LOCAL COMMUTING AREA (E.G., APPROXIMATELY 30 MILES) TO THE GREATEST EXTENT PRACTICABLE TO ENSURE CONSISTENCY IN RESPONSE AND CONSISTENT DOD UNITY OF MESSAGING IN ACCORDANCE WITH REF (B) AND AMPLIFIED IN REF (F). ASSESSMENTS MUST INCLUDE BOTH THE INSTALLATION AND SURROUNDING COMMUNITY. RESOURCES TO ASSESS COMMUNITY TRANSMISSION RATES AND CORRESPONDING HPCON LEVELS ARE IDENTIFIED IN REF (B). NCCS WILL COORDINATE HPCON CHANGES WITH COMBATANT COMMANDERS AND/OR SUB-UNIFIED COMMANDERS AS NEEDED. COMMANDER, NAVAL INSTALLATIONS COMMAND (CNIC) AND REGIONAL COMMANDERS (REGCOM) WILL GAIN APPROVAL FROM THE RESPECTIVE NCC TO ADJUST HPCON. NCC MAY DELEGATE AUTHORITY TO CHANGE HPCON TO THE REGION OR INSTALLATION COMMANDER, BUT MAY NOT DELEGATE TO A LEVEL LOWER THAN THE O-6 INSTALLATION COMMANDER. 2.B. EXTENSIVE DATA IS AVAILABLE TO INFORM THE HPCON REVIEW PROCESS VIA THE ADVANA COVID-19 MODELING PLATFORM. ADVANA ACCOUNTS AND ACCESS CAN BE FOUND AT: HTTPS://QLIK.ADVANA.DATA.MIL/. NCC, FLEET AND INSTALLATION COMMANDERS CAN USE THIS PLATFORM TO ACCURATELY DEVELOP A COVID-19 COMMON OPERATIONAL PICTURE TO ENABLE DATA-INFORMED DECISION MAKING. THE ADVANA SYSTEM INCLUDES LIVE DATA UPDATES ON CASES, TESTING CAPACITY, BEDS, PERSONNEL, SUPPLY AND LOGISTICS, GIVING COMMANDERS REAL-TIME SITUATIONAL AWARENESS WHILE PROJECTING IMPACTS TO READINESS. NCC, OR DELEGATED AUTHORITY, WILL USE THIS HPCON TRANSITION FRAMEWORK TO INFORM DECISIONS THAT BALANCE OPERATIONAL READINESS, MAINTENANCE, TRAINING, EDUCATION AND THE NEEDS OF INSTALLATION BENEFICIARY POPULATIONS. NCC SHOULD CONSIDER TRANSMISSION RATES, DISEASE TRAJECTORY AND MEDICAL FACILITY CAPABILITIES/CAPACITIES IN CHANGING HPCON LEVELS. CASE-RATE THRESHOLDS SHOULD NOT BE THE SOLE DETERMINING FACTOR FOR AN INSTALLATIONS HPCON LEVEL. CASE-RATES SERVE AS GUIDELINES FOR INTEGRATION INTO A COMPREHENSIVE REVIEW PROCESS PER REF (B). ADDITIONAL ASSESSMENT MEASURES MAY INCLUDE, BUT ARE NOT LIMITED TO: (1) SHORT TERM COVID-19 TRAJECTORY CHANGES IN THE LOCAL COMMUNITY; (2) ENVIRONMENTAL INDICATORS OF UNREPORTED COVID-19 (I.E., DETECTED IN WASTEWATER); AND, (3) SUPPORTING MEDICAL CAPACITY AND CAPABILITY. REF (B) TABLE 1 PROVIDES CONSIDERATIONS FOR CHANGING HPCON LEVELS. 2.C. MEASURES LISTED IN TABLE 1 OF REF (B) WILL BE CONSIDERED AND MAY BE ADJUSTED AT EACH HPCON LEVEL BASED ON MISSION AND OTHER RISK CONSIDERATIONS, AND IN CONSULTATION WITH MILITARY PUBLIC HEALTH AND MEDICAL ADVISORS, TO THE EXTENT CONSISTENT WITH OVERARCHING DOD FHP GUIDANCE. DIRECTIVE MEASURES IDENTIFIED IN TABLE 1 OF REF (B) SHALL BE IMPLEMENTED IN ACCORDANCE WITH CORRESPONDING HPCON LEVELS. SUGGESTED MEASURES (CONSIDER, ENCOURAGE, ETC.) IDENTIFIED IN TABLE 1 OF REF (B) ARE PROVIDED TO MANAGE INSTALLATION ACCESS AND SERVICES AND INFORM AUTHORIZED AND PROHIBITED ACTIVITIES OFF-INSTALLATION COMMENSURATE WITH THE APPROPRIATE HPCON LEVEL. NCCS MAY MODIFY HEALTH PROTECTION MEASURES IN ORDER TO PROVIDE MISSION ASSURANCE WHILE ENSURING FORCE HEALTH PROTECTION. INSTALLATION COMMANDERS SHOULD CONSIDER THE MERITS (WITHIN THE SCOPE OF THEIR AUTHORIZATION) OF PROVIDING PERSONNEL ACCESS TO CONTROLLED, ON-BASE FACILITIES OVER UNCONTROLLED OFF-BASE FACILITIES WHEN DETERMINING SERVICES TO PROVIDE AS PART OF THE HPCON RISK MANAGEMENT PLAN. 2.D. IAW REF G, IMMUNIZED SAILORS WILL BE SUBJECT TO INDIVIDUAL RESTRICTIONS NO HIGHER THAN THOSE CORRESPONDING TO HPCON B, REGARDLESS OF THE HPCON STATUS OF THE INSTALLATION TO WHICH THEY ARE ASSIGNED. 3. HPCON LEVELS. THE CRITERIA OUTLINED IN THIS NAVADMIN USE COMMUNITY TRANSMISSION RATES AS AN ANALYTICAL FOUNDATION FOR ASSESSMENT BY LOCAL COMMANDERS. CASE-RATE THRESHOLDS SHOULD NOT BE CONSIDERED THE EXCLUSIVE FACTOR FOR DETERMINING HPCON LEVELS. NCC, OR DELEGATED AUTHORITY, SHOULD USE THE FOLLOWING CRITERIA WHEN CONSIDERING A CHANGE TO HPCON LEVELS: 3.A. HPCON D: WIDESPREAD COMMUNITY TRANSMISSION. DAILY AVERAGE OF MORE THAN 60 NEW CASES PER 100,000 POPULATION IN THE LAST 7 DAYS AND NO DECLINE IN CASES OR A DECLINE OF NEW CASES OF LESS THAN 7 DAYS. 3.B. HPCON C: SUSTAINED COMMUNITY TRANSMISSION. DAILY AVERAGE OF 31-60 NEW CASES PER 100,000 POPULATION IN THE LAST 7 DAYS. 3.C. HPCON B+: ELEVATED COMMUNITY TRANSMISSION. DAILY AVERAGE OF 16-30 NEW CASES PER 100,000 POPULATION IN THE LAST 7 DAYS. 3.D. HPCON B: INCREASED COMMUNITY TRANSMISSION. DAILY AVERAGE OF 2-15 NEW CASES PER 100,000 POPULATION IN THE LAST 7 DAYS. 3.E. HPCON A: MINIMAL COMMUNITY TRANSMISSION. DAILY AVERAGE OF FEWER THAN 2 NEW CASES PER 100,000 POPULATION IN THE LAST 7 DAYS. 3.F. HPCON 0: COVID-19 GLOBAL PANDEMIC DECLARATION RESCINDED. RETURN TO NORMAL OPERATIONS CRITERIA WILL BE ADDRESSED IN UPDATES TO FHP SUPPLEMENTS. NOTE 1: DUE TO VARIATIONS IN LOCALLY AVAILABLE COMMUNITY TRANSMISSION CASE RATES, PERIODICITY SHOULD BE BASED ON AVAILABLE DATA (E.G., 14 VICE 7 DAYS, EXTRAPOLATING CRITERIA AS APPROPRIATE, I.E. A DAILY AVERAGE OF 31-60 NEW CASES PER DAY PER 100,000 POPULATION IS EQUIVALENT TO 210-420 NEW CASES PER WEEK). NOTE 2: HOST NATION AND LOCAL REQUIREMENTS MAY NECESSITATE USE OF A DIFFERENT PERIOD FOR CASE RATE (E.G., 7- OR 14-DAY COMPARISON). NOTE 3: DOWNWARD TRAJECTORY OF DOCUMENTED COVID-19 CASES OR OF POSITIVE TESTS AS A PERCENT OF TOTAL TESTS OVER THE PRECEDING 7-DAY PERIOD SUPPORT A DECISION TO REDUCE HPCON TO THE NEXT LOWER LEVEL; LIKEWISE, UPWARD TRAJECTORIES SHOULD BE CONSIDERED IN DETERMINING WHETHER TO INCREASE HPCON LEVELS. 4. OCCUPANCY. REF (B) LIMITS THE NUMBER OF PERSONNEL IN THE WORKPLACE BY MAXIMIZING REMOTE WORK, FLEXIBLE SCHEDULING, AND OTHER METHODS, SYNCHRONIZED WITH THE HPCON LEVEL. IN ACCORDANCE WITH REF (B), OCCUPANCY RATES WILL BE CALCULATED BY COMPARING THE CURRENT DAILY IN-PERSON CENSUS WITH THE ASSIGNED BASELINE STRENGTH FOR THE INSTALLATION/FACILITY. REF (B) ENCOURAGES COMMANDERS TO CONSIDER ADDITIONAL FACTORS INCLUDING OVERALL FACILITY/WORKSPACE SIZE, THEMABILITY TO SOCIAL DISTANCE, AND THE MOST CURRENT, APPLICABLE CDC GUIDANCE. EACH COMMANDER SHOULD ASSESS THEIR SPECIFIC SITUATION AND CONSIDER ALL FACTORS IN DETERMINING THE APPROPRIATE OCCUPANCY RATE NEEDED TO PROVIDE MISSION ASSURANCE WHILE PROTECTING OUR FORCE AND MINIMIZING INFECTION SPREAD. IN CASES WHERE REQUIRED OCCUPANCY FOR MISSION SUCCESS EXCEEDS THE LIMITS IN REF (B), THE EXEMPTION PROCESS DESCRIBED BELOW SHOULD BE USED TO REQUEST OCCUPANCY LEVELS GREATER THAN AUTHORIZED BY REF (B). COMMANDERS SHALL NOT REDUCE OCCUPANCY SUCH THAT CRITICAL NATIONAL SECURITY INTERESTS ARE JEOPARDIZED. 4.A. DIRECTED OCCUPANCY RATES FOR HPCON LEVELS ARE: 4.A.1. HPCON A: LESS THAN 100% OF NORMAL OCCUPANCY IN THE WORKPLACE. 4.A.2. HPCON B: LESS THAN 50% OF NORMAL OCCUPANCY IN THE WORKPLACE. 4.A.3. HPCON B+: LESS THAN 40% OF NORMAL OCCUPANCY IN THE WORKPLACE. 4.A.4. HPCON C: LESS THAN 25% OF NORMAL OCCUPANCY IN THE WORKPLACE. 4.A.5. HPCON D: LESS THAN 15% OF NORMAL OCCUPANCY IN THE WORKPLACE. NOTE: WHEN DETERMINING WORKFORCE OCCUPANCY LIMITS, COMMANDERS ARE ENCOURAGED TO CONSIDER A RANGE OF FACTORS THEY DETERMINE ARE RELEVANT, INCLUDING FACILITY SIZE, MITIGATION MEASURES SUCH AS PHYSICAL BARRIERS, THE ABILITY TO SOCIAL DISTANCE, AND THE MOST CURRENT CDC GUIDANCE. THE OVERALL GOAL IS TO PROTECT OUR FORCE BY MINIMIZING THE CHANCE OF INFECTION SPREAD WHILE PRESERVING MISSION ASSURANCE. 4.B. OCCUPANCY LIMIT EXEMPTIONS. OCCUPANCY EXEMPTIONS ARE AVAILABLE AS DESCRIBED IN REF (B). UNIT COMMANDERS ARE REQUIRED TO ENSURE APPROPRIATE HEALTH PROTECTION MEASURES REMAIN IN PLACE WHILE OPERATING UNDER OCCUPANCY EXEMPTIONS. UNITS WITH AN EXEMPTION ALLOWING HIGHER OCCUPANCY LEVELS THAN PARA 4A OF THIS NAVADMIN ARE EXPECTED TO MEET MISSION REQUIREMENTS AND PROTECT PERSONNEL THROUGH RIGOROUS ENFORCEMENT OF EXISTING HEALTH PROTECTION MEASURES. 4.B.1. EXEMPTIONS. PER REF (C), THE FOLLOWING ACTIVITIES HAVE BEEN GRANTED EXEMPTIONS FROM THE OCCUPANCY RATES PROMULGATED IN REF (B): MEDICAL TREATMENT FACILITIES AND EXPEDITIONARY MEDICAL FACILITIES, NAVY INSTALLATION FIRST RESPONDER UNITS, FORCES SUPPORTING CRITICAL NATIONAL CAPABILITIES, NAVY OPERATIONAL UNITS, COMMAND HEADQUARTERS, SHIPYARDS, FLEET READINESS CENTERS, AND UNITS PROVIDING ESSENTIAL MISSION SUPPORT. 4.B.2. ADDITIONAL EXEMPTIONS. AUTHORITY TO GRANT ADDITIONAL OCCUPANCY EXEMPTIONS IS DELEGATED TO THE RESPONSIBLE NCC, WITH FURTHER DELEGATION AUTHORIZED IN WRITING TO A LEVEL NO LOWER THAN A GENERAL/FLAG OFFICER IN THE GRADE OF O-7, SENIOR EXECUTIVE SERVICE MEMBER (OR EQUIVALENT). A RECORD OF ALL OCCUPANCY EXEMPTIONS WILL BE RETAINED BY THE EXEMPTION AUTHORITY AND PROVIDED TO THE INSTALLATION COMMANDER AND PUBLIC HEALTH OFFICE. 5. ADDITIONAL CONSIDERATIONS 5.A. LOCAL, COUNTY, AND STATE REGULATIONS AND DIRECTIVES. IN ACCORDANCE WITH REF (E), IF NECESSARY TO ENSURE CONTINUITY OF CRITICAL FUNCTIONS, FEDERAL LAW EXEMPTS MILITARY AND FEDERAL CIVILIAN PERSONNEL FROM STATE AND LOCAL GOVERNMENT ORDERS WHEN PERFORMING OFFICIAL DUTIES. 5.B. HIGH-RISK INDIVIDUALS. WHEN IMPLEMENTING AN OCCUPANCY EXEMPTION, COMMANDERS SHALL GIVE THOSE INDIVIDUALS WHO SELF-IDENTIFY AS BEING HIGH RISK TO ADVERSE OUTCOMES IF INFECTED BY COVID-19, AND WHO HAVE NOT BEEN IMMUNIZED THROUGH VACCINATION, THE LATITUDE TO TELEWORK UNTIL REASONABLE ACCOMMODATIONS ARE PROVIDED. COMMANDERS MAY DIRECT ANY EMPLOYEE TO RETURN TO THE WORKSITE TO PERFORM FUNCTIONS OF THEIR JOB PROVIDED THERE IS LEGITIMATE BUSINESS THAT CANNOT BE EFFECTIVELY PERFORMED VIA TELEWORK. SUCH DIRECTION MAY INITIATE REASONABLE ACCOMMODATION PROCEDURES. 5.C. TESTING AND RESTRICTION OF MOVEMENT PLANS. CONCURRENT WITH ANY HPCON CHANGE, COMMANDERS SHOULD HAVE ESTABLISHED PLANS AND READY CAPACITY TO CONDUCT COVID-19 TESTING, CONTACT TRACING, AND RESTRICTION OF MOVEMENT OF THOSE INDIVIDUALS RETURNING FROM HIGH-EXPOSURE LOCATIONS, EXHIBITING SYMPTOMS, OR THOSE EXPOSED TO POSITIVE COVID-19 CASES. 5.D. SENTINEL SURVEILLANCE TESTING AND MONITORING PROGRAMS. IN CONSULTATION WITH PHEOS AND LOCAL MTFS, INSTALLATION COMMANDERS WILL ENSURE SENTINEL SURVEILLANCE TESTING PROGRAMS ARE IN COMPLIANCE WITH CURRENT DOD REQUIREMENTS TO HELP INFORM HPCON LEVEL CHANGES. MONITORING PROGRAMS SUCH AS WASTEWATER DIAGNOSTICS WILL ASSIST IN ASSESSING FORCE HEALTH. 5.E. LESSONS LEARNED. EACH COMPONENT SHOULD UPDATE LESSONS LEARNED IN THE JOINT LESSONS LEARNED INFORMATION SYSTEM (HTTPS://WWW.JLLIS.MIL). 6. COMMANDERS ARE EXPECTED TO TAKE A RISK-INFORMED APPROACH, AND ALL HANDS ARE EXPECTED TO FOLLOW HEALTH PROTECTION MEASURES TO ACCOMPLISH THE MISSION WHILE PROTECTING THE FORCE. THESE CONCEPTS ARE NOT MUTUALLY EXCLUSIVE AND OUR FORCE HAS SHOWN RESILIENCE IN A CHALLENGING ENVIRONMENT, COMBATING COVID-19 WHILE CONTINUING OUR GLOBAL MISSION. THROUGH AN ALL-HANDS EFFORT EMPHASIZING PERSONAL ACCOUNTABILITY, WE CAN BEGIN OUR RETURN TO NORMAL OPERATIONS WHILE MANAGING THE PERSISTENT RISK COVID-19 PRESENTS TO BOTH OUR MISSION AND FORCE. 7. RELEASED BY VADM P. G. SAWYER, DEPUTY CHIEF OF NAVAL OPERATIONS FOR OPERATIONS, PLANS AND STRATEGY.// BT #0001 NNNN UNCLASSIFIED//